COVID Employee Check
Job Site
Please Select a Job Site
Patel Resident
Tiburon House
Job Site 3
Company Name
Number of people working on site today
*
1
2
3
4
5
6
7
8
9
10
Full Name
Employee 1
Temperature
Employee 1 Temperature
Full Name
Employee 2
Temperature
Employee 2 Temperature
Full Name
Employee 3
Temperature
Employee 3 Temperature
Full Name
Employee 4
Temperature
Employee 4 Temperature
Full Name
Employee 5
Temperature
Employee 5 Temperature
Full Name
Employee 6
Temperature
Employee 6 Temperature
Full Name
Employee 7
Temperature
Employee 7 Temperature
Full Name
Employee 8
Temperature
Employee 8 Temperature
Full Name
Employee 9
Temperature
Employee 9 Temperature
Full Name
Employee 10
Temperature
Employee 10 Temperature
Any employees look ill
Yes
No
Please send employee home
Does everyone have PPE
Yes
No
please ask super for PPE.
Name
This field is for validation purposes and should be left unchanged.