This free visitor health questionnaire can be used to ensure the safety of your staff by screening visitors with a few simple COVID-related questions.

As we start moving towards our return to work, it is important that employers consider all the risks associated with COVID-19, and that includes their own employees visiting sites as well as bringing in contractors and clients to your own workplace.

This very simple visitor health questionnaire provides a platform to screen visitors before they come on-site, and for you as an employer to screen your employees before they go off-site. Providing guidance on what visitors or employees need to do, if they develop COVID-19 symptoms.

It requires all visitors to provide responses to a few questions, beginning with where and when the visitor is entering the site. A self-declaration asks the visitor to declare if they have travelled to or from a number of countries within the past 14 days, whether they’ve been in close contact with someone who has travelled to those countries, whether or not they have been in close contact with someone diagnosed with COVID-19 within that time period and whether they are currently experiencing any cold or flu-like symptoms.

The form is available as a word document, so you can amend it with your own organisation's logo and details. Fill out the form below to receive the download.



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