b_Employee COVID-19 Screening

Type: Policy Owner:
Procedure[COE <Service Segment>]  CoE? COVID Response Team

 Title:Document # Revision Level:  Revision Date: Approval: 
Conduct Employee COVID-19 Symptom ScreeningTBD1.0 2/22/2021 Paula Burton, Sarah Khalili (Change to Role Names)

Conduct Employee COVID-19 Symptom Screening

Process Time: 2 Minutes

When to Use: Prior to the beginning of each shift or anytime arriving at work location

Where to Complete: All Mosaic locations and prior to entering

Performed by (Role): Employee (Self Screening)

Materials Required: 

Work Instructions:


 1. - Use thermometer to take temperature
 2. - Review results from thermometer
  • If temperature taken is 100 degrees or higher then proceed to step 5
NOTE: Do Not Document/Record your actual temperature/symptom information in Employee COVID-19 Screening Form
 3. - Review symptom list below. If you have one or more of the listed symptoms then proceed to step 5

Symptom List:
  • New or worsening cough
  • Shortness of breath
  • Loss of taste
  • Loss of smell
(Review symptom list to ensure no updates)

NOTE: Do Not Document/Record your actual temperature/symptom information in Employee COVID-19 Screening Form
 4. - Sign available row of Employee COVID-19 Screening Form
  • Once the employee has signed the Employee COVID-19 Screening Form - proceed to step 6
 5. - Symptoms or Fever Exists - Inform and Start Isolation:
  • Notify supervisor of Self Screening results (Evidence of fever and/or symptoms) and arrange for appropriate coverage of shift- Preferably by phone
  • Leave Mosaic premises after you and your supervisor have secured appropriate shift coverage
  • Start Self Isolation (Link to information - get link from Lisa also is it Isolation or Quar?)
 6. - End

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