Type: | Policy Owner: | Policy | COVID Response Team |
Title: | Document # | Revision Level: | Revision Date: | Approval: | Employee COVID-19 Symptom Screening Process | 0003 | 1.0 | 12/13/2020 | TBD |
Employee COVID-19 Symptom Screening
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: - Thermometer
- Witness to Self Screening (Must be Mosaic Workforce or can it be other? Do this person man the entrance or how are they notified?)
- Employee COVID-19 Screening Form (Note: printed version may already be available on location) (This is a temp link to the form for this example)
- Pen or Pencil
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Work Instructions:
1. | - Use thermometer to take temperature
- Is there a specific method to use?
| 2. | - Review results from thermometer- If temperature taken is 100 degrees or higher then proceed to step 5
| 3. | - Review symptom list below and determine answer (yes or no) for each; If answer is yes to 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
| 4. | - Workforce person that is self screening AND Witness - sign available row of Employee COVID-19 Screening Form
- Once all parties sign Employee COVID-19 Screening Form - proceed to step 6
(Should this step be included even if Step 3 is Yes?) | 5. | - Symptoms or Fever Exists - Inform and Start Isolation:
- Notify (in person? by phone? by email? all?) supervisor of Self Screening results (Evidence of fever and/or symptoms)
- Return home (Qualifying Action - Go Home or at minimum Leave Mosaic premises?)
- Start Self Isolation (Link to information?)
NOTE: Do Not Document/Record Information in Employee COVID-19 Screening Form (Are there additional instructions/processes for witness?) | 6. | - End |
Who cleans area of Self-Screening once this process is complete?
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