Page 27 - Diversified Return to Work Road Map 05.17.20

APPENDIX F | TEMPERATURE & WELLNESS CHECKS

The designated person will provide the below questions to each person entering the building prior to

administering the temperature check.

1. Have you experienced any of the following symptoms in the last 24 hours?

• Fever
• Chills

• Headache
• Cough

• Repeated shaking with chills
• Sore throat
• Shortness of breath

• Muscle pain
• New loss of taste or smell

2. Has anyone in your household experienced the above symptoms in the last 24 hours?

3. Have you or anyone in your household been suspected of or tested positive for COVID-19 in the last 14 days?

4. Have you or anyone in your household come in contact with someone suspected of or testing positive for COVID-19 in the last 14 days?

Each checker will utilize the below tracker or equivalent to track employees. This information will be maintained and stored to facilitate
contact tracing. Trackers will be done for each day.

Trackers will only be kept by the assigned person. Trackers will be destroyed after 30 days. Offices may use this example from OneStop.

27 | Return to Work Road Map: Appendix E diversifiedus.com