Remote Jobsite Health Monitoring Form
Date
Time
Jobsite Location
Supervisor Name
Number of Team Members Present
Health Screening
Any team member showing symptoms?
No
Yes
Symptoms Details (if any)
Any recent exposure to illness?
No
Yes
PPE & Hygiene
PPE available and worn by all?
Yes
No
Handwashing/Sanitizing in place?
Yes
No
Notes / Follow-up Actions