SAMPLE Questionnaire and HR Checklist for Confirmed COVID-19 Cases

Contributed by Jeff Risch, November 6, 2020

As new information unfolds surrounding our understanding of COVID-19, and seeing that the odds appear to be increasing on who may actually get the virus, employers need to be vigilant in examining whether or not an employee contracts the virus at work or in the course of their employment.  In order to assist employers in this exercise and help them possibly defend against legal challenges later (including workers compensation claims), the following updated questionnaire and HR checklist may be useful. The questionnaire and checklist should be kept confidential and used only by HR professionals.

Sample Questionnaire and HR Checklist

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