Employee Symptom Screening Form for Workplaces (Non-healthcare) - Illinois

Employee Symptom Screening Form for Workplaces (Non-healthcare) is a legal document that was released by the Illinois Department of Public Health - a government authority operating within Illinois.

FAQ

Q: What is the purpose of the Employee Symptom Screening Form?
A: The purpose of the form is to assess the health status of employees before they enter the workplace.

Q: Who should complete the Employee Symptom Screening Form?
A: All employees (excluding healthcare workers) should complete the form.

Q: What information is included in the form?
A: The form includes questions about symptoms, exposure to COVID-19, and recent travel history.

Q: Is the completion of the form mandatory?
A: Yes, completing the form is mandatory for all employees (excluding healthcare workers) entering the workplace.

Q: Can an employee enter the workplace without completing the form?
A: No, employees must complete the form before entering the workplace.

Q: What should an employee do if they have symptoms or exposure to COVID-19?
A: An employee with symptoms or exposure should not enter the workplace and should follow the recommended guidelines, such as self-isolating and contacting a healthcare provider.

Q: Who has access to the information provided in the form?
A: The employer and designated personnel responsible for employee health and safety have access to the information.

Q: How long should the form be retained?
A: The form should be retained for at least 60 days, in accordance with privacy guidelines.