Contact Tracing Form Template Checklist for Construction
Construction
A contact tracing form template is a document that helps health professionals determine who a sick person caught an illness from and track every possible person they have been in contact with while infectious. Use this contact tracing form template to ensure the privacy and confidentiality of patient/ visitor information and improve legibility and traceability of crucial contact tracing data.
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Case Information

Personal Details

Address

Address
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Symptoms

Symptom Onset
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Checklist
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Address

Location
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Date Visited
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Time Arrived
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Time Departed
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Last Contact with Case
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Address

Address
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Address

Contact Number
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Emergency Contact Information

Address

Address
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Final Remarks

Comments
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Signature

Person Under Investigation
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Signature

Assigned Contact Tracer
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