COVID-19 Risk Assessment Template Checklist
Logistics
Safety
Inspired by the CDC’s guidance for the identification and management of potentially exposed contacts of a confirmed case of COVID-19, use this risk assessment template to help determine steps to contain the spread of COVID-19.
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COVID-19 Risk Assessment

GENERAL

Enter the worksite where the risk assessment is conducted

Risks and Recommendations

Identify the type of exposure
Risk rating
High
Medium
Low
No Identifiable Risk
Enter control measures

References

Risk Categories derived from https://www.cdc.gov/coronavirus/2019-ncov/php/risk-assessment.html
CDC Recommendations derived from https://www.cdc.gov/coronavirus/2019-ncov/php/risk-assessment.htmlHigh Risk Management

Medium Risk Management

Low Risk and No Identifiable Risk Management

Completion

Comments

Signature

Signature
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