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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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