COVID-19 Employee Self Assessment Form
To prevent the spread of the coronavirus and flatten the curve, it’s essential that all field service workers—prior to entering a job site—complete a COVID-19 Employee Self-Assessment Form. These types of forms run through a list of self-assessment questions and automatically notifies managers if the employee’s results could indicate early on-set symptoms so they may take swift action.
COVID-19 Employee Self-Assessment Forms are ideal for any organization, especially for frontline workers:
- entering healthcare facilities such as hospitals, long-term care facilities, retirement homes
- performing medical equipment installation and maintenance services
- installing or maintaining industrial equipment
- providing essential services including grocery, utility, infrastructure, construction, community, or transportation services
With ProntoForms, this form can be customized to follow any country-, state- or province-, or organization-specific health protocols. Guide frontline workers through new procedures and collect critical data on their mobile device, including:
- contextual guidance based on the employee’s responses
- reporting requirements and workflows for symptomatic employees
Rapidly build and deploy custom COVID-19 and emergency response apps. Request a demo to learn how ProntoForms can help.
Drop that clipboard. Collect data on mobile devices.
Digitize CDC forms and deploy them to field teams instantly.
Work smart in the field
Guide users with step-by-step mobile forms that ensure consistency.
Report back in real-time
Send reports to people and back-end or analytics systems.
Field Service Director, Purell
Features designed for rapid emergency response
Rapid onboarding platform
Our user-friendly design and intuitive workflows that most technicians can grab the app and go with little to no training.
Work smart with conditional logic
Ensure fast inspections, investigations, and asset service with dynamic forms that tailor pre-set questions and prompts based on user input.
Complete and submit mobile forms without on-site connectivity. Forms are auto-sent once network is restored.
Get the full picture with rich media
Emergencies aren't the time to second guess. Collect photos, videos, audio recordings and more for accurate records.
A compliance workhorse
Have complete auditability of work with EHS and FDA guidelines built into custom FEMA damage assessment apps.