Healthy at Work Daily Health Check

  • Healthy at Work

    Due to the COVID-19 pandemic, the Kentucky Healthy at Work requirements direct open organizations to conduct daily temperature and health checks of employees who are in the workplace. The College is complying with this directive.
  • Daily health check

    The College is using self-administered checks for employees working on campus. This form must be completed every day that you work on campus. Optimally, this check should be performed prior to beginning work each day to minimize the spread of COVID-19.
  • Date Format: MM slash DD slash YYYY
  • Screening Questions

    These questions are taken from the Kentucky Healthy at Work guidance at and the CDC symptoms list at
  • For the purposes of the COVID-19 pandemic, a fever is a termperature above 100.4 degrees.
  • "Yes" response

    If you answered “yes” to any of the screening questions, per the Healthy at Work requirements, you are not allowed on campus for the day unless cleared by a medical professional. You should contact your supervisor, self-isolate at home, and follow current Kentucky Department for Public Health and/or CDC guidelines available at:
  • All "No" responses

    If you answered “no” to all of the screening questions, you can begin your work day. You should continue to self-monitor during the work day and, if you develop symptoms, you should report those symptoms to your supervisor.
  • If you would like a copy of this form emailed to you, please include your email address below.