Wellness_Checklist_Final.pdf
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Federal Aviation Administration Return to Workplace: COVID-19 Daily Wellness Check (1 of 1) Published on February 12, 2021 by FAA’s COVID-19 IMT
COVID-19 Daily Wellness Check
In order to help mitigate the spread of COVID-19, it is imperative that we all continually monitor and assess our health, on a daily basis.
Before you leave for a facility1, each day you are expected to review the following health questionnaire.
If you answer “YES” to any one of these FOUR (4) questions, you must NOT enter any facility. CALL your manager or sponsor for further guidance and available options.
1. Is your temperature at or above 100.4 degrees F (38.0 degrees C)?
2. Have you experienced any of the following symptoms recently?
• Fever or chills
• Cough, congestion, or Shortness of breath
• New loss of taste or smell
• New or unexplained Sore throat, Muscle or body aches, or Headache
• Nausea, Vomiting, or Diarrhea
• Fatigue2
3. Have you had a positive COVID-19 test3 within the last 14 days or are you awaiting a COVID-19 test result?
4. Within the last 14 days:
a. Have you been in close contact (within 6 feet for at least 15 minutes) with someone who is known to have COVID-19; or
b. Have you been in close contact (within 6 feet for at least 15 minutes) with someone who has any of the above symptoms of COVID-19; or
c. Have you received instructions from a public health authority or healthcare provider to self-observe, self-isolate, or self-quarantine?
When you call your manager or sponsor to discuss next steps, be prepared to provide specific information regarding when you last physically accessed any facility, for contact tracing, risk assessment, and case management for workplace protection.
1 Facility is any FAA facility, third-party facility, other federal facilities, suppliers or any other location where an employee performs work such as site audits, site inspections, investigations, and property management.
2 Fatigue is very common and a normal physiological response to sustained or intense activity. Before answering YES to fatigue it should be unusual and not responsive to rest.
3 Employees must report all positive COVID-19 test results as soon as possible after receipt. You must provide the written lab report to your manager.
If you answer “YES” to any one of these FOUR (4) questions, you must NOT enter any facility. CALL your manager or sponsor for further guidance and available options.
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