Fillable COVID-19 Screening for Visitors and Volunteers (University of Toronto, Scarborough)

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COVID-19 Screening for Visitors and Volunteers (University of Toronto, Scarborough)

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COVID-19 Screening for
Visitors and Volunteers
The University is required to ensure that all visitors to campus have completed an appropriate self-screening assessment in
the context of the COVID-19 pandemic. You are required to maintain a log of your assessments, as demonstrated below, for
a period of 30 days. You may be asked at any time by a member of the University administration to show this log to conrm
completion of your self-assessments over the preceding 30 days.
This assessment is not a replacement for medical advice. If you are experiencing severe symptoms or have other concerns,
please seek medical attention.
Q1. Are you currently experiencing any COVID-19 symptoms? Please see the list on the reverse.
Q2. Within the last 14 days did you provide care to or have close contact with a symptomatic person
with new COVID-19 symptoms, or who returned from outside of Canada in the last 2 weeks with new
COVID-19 symptoms?
A close contact is dened as a person who:
• Provided care for the individual, including healthcare workers, family members or other caregivers, or who had other
similar close physical contact without consistent and appropriate use of personal protective equipment*; or
• Lived with or otherwise had close prolonged contact (within 2 metres) with the person while they were infectious; or
• Had direct contact with infectious bodily uids of the person (e.g. was coughed or sneezed on) while not wearing
recommended personal protective equipment*.
*Non-medical masks or face coverings do not meet the requirements for personal protective equipment (PPE) and are not
considered as PPE in these scenarios.
Q3. In the last 14 days, have you been in close physical contact with someone who tested positive for
COVID-19?
Q4. Have you travelled outside of Canada in the past 14 days?
If you have answered no to all of the questions above, you have a green status and can continue to come
onsite as planned.
If you have answered yes to any of the questions above, you have a red status. Do not come to a
University of Toronto owned or operated property. Contact your host department. You must also contact
the Occupational Health Nurse at ehs.occhealth@utoronto.ca to determine next steps.
COVID-19 Screening Log
Name:
Date (DD/MM/YYYY)
I have completed the COVID-19
health screening listed above
Signature:
Last updated November 16, 2020
COVID-19: Stop the Spread - Symptoms and Treatment
Downloaded from ontario.ca/page/covid-19-stop-spread. Last modified on October 22, 2020.
Symptoms of COVID-19, which is the disease caused by the 2019 novel coronavirus, range
from mild — like the 
u and other common respiratory infections — to severe.
The most common symptoms of
COVID-19 include:
• fever (feeling hot to the touch, a temperature of
37.8 degrees Celsius or higher)
• chills
• cough that's new or worsening (continuous,
more than usual)
• barking cough, making a whistling noise when
breathing (croup)
• shortness of breath (out of breath, unable to
breathe deeply)
• sore throat
• difculty swallowing
• runny, stuffy or congested nose (not related to
seasonal allergies or other known causes or
conditions)
• lost sense of taste or smell
• pink eye (conjunctivitis)
• headache that’s unusual or long lasting
• digestive issues (nausea/vomiting, diarrhea,
stomach pain)
• muscle aches
• extreme tiredness that is unusual (fatigue, lack
of energy)
• falling down often
Call 911 if you are experiencing any
of the following symptoms:
• severe difculty breathing (struggling for each
breath, can only speak in single words)
• severe chest pain (constant tightness or
crushing sensation)
• feeling confused or unsure of where you are
• losing consciousness
Complications from COVID-19 can include
serious conditions, like pneumonia or kidney
failure and, in some cases, death.
There is no specic treatment for COVID-19,
and there is no vaccine that protects against
the coronavirus that causes it. The majority
of COVID-19 cases are mild and most
people who get it will recover on their own.
Typical treatment for common coronaviruses
includes:
• drinking plenty of uids
• getting as much rest and sleep as possible
• using a humidier or taking a hot shower to help
with a sore throat or cough
If you start to feel symptoms of COVID-19, you should:
• go to a COVID-19 assessment centre to get tested
• stay home and self-isolate unless you are going to the assessment centre
•
only call 911 if it is an emergency
Some groups are at higher risk of getting COVID-19. You may be in an at-risk group if you are 70 years old or older, are getting treatment that
compromises (weakens) your immune system (for example, chemotherapy, medication for transplants, corticoste-roids, TNF inhibitors), have
a condition that compromises (weakens) your immune system (for example, lupus, rheumatoid arthritis, other autoimmune disorder), have a
chronic (long-lasting) health condition (for example, diabetes, emphysema, asthma, heart condition), regularly go to a hospital or health care
setting for a treatment (for example, dialysis, surgery, cancer treatment).
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COVID-19 Screening for Visitors and Volunteers (University of Toronto, Scarborough)

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Completed 5 February 2021

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