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Daily Health Monitoring Record

Temp
Employee Name Time In Reading, Signs / Symptoms
°C

Legend: (A) Headache and/or dizziness


(B) Fever
(C) Colds
(D) Coughing
(E) Shortness of breath
(F) Excessive sweating
(G) Excessive chilling / shivering
(H) Redness of eyes
NONE No signs and symptoms of any illness

SF-EHS-06
Page No. 1 of 1
Feb 2019; Rev 0

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