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  • PCLA Temperature and COVID 19 Symptoms Record 2020-07-01 Ver0

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    Joecel Olazo
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    This document is a temperature and COVID-19 symptom record template for crew members to record their temperature twice daily and note any symptoms over a period of time before and during travel. It includes spaces for name, crew ID, date, morning and evening temperatures, notation of symptoms or lack thereof, and space for comments. The purpose is to monitor for COVID-19 symptoms like cough, fever and difficulty breathing over a 14 day period before travel to a ship.

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    PCLA Temperature and COVID 19 Symptoms Record 2020-07-01 Ver0 (4)

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    This document is a temperature and COVID-19 symptom record template for crew members to record their temperature twice daily and note any symptoms over a period of time before and during travel. It includes spaces for name, crew ID, date, morning and evening temperatures, notation of symptoms or lack thereof, and space for comments. The purpose is to monitor for COVID-19 symptoms like cough, fever and difficulty breathing over a 14 day period before travel to a ship.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    23 views1 page

    PCLA Temperature and COVID 19 Symptoms Record 2020-07-01 Ver0

    Uploaded by

    Joecel Olazo
    This document is a temperature and COVID-19 symptom record template for crew members to record their temperature twice daily and note any symptoms over a period of time before and during travel. It includes spaces for name, crew ID, date, morning and evening temperatures, notation of symptoms or lack thereof, and space for comments. The purpose is to monitor for COVID-19 symptoms like cough, fever and difficulty breathing over a 14 day period before travel to a ship.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Temperature and COVID-19 Symptom Record

    FULL NAME   CREW ID  


    Temperature Temperature
    Date Any Symptoms? Comments & Initial
    (MORNING) (EVENING)
          Y □/ N □
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
          Y □/ N □  
    Y □/ N □
    Write down your temperature and if you have of any symptoms of COVID-19 twice a day. You should start 14 days
    before you travel where possible. Continue until you get to your ship. Symptoms Include: Cough, shortness of
    breath, difficulty breathing, fever, chills, headache, fatigue (tiredness), sore throat, runny or blocked nose,
    muscle aches or body aches, loss of taste of smell, nausea, vomiting or diarrhea.

    Temperature and COVID-19 Symptoms Record_2020-07-01_Ver0

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