Version 2 – January 7, 2021
This screening tool provides advice, recommendations and instructions issued by the Office of the Chief Medical Officer of Health in accordance with subsections 2(3) of Schedule 1 to O. Reg. 82/20: Rules for Areas in Stage 1 under the Reopening Ontario (A Flexible Response to COVID-19) Act, 2020 Flexible Response to COVID-19) Act, 2020.
The person responsible for a business or organization that is permitted to be open under O. Reg. 82/20: Rules for Areas in Stage 1 must screen workers for COVID-19 before they go to work or start their shift each day.
This screening tool is not to be used as a clinical assessment tool or intended to take the place of medical advice, diagnosis, treatment or legal advice.
The questions in this tool have been defined by the Ministry of Health. These questions can be adapted to meet the communication the needs of people with learning, developmental or cognitive disabilities.
This screening tool does not apply to health care settings (including long-term care homes homes), and some non-health care workplaces (e.g., retirement homes, other congregate living settings, schools and schools and child care) where existing screening requirements and tools are already in place.
Screening is not required for emergency services or other first responders entering a workplace for emergency purposes.
Screening should occur before or when the worker arrives at the workplace at the business or organization at the beginning of their shift or workday. This means ensuring that the result of screening is collected and reviewed to determine whether a person may enter the workplace.
This screening tool can be completed either online or on-site before the worker enters the workplace. Anyone who does not pass screening should be advised they should not enter the workplace and should self-isolate, ideally at home, and call their health care provider or Telehealth Ontario (1-866-797-0000) for clinical assessment.
1. Do you have any of the following new or worsening symptoms or signs? Symptoms
should not be chronic or related to other known causes or conditions.
Choose any/all that are new, worsening, and not related to other known causes or medical
conditions.
1. Do you have any of the following new or worsening symptoms or signs? Symptoms
should not be chronic or related to other known causes or conditions.