The questionnaire will allow an observer to document who they have been in contact with in the last 24 hours or 7 days. Acquiring this information will help minimize the spread of infectious disease and allow an employer to inform employees of their possibility exposure.
This form is a sample report which can be imported into your KPA EHS account. All forms including this one can be easily modified to fit your organization's policies and procedures.
Don't have a KPA EHS account? Download the printable Daily Contact Tracing Questionnaire PDF form so your team can fill out a paper copy.
Check out the Forms Overview or learn about specific features:
Start from a pre-built template or design your own form from scratch.
Once team members have downloaded the app, they can fill out reports offline - including attachments! The report will automatically upload once connectivity resumes.
Assign follow-ups within a report and track incomplete items.
You decide who can submit reports, view responses, and more.
Setup individual or group notifications for certain reports. For example, you may want notifications for critical issues but not minor ones.
KPA EHS automatically generates rich analytic tools so you can filter, visualize, and export all the data you're collecting.
Run participation reports to see who is submitting reports and when they're being submitted.
Collect electronic signatures when your team fill out reports.
Forms filled out through the web browser can be automatically translated into 100+ languages.
As your team edits a report, the system will automatically track what was changed, the author, and the date.
As projects, locations, etc change, the form will automatically update to include the latest options.
Clicking "Does Not Apply" dozens of times is counter-productive. Instead, hide questions that don't apply.
Some forms can be extremely complex, but that's no problem in KPA EHS. Setup sub-reports to make it easier to fill out in sections.
Watch this quick overview of the KPA EHS system.
Watch this walk-through of the KPA EHS system.