ILLNESS REPORT LOG – GUESTS This form is to be kept in the Front Desk/PBX area to record initial reports of illness, prior to investigation using the Illness Report Forms. Use a new form each day during a suspected or confirmed outbreak as a checklist to ensure proper investigation and follow-through has been completed. DATE:
TIME SYMPTOMS BEGAN
ILLNESS FORM COMPLETED (Y/N OR CHECK MARK)
TIME OF REPORT
NAME
ROOM #
SYMPTOMS
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