Covidscreen

Office of the Chief Medical Officer of Health

COVID-19 Screening Tool for Businesses and Organizations (Screening Patrons)

Version 4 – March 9, 2021
This screening tool provides advice, recommendations and instructions issued by the Office of the Chief Medical Officer of Health in accordance with O. Reg. 82/20: Rules for Areas in Stage 1, O. Reg. 263/20: Rules for Areas in Stage 2 and O. Reg. 364/20: Rules for Areas in Stage 3 made under the Reopening Ontario (A Flexible Response to COVID-19) Act, 2020 (ROA).
The person responsible for one of the following businesses or organizations that is permitted to open in accordance with the regulations made under the ROA and located in the Orange (Restrict), Red (Control), Grey (Lockdown) or Shutdown zones, as specified below, is required to actively screen individuals before they enter the indoor premises of the business or organization:

Business or organization	Zone
Indoor malls	Orange – Restrict Red – Control Grey – Lockdown Shutdown
Restaurants, bars and other food and drink establishments (not required for take-out, drive through or delivery)	Orange – Restrict Red – Control
Sports and recreational fitness facilities	Orange – Restrict Red – Control
Meeting and event spaces	Orange – Restrict Red – Control Grey – Lockdown Shutdown
Personal care services	Orange – Restrict Red – Control
Casinos, bingo halls and gaming establishments	Orange – Restrict Red – Control
Cinemas	Orange – Restrict
Performing arts facilities	Orange – Restrict

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. In the event of any conflict between this document and any applicable legislation, regulation, or orders or directives issued by the Minister of Health or the Chief Medical Officer of Health, the legislation, order or directive prevails.

This screening tool is intended to be used to actively screen individuals in accordance with O. Reg. 82/20: Rules for Areas in Stage 1, O. Reg. 263/20: Rules for Areas in Stage 2 and O. Reg. 364/20: Rules for Areas in Stage 3 made under the ROA. 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 can be used in advance or on-site before the patron enters the business or organization. If the screening is on-site, ensure that screeners receive information and instructions on how to perform this work safely and what to do if a person is not permitted to enter. The result of screening should be reviewed to determine whether a person may enter the business or organization.

This screening does not exempt an individual from being screened by another business or organization if the individual is seeking entry into a different premise on the same day (e.g., restaurant, arena, retail store).

Screening is not required for emergency services or other first responders entering a business or organization for emergency purposes.

Anyone who does not pass screening should not be permitted to enter the business or organization and advised that they should self-isolate, ideally at home, and call their health care provider or Telehealth Ontario (1-866-797-0000) to get advice or an assessment, including if they need a COVID-19 test

Results of Screening Questions:

If the patron answered NO to all questions from 1 through 6, they can enter the business or organization.
If the patron answered YES to any questions from 1 through 6, they should not be permitted to enter the business or organization (including any outdoor or partially outdoor business or facility). They should be advised to go home to self-isolate immediately and contact their health care provider or Telehealth Ontario (1-866-797-0000) to get advice or an assessment, including if they need a COVID-19 test.
If the patron answered YES to question 6, they must be advised to stay home, along with the rest of the household, until the sick individual gets a negative COVID-19 test result, is cleared by their local public health unit, or is diagnosed with another illness.
If any of the answers to these screening questions change during the day, this screening result is no longer valid and the patron may need to screen again, wherever necessary.
Any record created as part of patron screening may only be disclosed as required by
law.

Resources:

COVID-19 (coronavirus) in Ontario webpage (find a testing location, check your results,
how to stop the spread of the virus).
Ministry of Labour, Training and Skills Development’s Resources to prevent COVID-19
in the workplace.

Do you have one or more of the following symptoms?	Yes No
Fever and/or chills	Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher
Cough or barking cough (croup)	Not related to asthma, post-infectious reactive airways, COPD, or other known causes or conditions you already have
Shortness of breath	Not related to asthma or other known causes or conditions you already have
Sore throat	Not related to seasonal allergies, acid reflux, or other known causes or conditions you already have
Difficulty swallowing	Painful swallowing (not related to other known causes or conditions you already have)
Decrease or loss of smell or taste	Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have
Pink eye	Conjunctivitis (not related to reoccurring styes or other known causes or conditions you already have)
Runny or stuffy/congested nose	Not related to seasonal allergies, being outside in cold weather, or other known causes or conditions you already have
Headache	Unusual, long-lasting (not related to tension-type headaches, chronic migraines, or other known causes or conditions you already have)
Digestive issues like nausea/vomiting, diarrhea, stomach pain	Not related to irritable bowel syndrome, menstrual cramps, or other known causes or conditions you already have
Muscle aches	Unusual, long-lasting (not related to a sudden injury, fibromyalgia, or other known causes or conditions you already have)
Extreme tiredness	Unusual, fatigue, lack of energy (not related to depression, insomnia, thyroid dysfunction, or other known causes or conditions you already have)
Falling down often	For older people

Do you have one or more of the following symptoms?	Yes No
Fever and/or chills	Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher
Cough or barking cough (croup)	Continuous, more than usual, making a whistling noise when breathing (not related to asthma, post-infectious reactive airways, or other known causes or conditions you already have)
Shortness of breath	Out of breath, unable to breathe deeply (not related to asthma or other known causes or conditions you already have)
Decrease or loss of smell or taste	Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have
Sore throat or difficulty swallowing	Painful swallowing (not related to seasonal allergies, acid reflux, or other known causes or conditions you already have)
Runny or stuffy/congested nose	Not related to seasonal allergies, being outside in cold weather, or other known causes or conditions you already have
Headache	Unusual, long-lasting (not related to tension-type headaches, chronic migraines, or other known causes or conditions you already have)
Nausea, vomiting and/or diarrhea	Not related to irritable bowel syndrome, anxiety, menstrual cramps, or other known causes or conditions you already have
Extreme tiredness or muscle aches	Unusual, fatigue, lack of energy (not related to depression, insomnia, thyroid dysfunction, sudden injury, or other known causes or conditions you already have)

Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?
Yes	No

In the last 14 days, have you been identified as a “close contact” of someone who currently has COVID-19?
Yes	No

In the last 14 days, have you received a COVID Alert exposure notification on your cell phone? If you already went for a test and got a negative result, select "No."
Yes	No

In the last 14 days, have you or anyone you live with traveled outside of Canada? If you or anyone you live with are exempted from federal quarantine as per Group Exemptions, Quarantine Requirements under the Quarantine Act, select “No”.
Yes	No

Office of the Chief Medical Officer of Health

COVID-19 Screening Tool for Businesses and Organizations (Screening Patrons)

Required Screening Questions