疫情防控登记表-范本模板.docx

《疫情防控登记表-范本模板.docx》由会员分享，可在线阅读，更多相关《疫情防控登记表-范本模板.docx（6页珍藏版）》请在得力文库 - 分享文档赚钱的网站上搜索。

1、疫情防控登记表-范本模板Attachment 1: XXXNumber Name Phone number ID card numberHealth code color Entry timeXXX time and degreeInspectorXXX: n time:Rewritten: This form is used to register and track the temperature n of epidemic n and control personnel o It includes the persons name。phone numbero ID card number

2、o health code color o entry timeo and temperature measurement time and degree o The form is XXX。Attachment 2: XXXNumber NamePhone number ID card number EntrytimeXXX n (three times)Inspector Contact person n point Unit: n time:Rewritten: This form is used to track any XXX and control personnelo It in

3、cludes the persons name。phone numbero ID card number o entry timeo and temperature n (measured three times) o The form is completed by an inspector and also includes n on any contact persons and XXX。XXX 3: XXXNumber Item name Item quantity Storage n Custodian RemarksRewritten: This form is used to t

4、rack the reserves XXX and control o It includes the item nameo quantity o storage n o custodian and any remarks。XXX 4: XXXReport timeReporting unitNameXXXID card numberBasic nHealth code colorXXX workHome addressReporterPhone numberAbnormal temperature during post-work checkXXX routeReturn nn measur

5、esXXX XXXInspectorWork nContact personRewritten: This form is used to report any XXX and control o It includes the report timeo reporting unite individuaFs name and ID card number o basic no health code color o abnormal temperature category before returning to worko home address o reporters no abnor

6、mal temperature during post-work checko travel route o return n o n measures o temperature reading during n o inspector o work n o and contact person oXXX 5: n Record Form for XXXNumber Time n nLiving/office areaType of disinfectant usedno of 84(1:250)Disinfector Person in chargeRewritten: This form

7、 is used to record the n activities forXXX and controlo It includes the time of no no living/office areaotype of disinfectant usedo no of 84 (l:250)o disinfectoro and person in charge。XXX 6: Material n Form for XXXXXXNumber Item name Item quantityDistributor Recipient Receiving timeRewritten: This f

8、orm is used to track the n of materials forXXX and control o It includes the receiving teamo item name o item quantity o distributor o recipient o and receiving time oXXX 7: XXXNumber Name Phone number ID card numberReturn timeHealth certificate issued by place of originXXXXXX time and degreeInspectorRewritten: This form is used to XXX。It includes the persons name。phone numbero ID card numbero return timeo health certificate issued by the place of origin o travel method 0 and temperature measurement time and degree o The form is XXX.