Working Alone or In Isolation Check-In Form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date at the top of the form. This helps track when the check-in is taking place.
3. Fill in your individual information, including your department or area, and select whether you are a faculty member, staff, or student.
4. Provide your last name and first name, along with your supervisor's or principal investigator's details.
5. If there is a different contact person, fill in their last name and title as well.
6. Describe your work location and provide a detailed description of the work you will be performing in isolation.
7. List any hazards associated with your work in isolation. You can include up to three descriptions.
8. Establish a check-in schedule using the 24-hour clock format. Specify how often you will check in (e.g., every 30 minutes).
9. Indicate your communication method for check-ins (e.g., phone or in person) and record initial check-in times.
10. Finally, confirm if your work-shift in isolation is completed by selecting 'Yes' or 'No', and provide sign-offs as required.

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