DCS COVID-19 Screening App for Inmates

Registration Number:

Please select the inmate type:

Do you have a South African ID?

This Screening Tool is offered for informational purposes to help you check for COVID-19 symptoms as required by the Department of Labour Workplace COVID-19 regulations.

The guidance you receive depends on the accuracy of the information you provide as well as current guidelines for identifying symptoms associated with COVID-19.

Based on your self-reported answers, the tool will provide a response to be used by the DCS.

All medical information will be kept confidential and no Personal or Special Personal Information will be shared with any other external parties.

This is not a substitute for professional medical advice, diagnosis, or treatment of disease or other conditions, including COVID-19. Always consult a medical professional for serious symptoms or emergencies.

This disclaimer and declaration must be accepted every time when one completes the screening tool to get access to the DCS premises.

Refusal to accept the disclaimer and declaration, will result in access to DCS sites being denied.

By selecting “AGREE” below, you indicate that you have reviewed and agree to the above disclaimer and our declaration, available here:

DCS COVID-19 Symptom Screening Tool .

ID number on hereby:

1. Symptoms
Persons with acute respiratory illness with sudden onset of any of the following:

Respiratory

	Yes	No
Cough	Yes	No
Sore Throat	Yes	No
Persistent sneezing	Yes	No
Shortness of breath	Yes	No

Temperature

Fever (measured temperature of ≥ 38°C) or history of fever
(subjective)

Gastrointestinal

	Yes	No
Vomiting	Yes	No
Diarrhoea	Yes	No
Dysgeusia (alteration of the sense of taste)	Yes	No

	Yes	No
Joint and myalgia (muscle ache)	Yes	No
Anosmia (loss of sense of smell)	Yes	No
Weakness (general body malaise)	Yes	No
Conjunctivitis / red irritated eyes	Yes	No
A rash on the skin, or discolouration of fingers or toes	Yes	No
Chest pain or pressure	Yes	No
Loss of speech or movement or confusion	Yes	No
Headache	Yes	No

2. Were you in close contact (≤1 metre) with a confirmed or probable case of SARSCoV-2 infection (COVID-19) for at least 15 minutes while not wearing recommended personal protective equipment or PPE?

3. Had a history of travel to areas with local transmission of SARS-CoV-2 (COVID-19);
(NB Affected countries and areas will change with time; consult the NICD website
for current updates)?

4. Admitted with severe pneumonia of unknown aetiology?

I hereby declare that the information provided above is true and correct. I also understand that any willful dishonesty could result in me placing the DCS site occupants at risk. I furthermore understand and agree that by answering yes to any of the above questions, my access to the DCS site will be temporarily denied and deferred until a suitable isolation period has passed.