Checklist

Outbreak & Exposure Triage Checklist

A rapid, guided triage checklist and fillable log to capture the right first actions, data, and notifications when a potential cluster, exposure, or early outbreak is suspected. Designed to standardize immediate containment steps, speed investigation, and produce a saved triage record for follow-up and escalation.

Interactive Tool

Outbreak & Exposure Triage Checklist

Use this guided triage form to capture essential information and start containment within the critical first hours after a suspected cluster or exposure. Complete required fields, implement immediate mitigations, and notify the right teams. This form creates a saved triage record to support investigation, escalation, and learning.

Purpose: standardize first actions, reduce delays, and ensure a rapid handoff to full outbreak response if needed.

Suggested timeframe: complete initial fields and initiate mitigations within 1–2 hours of recognition.

Short descriptive name (e.g., 'Unit A febrile cluster - July 2026')
Use local date/time format
Specify unit names, wards, clinics, floors, or service lines
Symptoms, lab findings, time window, and inclusion/exclusion criteria used for initial case-finding
Enter count when known
Check all that apply
Immediate isolation, cohorting, or physical separation for suspected cases
Describe locations, room numbers, cohort strategy, or limitations
Notify immediately as required by policy
Select actions already initiated
Refer to local trigger list (e.g., >2 linked cases, unusual pathogen, staff cluster)
Any constraints (staffing, PPE shortages), suspected source, or rapid hypotheses
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