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COVID-19 Screening

We welcome you to visit our plant. However, in order to ensure the safety of every visitor, we request you to fill out the eform that is applicable to your nature of visit. These forms are mandatory for anyone who will be visiting the plant.

For the Visitors:

Yes
No

Must be completed before each shift

Required Screening Questions

1. Do you have any of the following symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions such as seasonal allergies or common cold.

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Results of Screening Questions:

. If the individual answers NO to all the questions from 1 through 3, they have passed and can enter the workplace.

. If the individual answers YES to any questions from 1 through 3, they have not passed and should be advised that they should not enter the workplace (including any outdoor, or partially outdoor, workplaces). They should go home to self-isolate immediately and contact their health care provider or Telehealth Ontario (1 866-797-0000) to find out if they need a COVID-19 test.

For the Staff:

Must be completed before each shift

Required Screening Questions

1. Do you have any of the following symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions such as seasonal allergies or common cold.

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Results of Screening Questions:

. If the individual answers NO to all the questions from 1 through 3, they have passed and can enter the workplace.

. If the individual answers YES to any questions from 1 through 3, they have not passed and should be advised that they should not enter the workplace (including any outdoor, or partially outdoor, workplaces). They should go home to self-isolate immediately and contact their health care provider or Telehealth Ontario (1 866-797-0000) to find out if they need a COVID-19 test.

Company

AC Metal Fabricating

Box 36, 2050 Blackacre Dr.
Oldcastle, ON N0R 1L0

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