COVID-19 Screening

BEFORE YOU ENTER THIS JOB SITE
YOU MUST COMPLETE OUR COVID-19 MANDATORY SCREENING
As part of our commitment to providing a safe and healthy workplace, this daily screening is required for entrance to the jobsite. Your answers will only be used to generate a PASS/FAIL response, which may be shared with your employer. Thank you for providing honest answers. Together, we are doing our part to ensure a safe jobsite and minimize the spread of COVID-19.

    Job Site Name *
    Your Name *
    Your Company *
    Your Temperature *
    Have you been diagnosed with COVID-19 in the last 14 days? *YesNo
    Have you been in close contact with anyone diagnosed with COVID-19 in the last 14 days? *YesNo
    Are you currently experiencing COVID-19 symptoms, including fever, cough, sore throat, respiratory illness, shortness of breath, diarrhea, or any other cold/flu symptoms? *YesNo
    Have you traveled via airplane internationally or domestically in the last 14 days? *YesNo