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