Screening Form

All employees must wash their hands or use sanitizer upon workplace arrival.

Do you have any of the following symptoms?

Have you?

If you answered YES to any:

Maintain a 6 ft distance from people, tell your supervisor and do not enter the Job-Site or your Work Area.
The virus is thought to spread mainly from person-to-person.
Between people who are in close contact with one another (within about 6 feet) and through respiratory droplets produced when an infected person coughs or sneezes.
A person can become infected by touching items that an infected person has touched. The virus can remain alive on surfaces for days.
Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing. If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol.
DO NOT touch your eyes, nose, and mouth with unwashed hands.

By clicking submit you agree to the following:

I have reviewed and understand R.H. Marcon's COVID-19 Daily Screening and Protocols prior to starting work. I have answered all questions truthfully and understand that I will be treated fairly regardless of the answers I provide.