Health Questionnaire (Site Worker/Visitor)

Due to the public health risks associated with COVID-19, Manpower Demolition is taking preventative measures to ensure the health and safety of all its employees, visitors and those around them, as well as its working environment.


  1. Workers: Prior to entering on-site and engaging in any work on-site workers must complete this questionaire and return to their forman/supervisor.

  2. Visitors: Prior to entering on-site all visitors must complete this questionnaire and return to the Site Superintendent.

Personal Information:

Have you travelled outside of Canada (including to the U.S.A.) within the last 14 days?

Do you currently have any of the following symptoms?




Have you been exposed to a person who has a confirmed, or probable case, of COVID-19?