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.

INSTRUCTIONS:

  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:
Questions:

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?

FEVER

COUGHING

DIFFICULT BREATHING

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