Woodrill Ltd. COVID Screening
Pre-entry COVID-19 Screening Questions
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First Name *
Last Name *
Company *
Symptoms *
Do you have any of the following new or worsening symptoms or signs? 𝙎𝙮𝙢𝙥𝙩𝙤𝙢𝙨 𝙨𝙝𝙤𝙪𝙡𝙙 𝙣𝙤𝙩 𝙗𝙚 𝙘𝙝𝙧𝙤𝙣𝙞𝙘 𝙤𝙧 𝙧𝙚𝙡𝙖𝙩𝙚𝙙 𝙩𝙤 𝙤𝙩𝙝𝙚𝙧 𝙠𝙣𝙤𝙬𝙣 𝙘𝙖𝙪𝙨𝙚𝙨 𝙤𝙧 𝙘𝙤𝙣𝙙𝙞𝙩𝙞𝙤𝙣𝙨.
Yes
No
Fever or chills
Difficulty breathing or shortness of breath
Cough (continuous)
Decrease or loss of smell or taste
Not feeling well, extreme tiredness, sore muscles
Travel *
Have you travelled outside of Canada in the past 14 days?
COVID Contact *
Have you had close contact with a confirmed or probable case of COVID-19?
Results of Screening Questions
If you answer 𝗡𝗢 to all questions:
You can enter the workplace.
If you answer 𝗬𝗘𝗦 to any questions:
Please call Woodrill to review the Covid19 Protocol before entering (including any outdoor, or partially outdoor, workplaces). You may be required to have a Covid19 test and/or contact your health care provider or Telehealth Ontario (1-866-797-0000) prior to returning to work.
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