Woodrill Ltd. COVID Screening

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Pre-entry COVID-19 Screening Questions

First Name *

Last Name *

Company *

Woodrill

Premier Equipment

Other:

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

Fever or chills

Difficulty breathing or shortness of breath

Cough (continuous)

Decrease or loss of smell or taste

Two or more of: runny nose or nasal congestion, headache, extreme fatigue, sore throat, muscle aches or joint pain, gastrointestinal symptoms (such as vomiting or diarrhea)

Travel *

Have you travelled outside of Canada in the past 14 days?

Yes

COVID Contact *

Have you had close contact with a confirmed or probable case of COVID-19?

Yes

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 isolate, obtain a negative COVID-19 test and/or contact your health care provider or Telehealth Ontario (1-866-797-0000) prior to returning to work.

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