Department*:AccountingEngineeringFood & BeverageGuest ServicesGrounds MaintenanceHousekeepingHuman ResourcesRecreationSecurityContractor
Employee Name*:
• Severe difficulty breathing (struggling for each breath, can only speak in single words) • Severe chest pain (constant tightness or crushing sensation) • Feeling confused or unsure of where you are • Losing consciousness • Fever (feeling hot to the touch, a temperature of 37.8 degrees Celsius or higher) • Chills • Cough that's new or worsening (continuous, more than usual) • Barking cough, making a whistling noise when breathing (croup) • Shortness of breath (out of breath, unable to breathe deeply) • Sore throat • Difficulty swallowing • Runny nose (not related to seasonal allergies or other known causes or conditions) • Stuffy or congested nose (not related to seasonal allergies or other known causes or conditions) • Lost sense of taste or smell • Pink eye (conjunctivitis) • Headache that's unusual or long lasting • Digestive issues (nausea/vomiting, diarrhea, stomach pain) • Muscle Aches • Extreme tiredness that is unusual (fatigue, lack of energy) • Falling down often
• being less than 2 meters away in the same room, workspace, or area for over 15 minutes • living in the same home
• is currently sick with a new cough, fever or difficulty breathing? • returned from outside of Canada in the last 2 weeks and has been advised to quarantine per the federal quarantine requirements?
YesNo
* If you check YES, please contact your manager for confirmation to arrive to work.
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