Workflow Resource Center Assets

COVID-19 Screening Checklist for Jobsite Visitors

Issue link: https://adskconstruction.autodesk.com/i/1367575

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1. VISITOR INFORMATION 2. COVID-19 HEALTH QUESTIONS 1.1 Visitor Name 1.4 Visitor Email 1.2 Visitor Company 1.5 Reason for Visiting Jobsite 1.3 Visitor Phone Number 1.6 Jobsite Employee Contact Project Name: Location: Date: 2.1 Have you been asked to self-quarantine in the last 14 days? Add note: Yes No N/A 2.2 Have you been in close contact with anyone who has been asked to self-quarantine in the last 14 days? Add note: Yes No N/A COVID-19 Screening Checklist for Jobsite Visitors Add note: 2.3 Have you experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory illness, difficulty breathing)? Yes No N/A

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