hc-c19-01

Alberta Workspace COVID-19 Medical

Daily Fit for Work or Essential Visitor Screening Questionnaire

The Alberta Workspace Daily Fit for Work or Essential Visitor Screening Questionnaire intends to identify new symptoms or the worsening of symptoms that are related to allergies, chronic, or pre-existing conditions in employees and essential visitors. It includes six questions related to symptoms, COVID-19 exposure, travel, and contact with suspected or confirmed cases of coronavirus. If employees or essential visitors answer yes to any questions, they are not permitted to attend work or visit at this time and must self-isolate. The form also includes important definitions for “close contact” and “probable” to ensure the form is filled out accurately.

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