For safety and wellbeing of all employees and workers, C-19 restrictions are in place and a pre sign-in is REQUIRED.
Please reply to the following questions and submit the form before entering each SDA location.
Location: | |
SDA Employee/Worker Name: | |
Contact Number: |
1) Do you have any of the following new or worsening symptoms or signs?
Symptoms should not be related to other known causes or conditions (e.g. allergies, asthma, etc.,). |
|
Fever or chills | Yes |
Difficulty breathing or shortness of breath Cough | |
Sore throat, trouble swallowing | |
Decrease or loss of smell or taste | |
Nausea, vomiting, diarrhea, abdominal pain | |
Not feeling well, extreme tiredness, sore muscles | |
2) Have you travelled outside of Canada in the past 14 days? | |
3) Have you had close contact with a confirmed or probable case of COVID-19? | |
Total number of COVID-19 vaccine(s) administered | |
If you answered 'NO' to ALL of questions from 1 through 3, you can enter the workplace.
If you answered 'YES' to any questions from 1 through 3, you cannot enter the workplace.
You are to immediately go home to self isolate and:
1. Contact your manager(s) to advise them that you are not available.
2. Contact your healthcare provider OR Telehealth Ontario (1 866) 797-0000 to find out if you need a COVID-19 test.