COVID-19 Screening Forms

We are always excited to welcome you to our plant. However, considering the current COVID-19 situation, it is important for us to ensure the safety of every visitor. That’s why we request you to fill out the below-given eform depending on the nature of your visit. Please note that filling the eform is mandatory for anyone visiting our plant. We thank you for your consideration and support. 

For the Visitors

Yes
No

Must Be Completed Before Each Shift

Required Screening Questions

1. Do You Have Any of the Following Symptoms or Signs? Symptoms Should Not Be Chronic or Related to Other Known Causes or Conditions Such As Seasonal Allergies or Common Cold.

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Results of Screening Questions:

If the Individual Answers No to All the Questions From 1 Through 3, They Have Passed and Can Enter the Workplace.

If the Individual Answers Yes to Any Questions From 1 Through 3, They Have Not Passed and Should Be Advised That They Should Not Enter the Workplace (Including Any Outdoor, or Partially Outdoor, Workplaces). They Should Go Home to Self-Isolate Immediately and Contact Their Health Care Provider or Telehealth Ontario (1 866-797-0000) to Find Out if They Need a COVID-19 Test.

For the Staff

Must Be Completed Before Each Shift

Required Screening Questions

1. Do You Have Any of the Following Symptoms or Signs? Symptoms Should Not Be Chronic or Related to Other Known Causes or Conditions Such As Seasonal Allergies or Common Cold.

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Results of Screening Questions:

If the Individual Answers No to All the Questions From 1 Through 3, They Have Passed and Can Enter the Workplace.

If the Individual Answers Yes to Any Questions From 1 Through 3, They Have Not Passed and Should Be Advised That They Should Not Enter the Workplace (Including Any Outdoor, or Partially Outdoor, Workplaces). They Should Go Home to Self-Isolate Immediately and Contact Their Health Care Provider or Telehealth Ontario (1 866-797-0000) to Find Out if They Need a COVID-19 Test.

Check out some of our specialty metal work:

Line

Stainless Steel

Company

Cunningham Sheet Metal (Windsor) Ltd.

2060 Blackacre Dr.
Oldcastle, ON N0R 1L0

CONTACT INFO

Phone: 519-737-1908

Fax: 519-737-1679


Email:
info@cunninghamsheetmetal.com

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