COVID Trade Partner Daily Questionnaire

Jobsite Reminders:

Maintain 6' distancing, wash hands, sanitize tools, work surface and equipment while on site. Gloves, masks and eye protection are required when 6' distancing can not be maintained. See Site Supervisor for detailed COVID-19 safety plan

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Complete the following questions for every person you are responsible for bringing to this job site.

Person #1 has taken their temperature today and the results were less than 100.4 degrees.

Person #1 does not have a fever, cough, shortness of breath, fatigue, muscle aches, or new loss of taste or smell.

Person #1 has not been in close contact with someone who had a positive COVID-19 test in the past 14 days.


Person #2 has taken their temperature today and the results were less than 100.4 degrees.

Person #2 does not have a fever, cough, shortness of breath, fatigue, muscle aches, or new loss of taste or smell.

Person #2 has not been in close contact with someone who had a positive COVID-19 test in the past 14 days.


Person #3 has taken their temperature today and the results were less than 100.4 degrees.

Person #3 does not have fever, cough, shortness of breath, fatigue, muscle aches, or new loss of taste or smell.

Person #3 has not been in close contact with someone who had a positive COVID-19 test in the past 14 days.


Person #4 has taken their temperature today and the results were less than 100.4 degrees.

Person #4 does not have fever, cough, shortness of breath, fatigue, muscle aches, or new loss of taste or smell.

Person #4 has not been in close contact with someone who had a positive COVID-19 test in the past 14 days.


Person #5 has taken their temperature today and the results were less than 100.4 degrees.

Person #5 does not have fever, cough, shortness of breath, fatigue, muscle aches, or new loss of taste or smell.

Person #5 has not been in close contact with someone who had a positive COVID-19 test in the past 14 days.


Person #6 has taken their temperature today and the results were less than 100.4 degrees.

Person #6 does not have fever, cough, shortness of breath, fatigue, muscle aches, or new loss of taste or smell.

Person #6 has not been in close contact with someone who had a positive COVID-19 test in the past 14 days.