COVID-19 Daily Health Check Questionairre
The safety and health of Architectural Building Components employees, subcontractors, and site visitors are of primary concern. As the COVID-19 virus continues to spread, we will continue to closely monitor the situation and provide updates on recommendations from the Center for Disease Control (CDC), OSHA, and MIOSHA.
To prevent the spread and risk of COVID-19 spread at the jobsite, we are administering this health check questionnaire. It is required by law that we keep daily checklists per employee and per jobsite. Please select all jobsites that you plan to visit today. Participation in this questionnaire is mandatory. Thank you for your cooperation.
Please complete the following questions honestly and accurately by selecting "YES" or "NO".
In compliance with Oakland County order, if you answered "YES" to any of the above questions, we are required to exclude you from entry into our facility and jobsites. This form will stay on file until the above information changes and a Return to Work form is completed.
I hereby acknowledge the above information to be true and correct. I also understand that any willful dishonesty will render for refusal of entrance to this facility.
By signing this Electronic Signature Acknowledgment Form, I agree that my
electronic signature is the legally binding equivalent to my handwritten signature.