COVID-19 Screening
COVID-19 Screening
This daily screening is required on all R.C. Hendrick & Son jobsites. Please note that if an employee answered "yes" to any of the screening questions below, the employee is not permitted on the work site and should self-isolate/self-quarantine at home.
Name:
Name:
*
First
Last
Company Name:
*
Date
Date
*
/
MM
/
DD
YYYY
Jobsite Name:
*
ASM - Emergency Dept Renov. - 69719
ASM - CT - 98620
ASM - Genesys Coronavirus - 83320
ASM - Misc. Projects
ASM - Tawas Infusion - 95220
ASM - Towne Center Mammography - 12520
AT&T East Jordan - 97220
AT&T Flint New Service - 96020
AT&T GR Chiller - 74719
AT&T LeRoy ATS Sitework - 15420
AuGres Sims Schools - 66019
BAISD - Bus Garage - 97520
Christ the Good Shepherd - 76919
Covenant Eyes - 14920
Durand Schools - 82420
Frank's Muth
Great Lakes Energy - 94420
Huntington Bank - Misc. Projects
Lakers Schools - 35618
Millington Schools - 83520
Montabella Schools Bus Canopy - 16620
North Huron Schools - 95717
Owosso Hospital Vascular - 82820
Owosso Schools - 58019
Project Spartan - 49318
R.C. Hendrick - Main Office
R.C. Hendrick - Misc. Projects
Saginaw ISD - Millet Center - 85320
Ubly Schools - 25518
Vassar Schools - 14215
Whittemore Prescott Schools - 71319
Have you been in close contact with anyone diagnosed with COVID-19 in the last 14 days?
*
Have you been in close contact with anyone diagnosed with COVID-19 in the last 14 days?
Yes
No
Have you experienced any symptoms of fever, cough, shortness of breath, sore throat, or diarrhea?
*
Have you experienced any symptoms of fever, cough, shortness of breath, sore throat, or diarrhea?
Yes
No
I certify that the above information is accurate to the best of my knowledge.
*
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or
Type
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Full Name
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