Start of Day Report

Note: Don’t forget to fill out the End of day Report before leaving the job site.

Completed By

Date

*

Supervisor

Job Name

Are you free from injury when reporting to work?

NoYes

Are you free from fever when reporting to work?

NoYes

Are you free of COVID-19 symptoms when reporting to work? (Symptoms include fever, sore throat, headache, body aches, fatigue, runny nose or coughing.)

NoYes

Are you free from direct exposure to a positive COVID-19 or suspected positive case?

NoYes

Have you traveled out of the country, visited a "hotspot state" or went on a cruise in the last 14 days?

NoYes

Is everyone on site practicing physical distancing and have access to proper facial secretion suppressor and sanitary agents?

NoYes

Attach a file