Start of Day Form

Start of Day

Subcontractor

Completed By

Date

Time

Supervisor

Job Name

Instructions: Any injuries or COVID-19 related symptoms must be reported to your supervisor immediately. Please Answer "Yes" or "No"

Are you free from injury when reporting to work?

Yes

Are you free from fever when reporting to work?

Yes

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

Yes

If you are human, leave this field blank.

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