SELF EVAL

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BEFORE REPORTING TO WORK, REVIEW THE COVID “PROTECT YOURSELF AND OTHERS” CHECKLIST
(IF YOU ANSWER YES TO ANY OF THE THREE (3) SETS OF QUESTIONS BELOW, DO NOT GO TO WORK, ADVISE YOUR SUPERVISOR, SEEK MEDICAL ATTENTION AND TAKE A COVID-19 TEST)
If you answered yes, do not report to work and phone your immediate supervisor.


Contact your health care provider immediately and as is policy provide all necessary documentation to your immediate supervisor before returning to work.

Take these steps to protect yourself and those that you live with:

• Maintain 6 feet of separation when interacting with other individuals.
• If you have to go outside, wear a mask or cloth face covering.
• Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
• Avoid close contact with people who are sick cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.

 
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