COVID-19 Employee Health Screening Questionnaire
Dear Employee,
In accordance with the CDC, NYS Dept. of Health and Governor Cuomo’s directives on reopening New York State; all employees are required to check their temperature and complete a health screening questionnaire prior to coming into work each day. Upon arrival at work you must submit the completed health screening questionnaire to your supervisor/manager. Your supervisor/manager will review the questionnaire to assess your work status.
If you have a temperature of 100 or higher and/or answer yes to any of the questions below, you will not be allowed to work until cleared by Revere’s Occupational Health Nurse (OHN).
Your supervisor/manager will forward all completed employee health screening questionnaires to Revere’s Occupational Health Nurse and they will be maintained in the employee health office.
Thank you,
Karen Arbogast RN, OHN