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    • Covid Declaration Form
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Covid-19 Declaration Form

     

     

    Operating location (region):

    1) Have you traveled outside of Canada in the last 14 days? (Answer "no" if you are exempted from federal quarantine as per Group Exemptions, Quarantine Requirements under the Quarantine Act).

    2) Are you currently experiencing any of the following symptoms? Select yes if these symptoms are new or worsening. Select no if these symptoms are chronic or related to a previously known condition.

    • Chills

    • Cough

    • Fever / high temperature

    • Shortness of breath

    • Decreased or loss of smell or taste

    • Sore throat

    • Difficulty swallowing

    • Pink Eye

    • Runny, stuffy, or congested nose

    • Headache

    • Nausea, vomiting, diarrhea, stomach pain

    • Muscle aches

    • Extreme tiredness

    • Falling down often

    3) In the last 14 days, have you been identified as a close contact* of someone who currently has COVID-19? (*Close contact means, a) being less than 2 metres away in the same room, workspace, or area for over 15 minutes without you and the COVID-19 positive individual wearing masks during the exposure, or b) living in the same home).

    4) Has a doctor, health care provider, or public health unit told you that you should currently be in covid isolation?

    5) In the last 14 days, have you received a COVID-19 Alert exposure notification on your cell from the COVID Alert app? (Answer “No” if based on the alert you went for a test and got a negative result, and you were not advised to self-isolate).

    DO NOT ENTER WORK FACILITIES OR WORK SITES. STAY HOME.

    Please check the box above and click "Submit"

     

    KMJ will use the information you provide for the purpose of providing you access to facilities and work sites, for management of business operations, and for processing your leave.

    NOTE: Please contact your local HR office regarding questions about the KMJ Privacy Statement.

    Please view our Covid-19 Safety Plan for actions and guidelines.

    We specialize in providing Industrial contracting, heavy hauling, and machinery installations and relocations across North America and Overseas.

    Services

    • Machinery Moving
    • Specialized Transportation
    • Project Management
    • Electrical
    • Mechanical
    • Fabrication
    • Warehouse Storage
    • Other Trade Services

    Industries

    • Automotive
    • Energy & Power
    • Plastics
    • Heavy Industry
    • Medical Facilities
    • Transportation
    • Food/Beverage
    • Construction

    Contact

    Head Office:
    Ph: 519-737-6120
    Fax: 519-737-8977
    Toll Free: 1-888-660-6666

    2000 North Talbot Rd.
    Oldcastle, ON N9G 0C1

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