COVID-19 Subcontractor WELLNESS QUESTIONNAIRE
As Keystone Environmental Ltd. and their subcontractors have been deemed an essential service, it is imperative that we take the upmost risk reduction measures to ensure the safety of our employees and subcontractors.
To maintain a safe and healthy working environment, we need to ensure that all applicable site staff are to arrive on site without illness.
This questionnaire is to be completed by all applicable subcontractors daily.
Once completed, please send the form back to the corresponding project manager for review
Important: Action required as a result of wellness questionnaire:
- If you answer no to all the below questions, we are happy to have you enter a site. Upon arrival please use the hand sanitizer available and wear a mask.
- If you answer yes to any of the below questions, unfortunately you will not be permitted entry to the site. Please reach out to whomever you are planning to meet and reschedule your visit. It is recommended that you contact 8-1-1 to find out if you need a COVID-19 test.
COVID-19 Subcontractor Wellness Questionnaire
By submitting this form, you are consenting to the collection of personal information by Keystone Environmental. This information is being collected to ensure the health and safety of our employees and to comply with the recommendations of the Provincial Health Officer (PHO) to protect against the spread of COVID-19. This information will be collected by Human Resources and may be reviewed by the applicable team leader and/or project manager. It will not be disclosed to any third party without your consent other than to the PHO upon request for contact tracing purposes.
320-4400 Dominion Street
Burnaby, BC V5G 4G3
Mon-Fri: 8am – 5pm