Staff Name: *
Your Email: *
Date (YYYY-MM-DD): *
Onsite Company/Location * HomePT OfficeWorksite
If Worksite, customer name or bldg name
REMINDER!
i. Keep safe distancing of 1m at all times;
ii. Wear surgical mask all the time;
iii. Wash/Disinfect hands before going on-site and after completing the job;
iv. Install and enable TraceApp in your mobile;
Acknowledge reminder? * YesNo
CHECKLIST
1. Are you and everyone at home well (No fever or flu symptoms)? * YesNo (if your answer is 'No', please inform HR immediately)