Pacific Tech's Employee Checklist

Staff Name: *

Your Email: *

Date (YYYY-MM-DD): *

Onsite Company/Location *

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)

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