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F & P Return to Work Questionnaire

The health and safety of our associates, customers, business partners and the general public is very important to us.

Due to the current Covid-19 pandemic we are increasing our sanitation efforts and are promoting the government recommended prevention techniques to help mitigate the spread of the virus.

A screening process has been implemented including a questionnaire and temperature check prior to entry.  Face masks are mandatory and are part of our PPE program.

F&P Mfg. will continue measures with guidance from public health and government organizations during this unprecedented situation.

 

Download Questionnaire (Word .doc) | Download Questionnaire (PDF)

F&P Manufacturing COVID-19 Screening

Carefully read the following questions and circle the answer that applies

Yes      No     IF YES DO NOT RETURN TO WORK – CONTACT GINA HOVINGA at  x390

Yes     No      IF YES DO NOT RETURN TO WORK – CONTACT GINA HOVINGA at  x390

Yes     No    IF YES DO NOT RETURN TO WORK – CONTACT GINA HOVINGA at  x390

Yes     No      IF YES DO NOT RETURN TO WORK – CONTACT GINA HOVINGA at  x390

 

Associate Name (please print):   ______________________________

Associate Signature:                    ______________________________

Temperature (Recorded at F&P)        _______________________°C

Note:  The information collected on this form will be used to determine your eligibility to enter the F&P Mfg. facility.   All information is strictly confidential and is collected for the sole purpose of maintaining F&P Associates’ Health and Safety. It is imperative that all questions be answered truthfully.  Any false statements could have detrimental health effects on your fellow associates and their families. Consequences for such behavior will be swift and serious.  Help us do the right thing.