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On Site Employee Health Screenings

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COVID19 Employee Health Screening Form for Onsite Screening Employer Name Person Completing Form Date Screen each employee f o r s y m p t o m s b e f o r e t h e y s t ar t t h e i r s h i f t C i r c l e an an s w e r y y e s n n o f o r e ac h s y m p t o m f o r e ac h e m p l o y e e