COVID19 Visitor Log

Complete the following information for every person who will be visiting a Hayden Homes or Simplicity Homes site today:

COVID19 Visitor Log
Visitor has taken their temperature before arriving and it was less than 100.4 degrees. *
Visitor has no fever, cough, shortness of breath, fatigue, muscle aches, or new loss of taste or smell. *
Visitor has not been in close contact with someone who had a positive COVID-19 test in the past 14 days. *

Because you have answered no to one or more of the above questions, this person can not be present on any Hayden or Simplicity Homes job sites until they have been cleared by a medical professional.

I understand that this information is acknowledgment of my accounting for each person on site as reported today. I understand this visit is limited to no more than 2 visitors and it is my responsibility to ensure that gloves, safety glasses, and masks are worn while visiting. I understand the social distancing and hygiene requirements to prevent the spread of COVID-19 including the requirement to keep a 6 foot minimum distance between each other at all times, to drive to the site in separate vehicles, and to wash hands frequently. Further, I agree to report to Hayden Homes immediately upon my knowledge of any of my visitors on a Hayden Homes or Simplicity Homes jobsite who are ill with COVID-19 related symptoms, who are undergoing testing for COVID-19, or who have a member of their household that is being tested for COVID-19. *
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