Time Sheet Staff Time Sheet Name* First Last Date* MM slash DD slash YYYY Time* : Hours Minutes AM PM Hours WorkedCOVID.19 ScreeningHave you been in close contact with someone who is sick or has confirmed COViD.19 in the past 14 days?* Yes No Have you returned from travel outside Canada in the past 14 days?* Yes No Do you have any of the following:Fever* Yes No Cough* Yes No Sore throat, trouble swallowing* Yes No Runny nose* Yes No Loss of taste or smell* Yes No Not feeling well* Yes No Nausea, vomiting, diarrhea* Yes No
