COVID-19

Daily health check

OC employees are to use this form to complete their daily covid-19 self-acknowledgement when no SALTO reader is available.

Name
Location
Health check
Are you experiencing any of the following symptoms:
  • Fever
  • Difficulty breathing (shortness of breath)
  • Cough
  • Sore throat
  • Runny nose
  • Muscle aches
Have you:
  • Travelled out of country within the past 14 days
  • Had close contact with someone diagnosed with COVID-19 and been advised by a health authority to self-isolate
You have indicated yes to one of the health check items. Please alert your supervisor and immediately leave campus.
If this was an error please review your health check and then click on the submit button.