Covid-19 Daily Report 

Every RENUoil of America, Inc. employee must fill out this form every day that they are working.  
Positive Test for Covid-19

Have you tested positive for Covid-19?

Experiencing any symptoms

Are you experiencing any symptoms including coughing, fever, and/or shortness of breath currently and/or within the last 14 days?

Symptoms Experiencing

If yes, select symptoms you are experiencing.

Fever Reduction Medicine

Have you been taking fever reducing medication such as Ibuprofen, Advil, or Tylenol?

Contact with Covid-19/ Symptoms

In the last 14 days have you had contact with someone with a confirmed diagnosis of Covid-19, or is under investigation for Covid-19, or is ill with Covid-19 symptoms? 

Temperature Taken

Has your temperature been taken today?

Temp Above 100.4 F

Is your temperature degree above 100.4 F?

PPE Issued and Wearing

Have you been issued and wearing proper PPE  (mask/gloves) from RENUoil of America, Inc. ? 

Aware of Covid-19 Policies

Are you aware of all Covid-19 safety and sanitation policies of the hotel and/ or worksite?

All employees must receive Covid-19 safety and policy training before returning to work. Employees who have symptoms (i.e., fever, cough, or shortness of breath) or are taking care of someone with these symptoms, should notify their supervisor and stay home—DO NOT GO TO WORK

Your Signature

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