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DAILY WORKERS HEALTH MONITORING CHECKLIST

TEMP. PERSON DECLARATION


CHECK (YES OR NO)
DATE NAME NRIC/ NATIONALITY TRADE FEVER COUGH BREATHING LAST VISITED VERIFIED BY
(WORKERS) PASSPORT NO. BANGLADESH (DEMAM) (BATUK) DIFFICULTIES STATE/ NAME
(BL) BELOW (KESUKARAN COUNTRY (SITE PIC OR
INDONESIA BERNAFAS) (WITHIN 30 SHO/SSS)
(IN) DAYS)
OTHERS (OT)

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

PC Construction Sdn. Bhd. (322939-D) We Build Better!


TEMP. PERSON DECLARATION
CHECK (YES OR NO)
DATE NAME NRIC/ NATIONALITY TRADE FEVER COUGH BREATHING LAST VISITED VERIFIED BY
(WORKERS) PASSPORT NO. BANGLADESH (DEMAM) (BATUK) DIFFICULTIES STATE/ NAME
(BL) BELOW (KESUKARAN COUNTRY (SITE PIC OR
INDONESIA BERNAFAS) (WITHIN 30 SHO/SSS)
(IN) DAYS)
OTHERS (OT)

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

BL / IN / OT YES / NO YES / NO YES / NO

PC Construction Sdn. Bhd. (322939-D) We Build Better!


PC Construction Sdn. Bhd. (322939-D) We Build Better!

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