End of Day Report – gmasafety.com

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Employee Forms

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Employee Forms

End of Day Report

End of Day

Subcontractor

Subcontractor Name

Completed By:

Full Name

Date

Time

:

Supervisor:

Job Name

Instructions: Any injuries or COVID-19 related symptoms must be reported to your supervisor immediately. Please Answer "Yes" or "No"

Are you leaving the job site free from any injuries?

Yes

No

Did you complete the JHA form today?

Yes

No

Are you free from fever when reporting to work?

Yes

No

Are you free of COVID-19 symptoms when reporting to work? (Symptoms include fever, sore throat, headache, bodyaches, fatigue, runny nose or coughing.)

Yes

No

Are you free from direct exposure to a positive COVID-19 or suspected positive case?

Yes

No

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