J-5 COVID19 Daily Wellness Check v5 - 102122.pdf

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Attached to
VEGETATION ABETMENT: COLUMBIA SSC, KIRKSVILLE WC & KEUKOK, IA AIRPORT
Solicitation number
697DCK-23-R-00237
Issued by

About this file

This document outlines daily health screening requirements for employees accessing Federal Aviation Administration facilities. It consists of a four question health questionnaire to be completed each day before reporting to an FAA location. Employees are instructed not to enter any FAA facility if experiencing COVID-19 symptoms, testing positive within the last 10 days, being under isolation or quarantine orders, or having close contact with a confirmed COVID-19 case within the last 10 days. Those reporting a history of close contact must wear a mask and discuss further guidance with managers. Managers are directed to refer to Policy Bulletin 126 regarding COVID-19 case and close contact protocols when employees call in. This version 5 daily screening form was released on October 21, 2022.

The related federal contract opportunity is a solicitation seeking vegetation abatement services at three Federal Aviation Administration locations in Columbia, Missouri, Kirksville, Missouri and Keokuk, Iowa. The solicitation involves controlling weeds across approximately 66,924 square feet of land throughout the listed FAA facilities on a seasonal basis. The solicitation number is 697DCK-23-R-00237 and was released by the Department of Transportation Federal Aviation Administration Southwestern Region.

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Text version

COVID-19 Daily Wellness Check

In order to help mitigate the spread of COVID-19, it is imperative that we all continually monitor and assess our health, on a daily basis.

BEFORE YOU LEAVE FOR A FACILITY1 each day, you are expected to review the following health questionnaire, answer the questions, and follow the prompts.

QUESTIONS

YES

NO

1. Have you experienced any of the following symptoms recently?

• Chills or fever (temperature at or above 100.4o F or 38.0o C)

• New or unexplained:

• Cough, congestion, or shortness of breath

• Loss of taste or smell

• Sore throat, muscle or body aches, or headache

• Nausea, vomiting, or diarrhea

• Fatigue2

DO NOT enter any facility.

CALL your manager or sponsor for further guidance and available options.

Proceed to question 2

2. Have you tested positive3 for COVID- 19 within the last 10 days?

DO NOT enter any facility.

CALL your manager or sponsor question 3

3. Have you received instructions from a public health authority or healthcare provider to isolate or quarantine?

DO NOT enter any facility.

CALL your manager or sponsor question 4

4. Have you been in close contact with a confirmed positive COVID-19 case within the last 10 days?

You may report to the facility.

Wear a mask and discuss with your manager or sponsor further guidance.

Access to FAA facilities is

APPROVED

1. ”Facility” is any FAA facility, part of facility, other federal facility, supplier facility, or any other location where an employee performs work.

2. Fatigue is very common and a normal physiological response to sustained or intense activity. If answering YES to “Fatigue”, it should be unusual and not responsive to rest.

3. Employees must report all positive COVID-19 test results as soon as possible after receipt. You must show test results to your manager.

* Managers and Sponsors refer to Policy Bulletin #126, “Returning to the Workplace after Identifying a Case of COVID-19 and Close Contacts”.

10/21/2022 version 5

File details come from the government source that posted it. Updated .