Capital Electric
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    COVID-19 Pre-Screening Form

    Due to the recent concerns related to the COVID-19 virus, Capital Electric respectfully requires all persons requesting entry to the site to complete the following questionnaire prior to being permitted access.


    Age & Risk Levels

    Any person of age 70 years or older is permitted access to the site if they are an essential worker, but are made aware of the elevated risk levels.

    Travel

    Any person who they themselves, or someone they are living with, has returned to Canada or Ontario within the last 14 days will not be permitted access to the site and is required to self-isolate for 14 days from the date of return.

    Direct Contact

    Any person who has had confirmation of direct contact with a confirmed positive COVID-19 will not be permitted access to the site; and is required to self-isolate for minimum of 14 days from the date of contact. Prior to returning to site, the person must have been symptom free for at least 10 consecutive days.

    Symptoms

    Any person who is living with someone who is showing symptoms but they themselves are not showing symptoms, will not be permitted to access the site and is required to self isolate for a period of 14 days. Any person who they themselves have developed symptoms of COVID-19 will not be permitted access to the site; and is required to self-isolate for a minimum of 14 days. Prior to return, the person must complete the 14 day self-isolation and be symptom free for 10 consecutive days. A note from a physician may be considered for early return in rare circumstances.

    Yes Symptoms = Fever, Cough, Shortness of Breath, Body Aches, Extreme Fatigue, Sore Throat, Headache, Diarrhea, Vomiting, Loss of Sense of Smell.


    Positive Test

    Any person who has tested positive for COVID-19 will not be permitted access to the site for a minimum of 14 days after the first sign of symptoms or the date of the positive test (if the test had been done prior to symptoms); and will not be able to return until they have reached the minimum 14 day isolation period, have been cleared by a negative test result and have been symptom free for at least 10 consecutive days.

Submit
COVID-19 Pre-Screening Form

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Capital Electric, 111 Waterloo Street, Suite 311, London Ontario N6B 2M4
​(519) 434-3312

ECRA/ESA License #7002228 

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