• COVID-19 Entry Self Assessment

    Employee Daily Assessment Form
  • You must answer “NO” to all the questions in this questionnaire in order to enter Ro-Matt's Office or Plant. If you answer “YES” to any of the questions, please DO NOT come to Ro-Matt or enter the Company’s building.

    If you experience any symptoms or answer “YES” to any of these questions, you must immediately contact a health care professional for recommended next steps AND notify your manager. You may also send an email to sick@ro-matt.com.

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  • I certify to the best of my knowledge; this information is accurate.

  • Clear
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    Pick a Date
  • Based on your answers, you are requested to not enter the facility as you may pose a risk to others. Please contact your management team by phone ASAP. 

    Thank you for your co-operation.  

  • Should be Empty: