Health Monitoring Slip HR
Welcome to our Health Monitoring Slip, designed to ensure comprehensive tracking of your health status. Your participation in providing accurate and timely information empowers us to deliver personalized care and support. Please fill out the following details to facilitate effective monitoring and management of your health.
EMPLOYEE INFORMATION
Employee Name: [Employee's Name] | Date: [Month Day, Year] |
Department: Design Department | Employee ID: 100-10-602 |
HEALTH STATUS
Please indicate your current health status |
Temperature Check:
Recent Travel History:
Contact with Confirmed COVID-19 Cases:
Additional Comments or Notes:
Signatures:
[Employee's Name]
Employee Name and Signature: Date: [Month Day, Year] | [Your Name]
Supervisor/HR Representative Signature: Date: [Month Day, Year] |
Privacy Notice:
The information provided on this Health Monitoring Slip will be kept confidential and is solely for the purpose of ensuring a safe and healthy workplace. It may be shared with relevant authorities or medical professionals in compliance with applicable laws and regulations.
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