NY Respiratory Disease Precautions Acknowledgment Form2020-03-11T16:19:26-04:00
  • Respiratory Disease Precautions Acknowledgment Form

  • With the current concern in regards to the spread of the novel coronavirus COVID-19, Towne would like all employees to acknowledge their understanding of standard respiratory disease precautions as advised by the Center for Disease Control.

    As a Towne employee, you should:

    • WASH YOUR HANDS OFTEN WITH SOAP AND WASH FOR AT LEAST 20 SECONDS.
    • AVOID CLOSE CONTACT WITH PEOPLE WHO ARE SICK.
    • COVER YOUR COUGH OR SNEEZE WITH A TISSUE, THEN THROW THE TISSUE IN THE TRASH.
    • AVOID TOUCHING YOUR EYES, NOSE, AND MOUTH.
    • CLEAN AND DISINFECT FREQUENTLY TOUCHED OBJECTS AND SURFACES.
    • STAY HOME WHEN YOU ARE SICK, EXCEPT TO GET MEDICAL CARE.

    As recommended by the Center for Disease Control, all employees who develop symptoms consistent with or similar to COVID-19 (such as fever, cough, or difficulty breathing) SHOULD NOT REPORT TO WORK. Please seek medical treatment and notify Towne at 718-998-4660 as soon as possible if you will not be able to make your assigned shift.

    By signing my name below, I acknowledge I have read the above guidelines and agree to adhere to them. If I have any concerns in regards to possible exposure or new or worsening symptoms consistent with COVID-19 or other respiratory disease precautions, I will notify my employer as soon as possible and will not report for work.

  • Clear
  • Should be Empty:
Go to Top