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3M Site Access Reporting Form

COVID-19 infection has a wide range of symptoms and we know that the virus affects people differently. The symptoms in the 3M screening questionnaire below are the most commonly associated with COVID-19 infection, or, where applicable, those specified by applicable state or local law.

The safety of our 3M workforce, customers, visitors, and community remains 3M’s top priority. To help prevent the spread of COVID-19, and comply with any applicable local regulations, please complete this screening questionnaire.

The information you provide on this form will be used to make and record facility entrance decisions in accordance with applicable screening guidelines. It will be kept confidential according to the applicable law and 3M Policies.


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Contact information

  Not you?
Not you?
Double check you entered the correct ID on the previous screen. If you are having issues with your account, please contact your HR representative or supervisor.
Not you?
Double check you entered the correct ID on the previous screen. If you are having issues with your account, please contact your HR representative or supervisor.
  • Location information

  • Please select yes if you have any of the following COVID-19 symptoms or exposures.

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  • Please be aware that this information (including the original and the subsequent reply) may be transferred to a server located in the U.S. for metrics and storage. If you do not consent to this use of your personal information, please do not use this system.

  • Submit

Approved for Entry

You may now enter the building.

Thank You for completing the COVID-19 Screening Questionnaire.

Entry Denied

You may NOT enter the building.


  • If you are a 3M employee, please notify your supervisor immediately that you are not permitted to enter the facility. In addition, contact the onsite Occupational Health Nurse/Disease Prevention Coordinator for guidance.
  • If you are a NOT a 3M employee (contractor, visitor, contingent worker, etc.) contact your employer and seek medical attention. Notify your 3M contact/host that you cannot enter the facility.
Thank You for completing the COVID-19 Screening Questionnaire.

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