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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You may now enter the building.
Thank You for completing the COVID-19 Screening Questionnaire.
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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If you continue to receive this error, please contact the 3M IT Helpdesk.
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