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3M Site Access Reporting Form

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.

  • Contact information

  • Location information

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

  • Are you currently experiencing any of the following symptoms?

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  • 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.

    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

Thank You for completing the COVID-19 Screening Questionnaire.

You may now enter the building.
Entry Denied

Thank You for completing the COVID-19 Screening Questionnaire.

You have responded that you may have symptoms related to COVID-19. You may not enter the building until you have followed up with a health care provider.

  • If you are a 3M employee, please contact your supervisor and notify them that you cannot enter the facility. In addition, contact the onsite Occupational Health Nurse / Disease Prevention Coordinator for guidance.
  • If you are a non-3M employee, visitor or contractor, contact your employer and seek medical attention. Notify your 3M contact/host to notify them that you cannot enter the facility.

Sorry! We can't seem to complete your request. Please try again or contact the door agent for assistance.

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