app/src/forms/attestations/farmopscreening/assets/generate-submission-pdf-001.html
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valign="top"
width="558">
<p class="MsoNormal" style="margin-top: 6pt;"><b><span style="font-size:24.0pt;
font-family:"Calibri",sans-serif;color:#FFF">Farm Operator Screening</span></b></p>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal"> </p>
<h2>By submitting this form, you are subject to a site inspection:</h2>
<p class="Normal1" style="margin-left:36.0pt;">The Province of BC will use
the information you provide through this online form for the site
inspection that determines your compliance with the COVID-19 Industrial
Camps Provincial Health Order.</p>
<p class="Normal1"> </p>
<table border="0" cellpadding="0" cellspacing="0"
class="MsoNormalTable"
style="border-collapse:collapse"
width="620">
<tbody>
<tr style="height:30.5pt">
<td style="width:14.35pt;background:#FFF2CC;padding:5.0pt 5.0pt 5.0pt 5.0pt;
height:30.5pt" valign="top" width="19">
<p class="Normal1"> </p>
</td>
<td style="width:451.0pt;background:#FFF2CC;padding:
5.0pt 5.0pt 5.0pt 5.0pt;height:30.5pt" valign="top" width="601">
<p class="Normal1"><span style="font-family:Helvetica;color:#2E3338">If
you fail to comply with these requirements, the Provincial
Health Officer order enables the authority to take enforcement
action against you under Part 4, Division 6 of the Public
Health Act.</span></p>
</td>
</tr>
</tbody>
</table>
<h1>1. Your business contact information</h1>
<p class="Normal1">Registered Business Name: {d.business.name}</p>
<!--<p class="Normal1">Operation Type: {d.operationType.display}</p>-->
<!--<p class="MsoNormal"> </p>-->
<h2>Primary Contact</h2>
<table border="0" cellpadding="0"
cellspacing="0"
class="MsoTableGrid"
style="margin-left:30.6pt;border-collapse:collapse;border:none">
<tbody>
<tr>
<td style="width:183.75pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="245">
<p class="Normal1">First Name</p>
</td>
<td style="width:248.25pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="331">
<p class="Normal1">{d.contacts[i, contactType = 'PRIMARY'].firstName}</p>
</td>
</tr>
<tr>
<td style="width:183.75pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="245">
<p class="Normal1">Last Name</p>
</td>
<td style="width:248.25pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="331">
<p class="Normal1">{d.contacts[i, contactType = 'PRIMARY'].lastName}</p>
</td>
</tr>
<tr>
<td style="width:183.75pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="245">
<p class="Normal1">Phone Number</p>
</td>
<td style="width:248.25pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="331">
<p class="Normal1">{d.contacts[i, contactType = 'PRIMARY'].phone1}</p>
</td>
</tr>
<tr>
<td style="width:183.75pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="245">
<p class="Normal1">Alternative Phone Number (optional)</p>
</td>
<td style="width:248.25pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="331">
<p class="Normal1">{d.contacts[i, contactType = 'PRIMARY'].phone2}</p>
</td>
</tr>
<tr>
<td style="width:183.75pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="245">
<p class="Normal1">E-mail Address</p>
</td>
<td style="width:248.25pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="331">
<p class="Normal1">{d.contacts[i, contactType = 'PRIMARY'].email}</p>
</td>
</tr>
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<p class="Normal1"> </p>
<h2>Business Address</h2>
<table border="0" cellpadding="0"
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<td style="width:183.75pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="245">
<p class="Normal1">Address line 1</p>
</td>
<td style="width:248.25pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="331">
<p class="Normal1">{d.business.addressLine1}</p>
</td>
</tr>
<tr>
<td style="width:183.75pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="245">
<p class="Normal1">Address line 2 (optional)</p>
</td>
<td style="width:248.25pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="331">
<p class="Normal1">{d.business.addressLine2}</p>
</td>
</tr>
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<td style="width:183.75pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="245">
<p class="Normal1">City</p>
</td>
<td style="width:248.25pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="331">
<p class="Normal1">{d.business.city}</p>
</td>
</tr>
<tr>
<td style="width:183.75pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="245">
<p class="Normal1">Province</p>
</td>
<td style="width:248.25pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="331">
<p class="Normal1">{d.business.province}</p>
</td>
</tr>
<tr>
<td style="width:183.75pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="245">
<p class="Normal1">Postal code</p>
</td>
<td style="width:248.25pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="331">
<p class="Normal1">{d.business.postalCode}</p>
</td>
</tr>
</tbody>
</table>
<p class="Normal1"> </p>
<h2>Employer-provided Housing Locations</h2>
<p class="Normal1"> </p>
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cellspacing="0"
class="MsoTableGrid"
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<tr>
<td style="width:191.35pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="255">
<p class="Normal1">Address line 1</p>
</td>
<td style="width:240.65pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="321">
<p class="Normal1">{d.location.motelAddressLine1}</p>
</td>
</tr>
<tr>
<td style="width:191.35pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="255">
<p class="Normal1">Address line 2 (optional)</p>
</td>
<td style="width:240.65pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="321">
<p class="Normal1">{d.location.motelAddressLine2}</p>
</td>
</tr>
<tr>
<td style="width:191.35pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="255">
<p class="Normal1">City</p>
</td>
<td style="width:240.65pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="321">
<p class="Normal1">{d.location.motelCity}</p>
</td>
</tr>
<tr>
<td style="width:191.35pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="255">
<p class="Normal1">Province</p>
</td>
<td style="width:240.65pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="321">
<p class="Normal1">{d.location.motelProvince}</p>
</td>
</tr>
<tr>
<td style="width:191.35pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="255">
<p class="Normal1">Postal code</p>
</td>
<td style="width:240.65pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="321">
<p class="Normal1">{d.location.motelPostalCode}</p>
</td>
</tr>
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<p class="Normal1"> </p>
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cellspacing="0"
class="MsoTableGrid"
style="margin-left:35.2pt;border-collapse:collapse;border:none">
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<td style="width:191.35pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="255">
<p class="Normal1">Additional Locations:</p>
</td>
</tr>
<tr>
<td style="width:400pt;padding:0cm 5.4pt 0cm 5.4pt" valign="top" width="500">
<p class="Normal1">{d.location.motelAdditional}</p>
</td>
</tr>
</tbody>
</table>
<p class="Normal1"> </p>
<h1>2. Before operations begin, please check all that apply:</h1>
<h2>1. COVID-19 Information</h2>
<p class="MsoNormal">Industrial Camp operators need to make workers aware
of the risks of COVID-19 and be prepared if workers have questions about
COVID-19.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.protectionSignage:convTF()}]
</span></b>I have signage in place in the appropriate language on
how workers can protect themselves from COVID-19.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.workerContactPersonnel:convTF()}]
</span></b>I have someone identified that workers can go to if they
have questions on COVID-19.</p>
<h2>2. Provide safe lodging and accommodation: General Worker</h2>
<p class="Normal1">Industrial Camp operators must be able to provide
accommodations that minimize crowding, social interactions, and provide
sufficient physical distance (individual tents or beds 2m apart and
head-to-toe in shared accommodations).</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.sharedSleepingDistancing:convTF()}]
</span></b>I understand the physical distancing requirements between
tents and have communicated to employees the expectation to maximize
spacing between beds within tents (2m or head-to-toe).</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.sharedSleepingCommunication:convTF()}]
</span></b>I have a plan to communicate physical distancing requirements
to my employees (e.g. posting physical distancing signs in the
accommodation area).</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.sharedSleepingProvidedAccommodations:convTF()}]
</span></b>Accommodations that are provided have been oriented to allow
2 m physical distance between beds, head-to-toe orientation, and/or are
separated by impermeable barriers.</p>
<p class="MsoNormal"> </p>
<h2>3. Self-isolation space if any worker comes down with COVID-19-like
symptoms</h2>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.selfIsolateUnderstood:convTF()}]
</span></b>I understand what is needed for a person to self-isolate.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.selfIsolateAccommodation:convTF()}]
</span></b>I have separate accommodation to let a worker
self-isolate in a separate accommodation than other workers or arrange
for separate accommodation.</p>
<p class="MsoNormal"> </p>
<h2>4. Make sure laundry facilities are available and handled safely</h2>
<p class="MsoNormal">Laundry must be performed properly to reduce the risk
of disease transmission of COVID-19, including using hot water for
laundry machines and having adequate supply of detergent.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.laundryServices:convTF()}]
</span></b>I have laundry services available for regular use.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"> </p>
<h2>5. Practice good waste management at your work site and housing</h2>
<p class="MsoNormal">Proper collection and removal of garbage is crucial
to reducing the risk of disease transmission. This includes wearing
disposable gloves to remove waste from rooms and common areas and using
sturdy, leak resistant garbage bags for containing waste.</p>
<p class="MsoNormal"> </p>
<p class="Normal1" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.wasteManagementGloves:convTF()}]
</span></b>I have disposable gloves for the handling of garbage</p>
<p class="Normal1" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.wasteManagementSchedule:convTF()}]
</span></b>I have a waste removal schedule.</p>
<p class="Normal1" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.wasteManagementBags:convTF()}]
</span></b>I have sturdy, leak resistant garbage bags.</p>
<p class="MsoNormal"> </p>
<h2>6. Have proper hand-washing facilities: At work-site and accommodation</h2>
<p class="MsoNormal">Helping workers to engage in hand hygiene prevents or
reduces the spread of COVID-19 and other illnesses. Industrial Camp
operators should ensure easy access to hand hygiene facilities either
through hand hygiene stations or the provisions of hand sanitizer at the
work site and at the accommodation site.</p>
<p class="MsoNormal"> </p>
<p class="Normal1" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.handWashingStations:convTF()}]
</span></b>I have an adequate number of hand washing stations
(either permanent or portable) available to workers</p>
<p class="Normal1" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.handWashingSoapWater:convTF()}]
</span></b>There is an appropriate supply of soap and water</p>
<p class="Normal1" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.handWashingWaterless:convTF()}]</span></b>
I have supplemented with waterless hand sanitizers with a min of 60%
alcohol where appropriate</p>
<p class="Normal1" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.handWashingPaperTowels:convTF()}]
</span></b>I have provided disposable paper towels.</p>
<p class="Normal1" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.handWashingSignage:convTF()}]
</span></b>I have put up signs to promote regular hand washing.</p>
<p class="Normal1" style="margin-left:35.45pt;text-indent:-35.45pt"> </p>
<h2>7. Physical distancing practices</h2>
<p class="MsoNormal">Keeping a 2-metre distance between people is one of
the most important ways to break the chain of transmission of
COVID-19. Industrial Camp operators can take practical steps to
ensure physical distancing is maintained while workers are transported
to or from the work site, while working indoors or outdoors, and during
break-times. </p>
<p class="MsoNormal"> </p>
<p class="MsoNormal">Physical barriers such as the use of plexi-glass,
face shields, masks, and other techniques can be used where physical
distancing is not possible. </p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.distancingMaintained:convTF()}]
</span></b>I have taken steps to ensure physical distancing can be
maintained during work and after work.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.distancingFaceShields:convTF()}]
</span></b>I have physical barriers like face shields or masks for
situations where physical distancing is not possible.</p>
<h2>8. Have a cleaning and disinfecting schedule</h2>
<p class="MsoNormal">All common areas and surfaces should be cleaned at
the start and end of each day. Examples of common areas and surfaces
include washrooms, common tables, desks, light switches, and door
handles. Regular household cleaners are effective against COVID-19,
following the instructions on the label.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.disinfectingSchedule:convTF()}]
</span></b>I have a schedule to ensure common and high touch areas
are cleaned or disinfected at the start and end of each day.</p>
<h2>9. Transportation of Workers</h2>
<p class="MsoNormal">Modes of transportation:</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.transportationSingleOccupant:convTF()}]
</span></b>One person per vehicle</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.transportationBusesVans:convTF()}]
</span></b>Buses or Vans</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.transportationTrucksCars:convTF()}]
</span></b>Trucks and Cars</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.transportationHelicopter:convTF()}]
</span></b>Helicopter</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.transportationTravelPod:convTF()}]
</span></b>I have made arrangements so that where workers are
required to travel together in vehicles or helicopters to the work site,
workers will travel with their work pod.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.transportationCleaningDistancing:convTF()}]
</span></b>Procedures for frequent vehicle cleaning and physical
distancing or use personal protective equipment have been developed and
communicated to the workers prior to being transported to the worksite.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"> </p>
<h1>3. After workers arrive at the Industrial Camp</h1>
<p class="MsoNormal">Once your workers arrive at the location, you are
expected to continue your work enacting an infection prevention control
plan and minimize the risk of transmission of COVID-19 through the
following key activities.</p>
<h2>1. Implement COVID-19 Employee Education</h2>
<p class="MsoNormal">Industrial Camp operators need to make workers aware
of the risks of COVID-19 and be prepared if workers have questions about
COVID-19.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.educationSignage:convTF()}]
</span></b>I have signage in place in the appropriate language on
how employees can protect themselves from COVID-19</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.educationContactPersonnel:convTF()}]</span></b>I
have someone identified that workers can go to if they have question on
COVID-19</p>
<h2>2. Train workers on COVID-19 infection control</h2>
<p class="MsoNormal">Industrial Camp operators must provide workers with
training in a language that is accessible to them about the risk of
COVID-19, safe work practices, and how to report symptoms.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.trainingCovid19:convTF()}]
</span></b>I have materials ready on the risk of exposure of
COVID-19 and the signs and symptoms of the disease.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.trainingEtiquette:convTF()}]
</span></b>I have materials ready on hand washing, physical
distancing, and cough/sneeze etiquette.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.trainingLocations:convTF()}]
</span></b>I can provide locations of hand washing facilities,
including dispensing stations for alcohol-based hand rubs.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.trainingFirstAid:convTF()}]
</span></b>I have materials ready on how to seek first aid.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.trainingReporting:convTF()}]
</span></b>I have materials ready on how to report an exposure to or
symptoms of COVID-19.</p>
<h2>3. Meal Preparation:Practice safe food handling</h2>
<p class="MsoNormal">All employers and employees must practice good food
handling and hygiene practices. </p>
<p class="MsoNormal">This includes safe food practices like protecting
foods from contamination, minimizing direct handling of food and
preventing cross contamination of foods.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.mealsDistancing:convTF()}]
</span></b>I have schedules in place for kitchen/eating areas to
limit contact and maintain 2 metre physical distancing.</p>
<p class="Normal1" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.mealsDishware:convTF()}]</span></b>
Each employee has their own dishware, utensils and drinking cup.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.mealsDishwashing:convTF()}]
</span></b>Used dishware will be washed immediately.</p>
<h1>4. If workers become ill at the Industrial Camp</h1>
<h2>1. Plan to manage individuals with suspected COVID-19 Infection</h2>
<p class="MsoNormal">Industrial Camp operators must have a plan and
protocol to deal with workers demonstrating symptoms of COVID-19,
including immediate self-isolation of the worker and notifying the local
health authority. </p>
<p class="MsoNormal">If two or more workers become sick, you must notify
the local <u>Medical Health Officer</u> of the outbreak.</p>
<p class="MsoNormal"> </p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.infectionSeparation:convTF()}]
</span></b>I am prepared to promptly separate the individual from
others in their own accommodation.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.infectionSymptoms:convTF()}]
</span></b>I am prepared to provide individuals exhibiting symptoms
of COVID-19 with a surgical/procedural mask or tissues to cover their
mouth and nose.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.infectionHeathLinkBC:convTF()}]
</span></b>I am prepared to direct the person to call HealthLinkBC
(8-1-1).</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.infectionSanitization:convTF()}]
</span></b>I am prepared to clean and disinfect any rooms that the
person has been in while symptomatic.</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.infectionAccommodation:convTF()}]
</span></b>If commercial accommodation is being used to
self-isolate, then I will inform management of the situation and
necessary requirements.</p>
<p class="MsoNormal"> </p>
<h2>2. Providing Food for Ill Workers</h2>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.infectedFeeding:convTF()}]</span></b>
I am able to provide food in a safe manner to a self-isolated worker</p>
<p class="MsoNormal"> </p>
<h2>3. Housekeeping for Ill Workers</h2>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.infectedHousekeeping:convTF()}]</span></b>
I am able to perform adequate housekeeping for a self-isolated worker</p>
<p class="MsoNormal"> </p>
<h2>4. Waste Management for Ill Workers</h2>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.infectedWaste:convTF()}]
</span></b>I am able to perform adequate housekeeping for a self-
isolated worker</p>
<p class="MsoNormal"> </p>
<h1>5. Review and Certify</h1>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.certifyAccurateInformation:convTF()}]
</span></b>I certify this information to be accurate</p>
<p class="MsoNormal" style="margin-left:35.45pt;text-indent:-35.45pt"><b><span
style="color:#4472C4">[{d.attestation.agreeToInspection:convTF()}]
</span></b>I agree that my Industrial Camps will be subject to a
site inspection</p>
<p class="MsoNormal"> </p>
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