Textron Aviation | Coronavirus (COVID-19) Information

Coronavirus (COVID-19) - Daily Visitor Screening Form

IN RESPONSE TO THE CORONAVIRUS (COVID-19) PANDEMIC, TEXTRON AVIATION IS TAKING INCREASED PRECAUTIONS TO LESSEN THE SPREAD OF THE VIRUS.

With the health and well-being of our employees and guests the top priority, Textron Aviation has implemented this Daily Visitor Screening Form. All guests, including but not limited to customers, vendors, suppliers and contractors, to Textron Aviation U.S. facilities are required to complete this form each day you will be onsite, prior to your arrival. Visitors are required to answer all of the questions in the survey, including the name and contact information of your Textron Aviation representative. You will receive an immediate confirmation response and will be asked to provide this confirmation at the security entry points, or to your Textron Aviation representative upon arrival. Once access is approved, your Textron Aviation representative will communicate with you regarding additional visitor protocols. Our teams are committed to doing everything possible to create an exceptional guest experience, and we thank you in advance for your cooperation and understanding.

Site Location: *

Reason For Visit: *

Todays Date:

Please review the following self-screening criteria before coming to our facility.

Are you visiting Kansas? *

Yes

Have you:

Traveled to an area with widespread transmission in the past 14 days? This includes
Connecticut
Illinois
Maryland
Massachusetts
Rhode Island
New Jersey
New York
Any International Travel
Taken a cruise in the past 14 days
Had close contact with a laboratory confirmed case of COVID-19 in the past 14 days or been instructed to quarantine by the local health authority

Do you have any of the following symptoms:

Fever (37.8 °C / 100.4 °F or higher)
Cough
Shortness of breath
Flu-like symptoms

Have you had contact with a laboratory confirmed case of COVID-19 in the past 14 days or been instructed to quarantine by the local health authority?

I hereby certify the information is true *

First Name *

Last Name *

Email *

Phone *

Company Name

Textron Aviation Representative *

Textron Aviation Representative Email *

Textron Aviation Representative Phone *

*The data entered on this form will only be used for immediate risk assessment, and will be destroyed 60 days after the visit.

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