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.

Primary Location: *

Site Location: *

Reason For Visit: *

Todays Date:

Please select a Primary Location in order to view the remainder of this form.

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

1. Have you: *

2. Do you have any of the following symptoms: *

3. Do you meet any of the following regarding COVID Testing: *

Are you currently awaiting COVID-19 test results?
In the past 14 days have you been instructed by a health care provider to test for COVID-19?
In the past 14 days have you received a positive result from a COVID-19 test?

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 *

Are you a badged contractor for Textron Aviation? *

Textron Aviation Badge Number *

*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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