This form must be completed no less than one hour before you enter the Place des Arts facility, or any authorized satellite site hosting PdA programs (“Facilities”), to perform work.

The health and wellbeing of our Place des Arts (PdA) community is our priority. We are taking measures to keep PdA a safe environment for all. 

Therefore, PdA requires that all its employees and self-employed contractors (“Workers”) complete a COVID-19 Worker Health Declaration (WHD) webform prior to each date upon which they enter the PdA building, or any authorized satellite site hosting PdA programs (“Facilities”), to perform work. 

The WHD is a screening questionnaire used to identify Workers: 

  • who may be experiencing COVID19 symptoms, as characterized most recently by federal and provincial public health officials; 
  • who have knowingly come into close contact with anyone who has tested positive for COVID-19 or who has been ordered to self-isolate (including a member of their household); and/or  
  • who have travelled outside of Canada. 

Upon each entry to the Facilities to perform work, the Worker must complete the WHD webform truthfully and to the best of their knowledgeThe WHD webform must be completed and submitted no less than one hour prior to the Worker’s scheduled start time. 

Worker who refuses to complete the WHD will not be permitted to enter the Facilities. In these instances, that Worker will be notified of any relevant policies and procedures. 

Upon entering the Facilities, each Worker must follow physical distancing and personal hygiene protocols. These protocols include handwashing, disinfecting keys, phones, and other personal items, avoiding touching one’s face and coughing and/or sneezing into a disposable tissue or one’s elbow crease. 

COVID-19 Worker Health Declaration Form

This form must be completed no less than one hour before you enter the Place des Arts facility, or any authorized satellite site hosting PdA programs (“Facilities”), to perform work.

fever, chills, fatigue, sneezing, cough, shortness of breath, difficulty breathing, sore throat, headache, loss of taste and smell, muscle aches and/or runny nose?
If you answered “yes” to any of these questions, or experience any of those symptoms after completing this form, you should not come into work and contact the PdA registration desk ASAP (604 664 1636 ext. 0).
Thank you for your co-operation in keeping PdA a safe space.
Please check your email for the confirmation to show at the Check-In Desk at Place des Arts (PdA).
Note: If the confirmation email does not show up in your email account be sure to check the junk/spam folder.

 

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