New City Gas
New City Gas is available as of May 28th, 2021 for corporate and private event rentals following the latest announcements made by the Quebec government. All other events and programming remain paused until further notice.

COVID-19 Employee Waiver

Ce formulaire est également disponible en français

COMMITTMENT


  • To the application of procedures to prevent the spread of COVID-19
  • To my declaration of any condition(s) that may be related to COVID-19

 

I declare to have been informed that at NCG, the health and protection of our employees and our clients is our top priority. Thus, I agree to read and apply the procedures in place and to declare any condition(s) that may be related to COVID-19, in order to prevent the spread of the virus.

PROCEDURES FOR PREVENTING THE SPREAD OF COVID-19


I will wear the mandatory personal protective equipment at my workstation.
I will wash my hands frequently
I will respect the physical distance of 2 meters and I will make sure to wear a face covering when this is not possible.

DECLARATION OF ANY CONDITION(S) THAT MAY BE RELATED TO COVID-19


I agree to notify my supervisor and not to report to work if I have one or more of the following conditions and do not have a known health condition that could explain the symptoms:

  • Fever, recent or chronic cough that has worsened, difficulty in breathing, sudden loss of smell (with or without loss of taste), muscle pain, headache, severe fatigue or severe loss of appetite, sore throat , diarrhea.

I agree to notify my supervisor and not to report to work if:

  • I have been in close contact (at least 15 minutes within 2 meters) with a confirmed or suspected case of COVID-19.
  • I tested positive for COVID-19 for less than 21 days or had a recommendation to be tested.
  • I have traveled outside of Canada in the past 14 days.

ELECTRONIC SIGNATURE


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