Waiver

AVIVA PILATES

a) Fever
b) Cough (not due to allergies)
c) Sore Throat
d) Shortness of Breath
e) Loss of smell or taste
Yes
No
If "YES", LEAVE/DO NOT ENTER the workplace, GS inform supervisor, CTR inform employer, uniformed personnel inform chain of command, put on a clean mask or cloth face covering and contact/report to your medical provider (call ahead to inform them of your pending arrival). Follow CDC Guidance.' *Entry denied
Yes
No
If "YES", LEAVE/DO NOT ENTER the workplace.
Uniformed personnel: Complete 14 days of ROM.'*Entry denied

GS/contractor: DO NOT ENTER workplace for 14 days and inform supervisor/employer.' Follow CDC Guidance.3 `Entry denied
Yes
No
If "YES", LEAVE/DO NOT ENTER the workplace.
Uniformed personnel/GS/contractor: DO NOT ENTER workplace and contact supervisor/employer for additional guidance.'

Refer to NMCPHC assessment of state/county specific risk (CAC required).4
a) Within 6 feet for prolonged period of time
b) In direct contact with infectious secretions (been coughed/sneezed upon, etc.)
Yes
No
If "YES", LEAVE/DO NOT ENTER the workplace, Put Put on a clean mask or cloth face covering and contact/report to your medical provider (call ahead to inform them of your pending arrival) for quarantine determination. 'Entry denied
a) If temperature is less than 100°F (37.8°C), allow access. Screening is complete
b) If temperature is equal to or higher than 100°F (37.8°C), LEAVE/DO NOT ENTER the workplace, GS inform supervisor, CTR inform employer, uniformed personnel inform chain of command, put a clean mask on when one is available, and contact/report to your medical provider (call ahead to inform them of your pending arrival). Follow CDC Guidance.1*Entry denied