In an effort to file proper reports for health and safety, we ask you to submit any issues with air quality in your area to the committee with the following information included:
Initial Data
Name-
Position-
Location of concern-
Shift worked in the area-
Number of people in the area-
Nature of complaint-
Details-circle any of the following
cough, sneezing, shortness of breath, asthma, bronchitis,
sore throat, watery eyes, nausea, rash, hives,
dizziness, headaches, other_____
Please explain any items circled:
When did the symptoms start?
How often do they occur?
What time of the day do they usually start?
What time of the day are they the worst?
Is there any time you are symptom-free?
What details, if any, can aggravate the symptoms?
When the symptoms first started, had anything changed in the building (construction, renovation, new carpet, new furniture, etc...)?
Are there any other details that you feel may help in resolving air quality issues?
Please forward these as soon as possible if there is an issue and ask about WSIB exposure forms as well.
In solidarity, Emidio.
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