COVID Declaration - Octane Oilfield Hauling and Rentals Ltd.

Please fill out this COVID form before entering our yards.

COVID 19 Health Declaration >

Home
About
Services
Careers
Contact

Home
About
Services
Careers
Contact

Pipeonline

Pipeonline Login

COVID Form

COVID-19 Health Declaration

In response to the recent Coronavirus (COVID-19) pandemic, the health and wellbeing of you, your family and Octane Oilfield Hauling and Rentals Ltd. is our highest priority. In order to gain access to our facility, please confirm the following:

I am feeling healthy overall today (If you answered NO to the above question, you maybe refused access to Octane's facilities).

Yes

(If you answer YES to any of the following questions, you will be refused access to Octane's facilities.)

Do you currently have any symptoms of COVD-19 (fever, chills, cough sore throat, muscle aches, severe exhaustion/weakness or shortness of breath)

Yes

Have you had a fever of 38.5° C/ 101.3°F or greater within the past 72 hours.

Yes

During the previous 14 days, have you:

Been advised to self-isolate or quarantine by a doctor or health authority.

Yes

Travelled outside of the country.

Yes

Lived in the same household as a COVID-19 case.

Yes

Provided direct care for a COVID-19 case.

Yes

Had direct physical contact with a COVID-19 case ( e.g. shaking hands).

Yes

Had unprotected direct contact with infectious secretions of a COVID-19 case (e.g. being coughed on, touching used paper tissues with a bare hand.

Yes

Had face-to-face contact with COVID-19 case within 2 meters and > 15 minutes.

Yes

Been in a closed environment (e.g. classroom, meeting room, hospital waiting room, etc.) with a COVID-19 case within 2 meters and > 15 minutes.

Yes

Worked in a laborotory handling specimen from a COVID-19 case.

Yes

Had contact in an aircraft sitting within 2 seats in any direction) of a COVID-19 case.

Yes

Can you think if any reason you should not be allowed access to site today.

Yes

Please sign below indicating the information you provided is true and correct to the best of your knowledge.

First Name

Last Name

Company

Phone/Mobile

Signature

Sign Here

Date

Map-pin

Envelope

Phone-alt

Please fill out this COVID form before entering our yards.

COVID-19 Health Declaration

Privacy Policy

Octane Oilfield Hauling & Rentals Ltd. 2025 © All rights reserved.