MAF DAILY STATUS Form
COVID 19 DAILY REPORT for Michoud Assembly Facility/Robert Champion
We are asking these questions so we can keep track of the spread of COVID-19 on site at MAF. We request you submit these responses daily before 9:00 AM CT.
This is not mandatory, but we request your participation.
Paperwork Reduction Act Statement:
This information collection meets the requirements of 44 U.S.C 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. The OMB control number for this information collection is 2700-xxxx and it expires on xx/xx/xxxx. We estimate that it will take about 5 minutes to read the instructions, gather the facts, and answer the questions. You may send comments on our time estimate above to [email protected]. Send only comments relating to our time estimate to this address.
Your name
Your Company
Total Number of employees coming on-site today:
Maximum number of employees that will be on-site at any one time today:
Number of New Confirmed Positive Cases of COVID-19:
Number of New Presumptive Positive Cases of COVID-19:
Number of New Individuals in Quarantine:
Submit
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Isaacson, Leigh H. (MAF-CS30)[Analytical Services Inc. (ASI)] |
| File Modified | 0000-00-00 |
| File Created | 2021-01-14 |