Record Form For Employees Working Alone Or In Isolation

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School District #85
Working Alone or in Isolation
Contact Log Book Record
Log Book Record for Employees Working Alone or in Isolation
Contact Information:
Your Name: ___________________________________________________________________________________
Name & Worksite of Employee you will Contact _____________________________________________________
Phone Number to Call:___________________________________________________
Contact will be made at _______________every _________________________________
IF THERE IS NO RESPONSE or CONTACT AT THE DESIGNATED TIME, YOU, OR THE PERSON RESPONSIBLE
TO RECEIVE YOUR CONTACT IS TO CALL “SAFE-LINK SECURITY” AT 1-800-661-2343 AND ASK FOR AN
EMPLOYEE ON THE CALL-OUT LIST FOR THE FACILITY TO GO AND CHECK ON THE WELL-BEING OF THE
EMPLOYEE.
Day
Date
Your Name
Person Contacted
Time
Comments
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday

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