COVID-19

COVID-19 VISITOR QUESTIONNAIRE

The safety of our employees, families, business associates, and visitors is are top priority at Shibaura Machine. In order to help prevent the spread of COVID-19 and reduce the potential risk of exposure to our employees, we require all visitors complete the following self-screening questionnaire prior to entering any of our facilities.

Tech Centers

Shibaura Machine’s tech centers are strategically located throughout the country. Each facility is outfitted with up to date equipment which allows us to do mold trials for our customers giving them a hands on feel prior to purchasing. With multiple locations it is convenient for our customers to travel to one of these locations for training, mold trials and presentations. We also offer customer support and service in each tech center location.

Shibaura Tec Centre Canada
located at 6 Shields Court unit 101 Markham Ontario L3R 4S1

* Indicates required field

Visitor Name: *

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Visitor Email: *

Have you returned from any of the following countries within the last 14 days; China, Iran, South Korea, E.U, United Kingdom or travelled? *

Have you had close contact with, or cared for, someone diagnosed with COVID-19 within the last 14 days? *

Have you been in close contact with anyone who has travelled to any of the following countries within the last 14 days; China, Iran, South Korea, E.U, United Kingdom? *

Have you experienced any cold or flu-like symptoms in the last 14 days (to include fever, cough, sore throat, respiratory, illness, and difficulty breathing)? *

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Covid-19

​ COVID-19 VISITOR QUESTIONNAIRE

​Tech Centers

COVID-19 VISITOR QUESTIONNAIRE

Tech Centers