Company ASHI AND BUSHNAG COMPANY

FOR CONTRACTING
Date 03/Mar/2021

KAUST Service Providers and Contractors

COVID-19 Numbers
Have Medical Services Yes No
been informed?
N/A
Number Positive (total) NIL
Number Positive NIL
(active)
Number Recovered
NIL
Number Tested
01
Number waiting test NIL
results
Number in Quarantine NIL
Has contact tracing Yes No
been carried out?
Other information 01 ABC employee came from Philippine on 27-Feb-
2021; the test result for COVID-19 is negative.

Notes:
All numbers from 01 December 2020 to be recorded.
The form is to be completed and submitted to
alexander.selfridge@kaust.edu.sa
by 1700 pm every Wednesday. However, the form is to be updated and
submitted on the same day that a new case is identified, in addition to
the weekly report.
Use the ‘Other Information’ Section for any relevant information
regarding your company’s position, e.g. 30 workers returning from
Pakistan on --/--/----