Risk factors
Do you have any of the following risk factors?
(You can select more than one option with the Crtl. key) None of these risk factors Cardiovascular disease, including hypertension Chronic lung disease Diabetes Chronic renal failure Immunosuppression Cancer under active treatment Severe chronic liver disease Obesity (BMI>40) Pregnancy You are over 60 years of age
Details of your current UB on-site activities
What means of transport do you use to get to work?
How long does it take you to get to work?
In what means of transport did you come before the pandemic situation?
What is your usual place of work?
Are your tasks at this moment different from the usual ones and therefore, in your opinion, does the activity present any added risk (other than SARS-CoV2)?
Usual working hours at your workplace
Hours planned and days of presence/work in person at the moment
In the case of PDI, weekly hours of face-to-face teaching planned, both theoretical and practical
Do you have to go to a different place of work during your stay at the UB?* Yes No
Do you use any tool, furniture, material that is also used by other colleagues or workers and may represent a risk of contamination?
Is there a cleaning service for the furniture and facilities you use?* Yes No
If you do an additional cleaning of the furniture or materials you use, do you have the appropriate products and protection elements? What are they?
If you are alone, do you have regular contact (telephone? face-to-face?) with someone while you are at your workplace in case you have to report an emergency situation?* Yes No
As the questionnaire contains medical information, it will be sent directly and only to health personnel at medicinadeltreball.ossma@ub.edu. From this address, only technical information will be forwarded to the prevention technicians. Based on the answers to the questionnaire, a medical and technical assessment will be made to determine whether there is any specific condition to be considered.
(1) The responsible for the processing of your data is the General Secretary of the University of Barcelona. (2) The purpose of the processing is to manage the periodic monitoring of the health status of employees. (3) You have the right to access your data, rectify them, delete them, oppose their processing, request their portability and the limitation of processing, in certain circumstances. (4) You may consult the detailed information on the above-mentioned treatments