Attestation of No COVID-19 Symptoms and Agreement to Follow the Buck Physical Distancing Protocol and Mask Guidelines

This agreement must be completed each day, prior to entering the building.

Buck Physical Distancing Protocol—Effective May 4, 2020

Buck Institute has taken extensive precautions to limit the spread of COVID-19 on our campus. To ensure compliance with the latest local public health orders, we are providing you with this summary of actions we have taken.

    Visit the COVID-19 Information and Resources page on the Buck Intranet for more details. You may contact Meagan Moore at or Danielle Herrerias at , with any questions or comments about this protocol.

    Buck Institute is taking the following measures to ensure the health of our employees and their families:

  • Buck Institute requires everyone entering the building to remain six feet apart, whenever possible, and abstain from physical contact, including shaking hands. Individuals in common areas including restrooms, alcove and break rooms, and the like, are asked to maintain six feet of physical distance. No more than two persons shall ride in an elevator at the same time.
  • Buck requires everyone entering the building to observe good hygiene and cough or sneeze into their elbows or a tissue.
  • All Buck employees who can carry out their work duties from home are encouraged to speak to their supervisor about working remotely.
  • Employees are not to come to work if they are sick.
  • Anyone with cough, fever, or other symptoms of the COVID-19 virus should not enter the building.
  • Self-attestation symptom checks and screenings are required before employees and vendors may enter the building.
  • Where possible, desks or individual work stations should be separated by at least 6 feet.
  • Disinfecting break rooms, restrooms, common areas, and high contact surfaces has increased.
  • There are an increased number of hand sanitizer stations available, including inside and outside each campus entry point.
  • Soap and water are available to all employees and the public at all restrooms and select other hand washing stations.
  • Buck has a Universal Mask Policy that applies to everyone entering the building.
  • All non-essential events and gatherings are canceled or postponed.
  • Buck is complying with the public health order by prohibiting non-essential visitors from entering the building.
  • Areas that are used for gathering, such as the auditorium, conference rooms, and the cafeteria, are closed.
  • Buck requires that meetings of more than 5 people take place remotely.

    Copies of this protocol have been distributed to all employees.


  • In order to be at the Buck campus, you must verify you DO NOT have any of the following symptoms and the below statements are true:
    1. I do not currently have any of the following symptoms of COVID-19 infection:
      • Fever (≥37.8°C/100°F)
      • New onset cough
      • Shortness of breath or difficulty breathing
      • Headache
      • Nausea
      • Sore throat
      • Nasal congestion or runny nose (different from pre-existing allergies)
      • Loss of sense of smell or taste
      • Diarrhea
      • Conjunctivitis (pink eye)
      • Unexplained body aches
    2. I have not been diagnosed with COVID-19 within the previous 14 days.
    3. I have not been in contact with someone who has been diagnosed with COVID-19 within the previous 14 days.
    4. In the past 14 days, I have not been identified as a contact requiring self-monitoring for symptoms by Buck or by a public health agency as part of “contact tracing” related to someone diagnosed with COVID-19.
    5. I have been in the state of California for at least the past 14 days.
    6. I am entering the facility on essential business and will stay only as long as necessary.
    7. I am adhering to the Buck Physical Distancing Protocol and Universal Mask Guidelines, as posted in the building and on the Buck Intranet.
    8. I have not taken any medication to mask symptoms of fever and infection such as acetaminophen, ibuprofen, aspirin, or certain cough medications.
    If you check YES, above, please do not enter the facility, quarantine at home, contact your primary care provider and reach out to
  • Please sign above by typing your name