Covid-19 Health Declaration

For the protection of all staff, contractors and visitors who attend work in the office and to prevent the spread of the virus, we are asking everyone to complete the following health declaration prior to attending site.

All employees, and visitors must complete the Declaration each day before they come to the workplace, to confirm that they have not knowingly been in contact with an infected person, have been maintaining social distancing and do not have symptoms themselves.

Please submit the form either on the morning of your attendance or on the previous evening.

If you cannot answer positively any of the questions below, Do Not attend work and contact your manager as soon as possible.

Name*

First Last

Date attending office*

Declaration*

Select All
I do not have a new continuous cough
I do not have a temperature or fever
I have not lost my sense of taste or smell
I am not feeling generally unwell
None of my household is currently isolating
I have not been contacted by a government Test & Trace agent and advised to isolate and be tested
I have been complying with social distancing rules at all times