Title Page
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Conducted on
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Prepared by
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Location
Declaration
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Name:
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Date:
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Location of visit:
Please answer the following questions
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Have you had close contact or cared for any person diagnosed with Covid-19 within the last 14 days
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Have you experienced any cold or flu like symptoms in the last 14 days
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Please check and record your temperature prior to your journey commencing (should be no greater than 37.7⁰c)
Information and advice
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If you answered yes to any of the above questions or you have a temperature above 37.7⁰c then please do not attend your appointment.
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You should notify your manager or Omar health and safety department who will advise you on what to do next
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If fuel is required this must be carried out wearing disposable gloves
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Where possible you should provide your own meals and drinks
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Where this is not possible hygiene rules should be strictly followed and washing or sanitizing is essential do not share food or drinks
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Each vehicle is supplied with some basic hygiene items hand wash sanitiser gloves face coverings( please see health and safety if this requires replenishing)
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Where possible please a day the 2-m social distancing rule if this cannot be achieved then please use Face covers supplied
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Shaking of hands or contact with another person must be avoided at all times
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Wash your hands at regular intervals if you can't wash your hands then please use the hand sanitizer provided in the kits and keep a 2-m social distancing rule at all times
