Title Page
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Today's date
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Name
DCC Worker Declaration
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I declare that I HAVE NOT: * arrived into NZ within the past 14 days; been in contact with someone with COVID-19 symptoms; had any COVID-19 symptoms
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DCC Worker Name/Signature:
Visiting/Entering Site
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Location
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Site Arrival Time
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Name & Location of facility/ site /Company you are visiting /entering for work
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This could be the name of the facility you are entering for work e.g. Moana Pool or it could be the address of a person you are visiting at their property or it could be a contractor site you are visiting.
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Name(s) of people you had any contact with at the above and their contact numbers
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Names of people you travelled with & their contact numbers
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Sign out (DCC worker leaving site)
End of Day
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Export this register and send to your Team Leader/Manager
