Title Page

  • Conducted on

  • Full name

  • Company

  • Visiting

  • Department (if known)

Questionnaire

Please read the following questions carefully and answer appropriately:

  • Have you been Vomiting or had Diarrhoea during the past week?

  • Are you free of Infections of the Skin, Nose, Eyes, Throat and Ears?

  • Do you have a Heavy Cold or Flu?

  • In the past week have you been in contact with anyone with Typhoid, Paratyphoid, Cholera, Dysentery, Salmonella infection or Gastro-enteritis?

  • Have you Travelled outside of the UK In The Past 14 days. (i.e. Europe, Africa, Asia, South America)

  • Did you answer ‘ YES ‘ to any of the above questions?

Please read carefully and agree with the following:

  • You must declare any intended use of mobile phones, photographic/recording equipment.

  • Any medication brought onto site must be authorised for use.

  • Any medication brought onto site must be authorised for use.

  • Please read and abide by the factory hygiene rules.

  • Nuts or products containing Peanuts, Treenuts and Sesame must not be brought onto the premises.

  • Products containing allergens (Gluten, egg, milk, mustard, celery, soya, fish, shellfish, molluscs, lupins) must not be taken into the factory.

  • Contractors using their own tools must ensure they are cleaned prior to use.

  • Please note that the fire assembly point is located at the front gate in the car park

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.