Title Page
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Conducted on
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Full name
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Company
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Visiting
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Department (if known)
Questionnaire
Please read the following questions carefully and answer appropriately:
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Have you been Vomiting or had Diarrhoea during the past week?
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Are you free of Infections of the Skin, Nose, Eyes, Throat and Ears?
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Do you have a Heavy Cold or Flu?
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In the past week have you been in contact with anyone with Typhoid, Paratyphoid, Cholera, Dysentery, Salmonella infection or Gastro-enteritis?
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Have you Travelled outside of the UK In The Past 14 days. (i.e. Europe, Africa, Asia, South America)
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Did you answer ‘ YES ‘ to any of the above questions?
Please read carefully and agree with the following:
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You must declare any intended use of mobile phones, photographic/recording equipment.
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Any medication brought onto site must be authorised for use.
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Any medication brought onto site must be authorised for use.
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Please read and abide by the factory hygiene rules.
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Nuts or products containing Peanuts, Treenuts and Sesame must not be brought onto the premises.
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Products containing allergens (Gluten, egg, milk, mustard, celery, soya, fish, shellfish, molluscs, lupins) must not be taken into the factory.
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Contractors using their own tools must ensure they are cleaned prior to use.
