Title Page
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Conducted on
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Prepared by
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Location
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Facility Name
Health Check
Staff Symptoms
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It is important to remember that if a person becomes sick with these symptoms at work they may be suffering from a cold, the flu or other respiratory illness and not COVID-19.
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Does anyone have a fever?
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Advise to seek medical advice
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Does anyone have a cough?
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Advise to seek medical advice
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Does anyone have a sore throat?
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Advise to seek medical advice
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Does anyone have shortness of breath?
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Advise to seek medical advice
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Are there any staff with Covid-19 like symptoms to be concerned of?
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Continue to next page for actions to take
Steps to take when the person you are concerned about is at the workplace now
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You are not expected, and should not try, to diagnose workers. However, you have a work health and safety duty to minimise the risk of workers and others in the workplace being exposed to COVID-19 so far as reasonably practicable.
Isolation
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Isolate the person
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Provide PPE to affected person (masks, sanitiser, tissues)
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Provide PPE to persons assisting affected person
Seek advice and assess the risks
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Talk to the person about your concerns
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Call one of the following:<br>- State/territory helpline: https://www.health.gov.au/about-us/contact-us/local-state-and-territory-health-departments<br>- National Coronavirus Helpline (24/7): 1800 020 080
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Collect person contact details
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Record where the person has been in close contact with in workplace / how long
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Consider receiving advice from WHS: https://www.safeworkaustralia.gov.au/whs-authorities-contact-information
Transport
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Does the person have personal mode transport to to home/location for isolation/medical facility
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Does the person have a surgical mask?
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Advise person to avoid contact with others/drivers as much as possible
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Advise person to practise good hygiene
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Advise person to pay by card
Clean and disinfect
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How to clean & disinfect here: https://swa.govcms.gov.au/covid-19-information-workplaces/cleaning-prevent-spread-covid-19
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Close off affected areas & do not let others use/enter them
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Clean & disinfect the affected areas
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Clean & disinfect all areas & equipment used by affected person