Title Page

  • Conducted on

  • Prepared by

Rynpark Entry Log

  • Name Surname

  • Contact Number

  • Vehicle Reg

  • Reason for entry

  • Rynpark Unit Number

  • Here to see?

  • From?

Do you have any of the following COVID-19 symptoms?

  • Fever

  • Dry cough

  • Tiredness (Fatigue)

  • Difficulty breathing or shortness of breath

  • Sputum production

  • Chest pain or pressure

  • Body ache and pains

  • Myalgia or arthralgia (Muscle or joint pain)

  • Sore throat

  • Headache

  • Chills

  • Gastrointestinal symptoms such as nausea, vomiting or<br>Diarrhoea<br>

  • Anosmia (loss of sense of smell) and dysgeusia (alteration of the sense of taste)

  • Do you have any chronic respiratory illness, example Asthma, Emphysema, COPD?

  • Have you been in contact with somebody that could be infected?

  • Have you been to a Hospital in the last 2 weeks, if Yes please provide information

  • Have you been to a Funeral in the last 2 weeks, if Yes please provide information

  • Temp Reading 1 Temp Reading 2
  • Reported abnormalities / high temperature to

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