Title Page

  • Village

  • Name of person conducted the temperature check

  • Date and Time

  • Temperature

  • Location
  • Gritting to commence

  • Were all areas marked within the Village gritting plan covered

  • Reason why an area was not gritted

  • Measures taken to prevent access

Sign Off

  • Name and Signature

Sign Off

  • Name and Signature

Sign Off

  • Name and Signature

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