This Covid-19 Daily Health Check Declaration and Attendance Record can be
used to collate and record each day’s confirmed Covid-19 Daily Health
Declaration Emails. All staff, contractors and visitors must complete the
Declaration on a daily basis, to confirm that they have not knowingly been
in contact with an infected person, have been maintaining social distancing
and do not have symptoms themselves. This is part of creating the safest
possible working environment for employees, contractors and visitors
attending your workplace.
It is important that this whole process is carefully monitored and that one
or more individuals are responsible for this process being carried out
properly. A designated person or persons should be responsible for filling
in the form preferably in an online version.
It is important not to create areas of potential transfer by using signing
in sheets or having people filling in forms once or twice a day, for this
reason the Covid-19 Daily Health Declaration does not have an attached
Instead, the designated person must email a copy of the Declaration to
each employee, contractor and visitor on each day/evening before they
are intending to come into work on the next day. Then each individual
has to email their daily confirmation to the workplace before they
attend work and this Record can be used to record the process.
This document is in open format. Either enter the requisite details in the
highlighted fields or adjust the wording to suit your purposes.
Once you have subscribed to the appropriate document folder click on the
“Download Document” button below. You will be asked what you want to do
with the file. It is recommended that you save the document to a location
of your choice prior to viewing.