Daily Staff Attestation : Kyabram District Health Services Intranet

Staff Member Name: *

I am well and DO NOT have any COVID-19 Symptoms? *

If you answered NO to the above question do not enter the building and contact your supervisor.

Have you been a primary or secondary close contact of a COVID-19 positive case in the last 14 days? *

If you answered YES to the above question do not enter the building and contact your supervisor.

Have you visited an exposure site listed on the Department of Health website? *

If you answered YES to the above question do not enter the building and contact your supervisor.

Have you worked in any other workplace in the last 14 days? *

If you answered YES to the above question is your manager aware.

Are you waiting for test results from a COVID-19 test? *

If you answered YES to the above question is your manager aware.

Have you been diagnosed with COVID-19, and have not yet been cleared by the Department of Health? *

If you answered YES to the above question is your manager aware.

Is your temperature under 37.5 degrees? *

If you answered NO to the above question is your manager aware.