Page 25 - SAPOA Workplace Re-entry

WORKPLACE RE-ENTRY
17 EMPLOYEE TRAINING AND AWARENESS (PAGE 1 1 OF 2) (to be filled by every employee)
Reduce physical contact (social distancing 1 5 m m or 2 x arm-length)
I know the the social distancing rule of of keeping a a a a a a a a a a distance of of at least 1 5 meter or or 2 x arm-length between myself and any colleague or or person from the the public YES
GO STOP
NO
I I know that I I need to to avoid physical contact such as handshakes touching and hugs YES
GO STOP
NO
I know that crowds or or gatherings (e g g g g g g large groups groups >10 or or groups groups in in spaces where there is not sufficient ventilation) needs to be avoided at at at at my workplace
YES
GO STOP
NO
When dining dining at work or or during breaks I I need to to maintain a a a a a a a a a a 1 5 meter distance from colleagues while dining dining and I I must not sit sit face-to-face opposite any other person YES
GO STOP
NO
Personal Protective Equipment
I I have all the PPE PPE specific to to to to my my work work tasks to to to to protect me from COVID-19 in addition to to to to my my normal PPE PPE required to to to to work work safely YES
GO STOP
NO
My PPE is is a a a a a a a a in good condition and and I’m familiar with the procedure how how to to use it it it it it and and how to replace it it it it it when it it it it it is is damaged or lost YES
GO STOP
NO
Personal wellbeing
I I monitor my own health for early COVID-19 symptoms symptoms (cough sore throat shortness of of breath or or or or or or or fever ≥ 38°C) or or or or or or or flu symptoms symptoms and and know what to to to to to to do and and where I I need to to to to to report to to to to to if I I experience any of of the mentioned symptoms YES
GO STOP
NO
I I know the contact number and how to access psychological support support services should I I need support YES
GO STOP
NO
Emergency response
I I am am familiar with the procedure to to report in in case someone at home or or or in in my workplace
has symptoms of COVID-19 YES
GO STOP
NO
Name:
ID Number: Number: Cell Number: Number: Email address:
Surname:
WORKPLACE RE-ENTRY
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