Welcome to work! Please fill in your timesheet and questionare
Staff Name
*
Kylie Ross
Clare Davidson
Skye OShea
Lily Oshea
Khim Reynolds
Elle-May Michael
Harry millward
Date of shift
*
Day
1
2
3
4
5
6
7
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9
10
11
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13
14
15
16
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19
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25
26
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28
29
30
31
Month
1
2
3
4
5
6
7
8
9
10
11
12
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
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1978
1977
1976
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1972
1971
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1968
1967
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1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Start Time
*
:
Hours
Minutes
AM
PM
AM/PM
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Are you currently required to be in isolation because you have been diagnosed with coronavirus (COVID-19)?
*
Yes
No
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Have you been directed to a period of 14-day quarantine by the Department of Health and Human Services as a result of being a close contact of someone with coronavirus (COVID-19)?
*
Yes
No
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Are you experiencing – FEVER
*
(If you have a thermometer, take your own temperature. You are considered to have a fever if above 37.5°C)
Yes
No
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Are you experiencing – CHILLS
*
Yes
No
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Are you experiencing – COUGH
*
Yes
No
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Are you experiencing – SORE THROAT
*
Yes
No
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Are you experiencing – SHORTNESS OF BREATH
*
Yes
No
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Are you experiencing – RUNNY NOSE
*
Yes
No
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Are you experiencing – LOSS OF SENSE OF SMELL
*
Yes
No
Keeping you safe
*
Yes
I will clean the counter area, keyboard, mouse, screen, eftpos machine and any other high touch areas on arriving at work and use the hand sanitiser after toching anything that may be contaminated. I will also wash my hands throughout the day, and inform Kylie if more hand sanitiser, soap or cleaning products are needed.
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