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Detmold Group

Detmold Group is a leading manufacturer of paper and board based packaging products for a diverse range of customers.

Detpak
PaperPak
Detmold Medical

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            COVID VISITOR FORM

            The Detmold Group has implemented a number of procedures to prevent and protect the health and wellbeing of all employees and visitors to this site.

            As part of these procedures, as a condition of entry to this site, ALL visitors are required to complete the health survey below.

            We appreciate the time taken and your cooperation. This enables us to make informed decisions to help protect the health and wellbeing of our visitors and employees.

            Please note the information provided below will be kept confidential and will not be disclosed without your permission.

            CONTACT DETAILS

            CONTACT DETAILS


            HEALTH SURVEY


            HEALTH SURVEY

            What is your current temperature in degrees celsius? (please use Digital Thermometer provided)

            What is your current temperature in degrees celsius? (please use Digital Thermometer provided)

            Are you currently experiencing any of the following symptoms? Select any applicable.

            Are you currently experiencing any of the following symptoms? Select any applicable.

            In the past 14 days, have you, or people close to you recently travelled?

            In the past 14 days, have you, or people close to you recently travelled?

            If yes, please list the cities/countries that were visited including transit locations

            If yes, please list the cities/countries that were visited including transit locations

            In the past 14 days, have you had contact with any people who have arrived from overseas, including any cruise ship?

            In the past 14 days, have you had contact with any people who have arrived from overseas, including any cruise ship?

            If yes, please provide details

            If yes, please provide details

            In the past 14 days, have you been in contact with any people who may be exhibiting symptoms of Coronavirus, or who have received a positive diagnosis?

            In the past 14 days, have you been in contact with any people who may be exhibiting symptoms of Coronavirus, or who have received a positive diagnosis?

            If yes, please provide details

            If yes, please provide details

            In the past 14 days, have you visited any other business sites?

            In the past 14 days, have you visited any other business sites?

            If yes, please provide details

            If yes, please provide details

            In the last 14 days have you returned from interstate or had contact with people from interstate?

            In the last 14 days have you returned from interstate or had contact with people from interstate?

            If yes, please provide details

            If yes, please provide details