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Euro Safety & Training Services
+353 (0)29 52969
/
+353 (0)87 952 6874
Gortmore, Banteer, Cork, Ireland
Gortmore, Banteer,
Cork, Ireland
(0)29 52969
/
087 952 6874
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Safe Pass Training
Solas CSCS Training
Manual Handling
ATV/Quad Bike Training
About Us
Contact Us
Home
Safe Pass Training
Solas CSCS Training
Manual Handling
ATV/Quad Bike Training
About Us
Contact Us
Covid Declaration
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Covid Declaration
Covid 19 Applicant (No Params)
NOTE:
Your booking is not complete until this form has been completed. If the form is not received 72 hours before the course you will
not
be admitted to the course and no refund will be given.
The trainer will meet the trainee at this location.
The instructor will be wearing PPE and will use infrared forehead thermometer to check their temperature
If temperature is raised the applicant will be told to go home and be advised to call their GP. If temperature is ok then the applicant can proceed to training site and follow the instructor
The instructor will deliver the COVID -19 induction prior to commencement of training course/b>
Name
*
Email
Booking Reference
*
Booking Date
*
Do you have symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness or flue like symptoms now or in the past 14 days?
*
Yes
No
Have you been diagnosed with confirmed or suspected COVID-19 infection in the past 14 days?
*
Yes
No
IF YOU DEVELOP ANY OF THE ABOVE SYMPTOMS BEFORE ATTENDING THE COURSE OR HAVE REASON TO SUSPECT YOU HAVE HAD CLOSE CONTACT WITH A COVID-19 INFECTED PERSON THEN YOU ARE TO STAY AT HOME, INFORM US AND CALL YOUR DOCTOR
NB AS FACE COVERING HAS NOW BECOME MANDATORY FOR ALL APPLICANTS ATTENDING SAFE PASS TRAINING. IT IS NOW A REQUIREMENT FOR ANY APPLICANT WHO CANNOT WEAR FACE COVERING DUE TO ANY MEDICAL CONDITION TO PROVIDE A DOCTORS LETTER AS PROOF OF THAT SPECIFIC CONDITION. ANY APPLICANT ATTENDING WITH A DOCTORS LETTER WILL BE SEGREGATED FOR THEIR OWN PROTECTION AND THE PROTECTION OF EVERYBODY ELSE ATTENDING ON THE DAY
Are you a close contact of a person who is a confirmed or suspected case of COVID-19 in the past 14 days (ie Less than 2m for more than 15 minutes accumulative one day)?
*
Yes
No
Have you been advised by a doctor to Self Isolate at this time?
*
Yes
No
Have you been advised by a doctor to cocoon at this time?
*
Yes
No
Signature
*
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