COVID-19 Contact Tracing Registration
Please complete this form when you arrive on-site and wash hands with hand sanitiser.
Email address *
Name *
Company *
Contact Phone Number *
Date of attendance *
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Time of Attendance *
Time
:
Location Attended with Avicom Staff *
Has a staff member taken your temperature, If Yes what was the result. *
Have you travelled from South Australia, Victoria or a Gazetted Hot Spot in the past 14 days? *
Have you had any COVID-19 symptoms: Fever (over 38 degrees), dry cough or shortness of breath? *
Have you been exposed to anyone with COVID-19 OR someone who has symptoms in the last 4 weeks? *
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