Third Party University Access - Sign in and out
In the event of a positive case of COVID-19 in the University community the role of contact tracing will be undertaken by the HSE. In such a scenario, it is the responsibility of each member of the University community to be in a position to provide the HSE with details of their contacts, if requested.
In order to comply with the requirements of the Government's Return To Work Safety Protocol all staff and research postgraduates must complete this form for every day that they attend campus. The information supplied will be used to assist in contact tracing in the event of a Covid 19 case in the University community and will be destroyed after 28 days. The following UCD Return to Work Safely Privacy Notice covers the data processing for UCD to meet its obligations under the Covid-19 National Return to Work Safely Protocol:
https://www.ucd.ie/sirc/coronavirus/returntocampusworking/
You only need to complete this form ONCE per daily visit.
By continuing with this form you confirm that:
• You are not experiencing any symptoms of Covid 19 (
https://www2.hse.ie/conditions/coronavirus/symptoms.html
) - fever, cough, shortness of breath, loss or change in sense of smell or taste
• You have not been advised to self isolate for any reason e.g. due to a positive diagnosis of Covid 19, due to being a close contact of a confirmed case, etc.
• You have completed any necessary isolation period advised following any return from abroad
• You have completed your company or UCD's Covid 19 induction training (
https://www.ucd.ie/sirc/coronavirus/returntocampusworking/
)
* Required
Email address
*
Your email
Group / Company:
*
Your answer
Mobile Phone Number:
*
Your answer
UCD Activity Coordinator Name
*
Please enter the name of the person in UCD you are coordinating with for the activity today
Your answer
UCD Activity Coordinator Contact Number:
*
Your answer
Building Access:
*
Choose
No access to building required. Woks outside.
Agnes McGuire Social Work Building
Agriculture and Food Science Centre
Ardmore Annexe
Arts Annexe
Blackrock Graduate School of Business
Building 71
Campus Services
Centre for Synthesis and Chemical Biology (CSCB)
Charles Institute
Computer Science Building
Confucius Institute Ireland
Conway Institute
Daedalus Building
Engineering and Materials Science Centre
Geary Institute (Arts Annexe)
Gerard Manley Hopkins Centre (UCD Global)
Hanna Sheehy-Skeffington Building (Arts Annexe)
Health Sciences Centre
James Joyce Library Building
Newman Building
Newstead Block A
Newstead Block B (Main Building)
Newstead Block C
National Virus Reference Laboratory
Nova and Nexus
Option 27
Our Lady Seat of Wisdom Church
Pavillion
Planning and Environmental Policy (PEP)
Restaurant
Richview Buildings Labatory
Richview Lecture Building
Richview Library
Richview Memorial Hall
Richview School of Architecture
Roebuck Castle
Roebuck Offices
St. Stephens Chaplaincy
Systems Biology Ireland (SBI)
Tierney Building (Administration Building)
UCD Earth Institute – Richview
UCD Humanities Institute Ireland
UCD John Hume Institute for Global Irish Studies (William Jefferson Clinton Auditorium – UIC)
UCD Lochlann Quinn School of Business
UCD Nexus
UCD Nova
UCD O’Brien Centre for Science - Hub
UCD O’Brien Centre for Science - North
UCD O’Brien Centre for Science - South
UCD O’Brien Centre for Science - West
UCD O’Brien Centre for Science - East
UCD Research (R&D)
UCD Sports Centre
UCD Sports & Fitness
UCD Student Centre
UCD Sutherland School of Law
UCD Veterinary Science Centre
Veterinary Hospital
Woodview House
Ardmore House
Bank, AIB
Belfield House
Bicycle Shop
UCD Bowl
UCD Centre for Molecular Innovation and Drug Discovery
Centre for Research in Infectious Diseases (CRID)
Option 67
UCD Clinton Centre for American Studies
UCD Computer Centre
Crannóg House
Energy Centre
Environmental Protection Agency
Gerard Manley Hopkins Centre (UCD Global International Office)
Glebe House
Hanna Sheehy-Skeffington Building (Arts Annexe)
Health Sciences Centre
UCD James Joyce Library
UCD John Hume Institute for Global Irish Studies (William Jefferson Clinton Auditorium)
Medical Bureau of Road Safety (MBRS)
Merville Student Residences Reception
National Hockey Stadium
National Institute for Bioprocessing Research and Training (NIBRT)
NovaUCD
Oakmount Créche
UCD O’Kane Centre for Film Studies (Observatory)
O'Reilly Hall
UCD Research
UCD Rosemount Environmental Research Station
UCD Student Club
UCD Student Learning Leisure and Recreation Facility
UCD Sutherland School of Law
UCD Urban Institute of Ireland (UII)
UCD University Club
Other
Option 95
If 'Other' selected, please specify:
Your answer
Time of Arrival
*
Time
:
AM
PM
Time of Departure
*
Time
:
AM
PM
Please record details of your activities on campus for this day. In particular please detail those persons / cohorts / classes with whom you have spent more than 15 minutes at less than 2m physical distance, and those persons / cohorts / classes with whom you have shared a space with for more than 2hrs during the day:
Your answer
A copy of your responses will be emailed to the address you provided.
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