RSES COVID-19 Daily monitoring form - departure
This form is to be filled out when you depart from work.
Your First Name *
Your answer
Your Last Name *
Your answer
Your uNumber (without the leading u) *
Your answer
Tick the boxes below to declare that you are compliant with the statement
Please read them carefully, as you are able to be held accountable for your actions and responses in accordance with the ANU Research Protocols and Essential Requirements v1.0 - Covid-19 Response, Section 1. Only if you are able to tick all the boxes truthfully and be compliant with all statements are you allowed to commence work on the ANU campus.
I am free of COVID 19 symptoms at the time of departing from work *
If you are recording FALSE, seek medical attention immediately and contact your supervisor.
Have a good evening!
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