Staff Sickness Form
Any staff or visitors (including contractors) who have vomited or had diarrhoea in the 48 hours before entering the food premises. You must not come to work if ou have vomited or had diarrhoea in the 48 hours before entering our food premises. You must tell their supervisor.
Name of Staff Member who is sick
Symptoms (state if vomited at work or diarrhoea in last 48 hours)
Date of symptom onset
Time of symptom onset
Action Taken - check all that apply
Staff member told not to come to work until illness passes
Staff member has seen a doctor
Staff member has provided a medial certificate
Staff member has past the 48 hours and can return to work
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