COVIDSafe Contact Logbook
DAVID BROADWAY PTY LTD
COVIDSafe Plan & Policies
A message from David Broadway, Director of DAVID BROADWAY PTY LTD, ACN: 627 298 097.
During these uncertain times with COVID-19 pandemic, we have been following the situation closely and are keeping abreast of government guidelines.
This form is for COVID-19 contact tracking. It is a government requirement to help assist the tracking of COVID-19 outbreaks in Western Australia.
Contact Number (Mobile or Work)
Do you have the following symptom(s) in the past few days?
Fever (37.5 deg C or higher)
Trouble breathing or significant flue like symptoms
NONE OF ABOVE
Have you travelled interstate or overseas in the last 14 days?
Have you been in contact with a confirmed or suspected COVID-19 patient in the past 14 days?
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