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Health & Safety Authority COVID-19 Templates and Checklists

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Health & Safety Authority, retrieved on 21st May 2020.

These checklists and templates have been prepared to help employers, business owners and managers to get their business up and running again and to inform workers about what they need to do to help prevent the spread of Covid-19 in the workplace.

They have been drafted based on the Government’s Return to Work Safely Protocol and should be read in conjunction with the Return to Work Safety Protocol. Employers and workers must work together to keep workplaces safe.  These checklists will help you to do that.


Return to Work Form Word ǀ PDF
COVID-19 Response Plan Word ǀ PDF

Employer Checklists

Checklist 1: Planning and Preparing Word ǀ PDF
Checklist 2: Control Measures to Prevent Infection Word ǀ PDF
Checklist 3: COVID-19 Induction Word ǀ PDF
Checklist 4: Dealing with a Suspected Case of COVD-19 Word ǀ PDF
Checklist 5: Cleaning and Disinfection Word ǀ PDF

Employee Checklist

Checklist 6: Workers Word ǀ PDF

Worker Representative(s) Checklist

Checklist 7: Worker Representative(s) Checklist Word ǀ PDF

Thank you for reading.

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