Site Visit Checklist & Attendance Register

This form is to be submitted within 24 hours of each site visit you conduct.
Remember, staff must have the written approval of their Team Leader or Operations Manager prior to attending any site visit.
View Site visits during COVID 19 restrictions- additional precautions procedure >

OC Number & Address*
Detail the reason the site visit was required.*
Date of visit*
DD slash MM slash YYYY
Approval provided from TL or OM?*
- Yes
- No
Site Visit Procedure emailed to participants 24 hours prior to visit?*
- Yes
- No
Hidden
All participants confirm receipt and acceptance of procedure?
- Yes
- No
Personal hand sanitizer on person/in vehicle?*
- Yes
- No
Arrival Time to Site
: Hours
Minutes
Hidden
Masks worn by all participants?
- Yes
- No
Hand sanitizer available and used?*
- Yes
- No
Attendee Details
Participant 1 (TK Team Member)*
First Last
Phone*
COVID-19 health status confirmed?
- Yes
- No
Participant 2
First Last Company/Position
Phone
COVID-19 health status confirmed?
- Yes
- No
Participant 3
First Last Company/Position
Phone
COVID-19 health status confirmed?
- Yes
- No
Participant 4
First Last Company/Position
Phone
COVID-19 health status confirmed?
- Yes
- No
Participant 5
First Last Company/Position
Phone
COVID-19 health status confirmed?
- Yes
- No
Hidden
COVID-19 and health status confirmed?
Tick for yes.
- Participant 1
- Participant 2
- Participant 3
- Participant 4
- Participant 5
- Participant 6
- Participant 7
- Participant 8
- Participant 9
- Participant 10
- Participant 11
- Participant 12
- Participant 13
Hidden
Gloves worn?
Tick for yes.
- Participant 1
- Participant 2
- Participant 3
Site contact designated for opening doors etc.?*
Provide name.
Completion time of onsite visit?*
: Hours
Minutes
Other details or comments.
If more than 5 attendees, please provide details here.
Phone
This field is for validation purposes and should be left unchanged.

PO Box 678 Malvern 3144

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