Visit to your Premises - Health RequirementsContact Details* Company Name First Name Last Name Email* Date of scheduled visit* Date Format: DD slash MM slash YYYY On Site support for:*Net2ERPOtherName of Communicat Consultant who will be visiting you:(or leave blank if not known)1. Does your business follow the Six Principles of COVIDSafe workplaces?*Six Principles of COVIDSafe workplaces o Practice physical distancing o Wear a face mask o Practice good hand hygiene o Keep electronic records and act quickly o Avoid interactions in enclosed spaces o Create workforce bubbles YesNo2. Is there any person within your premises, or that our employee may encounter, who has returned from overseas within the past 14 days?*YesNo3. Is there any person within your premises, or that our employee may encounter, who is, to the best of your knowledge, at risk that they may have been exposed to Corona Virus, COVID-19 or any other known infection during the past 14 days?*YesNo4. Does your organisation have a COVID Safe Plan (Vic.)?*COVID Safe Plan (Vic.)YesNoPlease provide a link for us to view your plan documentOr upload a copy of your plan document here5. Are you a senior manager within your company and you are therefore able to confirm that the compliance factors stated above are accurate*YesNo3. Have your staff have been instructed to observe all current social distance rules and guidelines?visit this link for further informationYesNoDo you have any special instructions or comments?