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Forms, Policies and Checklists
In this section you will find the Return to Work form together with the Staff and Committee Member & Visitor Contact tracing forms, all of which are required by Government to be completed. Also to be found here are the COVID–19 Emergency Policy, which makes some amendments to the standard Staff Policies in order to facilitate the current set of circumstances; and the Committee Member & Visitor Policy which sets out the RCB’s expectations and requirements for those people who do not work on a regular basis in either Church of Ireland House or the Library and who are not RCB employees. The third set of documents in this section are the Checklists which were used to draft the Response Plan and are referred to throughout that document.
[Documents will be added as they are confirmed and available, this section will be updated regularly]
RCB COVID–19 Return to Work Form
This form is to be completed, signed and returned to your SM/HOD by all staff to confirm you have not been in contact with anyone who has been suspected of or has COVID–19 and that you have had no symptoms of COVID–19 in the past 14 days.
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Updated 03/09/2020RCB Re–Induction Confirmation Form
This form is to be completed, signed and returned to your SM/HOD by all staff to confirm that you have read or viewed all the mandatory Re–Induction material.
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Updated 21/09/2020text
COVID–19 Incident Report
This report is to be completed by the COVID Duty Manager in the event of a COVID–19 Suspected Case.
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Updated 21/09/2020pdf
COVID–19 RCB Staff Sign–In Sheet
This form replaces the traditional sign–in sheet and is replaced with a new one every day. It also acts as a Contact Tracing record.
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Updated 14/09/2020pdf
RCB Committee Member & Visitor/Contractor Questionnaire
This questionnaire is to be completed and signed by all non–staff visitors to Church of Ireland House and the Library as confirmation of no contact with COVID–19 in the past 14 days and to act as a Contact Tracing record.
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Updated 18/12/2020pdf
Checklist No. 1 – Planning and Preparing
Updated 14/09/2020
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Checklist No. 2 – Control Measures
Updated 14/09/2020
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Checklist No. 3 – Induction
Updated 14/09/2020
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Checklist No. 4 – Dealing with a suspected case of COVID
Updated 14/09/2020
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Checklist No. 5 – Cleaning and Disinfection
Updated 14/09/2020
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Checklist No. 6 – Employees
Updated 14/09/2020
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Checklist No. 7 – Workplace Representatives
Updated 14/09/2020
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