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About Central Offices Return to Work Protocols Forms, Policies and Checklists

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]

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Forms, Policies and Checklists

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.
Updated 03/09/2020

text

RCB 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.
Updated 21/09/2020

text

COVID–19 Incident Report

This report is to be completed by the COVID Duty Manager in the event of a COVID–19 Suspected Case.
Updated 21/09/2020

pdf

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.
Updated 14/09/2020

pdf

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.
Updated 18/12/2020

pdf

Checklist No. 1 – Planning and Preparing

Updated 14/09/2020

pdf

Checklist No. 2 – Control Measures

Updated 14/09/2020

pdf

Checklist No. 3 – Induction

Updated 14/09/2020

pdf

Checklist No. 4 – Dealing with a suspected case of COVID

Updated 14/09/2020

pdf

Checklist No. 5 – Cleaning and Disinfection

Updated 14/09/2020

pdf

Checklist No. 6 – Employees

Updated 14/09/2020

pdf

Checklist No. 7 – Workplace Representatives

Updated 14/09/2020

pdf

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Forms, Policies and Checklists

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.Updated 03/09/2020

text

RCB 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.Updated 21/09/2020

text

COVID–19 Incident Report

This report is to be completed by the COVID Duty Manager in the event of a COVID–19 Suspected Case.Updated 21/09/2020

pdf

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.Updated 14/09/2020

pdf

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.Updated 18/12/2020

pdf

Checklist No. 1 – Planning and Preparing

Updated 14/09/2020

pdf

Checklist No. 2 – Control Measures

Updated 14/09/2020

pdf

Checklist No. 3 – Induction

Updated 14/09/2020

pdf

Checklist No. 4 – Dealing with a suspected case of COVID

Updated 14/09/2020

pdf

Checklist No. 5 – Cleaning and Disinfection

Updated 14/09/2020

pdf

Checklist No. 6 – Employees

Updated 14/09/2020

pdf

Checklist No. 7 – Workplace Representatives

Updated 14/09/2020

pdf

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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.
Updated 03/09/2020

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.
Updated 21/09/2020

This report is to be completed by the COVID Duty Manager in the event of a COVID–19 Suspected Case.
Updated 21/09/2020

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.
Updated 14/09/2020

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.
Updated 18/12/2020