Commence Training Form – COVID-19

Please only fill out & submit this form if you have booked a course

Commence Training Form - COVID-19

"*" indicates required fields

Name*

Contact Number*

Email

Course Title*

Please enter the title of the course you have booked. E.g. Safe Pass, Basic Scaffolding, Manual Handling etc

Course Date*

Please enter the date of the course you have booked.

Do you have symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness or flu like symptoms now or in the past 14 days?*

Please select Yes or No from the drop down.

Have you been diagnosed with confirmed or suspected COVID-19 infection in the last 14 days?*

Please select Yes or No from the drop down.

Are you a close contact of a person who is a confirmed or suspected case of COVID-19 in the past 14 days (i.e. less than 2m for more than 15 minutes accumulative in 1 day)?*

Please select Yes or No from the drop down.

Have you been advised by a doctor to self-isolate at this time?*

Please select Yes or No from the drop down.

Have you been advised by a doctor to cocoon at this time?*

Please select Yes or No from the drop down.

Have you been/travelled outside of Ireland in the last 14 days?*

Please select Yes or No from the drop down.

If you develop any of the above symptoms before attending the course or have reason to suspect you have had close contact with an COVID-19 infected person, then you are to stay at home, inform us on 057-8646619 and to call your doctor*

I confirm

Requirements to attend a course*

You WILL need a face mask or face covering which you should wear unless advised otherwise. We will expect you to fully comply with all our Covid-19 protocols including hand hygiene and respiratory etiquette, along with keeping a minimum distance of 2 meters between yourself and other people throughout the day. If you fail to comply with our protocol, you will be asked to leave the premises and any course work up to that point will be deemed null and void. If you feel unwell or show any symptoms of Covid-19 or answers to your declaration have changed before during or after the course, it is vital you contact our office straight away. Your details may be shared with the HSE for the purposes of contact tracing, this is in line with our GDPR policy. Published by David Kearney.

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Name

This field is for validation purposes and should be left unchanged.