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Ref No.:

Rev No.:
STAFF SICKNESS RECORD
Page: 1 of 1

1. Staff will report to the Manager as soon as possible if they are suffering from:

 vomiting
 diarrhoea
 septic skin lesions (boils, infected cuts etc., however small)
 discharge from ear, nose and any other site

2. After returning, and before commencing work, following an illness or any of the above
conditions.

3. If any member of their household is suffering from diarrhoea and/or vomiting.

4. After returning from a holiday during which they suffered an attack of vomiting and/or
diarrhoea.

5. After returning from a holiday during which any member of the party had an attack of
vomiting and/or diarrhoea.

Date Staff Name Illness Date Sick Date Returned

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