COVID-19 Templates and Checklists

These checklists and templates have been prepared to help employers, business owners and managers to get their business up and running again and to inform workers about what they need to do to help prevent the spread of Covid-19 in the workplace.

They have been drafted based on the Government’s Return to Work Safely Protocol and should be read in conjunction with the Return to Work Safety Protocol. Employers and workers must work together to keep workplaces safe.  These checklists will help you to do that.  

Further information can be found at and  



Return to Work Form Word ǀ PDF
COVID-19 Response Plan  Word ǀ PDF


Employer Checklists   

Checklist 1: Planning and Preparing Word ǀ PDF
Checklist 2: Control Measures to Prevent Infection Word ǀ PDF
Checklist 3: COVID-19 Induction Word ǀ PDF
Checklist 4: Dealing with a Suspected Case of COVD-19  Word ǀ PDF
Checklist 5: Cleaning and Disinfection Word ǀ PDF


Employee Checklist

Checklist 6: Workers  Word ǀ PDF


Worker Representative(s) Checklist

Checklist 7: Worker Representative(s) Checklist 

Word ǀ PDF




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