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COVID-19 Safety Plan

For critical agricultural workers resident within 100km of NSW/Victoria border

Effective 4 September 2020

How to complete the COVID-19 Safety Plan

Record the action/s you will put in place under all the Safety Plan sections:

  • wellbeing of staff and customers
  • physical distancing
  • hygiene and cleaning
  • record keeping.

Each requirement must be addressed in each section. If a requirement does not apply to your premises, briefly describe why.

Once you complete the COVID-19 Safety Plan, a confirmation email will be sent to you with a copy of your plan attached as a PDF. 

To complete the COVID-19 Safety Plan offline, print a blank copy of the form using the print button.

Remember to keep a copy of your COVID-19 Safety Plan on your premises at all times.

Business details

If your business has multiple premises, complete a Safety Plan for each location. Provide contact details for the person responsible for the COVID-19 Safety Plan at each location.
Full name

Requirements for business


Now that you have finished, send the plan as a PDF to the email address you provided.

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