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COVID-19 Safety Plan

All other businesses and organisations

Effective 2 August 2021

How to complete the COVID-19 Safety Plan

Fill in your business details and select your business type.

Review each of the actions in the checklist under each section:

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

Agree to the action using the Agree button, or if an action 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

Exclude people who are unwell from the premises.

Provide staff with information and training on COVID-19, including when to get tested, physical distancing, wearing masks, and cleaning.
Display conditions of entry including requirements to stay away if unwell and record keeping.
Other types of venues or facilities within the premises must complete COVID-19 Safety Plans where applicable. If contact details are captured electronically upon entry to the main premises on the relevant day, additional collection of contact details via electronic methods may not be required if there is no other public access to the sub-premises. However, additional contact details and time of entry must be captured where these sub-premises are gyms, entertainment facilities, hospitality venues, nightclubs and retail premises.
Encourage staff to access COVID-19 vaccination.

Ensure 1.5m physical distancing where possible, including:

  • at points of mixing or queuing
  • between seated groups
  • between staff.
Capacity must not exceed the greater of one person per 4 square metres of space in the premises, or 25 persons.

Avoid congestion of people in specific areas where possible.

Have strategies in place to manage gatherings that may occur immediately outside the premises, such as pick-up and drop-off zones.

Face masks must be worn by staff and customers in indoor areas, unless exempt.

Adopt good hand hygiene practices. Have hand sanitiser at key points around the venue.

Ensure bathrooms are well stocked with hand soap and paper towels or hand dryers.

Clean frequently used indoor hard surface areas (including children’s play areas) at least daily with detergent/disinfectant. Clean frequently touched areas and surfaces several times per day.

In indoor areas, increase natural ventilation by opening windows and doors where possible, and increase mechanical ventilation where possible by optimising air conditioning or other system settings (such as by maximising the intake of outside air and reducing or avoiding recirculation of air).

Use the NSW Government QR code system to collect an electronic record of the name, contact number and entry time for all staff, customers and contractors.

Processes must be in place to ensure that people provide the required contact information, such as by checking phones for the green tick to confirm they have checked in (keeping 1.5m physical distance between staff and patrons). QR codes should be clearly visible and accessible including at entrances to the premises.

If a person is unable to provide contact details, for example due to age or language barriers, another person may provide contact details on their behalf. If it is not possible for check-in to occur, keep a record of the name, contact number and entry time for all staff, customers and contractors for a period of at least 28 days. These records must be provided in an electronic format such as a spreadsheet as soon as possible, but within 4 hours, upon request from an authorised officer.


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

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