Effective 2 August 2021

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

Guidelines for business

Wellbeing of staff and customers
Physical distancing
Hygiene and cleaning
Record keeping

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

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