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ROADLAB – GROUP Registers

OHS MANAGEMENT SYSTEM 9.1.2

Details of persons that employee came into direct contact with


Name Surname Gender Age Relationship Date of Place of Contact (name of suburb Contact number
(M/F) contact in possible address)

P a g e 1|1
Direct contact: A person having had face-to-face contact or was in a closed environment; this includes, amongst others, all persons living in the same household as a COVID-19 case and, people working closely in the
same environment as a case. A healthcare worker or other person providing direct care for a COVID-19 case, while not wearing recommended personal protective equipment or PPE (e.g., masks). A contact in such as
travel companions 2 Chose from: Spouse, Aunt, Child, Class mate, Colleague, Cousin, Father, Friend, Grandfather, Grandmother, Healthcare worker taking care of, Mother, Nephew, Niece, Other relative, Uncle

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