Covid-19 Contractor Checklist & Declaration

Applicable to contractors, subcontractors & consultants.

Mitigating the risk of Covid-19 infection.

Preamble

During the Covid-19 pandemic, Council continues to provide services and deliver projects to the community.

Responding to the ever-changing COVID circumstances, the Executive Team, in consultation with Council’s Pandemic Coordination Team (PCT), has mapped out a pathway to ensure compliance with Work Health and Safety obligations, and to mitigate the risks of COVID-19 to all Council workers and the community.

This checklist/declaration applies to;

ALL contractors, sub-contractors or consultants that are providing a fee for service to Hornsby Shire Council; AND
are carrying out work for Hornsby Council at a Council building or site (e.g. an electrician working in a Council office, a mowing company undertaking grass cutting in a Council park, an engineer attending a Council site to provide geotechnical advice)

This checklist/declaration does NOT apply to;

Contractors, sub-contractors, consultants that are providing a fee for service to Hornsby Shire Council from their work premise (e.g. a consultant providing a technical report that does not require attendance at a Council building or site, printers completing print work for Council)

In addition to any NSW Government Public Health Orders, Council has introduced measures to ensure compliance with Work Health and Safety legislation, and to reduce the risk of COVID-19 across all our workplaces and within the Hornsby Shire community.

ALL contractors/consultants are required to complete the following checklist/declaration prior to commencing work on behalf of Hornsby Shire Council.

Covid-19 Vaccination Requirements

I confirm ALL employees and sub-contractors carrying out work on behalf of Hornsby Shire Council are;

- Fully vaccinated for COVID-19; OR
- Can provide evidence of a medical exemption to vaccination

I confirm that I am keeping record of the vaccination status of ALL employees, and have confirmation of the vaccination status of any sub-contractor

I confirm that myself, employees or sub-contractors will continue to monitor relevant NSW Public Health Orders relating to COVID-19, and ensure that they are being complied with https://legislation.nsw.gov.au/information/covid19-legislation

General Requirements

Myself, my employees, and sub-contractors, will NOT attend work if the least unwell

Myself, my employees, and sub-contractors will check in and out using a QR code where available

Should a positive infection of myself, my employees, or sub-contractor occur, I will IMMEDIATELY notify the Contract Supervisor

Your CovidSafe Plan

The COVIDSafe Plan has been provided to Hornsby Shire Council’s Contract Supervisor prior to commencement of work and is available on site

Evidence of monitoring the implementation of the COVIDSafe Plan can be shown to the Contract Supervisor if requested

Declaration

I declare that the above statement of compliance with the Hornsby Shire Council Determination – COVIDSafe Workplace is complete and correct.

Name of Council’s Contract Supervisor (who do you report to?)

Company

Name

Position

Email Address

Signature

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Date