Sign in and health screening Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *Email *Your Company *Visiting *VisitingAndrew MuatDave GrahamMichael MuatAndy MuatTony WynneAlex ClarkPaul YellopJudith AllenPaul O'NeillHave you now, or have you over the last seven days suffered from sickness and/or diarrhoea? *YesNoIf YES, have you made a full recovery and been symptom free for at least 48 hours? *YesNoAre you suffering from Any infectious skin conditions? *YesNoAre you suffering from Discharge from the EYES/EARS/GUMS/MOUTH/NOSE? *YesNoAre you suffering from BOILS/STYES/SEPTIC CUTS or ABRASIONS? *YesNoAre you carrying any MEDICATION? (if yes, advise immediately) *YesNoAre you carrying any ALLERGENIC materials e.g. nuts? (if yes, advise immediately) *YesNoAre you suffering from recurring bowel disorders? *YesNoTo your knowledge, have you now, or have you ever been known to suffer from, or have been in contact with anyone ( in the last 28 days) who is suffering from any of the following diseases:? Please check all that apply *TyphoidParatyphoidEnteric FeverHepatitisCholeraBowel DiseaseJaundiceSalmonella / Shigella / E-ColiCoronavirus (COVID-19)NoneHave you visited any countries outside of the E.U within the past 3 months? *Yes (Please detail below)NoCountries Visited / From Date / To Date.Declaration: I can confirm that the above details are to the best of my knowledge, true and complete. I understand that any false statement, or essential facts concealed, may be of sufficient cause to prevent entry to any area of our factory premises. I have read, understood and agree to abide by the Contractors/Visitors rules. Signing below indicates agreement to ALL of the above. Libra Seafood Processing reserves the right to periodically TEST the understanding of the above to confirm understanding. *I AgreeSigned *CommentSign in