Visitors Covid Self-Declaration

Date of Visit Your Name Phone Number Who Are You Name Of Company Medical Q1 Medical Q2 Medical Q3 Medical Q4 Medical Q5 Medical Q6 Signature
YES NO NO NO NO NO
YES NO NO NO NO NO
January 12, 2021 Steve Cresswell 07425880003 I am a Visitor to Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 12, 2021 Steve Cresswell 07425880003 I am a Visitor to Electrification Construction Services Ltd (ECS) Speedy NO NO NO NO NO NO
January 12, 2021 Graham carney 07976713806 I am a Visitor to Electrification Construction Services Ltd (ECS) G carney NO NO NO NO NO NO
January 12, 2021 Graham carney 07976713806 I am a Visitor to Electrification Construction Services Ltd (ECS) G carney NO NO NO NO NO NO
January 13, 2021 Steve Cresswell 07425880003 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 13, 2021 Jonathan Dixon 07884480357 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 13, 2021 Ray matthews 07487886803 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 13, 2021 Heath Martin 07791565699 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 14, 2021 Jonathan Dixon 07884480357 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 14, 2021 Louise parrish 0774898352 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 15, 2021 Jonathan Dixon 07884480357 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 15, 2021 Heath martin 07932812504 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 18, 2021 Heath Martin 07791565699 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 22, 2021 Heath Martin 07791565699 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 22, 2021 Andy Buckley 07512195893 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 13, 2021 Heath Martin 07791565699 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 25, 2021 Heath Martin 07932812504 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 18, 2021 Heath Martin 07791565699 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 15, 2021 Heath martin 07932812504 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 28, 2021 Jonathan Dixon 07884480357 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 29, 2021 Heath Martin 07932812504 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 29, 2021 Steve Cresswell 07425880003 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 29, 2021 Jonathan Dixon 07884480357 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
January 29, 2021 Heath Martin 07932812504 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
February 1, 2021 Heath Martin 07912812504 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
February 1, 2021 Steve Cresswell 07425880003 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
February 2, 2021 Jonathan Dixon 07884480357 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
February 2, 2021 Paul Connor 07703792008 I am a Visitor to Electrification Construction Services Ltd (ECS) Cembre NO NO NO NO NO NO
February 2, 2021 Steve Cresswell 07425880003 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
February 8, 2021 Heath Martin 07932812504 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
February 12, 2021 Heath Martin 07912812504 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
February 15, 2021 Heath Martin 07912812504 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO
February 16, 2021 Peter Edwards 07485084995 I am a Visitor to Electrification Construction Services Ltd (ECS) WEST WALLASEY NO NO NO NO NO NO
February 26, 2021 Heath Martin 07932812504 I work for Electrification Construction Services Ltd (ECS) NO NO NO NO NO NO