Covid - 19 Risk Managment Plan - Individual

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Individuals can apply for entry using this Risk Assessment template to support their application for entry to the APY Lands. This is a guide only and the intent is to assist you in developing a plan to manage risks in a way that APY will endorse. The aim of an APY COVID-19 Risk Management Plan is to identify points of contact (risks) between yourself and the people of the APY Lands, to put in place appropriate controls to minimise such exposure.

Permits will assess the risks involved and how you intend to manage or mitigate them. APY will assess the reason for entry, the work involved, the length of stay and what measures are in place to reduce the risk of introducing COVID-19 into the community. APY will need to agree, the way the activity is being engaged in will minimise the exposure to COVID-19.

Please tell us a little about yourself

First Name *

Last Name *

Contact Phone number *

Email Address *

Usual Place of residence *

Please tell us a little about your travel in the last two weeks

Have you entered South Australia from another State? *YesNo

What State / Territory have you travelled from?Australian Capital TerritorySouth AustraliaNorthern TerritoryVictoriaNew South WalesQueenslandTasmaniaWestern Australia

Date of Entry

Please attach your evidence of travel status

Browse

Please attached your self-isolation / quarantine clearance

Browse

Will you have any travellers with you? *

YesNo

Have your travellers each submitted their forms?

YesNo

First Name

Surname

2. First Name

2. Surname

3. First Name

3. Surname

Please tell us your intended route and Entry point to the APY Lands

(Note all travellers are rquired to submit the appropriate forms to obtain a permit/notification into the APY Lands)

Intended Route

from the menu, Select proposed date & time will you be arriving

The Following Pages will ask you to Provide a Description of your Activities and Travel while on the APY Lands

ACTIVITY - What Activity will you be involved in?

ACCOMMODATION - Where will you be staying while on the APY Lands?

TRAVEL - How will you limit your travel on the lands?

SELF MONITORING - Monitoring for signs and Symptoms of Covid-19

SOCIAL DISTANCING - how will you practice social distancing?

GOOD HYGIENE - how will you practice good hygiene?

IF COVID SYMPTOMS ARE SUSPECTED - Do you have a plan if symptoms present?

Anangu Pitjantjatjara Yankunytjatjara would like to thank you for you time in filling out your details and for your continued support in helping to keep communities safe

by sigining indicates that you agree to the above conditions *

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FURTHER INFORMATION

Further information

SA Health Coronavirus disease 2019 (COVID-19)

https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/conditions/infectious+diseases/covid+2019/

Australian Government Department of Health Coronavirus (COVID-19) health alert

https://www.health.gov.au/news/health-alerts/novel-coronavirus-2019-ncov-health-alert

Self-isolation and quarantine advice for COVID-19 (coronavirus)

https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/health+topics/health+topics+a+-+z/covid+2019/community/self-isolation+and+quarantine+advice+for+covid-19+%28coronavirus%29

Self-isolation (self-quarantine) for coronavirus (COVID-19)

https://www.health.gov.au/news/health-alerts/novel-coronavirus-2019-ncov-health-alert/how-to-protect-yourself-and-others-from-coronavirus-covid-19/self-isolation-self-quarantine-for-coronavirus-covid-19

Good hygiene for coronavirus (COVID-19)

https://www.health.gov.au/news/health-alerts/novel-coronavirus-2019-ncov-health-alert/how-to-protect-yourself-and-others-from-coronavirus-covid-19/good-hygiene-for-coronavirus-covid-19

Social distancing for coronavirus (COVID-19)

https://www.health.gov.au/news/health-alerts/novel-coronavirus-2019-ncov-health-alert/how-to-protect-yourself-and-others-from-coronavirus-covid-19/social-distancing-for-coronavirus-covid-19

Environmental cleaning and disinfection principles for COVID-19

https://www.health.gov.au/sites/default/files/documents/2020/03/environmental-cleaning-and-disinfection-principles-for-covid-19.pdf

Cleaning and disinfection in the workplace

https://www.sahealth.sa.gov.au/wps/wcm/connect/3abb2b62-6f07-4051-838b-b71d090df3ac/20200330+COVID-19+Fact+Sheet+-+Cleaning+and+disinfection+in+the+workplace.pdf?&-3abb2b62-6f07-4051-838b-b71d090df3ac-n4G6H9W

Personal Protective Equipment   https://www.health.gov.au/sites/default/files/documents/2020/03/coronavirus-covid-19-information-on-the-use-of-surgical-masks.pdf