CPL - Covid - Rob & Romesh Vs CREW (list)

Have you experienced any of the recognised symptoms of COVID-19 within the last 7 days?*• High temperature or fever. This means you feel hot to touch on your chest or back (you do not need to measure your temperature)
• A new continuous cough. This means coughing for longer than an hour or three or more coughing episodes in 24 hours. If you usually have a cough, it may be worse than usual.
• Loss of sense of smell or taste. This means you have noticed you cannot smell or taste anything, or things smell or taste different to normal
• Shortness of breath
• Feeling tired or exhausted
• An aching body
• A headache
• A sore throat
• A blocked or runny nose
• Loss of appetite
• Diarrhoea
• Feeling sick or being sickYes No

If ticking yes to any of the above, we will require you to take a LFT before entering the location.

VULNERABLE AND ADDITIONAL HEALTH NEEDS

Do you consent having your temperature taken, and to the above personal information being held and processed by CPL Productions Ltd. for the purposes of managing their COVID-19 risks?*YesNo

DISCLAIMER AND DECLARATION

I consent to having the above personal information being held and processed by CPL Productions Ltd. for the purposes of managing their COVID-19 risks.

I will inform a representative of the production immediately if I experience any symptoms of COVID-19.

I certify that the responses provided above are true and accurate to the best of my knowledge

I have received a copy of the relevant CPL Productions Risk Assessment / COVID-19 Policy (the 'Policy')

I have read the Policy and agree that I will comply with its terms whilst within the area that it applies

I have reviewed the CPL Productions Privacy Policy (https://www.cplproductions.co.uk/wp- content/uploads/2020/05/CPL- GROUP-PRIVACY-STATEMENT.pdf)

I declare that if there is a change to any of the above information before the recording date I will advise the Administrator team/Production Team immediately

COVID 19 – SELF DECLARATION