COVID-19 Templates, Checklists and Posters

These checklists and templates have been prepared to help employers, business owners and managers to get their business up and running again and to inform workers about what they need to do to help prevent the spread of Covid-19 in the workplace.

They have been drafted based on the Government’s Return to Work Safely Protocol and should be read in conjunction with the Return to Work Safety Protocol. Employers and workers must work together to keep workplaces safe.  These checklists will help you to do that.  

Further information can be found at,, and  



Return to Work FormPDFpdf_icon 
COVID-19 Response PlanPDFpdf_icon

Employer Checklists   

Checklist 1: Planning and PreparingPDF pdf_icon
Checklist 2: Control Measures to Prevent InfectionPDFpdf_icon
Checklist 3: COVID-19 Induction PDF pdf_icon
Checklist 4: Dealing with a Suspected Case of COVD-19PDF pdf_icon 
Checklist 5: Cleaning and DisinfectionPDF pdf_icon

Employee Checklist

Checklist 6: WorkersPDFpdf_icon

Worker Representative(s) Checklist

Checklist 7: Worker Representative(s) ChecklistPDFpdf_icon
Lead Worker Representative Poster (A3)PDF pdf_icon
Lead Worker Representative Poster (A4)PDF pdf_icon

Note: The Return to Work checklists and plan are now interactive fillable forms designed using Adobe Acrobat. It is recommended that users use the Adobe Acrobat Reader DC to open and edit the fillable forms.

If you are using an Android or Apple device we recommend you download the Adobe Acrobat Reader from the Google Play or Apple App Store to view and edit the fillable forms.