noun_Needs-Assessment_4202-COVID-19 Templates, Checklists and Posters

The COVID-19 Response Plan template and Good Practice checklists have been prepared to help employers, business owners and managers to continue running their workplaces safely, and to help workers, in particular the Lead Worker Representative understand what they need to do to help prevent the spread of Covid-19 in the workplace.

The template and checklists have been drafted, based on the Government’s advice and the Transitional Protocol – Good Practice Guidance for Continuing to Prevent the Spread of COVID-19.

The Transitional Protocol reflects the most recent public health advice, and it is the current guidance for the safe return and continued safe operating of workplaces.

The template and checklists should be read in conjunction with the guidance. Employers, workers and their representatives are encouraged to continue working together to help continue to keep workplaces safe. The Response Plan template and Good Practice Checklists will help you to do that.

Further information can be found at,, and .


updated Last Updated: 21st February 2022. 

Checklist PNPTemplates

EnglishUpdatedAs GaeilgeUpdated
COVID-19 Response PlanDownload PDF02/02/22Download PDF31/01/22

Employer PNPEmployer Checklists



As GaeilgeUpdated
Checklist: Dealing with a Suspected Case of COVID-19Download PDF 02/02/22Download PDF31/01/22
Checklist: Cleaning and DisinfectionDownload PDF 02/02/22Download PDF31/01/22
Checklist: VentilationDownload PDF 02/02/22Download PDF
Checklist: Returning to the OfficeDownload PDF02/02/22Download PDF31/01/22
Checklist: Rapid Antigen Diagnostic Tests (RADTs) Download PDF02/02/22Download PDF31/01/22

Worker PNP

Worker Checklists

EnglishUpdatedAs GaeilgeUpdated
Checklist: WorkersDownload PDF02/02/22Download PDF31/01/22

LWR1 PNGLead Worker Representative(s) Checklist

EnglishUpdatedAs GaeilgeUpdated
Checklist: Lead Worker Representative(s)Download PDF02/02/22Download PDF31/01/22
Lead Worker Representative (LWR) poster (A4)Download PDF09/02/22Download PDF31/01/22
Lead Worker Representative (LWR) poster (A3)Download PDF09/02/22Download PDF31/01/22

Note: The Work Safely Templates and Checklists 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.