Visitor travel questionnaire and COVID-19

 
 
As a preventive action towards spread of the corona virus within our organisation, Østensjø Rederi will monitor the travel arrangeents for visitors to our vessels and/or offices.
 
We appreciate your time to complete this survey before you visit.

 
Response is required below.
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*

Your company name

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Your name

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Planned to visit vessel/Office

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Aproximately the date you will visit the vessel/office
perm_contact_calendar
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I can confirm  that I am not suffering from a new continuous cough, high temperature  and/or loss of taste and smell 
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I can confirm that to the best of my knowledge I have NOT been in contact with any other person that have been confirmed infected with the COVID-19 virus.
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I can confirm that NO ONE in my household is suffering from :
- a high temperature
- a new continuous cough
- a loss of taste and/or smell
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What's your email?