Roxborough Visitor Check-in

Visitor Check-in

Biosecurity and Work Health and Safety.
The purpose of this record is to ensure the safety of employees, visitors and contractors and protect the biosecurity of the property and animals in compliance with the Work Health and Safety Act 2011 (QLD) and Biosecurity regulation.

You are entering a property that operates to a Biosecurity Management Plan in accordance with Section 41B(1) and (2) of the Queensland Biosecurity Regulation 2016.

The purpose of this plan is to prevent, control or stop the spread of biosecurity matter into, at, or from our property.

People can unintentionally carry diseases, pests and weeds without even realising. It is for this reason we need you to complete a risk assessment to gain access to our property. We urge you to notify us if you believe you present any risk.

This is a business record for Roxborough Ag Pty Ltd , ABN 59654663555, this information will be used in the event of a Workplace Health and Safety or Biosecurity incident.

Emergency Contact Details:

Roger Geldard 0418185091

To request the Workplace Health and Safety and Biosecurity management plans please email: vanessa@roxboroughag.com.au.
Name*

First NameLast Name
Business Name/Organisation*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date*

DayMonthYear
Date
Hour MinutesAM/PM Option
Vehicle Registration Number*
What is the reason for your visit?*

Cattle TransportBulk Commodities (Silage, Grain, Cotton Seed, Liquid supplement, Hay)General freightConsultant - Animal Health and NutritionContractor - ElectricalContractor - InfrastructureContractor - Machinery ServicingContractor - MachineryContractor - LivestockFeedlot VisitorSales RepresentativeOther
Which sites will you be accessing?*

Cattle loading/unloading rampsCommodity ShedCotton Seed ShedFeedlot pensInduction shedHospitalStablesWorkshopHay shedSilage pitsManure padOfficeStaffroomOther
Have you been overseas in the past 14 days?*

Yes - STOP IMMEDIATELY and contact Roger 0418185091No
Which Country/s have you visited?*
Have you visited an intensive livestock facility in the last 48 hours?*

Yes - STOP IMMEDIATELY and contact Roger 0418185091No
Have you handled livestock, wildlife, or companion animals showing unexplained symptoms in the past 48 hours?

Yes - STOP IMMEDIATELY and contact Roger 0418185091No
I will comply with any reasonable work health and safety and biosecurity instructions, policies and procedures.*

Agree
I will wear all appropriate personal protective equipment, including as directed by the property owner or manager.*

Agree
I have taken all reasonable steps to ensure my person and my property is free from plant matter, contaminants, unsafe chemicals and I will not do anything which might possibly worsen the actual or potential adverse effects of a biosecurity matter, carrier or activity on any biosecurity consideration.*

Agree
I will report any biosecurity or health and safety risks to the property owner or manager as soon as practicable and will follow the emergency plan.*

Agree
Have you been vaccinated for Q-Fever.

AgreeNo - I accept the risk of potential exposure to Q-Fever
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