Induction – Punchbowl

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1 Induction Video

2 Induction Booklet

3 Packhouse Supplement

4 Personal Declaration

Induction Video
Please confirm that you have watched the video and all of the above has been read/understood*
- Yes

Induction Flipbook

Please click the image below to view the flipbook
Please download the booklet to keep for your records
Please confirm that you have read/understood the induction booklet*
- Yes

Supplement Flipbook

Please click the image below to view the flipbook
Please download the supplement to keep for your records
Please confirm that you have read/understood the packhouse supplement booklet*
- Yes

Personal Declaration
I sincerely declare I am currently well and have no symptoms including a runny nose, sore throat, cough or fever.
- I have been in New Zealand for more than 14 days and am not required to self‐isolate.
- I have not been in contact with anyone who has recently returned or travelled from overseas.
- No member of my family, someone I live with or any close friend(s) have recently returned or travelled from overseas except for countries noted above.
- Further I declare that to the best of my knowledge I have not been in contact with any person known to be infected with the COVID‐19 virus.
- Should I become ill in the next 14 days I will advise Punchbowl and follow all New Zealand Health Department guidelines regarding self‐isolation.
While on site I will always adhere to the following best practise hygiene measures:
- Avoid close contact with people with cold or flu‐like illnesses.
- Cover coughs and sneezes with disposable tissues or clothing, i.e. the crock of the elbow.
- Wash hands for at least 20 seconds with soap and hot water, dry them thoroughly and use sanitiser dispensers where provided:
  - Before entering the packhouse or orchard
  - When entering the kitchen areas
  - Before handling fruit – in the packhouse and orchards
  - before eating or handling food
  - after using the toilet
  - after coughing, sneezing, blowing your nose or wiping children’s noses or after caring for sick people
- If you develop a fever (over 38 degrees), and a cough, or difficulty breathing, or a sore throat (flu‐like symptoms) you should call Healthline’s dedicated COVID‐19 number 0800 358 5453.
- General information is available on the Ministry of Health website: COVID‐19 (novel coronavirus). https://www.health.govt.nz/
Details of allergies/medication/aliments/existing medical conditions
Name*
First Last
Phone
Email*
Nationality*
Country
Passport # (if non-resident)
Date of Birth
Date Format: DD slash MM slash YYYY
Entrance date to New Zealand (if non-resident)
Date Format: DD slash MM slash YYYY
Location where self-isolation took place (if required)
Accommodation Address*
Street Address City Country
How many others are living at the address and what is your relationship to them*
Mode of transport to work*
Names of others who share transport*
Declaration*
Read each statement carefully and then tick the applicable box for each
- I am under the age of 70 years.
- I do not have any underlying health issue that makes me more vulnerable to COVID-19. These issues include COPD (Chronic Obstructive Pulmonary Disease), heart conditions, high blood pressure, kidney problems, diabetes, cancer or undergoing cancer treatment, compromised immune system.
- I am not pregnant.
- No one where I live has health issues that make them more vulnerable to COVID-19.
- I can confirm that I have completed the full 14-days self-isolation as per New Zealand Government Immigration Requirements (if applicable).
- I am well. I am symptom free. I will immediately report the onset of any symptom to my supervisor at any time during or outside of work.
- At work I will maintain a minimum of 2 meters distance from others at all times including during breaks.
- I can confirm I have read and understood the requirements of the KIWIFRUIT ORCHARD PROTOCOL FOR MINIMISING SPREAD OF COVID-19.
- I will travel direct between my stated home address and essential work in accordance with Government requirements.
- I confirm that I understand and will adhere to the New Zealand Government Staying at Home Rules at all times, leaving my stated home address for the acquisition of essential services only such as attending work in an essential service, food, medicines, fuel.
Consent*
I certify that the information provided is correct and no relevant material/information has been omitted. I understand that this information will be used for the purposes of ensuring safety on site including compliance with other agencies and that any incorrect or misleading or important information that has been omitted may disqualify me from entering site and termination of contract.

I consent to Punchbowl providing information to Government Agencies where required.

I declare that I have completed all sections of this truthfully and shall inform Punchbowl PackCo of any change in my circumstances that affect the answers given above.
I Agree
Phone
This field is for validation purposes and should be left unchanged.

Induction Video

Induction Flipbook

Supplement Flipbook

Personal Declaration