NOTE: THIS APPOINTMENT FORMS THE BASIC FRAMEWORK OF

RESPONSIBILITIES. IT WILL HAVE TO BE CUSTOMISED ACCORDING TO THE

CLIENT’S SPECIFIC NEEDS.

COVID-19 Workplace Management System

COMMUNICABLE DISEASE OUTBREAK PREVENTION AND RESPONSE

APPOINTEMENT LETTER

_____________________
(Appointee’s name)

I, _____________________ 16.1 Appointee, the Occupational Health and Safety Act, 16.1 appointee of
(appointer’s area), hereby appoint you, _____________________ (appointee’s name), as diseases for
_____________________ (area of responsibility).

In terms of this appointment, the following will be deemed to be your functions:

1. Drafting and implement a prevention plan.
2. Developing fact sheets to educate and inform, staff and customers about the situation in clear language.
3. Identifying and contacting employees who are at risk.
4. Arranging necessary resources in order to enhance the prevention of the outbreak.
5. Documenting the event, the response and the learnings.
6. Communicating with other entities as necessary to coordinate prevention activities and to keep the
workplace officials informed.

The above should be read in conjunction with the National Department of Health Guidelines.
Your appointment is valid from (date of commencement) to (date of termination).
............................................................................... ........... /…....... / ..…..................
Signature (appointer’s designation/legal reference) Date

Kindly confirm your acceptance of this appointment by completing the following:

ACCEPTANCE
I, _____________________ (appointee’s full names), understand the implications of the appointment as
detailed above and confirm my acceptance thereof.
............................................................................... ......... /......... /...........................
Signature (appointee) Date
NOTE: THIS APPOINTMENT FORMS THE BASIC FRAMEWORK OF
RESPONSIBILITIES. IT WILL HAVE TO BE CUSTOMISED ACCORDING
TO THE CLIENT’S SPECIFIC NEEDS.

Document number: Revision: Effective date: Status: Classification: