COVID-19 PANDEMIC RESPONSE PLAN



4895092-49173700-72390016192600-342900187960COVID-19RETURN TO THE WORKPLACE TOOLKITINFECTIOUS DISEASE PREPAREDNESS & RESPONSE PLAN ADDENDUM00COVID-19RETURN TO THE WORKPLACE TOOLKITINFECTIOUS DISEASE PREPAREDNESS & RESPONSE PLAN ADDENDUMINFECTIOUS DISEASE PREPAREDNESS & RESPONSE PLAN ADDENDUMCOVID-19 – GUIDELINES FOR USEThe following guide has been assembled to help businesses return to the workplace from the 2020 COVID 19 Stay at Home efforts across the country. There are many organizations that are responsible for helping and guiding businesses during the COVID 19 Response. OSHA, the CDC, Jurisdictional Departments of Health and others have provided guidelines to safely return to the workplace. The following guide is based on the aggregated information from these sources. Please refer to the source information from APPENDIX 1 for more detail.USING THE GUIDEThis guide is intended to step a business through the process of (1) identifying organizational responsibilities, (2) assessing the risk of COVID 19 for the workplace, and (3) identifying the controls needed to return safely. The final step (4) is to implement.Step 1 - Identify the people who will lead the effort - An executive officer with the authority and responsibility for overseeing the return to work effort should be identified. That person will identify a team of individuals to support the return to the workplace effort. This team will be responsible for executing the return to the workplace. Responsibilities can include daily updates on recommended response, reviewing company sick leave policies, procuring and distributing PPE, among others.The first step is to identify the team and assign specific responsibilities to the members. This is documented in the first section of the IDPRP. Using the planning checklist on page 1 of the IDPRP to help.Step 2 – Conduct a Risk Assessment and complete Planning. Appendix II contains a Risk Assessment form that can be complete for each position type within your organization. Identify their exposure level (based on OSHA’s, Low, Medium, High and Very High definitions), the PPE required and other controls that will be implemented using the checklist.Step 3 - For additional detail on the types of controls and specific approaches, refer to Appendix VII – Suggested Control Table. Once your risk assessment is completed and controls have been decided, transfer the information into the table on page 2 of the IDPRP. Download the training collateral from ICW Groups COVID 19 Resource Page.Step 4 – Implement the plan. Use the checklists built into the IDPRP for training, possible incident response, planning, and risk assessment to ensure each step is taken. Identify the responsible party and the date it was completed on the form. Use the Temperature and Symptom Attestation Form, Elevator Policy, and Cleaning and Disinfecting Log as appropriate for your organization.TABLE OF CONTENTSResponse Team Responsibilities…………………………………………………………………………………….3Organizational Planning Considerations ……………………………………………………………………….. 3Hazard and Controls Grid ………………………………………………………………………………………………4Handling Suspected COVID 19 Exposures ………………………………………………………………………6COVID 19 Staff Training …………………………………………………………………………………………………. 6APPENDIX I – Resource Links …………………………………………………………………………………………8APPENDIX II – COVID 19 Risk Assessment Form …………………………………………………………….10APPENDIX III – COVID 19 Possible Incident Report Form ……………………………………………….14APPENDIX IV – COVID 19 Temperature & Illness Attestation Log …………………………………..16APPENDIX V – Cleaning and Disinfecting Procedures and Log ………………………………………19APPENDIX VI – Elevator Policy ……………………………………………………………………………………..24APPENDIX VII – Suggested Controls Table ……………………………………………………………………27APPENDIX VII – Training Materials ……………………………………………………………………………….30COVID-19 Response Coordinator: Click or tap here to enter text.COVID-19 Response Team & ResponsibilitiesTeam MemberResponsibilitiesClick or tap here to enter text.Click or tap here to enter text.Click or tap here to enter text.Click or tap here to enter text.Click or tap here to enter text.Click or tap here to enter text.Click or tap here to enter text.Click or tap here to enter text.Click or tap here to enter text.Click or tap here to enter text.COVID-19 Planning Considerations?Identify the chain of command in case of illness, with a minimum of two backups for key personnel. Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.?Review sick leave policies and make adjustments as necessary to ensure non-punitive policies are in place.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.?Review policies regarding quarantines and pay continuation, and make adjustments as necessary.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.?Communicate with, and educate, the workforce about approved public health practices, and what each person can do to prepare or respond to minimize health risks. Review best practices for respiratory hygiene and universal precautions, and train all employees.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.?Identify and procure needed resources. Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.? Review procedures for sending ill individuals home, and make adjustments if necessary.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.COVID-19 Hazards and Controls?Complete a formal risk assessment by position type to identify exposures to COVID-19 and general controls. Use ICW Group COVID-19 Risk Assessment form (Appendix II).Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.?Finalize Position-Specific Control Table using ICW Group Control Table (Appendix VII) as a reference.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.PositionTitleTaskExposureLevelPPEControlsAdditionalControlsExample:Retail ClerkStocking ShelvesCleaning areaCheckout of CustomersMediumFace Mask (all times)Gloves (all times)Safety Glasses (Cleaning)Safety Barrier – Sneeze Guard at checkout standsEmployee performed Temp checks prior to shifts and after shiftsEmployee temperature and symptom attestationFrequent cleaning and disinfectingCustomers required to wear masks or no servicePositionTitleTaskExposureLevelPPEControlsAdditionalControlsCOVID-19 Handling Employee Exposures?Implement a policy stating that employee should not come to work if they are experiencing any of the following COVID-19 symptoms:Fever over 100.4Shortness of BreathDifficulty Breathing, orAny of the TWO of the following:ChillsOn and Off Again ChillsMuscle AchesCoughing Sore Throat, or recent loss of taste and smellResponsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.?Complete a COVID-19 Incident Report for any possible exposures. Use the ICW Group COVID-19 Incident Report if needed.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.?Contact Jurisdictional Department of Health (City, County or State) to request any specific procedures for additional notifications of potentially exposed individuals required by the Department of Health.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.COVID-19 Training (Appendix VIII)?Train employees on the hazards of COVID-19 and personal controls, including personal protective equipment (PPE); hand washing; and universal precautions with disinfecting procedures for the workplace.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.?Train maintenance and affected employees on cleaning and disinfecting processes, including:ChemicalsProper use (dwell times for disinfectant), andControls needed to protect themselves while cleaning.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.?Train employees on company sick leave policies; not to come to work with any COVID-19 symptoms, and the process for requesting accommodations, if needed.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.?Train supervisors how to recognize the symptoms of COVID-19; how to report a possible exposure, and how to address employee concerns and needs during the various stages of recovery.Responsible Party Click or tap here to enter text.Date Completed: Click or tap here to enter text.APPENDIX 1 – RESOURCE LINKSRESOURCE LINKSAmerican Industrial Hygiene Association Occupational Safety & Health Administration Employment Opportunity Commission Department of Public Health (CDPH) Health and Human Services Agency (CHHS) for Disease Control and Prevention (CDC) for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases. Department of Health and Human Services (HHS) Health Organization II – COVID-19 WORKPLACE RISK ASSESSMENTCOVID-19 RISK ASSESSMENT FORMThe risk to workers from SARS-CoV-2 (the virus that causes Coronavirus Disease 2019 “COVID-19”) depends on several factors:The extent the virus spreads between people.The severity of the resulting illness.Pre-existing medical conditions of workers.Medical or other measures available to control the impact of the virus, andThe relative success of these PANY NAME will assess our workers’ risk to COVID-19 based on OSHA’s identified categories: Low Exposure Risk, Medium Exposure Risk, High Exposure Risk, and Very High Exposure Risk.Lower Exposure Risk (Caution)Jobs that do not require contact with people known to be, or suspected of being, infected with SARS-CoV-2. Workers in this category have minimal occupational contact with the public and other coworkers. Examples include:Remote workers (i.e., those working from home during the pandemic).Office workers who don’t have frequent close contact w/ coworkers, customers, or public.Manufacturing and industrial facility workers who do not have frequent close contact with coworkers, customers, or the public.Healthcare workers providing only telemedicine services.Long-distance truck drivers.Medium Exposure RiskJobs that require frequent/close contact with people who may be infected, but who are not known to have, or are suspected of having, COVID-19. Workers in this category include:Those who may have frequent contact with travelers who return from international locations with widespread COVID-19 transmission.Those who may have contact with the general public (e.g., in schools, high population density work environments, and some high-volume retail settings).High Exposure RiskJobs with a high potential for exposure to known or suspected sources of SARS-CoV-2. Workers in this category include:Healthcare delivery and support staff (hospital staff who must enter patients’ rooms) exposed to known, or suspected, COVID-19 patients.Medical transport workers (ambulance vehicle operators) moving known, or suspected, COVID-19 patients in enclosed vehicles.Mortuary workers involved in preparing bodies for burial or cremation of people known to have, or suspected of having, COVID-19 at the time of death.Very High Exposure RiskJobs with a very high potential for exposure to known or suspected sources of SARS-CoV-2 during specific medical, postmortem, or laboratory procedures. Workers in this category include:Healthcare workers (e.g., doctors, nurses, dentists, paramedics, emergency medical technicians) performing aerosol-generating procedure (e.g., intubation, cough induction procedures, bronchoscopies, some dental procedures and exams, or invasive specimen collection) on known or suspected COVID-19 patients.Healthcare or laboratory personnel collecting or handling specimens from known or suspected COVID-19 patients (e.g., manipulating cultures from known or suspected COVID-19 patients).Morgue workers performing autopsies, which generally involve aerosol-generating procedures, on the bodies of people who are known to have, or are suspected of having, COVID-19 at the time of their death.Position TitleTaskExposure LevelPPE ControlsAdditional ControlsRemote Home WorkerClerical and computer tasks from home? Low? Medium? High? Very High? Cloth Mask? Nitrile Gloves? Protective Gown? Face Shield? Safety Glasses? N95/ Protective Mask? Social Distancing? Frequent hand washing? Frequent hand sanitizing? Temperature and symptom attestation? Contact Barriers? Area Disinfection schedule? Flexible Leave – Stay home if sick? Do not touch face? Sneeze and Cough Control? Awareness Training? Identify and Isolate suspected casesRetail ClerkCheckoutStocking ShelvesCleaning? Low? Medium? High? Very High? Cloth Mask? Nitrile Gloves? Protective Gown? Face Shield? Safety Glasses? N95/ Protective Mask? Social Distancing? Frequent hand washing? Frequent hand sanitizing? Temperature and symptom attestation? Contact Barriers? Area Disinfection schedule? Flexible Leave – Stay home if sick? Do not touch face? Sneeze and Cough Control? Awareness Training? Identify and Isolate suspected casesEXAMPLES OF RISK ASSESSMENTS BY POSITION TYPEPosition TitleTaskExposure LevelPPE ControlsAdditional Controls? Low? Medium? High? Very High? Cloth Mask? Nitrile Gloves? Protective Gown? Face Shield? Safety Glasses? N95/ Protective Mask? Social Distancing? Frequent hand washing? Frequent hand sanitizing? Temperature and symptom attestation? Contact Barriers? Area Disinfection schedule? Flexible Leave – Stay home if sick? Do not touch face? Sneeze and Cough Control? Awareness Training? Identify and Isolate suspected cases? Low? Medium? High? Very High? Cloth Mask? Nitrile Gloves? Protective Gown? Face Shield? Safety Glasses? N95/ Protective Mask? Social Distancing? Frequent hand washing? Frequent hand sanitizing? Temperature and symptom attestation? Contact Barriers? Area Disinfection schedule? Flexible Leave – Stay home if sick? Do not touch face? Sneeze and Cough Control? Awareness Training? Identify and Isolate suspected cases? Low? Medium? High? Very High? Cloth Mask? Nitrile Gloves? Protective Gown? Face Shield? Safety Glasses? N95/ Protective Mask? Social Distancing? Frequent hand washing? Frequent hand sanitizing? Temperature and symptom attestation? Contact Barriers? Area Disinfection schedule? Flexible Leave – Stay home if sick? Do not touch face? Sneeze and Cough Control? Awareness Training? Identify and Isolate suspected casesAPPENDIX III – COVID-19 - POSSIBLE INCIDENT REPORTPossible COVID-19 Exposure ReportName of Person Involved: (Last, First, Middle Initial)Title of Person Involved:Click or tap here to enter text.Click or tap here to enter text.Name of Person Completing Form: (Last, First, Middle Initial)Initial)Title of Person Completing Form:Click or tap here to enter text.Click or tap here to enter text.Department:Contact Phone Number(s):Click or tap here to enter text.Click or tap here to enter text.Date and Time of Incident:Witness: (Name and Phone No.)Click or tap here to enter text.Click or tap here to enter text.Exposure Occurred:Occupational, Through a Patient: Click or tap here to enter text.Occupational, Through a Colleague:Personal, Off-Duty: Click or tap here to enter text.Exposure Location-Site of incident: (Bldg. name, address, give location in reference to nearest building nearest street location, etc.). Click or tap here to enter text.Exposure Incident: (Fully describe the activity that the employee was involved with when the exposure occurred). Click or tap here to enter text.Personal Protective Equipment (PPE) Used: (What protocol/procedures were being followed, including all personal protective equipment being used, which was related to the exposure? Use additional sheets if necessary). Click or tap here to enter text.Corrective Actions: (What should be done, or has been done, to prevent recurrence of this incident? e.g. - employee training, change of procedures, purchasing of equipment, personal protective equipment etc.). Click or tap here to enter text.Additional Information: Click or tap here to enter text.APPENDIX IVEMPLOYEE TEMPERATURE & SYMPTOM ATTESTATION LOGEmployee Temperature LogNote: Temperature and symptom attestation becomes more important the higher risk the environment becomes. For Low Risk employees, no attestation may be needed. Simply letting staff know they should stay home when sick and COVID-19 general awareness training should be sufficient. For Medium Risk employees, self-testing of temperature and self-reporting of symptoms may be sufficient. For Higher Risk employees, employer monitoring for temperature, both pre and post shift, as well as checking with employee for symptoms, may be necessary to protect the workplace.Proper thermometer care:Lenses can only be cleaned with alcoholBatteries can be requested through <LIST DEPARTMENT OR PERSON)Alcohol swabs can be requested through <LIST DEPARTMENT OR PERSON)Manufacturer’s instructions are available in the documents belowLeadership responsibility:Identify a location where temperatures will be taken.Identify a tool that works for your department tracking.Monitor the temperature log for completeness (daily).Hold staff accountable for timely monitoring.Save the documentation in a place that is readily accessible to your department’s leadership team for when the document will need to be retrieved. This should be a location where more than one person can access it.Individual staff member responsibility:Monitor temperature twice daily, once before starting your shift, and once before leaving.Attest that there are no new, or worsening, symptoms.If your temperature exceeds the recommended threshold, or new symptoms are present, communicate with your supervisor, leave work, and call <LIST PERSON OR DEPARTMENT> immediately.Guide for Completion:Name – Write Employee NameDate – Enter the today’s dateStart or End of Shift – Enter START if beginning shift and END if ending shiftTemperature above 100.4 – Was the temperature reading at or above 100.4, Yes or NoAny Symptoms or Signs of Illness – Headache, Fever, Cough, Shortness of Breath, Chills, Chills with shaking, Muscle Aches, Sore Throat, New Loss of Sense of Smell or Taste – Yes or NoSignature – Sign to the best of your knowledge the answers are trueEmployee Temperature and Illness Attestation LogEmployee NameDateStart or End of the ShiftTemperature at or above 100.4(Y or N)Any symptoms or signs of illness (Y or N)SignatureAPPENDIX VCOVID-19 - CLEANING AND DISINFECTION LOGCOVID-19 Cleaning and Disinfecting LogThe virus that causes COVID-19 can be killed by using the correct products. The Environmental Protection Agency (EPA) has compiled a list of disinfectant products that can be used against COVID-19, including ready-to-use sprays, concentrates, and wipes. Each product has been shown to be effective against viruses that are harder to kill than viruses such as the one that causes COVID-19. Cleaning and disinfecting the workplace requires:Development of a formal planImplementation of the formal planMaintaining and revising the formal planCleaningClean surfaces using soap and water.?Practice routine cleaning of frequently touched surfaces.High touch surfaces include: Tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, sinks, etc.DisinfectingClean the area or item with soap and water or another detergent if it is dirty. Then, use disinfectant.Recommend using?EPA-registered household disinfectant.Follow the instructions on the label?to ensure safe and effective use of the product.Many products recommend:Keeping surface wet for a period of time (see product label).Using precautions such as wearing gloves and making sure you have good ventilation during use of the product.Diluted household bleach solutions may also be used?if appropriate for the surface.Check the label to see if your bleach is intended for disinfection, and ensure the product is not past its expiration date. Some bleaches, such as those designed for safe use on colored clothing, or for whitening, may not be suitable for disinfection.Unexpired household bleach will be effective against coronaviruses when properly diluted.Follow manufacturer’s instructions?for application and proper ventilation. Never mix household bleach with ammonia or any other cleanser.Leave the solution?on the surface for?at least 1 minute.To make a bleach solution, mix:5 tablespoons (1/3rd cup) bleach per gallon of water,OR4 teaspoons bleach per quart of waterAlcohol solutions with at least 70% alcohol may also be used.Soft surfacesFor soft surfaces such as?carpeted floor, rugs, and drapes:Clean the surface using soap and water,?or with cleaners appropriate for use on these surfaces.Launder items?(if possible) according to the manufacturer’s instructions. Use the warmest appropriate water setting, and dry items completely.ORDisinfect with an EPA-registered household disinfectant.?These disinfectants?meet EPA’s criteria for use against COVID-19.ElectronicsFor electronics such as?tablets, touch screens, keyboards, remote controls, and ATM machines:Consider putting a?wipeable cover?on electronics.Follow manufacturer’s instruction?for cleaning and disinfecting.If no guidance,?use alcohol-based wipes or sprays containing at least 70% alcohol. Dry surface thoroughly.LaundryFor clothing, towels, linens and other items:Launder items according to the manufacturer’s instructions.?Use the warmest appropriate water setting?and dry items completely.Wear disposable gloves?when handling dirty laundry from a person who is sick.Dirty laundry from a person who is sick?can be washed with other people’s items.Do not shake?dirty laundry.Clean and?disinfect clothes hampers?according to guidance above for surfaces.Remove gloves, and?wash hands right away.Standard Operating Procedure - Cleaning & Disinfection for High-Touch SurfacesFrequency: Every 15 minutes to 2 hours, or as much as necessary to protect customers and employees.Monitoring: Continuous visual monitoring by all employees.Materials: Personal Protective Equipment (PPE), EPA-registered disinfectants, paper towels, detergent, trash can, soap and water.Specific Instructions:Wash hands.Wear PPE as necessary (disposable gloves and goggles).Remove or protect ALL packaging, exposed food items, utensils and equipment from area/surfaces being cleaned and disinfected.Cleaning steps: Remove visible debris from all surfaces using soap and water, or applying a cleaning detergent, prior to disinfection activities. Ensure chemical detergent is applied according to the manufacturer’s instructions.Disinfection steps: Apply EPA-registered disinfectants to clean high-touch surfaces according to manufacturer’s recommendations for concentration, contact time, solution temperature, drying, etc. as required.Discard trash in designated waste receptacles.Clean and sanitize cleaning equipment per its Sanitation Standard Operating Procedure (SSOP) prior to storage.Store all chemicals and tools in proper location.Properly discard PPE.Wash hands immediately.Document all cleaning and disinfection tasks performed.Cleaning and disinfecting your building or facility if someone is sickClose off all areas?used by the sick person.Open outside doors and windows?to increase air circulation in the area.?Wait 24 hours?before you clean or disinfect. If 24 hours is not feasible, wait as long as possible.Clean and disinfect?all areas used by the sick person, such as offices, bathrooms, common areas, shared electronic equipment like tablets, touch screens, keyboards, remote controls, and ATM machines.If it has been?more than seven days?since the sick person visited or used the facility, additional cleaning and disinfection is not necessary - Continue routine cleaning and disinfection.Cleaning and Disinfecting LogAreaDateTimeCleaned using soap and water or cleanerDisinfected using EPA approved DisinfectantEmployee SignatureAPPENDIX VICOVID-19 ELEVATOR POLICYElevator PolicyTo help protect individuals from the coronavirus, please follow these elevator guidelines:No more than # of individuals allowed in the elevator at one time (smaller elevators 2, larger 3).Cover your mouth and nose if you sneeze or cough.Do not push elevator buttons with fingers. Use your elbow, or a protective barrier (glove).Do not touch your face.Wash your hands after leaving the elevator.APPENDIX VIICOVID-19 SUGGESTED CONTROL TABLEThe following guides provide an aggregation of control recommendations from the CDC, OSHA, and the California Department of Health for COVID-19 exposures in the workplace. Guidance is provided for returning workers to the workplace while adhering to social distancing, personal hygiene, cleaning and sanitation, staff testing, and response to suspected and actual cases of Coronavirus 19 in the workplace.Control ElementDescriptionLow Risk ControlsMediumRisk ControlsHigh Risk ControlsPersonal Protective Equipment (not including respirators)Personal protective equipment is a control that is placed on the employee. This includes cloth masks (for protecting others) nitrile gloves, protective gowns, face protection and similar equipment.Train employees on the risks of coronavirus, and proper personal hygiene controls.Cloth masks recommended if working within 6 feet of others, or if required by local, regional or national regulation.Train employees on the risks of coronavirus, and proper personal hygiene controls.Cloth masks recommended and required if working within 6 feet of others, or if required by local, regional or national regulation.Nitrile gloves recommended if exposure to contaminated surfaces is high.Cloth masks recommended at any time not engaged in work activities.When engaged in activities with high, or very high exposure, use nitrile gloves, facemasks, N-95 or better respirator, protective gown, booties, and head cover, depending on exposure.RespiratoryProtectionRespiratory protection is to protect the user from contracting COVID-19.No need for respiratory protection.No need for respiratory protection beyond the cloth mask.N-95 or better protection needed for employees.Hand Washing and SanitizingHand washing or sanitizing using a high alcohol (60 %+) sanitizing gel is the best defense to transmission in all environments.Regular handwashing facilities and provide hand sanitizer where possible.Wash/sanitize hands when arriving to and leaving the workplace. Periodically wash/sanitize hands during the day.Regular handwashing facilities and provide hand sanitizer with convenient access.Wash/sanitize hands when arriving to and leaving the workplace. Wash/sanitize hands after interacting with others.Frequently wash/sanitize hands during the day.Regular handwashing facilities and provide hand sanitizer in all high risk areas.Wash/sanitize hands when arriving to and leaving the workplace. Wash/sanitize hands prior to and after each interaction.Frequently wash/sanitize hands during the day.Control ElementDescriptionLow Risk ControlsMediumRisk ControlsHigh Risk ControlsEmployee Temperature and Illness Status AttestationEmployees should not report to work sick. Consciously checking for symptoms helps with early identification and controls.Instruct employees not to report to work if they have any of the symptoms of COVID-19, or if someone in their household has been diagnosed with COVID-19.Instruct employees not to report to work if they have any of the symptoms of COVID-19, or if someone in their household has been diagnosed with COVID-19. Employees should check their own temperatures prior to, and after, work, and be asked to attest they are symptom free.Instruct employees not to report to work if they have any of the symptoms of COVID-19, or if someone in their household has been diagnosed with COVID-19. Employer should check all staff for temperature and symptoms prior to shifts, and log/record results.Cleaning andDisinfectingCleaning and disinfecting the workplace, particularly after a known COVID-19 exposure, is essential to reducing virus transmission.Daily cleaning of the workplace using EPA-approved disinfectant.Periodic cleaning and disinfecting of high-touch areas.Deep cleaning of work areas with known COVID-19 exposures.Pre and post-shift cleaning of the workplace using EPA- approved disinfectant.Frequent cleaning and disinfecting of high-touch areas.Deep cleaning of work areas with known COVID-19 exposures.Continuous cleaning of the workplace using EPA approved disinfectant.Focused, frequent cleaning and disinfecting of high touch areas.Sanitize work areas with suspected COVID-19 exposures (patients) by cleaning and sanitizing treatment rooms after each patient.Social DistancingSocial distancing is a key component of virus transmission control. A minimum of 6 feet distance should be maintained.Train employees to maintain 6 feet of space between workstations, other employees, and customers.If 6 feet cannot be maintained, cloth masks must be plete as much work remotely as possible.Everything from Low Risk plus: For higher traffic areas, mark six-foot intervals so that employees and customers are aware of spacing requirement.Train employees and maintain 6 feet of space between workstations, employees, and customers.Cloth masks should be worn by customers, as well as employees.Limit access to reduce congestion. Control entering customers to maintain desired occupancy. Do not allow non-essential vendors on site. Reduce capacity of conference rooms.Reconfigure workplace to allow 6 feet of space between workstations.Discontinue the use of grouping areas such as cafeteria and kitchen areas.Everything from Medium Risk, plus:Eliminate non-essential access to facilities.Separate and isolate COVID- positive individuals.*Part of what creates a high risk environment is the inability to socially distance individuals.Control ElementDescriptionLow Risk ControlsMediumRisk ControlsHigh Risk ControlsEngineering ControlsEngineering controls are the best way to reduce the risk of virus transmission without having to rely on specific behaviors by staff.No additional engineering controls are necessary.Install high-efficiency air filters in HVAC systemsIncrease the dilution ventilation rate for the facility.Install physical barriers such as clear plastic sneeze guards to control potential exposures.Drive-thru window for Customer Service.Specialized negative pressure ventilation in some settings, such as for aerosol generating procedures (e.g., airborne infection isolation rooms in healthcare settings and specialized autopsy suites in mortuary settings).Administrative and Work Practice ControlsAdministrative controls modify the work practices to reduce exposure. These controls can range from hiring controls to scheduling.Train all employees on the dangers of COVID-19, the symptoms, and how to recognize exposures.Monitor public health communications about COVID-19 recommendations and ensure that workers have access to that information.Frequently check the CDC COVID-19 website: coronavirus/2019-ncov.Collaborate with workers to designate effective means of communicating important COVID-19 information.All Low Hazard Controls, plus: Keep customers informed about symptoms of COVID-19. Ask sick customers to minimize contact with workers until healthy again.Where appropriate, limit customer and public access to the worksite, or restrict access to only certain workplace areas.Consider strategies to minimize face-to-face contact (e.g., drive-thru windows; phone-based communication, and telework).Communicate the availability of medical screening or other worker health resources (e.g., on-site nurse; telemedicine services).All Low and Medium Controls, plus: Develop and implement policies that reduce exposure such as cohorting of COVID-19 patients (i.e., grouping) when single rooms are not available.Post signs requesting patients and family members to immediately report symptoms of respiratory illness on arrival at the healthcare facility and use disposable face masks.Consider offering enhanced medical monitoring of workers during COVID-19 outbreaks.Ensure that psychological and behavioral support is available to address employee stress.APPENDIX VIIICOVID-19 TRAINING COLLATERAL ................
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