COVID-19 PANDEMIC RESPONSE PLAN - ICW Group · Web viewEmployees should check their own temperatures prior to, and after, work, and be asked to attest they are symptom free. Instruct

COVID-19RETURN TO THE WORKPLACE TOOLKITINFECTIOUS DISEASE PREPAREDNESS & RESPONSE PLAN ADDENDUM

INFECTIOUS DISEASE PREPAREDNESS & RESPONSE PLAN ADDENDUMCOVID-19 – GUIDELINES FOR USE

The 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 GUIDE

This 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.

1

http://www.icwgroup.com/COVID19

TABLE OF CONTENTS

Response Team Responsibilities……………………………………………………………………………………. 3

Organizational Planning Considerations ……………………………………………………………………….. 3

Hazard and Controls Grid ……………………………………………………………………………………………… 4

Handling Suspected COVID 19 Exposures ……………………………………………………………………… 6

COVID 19 Staff Training …………………………………………………………………………………………………. 6

APPENDIX I – Resource Links ………………………………………………………………………………………… 8

APPENDIX II – COVID 19 Risk Assessment Form ……………………………………………………………. 10

APPENDIX III – COVID 19 Possible Incident Report Form ………………………………………………. 14

APPENDIX IV – COVID 19 Temperature & Illness Attestation Log ………………………………….. 16

APPENDIX V – Cleaning and Disinfecting Procedures and Log ……………………………………… 19

APPENDIX VI – Elevator Policy …………………………………………………………………………………….. 24

APPENDIX VII – Suggested Controls Table …………………………………………………………………… 27

APPENDIX VII – Training Materials ………………………………………………………………………………. 30

2

COVID-19 Response Coordinator: Click or tap here to enter text.

COVID-19 Response Team & Responsibilities

Team Member ResponsibilitiesClick 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.


☐ Review policies regarding quarantines and pay continuation, and make adjustments as necessary.


☐ 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.


☐ Identify and procure needed resources.


☐ Review procedures for sending ill individuals home, and make adjustments if necessary.


3

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).


☐ Finalize Position-Specific Control Table using ICW Group Control Table (Appendix VII) as a reference.


PositionTitle

Task ExposureLevel

PPEControls

AdditionalControls

Example:Retail Clerk

Stocking Shelves

Cleaning area

Checkout of Customers

MediumFace Mask (all times)

Gloves (all times)

Safety Glasses (Cleaning)

Safety Barrier – Sneeze Guard at checkout stands

Employee performed Temp checks prior to shifts and after shifts

Employee temperature and symptom attestation

Frequent cleaning and disinfecting

Customers required to wear masks or no service

4

PositionTitle

Task ExposureLevel

PPEControls

AdditionalControls

5

COVID-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 100.4 Shortness of Breath Difficulty Breathing, or Any of the TWO of the following: Chills On and Off Again Chills Muscle Aches Coughing Sore Throat, or recent loss of taste and smell


☐ Complete a COVID-19 Incident Report for any possible exposures. Use the ICW Group COVID-19 Incident Report if needed.


☐ 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.


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.


☐ Train maintenance and affected employees on cleaning and disinfecting processes, including: Chemicals Proper use (dwell times for disinfectant), and Controls needed to protect themselves while cleaning.

6


☐ 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.


☐ 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.


7

APPENDIX 1 – RESOURCE LINKS

RESOURCE LINKS

8

American Industrial Hygiene Associationhttps://www.aiha.org/public-resources/consumer-resources/coronavirus_outbreak_resources https://www.backtoworksafely.org/

Occupational Safety & Health Administrationhttp://www.osha.gov

Equal Employment Opportunity Commissionhttps://www.eeoc.gov/eeoc/newsroom/wysk/wysk_ada_rehabilitaion_act_coronavirus.cfm

California Department of Public Health (CDPH)http://www.cdph.ca.gov/Pages/DEFAULT.aspx

California Health and Human Services Agency (CHHS)http://www.chhs.ca.gov/Pages/default.aspx

Centers for Disease Control and Prevention (CDC)http://www.cdc.gov/

Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseaseshttp://www.cdc.gov/nceczid

Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseaseshttp://www.cdc.gov/ncird/

U.S. Department of Health and Human Services (HHS)http://www.hhs.gov/

World Health Organizationhttp://www.who.int/

9

https://www.backtoworksafely.org/

https://www.aiha.org/public-resources/consumer-resources/coronavirus_outbreak_resources

APPENDIX II – COVID-19 WORKPLACE RISK ASSESSMENT

10

COVID-19 RISK ASSESSMENT FORM

The 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, and The relative success of these measures.

COMPANY 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 Risk

Jobs 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.

11

Very High Exposure Risk

Jobs 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 Title Task Exposure Level PPE Controls Additional Controls

Remote Home Worker

Clerical 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

cases

Retail ClerkCheckout

Stocking 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

cases

EXAMPLES OF RISK ASSESSMENTS BY POSITION TYPE

12

Position Title Task Exposure Level PPE Controls Additional Controls

☐ Low☐ Medium☐ High☐ Very High


☐ 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





cases





cases

13

APPENDIX III – COVID-19 - POSSIBLE INCIDENT REPORT

14

Possible COVID-19 Exposure Report

Name 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.

15

Additional Information: Click or tap here to enter text.

APPENDIX IVEMPLOYEE TEMPERATURE & SYMPTOM ATTESTATION LOG

16

Employee Temperature Log

Note: 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 alcohol Batteries 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 below

Leadership 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 Name Date – Enter the today’s date Start or End of Shift – Enter START if beginning shift and END if ending shift Temperature above 100.4 – Was the temperature reading at or above 100.4, Yes or No Any 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 No

Signature – Sign to the best of your knowledge the answers are true

17

Employee Temperature and Illness Attestation Log

Employee Name Date

Start or End of

the Shift

Temperature at or

above 100.4(Y or N)

Any symptoms or signs of

illness (Y or N)Signature

18

APPENDIX VCOVID-19 - CLEANING AND DISINFECTION LOG

19

COVID-19 Cleaning and Disinfecting Log

The 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 plan Implementation of the formal plan Maintaining and revising the formal plan

Cleaning Clean 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.

Disinfecting Clean 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:

o Keeping surface wet for a period of time (see product label).o 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.

o 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.

o 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:o 5 tablespoons (1/3rd cup) bleach per gallon of water,

ORo 4 teaspoons bleach per quart of water

Alcohol solutions with at least 70% alcohol may also be used.

20

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.OR

Disinfect 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.

o 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 Surfaces

Frequency: 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:

1. Wash hands.2. Wear PPE as necessary (disposable gloves and goggles).3. Remove or protect ALL packaging, exposed food items, utensils and equipment from

area/surfaces being cleaned and disinfected.4. 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.

21

5. 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.

6. Discard trash in designated waste receptacles.7. Clean and sanitize cleaning equipment per its Sanitation Standard Operating Procedure

(SSOP) prior to storage.8. Store all chemicals and tools in proper location.9. Properly discard PPE.10. Wash hands immediately.11. Document all cleaning and disinfection tasks performed.

Cleaning and disinfecting your building or facility if someone is sick

Close 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.

22

Cleaning and Disinfecting Log

Area Date Time

Cleaned using soap and water or cleaner

Disinfected using EPA approved

Disinfectant

Employee Signature

23

APPENDIX VICOVID-19 ELEVATOR POLICY

24

Elevator PolicyTo help protect individuals from the coronavirus, please follow these elevator guidelines:

1. No more than # of individuals allowed in the elevator at one time (smaller elevators 2, larger 3).

2. Cover your mouth and nose if you sneeze or cough.3. Do not push elevator buttons with fingers. Use

your elbow, or a protective barrier (glove).4. Do not touch your face.5. Wash your hands after leaving the elevator.

25

APPENDIX VIICOVID-19 SUGGESTED CONTROL TABLE

26

The 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 Element

Description Low Risk Controls

MediumRisk Controls

High Risk Controls

Personal 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.

RespiratoryProtection

Respiratory 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 Sanitizing

Hand 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.

27

Control Element


MediumRisk Controls

High Risk Controls

Employee Temperature and

Illness Status Attestation

Employees 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 andDisinfecting

Cleaning 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 Distancing

Social 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 worn.

Complete 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.

28

Control Element


MediumRisk Controls

High Risk Controls

Engineering Controls

Engineering 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

systems

Increase 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 Controls

Administrative 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:

www.cdc.gov/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.

29

APPENDIX VIIICOVID-19 TRAINING COLLATERAL

30

Documents

COVID-19 PANDEMIC RESPONSE PLAN - ICW Group · Web viewEmployees should check their own temperatures prior to, and after, work, and be asked to attest they are symptom free. Instruct