ICW Group COVID-19 Return To Workplace Toolkit - California · Web viewAuthor ICW Group Insurance...

COVID-19RETURN TO THE WORKPLACE TOOLKIT - CA

Provided by ICW Group - v012021ca Page 0

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


INFECTIOUS DISEASE PREPAREDNESS & RESPONSE PLAN ADDENDUMCOVID-19 – GUIDELINES FOR USEThe following guide is designed to help businesses return to the workplace from the 2020 COVID-19 Stay at Home efforts. Many organizations, such as OSHA, the CDC, Jurisdictional Departments of Health and others, have provided guidelines to help guide businesses during the COVID-19 Response. The following guide is based on the aggregated information from these sources. Please refer to the source information from APPENDIX 1 for more detail.

This guide steps you through (1) identifying organizational responsibilities, (2) assessing COVID-19 workplace risks, (3) identifying controls needed to return safely, (4) documenting procedures to manage the overall COVID effort including reporting and notifications, and (5) implementation.

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 may include daily updates on recommended response, reviewing company sick leave policies, procuring and distributing PPE, among others.

Identify the team and assign members specific responsibilities, as documented in the first section of the IDPRP. Use 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 to complete for each position type within your organization. Identify exposure levels (based on OSHA’s, Low, Medium, High and Very High definitions), PPE required and other controls to 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 this information into the table on page 2 of the IDPRP. Download the training materials from the ICW Group COVID-19 Resource Page (see icwgroup.com/covid19).

Step 4 - Develop, document and communicate procedures for preventing COVID-19 from entering your workplace and responding to cases occurring within your workplace. Procedures and practices are included throughout the IDPRP.

Step 5 - 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, Investigation & Reporting Forms, Elevator Policy, and Cleaning and Disinfecting Log as appropriate for your organization.


http://www.icwgroup.com/COVID19


TABLE OF CONTENTS

RESPONSE TEAM RESPONSIBILITIES..........................................................................................................3

Organizational Planning Considerations....................................................................................................4

OSHA’s Workplace Exposure Levels...........................................................................................................5

COVID-19 Hazards and Controls Grid........................................................................................................6

COVID-19 Handling Employee Exposures..................................................................................................9

COVID-19 Exposure OUTBREAK Notifications & Response......................................................................11

COVID-19 Staff Training...........................................................................................................................13

APPENDIX I. RESOURCE LINKS..................................................................................................................15

APPENDIX II. COVID-19 WORKPLACE RISK ASSESSMENT.........................................................................16

APPENDIX III. COVID-19 POTENTIAL EXPOSURE REPORT.........................................................................22

APPENDIX IV. EMPLOYEE TEMPERATURE & SYMPTOM ATTESTATION LOG............................................24

APPENDIX V. COVID-19 CLEANING AND DISINFECTION LOG...................................................................26

APPENDIX VI - COVID-19 ELEVATOR POLICY............................................................................................30

APPENDIX VII. COVID-19 SUGGESTED CONTROL TABLE..........................................................................32

APPENDIX VIII. COVID-19 TRAINING PLAN...............................................................................................36

APPENDIX IX. TERMS AND DEFINITIONS..................................................................................................37

APPENDIX X. EMPLOYER PROVIDED HOUSING CONTROLS......................................................................39

APPENDIX XI. EMPLOYER TRANSPORTATION CONTROLS........................................................................41

APPENDIX XII. NOTIFICATION & REPORTING FORMS..............................................................................43



RESPONSE TEAM RESPONSIBILITIES

COVID-19 Response Team Executive: 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 Key Community Contacts

KEY COMMUNITY

CONTACT PHONE LINK USE

Local Department of Health

Enter number Insert URL to your local website Reporting suspected cases

Center for Disease Control

800-CDC-INFO(800-232-4636)

https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/businesses-employers.html

Guidelines for returning to work, industry specific guidelines, guidelines for PPE, Sanitizing and controlling exposures

California Occupational Safety and Health Administration

(714) 558-4300 https://dir.ca.gov/dosh/coronavirus/ Guidelines for returning to work, industry specific guidelines, guidelines for PPE, Sanitizing and controlling exposures

Occupational Safety and Health Administration

800-321-6742 https://www.osha.gov/SLTC/covid-19/ Guidelines for returning to work, industry specific guidelines, guidelines for PPE, Sanitizing and controlling exposures

California Department of Public Health

211 for COVID-19 https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/ncov2019.aspx

State reporting and guidelines for quarantine and addressing COVID-19 positive results

California ALL https://covid19.ca.gov/safer-economy Public restrictions and reopening by county in California


https://covid19.ca.gov/safer-economy

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/ncov2019.aspx

https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/ncov2019.aspx

https://www.osha.gov/SLTC/covid-19/

https://dir.ca.gov/dosh/coronavirus/





Organizational 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.

☐ Identify reporting procedures including notification of sub contracts and coworkers of potential exposure and notification of public agencies.


☐ 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.


☐ Educate and communicate with 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, reporting and notifications and make adjustments if necessary.




OSHA’s Workplace Exposure Levels

Key Exposure Factors in the Workplace



COVID-19 Hazards and Controls Grid

☐ 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.


☐ Maximize ventilation by increasing natural (open windows and doors) and maximizing both makeup (outside) air and air flow in HVAC systems. Where the system allows, upgrade to filters with a MERV rating of 13 or higher.


POSITIONTITLE TASKS

EXPOSURELEVEL

PPECONTROLS

ADDITIONALCONTROLS

Example:

Retail Clerk

Stocking Shelves

Cleaning area

Checkout of Customers

Medium Face 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

Face Mask (all times) Social Distancing

Safety Barrier – Sneeze Guard



Awareness Training for all staff

Isolate infected individuals and notify affected personnel



POSITIONTITLE TASKS

EXPOSURELEVEL

PPECONTROLS

ADDITIONALCONTROLS






















COVID-19 Handling Employee Exposures

A “notice of potential exposure” can come to the employer or their representative from:

(a) A public health official/licensed medical provider that an employee was exposed to the qualifying individual at the worksite

(b) From an employee/employee’s emergency contact that the employee is qualifying individual(c) Notice through the employer’s testing protocol that an employee is a qualifying individual; (d) Notice from a subcontracted employer that a qualifying individual was on the worksite.

☐ 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:

o Chills

o On and Off Again Chills

o Muscle Aches

o 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. Identify the following information:

Determine the day and time the COVID-19 case was last present and, to the extent possible, the date of the positive COVID-19 test(s) and/or diagnosis and the date the COVID-19 case first had one or more COVID-19 symptoms, if any were experienced.

Identify the High-Risk Exposure Period (2 days prior to positive test to 10 days after the last symptoms), and;

Evaluate the activities of the COVID-19 case and all locations at the workplace which may have been visited by the COVID-19 case during the high-risk exposure period and the individuals who may have been exposed to the COVID-19 case for a cumulative total of 15 minutes in any 24 hour period regardless of face coverings.

Responsible Party: Click or tap here to enter text.Date Completed: Ongoing

☐ Within 1 day of notice by a potentially infected employee, provide written notice to all employees and employers of subcontracted or vendor employees who were on the premises at the same worksite as the qualifying individual within the infectious period that they may have



been exposed to COVID-19. Appendix IX has a sample Notification Letter you can copy and paste into your letterhead, adjust to reflect your operation and use to notify individuals.


☐ Notify any employee exclusive representatives (union) of potential exposure.


☐ Notify all employees and the employers of subcontracted employees and the exclusive representative, if any, on the disinfection and safety plan that the employer plans to implement and complete per the guidelines of the federal Centers for Disease Control.


☐ Provide all employees who may have been exposed and the exclusive representative, if any, with information regarding COVID-19-related benefits to which the employee may be entitled under applicable federal, state, or local laws, including, but not limited to, workers’ compensation, and options for exposed employees, including COVID-19-related leave, company sick leave, state-mandated leave, supplemental sick leave, or negotiated leave provisions, as well as anti-retaliation and antidiscrimination protections of the employee.


☒ EXCLUDE (Do not allow in workplace) COVID-19 cases until the return to work requirements are satisfied. In addition, employees exposed to a COVID-19 cases for more than 15 minutes in a 24 hour period, during the High Exposure period starting 2 days prior to a positive test and extending until 10 days after the last symptoms are felt, must be excluded from the workplace for 14 days from the last exposure to the COVID-19 case.


☐ Develop and implement procedures for employees excluded from work and otherwise able and available to work, to continue and maintain an employee’s earnings, seniority, and all other employee rights and benefits, including the employee's right to their former job status, as if the employee had not been removed from their job. Use employer-provided employee sick leave benefits for this purpose and consider benefit payments from public sources in determining how to maintain earnings, rights and benefits, where permitted by law and when not covered by workers’ compensation


☐ Offer COVID-19 testing at no cost to employees during their working hours to all employees who



had potential COVID-19 exposure (15 cumulative minutes in a 24-hour period to a COVID-19 case with or without a mask) in the workplace. Many occupational medical clinics are offering COVID-19 testing as part of their occupational services.


☐ Implement formal return to the work procedures for COVID-19 cases. COVID-19 cases with COVID-19 symptoms shall not return to work until:

a. At least 24 hours have passed since a fever of 100.4 or higher has resolved without the use of fever-reducing medications.

b. COVID-19 symptoms have improved; and

c. At least 10 days have passed since COVID-19 symptoms first appeared.

COVID-19 cases who tested positive but never developed COVID-19 symptoms shall not return to work until a minimum of 10 days have passed since the date of specimen collection of their first positive COVID-19 test.


COVID-19 Exposure OUTBREAK Notifications & Response

The state of California has defined a COVID-19 outbreak as an organization having three or more cases of COVID-19 in their workplace within a two-week period. This is a different definition than SB 1159, which uses a more dynamic definition of an outbreak for Workers Compensation Claims issues.

☐ Contact Department of Health (City, County or State) to report any OUTBREAKS (3 or more cases of COVID-19 in the worksite within a two-week period). The following information will need to be reported. Note: you can use the ICW Group SB 1159 California Employer Reporting Form located online: https://www.icwgroup.com/sb1159/.

a. Qualifying Individual is anyone who (1) died due to COVID-19, (2) has a diagnosis of COVID-19 from licensed healthcare provider, (3) has a COVID-19 order from a public health official or (4) has a laboratory confirmed test for COVID-19 (approved by State Department of Health).

b. Names of qualifying individual.

c. Occupation of qualifying individual.

d. Worksite of qualifying individual.

e. Business address of the worksite where the qualifying individuals work.

f. NAICS code of the worksite where the qualifying individuals work.

Each subsequent laboratory-confirmed case of COVID-19 at the worksite will be forwarded to the


https://www.icwgroup.com/sb1159/


Department of Health.


☐ Offer COVID-19 testing at no cost to employees who were at the exposed workplace unless they were not present during the outbreak. Testing will be provided to all employees in the workplace at no cost, during their working hours. Many occupational medical clinics are offering COVID-19 testing as part of their occupational services. COVID-19 testing shall consist of the following:

(A) All employees affected by the outbreak in the exposed workplace shall be tested and then tested again one week later. Negative COVID-19 test results of employees with COVID-19 exposure shall not impact the duration of any quarantine period required by, or orders issued by, the local health department.

(B) After the first two COVID-19 tests, provide continuous COVID-19 testing of employees who remain at the workplace at least once per week, or more frequently if recommended by the local health department.

(C) Ensure COVID-19 cases and employees who had COVID-19 exposure are excluded from the workplace.

(D) Investigate and determine possible workplace related factors that contributed to the COVID-19 outbreak and correct them.


☐ Implement Major Outbreaks procedures where there are 20 or more COVID-19 cases in an exposed workplace within a 30-day period and maintain until no cases for 14 days:

Provide twice a week COVID-19 testing to all employees present at the exposed workplace during the 30-day major outbreak period(s) and who remain at the workplace. COVID-19 testing shall be provided at no cost to employees during employees’ working hours.

COVID-19 cases and employees with COVID-19 exposure are excluded from the workplace in accordance.

Investigate and determine possible workplace related factors that contributed to the COVID-19 outbreak and correct them.o In buildings or structures with mechanical ventilation, filter recirculated air with Minimum

Efficiency Reporting Value (MERV) 13 or higher efficiency filters if compatible with the ventilation system. Consider adding additional filtration if indicated by the specifics of the outbreak.

o Determine the need for a respiratory protection program or changes to an existing respiratory protection program with upgrading to N95, Powered Air Purifying Respirators, other respirators with higher levels of protection against viruses.

o Evaluate whether to halt some or all operations at the workplace until COVID-19 hazards have been corrected.




COVID-19 Staff Training

Refer to Appendix VIII.

☐ Train employees on the hazards of COVID-19 and personal controls, including social distancing, use of Cloth Masks, other personal protective equipment (PPE); hand washing; testing and responding to suspected COVID-19 Cases 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.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, their responsibilities for reporting suspected symptoms and the process for requesting accommodations, if needed. In addition, Information regarding COVID-19-related benefits to which the employee may be entitled under applicable federal, state, or local laws. This includes any benefits available under workers’ compensation law, the federal Families First Coronavirus Response Act, applicable Labor Code sections, local governmental requirements, the employer’s own leave policies, and leave guaranteed by contract should be shared with employees.


☐ 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.




☐ Train employees on what constitutes an exposure to COVID-19 in the workplace, the quarantine and testing requirements and address any questions.


☐ Train employees on what constitutes an outbreak and a major outbreak and how the organization will respond.




APPENDIX I. RESOURCE LINKS

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/


https://www.backtoworksafely.org/

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


APPENDIX II. COVID-19 WORKPLACE RISK ASSESSMENT

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.

In all cases, social distancing by maintaining six feet of separation, the use of a cloth mask, hand washing, employee attestation, and contact barriers will be used by our employees as required by California’s Occupational Safety and Health Administration (Cal-OSHA)

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 Risk

Jobs 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 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.



EXAMPLES OF RISK ASSESSMENTS BY POSITION TYPE

POSITIONTITLE TASKS

EXPOSURELEVEL

PPECONTROLS

ADDITIONALCONTROLS

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

☒ Maximize ventilation and MECV of HVAC Filters

Retail Clerk Checkout

Stocking Shelves

Cleaning

☐ Low

☒ Medium

☐ High

☐ Very High

☒ Cloth Mask

☒ Nitrile Gloves

☐ Protective Gown

☐ Face Shield

☒ Safety Glasses






☒ Contact Barriers

☒ Area Disinfection schedule

☒ Flexible Leave – Stay home if sick

☒ Do not touch face

☒ Sneeze and Cough Control






POSITIONTITLE TASKS

EXPOSURELEVEL

PPECONTROLS

ADDITIONALCONTROLS

☐ Low

☐ Medium

☐ High

☐ Very High

☒ Cloth Mask

☐ Nitrile Gloves

☐ Protective Gown

☐ Face Shield

☐ Safety Glasses














☐ Low

☐ Medium

☐ High

☐ Very High

☒ Cloth Mask

☐ Nitrile Gloves

☐ Protective Gown

☐ Face Shield

☐ Safety Glasses
















APPENDIX III. COVID-19 POTENTIAL EXPOSURE REPORT

COMPANY NAME

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.

Occupation of Person Involved: Worksite Location:Click or tap here to enter text. Click or tap here to enter text.

Name of Person Completing Form: (Last, First, Middle) 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: Business Address of WorksiteClick or tap here to enter text. Click or tap here to enter text.

Exposure Occurred:

☐ Occupational, through a patient or customer: Click or tap here to enter text.

☐ Occupational, through a colleague, vendor or subcontractor: Click or tap here to enter text.

☐ Personal, off-duty: Click or tap here to enter text.

Exposure Locations -from 2 days prior to symptoms to 10 days post symptoms (use following table for multiple entries: (Bldg. name, address, give location in reference to nearest building, nearest street location, etc.). Click or tap here to enter text.

Exposure Incident and potential exposed individuals (use following table for multiple entries): (Fully describe activity employee was involved with when exposure occurred, include names of individuals exposed to affected employee for more than 15 minutes in a 24 hour period). Click or tap here to enter text.

Personal Protective Equipment (PPE) Used (use following table for multiple entries): (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.



Exposure Locations Include 2 days prior to

test to current

InteractionsNames of those exposed over 15

minutes in 24-hour periodPPE and Controls

in UseAdditional Info about

Exposure Incidents

APPENDIX IV. EMPLOYEE TEMPERATURE & SYMPTOM ATTESTATION LOG

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. Whenever employer monitoring is conducted, both parties (temperature taker and person whose temp is being taken) should wear masks.

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 temperature exceeds the recommended threshold, or new symptoms are seen, 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

Employee Temperature and Illness Attestation Log

Employee Name Date Start or End of the

Shift

Temperature at or above

100.4?(Y or N)

Symptoms or signs of illness?

(Y or N)Signature



APPENDIX V. COVID-19 CLEANING AND DISINFECTION LOG

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 area or item with soap and water or another detergent if 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 label to see if bleach is intended for disinfection, and ensure 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.

o 4 teaspoons bleach per quart of water.

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



Soft surfaces

For 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.

Electronics

For 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.

Laundry

For 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.



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 the 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

cleaning or disinfecting. 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 Log

Area Date Time

Cleaned using soap and water or cleaner

Disinfected using EPA approved

Disinfectant Employee Signature



APPENDIX VI - COVID-19 ELEVATOR POLICY

The following poster is intended for you to edit the "# people" allowed, then print and display in your elevators.



Elevator PolicyTo make sure you're protected from coronavirus, please follow these elevator guidelines:

1. No more than # people 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.



APPENDIX VII. COVID-19 SUGGESTED CONTROL TABLE

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 COVID-19 in the workplace.

Control Element Description

Low Risk Controls

MediumRisk Controls

High RiskControls

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.

Respiratory Protection

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 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 prior to and after each interaction.

Frequently wash/sanitize hands during the day.




Low Risk Controls

MediumRisk Controls

High RiskControls

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 and Disinfecting

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 to maintain 6 feet of space between workstations, employees, customers.

Cloth masks should be worn by customers, as well as employees.

Limit access to reduce congestion. Control entering customers to maintain desired

Everything from Medium Risk, plus:

Eliminate non-essential access to facilities.

Separate and isolate COVID-19 positive individuals.

*Part of what creates a high risk environment is the inability to socially distance individuals.




Low Risk Controls

MediumRisk Controls

High RiskControls

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 use of grouping areas such as cafeteria and kitchen.

Engineering Controls

Engineering controls are the best way to reduce the risk of virus transmission without having to rely on specific behaviors by staff.

Where social distancing cannot be maintained and employees have face to face contact with others, supplement face masks with the use of clear, easily cleaned physical barriers (sneeze guards) to control potential exposures.

No additional engineering controls are necessary.

Install high-efficiency air filters in HVAC systems

Increase dilution ventilation rate for 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

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).

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




Low Risk Controls

MediumRisk Controls

High RiskControls

communicating important COVID-19 information.

Communicate the availability of medical screening or other worker health resources (e.g., on-site nurse; telemedicine services).

during COVID-19 outbreaks.

Ensure that psychological and behavioral support is available to address employee stress.



APPENDIX VIII. COVID-19 TRAINING PLAN

Ask employees to report to the employer, without fear of reprisal, COVID-19 symptoms, possible COVID-19 exposures, and possible COVID-19 hazards at the workplace.

Describe procedures or policies for accommodating employees with medical or other conditions that put them at increased risk of severe COVID-19 illness.

Provide information about access to COVID-19 testing including the reason for the COVID-19 testing and the possible consequences of a positive test.

Communicate information about COVID-19 hazards and the employer’s COVID-19 policies and procedures to employees and to other employers, persons, and entities within or in contact with the employer’s workplace.



APPENDIX IX. TERMS AND DEFINITIONS

COVID-19 - Coronavirus disease, an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

COVID-19 case - Refers to a person who:

(1) Has a positive “COVID-19 test” as defined in this section;

(2) Is subject to COVID-19-related order to isolate issued by a local or state health official; or

(3) Has died due to COVID-19, in the determination of a local health department or per inclusion in the COVID-19 statistics of a county.

A person is no longer a COVID-19 case in this section when a licensed health care professional determines that the person does not have COVID-19, in accordance with recommendations made by the California Department of Public Health (CDPH) or the local health department pursuant to authority granted under the Health and Safety Code or title 17, California Code of Regulations to CDPH or the local health department.

COVID-19 exposure - Someone exposed within six feet of a COVID-19 case for a cumulative total of 15 minutes or greater in any 24-hour period within or overlapping with the “high-risk exposure period” defined by this section. This definition applies regardless of the use of face coverings.

COVID-19 hazard - Exposure to potentially infectious material that may contain SARS-CoV-2, the virus that causes COVID-19. Potentially infectious materials include airborne droplets, small particle aerosols, and airborne droplet nuclei, which most commonly result from a person or persons exhaling, talking or vocalizing, coughing, sneezing, or procedures performed on persons which may aerosolize saliva or respiratory tract fluids, among other things. This also includes objects or surfaces that may be contaminated with SARS-CoV-2.

COVID-19 symptoms - Includes fever of 100.4 degrees Fahrenheit or higher, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea, unless a licensed health care professional determines the person’s symptoms were caused by a known condition other than COVID-19.

COVID-19 test - A viral test for SARS-CoV-2 that is:

(1) Approved by the United States Food and Drug Administration (FDA) or has an Emergency Use Authorization from the FDA to diagnose current infection with the SARS-CoV-2 virus; and,

(2) Administered in accordance with the FDA approval or the FDA Emergency Use Authorization as applicable.

Exposed workplace - Any work location, working area, or common area at work used or accessed by a COVID-19 case during the high-risk period, including bathrooms, walkways, hallways, aisles, break or



eating areas, and waiting areas. The exposed workplace does not include buildings or facilities not entered by a COVID-19 case.

Effective January 1, 2021, the “exposed workplace” also includes but is not limited to the “worksite” of the COVID-19 case as defined by Labor Code section 6409.6(d)(5).

Face covering - A tightly woven fabric or non-woven material with no visible holes or openings, which covers the nose and mouth.

High-risk exposure period - Defined as the following time period:

(1) For persons who develop COVID-19 symptoms: from two days before they first develop symptoms until 10 days after symptoms first appeared, and 24 hours have passed with no fever, without the use of fever-reducing medications, and symptoms have improved; or

(2) For persons who test positive who never develop COVID-19 symptoms: from two days before until ten days after the specimen for their first positive test for COVID-19 was collected.

Employer-provided housing - Any place or area of land, any portion of any housing accommodation, or property upon which a housing accommodation is located, consisting of: living quarters, dwelling, boardinghouse, tent, bunkhouse, maintenance-of-way car, mobile home, manufactured home, recreational vehicle, travel trailer, or other housing accommodations. Employer-provided housing includes a “labor camp” as that term is used in title 8 of the California Code of Regulations or other regulations or codes. The employer-provided housing may be maintained in one or more buildings or one or more sites, including hotels and motels, and the premises upon which they are situated, or the area set aside and provided for parking of mobile homes or camping. Employer-provided housing is housing that is arranged for or provided by an employer, other person, or entity to workers, and in some cases to workers and persons in their households, in connection with the worker’s employment, whether or not rent or fees are paid or collected

Employer-provided motor vehicle transportation to and from work - Any transportation of an employee, during the course and scope of employment, provided, arranged for, or secured by an employer including ride-share vans or shuttle vehicles, car-pools, and private charter buses, regardless of the travel distance or duration involved



APPENDIX X. EMPLOYER PROVIDED HOUSING CONTROLS

COVID-19 Prevention in Employer-Provided Housing.

The following controls apply to employer-provided housing.

These controls do not apply:

To Housing provided for the purpose of emergency response, including firefighting, rescue, and evacuation, and support activities directly aiding response such as utilities, communications, and medical operations, if:o The employer is a government entity; or

o The housing is provided temporarily by a private employer and is necessary to conduct the emergency response operations.

o To occupants who maintained a household together prior to residing in employer-provided housing, such as family members, when no other persons outside the household are present.

Shared housing unit assignments are prioritized in the following order:

Residents who usually maintain a household together outside of work, such as family members, shall be housed in the same housing unit without other persons.

Residents who work in the same crew or work together at the same worksite shall be housed in the same housing unit without other persons.

Employees who do not usually maintain a common household, work crew, or worksite shall be housed in the same housing unit only when no other housing alternatives are possible.

Physical distancing and controls:

Six feet of physical distancing between residents in housing units, common areas, and other areas of the premises (113 square feet per person).

Beds will be spaced at least six feet apart in all directions and positioned to maximize the distance between sleepers’ heads.

The quantity and supply of outdoor air will be maximized in HVAC systems and through open windows and doors. Filtration efficiency will be increased to the highest level compatible with the existing ventilation system.

Face coverings:

Face coverings will be provided to all residents and required in common areas. In addition, information will be provided to residents on when they should be used.

Cleaning and disinfecting:

The housing units, kitchens, bathrooms, and common areas will be cleaned and disinfected by the residents at least once a day.

Dishes, drinking glasses, cups, eating utensils, and similar items will not be shared.



Screening. Residents will be encouraged to report COVID-19 symptoms. COVID-19 testing. COVID-19 testing of occupants who had a COVID-19 exposure, who have

COVID-19 symptoms, or as recommended by the local health department will be provided to residents.

COVID-19 cases and persons with COVID-19 exposure will be isolated away from other residents:

COVID-19 exposed residents will be isolated from all other occupants. Effective isolation shall include providing COVID-19 exposed residents with a private bathroom, sleeping area, and cooking and eating facility.

Personal identifying information regarding COVID-19 cases and persons with COVID-19 symptoms shall be kept confidential.



APPENDIX XI. EMPLOYER TRANSPORTATION CONTROLS

COVID-19 Prevention in Employer-Provided Transportation to and from Work.

The following controls apply to employer-provided motor vehicle transportation to and from work with the following exceptions:

Does not apply if the driver and all passengers are from the same household outside of work, such as family members.

Does not apply to employer-provided transportation when necessary for emergency response.Transportation assignments will be prioritized in the following order:

Employees residing in the same housing unit shall be transported in the same vehicle. Employees working in the same crew or worksite shall be transported in the same vehicle. Employees who do not share the same household, work crew or worksite shall be transported

in the same vehicle only when no other transportation alternatives are possible.Physical distancing and face coverings:

Employees waiting for transportation will maintain 6’ o physical distance from other riders and wear face masks.

The vehicle operator and any passengers in the vehicle will be separated by at least three feet in all directions during the operation of the vehicle, regardless of the vehicle's normal capacity.

The vehicle operator and any passengers will be provided and be required to wear a face covering in the vehicle.

Drivers and Riders will self-attest that they have no COVID symptoms and area fever free prior to entering the vehicle. Drivers and riders who have symptoms or a fever over 100.4 will be excluded from riding in the vehicle.

Cleaning and disinfecting. All high-contact surfaces (door handles, seatbelt buckles, armrests, etc.) used by passengers will

be cleaned and disinfected before each trip. A copy of the cleaning and disinfecting log will be maintained in each vehicle to track cleaning. All high-contact surfaces used by drivers, such as the steering wheel, armrests, seatbelt buckles,

door handles and shifter, shall be cleaned and disinfected between different drivers. Disinfectant and cleaning supplies will be provided and stored in each vehicle. Hand sanitizer will be provided for each vehicle and all drivers and riders will sanitize their

hands before entering and exiting the vehicle. Hand sanitizers with methyl alcohol are prohibited.

Ventilation. Employers shall ensure that vehicle windows are kept open, and the ventilation system set to maximize outdoor air and not set to recirculate air.

Windows do not have to be kept open if one or more of the following conditions exist: o The vehicle has functioning air conditioning in use and the outside temperature is greater

than 90 degrees Fahrenheit.



o The vehicle has functioning heating in use and the outside temperature is less than 60 degrees Fahrenheit.

o Protection is needed from weather conditions, such as rain or snow.

o The vehicle has a cabin air filter in use and the U.S. EPA Air Quality Index for any pollutant is greater than 100.



APPENDIX XII. NOTIFICATION & REPORTING FORMS

Available in this section:

SB 1159 California Employer Reporting Form: https://www.icwgroup.com/sb1159/

Sample Covid-19 California Notification Letter

COVID-19 California Department of Public Health Potential Outbreak Notification


https://www.icwgroup.com/sb1159/


SB 1159 California Employer Reporting FormStay compliant with Senate Bill 1159 (SB-1159), which provides outbreak definition guidance and requirements for reporting COVID-19 exposures. We've made it easier to report with an interactive, online form that walks you through each critical item.

Complete the online form (use Ctrl + click):

Or, copy and paste this link to open:

https://www.icwgroup.com/pc/sb-1159/?state=California


Online SB-1159 Form

https://www.icwgroup.com/pc/sb-1159/?state=California


SAMPLE COVID-19 CALIFORNIA NOTIFICATION LETTERIMPORTANT: NOTICE MUST BE PROVIDED WITHIN ONE DAY OF THE DATE OF EXPOSURE.

Dear [employee name/subcontracted employee name/name of exclusive representative]:

Be advised that [Company name] was notified that [a customer/employee/other] [tested positive for/has been diagnosed with/insert circumstances] COVID-19 on [MM/DD/YYYY] and you may have been exposed to the virus. As an immediate response to protect the health and safety of our workforce, we are providing this notice and [physically excluding you from the workplace/enforcing home quarantine for 14 days/telework option/insert circumstance as applicable].

The following COVID-19 related benefits and options (as applicable) are available to you [employers must provide specific details about the available benefits and options]:

California Family Rights Act : Job-Protected Leave California Paid Sick Leave California COVID-19 Supplemental Paid Sick Leave for Food Sector and Non-Food Sector

Workers Federal Families First Coronavirus Response Act (FFCRA):

o Emergency Paid Family and Medical Leaveo Emergency Paid Sick Leave

Pandemic Unemployment Assistance State Disability Insurance and Paid Family Leave State Workers’ Compensation

See also a California Department of Industrial Relations (DIR) side-by-side comparison of COVID-19 paid leave.

We are also taking the following steps that are compliant with the federal Centers for Disease Control and Prevention (CDC) disinfecting and safety plan:

[Closing off areas used by the person who is sick.] [Opening outside doors and windows.] [Waiting 24 hours before cleaning and disinfecting.] [Cleaning and disinfecting all areas used by the person who is sick.] [Vacuuming the space, if needed, with HEPA filter, if available.] [Specific processes, PPE, cleaning chemical, complying with OSHA standards, etc.]


https://www.cdc.gov/coronavirus/2019-ncov/community/disinfecting-building-facility.html

https://www.dir.ca.gov/dlse/Comparison-COVID-19-Paid-Leave.html

https://www.dir.ca.gov/dwc/Covid-19/

https://www.edd.ca.gov/about_edd/coronavirus-2019/faqs/disability-paid-family-leave.htm

https://www.edd.ca.gov/about_edd/coronavirus-2019/pandemic-unemployment-assistance.htm

https://www.dol.gov/agencies/whd/pandemic/ffcra-employee-paid-leave

https://www.dir.ca.gov/dlse/COVID-19-Non-Food-Sector-Employees-poster.pdf

https://www.dir.ca.gov/dlse/COVID-19-Food-Sector-Workers-poster.pdf

https://www.dir.ca.gov/dlse/2019-Novel-Coronavirus.htm

https://www.dfeh.ca.gov/wp-content/uploads/sites/32/2019/08/DFEH_CFRA_Pamphlet.pdf

https://www.dir.ca.gov/dlse/Comparison-COVID-19-Paid-Leave.html


We also ask you to abide by the following CDC guidelines to protect your health and those around you:

Wash your hands often with soap and water for at least 20 seconds. Key times to wash your hands include:

o After blowing your nose, coughing, or sneezing.o After using the restroom.o Before eating or preparing food.o After contact with animals or pets.o Before and after providing routine care for another person who needs assistance (e.g., a

child). If soap and water are not readily available, and your hands are not visibly dirty, a hand sanitizer

with at least 60 percent alcohol may be used. Cover all surfaces of your hands and rub them together until they feel dry. If hands are visibly dirty, always wash hands with soap and water.

Avoid touching your eyes, nose, and mouth with unwashed hands. Follow all recommendations provided by the CDC: https://www.cdc.gov/coronavirus/2019-

ncov/community/index.html.

If you or someone in your household exhibits COVID-19 related symptoms, notify [HR or other/contact info] so we may continue to track any potential outbreaks within our company. All such personal information will be maintained confidentially.

Your health and safety are our priority. We are immediately assessing this situation and will contact you by [insert reasonable date/legally compliant date based on company action] via [email/phone] with any/all relevant workplace notices detailing your rights and protections as our employee.

You may contact [HR or other/contact info] with your questions.

These are trying times for us all, and we are here for you.

Yours,

[name][contact information]


https://www.cdc.gov/coronavirus/2019-ncov/community/index.html

https://www.cdc.gov/coronavirus/2019-ncov/community/index.html


COVID-19 California Department of Public Health Potential Outbreak Notification

COMPANY NAME: Click or tap here to enter text.

COMPANY NACIS #: Click or tap here to enter text.

COMPANY MAILING ADDRESS: Click or tap here to enter text.

Employee Name OccupationWork Site

NameWork Site

AddressNACIS

NumberDate of

Exposure


ICW Group COVID-19 Return To Workplace Toolkit - California · Web viewAuthor ICW Group Insurance...

Documents

Transcript of ICW Group COVID-19 Return To Workplace Toolkit - California · Web viewAuthor ICW Group Insurance...