Title Page

  • Conducted on

  • Prepared by

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  • Physical distancing requires that all individuals maintain at least 2 meters between them and any other individual.

    This reduces the potential of coming into contact with the respiratory droplets of another individual, generated by coughing, sneezing or speaking. Management and supervision review site activities, as a part of the hazard assessment process to ensure that:

    - Physical distancing requirements can be maintained.
    - Where proper physical distancing cannot be maintained, employers need to examine all appropriate control measures to ensure the health and safety of their staff.


  • (brainstorm for additional physical distancing measures that could work in your workspaces)

  • Can non-essential work be reduced or suspended, to allow some workers to stay home?

  • Can shifts be alternated and/or additional shifts added to reduce the risk of exposure and improve physical distancing?

  • Can work tasks be performed in a location that allows them to put more distance between themselves and their co-workers or customers?

  • Can workplace layout be rearranged to minimize physical contact between employees?

  • Can line ups, seating or workstation setups be expanded so that people are able to put 2 metres of space between one another?

  • Can barriers be installed to create space at counters, seated areas, between work areas or workers on a production line, etc.?

  • Can separate, clean entrances and exits be established for the worksite and key work areas to avoid congestion, where possible?

  • Avoid sharing of office space, including work vehicles. If you do share, ensure physical distancingor other means so as to ensure the health and safety of staff.

  • Avoid visiting another area or department to ask a question; use the phone instead.

  • Hold meetings virtually where practical.

  • All greetings between individuals should involve no physical contact (e.g. no handshakes, fist bumps, etc.).

  • Stagger breaks/meal time to reduce the number of workers in common areas at the same time.

  • Stagger seating arrangements in common areas.

  • Separate PPE and clothing that is hung up in work spaces to avoid touching where possible (an infected individual may unknowingly have left respiratory droplets on their PPE or clothing, which could expose others if they touch them).

  • Avoid passing each other on the stairs. Wait on the landing until person has exited stairs.

  • If you have elevators in your workplace, post signage nearby that reminds workers to maintain physical distancing while they are waiting to enter the elevator. Inside the elevator, maintain physical distancing and reduce the number of passengers at any one time. Passengers should face the outside of the elevator to avoid being inside each other's breathing zone.


  • Completed by (Name and Signature)

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