Canadian Manufacturers Physical Distancing Checklist

• Conducted on

  Date

• Prepared by

• Location
  Address

• 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.

CONSIDERATIONS FOR PHYSICAL DISTANCING IN YOUR WORKPLACE

• (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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Hold meetings virtually where practical.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Stagger seating arrangements in common areas.

  Yes

  No

  N/A

• 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).

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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.

  Yes

  No

  N/A

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• Completed by (Name and Signature)

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