COVID-19 Checklist for Transportation Construction Employers and Employees

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Know the Symptoms of COVID-19

• Coughing

  *No

  Yes

  N/A

• Fever

  *No

  Yes

  N/A

• Shortness of breath, difficulty breathing; and

  *No

  Yes

  N/A

• Early symptoms may include chills, body aches, sore throat, headache. If you develop a fever and symptoms of respiratory illness, DO NOT GO TO WORK and call your healthcare provider immediately. Do the same thing if you come into close contact with someone<br>showing these symptoms.

  *No

  Yes

  N/A

Employer Responsibilities

• Develop a COVID-19 Exposure Action Plan.

  Yes

  No

  N/A

• Conduct safety meetings (toolbox talks) by phone if possible. If not, instruct employees to maintain 6-feet between each other. The foreman/supervisor will track attendance verbally rather than having employees sign an attendance sheet.

  Yes

  No

  N/A

• Access to the job site and work trailer will be limited to only those necessary for the work.

  Yes

  No

  N/A

• All visitors will be pre-screened to ensure they are not exhibiting symptoms of COVID-19.

  Yes

  No

  N/A

• Employees, contractors, and visitors will be asked to leave the jobsite and return home if they are showing symptoms

  Yes

  No

  N/A

• Provide hand sanitizer and maintain Safety Data Sheets of all disinfectants used on site.

  Yes

  No

  N/A

• Provide specific personal protective equipment (PPE) to any employees assigned cleaning/disinfecting tasks.

  Yes

  No

  N/A

• Talk with business partners about your response plans. Share best practices with other businesses in your communities (especially those in your supply chain), chambers of commerce, and associations to improve community response efforts.

  Yes

  No

  N/A

Employee Responsibilities

• Become familiar with the Exposure Action Plan and follow all elements of the Plan.

  Yes

  No

  N/A

• Practice good hygiene: wash hands with soap and water for at least 20 seconds. If these are not available, use alcohol-based hand rub with at least 60% alcohol.

  Yes

  No

  N/A

• Avoid touching your face, eyes, food, etc. with unwashed hands.

  Yes

  No

  N/A

Cleaning/Disinfecting Job Sites and Other Protective Measures

• Clean and disinfect frequently used tools<br>and equipment on a regular basis.<br>• This includes other elements of the jobsite where possible.<br>• Employees should regularly do the same in their assigned work areas.

  Yes

  No

  N/A

• Clean shared spaces such as trailers and break/lunchrooms at least once per day.

  Yes

  No

  N/A

• Maintain at least 6 feet physical distancing while in shared spaces.

  Yes

  No

  N/A

• Disinfect shared surfaces (door handles, machinery controls, etc.) on a regular basis.

  Yes

  No

  N/A

• Avoid sharing tools with co-workers if it can be avoided. If not, disinfect before and after each use.

  Yes

  No

  N/A

• Arrange for any portable job site toilets be cleaned by the leasing company at least twice per week and disinfected on the inside.

  Yes

  No

  N/A

• Any trash collected from the jobsite must be changed frequently by someone wearing gloves.

  Yes

  No

  N/A

Personal Protective Equipment and Alternate Work Practice Controls

• Provide and wear the proper PPE.

  Yes

  No

  N/A

• Keep the dust down by using engineering and work practice controls, specifically through the use of water<br>delivery and dust collection systems.

  Yes

  No

  N/A

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• Prepared by

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