safetyculture-logo
Log in Get started for FREE
Back to home

Search

Login to iAuditor
Get started for FREE
Home
General
COVID-19 Control Plan Template - MA
COVID-19 Control Plan Template - MA
SafetyCulture Staff

COVID-19 Control Plan Template - MA Checklist

The State of Massachusetts requires all businesses to comply with safety standards in order to operate during the pandemic. Answer the following questions to check how compliant your business is with state requirements. This COVID-19 control plan template is based on the checklist provided by the government https://www.mass.gov/doc/covid-19-reopening-control-plan-template/download

Use this Digital Checklist
Download as PDF
graphic of a hand making an okay sign ×

Free COVID-19 Control Plan Template - MA Checklist

Use this Digital Checklist

Template Preview

app-store-download play-store-download

GO DIGITAL TODAY
Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet. Visit www.iauditor.com

Scannable QR Code to download App

Inspection

All businesses in the state of MA must develop a written control plan outlining how its workplace will comply with the mandatory safety standards for operation in the COVID-19 reopening period. This template may be filled out to meet that requirement. Control plans do not need to be submitted for approval but must be kept on premise and made available in the case of an inspection or outbreak.
All individually listed businesses must complete a control plan, even if the business is part of a larger corporation or entity.

Business Information

Business name:

Check if part of a larger corporation

Address:

Contact information (Owner/Manager):

Contact information (HR representative), if applicable:

Number of workers on-site:

Social Distancing

Ensured that all persons, including employees, customers, and vendors remain at least six feet apart to the greatest extent possible, both inside and outside workplaces

Established protocols to ensure that employees can practice adequate social distancing

Posted signage for safe social distancing

Required face coverings or masks for all employees

Implemented additional procedures. (Please describe them on the note)

Hygiene Protocols

Provided hand washing capabilities throughout the workplace

Ensured frequent hand washing by employees and provided adequate supplies to do so

Provided regular sanitization of high touch areas, such as workstations, equipment, screens, doorknobs, restrooms throughout work site

Implemented additional procedures. (Please describe them on the note)

Staffing & Operations

Provided training for employees regarding the social distancing and hygiene protocols

Ensured employees who are displaying COVID-19-like symptoms do not report to work

Established a plan for employees getting ill from COVID-19 at work, and a return-to-work plan

Implemented additional procedures. (Please describe them on the note)

Cleaning & Disinfecting

Established and maintained cleaning protocols specific to the business

Ensured that when an active employee is diagnosed with COVID-19, cleaning and disinfecting is performed

Prepared to disinfect all common surfaces at intervals appropriate to said workplace

Implemented additional procedures. (Please describe them on the note)

Completion

Comments

Name and Signature
COVID-19 Control Plan Template - MA
SafetyCulture Staff

COVID-19 Control Plan Template - MA

The State of Massachusetts requires all businesses to comply with safety standards in order to operate during the pandemic. Answer the following questions to check how compliant your business is with state requirements. This COVID-19 control plan template is based on the checklist provided by the government https://www.mass.gov/doc/covid-19-reopening-control-plan-template/download

Use this Digital Checklist
Download as PDF
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.

Related checklists

Manufacturing Checklist COVID-19 - MA
SafetyCulture Staff
Manufacturing Checklist COV...
The State of Massachusetts requires all businesses to comply w...
56 downloads
Massachusetts Restaurant Checklist COVID-19
SafetyCulture Staff
Massachusetts Restaurant Ch...
The State of Massachusetts requires all businesses to comply w...
35 downloads
Massachusetts Construction Checklist COVID-19
SafetyCulture Staff
Massachusetts Construction ...
The State of Massachusetts requires all businesses to comply w...
26 downloads
Massachusetts Retail Checklist COVID-19
SafetyCulture Staff
Massachusetts Retail Checkl...
The State of Massachusetts requires all businesses to comply w...
10 downloads
Louisiana Reopening Plan
SafetyCulture Staff
Louisiana Reopening Plan
This Louisiana reopening plan template can be used by Louisian...
0 downloads
Ohio Checklist for Businesses/Employers (COVID-19)
Go Digital
Ohio Checklist for Business...
This general guidance can be used by employers and owners of b...
8 downloads
New York Reopening - NY Forward Safety Plan Template
SafetyCulture Staff
New York Reopening - NY For...
New York-based businesses or entities can use this Safety Plan...
15 downloads
Oregon General Guidance for Employers on COVID-19 Checklist
SafetyCulture Staff
Oregon General Guidance for...
Use this general guidance for employers in the State of Oregon...
10 downloads
back arrow for carousel
back arrow for carousel

Don’t start from scratch each day

Use iAuditor to create and update checklists in minutes, deploying to your whole workforce from one application.

Find out how
  • Product
    • Product

    • iAuditor
    • Temperature logging
    • TeamTrain
    • Spotlight
  • Resources
    • Resources

    • Templates
    • Checklists
    • Topics
    • Blog
    • Events & Webinars
    • Apps
    • API
  • Support
    • Support

    • Support center
    • Product updates
    • Book a demo
    • Integrations
  • Company
    • Company

    • About us
    • Careers
    • Meet the team
    • Contact us
Status Privacy & Terms Security
iAuditor Logo Icon ©SafetyCulture 2021