Title Page

  • Conducted on

  • Prepared by

  • Location

Guidance

  • Encourage workers to stay home if they are sick.

  • Provide a place to wash hands or alcohol-based hand rubs containing at least 60% alcohol.

  • Maintain regular housekeeping practices, including routine cleaning and disinfecting of surfaces and equipment with Environmental Protection Agency-approved cleaning chemicals from List N or that have label claims against the coronavirus.

  • Practice sensible social distancing, maintaining six feet between co-workers and customers, where possible. For example, some worksites have already begun to demarcate six-foot distances with floor tape in checkout lines. Workplaces where social distancing is a challenge should consider innovative approaches, such as opening only every other cash register, temporarily moving workstations to create more distance, and installing plexiglass partitions.

  • Use a drive-through window or curbside pick-up.

  • Provide workers and customers with tissues and trash receptacles.

  • Train workers in proper hygiene practices and the use of workplace controls.

  • Allow workers to wear masks over their nose and mouth to prevent them from spreading the virus.

  • Encourage workers to report any safety and health concerns.

Completion

  • Additional Comments

  • Completed by: (Name and Signature)

  • For more information, visit www.osha.gov/coronavirus or call 1-800-321-OSHA (6742).

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.