Title Page

  • Conducted on

  • Prepared by

  • Location

Guidance

  • Encourage workers to stay home if they are sick.

  • Establish flexible work hours (e.g., staggered shifts) where feasible.

  • Practice sensible social distancing and maintain six feet between co-workers where possible.

  • Minimize interaction between drivers and customers by leaving deliveries at loading docks, doorsteps, or other locations that do not require person-to-person exposures.

  • Encourage respiratory etiquette, including covering coughs and sneezes.

  • Promote personal hygiene. If workers do not have access to soap and water for handwashing, provide alcohol-based hand rubs containing at least 60 percent alcohol. Provide tissues, as well as disinfectants and disposable towels workers can use to clean work surfaces, including vehicle interiors.

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

  • Discourage workers from using other workers’ tools and equipment.

  • Use Environmental Protection Agency-approved cleaning chemicals from List N or that have label claims against the coronavirus.

  • 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.