COVID-19 Outbreak Preparedness Checklist

• Site/Client

• Date

  Date

• Prepared by

• Location
  Address

• This checklist is provided to assist workplaces and workers by providing best practice information for the prevention and management of COVID-19 outbreaks. This checklist captures the knowledge of experienced professionals and provides guidance on good practice based upon the available evidence at the time of completion. Readers should not rely solely on the information contained within this checklist. The checklist information is not intended to be a substitute for advice from other relevant sources including, but not limited to, advice from a health professional. Clinical judgment and discretion may be required in the interpretation and application of this checklist.

Planning Actions

• Does your workplace have an outbreak plan that covers all the areas identified?

  Yes

  No

  N/A

• Has your workplace updated its outbreak plan this year?

  Yes

  No

  N/A

• Have the relevant health colleagues/teams in the workplace been involved in the planning process?

  Yes

  No

  N/A

• Are all workers aware of the plan including their roles and responsibilities?

  Yes

  No

  N/A

Training

• Have your workers undergone education and training in all aspects of outbreak identification and management, particularly competency in infection control?

  Yes

  No

  N/A

• Has your workplace run one or more staff education sessions?

  Yes

  No

  N/A

• Has your workplace provided workers families with information regarding prevention of transmission?

  Yes

  No

  N/A

Staffing Actions

• Does your workplace have a staffing contingency plan in case 20% to 30% of staff fall ill and are excluded for 14 days?

  Yes

  No

  N/A

• Has your workplace developed a plan for cohorting staff in an outbreak?

  Yes

  No

  N/A

Stock Levels

• Has your workplace acquired adequate stock of PPE, hand hygiene products, nose and throat swabs and cleaning supplies?

  Yes

  No

  N/A

Outbreak Recognition Actions

• Does your workplace encourage staff to report COVID-19 symptoms during the pandemic?

  Yes

  No

  N/A

• Does a process exist to notify the facility manager, Human Resources and any other relevant teams as soon as practicable (and within 24 hours) of when a COVID-19 case is suspected?

  Yes

  No

  N/A

Communication Actions

• Does your workplace have a contact list for the facility manager, Human Resources and any other relevant teams?

  Yes

  No

  N/A

• Does your workplace have a plan for communicating with workers and other service providers (e.g. cleaners) during an outbreak?

  Yes

  No

  N/A

• Does your workplace have a plan to restrict unwell visitors entering the workplace as well as limitation of well visitors during an outbreak to reduce risk of transmission both within the workplace and externally (e.g. security, signage, restricted access)?

  Yes

  No

  N/A

Cleaning

• Does the plan identify who is responsible for overseeing increased frequency of cleaning, liaison with contractors or hiring extra cleaners as necessary?

  Yes

  No

  N/A

Completion

• Additional Notes

• Sign Off

  Sign