Title Page
-
Conducted on
-
Prepared by
-
Location
Preventive/Control Measures Before Entry
-
Are there signages on COVID-19 safety measures in the premises?
-
Are the signages readable and in good condition?
-
Are workers entering the workplace wearing face masks?
-
Are health declaration forms available at the entrance?
-
Are visitors to the plant accomplishing the health declaration/questionnaire?
-
Are the health declaration forms completely and properly filled up?
-
What action is taken when there are issues in the health declaration form?
-
Are body temperature measurement equipment available at the entrance?
-
Are body temperatures being checked for everyone entering?
-
What action is taken when a person has temperature above 37.5 C?
-
Is there a hand washing facility at the entrance?
-
Is the hand washing facility functional (water supply, soap availability, and hand drier)?
-
Are all people washing their hands before entering?
-
Is handwashing properly done?
-
Is there alcohol or hand sanitizer available at the entrance?
-
Are people coming in using the alcohol and hand sanitizer?
-
Is there a disinfectant foot bath at the entrance?
-
Is the foot bath in good condition and with adequate disinfectant solution (wet)?
-
Are people coming in using the disinfectant foot bath?
-
Are the users of the foot bath observing the correct length of time of stepping on the foot bath?
-
Is there an isolation area at the entrance?
-
Are people coming in observing at least 1 meter of physical distancing?
-
Are there directional signages for human traffic in the area?
-
Are the signages clear and understandable?
Preventive/Control Measures Inside Facilities and<br>Workplace
-
Are there signages on COVID-19 safety measures in the premises?
-
Are the signages readable and in good condition?
-
Are common areas and frequently handled objects disinfected at an interval of not less than 2 hours?
-
Are people in the area doing regular hand washing?
-
Is clean running water and soap available in wash rooms and toilets?
-
Are sanitizers provided in strategic areas of the location?
-
Is physical distancing of at least 1 meter being observed by people in the<br>area?
-
Are people in the area wearing face masks or appropriate personal protection?
-
Are there directional signages in the area?
-
Are the signages clear and understandable?
-
Is one-way human traffic being observed in the area?
-
Are there transparent barriers between work spaces in the area?
-
Are shared tools being disinfected before used by another person?
-
Are wastes and trash properly disposed?
-
Is the disinfection schedule of this facility/area being followed?
Minimizing Contact Rate
-
Are meetings needing physical presence kept to a minimum number of participants, and of short duration?
-
Is video-conferencing being used for lengthy discussions or meetings?
-
Are people in enclosed spaces limited to observe at least 1 meter physical distancing?
-
Are people in enclosed spaces and proximate to each other wearing face masks or appropriate protection?
-
Are there online means to help clients and internal customers needing assistance?
Information, Education, Communication and<br>Employee Awareness
-
Are there information drives and communication materials on COVID-19 that promote safety for employees?
-
Are the info drive materials clear and understandable?
-
Are the siganges readable and in good condition?
-
Are emergency contact details widely distributed and posted in strategic areas?
-
Sample 5 employees in each site and ask this question: What is the purpose of wearing face masks? The answer should be: to protect myself from exposure to the virus AND to prevent spread of the virus if ever I am a carrier. Did all the employees answer correctly?
-
Sample 5 employees in each site and ask this question: Why do we require frequent hand washing or hand sanitation? The answer should be: to prevent spread of the virus to others and to myself through the objects that I touch. Did all the employees answer correctly?
-
Sample 5 employees in each site and ask this question: What is the purpose of physical distancing? The answer should be: to minimize close contact and prevent spread of the virus to other people. Did all the employees answer correctly?
Transportation
-
Do buses and hauling vehicles have covid-19 safety signages?
-
Are the signages clear, readable, and in good condition?
-
Are buses equipped with thermal scanners or thermometers?
-
Are the thermometers functional?
-
Are passengers checked for body temperature before boarding?
-
What action is taken when a person has a temperature above 37.5 C?
-
Are buses equipped with alcohol/ hand sanitizer?
-
Are passengers using the alcohol/ hand sanitizer at time of boarding?
-
Do buses have interior barriers between passengers?
-
Are the barriers of the correct material (plastic) and in good condition?
-
Are passengers wearing face masks while inside the bus/ transport?
-