Title Page
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Conducted on
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Location
Required
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Adhere to Required COVID-Safe Practices for All Employers (p.9).
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Adhere to Required COVID-Safe Practices for Retail Establishments (p.11).
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Discontinue service stations that require customers to congregate in certain areas or use common utensils/dispensers, including salad bars, buffets and beverage and coffee stations.
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Comply with state Public Health Order limitations on bar and counter seating and non-seated service; and, if otherwise permitted, ensure that six feet or more distance is maintained between customers.
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Discontinue gaming areas and other such areas of the restaurant where customers may congregate for extended periods of time and/or surfaces that are repeatedly touched and cannot be cleaned and disinfected between each use.
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Employees that handle items used or provided by customers must property wash their hands or change gloves before serving another customer (e.g. tableware, cutlery, glasses, credit cards, cash, pens, etc.).
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Discontinue allowing pets, excluding service animals, inside the establishment, onto patios, into stores or other such areas.
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Clean and sanitize reusable items such as menus and condiment containers left on tables after each use. If items cannot be cleaned and sanitized after each use, offer single-use items.
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To support contract tracing, provide all customers who visit the establishment the opportunity to record their name and phone number or email address, along with the date and time of their visit, and retain such records for no less than four weeks from the date of collection.
Sign Off
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Name and Signature
