Protocols for Business Supplemental Checklist

• Date

  Date

• Prepared by

• Location
  Address

1. Establish a protocol to maintain the six (6) foot physical distancing for employees and patrons, consider the following:

• Telework to limit employees in the facility

  ✔

  ✖

  N/A

• Staggering work hours for those who must be present

  ✔

  ✖

  N/A

• Use floor markings to demonstrate six (6) foot distance

  ✔

  ✖

  N/A

2. Providing adequate sanitation for employees, vendors, and patrons

• Clean and disinfect regularly, especially high touch areas or where items may be exchanged

  ✔

  ✖

  N/A

• Identify how personal use items such as masks face covering and gloves shall be worn, if necessary, for employees, vendors, and patrons

  ✔

  ✖

  N/A

• Encourage the use of cloth face coverings among employees, vendors and patrons while maintaining social distancing

  ✔

  ✖

  N/A

3. Identify methods to limit close interactions with patrons such as:

• Encourage online, digital, or telephonic ordering

  ✔

  ✖

  N/A

• Curbside pickup

  ✔

  ✖

  N/A

• Delivery

  ✔

  ✖

  N/A

• Establish hours of operations for vulnerable populations

  ✔

  ✖

  N/A

• Limiting number of patrons in the business at a time

  ✔

  ✖

  N/A

• Directing the flow of traffic in the business

  ✔

  ✖

  N/A

• Use of signage or barrier protection to limit movement and maintain distancing

  ✔

  ✖

  N/A

• Use of employees to remind patrons of the social distancing

  ✔

  ✖

  N/A

• Consider non-cash transactions

  ✔

  ✖

  N/A

4. Identify strategies for addressing ill employees and determining wellness of employees

• Completing a health check with each employee prior to beginning shift – see attached Employee Health Check Guidance

  ✔

  ✖

  N/A

• Requiring ill COVID-19 employees to stay home and possible restricting employees who may have been exposed.

  ✔

  ✖

  N/A

• Closing facility for proper disinfection if a COVID-19 positive employee has been present

  ✔

  ✖

  N/A

• Educating employees on available physical and mental health services, what to do if they feel they are symptomatic etc.

  ✔

  ✖

  N/A

Employee Health Check Guidance

• Employees who meet ANY of the below criteria should not report for duty and should contact the Panhandle Health District for further evaluation.

• Fever greater than 38C /100 °F

  ✔

  ✖

• Cough AND/OR Shortness of Breath

  ✔

  ✖

• Chills

  ✔

  ✖

• Repeated shaking with chills

  ✔

  ✖

• Unexplained muscle pain (not exercise induced)

  ✔

  ✖

• Headache

  ✔

  ✖

• Sore throat

  ✔

  ✖

• Loss of taste or smell

  ✔

  ✖

• Ask if they have had close contact with any individuals diagnosed with COVID-19. Report to Panhandle Health District Covid-19 Hotline.
  
  If an employee calls in and reports any of these symptoms, do not allow them in the restaurant and ask them to call the Panhandle Health District Covid-19 Hotline.
  
  Panhandle Health District Covid-19 Hotline: 877-415-4225

Completion

• Additional Notes

• Sign Off

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