Title Page
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Business Name
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Location
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Conducted on
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Prepared by
Return to Work Guidance Checklist
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Review OSHA COVID-19 for more information on how to protect workers from potential exposures and guidance for employers, including steps to take for jobs according to exposure risk
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Reference Links:
OSHA COVID 19 page- https://www.osha.gov/SLTC/covid-19/
Guidance for Employers - https://www.osha.gov/Publications/OSHA3990.pdf -
Identify a workplace coordinator who will be responsible for COVID-19 issues and their impact at the workplace
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Set policies and procedures related to illness, cleaning and disinfecting, and work meetings and travel
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Establish flexible work hours (e.g., staggered shifts) where feasible
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Practice sensible social distancing and maintain six feet between co-workers where possible.
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Provide workers and customers with tissues and trash receptacles.
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Minimize interaction between drivers and customers by leaving deliveries at loading docks, doorsteps, or other locations that do not require person-to-person exposure.
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Train workers in proper hygiene practices and the use of workplace controls
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Discourage workers from using other workers’ tools and equipment
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Sending communications to remind employees who have symptoms (i.e., fever, cough, or shortness of breath) that they should notify their supervisors and stay home
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Routinely clean and disinfect frequently touched objects and surfaces such as trolleys, workstations, keyboards, telephones, handrails, and doorknobs
Signatures
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Planning Team Representative
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Name and Signature
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Position
Management Team Representative
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Name and Signature
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Position
