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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Practice social distancing by implementing measures such as floor tape demarcation of six-foot distances in checkout lines
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Consider stalling plexiglass partitions
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Provide workers and customers with tissues and trash receptacles.
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Train workers in proper hygiene practices and the use of workplace controls
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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 workstations, keyboards, telephones, handrails, and doorknobs
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Cross-train employees to perform essential functions so the workplace can operate even if key employees are absent
Signatures
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
