Site Opening Certification Checklist

• Conducted on

  Date
• Facility Mailing Address
  Address

• Division

• Sub Division

• Site Name

• Alternative Site Name

• Site Manager Name

• Site EH&S Name

• Submission Instructions:
  Interim Updates for the Scorecard (optional): Submit work in progress file (Excel or pdf) to appropriate contact or system.
  
  Final submission: Submit using the Certification Workflow Approval tool available on the Site Operations Checklist page, in the Certification block at the bottom. You will need these names:

• Legend:
  Yes - Comments if needed:
  NO - Containment plan/Fix date:
  N/A - Why isn't it applicable?

1. Pandemic Response Management

• A. Pandemic Response Team established, e.g., team identified, roles understood, operational

  Yes

  No

  N/A

• B. Corporate Protocols reviewed, adjusted to the particulars of the site, agreed upon with EH&S

  Yes

  No

  N/A

• C. Operational daily and shift change checklists created, responsibles identified and trained

  Yes

  No

  N/A

2. Preventative Material Inventory

• A. Adequate supply of cleaning supplies (e.g., soap, disinfectant, paper towels/tissues) or on order with sufficient lead time

  Yes

  No

  N/A

• B. 30-day supply of face masks on site or on order with sufficient lead time.

  Yes

  No

  N/A

• C. Adequate quantity and quality of non-touch thermometers on site for timely employee screening

  Yes

  No

  N/A

3. Personal Protective Equipment

• A. Review and understand the PPE protocol and guidance in the Playbook

  Yes

  No

  N/A

4. Disinfection Measures

• A. Site disinfected prior to anyone returning to work

  Yes

  No

  N/A

• B. Actions appropriate to ensure optimal turnover of fresh/clean air within the site (e.g. HVAC filters cleaned, return air fully open; bay and other doors opened where feasible)

  Yes

  No

  N/A

• C. General Disinfection Methods implemented per the protocols (e.g., cleaning approaches, frequency)

  Yes

  No

  N/A

5. Deep Cleaning & Disinfection Protocol

• A. Review, understand, and prepare for the triggering of the Deep-Cleaning and Disinfection Protocol

  Yes

  No

  N/A

6. Inbound Parts/Materials/Packages

• A. Incoming supply is managed according to Playbook standards

  Yes

  No

  N/A

7. Layered Audit Checklist

• A. eLPA audit process and software in-pace and trained, especially the pandemic-related audits

  Yes

  No

  N/A

8. Transportation

• A. Employee Transportation provider(s) have reviewed and implemented the Transportation Disinfection Checklist protocol

  Yes

  No

  N/A

9. Isolation Protocol & Coordinator

• A. Review and understand the Isolation protocol

  Yes

  No

  N/A

• B. Isolation Coordinator (volunteer) identified and trained

  Yes

  No

  N/A

• C. Protocol in place to isolate employees if she/he is symptomatic and on-site, including forms readily available

  Yes

  No

  N/A

10. Social Distancing Protocol

• A. Social Distancing Protocol reviewed, understood and implemented before start-up. Responsible assigned to check the site daily.

  Yes

  No

  N/A

11. On-site Health Screening

• A. Protocol established for pre-shift screening prior to site entry

  Yes

  No

  N/A

• B. Barriers are in place to prevent anyone from missing the screening

  Yes

  No

  N/A

12. Daily Self-Screening Protocol

• A. Daily Self-Screening protocol is distributed to all employees for voluntary, home self-screening

  Yes

  No

  N/A

• B. HR team prepared to receive inquiries or reports of symptomatic employees prior to shift

  Yes

  No

  N/A

13. Self-Quarantining and Return to Work Protocol

• A. Protocol reviewed, understood and adjusted as necessary for local, legal and cultural environment

  Yes

  No

  N/A

14. Visitors & Contractors Self-Screening

• A. Plan in place for screening Visitors and Contractors, including self-screening checklists printed and available?

  Yes

  No

  N/A

15. Labor Relations Alignment

• A. Local Unions educated on Pandemic Response Plan and Return to Work Protocols

  Yes

  No

  N/A

16. Return to Work Training Plans

• A. Day One training organized (e.g., attendee groups, logistics, schedules, trainers, feedback loop)?

  Yes

  No

  N/A

17. Health & Wellness

• A. Resources available to employees are understood and documented to be provided when requested

  Yes

  No

  N/A

• B. Employees will be surveyed regarding the safety procedures

  Yes

  No

  N/A

18. Digital Communications and Signage

• A. Adequate digital communication program in place to reach as many employees as possible, if needed

  Yes

  No

  N/A

• B. Physical signage posted

  Yes

  No

  N/A

Overall Comments

• Overall Comments

Certified for Accuracy

• Site Manager (Sign)

  Sign

• PRT: Employee Access Control (Sign)

  Sign

• PRT: Virus Prevention (Sign)

  Sign

• PRT: Sanitization & Disinfection (Sign)

  Sign

• PRT: Communications & Training (Sign)

  Sign

• PRT: PPE (Sign)

  Sign

Approved to Open

• EH&S Director (Sign)

  Sign

• Operations VP (Sign)

  Sign