Title Page

  • Name of Workplace

  • Location
  • Conducted on

  • Prepared by

Social Distancing Plan

  • Businesses must implement all applicable measures listed below, and be prepared to explain why any measure that is not implemented is inapplicable to the business.

Signages and Posters

  • Provide signages at designated entrance points to inform people that they should: avoid entering the facility if they have a cough or fever; maintain a minimum 6-feet distance from one another; and not shake hands or engage in any unnecessary physical contact.

  • Post a copy of the Social Distancing Protocol at the designated entrance points

  • Display posters within the facility promoting proper hand washing

  • Send digital versions of the posters via e-mail

Measures to Keep People at Least 6-ft Apart

  • Place tape or other markings at least six feet apart in customer line areas inside the store and on<br>sidewalks at public entrances with signs directing customers to use the markings to maintain distance

  • Separate order areas from delivery areas to prevent customers from gathering

  • Instruct employees to maintain at least six feet distance from customers and from<br>each other, except employees may momentarily come closer when necessary to accept payment,<br>deliver goods or services, or as otherwise necessary

  • Describe other measures:

Measures to Protect Employee Health

  • Everyone who can carry out their work duties from home has been directed to do so<br>

  • Reconsider non-essential business travel

  • All employees have been told not to come to work if sick

  • Symptom checks are being conducted before employees may enter the work space

  • All desks or individual work stations have been re-adjusted to be at least six feet apart

  • Promote regular teleworking (video conferencing) across your organisation

  • Consider mental health and social consequences of social distancing within the workplace or in the<br>community and offer information and support

  • Plan for increased levels of staff absences

  • Copies of this plan have been sent to employees

Measures to Improve Sanitation

  • Hand sanitizer, soap and water, or effective disinfectant is available to the public at or near the entrance of the facility, and anywhere else inside the facility or immediately outside where people have direct interactions<br>

  • Disinfecting all high-contact surfaces frequently<br>

  • Describe other measures

Contact Person

  • You may contact the following person with any questions or comments about this plan.

  • Name

  • Contact Number

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