Title Page

  • Company Name

  • Conducted on

  • Prepared by

  • Location

  • Retail establishments create a safe environment for customers and staff with frequent reminders on distancing and hygiene. Monitor employees for symptoms. Customers and employees wear face coverings.

  • Both customers and employees wear face coverings**

  • Maintain signage to remind and help individuals stand at least 6 feet apart, including outside when in line, and in store check-out lines

  • Assign an employee to disinfect carts and baskets after each use

  • Maximum number of patrons must be such that a 6-foot distance between patrons and employees can be easily maintained (1 person per 100 square feet)

  • Make hand sanitizer readily available to customers and employees (e.g. at checkout counters and entrances, etc.)

  • Limit purchase quantities on certain goods selling out quickly; this will help maintain ability to meet needs of patrons and limit crowds and lines

  • Set an established daily window of time for high-risk individuals to come in without pressure from crowds

  • Staff may only come closer than 6 feet to other staff and customers when accepting payment or delivering goods or services if wearing face covering

  • One-way aisles to support physical distancing

  • Discourage bringing kids or strollers into stores when possible to allow as much space as possible in aisles

  • Consider installing a clear plastic partition between cashier and customer where it is not possible to maintain 6 feet of distance

  • Deliver products through curbside pick-up or delivery

  • Make regular announcements to remind customers to follow physical distancing guidelines

Specific Guidance for Grocery & Pharmacy

  • Separate order and delivery areas to keep customers from waiting too long in confined areas together

  • Prevent people from self-serving any food items that are ready to eat and are not prepackaged; does not include fresh produce

  • Only make bulk items available if they are individually packaged

  • Do not allow individuals to bring their own bags, mugs, or other reusable items from home

  • If possible, waive prescription delivery fees

General Employer Guidelines

  • Employers exercise extreme caution, with employees working remotely, evaluating workforce concerns, and enacting strategies to minimize economic impact. Businesses that necessitate on-site work should monitor workforce for symptoms and well-being.

  • Employers take extreme precautions

  • Provide accommodations to high-risk employees

  • Employees and volunteers operate remotely, unless not possible

  • Symptom* checking in business interactions

  • Face coverings worn in settings where other social distancing measures are difficult to maintain; ensure that face coverings are available

  • Make every possible effort to enable working from home as a first option; where not possible, workplaces comply with distancing and hygiene guidelines

  • Minimize face-to-face interactions, including with customers (e.g. utilize drive-thru, install partitions)

  • Where distancing and hygiene guidelines cannot be followed in full, businesses should consider whether that activity needs to continue for the business to operate

  • Eliminate unnecessary travel and cancel or postpone in-person meetings, conferences, workshops, and training sessions

  • Require employees to self-quarantine when returning from high-risk areas

  • Employers evaluate workforce strategy and concerns and enact strategies to minimize economic impact

  • Employers must not allow any individuals under isolation or quarantine to come to work at any time unless authorized by LHD

Sign Off

  • Name and Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.