COVID-19 Jobsite Policy

Is there a COVID-19 policy in writing?

• Yes
• No
• Other ________________________________________

If there is a written policy, where is it located? (Check all that apply)

• Break room
• GC trailer
• Company website
• Other ________________________________________

Who is the contact for the COVID-19 policy? (title/contractor/subcontractor) ______________________________________________________________________

How is COVID-19 policy made available to workers?

• Posted in visible location(s)
• On company website
• Through regular in-person trainings
• Other ________________________________________

Is COVID-19 training provided?

• Yes
• No
• Other ________________________________________

Who is COVID-19 training provided to? (Check all that apply)

• General Contractor
• Subcontractors
• Workers in all trades
• Other ________________________________________

What COVID-19 topics are covered in the training? (Check all that apply)

• Covering coughs and sneezes
• What to do if symptomatic
• What PPE is required
• Whom to report social distancing issues to
• Hazard mitigation
• Location of PPE and hand sanitizer
• Other ________________________________________

If training is provided, how is it delivered? (Check all that apply)

• On company website
• In person toolbox talks with appropriate social distancing
• Written handout
• Other _______________________________________

What is the procedure for monitoring CDC guidelines and updating the jobsite policy? (Check all that apply)

• Safety Officer(s)/Representative(s) monitors daily
• Contractor(s) monitor daily
• Training revised regularly
• Other _______________________________________

How is social distance maintained during trainings and other meetings? (Check all that apply)

• Stagger workers attending
• Limit the number of workers participating at one time
• Sign-in sheets are not passed around
• Other _______________________________________

How is social distance maintained during work activities? (Check all that apply)

• Stagger workers and trades working in the same work areas
• Limit the number of workers in each work area
• Other _______________________________________

How is communication and training on COVID-19 safety conducted with subcontractor foremen and project managers? (Check all that apply)

• In person
• Handouts
• Website
• Other _______________________________________

What is the policy and procedure if someone is exposed to COVID-19? (i.e. How long are workers required to stay home? How are workers identified who may have been exposed?)

• Jobsite has an explicit policy ensuring workers do not feel pressured to come to work if ill
• Workers feeling ill are sent home immediately with respect, dignity, and confidentiality
• Work areas are immediately cleaned and disinfected if a worker is ill
• Workers who are ill are required to stay home until safe to return to work, based on CDC guidelines
• Workers who worked in close proximity and may have been exposed are identified and sent home

• Other _______________________________________

Is there a COVID-19 Incident Log (to track near misses, potential exposures)?

• Yes
• No
• Other ________________________________________

Are safety data sheets of all disinfectant tools and supplies maintained on site?

• Yes
• No
• Other ________________________________________

Are COVID-19 related PPE and supplies provided by the employer? (Check all that apply, please note this is not officially required to be provided by the employer, but if/when it is we can record these positive steps)

• Face masks
• Face shields
• Respirators
• Eye protection
• Disposable gloves (i.e. for changing trash and cleaning break/lunchrooms, offices/trailers)
• Tissues
• Hand sanitizer
• Other ________________________________________

Are there designated Social Distancing Officers/Representatives?

• Yes
• No
• Other ________________________________________

What are the roles of the Social Distancing Officers/Representatives? (Check all that apply)

• Monitor CDC guidelines daily
• Monitor jobsite to ensure at least 6 feet distance is maintained
• Monitor workers for signs of illness
• Take workers’ temperatures
• Monitor hand washing and sanitizer supplies
• Monitor cleaning and disinfecting procedures
• Other ________________________________________

Optional additional notes on this section:

COVID-19 Exposure Prevention

How are you ensuring the break and lunch area has fewer than 10 people and that workers can maintain social distance of at least 6 feet? (Check all that apply)

• Breaks and lunches are staggered
• Clear signage in break/lunchrooms
• Other ________________________________________

Have you completed a jobsite assessment for tasks that could require workers to be closer together than 6 feet?

• Yes
• No
• Other ________________________________________

Have you assessed each individual jobsite task that requires close proximity of workers within 6 feet to determine if any engineering controls could be used to eliminate exposures and/or maintain social distancing?

• Yes
• No
• Other ________________________________________

What strategies have been implemented for tasks that usually require workers to be closer than 6 feet?

What foot traffic controls and procedures have been implemented? (i.e. narrow passage, scaffolding, elevators, entry/exit points)

What is the procedure for regular sanitization of surfaces, tools, and materials that are touched frequently? (Check all that apply)

• Tools and high-touch surfaces are cleaned and sanitized multiple times/day
• Break/lunchrooms, offices/trailers, bathrooms are cleaned and sanitized multiple times/day
• Sanitizing wipes are readily available near all high-touch surfaces
• Designated representatives monitor regular cleaning and sanitizing
• Other ________________________________________

Is carpooling discouraged?

• Yes
• No
• Other ________________________________________