Infectious Disease Control Plan - COVID-19 - Flipbook - Page 5
Project Site: ________________________________________
Safety Requirements for Prevention & Mitigation of COVID-19
Items required from all workers/trades on the _____________________ site:
1) I understand the symptoms of COVID-19. Fever (above 100.4 F per CDC),
cough, shortness of breath, chills, muscle pain, headache, sore throat, and
loss of taste or smell.
2) If I am sick, do not feel well, or have any of the COVID-19 symptoms, I will
not come to work. If I begin to feel sick while at work, I will immediately
notify my supervisor.
3) I will sanitize/ disinfect any shared equipment (tools, scissor lift, etc.) before
and after I use it.
4) I will follow all CDC social distancing recommendations as it applies to my
scope of work.
a. Stay at minimum 6 feet away from all other workers.
b. Cover any cough or sneeze with tissue or elbow.
5) If my work requires me to work less than 6 feet from any other worker, I
will wear a mask (nuisance dust only) and gloves.
6) I will limit occupancy of the manlift to 6 persons or less, including myself.
7) I will include COVID-19 precautions and safe-work practices on my daily
Pre-Task Plan.
Employee Name:
Date: _________
Signature: __________________________________________________
*SIGN-IN SHEETS — Use our own pen and leave sign-in sheet in one location.
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