Implementing a Safe and Healthy Work Environment Plan Slide Deck

QUARANTINE Return to the New Normal: COVID-19 Recovery Plan CHAT Kathryn H. Clark, CIH, CSP, ARM-E Senior Vice President Safety & Health, Chief Risk Officer kclark@wcf.com | 385.351.8903 office | 801.556.0222 mobile

5 ELEMENTS 1. Planning

Preparation

Execution

2. Training 3. Return to Work 4. Reporting

Evaluate, Adapt, Adjust

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5. Evaluation

PLANNING Answer questions (see questions pdf)

Screening, testing, reporting*

Social (physical) distancing

PPE

(masks, gloves, eye protection, protective clothing)

Who, what, where, when, HOW? * https://www.cdc.gov/coronavirus/2019-ncov/community/general-business-faq.html 4

UTAH LEADS TOGETHER 2.0*

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*https://coronavirus.utah.gov/utah-leads-together/#2.0

UTAH LEADS TOGETHER 2.0 PLAN APRIL 2020

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https://coronavirus-download.utah.gov/Health/Phased%20Health%20Guidelines%20V3.pdf

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COVID-19 RESOURCES • Utah Leads Together 2.0 and Color-Coded Health Guidelines https://coronavirus.utah.gov/utah-leadstogether/#2.0 • Center for Disease Control (CDC) Frequently Asked Questions https://www.cdc.gov/coronavirus/2019ncov/community/general-business-faq.html • Center for Disease Control (CDC) Guidelines for Businesses https://www.cdc.gov/coronavirus/2019ncov/community/organizations/businesses-employers.html • OSHA Guidance on Preparing Workplaces for COVID-19 https://www.osha.gov/Publications/OSHA3990.pdf • Rocky Mountain Center on Occupational and Environmental Health (RMCOEH) University of Utah Novel Coronavirus COVID-19 online course https://ce.rmcoeh.utah.edu/wconnect/ace/CourseStatus.awp?&Course=20COVID19F20&DirectFrom=Schedule • WCF Insurance Website www.wcf.com • World Health Organization (WHO) https://www.who.int/emergencies/diseases/novel-coronavirus-2019 9

Implementing a Safe and Healthy Work Environment Plan Rocky Mountain Center for Occupational & Environmental Health University of Utah Rocky Mountain Center for Occupational and Environmental Health

Communication Structure • Establish communication flow • Potential coordinator / team • Disseminate information accurately and timely • Updated employee, client, vendor, etc. contact lists Rocky Mountain Center for Occupational and Environmental Health

Reporting COVID-like Symptoms • Before coming to work. Preclude those with symptoms!

• Consider temperature checks • Follow current state, etc. guidance for medical help.

Rocky Mountain Center for Occupational and Environmental Health

Corona Virus Mechanisms of Spread • Initial emphases on contact spread (handwashing) • Subsequent emphases added re. droplet spread (e.g., 6-ft) • Concerns about aerosol spread (beyond 6-ft, e.g, 20 feet)

Corona Virus Mechanisms of Spread • Initial emphases on contact spread (handwashing) • Subsequent emphases added re. droplet spread (e.g., 6-ft) • Concerns about aerosol spread (beyond 6-ft, e.g, 20 feet)

1. Primary spread appears to be by droplets 2. Some evidence of possible spread by aerosol 3. Likely some spread by contact Above provides hierarchy for interventions likely to be more successful.

CDC study of a Chinese restaurant.

AC unit is along Right side of diagram. Note airflow A1 is the index case.

Respiratory Spread Measures

Protective Measures Respiratory (droplet, aerosol)

Contact-Spread

• Distancing • Masks • Ventilation

• Handwashing • Gloves

Differences between droplet and aerosol: degree of distancing, types of masks, type of ventilatory measures.

Social Distancing • Distance apart: 6+ feet when possible • Avoid carpooling (if so, masks and gloves, careful handwashing needed)

• Avoid public transportation (if so, masks and gloves, careful handwashing needed)

• Enter work single file Rocky Mountain Center for Occupational and Environmental Health

Social Distancing

Social Distancing

Social Distancing

• ManufacturingPPE@officialchs

Workers on Site • Gradually increase capacity • Face masks, gloves, other PPE • Pick up points at specific locations for materials (no direct hand to hand contact) • Separate shifts (e.g., when one shift ends, start next shift 30 minutes later; and/or enter/leave different entrances) Rocky Mountain Center for Occupational and Environmental Health

Physical Barriers

Physical Barriers

Face Masks

Gloves, Gowns, Eye Protection

Ventilation Issues • Consider direction of ventilation • Consider increasing air exchanges • Local ventilation bringing in air may provide ’safe zones’ • May provide downstream risk

• Consider HEPA filters on HVAC systems • Consider portable air purification systems esp. for close/small work spaces

Disinfection • Consistent cleaning of all surfaces and areas, esp. commonly handled items • Increase frequency for higher traffic areas

• Build into daily protocols of before and after each shift • 62-71% ethanol, 0.5% hydrogen peroxide, 0.1% sodium hypochlorite for at least one minute Rocky Mountain Center for Occupational and Environmental Health

Corona Virus Survival on Surfaces

NEJM March 2020. DOI: 10.1056/NEJMc2004973.

Disinfection

Disinfection

Worker Hygiene • Regular handwashing as part of daily work routine • Provide tissues, no-touch trash cans, alcohol-based hand rubs, disinfectants • Disposable towels for cleaning surfaces • Display posters Rocky Mountain Center for Occupational and Environmental Health

Worker Hygiene

Worker Hygiene

Contact with Community • Use online or phone interaction when possible • Limit working hours and facilities • Communicate easily understood changes with the public Rocky Mountain Center for Occupational and Environmental Health

Contact with Community

Contact with Community

Contact with Community

References • https://coronavirus-download.utah.gov/Governor/UtahLeads%20April2020%20v20%20(2).pdf • https://www.wsj.com/articles/volkswagen-reopens-europe-plants-offering-a-vision-of-the-postvirus-car-factory-11587140348 • http://newsroom.vw.com/community/volkswagen-drives-bigger-to-fight-the-covid-19-outbreak/ • https://www.cushmanwakefield.com/en/netherlands/six-feet-office • https://www.cushmanwakefield.com/en/news/2020/04/creation-of-recovery-readiness-taskforce-to-prepare-businesses-for-post-covid-19 • https://arlingtonva.s3.amazonaws.com/wp-content/uploads/2019/08/COOP-Template-BusinessContinuity.pdf • https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-businessresponse.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019ncov%2Fspecific-groups%2Fguidance-business-response.html • https://www.osha.gov/Publications/OSHA3990.pdf • https://coronavirus.utah.gov/