COVID-19 Guidance

Standard Operating Procedures for Construction Sector during COVID-19

Construction sites operating during the Coronavirus (COVID-19) pandemic need to ensure they are protecting their workforce by implementing measures to minimize the risk and spread of infection.  Cleaning, disinfecting, and other maintenance and security services performed by building service employees are critical to protecting the public health by reducing COVID19 infections.

Businesses play a critical role in protecting the health and safety of employees and limiting the negative impact on the economy and communities. Preparedness, not panic, is the best way to mitigate the risks posed by a COVID-19 pandemic to the TCI economy and our citizens. A business continuity plan will minimize the impact on business and facilitate a speedy resumption of activities if the business has been forced to scale back or close during the pandemic. The Standardized Protocols for All TCI Construction Sites outlines the best practices for construction sites in order to maintain the health and safety of all workers required to perform duties during the COVID-19 crisis. The protocols, which include prevention, detection and response measures, will minimize the impacts of the crisis and ensure business continuity in the construction industry.

Scope: These guidelines are intended to provide consistent measures on construction sites of all types and sizes in line with the TCIG’s recommendations on social distancing and to ensure employers, employees and other individuals make every effort to comply.

Objectives: Prioritize the health and safety of workers and of their surrounding communities;

  • Apply recommendations and best practices from health authorities to construction siteprocedures;
  • Establish and maintain a common COVID-19 Pandemic Response Plan across construction sites; and
  • Foster open communication amongst stakeholders and ensure a respectful work environment.

All employees should: All workers exercise the following recommended practices for reducing the risk of transmission as identified by the Ministry of Health;

  • Avoid touching eyes, nose and mouth with unwashed hands;
  • When coughing or sneezing: - Cough or sneeze into a tissue or the bend of your arm, not your hand;
  • Dispose of any tissues you have used as soon as possible in a lined waste basket and wash your hands afterwards;
  • Non-medical face-coverings (such as homemade cloth masks) should be worn as a potential mitigant to catching and transmitting the virus, but are not to be treated as substitutes for proper handwashing, physical distancing, and other protective measures (see additional guidance on non-medical face coverings below).
  • Clean and disinfect frequently touched objects and surfaces, including all reusable personal protective equipment (PPE);
  • Do not share personal items or supplies such as phones, pens, notebooks, tools, PPE, etc.;
  • Use and remove PPE with care, being mindful of which surfaces may be contaminated. Individuals must clean their hands after handling any used PPE;
  • Avoid common physical greetings, such as handshakes;
  • Maintain a minimum physical distance of two metres from others; and
  • Wash hands often with soap and water for at least 20 seconds after using the washroom, before handling food, after blowing nose, coughing, or sneezing, and before smoking.

If hands are not visibly soiled, and soap and water are unavailable, alcohol-based hand sanitizer can be used.

Administrative staff

Working remotely

  • Where practical, all office employees supporting a project work remotely. Meetings are held through teleconferencing or videoconferencing.

Meetings

The number of in person meetings is minimized. If required, meetings should involve only necessary individuals and include six people or fewer. Minimum physical distancing is maintained, and meetings are held in open spaces when possible.

Travel to Work

  • Employees who have been in close contact with someone infected by COVID-19, must also inform management.
  • Wherever possible workers should travel to the site alone using their own transport.
  • If workers have no option but to share transport, journeys should be shared with the same individuals and with the minimum number of persons at any one time.
  • Good ventilation (i.e. keeping the windows open) and facing away from each other may help to reduce the risk of transmission.
  • The vehicle should be cleaned regularly using gloves and standard cleaning products, with particular emphasis on handles and other areas where passengers may touch surfaces.

Management should consider the following:

  • Develop and implement a site transportation protocol.
  • Parking arrangements for additional vehicles and bicycles.
  • Providing hand cleaning facilities at entrances and exits. (This should be soap and running water wherever possible or hand sanitizer, if soap and running water are not available).
  • Plan for staff absences due to a number of reasons (personal illness, ill family members, looking after children if schools close, government authorizing quarantine or self-isolation, etc.).
  • Staff absences due to illness should be monitored and any increases should be reported to the public health department.
  • Prepare a COVID-19 response plan to identify processes for dealing with suspected and confirmed COVID-19 cases.
  • Communicate the site expectations and prevention measures to all workers and contractors.
  • Provide adequate PPEs (personal protective equipment) for staff if required.

Possible cases of COVID-19

  • Individuals who have been potentially exposed to the virus, or who are exhibiting flu-like symptoms such as fever, tiredness, coughing, or congestion are instructed to:

- Not come to work;

- Contact their supervisor and/or human resources department;

- Stay at home and self-isolate; and

- Contact local health authorities for further direction. Such individuals are

   required to follow the directions of the local health authority and may not

   return to work until given approval by the proper health authorities.

  • Individuals who begin to display flu-like symptoms on site are instructed to avoid touching anything, take extra care to contain coughs and sneezes, and return home immediately to undergo self-isolation as directed by the local health authority.
  • All areas on site potentially infected by a confirmed or probable case are barricaded to keep individuals two metres (6ft) away until the area is properly cleaned and disinfected.

Site Access and Egress Points

  • Stop all non-essential visitors.
  • Consider introducing staggered start and finish times to reduce congestion and contact at all times.
  • Plan site access and egress points to enable social distancing – management may need to change the number of access points, either increase to reduce congestion or decrease to enable monitoring, including in the case of emergencies.
  • Ensure workers are maintaining a distance of 2 metre (6ft) when queuing up to enter site.
  • Reminding workers not to attend work if they have symptoms associated with COVID-19 and to follow guidelines.
  • Require all workers to wash their hands for 20 seconds using soap and water when entering and leaving the site
  • Regularly clean common contact surfaces in reception, office, access control and delivery areas e.g. scanners, turnstiles, screens, telephone handsets and desks, particularly during peak flow times.
  • Where loading and offloading arrangements on site will allow it, drivers should remain in their vehicles. Where drivers are required to exit their vehicle, they should wash or sanitize their hands before handling any materials
  • Workers must sign the register when leaving the site.
  • Consider arrangements for monitoring compliance.

Non-medical masks-guidance

Appropriate use of non-medical mask or face covering

When worn properly, a person wearing a non-medical mask or face covering can reduce the spread of his or her own infectious respiratory droplets.

Non-medical face masks or face coverings should:

  • allow for easy breathing
  • fit securely to the head with ties or ear loops
  • maintain their shape after washing and drying
  • be changed as soon as possible if damp or dirty
  • be comfortable and not require frequent adjustment
  • be made of at least 2 layers of tightly woven material fabric (such as cotton or linen)
  • be large enough to completely and comfortably cover the nose and mouth without gaping
  • Non-medical masks or face coverings should not:
  • be shared with others
  • impair vision or interfere with tasks
  • be placed on children under the age of 2 years
  • be made of plastic or other non-breathable materials
  • be secured with tape or other inappropriate materials
  • be made exclusively of materials that easily fall apart, such as tissues
  • be placed on anyone unable to remove them without assistance or anyone who has trouble breathing

Limitations

  • Homemade masks are not medical devices and are not regulated like medical masks and respirators. Their use poses a number of limitations:
  • they have not been tested to recognized standards
  • the fabrics are not the same as used in surgical masks or respirators
  • the edges are not designed to form a seal around the nose and mouth
  • they may not provide complete protection against virus-sized particles
  • they can be difficult to breathe through and can prevent you from getting the required amount of oxygen needed by your body
  • These types of masks may not be effective in blocking virus particles that may be transmitted by coughing, sneezing or certain medical procedures. They do not provide complete protection from virus particles because of a potential loose fit and the materials used.
  • Medical masks, including surgical, medical procedure face masks and respirators (like N95 masks), must be kept for health care workers and others providing direct care to COVID-19 patients.

Cleaning

  • All offices and jobsites implement additional cleaning measures of common areas. All door handles, railings, ladders, switches, controls, eating surfaces, shared tools and equipment, taps, toilets, and personal workstation areas are wiped down at least twice a day with a disinfectant, such as disinfectant wipes.
  • Individuals are responsible for cleaning and disinfecting their workstations.
  • Additional sanitary measures are implemented on site: hand washing stations with a posted hand washing protocol, hand sanitizer stations, provision of disinfectant wiping products. These types of facilities are made available at site entries, exits, washrooms, eating areas, offices, and any other areas with commonly touched surfaces.
  • Commonly touched surfaces on vehicles and equipment are thoroughly cleaned and disinfected at the end of shifts and between users.

Hand Washing

  • Allow workers regular breaks to wash their hands.
  • Provide additional hand washing facilities (e.g. pop ups) to the usual welfare facilities, particularly on a large spread out site or where there are significant numbers of personnel on site, including plant operators.
  • Ensure adequate supplies of soap and fresh water are readily available and kept topped up at all times.
  • Provide hand sanitizer (70% alcohol based) where hand washing facilities are unavailable
  • Regularly clean the hand washing facilities.
  • Provide suitable and sufficient rubbish bins for hand towels with regular removal and disposal.

Toilet Facilities

  • Restrict the number of people using toilet facilities at any one time (e.g. use a welfare attendant) and use signage, such as floor markings, to ensure 2 metre (6ft) distance is maintained between people when queuing.
  • Wash or sanitize hands before and after using the facilities.
  • Enhance the cleaning regimes for toilet facilities, particularly door handles, locks and the toilet flush.
  • Portable toilets should be cleaned and emptied more frequently.
  • Provide suitable and sufficient rubbish bins for hand towels with regular removal and disposal.

First Aid and Emergency Service Response

  • The primary responsibility is to preserve life and first aid should be administered if required and until the emergency services attend.
  • When planning site activities, the provision of adequate first aid resources must be agreed between the relevant parties on site.
  • Emergency plans including contact details should be kept up to date.
  • Consider preventing or rescheduling high-risk work or providing additional competent first aid or trauma resources.

Protocol auditing

  • Contractors are to conduct periodic audits (frequency to be determined based on a project scale and scope) to verify that the appropriate measures have been implemented and are maintained.
  • Business guidelines will need to be reviewed and updated in accordance with TCIG guidance which may be issued from time to time and which can be located on the TCIG website.
  • Use credible and reliable sources of information to monitor and assess the situation and refine your plans accordingly.  

References

https://www.constructionleadershipcouncil.co.uk/wp-content/uploads/2020/04/Site-Operating-Procedures-Version-3.pdf

Standrad Operating Procedure for Cleaning Following COVID-19 Pandemic in Non-Healthcare Settings

Transmission of coronavirus in general occurs much more commonly through respiratory droplets than through fomites. The infection risk from coronavirus (COVID-19) following contamination of the environment decreases over time. It is not yet clear at what point there is no risk, however, current evidence suggests that COVID-19 may remain viable for hours to days on surfaces made from a variety of materials. Studies of other viruses in the same family suggest that, in most circumstances, the risk is likely to be reduced significantly after 72 hours. The risk of infection depends on many factors, including:

  • The type of surfaces contaminated
  • The amount of virus shed from the individual
  • The time the individual spent in the setting
  • The time since the individual was last in the setting

Cleaning of visibly dirty surfaces with soap and water followed by disinfection is a best practice measure for prevention of COVID-19 and other viral respiratory illnesses in community settings.

Employers are advised to perform a general cleaning of office spaces prior to staff returning to work, especially in those offices that remained closed during the “shelter in place” period.

WHAT YOU NEED TO KNOW

  • Cleaning an area with normal household disinfectant such as bleach after someone with suspected coronavirus (COVID-19) has left will reduce the risk of passing the infection on to other people.
  • Wear disposable or washing-up gloves and aprons for cleaning.
  • garbage/waste should be double-bagged, then stored securely for 72 hours then thrown away in the regular rubbish after cleaning is finished.
  • Using a disposable cloth, first clean hard surfaces with warm soapy water. Then disinfect these surfaces with the cleaning products you normally use. Pay particular attention to frequently touched areas and surfaces, such as bathrooms, grab-rails in corridors and stairwells and door handles.
  • If an area has been heavily contaminated, i.e. a few persons positive for coronavirus (COVID-19), use protection for the eyes, mouth and nose, as well as wearing gloves and an apron.
  • Wash hands regularly with soap and water for 20 seconds, also after removing gloves, aprons and other protection used while cleaning.

PERSONAL PROTECTIVE EQUIPMENT (PPE)

The minimum PPE to be worn for cleaning an area where a person with possible or confirmed coronavirus (COVID-19) is disposable gloves and an apron. Hands should be washed with soap and water for 20 seconds after all PPE has been removed.

If a risk assessment of the setting indicates that a higher level of virus may be present (for example, where unwell individuals have slept such as a hotel room or an apartment building) or there is visible contamination with body fluids, then the need for additional PPE to protect the cleaner’s eyes, mouth and nose would be necessary.

CLEANING AND DISINFECTION/DECONTAMINATION

Public areas where an individual with symptoms passed through and spent minimal time, such as corridors, but which are not visibly contaminated with body fluids can be cleaned thoroughly as normal.

All surfaces that the person with symptoms came into contact with must be cleaned and disinfected, including:

  • Objects which are visibly contaminated with body fluids.
  • All potentially contaminated high-contact areas such as bathrooms, door handles, telephones, grab-rails in corridors and stairwells.

Before cleaning, ensure that all necessary tools and equipment are prepared and readily available. Cleaning tools, cleansers/disinfectants, measuring tools and protective gear will be needed.

Cleaning tools:

  • Brush, mop, towel, spray can and bucket.

Cleansers/disinfectants:

  • Bleach and water.

Measuring tools:

  • Tablespoon and measuring cup.

Protective gear:

  • Disposable gloves, plastic apron and possibly goggles and masks if required.

Use disposable cloths or paper roll and disposable mop heads, to clean all hard surfaces, floors, chairs, door handles and sanitary fittings. Bleach solution is a strong and effective disinfectant. Its active ingredient, sodium hypochlorite, denatures protein in micro-organisms and is therefore effective in killing bacteria, fungus and viruses. Household bleach works quickly and is widely available at a low cost. Diluted household bleach is thus recommended for the disinfection of facilities.

Improper use of bleach may reduce its effectiveness in disinfection and also lead to accidents which can be harmful to health. Overuse of bleach or using a bleach solution that is too concentrated results in the production of toxic substances that pollute the environment and disturb ecological balance.

Procedures of Preparing/Using Diluted Bleach

  1. When diluting or using bleach ensure good ventilation.
  2. Put on protective gear when diluting or using bleach as it irritates mucous membranes, the skin and the airway.
  3. Cold water should be used for dilution as hot water decomposes the active ingredient of bleach and renders it ineffective.
  4. Bleach containing 5.25% sodium hypochlorite should be diluted as follows (demonstration short):
    • diluted household bleach (mixing 10ml of bleach with 1litre of water) can be used for general cleaning.
    • diluted household bleach (mixing 10ml of bleach with 0.5litre of water) is used to disinfect surfaces or articles contaminated with vomitus, excreta, secretions or blood.
  5. For accurate measurement of the amount of bleach added, a measuring cup can be used.
  6. Rinse disinfected articles with water and wipe dry.
  7. Cleaning tools should be soaked in diluted bleach for 30 minutes and then rinsed thoroughly before reuse.
  8. Finally, wash hands with liquid soap, then dry hands with a clean towel or disposable towel.

PERCAUTIONS

  • Avoid using bleach on metals, wool, nylon, silk, dyed fabric and painted surfaces.
  • Avoid touching the eyes. If bleach gets into the eyes, immediately rinse with water for at least 15 minutes and consult a doctor.
  • Bleach should not be used together or mixed with other household detergents as this reduces its effectiveness in disinfection and causes chemical reactions. For instance, a toxic gas is produced when bleach is mixed with acidic detergents such as those used for toilet cleaning. This could result in accidents and injuries. If necessary, use detergents first and rinse thoroughly with water before using bleach for disinfection.
  • For effective disinfection, diluted bleach should be used within 24 hours after preparation as decomposition increases with time if left unused.
  • Avoid creating splashes and spray when cleaning.
  • Any cloths and mop heads used must be disposed of and should be put into waste bags as outlined below.

When items cannot be cleaned using detergents or laundered, for example, upholstered furniture and mattresses, steam cleaning should be used.

Any items that are heavily contaminated with body fluids and cannot be cleaned by washing should be appropriately disposed of.

WASTE

Waste from office spaces are not considered infectious waste. After decontamination, wipes can be disposed in with your solid waste and mop water can be discharged to the sanitary sewer. If, however, a member of staff develop signs and symptoms related to COVID-19, put waste including, disposable or washing-up gloves, aprons used for cleaning and disposable wipes in a double-bag, store securely for 72 hours, then thrown away in the regular rubbish. 

  1. Management /Supervisor must ensure that all the appropriate cleaning tools are available, also that cleaning staff is knowledgeable about cleaning protocol, and that they adhere to the protocol.

Reference:

https://www.gov.uk/government/publications/covid-19-decontamination-in-non-healthcare-settings

https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html

https://www.scdhec.gov/infectious-diseases/viruses/coronavirus-disease-2019-covid-19/waste-management-covid-19


As the COVID-19 situation continues to develop, the Ministry of Health will provide updates if any additional precautions are recommended

Guidance for Employers and Businesses on COVID-19

The government understands that employers and businesses may have concerns about how they can remain open for business safely or reopen their businesses, and so play their part in preventing the spread of the virus. It is impossible for everyone to work from home as certain jobs will require people to travel to, from and for their work, for instance to operate machinery, work in construction or manufacturing, or to deliver front line services. All employers must follow regulations and guidance as prescribed by the Turks and Caicos Islands Government.

Scope: This guidance will assist employers, businesses and their staff in operating safely during coronavirus (COVID-19). The following interim guidance may help prevent workplace exposures to COVID-19, in non-healthcare settings.

Management

  • Employers should plan to respond in a flexible way to varying levels of disease transmission in the community and be prepared to refine their business response plans as needed.
  • Local conditions will influence the decisions that public health officials make regarding community-level strategies.
  • All employers need to consider how best to decrease the spread of COVID-19 and lower the impact in their workplace. This may include activities in one or more of the following areas:
  1. Reduce transmission among employees,
  2. Maintain healthy business operations, and
  3. Maintain a healthy work environment.
  • Businesses and workplaces should make every possible effort to enable working from home as a first option. Where working from home is not possible, workplaces should make every effort to comply with the social distancing guidelines set out by the government.
  • Support members of staff who are vulnerable or extremely vulnerable, by allowing them to work from home where possible to reduce risk of coronavirus (COVID-19).
  • Where the social distancing guidelines cannot be followed in full in relation to a particular activity, businesses should consider whether that activity needs to continue for the business to operate, and, if so, take all the mitigating actions possible to reduce the risk of transmission between their staff.
  • Staff who are unwell with symptoms of coronavirus (COVID-19) should not travel to or attend the workplace.
  • Staff may be feeling anxious about coming to work and also about impacts on livelihood.
  • Workplaces should ensure staff are fully briefed and appropriately supported at this time
  • Any member of staff who develops symptoms of coronavirus (COVID-19) (a new, continuous cough and/or a high temperature) should be sent home and advised to stay at home for 14 days from onset of symptoms.
  • If the member of staff lives in a household where someone else is unwell with symptoms of coronavirus (COVID-19) then they must stay at home in line with the quarantine guidance.
  • Provide opportunities to work from home where possible to reduce the spread of coronavirus (COVID-19).
  • Remind employees to wash their hands for 20 seconds with soap and water more frequently and catch coughs and sneezes in tissues.
  • Frequently clean and disinfect objects and surfaces that are touched regularly, using your standard cleaning products.
  • Those who follow advice to stay at home should be eligible for statutory sick pay (SSP) from the first day of their absence from work.

Support respiratory etiquette and hand hygiene for employees, customers, and worksite visitors:

  • Provide tissues and no-touch disposal receptacles.
  • Provide soap and water in the workplace. If soap and water are not readily available, use alcohol-based hand sanitizer that is at least 60% alcohol. If hands are visibly dirty, soap and water should be chosen over hand sanitizer. Ensure that adequate supplies are maintained.
  • Place hand sanitizers in multiple locations to encourage hand hygiene.
  • Place posters that encourage hand hygiene to help stop the spread at the entrance to your workplace and in other workplace areas where they are likely to be seen.
  • Discourage handshaking – encourage the use of other noncontact methods of greeting. 

Social distancing in the workplace

  • Make regular announcements to remind staff and/or customers to follow social distancing advice and wash their hands regularly.
  • Encourage the use of digital and remote transfers of material where possible rather than paper format, such as using e-forms, emails and e-banking.
  • Provide additional pop-up handwashing stations or facilities if possible, ensure the availability of soap, water, hand sanitizer and tissues and encourage staff to use them.
  • Where it is possible to remain 2 metres (6ft) apart, use floor markings to mark the distance, particularly in the most crowded areas (for example, where queues form).
  • Where it is not possible to remain 2 metres apart, staff should work side by side, or facing away from each other, rather than face to face if possible.
  • Where face-to-face contact is essential, this should be kept to 15 minutes or less wherever possible.
  • If possible, keep teams as small as possible.

Customer-facing businesses:

  • Use signage to direct movement into lanes, if feasible, while maintaining a 2 metre (6ft) distance.
  • Regulate entry so that the premises do not become overcrowded.
  • Use additional signage to ask customers not to enter the premises if they have symptoms.

Shift-working and staggering processes

Businesses should consider the following:

  • Splitting staff into teams with alternate days working from home, or splitting across a day and night shift.
  • Where staff are split into teams, and where contact is unavoidable, the split should be done between the same individuals.
  • Spreading out standard processes, so that only one team needs to be on the premises to complete a task at a given time.
  • Where it is possible to remain 2 metres (6ft) apart, using signage such as floor markings to facilitate compliance, particularly in the most crowded areas (this includes entry points to buildings, toilets and communal break areas) where queues may form.
  • Ensure that the business’s social distancing measures are effectively communicated to all staff.
  • Ensure frequent cleaning and disinfecting of objects and surfaces that are touched regularly, using your standard cleaning products and particularly at the end and beginning of shifts.

Staff canteens and rest areas

Where there are no practical alternatives, workplace canteens should remain open to provide food to staff with appropriate adjustments for social distancing. The following principles should be applied:

  • Canteen staff who are unwell should not be at work.
  • Canteen staff should wash their hands often with soap and water for at least 20 seconds before and after handling food.
  • Staff should be reminded to wash their hands regularly using soap and water for 20 seconds and before and after eating. If possible, increase the number of hand washing stations available.
  • A distance of 2 metres (6ft) should be maintained between users, wherever possible.
  • Staff should be allowed to continue use of rest areas, if they apply the same social distancing measures.
  • Notices promoting hand hygiene and social distancing should be placed visibly in these areas.
  • Frequently clean and disinfect surfaces that are touched regularly, using your standard cleaning products.
  • Consider extending and staggering meal times to avoid crowding.

Limiting spread of coronavirus (COVID-19) in business and workplaces

  • Businesses and employers can help reduce the spread of coronavirus (COVID-19) by reminding everyone of the public health advice.
  • Employees and customers should be reminded to wash their hands for 20 seconds with soap and water more frequently than normal.
  • Employers should frequently clean and disinfect objects and surfaces that are touched regularly, using your standard cleaning products.
  • Businesses may recommend that employees wear facemask as a precautionary measure - to be effective, face masks must be worn correctly, changed frequently, removed properly, disposed of safely and used in combination with good universal hygiene precautions.

Reduce Transmission Among Employees

Actively encourage sick employees to stay home:

  • Employees who have symptoms (i.e., fever, cough, or shortness of breath) should notify their supervisor and stay home.
  • Sick employees should follow the following steps:

Stay home except to get medical care

  • Stay home. Most people with COVID-19 have mild illness and can recover at home without medical care. Do not leave your home, except to get medical care. Do not visit public areas.
  • Take care of yourself. Get rest and stay hydrated. Take over-the-counter medicines, such as acetaminophen, to help you feel better.
  • Stay in touch with your doctor. Call before you get medical care. Be sure to get care if you have trouble breathing, or have any other emergency warning signs, or if you think it is an emergency. If you are having an emergency, call 911 and inform them in advance if you suspect you may have COVID-19.
  • Avoid; ride-sharing, or taxis.
  • Employees should not return to work until the criteria to discontinue home quarantine are met, in consultation with the public health team of the Ministry of Health.
  • Employees who are well but who have a sick family member at home with COVID-19 should notify their supervisor and follow MOH instructions.
  • Be aware that some employees may be at higher risk for serious illness, such as older adultsand those with chronic medical conditions. Consider minimizing face-to-face contact between these employees or assign work tasks that allow them to maintain a distance of six feet from other workers, customers and visitors, or to telework if possible.
  • Avoid using other employees’ phones, desks, offices, or other work tools and equipment, when possible. If necessary, clean and disinfect them before and after use.
  • Practice social distancing by avoiding large gatheringsand maintaining distance (approximately 6 feet or 2 meters) from others when possible.

Separate sick employees:

  • Employees who appear to have symptoms(i.e., fever, cough, or shortness of breath) upon arrival at work or who become sick during the day should immediately be separated from other employees, customers, and visitors and sent home.
  • If an employee is confirmed to have COVID-19 infection, employers should inform fellow employees of their possible exposure to COVID-19 in the workplace but maintain confidentiality as required. The employer should instruct fellow employees about how to proceed based on the Ministry of Health guidance.

Implement flexible sick leave and supportive policies and practices.

  • Ensure that sick leave policies are flexible and consistent with public health guidance and that employees are aware of and understand these policies.
  • Maintain flexible policies that permit employees to stay home to care for a sick family member or take care of children due to school and childcare closures. Additional flexibilities might include giving advances on future sick leave and allowing employees to donate sick leave to each other.
  • Employers that do not currently offer sick leave to some or all of their employees may want to draft non-punitive “emergency sick leave” policies.
  • Employers should not require a positive COVID-19 test result or a healthcare provider’s note for employees who are sick to validate their illness, qualify for sick leave, or to return to work. Healthcare provider offices and medical facilities may be extremely busy and not able to provide such documentation in a timely manner.

Consider establishing policies and practices for social distancing. Social distancing should be implemented if recommended by state and local health authorities. Social distancing means avoiding large gatherings and maintaining distance (approximately 6 feet or 2 meters) from others when possible (e.g., breakrooms and cafeterias). Strategies that business could use include:

  • Implementing flexible worksites (e.g., telework).
  • Implementing flexible work hours (e.g., staggered shifts).
  • Increasing physical space between employees at the worksite.
  • Increasing physical space between employees and customers (e.g., drive through, partitions).
  • Implementing flexible meeting and travel options (e.g., postpone non-essential meetings or events).
  • Downsizing operations.
  • Delivering services remotely (e.g. phone, video, or web).
  • Delivering products through curbside pick-up or delivery.

Employers with more than one business location are encouraged to provide managers with the authority to take appropriate actions outlined in their COVID-19 response plan based on local conditions.

Cleaning and disinfection

  • Clean AND disinfect frequently touched objects and surfaces such as workstations, keyboards, telephones, handrails, and doorknobs. Dirty surfaces can be cleaned with soap and water prior to disinfection.
  • Wash hands regularly with soap and water for 20 seconds, and after removing gloves, aprons and other protection used while cleaning.
  • Use either a combined detergent disinfectant solution at a dilution of 1,000 parts per million available Chlorine.

Perform enhanced cleaning and disinfection after persons suspected/confirmed to have COVID-19 have been in the facility:

  • If a sick employee is suspected or confirmed to have COVID-19, follow the Environmental Health Department guidelines for deep cleaning.
  • Business guidelines will need to be reviewed and updated in accordance with TCIG guidance which may be issued from time to time and which can be located on the TCIG website.
  • Use credible and reliable sources of information to monitor and assess the situation and refine your plans accordingly.

Reference:

https://www.gov.uk/government/publications/guidance-to-employers-and-businesses-about-covid-19/guidance-for-employers-and-businesses-on-coronavirus-covid-19

Guidance on Preparing Workplaces for COVID-19 https://www.osha.gov/Publications/OSHA3990.pdf

Interim Guidance for Businesses and Employers to Plan and Respond to Coronavirus Disease 2019 (COVID-19) https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html

Non-medical masks-guidance

Appropriate use of non-medical mask or face covering

When worn properly, a person wearing a non-medical mask or face covering can reduce the spread of his or her own infectious respiratory droplets.

Non-medical face masks or face coverings should:

  • allow for easy breathing
  • fit securely to the head with ties or ear loops
  • maintain their shape after washing and drying
  • be changed as soon as possible if damp or dirty
  • be comfortable and not require frequent adjustment
  • be made of at least 2 layers of tightly woven material fabric (such as cotton or linen)
  • be large enough to completely and comfortably cover the nose and mouth without gaping
  • Non-medical masks or face coverings should not:
  • be shared with others
  • impair vision or interfere with tasks
  • be placed on children under the age of 2 years
  • be made of plastic or other non-breathable materials
  • be secured with tape or other inappropriate materials
  • be made exclusively of materials that easily fall apart, such as tissues
  • be placed on anyone unable to remove them without assistance or anyone who has trouble breathing

Limitations

  • Homemade masks are not medical devices and are not regulated like medical masks and respirators. Their use poses a number of limitations:
  • they have not been tested to recognized standards
  • the fabrics are not the same as used in surgical masks or respirators
  • the edges are not designed to form a seal around the nose and mouth
  • they may not provide complete protection against virus-sized particles
  • they can be difficult to breathe through and can prevent you from getting the required amount of oxygen needed by your body
  • These types of masks may not be effective in blocking virus particles that may be transmitted by coughing, sneezing or certain medical procedures. They do not provide complete protection from virus particles because of a potential loose fit and the materials used.
  • Medical masks, including surgical, medical procedure face masks and respirators (like N95 masks), must be kept for health care workers and others providing direct care to COVID-19 patients.

Guidelines for Recreational Boating, Passenger Vessels and Ferry Operators

Water sports is one of those recreational activities which needs to be monitored closely due to the high infection rate and global impact of coronavirus. The number one priority of operators should be the health and safety of their passengers and crew, and this principle should continue to guide their decision making moving forward during this unprecedented event.

The following actions should be adopted to ensure the health and safety of passengers and crew.

Preventive measures for recreational boating

  • All crew and office personnel are required to wear face coverings when/where appropriate.
  • Face coverings should be made available for all passengers or passengers should be notified in advance to bring their own face coverings.
  • All staff are required to follow Ministry of Health guidelines on hand washing, hygiene and social distancing guidance of staying 2 metres (6ft) apart.
  • Avoid touching your eyes, nose, or mouth.
  • Cover your mouth and nose with a tissue when you cough or sneeze, then throw the tissue in the trash and wash your hands, or sneeze/cough into your elbow.
  • Enhanced sanitation protocols for all water sports equipment, i.e., snorkels, masks, etc.
  • Enhanced protocols to restrict work for all high-risk crew members.
  • Protocols to ensure sick staff members remain at home and contact the Ministry of Health.

Food Preparation

Additional precautionary measures to further ensure the health and safety of passengers and crew.

  • Enhanced sanitation protocols for high touchpoint areas.
  • All food service personnel are required to wear face coverings.
  • All food service personnel are required to follow MOH guidelines on hand washing, hygiene and social distancing.
  • Enhanced protocols to restrict work for all high-risk food service personnel.
  • All food will be presented and served individually; all buffet style food service has been suspended.

Facilities & Vessels

  • Enhanced and regular sanitation protocols for all facilities and vessels (follow the EHD general cleaning guidelines) paying particular attention to frequently touched areas.
  • Vessels should be cleaned between voyages.
  • Implementation of additional hand sanitizing stations.
  • Reduced capacity of check-in office occupancy.
  • Significant reduction in passenger occupancy on all activities to support social distancing.
  • Signage should advise customers and staff of COVID-19 prevention measures.

Requests of Passengers

Protect the health & safety of other passengers & crew by encouraging the following:

  • Refraining from handshakes, fist bumps and high fives.
  • Wearing face coverings when/where appropriate.
  • Following MOH guidelines on hand washing, hygiene and social distancing.
  • Being courteous to and respecting the personal space of other passengers and crew.

Operators of passenger and ferry vessels should:

  • Notify passengers before boarding that they may be subject to a health check to prevent the spread of COVID-19 (this involves answering a few simple questions which should be answered truthfully).
  • Notify passengers when purchasing their ticket and before boarding that they should have a face covering to cover their mouth/nose, for use at times during their journey when they cannot physically distance from others (e.g., in washrooms or other common areas).
  • Have the crew (or crew member) advised on wearing a face covering that covers the mouth and nose when outside your vehicle and in situations where 2 metres of physical separation cannot be maintained prior to or on-board the vessel. Where this is not feasible, the operator should post equivalent signage.
  • Maintain records for all passengers for at least one month in case a need arises whereby the public Health team needs to do contact tracing for person who may have been affected by COVID-19.

Refusal of boarding:

In the event that the vessel operator observes the following:

  1. The passenger has COVID-19 symptoms (cough, fever, shortness of breath); or
  2. That their response to any of the questions on the health check indicates a need to deny boarding; or
  3. The passenger is not in possession of a face covering.

The vessel operator should refuse to board the person for travel for a period of 14 days or until a medical certificate is presented that confirms that the symptoms that the person is exhibiting are not related to the COVID-19 virus (in the case of a. or b.). Refusal of boarding for c. could occur if such measures are being adopted locally and no other means are available to maintain two metres of physical separation mitigation.

If the passenger must travel for the purpose of receiving needed medical services, they should take precautions to reduce the risk of the spread of COVID-19 such as staying in their car as much as possible, wearing a face covering and maintaining a minimum of two metres from any other passenger.

Provide explanation for future travel: Where possible, vessel operators should explain to passengers who are denied boarding, based on the health check or observation, that they will need to wait 14 days before they are able to board a vessel or that they will need to provide a medical certificate indicating that the symptoms that they are exhibiting are not related to the COVID-19 virus.

Advise vessel passengers to follow the Ministry of Health guidance related to COVID-19: Vessel operators should advise passengers who have been denied boarding to follow the guidance/direction from Ministry of Health for dealing with the COVID-19 infection.

Questionnaire for Health Check

Vessel operators should protect themselves by maintaining more than 2 metres between themselves and passengers at all times, which is also known as social or physical distancing. Staff should be instructed to encourage foot passengers to maintain more than 2 metres distance between themselves while in line (markers can be utilized).

If the response (or non-response) to any of the four questions below results in the answer that is in bold, then a denial of boarding should be applied.

  1. Do you have a fever and a cough? If YES or passenger refuses to answer, deny boarding.
  2. Do you have a fever and breathing difficulty? If YES or passenger refuses to answer, deny boarding.
  3. Have you been refused boarding in the past 14 days due to a medical reason related to COVID-19? If YES or passenger refuses to answer, deny boarding.
  4. Are you the subject of a quarantine order? If YES or passenger refuses to answer, deny boarding.
  5. Are you in possession of a face covering that covers your mouth and nose, and do you agree to wear this covering in situations where you cannot maintain two metres of physical separation from your fellow passengers? If NO or passenger refuses to answer, deny boarding.

Reference

https://www.tc.gc.ca/en/initiatives/covid-19-measures-updates-guidance-tc/covid-19- guidance-material-passenger-vessel-ferry-operators.html

https://covid19.gov.gg/sites/default/files/2020-05/COVID-19%20-%20Guidelines%20for%20Pleasure%20Boats%20and%20General%20Aviation%20FINAL.pdf

https://eur-lex.europa.eu/legal- content/EN/TXT/?qid=1587372584657&uri=CELEX%3A52020XC0414%2801%29

Guidelines for Recreational Sports - Scuba Diving

How COVID-19 spreads

COVID-19 is transmitted when an infected person coughs or exhales, they release infectious respiratory droplets. These droplets most often settle on nearby surfaces and objects – such as desks, tables or telephones. Other persons may then become infected by touching contaminated surfaces or objects and then touching their face, specifically: eyes, nose and or mouth. Additionally, if an individual is standing within one metre (3ft) of a person with COVID-19 they can become infected by inhaling the infectious respiratory droplets.

PREVENTIVE MEASURES

The key measure to prevent divers from acquiring COVID-19 is to prevent the virus from getting onto/into diving equipment and other surfaces involved. This presents unique challenges, but must be considered to ensure safety of staff and other users.

Stakeholders must familiarize themselves and utilize guidance from the Ministry of Health and Public and Environmental Health (Control Measures) (COVID 19) Regulations 2020 on the preventive and containment measures.

COVID-19 AND THE SCUBA DIVING COMMUNITY

As with advice given to the general public, remain at home as much as possible. Recreational diving is not advised at this time due to the limited information and true understanding of the novel coronavirus as well as limited local medical resources. Scuba Diving poses a number of potential injuries and health concerns- including “decompression sickness” and trauma resulting from at-sea injuries. Only essential or emergency diving is advised; recreational diving should be postponed until further information is available. Divers should take responsibility for their own wellbeing. If they are not feeling well, in any way, then you should simply NOT dive.

Specific to COVID-19, if a person has lung or upper respiratory congestion, the flu or flu like symptoms, they should NOT participate in any scuba diving activities.

Possibly the two most essential factors in dealing with COVID-19 are personal hygiene and disinfection of scuba diving equipment. Both measures are underlined by many leading scuba diving organizations around the globe.

Dive-Specific Tips:

  • Use defog solution instead of saliva on mask
  • Use individual mouthpiece
  • Sanitize all equipment as outlined below; including boat
  • Ensure disinfectant solution is available for use during dive. Maintain social distance (>6ft) as best as possible

General Coronavirus Protective Measures

  • Wash your hands thoroughly and frequently (at least 20 seconds with soap and water)
  • Avoid touching your nose, eyes, and mouth
  • Maintain social distance of at least 2 meters (6ft)
  • Wear a mask/ face covering (for nose and mouth) when in public spaces/ establishments
  • Prevent the transmission of respiratory illnesses by practicing respiratory hygiene – sneeze and cough into your elbow or use a tissue and dispose immediately after use
  • If you have fever, cough and or difficulty breathing, avoid contact with other people and contact your medical provider or Health Hotline: 232-9444 or 333-0911
  • Stay informed and follow advice given by the Ministry of
  • When traveling please consult the Public Health Team for any additional safety measures

Disinfecting Diving Gear

Given the current threat of COVID-19 and the fact that the virus can survive for hours on solid surfaces, diving centers need to adopt basic prevention measures due to the uncertainty surrounding the spread of the virus. The following dive equipment should be properly sanitized and cleaned:

- Buoyancy Control Device (BCD) oral inflator
- Regulator mouthpiece
- Inner surface of dive mask
- Snorkel
- Whistle
- Orally inflated Surface Marker Buoy (SMB)

Sanitizing diving equipment

  • Use a solution of 10% aqueous solution of sodium hypochlorite (bleach) with an application time of more than 15
  • Ensure all surfaces of the equipment is submerged in the
  • Rinse thoroughly with fresh water – ensure that the manufacturer’s instructions are followed
  • Sanitize common surfaces such as boat tables, chairs etc. with 10% bleach solution or other approved

Divers should refrain from using shared equipment.

Conclusion

COVID-19 poses a serious risk to the diving population. The nature of the work involves close contact, reusable respiratory/breathing equipment and sites that are distant form medical facilities.

The most effective way to minimize the impact of COVID-19 is by reserving diving activity for urgent or emergent reasons. In such cases the aim is to prevent the virus arriving at the work site, and ensure there is minimal chance of equipment contamination.

The evolution of the virus and its spread is a dynamic situation and further guidance may be updated as more information on COVID-19 becomes available. Additional information and guidance may be found on the Ministry of Health’s website.

References

https://www.kooxdiving.com/en/scuba-diving-equipment-coronavirus-disinfection/

DEMA, The Diving Equipment & Marketing Association

https://www.dema.org/page/CoronavirusUpdates - May 10, 2020

World Health Organization

https://www.who.int/ - May 10, 2020

IMCA D 06/20 - Novel Coronavirus (COVID-19) - Guidance for diving contractors

http://www.dmac-diving.org/guidance/IMCAD06-20.pdf

https://blog.padi.com/2020/04/03/travel-and-diving-safety-tips-during-and-after-covid-19/

https://www.scubadoctor.com.au/coronavirus-covid-19.htm

https://www.diversalertnetwork.org/emailview/landing/blogs/prepareForReturn20/index.html