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Home My WebLink About4.a. Receive updated COVID-19 Exposure Prevention Plan Page 1 of 23 Item 4.a. CENTRAL SAN August 4, 2020 TO: ADMINISTRATION COMMITTEE FROM: TEJI O'MALLEY, HUMAN RESOURCES MANAGER REVIEWED BY: ANN SASAKI, DEPUTY GENERAL MANAGER ROGER S. BAILEY, GENERAL MANAGER SUBJECT: RECEIVE UPDATED COVID-19 EXPOSURE PREVENTION PLAN I n May, with input from the bargaining unit representatives, Central San adopted a COVI D-19 Exposure Prevention Plan to serve as a guiding document for preventive measures, hazard assessment and controls, and safe return-to-work protocols (based on Centers for Disease Control (CDC) and Cal/OSHA guidelines). Central San's response to COVI D-19 changes rapidly, and the CDC modifies information as new developments occur. Thus, adjustments have been made to the plan in the past several weeks, including the following: 1. Addition of three new symptoms per the CDC and definition of which types of symptoms would require home isolation and testing for COVI D-19. 2. Replacement of the Decision Tree that previously appeared in the Appendix with a chart in Section 4.0 that details several COVI D-19 related scenarios with the actions required by the Supervisor, the Employee, and Central San. 3. Defined "close contact" with an individual who is positive as well as actions required for those employees. The attached COVI D-19 Exposure Prevention Plan (Attachment 1) includes these changes and is the latest version. The updated plan was shared with employees on July 17 with an emphasis that all employees must comply with the provisions in the Plan. Human Resources and Safety will be conducting a virtual training soon on the updated plan and to answer any questions. The Committee members and other Board members are welcome to attend. Staff will be available at the Committee meeting to answer questions. August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 4 of 34 Amended Agenda Page 2 of 23 Strategic Plan re-In GOAL FOUR: Workforce Development Strategy 4—Meet or exceed industry safety standards GOAL FIVE: Infrastructure Reliability Strategy 3—Protect personnel and assets from threats and emergencies GOAL SEVEN:Agility andAdaptability Strategy 1—Maintain a safe working environment for employees and the public during the COVID-19 pandemic Strategy 2—Plan ahead for scenarios of direct adverse impacts ATTACHMENTS: 1. COVI D-19 Exposure Prevention Plan August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 5 of 34 Amended Agenda Page 3 of 23 CENTRAL CONTRA COSTA SANITARY DISTRICT COVID-19 EXPOSURE PREVENTION PLAN August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 6 of 34 Amended Agenda Page 4 of 23 TABLE OF CONTENTS 1.0 PURPOSE, SCOPE AND APPLICABLE STANDARDS.....................................................1 2.0 ABOUT COVID-19 ...............................................................................................................2 3.0 HAZARD ASSESSMENT AND CONTROLS.......................................................................3 4.0 GUIDANCE —ACTUAL OR SUSPECTED EXPOSURE.....................................................5 5.0 CLEANING AND DISINFECTING......................................................................................9 6.0 SAFE RETURN-TO-WORK PROTOCOLS .........................................................................9 ATTACHMENTS A. CLOTH FACE COVERINGS..............................................................................................12 B. FACE COVERING ISSUANCE CRITERIA .....................................................................15 C. SAFE PRACTICES FOR INFRASTRUCTURE WORKERS .............................................16 D. DAILY COVID-19 SYMPTOM CHECK FOR EMPLOYEES..............................................17 E. DAILY COVID-19 SYMPTOM CHECK FOR CONTRACTORS........................................18 F. COVID-19 TESTING...........................................................................................................19 0712020 COVID-19 Exposure Prevention Plan Page i August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 7 of 34 Amended Agenda Page 5 of 23 1.0 PURPOSE AND SCOPE 1.1 Purpose: The purpose of this plan is to provide a safe and healthy workplace for all our workers in response to the COVID-19 pandemic. Our goal is to mitigate the potential for transmission of COVID-19 to Central San employees, customers, contractors, and the general public. This document describes potential exposures in the workplace and is designed to assist employees in understanding: • The symptoms of COVID-19 (also known as SARS-CoV-2 and the novel coronavirus) • When and how long to self-isolate (stay home and quarantine) when symptoms are present • Return-to-workplace procedures after illness or exposure • Reducing transmission among employees • Maintaining healthy business operations • Maintaining a healthy work environment This plan will remain in effect until the COVID-19 Pandemic Emergency Declaration is lifted by the Governor of California and the Contra Costa Health Officer. 1.2 Scope: This program applies to Central San employees, interns, temporary employees, and contractors. Contractors must submit a COVID-19 Protection Plan to Central San for review prior to working onsite and utilize Central San's Daily COVID-19 Symptom Check for Contractors form (Attachment E) for each employee and subcontractor. 1.3 Applicable Standards • US Department of Labor— "Occupational Safety and Health Administration Guidance Preparing Workplaces for COVID-19" https://www.osha.gov/Publications/OSHA3990.pdf • Safety Directive 1.0 — Hazard Identification, Assessment and Correction • Safety Directive 6.0 — Exposure Control Plan for Bloodborne and Infectious Pathogens • Safety Directive 7.0 — Respiratory Protection Program • State of California Executive Orders for COVID-19 https://www.gov.ca.gov/category/executive-orders/ • Contra Costa County Health Officer Orders for COVID-19 https://www.coronavirus.cchealth.org/health-orders Cal/OSHA COVID-19 • Industry Guidance(s): Office Workplaces, Construction, and Energy & Utilities https://covidl9.ca.gov/industrV-quidance/#top 0712020 COVID-19 Exposure Prevention Plan Page 1 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 8 of 34 Amended Agenda Page 6 of 23 2.0 ABOUT COVID-19 2.1 Symptoms Infection with SARS-CoV-2, the virus that causes COVID-19, can cause illness of varying degrees and, in some cases, may be fatal. People with COVID-19 have reported a wide range of symptoms from mild to severe. The following symptoms may appear 2-14 days after exposure to the virus: • Fever • Cough • Shortness of breath or difficulty breathing • Chills/Repeated shaking with chills • Headache/body ache • New loss of taste or smell • Sore throat • Congestion or runny nose • Nausea or vomiting • Diarrhea If you have any of the following emergency warning signs for COVID-19 seek medical attention immediately: • Trouble breathing • Persistent pain or pressure in the chest • New confusion or inability to wake or stay awake • Bluish lips or face 2.2 How COVID-19 Spreads The spread of SARS-CoV-2, the virus that causes COVID-19, is spread by coming into contact with respiratory droplets produced when an infected person coughs, sneezes, or talks. These droplets can be inhaled into the lungs through the nose or mouth or transmitted through contact with the eyes. It is also possible for a person to become infected by touching a surface or object that has the virus on it and then by touching their mouth, nose, or eyes. 0712020 COVID-19 Exposure Prevention Plan Page 2 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 9 of 34 Amended Agenda Page 7 of 23 2.3 Basic Infection Prevention Measures The best way to prevent illness is to avoid being exposed to this virus. However, as a reminder, the Centers for Disease Control and Prevention (CDC) always recommends everyday preventive actions to help stop the spread of respiratory diseases, including: • Avoid close contact with people who are sick. • Avoid touching your eyes, nose, and mouth. • Stay home when you are sick. • Cover your cough or sneeze with a tissue, then throw the tissue in the trash. • Clean and disinfect frequently touched objects and surfaces using a regular household cleaning spray or wipe. • Follow the CDC's recommendations for using a facemask. • Wash your hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing. o If soap and water are not readily available, use an alcohol-based hand sanitizer with at least 60% alcohol. Always wash hands with soap and water if hands are visibly dirty. 3.0 HAZARD ASSESSMENT AND CONTROLS 3.1 Assessment The CDC has found no evidence that suggests additional COVID-19 specific protections are needed for employees working in wastewater operations, including wastewater collection or treatment facilities. Workers should follow routine practices to prevent exposure to wastewater, including using engineering controls, safe work practices, and personal protective equipment (PPE) normally required when handling untreated wastewater. (https://www.cdc.gov/coronavirus/2019-ncov/community/sanitation-wastewater- workers.html) All Central San employees fall into the Occupational Safety and Health Administration's Lower Risk (Caution) classification for infection with COVID-19, which is similar to the general public. Lower Risk classification employees are those whose jobs do not require contact with people known to be, or suspected of being, infected with COVID-19 or frequent close contact with the general public. (https://www.cdc.gov/coronavirus/2019-ncov/hcp/fag.htmi and https://www.osha.gov/SLTC/covid-19/solid-waste-wastewater-mg mt.htm I) 0712020 COVID-19 Exposure Prevention Plan Page 3 August 4, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 10 of 34 Amended Agenda Page 8 of 23 Employees who have occasional contact to the general public must follow basic infection preventive measures and controls (Section 2.3). Employees who require frequent public contact will follow specific protocols developed for those work units. 3.2 Controls 3.2.1 Engineering Controls Engineering controls involve isolating employees from work-related hazards. These types of controls reduce exposure to hazards without relying on worker behavior. Engineering controls at Central San that have been implemented or are being considered/evaluated for COVID-19 include: Installing high-efficiency air filters in occupied spaces (MERV 13 or higher) Increasing ventilation rates (outside makeup air) in the work environment • Physical barriers, such as clear plastic sneeze guards, where necessary o Drive-up or drop-off service for customers • Automatic doors and faucets o Office/workspace reconfigurations allowing social distancing, where necessary 3.2.2 Administrative Controls Administrative controls are changes in normal work policy or procedures to reduce or minimize exposure to a hazard. Administrative controls at Central San for COVID-19 include: • Sick workers staying at home o Minimizing contact among employees, consultants, and customers by replacing face-to-face meetings with virtual communications, social distancing, and implementing telework, if feasible o Establishing alternating schedules or adjusted shifts that reduce the total number of employees in a facility at any given time • Maintaining distance from one another while onsite working at desks, break areas, hallways, and restrooms • Discontinuing nonessential travel to locations with ongoing COVID-19 outbreaks o Requiring regular hand washing and providing resources for proper hygiene such as soap, hand sanitizers, paper towels, etc. • Increased cleaning and disinfecting of shared areas • Signage to remind employees of social distancing, proper hygiene, etc. 0712020 COVID-19 Exposure Prevention Plan Page 4 August 4, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 11 of 34 Amended Agenda Page 9 of 23 • Limiting the number of individuals in elevators, breakrooms, and restrooms • Directional traffic routes for narrow hallways to maintain social distancing and lessen chances of employees passing each other to close to one another • Training and communication with all employees and bargaining unit representatives on the plan, hazards associated with COVID-19, and protection methods 3.2.3 Personal Protective Equipment (PPE) PPE is needed when engineering and administrative controls are not fully effective when dealing with an outbreak of an infectious disease, such as COVID-19. PPE utilized at Central San include: • Face coverings such as surgical masks, N95 dust masks, and respirators with P100 cartridges. Cloth masks such as bandanas, neck gaiters, or homemade face coverings meeting CDC guidelines (see Attachments A and B) are also acceptable • Face shields, goggles, and safety glasses • Gloves • Body protection such as work uniforms, Tyvek suits, coveralls, aprons, lab coats, etc. 4.0 GUIDANCE — SCENARIOS OF POTENTIAL EXPOSURE The purpose of this section is to provide guidance to department supervisors and staff in various scenarios. Prescribed steps include self-isolation for the employee, contact tracing, and mandatory COVID-19 testing. 4.1 Notifications and Actions If an employee exhibits symptoms, has been exposed in close contact to a positive individual or symptomatic household member, or has tested positive themselves, IMMEDIATELY send the employee home for self- isolation AND notify Human Resources so the appropriate actions can be taken to contain and assess the situation. Follow the guidelines and charts below. • Due to HIPAA/personal privacy restrictions, DO NOT disclose the name or other personal/health information of any employee, except on a strict need-to-know basis. DO NOT disclose the name or other information of the employee to the media or other third party. • Teleworking is permitted during self-isolation if employee is able to and if teleworking is available and authorized. 0712020 COVID-19 Exposure Prevention Plan Page 5 August 4, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 12 of 34 Amended Agenda Page 10 of 23 • Department supervisors with exposure and/or medical questions not addressed in this document should contact Human Resources for assistance. Testing • For asymptomatic employees, testing is currently available through Central San's occupational healthcare provider (Concentra). Asymptomatic employees may also get tested through their primary care physician (PCP) or the County (see Attachment F — COVID-19 Testing). • For symptomatic employees, testing can be done through their PCP or the County (see Attachment F — COVID-19 Testing). Actions Required in Actual or Suspected Exposure Scenarios: (see next table for employee actions required based on test results) Scenario Supervisor Central San Employee Employee Send the employee • If employee • Self-isolate. exhibits/reports home for self- receives a • Notify your supervisor that you are symptoms*or illness isolation (with option positive COVID- out due to exhibiting or being to telework if 19 test: observed with symptoms of a applicable). • Conduct contact possible COVID-19 contraction. • Require the tracing (see • You are required to get tested for Employee observed employee to get a Section 4.1.1). COVID-19 as soon as possible. with symptoms*or COVID-19 test. • Require testing of • Follow the table below based on illness • Notify Human Group A and B the result. Resources individuals. immediately. • Send Group A • Implement individuals home Employee was in close decontamination for self-isolation contact**with an • Self-isolate with option to telework if steps (see Section (with option to ( p individual who has 5.0). telework if applicable). Even if you don't feel tested positive for applicable)while sick, you still carry a risk of COVID-19 awaiting test transmission. (exposed, results. • Inform your supervisor of asymptomatic Group B individuals possible exposure. employee) may continue to • You are required to get tested for work while awaiting COVID-19 as soon as possible. test results. • Follow the table below based on the result. Employee was in close • Monitor yourself for symptoms and contact**with another inform your supervisor if you become Central San employee symptomatic. or an onsite contractor • If you are deemed an infrastructure who has tested worker and must report to work, positive for COVID-19 Central San will follow the CDC (exposed, guidelines (Attachment C—Safe asymptomatic Practices for Infrastructure Workers). employee) 0712020 COVID-19 Exposure Prevention Plan Page 6 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 13 of 34 Amended Agenda Page 11 of 23 Scenario Supervisor Central San Employee • Send the employee • If employee home for self- receives a isolation (with positive COVID- • Self-isolate (with option to telework if option to telework if 19 test: applicable). Even if you don't feel applicable) until 14 • Conduct contact sick, you still carry a risk of days after 1) tracing (see transmission. household member Section 4.1.1). • Inform your supervisor of is no longer • Require testing of possible exposure. Employee's household exhibiting Group A and B • Monitor yourself for symptoms and member exhibits symptoms*or individuals. inform your supervisor if you become symptoms* illness and • Send Group A symptomatic. (potentially exposed, employee has no individuals home • If your household member tests asymptomatic symptoms*, or 2) if for self-isolation positive for COVID-19, you are employee) family member (with option to required to get tested for COVID-19. receives a negative telework if • Follow the table below based on the test result for applicable)while result of your test if you are tested. COVID-19. awaiting test • If you are deemed an infrastructure • If household results. worker and must report to work, member tests Group B Central San will follow the CDC positive for COVID- individuals may guidelines (Attachment C—Safe 19, require the continue to work Practices for Infrastructure Workers). employee to get a while awaiting test COVID-19 test. results. • Conduct contact tracing (see Section 4.1.1). • Require testing of • Send the employee Group A and B . Self-isolate (with option to telework if home for self- individuals. applicable)for at least 10 days after isolation if they are • Send Group A not already. individuals home being free of all COVID-19 symptoms including cough, sore Employee tests positive • Notify Human for self-isolation throat, headache/body aches, and for COVID-19 Resources (with option to fever(without the use of fever- immediately. telework if reducing medication (e.g., Aspirin, • Implement applicable)while Tylenol, etc.)). decontamination awaiting test . Obtain a negative follow-up COVID- steps (see Section results. 19 test before returning to work. 5.0). • Group B individuals may continue to work while awaiting test results. * Action should be taken, and self-isolation is required, if the employee has a fever of 100.4 degrees and/or a combination of symptoms which include cough, shortness of breath or difficulty breathing, fatigue, headache/body ache, and new loss of taste or smell. **Close contact is defined as the following: face-to-face contact (within 6 feet)for more than 15 minutes with someone known to have COVID-19, while that person was or may have been infectious, including in the 48 hours before their symptoms started. 0712020 COVID-19 Exposure Prevention Plan Page 7 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 14 of 34 Amended Agenda Page 12 of 23 Employee Actions Required Based on Test Results: Test Result Employee Action . You MUST notify Central San (your division manager and the Human Resources Manager) immediately. Positive • Self-isolate for at least 10 days after being free of all COVID-19 symptoms including cough, sore throat, headache/body aches, and fever(without the use of fever-reducing medication (e.g., Aspirin, Tylenol, etc.)). • Obtain a negative follow-up COVID-19 test before returning to work. • Despite a negative test result, you still need to remain home and continue to Negative monitor your symptoms. (symptomatic) . If your symptoms resolve and you have been fever free for 3 days (72 hours) without the use of fever-reducing medication, you may return to work. Negative • If you are not experiencing any symptoms currently and have been fever free (asymptomatic) for 3 days (72 hours)without the use of fever-reducing medication, you may return to work. 4.1.1 Contact Tracing Contract tracing is conducted by identifying individuals who have had close contact with a COVID-19 confirmed employee. Central San has classified two groups for contact tracing, based upon the CDC definition of"close contact," prioritized for testing as follows: Priority Exposure Type Description of Exposure Face-to-face contact within 6 feet for more than 15 Group A Close minutes while that person was or may have been Contact infectious, including in the 48 hours before their symptoms started Sharing a closed space (e.g. control room, crew room, Group B Incidental conference room, etc.)for more than 2 hours with Exposure someone known to have COVID-19, while that person was or may have been infectious, including in the 48 hours before their symptoms started. See Section 4.0 for testing location options for asymptomatic and symptomatic individuals. 4.1.2 Critical Infrastructure Workers Individuals who are deemed necessary to ensure continuity in operations may be required to report to work after a contact exposure while awaiting COVID-19 testing results and are asymptomatic. (See Attachment C — Safe Practices for Infrastructure Workers.) 0712020 COVID-19 Exposure Prevention Plan Page 8 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 15 of 34 Amended Agenda Page 13 of 23 These individuals will be required to be pre-screened on a daily basis by measuring the employee's temperature and using the Daily COVID-19 Symptom Check for Employees form (Attachment D). They will be required to wear a face mask at all times while in the workplace for a period of 14 days after the exposure or until negative results are received. They will need to maintain social distancing of 6 feet, as duties permit, and the workspaces must be disinfected and cleaned frequently. 5.0 CLEANING AND DISINFECTING Central San is using enhanced cleaning and disinfection routines that include more frequent cleaning and special attention to high-touch surfaces such as door hardware, handrails, bathrooms, etc. In cases where further cleaning or decontamination may be needed after a potential exposure (defined as an employee with a fever or cough at work, or an employee testing positive for COVID-19), Central San has contracted with Service Master and Clean Harbors. Please contact Risk Management to arrange decontamination services. 6.0 SAFE RETURN-TO-WORK PROTOCOLS 6.1 All Employees All employees have the responsibility of following the safeguards and protocols to prevent the transmission of SARS-CoV-2 virus (the virus that causes COVID-19). This includes, but is not limited to: • Federal, state, and local guidelines related to COVID-19 • Complying with Central San's COVID-19 Exposure Prevention Plan • Self-monitoring of COVID-19 symptoms as detailed on the Daily COVID-19 Symptom Check for Employees Form (Attachment D) prior to the start of each shift and before entering Central San premises; notify your supervisor immediately if you answer yes to any of the questions on the form • Practicing good personal hygiene by washing hands frequently and avoiding touching face, eyes, or mouth Following social distancing guidelines by maintaining a 6-foot distance from other coworkers, whenever possible • Wearing face coverings when in common areas such as hallways, breakrooms, restrooms, conference rooms, or any other area where you may have a potential interaction with another individual or have difficulty maintaining social distancing from others. If driving a pool or shared vehicle (others have the ability to operate the vehicle) face coverings are required unless they present a safety hazard. Face coverings are not required in an employee's private office if no other individuals are present or if outside and can maintain at least 10 feet of separation between yourself and others (see Attachment B — Face Coverings Issuance Criteria) 0712020 COVID-19 Exposure Prevention Plan Page 9 August 4, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 16 of 34 Amended Agenda Page 14 of 23 • Not congregating in common areas such as breakrooms, mailrooms, printer areas, corridors, etc. • Utilizing non-contact communication such as Microsoft Teams, email, or phone when meeting in person is not necessary • Cleaning and disinfecting your office area often — clean up counters and common spaces after use in breakrooms, restrooms, etc. • Clean and disinfect pool or shared work vehicles prior to and after use. Cleaning and disinfection of pool vehicles includes wiping down the interior of the vehicle and any other frequently touched areas • Not entering other Central San facilities, work areas, or the treatment plant unless necessary for business and when other non-contact communication is not possible (i.e., inspections, maintenance, etc.) • Not carpooling with other employees to work, meetings, or projects • Follow department-specific guidance 6.2 Plant Personnel Plant personnel should follow the safeguards and protocols listed for all employees including, but not limited to, the following: • Do not enter Operations Control Rooms in POD or SCB Building unless authorized Do not have more than one person per Central San vehicle and clean and disinfect the vehicle prior to and after use • Do not share personal protective equipment such as respiratory protection, face shields, hearing protection, body protection, etc. o Clean and disinfect shared hand tools, equipment, control surfaces, etc. before and after use • Maintain social distancing when in locker/shower/changing rooms • Follow department-specific COVID-19 guidance 6.3 CSO Personnel CSO personnel should follow the safeguards and protocols listed for all employees including, but not limited to, the following: • Do not have more than one person per Central San vehicle, and clean and disinfect the vehicle prior to and after use • Do not share personal protective equipment such as respiratory protection, face shields, hearing protection, etc. o Clean and disinfect shared hand tools, equipment, control surfaces, etc. before and after use • Maintain social distancing when in locker/shower/mud rooms 0712020 COVID-19 Exposure Prevention Plan Page 10 August 4, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 17 of 34 Amended Agenda Page 15 of 23 • Maintain social distancing and wear face coverings when working in public roadways or easements • Follow department-specific COVID-19 guidance 6.4 Household Hazardous Waste Personnel Household Hazardous Waste personnel should follow the safeguards and protocols listed for all employees including, but not limited to, the following: • Do not share personal protective equipment such as respiratory protection, face shields, hearing protection, etc. • Clean and disinfect shared hand tools, equipment, carts, etc. before and after use • Maintain social distancing when in locker/shower/changing rooms • Maintain social distancing when assisting customers in the Reuse Room and when receiving waste from customers • Use barriers and no-touch transactions for resident information o Follow department specific COVID-19 guidance 0712020 COVID-19 Exposure Prevention Plan Page 11 August 4, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 18 of 34 Amended Agenda Page 16 of 23 ATTACHMENT A — CLOTH FACE COVERINGS • 1 ClothFaceCoverings 1 Help Slow theSpread of COVID-19 How to Wear Cloth Face Coverings Cloth face coverings should— fit snugly but comfortably against the side of the face be secured with ties or ear loops include multiple layers of fabric allowfor breathing without restriction be able to be laundered and machine dried without damage or change to shape CDC on Homemade Cloth Face Coverings I� CDC recommends wearing cloth face coverings in public settings where other social distancing measures are difficult to maintain(e.g.,grocery stores and pharmacies),especially in areas of significant community-based transmission. CDC also advises the use of simple cloth face coverings to slow the spread of the virus and help people who may have the virus and do not know it from transmitting it to others. Cloth face coverings fashioned from household items or made at home from common materials at low cost can be used as an additional,voluntary public health measure. Cloth face coverings should not be placed on young children underage 2,a nyone who has trouble breathing,or is unconscious,incapacitated or otherwise unable to remove the cloth face covering without assistance. The cloth face coverings recommended are not surgical masks or N-95 respirators. Those are critical supplies that must continue to be reserved for healthcare workers and other medical first responders,as recommended by current CDC guidance. Should cloth face coverings be washed or otherwise cleaned regularly?How regularly? Yes.Theyshould be routinely washed depending on the frequency of use. How does one safely sterilize/clean a cloth face covering? A washing machine should suffice in properly washing a cloth face covering. How does one safely remove a used cloth face covering? Individuals should be careful not to touch their eyes,nose,and mouth when removing their cloth face covering and wash hands immediately after removing. E 111AW0001 cdc.govkoronavirus CS316353E 0000070,8'.07 PM 0712020 COVID-19 Exposure Prevention Plan Page 12 August 4, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 19 of 34 Amended Agenda Page 17 of 23 ■ Sewn Cloth Face Covering Materials o Two 10"x6"rectangles of cotton fabric Needle and thread(or bobby pin) Two 6"pieces of elastic Scissors (or rubber bands,string, Sewing machine cloth strips,or hair ties) Tutorial 1. Cut out two 10-by-6-inch rectangles of cotton 2. Fold over the long sides 1/4 inch and hem.Then fold the fabric.Use tightly woven cotton,such as quilting double layer of fabric over 1/2 inch along the short sides fabric or cotton sheets.T-shirt fabric will work in and stitch down. a pinch.Stack the two rectangles;you will sew fold the cloth face covering as if it was a single piece 1/4 inch stitch of fabric. T r 1/4 inch = F stitch pp 1s 6 inches fold 1 i l 1/2 inch 1/2 inch 1 1 � t! 7a -. - - - fold fold 10 inches t t stitch stitch 3. Run a 6-inch length of 1/8-inch wide elastic through the wider hem 4. Gently pull on the elastic so that the knots on each side of the cloth face covering.These will be the ear loops. are tucked inside the hem. Use a large needle or a bobby pin to thread it through.Tie the ends Gather the sides of the cloth face covering on tight, the elastic and adjust so the mask fits your Don't have elastic?Use hairties or elastic head bands.If you only face.Then securely stitch the elastic in place have string,you can make the ties longer and tie the cloth face to keep it from slipping. covering behind your head. thread tuck in knot through stitch knot Ni r stitch 0712020 COVID-19 Exposure Prevention Plan Page 13 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 20 of 34 Amended Agenda Page 18 of 23 ■ Quick Cut T-shirt Cloth Face Covering (no sew method) Materials • T-shirt • Scissors Tutorial 1. 2. 3 Tie strings / 6-7 inches around neck, i.,........-...................................i then overtop of head. cut out — ------ i cuttiestrings .J� Ae 7-8 inches Bandana Cloth Face Covering (no sew method) Materials Bandana(or square cotton cloth approximately 20"x20") • Scissors(if you are cutting your oven cloth) Rubber bands(or hair ties) Tutorial 1. 2. 3. ---------------------------- ------------- Place rubber bands or hairties about 6 inches apart. Fold top down.Fold bottom up. Fold bandana in half. 4. �_�kk r ,. 5. 6. EZL� C=��O C5� Fold side to the middle and tuck. 0712020 COVID-19 Exposure Prevention Plan Page 14 August 4, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 21 of 34 Amended Agenda Page 19 of 23 ATTACHMENT B — FACE COVERINGS ISSUANCE CRITERIA Due to the limited availability of disposable surgical masks, dust masks, and respirators caused by the COVID-19 pandemic, supplies will be issued based on the level of public contact and the potential contamination of dirt, grease, and wastewater. Masks can be worn up to 8 hours/day but must be replaced if they become soiled with dirt, grease, process chemicals, and/or wastewater/solids. Employees issued respirators must follow Safety Directive 7.0 - Respiratory Protection Program. Alternative reusable fabric masks should be used by lower risk personnel and can be laundered up to 150 times. CRITERIA — Based on Level of Public Contact and/or Potential for Contamination Minimal Level • HOB/POB/CSO office personnel including Accounting, Finance, Human Resources, the Office of the General Manager, and Information Technology o Two fabric masks, and/or up to five disposable surgical masks per person, per week Low Level • Laboratory personnel • Capital Projects (Plant and Collection System) • Warehouse personnel • Fleet Services o Two fabric masks and/or 5-10 disposable surgical masks per person, per week Medium Level • Construction Inspectors • Environmental Compliance Inspectors • Permit Counter Staff • Pumping Station Operators • Electricians • Instrument Technicians • Plant Engineering • Household Hazardous Waste o Two fabric masks and/or 5-15 disposable surgical masks per person, per week High Level • Operations • Maintenance • Collection System Maintenance o Two fabric masks and/or 5-20 disposable surgical masks per person, per week ISSUANCE The Warehouse will issue face coverings in accordance with the above protocols. If additional face coverings, above and beyond the protocols, are needed, please contact your supervisor. 0712020 COVID-19 Exposure Prevention Plan Page 15 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 22 of 34 Amended Agenda Page 20 of 23 ATTACHMENT C — SAFE PRACTICES FOR INFRASTRUCTURE WORKERS Interim Guidance for Implementing Safety Practices for Critical Infrastructure Workers Who May Have Had Exposure to a Person with Suspected or Confirmed COVID-19 To ensure continuity of operations of essential functions,CDC advises that critical infrastructure workers may be permitted to continue work following INTLRIM GUIDANCE potential exposure to COVID-19,provided they remain asymptomatic and additional precautions are implemented to protect them and the community. This interimguidance pertains to critical infrastructure workers,including personnel in A potential exposure means being a household contact or having close 16 different sectors of work including: contact within 6 feet of an individual with confirmed or suspected COVID-19. o. Federal,state,&local law enforcement The timeframe for having contact with an individual includes the period of time of 48 hours before the individual became symptomatic. ployees Critical Infrastructure workers who have had an exposure but remain 1, Fusion • • " asymptomatic should adhere to the following practices prior to and during i� Hazardous material responders from their work shift: government and the private sector Janitorial ► Pre-Screen:Employers should measure the employee's temperature and assess symptoms priorto them starting work.Ideally,temperature checks h. Workers-including contracted should happen before the individual enters thefacility. '"'and agriculture, manufacturing, informational technology,transportation, ► Regular Monitoring:As long as the employee doesn't have a temperature or energy and government facilities symptoms,they should self-monitor under the supervision of their employ- er's occupational health program. ► Wear a Mask:The employee should wear a face mask at all times while in the workplace for 14 days after last exposure.Employers can issue facemasks or can approve employees'supplied cloth face coverings in the ADDITIONAL CONSIr • ` TIONS event of shortages. ► Social Distance:The employee should maintain 6 feet and practice social distancing as work duties permit in the workplace. i. Employeesshould objects that are near mouth or nose. ► Disinfect and Clean work spaces:Clean and disinfect all areas such as offices,bathrooms,common areas,shared electronic equipment routinely. ployers should increase the frequency of .commonly surfaces If the employee becomes sick during the day,they should be sent home immediately.Surfaces in their workspace should be cleaned and disinfected. Employees and employers Information on persons who had contact with the ill employee during the pilot testing the use of face rnasks.to ensure they••not interfere with work time the employee had symptoms and 2 days priorto symptoms should be compiled.Others at the facility with close contact within 6 feet of the Employers should + employee during this time would be considered exposed. nance staff to increase air exchanges in room. Employers should implement the recommendations in the Interim Guidance Employees • •physically they take breaks together.Stagger breaks and for Businesses and Employers to Plan and Respond to Coronavirus Disease •.n't congregate in the break room, don't 2019 to help prevent and slow the spread of COVID-19 in the workplace. share food or utensils. Additional information about identifying critical infrastructure during COVID-19 can be found on the DHS CISA website or the CDC's specific First Responder Guidance page. IlrlIi�� = CISA 0712020 COVID-19 Exposure Prevention Plan Page 16 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 23 of 34 Amended Agenda Page 21 of 23 ATTACHMENT D - DAILY COVID-19 SYMPTOM CHECK FOR EMPLOYEES Employee Instructions: All employees are required to self-monitor for COVID-19 symptoms as detailed below prior to the start of each shift and before entering Central San premises. Notify your supervisor immediately if you answer yes to any of the questions on the Symptom Checker Form. Supervisor Instructions: If all answers are NO to all the questions listed below, the employee may report to work. If employee answers are YES to the fever or a combination of the questions listed below, please refer to Section 4.0 — Guidance for Actual or Suspected Exposure. 1. Do you have a fever? Yes ❑ No 2. Do you have chills? Yes ❑ No 3. Do you have a persistent cough? Yes ❑ No 4. Are you experiencing shortness of breath? Yes ❑ No 5. Do you have headache/body ache? Yes ❑ No ❑ 6. Do you have a loss of taste or smell? Yes ❑ No ❑ 7. Do you have a sore throat? Yes ❑ No ❑ 8. Do you have congestion or runny nose? Yes U No �I 9. Do you have nausea or vomiting? Yes I No 10. Do you have diarrhea? Yes ❑ No Note: If any COVID-19 symptoms appear during the work week, immediately notify your supervisor and self-isolate. 0712020 COVID-19 Exposure Prevention Plan Page 17 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 24 of 34 Amended Agenda Page 22 of 23 ATTACHMENT E — DAILY COVID-19 SYMPTOM CHECK FOR CONTRACTORS Contractor Employees Must Complete Prior to Entering the Jobsite Date: Time: Contractor Name: Employee Name: Verifying Supervisor Name: Instructions: All contractors are required to complete this symptom check form daily prior to entering the Central San jobsite. If all answers are NO to all the questions listed below, the contractor may enter the jobsite. If the contractor answers YES to fever or a combination of questions listed below, please send/keep the contractor home. Contractors are required to ensure the COVID-19 Symptom Check is completed daily by each employee entering a jobsite. 1. Do you have a fever? Yes No 2. Do you have chills? Yes No 3. Do you have a persistent cough? Yes No 4. Are you experiencing shortness of breath? Yes No 5. Do you have headache/body ache? Yes No 6. Do you have a loss of taste or smell? Yes No 7. Do you have a sore throat? Yes No 8. Do you have congestion or runny nose? Yes No 9. Do you have nausea or vomiting? Yes No 10. Do you have diarrhea? Yes No Safety Rules: 1. Face coverings must be worn at all times in compliance with the County Health Officer Orders. 2. Practice social distancing by maintaining 6 feet, when feasible. 3. Practice good hygiene by washing hands frequently and avoiding touching face, eyes, or mouth. 4. No sharing of personal protective equipment (PPE), cellphones, water coolers, etc. 5. No carpooling to and from the jobsite unless workers live in same home. 6. Clean and sanitize commonly used areas/items such as trailers, restrooms, hand wash stations, tools, and equipment, etc. 0712020 COVID-19 Exposure Prevention Plan Page 18 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 25 of 34 Amended Agenda Page 23 of 23 ATTACHMENT F — COVID-19 TESTING 1W WWI" COVIDA9 TESTING COVID-19 testing available for Contra Costa County residents* availableNow days a week Appointment1 - d Drive-through and walk-in appointments Results1 days Testing will 1 ' at no cost to you and will be billed through your health insurance or free ifyoudo not have coverage Call 1-844-421-0804 8 a.m. - 3:30 p.m. 7 days a week RESPONSE Coronavirus(COVID-19) www.ccheaIth.org/coronavirus CONTRA COSTA HEALTH SLRVICLS Testing made possible,in part,by the generous support of the Chan Zuckerberg Initiative 0712020 COVID-19 Exposure Prevention Plan Page 19 August 4, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 26 of 34 Amended Agenda