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HomeMy WebLinkAbout7.c. Recieve the updated COVID-19 Exposure Prevention Plan Page 1 of 25 Item 7.c. ,orVIOIN SAN December 1, 2020 TO: ADMINISTRATION COMMITTEE FROM: TEJI O'MALLEY, HUMAN RESOURCES AND ORGANIZATIONAL DEVELOPMENT MANAGER REVIEWED BY: ROGER S. BAILEY, GENERAL MANAGER SUBJECT: RECEIVE THE UPDATED COVID-19 EXPOSURE PREVENTION PLAN This memo is to provide information to the Administration Committee on the most up-to-date COVI D-19 Exposure Prevention Plan that incorporates the changes summarized below. Summary of Changes: 1. Updated to reflect the most recently revised definition of "close contact" by the Center for Disease Control. 2. Added/codified the requirements of recently passed legislation that details new notice and reporting requirements when an employee tests positive for COVI D-19. 3. Re-evaluated and updated the symptoms that the District utilizes to determine when employees are required to quarantine and be mandatorily tested. 4. Developed protocols for gym usage at the Headquarters Office Building and Collection System Operations. All Central San employees must comply with the provisions in the Plan to minimize the risk of COVI D-19 exposure. Human Resources and Safety will conduct a virtual Question-and-Answer session on the updated plan in the coming weeks. Staff will be available at the meeting to answer any questions. Strategic Plan Tie-In GOAL FOUR: Workforce Development Strategy 4—Meet or exceed industry safety standards ATTACHMENTS: 1. Updated COVID-19 Exposure Prevention Plan December 1, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 28 of 54 Page 2 of 25 CENTRAL CONTRA COSTA SANITARY DISTRICT COVID-19 EXPOSURE PREVENTION PLAN December 1, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 29 of 54 Page 3 of 25 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......................................................................................8 6.0 SAFE RETURN-TO-WORK PROTOCOLS........................................................................8 7.0 OSHA RECORDING/NOTIFICATION..............................................................................10 ATTACHMENTS A. CLOTH FACE COVERINGS............................................................................................13 B. FACE COVERING ISSUANCE CRITERIA .....................................................................16 C. SAFE PRACTICES FOR INFRASTRUCTURE WORKERS.............................................17 D. DAILY COVID-19 SYMPTOM CHECK FOR EMPLOYEES .............................................18 E. DAILY COVID-19 SYMPTOM CHECK FOR CONTRACTORS .......................................19 F. COVID-19 TESTING.........................................................................................................20 G. GYM PROTOCOLS..........................................................................................................21 1012020 COVID-19 Exposure Prevention Plan Page i December 1, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 30 of 54 Page 4 of 25 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 2019 Coronavirus Disease (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:Hcovidl 9.ca.gov/industry-guidance/#top 1012020 COVID-19 Exposure Prevention Plan Page 1 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 31 of 54 Page 5 of 25 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 • Fatigue • Muscle or body aches • Shortness of breath or difficulty breathing • Cough • Sore throat • Diarrhea • New loss of taste or smell • Congestion or runny nose • Chills/Repeated shaking with chills • Nausea or vomiting 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 • Inability to wake or stay awake • Bluish lips or face 2.2 How COVID-19 Spreads The spread of SARS-CoV-2 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. 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: 1012020 COVID-19 Exposure Prevention Plan Page 2 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 32 of 54 Page 6 of 25 • 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/coronavi rus/2019-ncov/commun ity/san itation-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.html and https://www.osha.gov/SLTC/covid-19/solid-waste-wastewater- mgmt.html) 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. 1012020 COVID-19 Exposure Prevention Plan Page 3 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 33 of 54 Page 7 of 25 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 • Drive-up or drop-off service for customers • Automatic doors and faucets • 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 • Minimizing contact among employees, consultants, and customers by replacing face-to-face meetings with virtual communications, social distancing, and implementing telework, if feasible • 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 • 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. • 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: 1012020 COVID-19 Exposure Prevention Plan Page 4 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 34 of 54 Page 8 of 25 • 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. • 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). 1012020 COVID-19 Exposure Prevention Plan Page 5 December 1, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 35 of 54 Page 9 of 25 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 positive • Notify your supervisor that you are symptoms*or illness isolation (with option COVID-19 test: out due to exhibiting or being to telework if • Conduct contact observed with symptoms of a Employee is observed applicable). tracing (see possible COVID-19 contraction. with symptoms*or Require the Section 4.1.1). • You are required to get tested for illness employee to get a • Require testing of COVID-19 as soon as possible. COVID-19 test. Group A and B • Follow the table below based on the • Notify Human individuals. result. Employee was in close Resources • Send Group A • Self-isolate (with option to telework if contact**with an immediately. individuals home applicable). Even if you don't feel individual who has Implement for self-isolation sick, you still carry a risk of tested positive for decontamination (with option to transmission. COVID-19 steps (see Section telework if • Inform your supervisor of possible (exposed, 5.0). applicable)while exposure. asymptomatic awaiting test • You are required to get tested for employee) results. COVID-19 as soon as possible. • Group B • Follow the table below based on the Employee was in close individuals may result. contact**with another continue to work . Monitor yourself for symptoms and Central San employee while awaiting test inform your supervisor if you become or an onsite contractor results. symptomatic. who has tested • If you are deemed an infrastructure positive for COVID-19 worker and must report to work, (exposed, Central San will follow the CDC asymptomatic guidelines (Attachment C—Safe employee) Practices for Infrastructure Workers). Employee's household Send the employee • If employee • Self-isolate (with option to telework if member exhibits home for self- receives a positive applicable). Even if you don't feel symptoms* isolation (with option COVID-19 test: sick, you still carry a risk of (potentially exposed, to telework if • Conduct contact transmission. asymptomatic applicable) until 14 tracing (see • Inform your supervisor of possible employee) days after 1) Section 4.1.1). exposure. household member • Require testing of • Monitor yourself for symptoms and is no longer Group A and B inform your supervisor if you become exhibiting individuals. symptomatic. symptoms*or illness • Send Group A • If your household member tests and employee has individuals home positive for COVID-19, you are no symptoms*, or 2) for self-isolation required to get tested for COVID-19. if family member (with option to • Follow the table below based on the receives a negative telework if result of your test if you are tested. test result for applicable)while • If you are deemed an infrastructure COVID-19. awaiting test worker and must report to work, • If household results. Central San will follow the CDC member tests • Group B guidelines (Attachment C—Safe positive for COVID- individuals may Practices for Infrastructure Workers). 19, require the continue to work employee to get a while awaiting test COVID-19 test. results. Employee tests positive Send the employee • Conduct contact • Self-isolate (with option to telework if for COVID-19 home for self- tracing (see applicable)for at least 10 days after isolation if they are Section 4.1.1). being free of all COVID-19 symptoms 1012020 COVID-19 Exposure Prevention Plan Page 6 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 36 of 54 Page 10 of 25 not already. • Require testing of including cough, sore throat, body • Notify Human Group A and B aches, and fever(without the use of Resources individuals. fever-reducing medication (e.g., immediately. • Send Group A Aspirin, Tylenol, etc.)). • Implement individuals home • Obtain a negative follow-up COVID- decontamination for self-isolation 19 test before returning to work. steps (see Section (with option to 5.0). telework if applicable)while awaiting test results. • 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, muscle or body aches, diarrhea, and new loss of taste or smell. "Close contact is defined as the following: face-to-face contact (within six feet)for more than 15 cumulative minutes in a 24 hour period with someone known to have COVID-19, starting from two days before illness onset(or, for asymptomatic patients, two days prior to test specimen collection) until the time the patient is isolated. Employee Actions Required Based on Test Results: Test Result Employee Action Positive • Self-isolate for at least 10 days after being free of all COVID-19 symptoms including cough, sore throat, 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. Negative • Despite a negative test result, you still need to remain home and continue to (symptomatic) monitor your symptoms. • If your symptoms resolve and you have been fever-free for three 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 for (asymptomatic) three 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 Group A Close Contact Face-to-face contact(within six feet)for more than 15 cumulative minutes in a 24-hour period with someone known to have COVID-19, starting from two days before illness onset(or, for asymptomatic patients, two days prior to testspecimen collection 1012020 COVID-19 Exposure Prevention Plan Page 7 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 37 of 54 Page 11 of 25 until the time the patient is isolated. Group B Incidental Exposure Sharing a closed space (e.g. control room, crew room, conference room, etc.)for more than two hours 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. 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.) 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 six 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 1012020 COVID-19 Exposure Prevention Plan Page 8 December 1, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 38 of 54 Page 12 of 25 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 six-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). • 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 the Plant Operations Department or Solids Control 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. • 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. 1012020 COVID-19 Exposure Prevention Plan Page 9 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 39 of 54 Page 13 of 25 6.3 Collection System Operations (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. • Clean and disinfect shared hand tools, equipment, control surfaces, etc. before and after use • Maintain social distancing when in locker/shower/mud rooms • 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 • Follow department specific COVID-19 guidance 7.0 OSHA RECORDING/NOTIFICATION 7.1 OSHA 300 Log - When to Record a COVID-19 Case A Covid-19 case shall be recorded on the OSHA 300 log if: (1) the case is a tested- confirmed positive case of COVID-19; (2) the case is work-related (see Section 7.2); and (3) the case involves death, days away from work, restricted work or transfer to another job, medical treatment beyond first aid, loss of consciousness, and/or a significant injury or illness diagnosed by a physician or other licensed healthcare professional. The key to determining if a COVID-19 positive employee's sickness is recordable is whether the case is work-related. In order to make this determination, at the time Central San learns of a COVID-19 positive employee, it must conduct an investigation to determine if the case is work-related. 1012020 COVID-19 Exposure Prevention Plan Page 10 December 1, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 40 of 54 Page 14 of 25 According to Cal/OSHA, a reasonable investigation should involve the following: 1. Asking the employee how s/he believe s/he contracted COVID-19; 2. While respecting the employee's privacy, asking the employee about his/her work and out-of-work activities that may have led to the COVID-19 contraction; and 3. Reviewing the employee's work environment for potential exposure — e.g., determining whether other employees in the work environment also were confirmed with COVID-19. As noted above, this analysis must be conducted at the time Central San learns that an employee is COVID-19 positive. If, however, Central San later learns of additional evidence related to an employee's COVID-19 illness, that information should be used to determine the work-relatedness of a case. 7.2 Determination of Work-Related COVID-19 Cases Cal/OSHA has provided the following scenarios to assist in determining if a case is work- related. Work-Related • COVID-19 illnesses are likely work-related when several cases (clusters) develop among workers who work closely together and there is no alternative explanation. • An employee's COVID-19 illness is likely work-related if it is contracted shortly after lengthy, close exposure to a particular customer or coworker who has a confirmed case of COVID-19 and there is no alternative explanation. • An employee's COVID-19 illness is likely work-related if his/her job duties include having frequent, close exposure to the general public in a locality with ongoing community transmission and there is no alternative explanation. Not Work-Related • An employee's COVID-19 illness is likely not work-related if s/he is the only worker to contract COVID-19 in his/her vicinity and his/her job duties do not include having frequent contact with the general public, regardless of the rate of community spread. • An employee's COVID-19 illness is likely not work-related if s/he, outside the workplace, closely and frequently associates with someone (e.g., a family member, significant other, or close friend) who (1) has COVID-19; (2) is not a coworker; and (3) exposes the employee during the period in which the individual is likely infectious. 7.3 When to Report a COVID-19 Case to Cal/OSHA If it is determined that an employee with a confirmed case of COVID-19 is work-related, Central San must report the case to Cal/OSHA if it results in a fatality or an in-patient hospitalization of one or more employees. If the fatality due to COVID-19 occurs after 30 days or more from the workplace incident leading to the illness, you are not required to report it. 1012020 COVID-19 Exposure Prevention Plan Page 11 December 1, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 41 of 54 Page 15 of 25 If the in-patient hospitalization occurs after 24 hours or more from the workplace incident leading to the illness, you are not required to report it. 7.4 Notification of Contra Costa Health Services Central San must notify Contra Costa Health Services within 48 hours of any employee testing positive for COVID-19, work-related or not. This notification can be made via the Contra Costa Health Services Business Intake Form, emailing COVID.Business.Tracing(a cchealth.org or calling (925) 313-6740. Contra Costa Health Services can assist in providing guidance on preventing the spread of COVID in the workplace, and help employees to take necessary precautions, getting tested and getting needed services, such as food and/or temporary hotel placement to safely quarantine. 7.5 Notification of Employees Central San must provide a written notice to all employees and the employers of subcontracted employees, who were on the premises at the same worksite as the qualifying individual within the infectious period that they may have been exposed to COVID-19 within one business day. Written notice may include, but is not limited to, personal service, email, or text message if it can reasonably be anticipated to be received by the employee within one business day of sending and shall be in both English and the language understood by the majority of the employees. 1012020 COVID-19 Exposure Prevention Plan Page 12 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 42 of 54 Page 16 of 25 ATTACHMENT A — CLOTH FACE COVERINGS ' of ClothFaceCoverings to Help Slow the Spread ofCOV I I -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 al low for breathing without restriction be able to be laundered and machine dried without damage or change to shape CDC on Homemade Cloth Face Coverings 1� CDC recommends wearing cloth face coverings in public settings where other social distancing measuresare difficult to maintain(e.g.,grocery stores and pharmacies),especlaIly 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 fa s h io ned ff o m household itemsor made at homefrom 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,anyone 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.They should 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. EM cdc.govkoronavirus W161538 wnencMe tto 1012020 COVID-19 Exposure Prevention Plan Page 13 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 43 of 54 Page 17 of 25 HT Sewn Cloth Face Covering Materials • Two 10OW 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 go-by-6-inch rectangles of cotton 2. Fold overthe long sides 1/.inch and hem.Then fold the fabric.Use tightly woven cotton,such as quilting double layer of fabric over 1/x 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 114 inch 1 4-- stitch of fabric. T 1` 114 inch stitch 6 inches fold i 112 inch 112 inch H H {4 L fold inld `~ 10 inches stitch stitch 3. Run a 6-inch length of 1/8-inch wide elastic th ro ug h t he w ider hem 4. Gently pull on the elastic so that the knots on each side of the cloth face cove ri ng.These w ill 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 oovering 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 �JJ stitch I knot 4 t� 1 ' stitch 1012020 COVID-19 Exposure Prevention Plan Page 14 December 1, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 44 of 54 Page 18 of 25 ■ 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. i cut out Is cuttiestrings w1� 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 own cloth) Rubber bands(or hair ties) Tutorial 1. 2. 3. --------------------------- ------------- Place rubber bands or hair ties a bout 6 inches apart. Fold top down.Fold bottom up. Fold bandana In half. 4. i-i%k *r 5. 6. Ea:� G=�O C5� Fold side tothe middle and tuck. 1012020 COVID-19 Exposure Prevention Plan Page 15 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 45 of 54 Page 19 of 25 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 eight 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. 1012020 COVID-19 Exposure Prevention Plan Page 16 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 46 of 54 Page 20 of 25 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 interim guidance infrastructure workers,including personnel in A potential exposure means being a household contact or having close 16 different sectors ofwotk 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. P 911 call centeremployees Critical Infrastructure workers who have had an exposure but remain on • • " asymptomatic should adhere to the following practices prior to and during o Hazardous material responders from their work shift: government Janitorial staff and other •• ► Pre-Screen:Employers should measure the employee's temperature and assess symptoms priorto them starting work.Ideally,temperature checkscontracted should happen before the individual enters thefacility. '"'and agriculture, manufacturing, technology,informational .. ► 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 oftheir 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. Employees should objects that ate 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 Ifthe 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 offace masks to ensure they.•not time the employee had symptoms and 2 days prior to symptoms should be compiled.Others at the facility with close contact within 6 feet ofthe Employers should workwith employee during this time would be considered exposed. room.nance staffto increase air exchanges in Employers should implement the recommendations in the Interim Guidance P- Employees should physically distance when they take breaks together.Stagger breaks and for Businesses and Employers to Plan and Respond to Coronavirus Disease .. break room, . .. 2019 to help prevent and slow the spread of COVID-19 in the workplace. share food 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. y CISA 1012020 COVID-19 Exposure Prevention Plan Page 17 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 47 of 54 Page 21 of 25 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 or chills? Yes ❑ No❑ 2. Do you have fatigue/body aches? Yes ❑ No❑ 3. Do you have a persistent cough? Yes ❑ No ❑ 4. Are you experiencing shortness of breath? Yes ❑ No ❑ 5. Do you have a sore throat? Yes ❑ No❑ 6. Do you have diarrhea? Yes ❑ No❑ 7. Do you have a loss of taste or smell? Yes ❑ No ❑ 8. Do you have congestion or runny nose? Yes ❑ No ❑ 9. Do you have nausea or vomiting? Yes ❑ No❑ Note: If any COVID-19 symptoms appear during the work week, immediately notify your supervisor and self-isolate. 1012020 COVID-19 Exposure Prevention Plan Page 18 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 48 of 54 Page 22 of 25 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 or chills? Yes ❑ No ❑ 2. Do you have fatigue/body aches? Yes ❑ No ❑ 3. Do you have a persistent cough? Yes ❑ No ❑ 4. Are you experiencing shortness of breath? Yes ❑ No ❑ 5. Do you have a sore throat? Yes ❑ No ❑ 6. Do you have diarrhea? Yes ❑ No ❑ 7. Do you have a loss of taste or smell?? Yes ❑ No ❑ 8. Do you have congestion or runny nose? Yes ❑ No ❑ 9. Do you have nausea or vomiting? 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. 1012020 COV/D-19 Exposure Prevention Plan Page 19 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 49 of 54 Page 23 of 25 ATTACHMENT F — COVID-19 TESTING COVIDA9 TESTING COVID-19 testing available for Contra Costa County residents* Now availabledays • Appointment required Drive-through an1 appointments TestingResults available within 5 days will be at no cost to you and will be billed through your - or r rr not have coverage Adw Call 1-844-421-0804 8 a.m. - 3:30 p.m. l days a week RESPONSE Coronavirus(COVI D-19) www.ccheaIth.org/coronavirus CONTRA COSTA HEALTH SERVICES Testing made possible,in part by the generous support of the Chan Zuckerberg Initiative 1012020 COVID-19 Exposure Prevention Plan Page 20 December 1, 2020 Regular ADM IN Committee Meeting Agenda Packet- Page 50 of 54 Page 24 of 25 APPENDIX G - GYM PROTOCOLS The protocol is to establish safe and healthy guidelines for allowing indoor use of Central San's gym facilities. The usage is based on Contra Costa Counties tier status based on its test positivity and adjusted case rate. At a minimum, counties must remain in a tier for at least three weeks before moving forward. Data is reviewed weekly and tiers are updated on Tuesdays. To move forward, a county must meet the next tier's criteria for two consecutive weeks. If a county's metrics worsen for two consecutive weeks, it will be assigned a more restrictive tier. Tier status: Widespread (purple): • No indoor gym use Substantial (red): • Indoor gym use with modifications • Capacity must be limited to 10% Moderate (orange) • Indoor gym use with modifications • Capacity must be limited to 25% Minimal (yellow) • Indoor gym use with modifications • Capacity must be limited to 50% Gym Capacities: Martinez Gym (MTZ) — Maximum Capacity is 60 Walnut Creek Gym (CSO) — Maximum Capacity is 30 The table below indicates the maximum number of gym users at any given time based on the maximum occupancy and providing for proper social distancing of 6 feet between users. Capacity Martinez Walnut Creek 10% Capacity 6 3 25% Capacity 14 6 50% Capacity 24 9 Gym Hours of Operation (Monday — Friday): Gym Sessions Martinez Walnut Creek Morning 5 am — 9 am 5 am — 8 am Lunch 11 am — 1 prn 11 am — 1 prn Afternoon 2 prn — 6 prn 2 prn —4 prn Each user is limited to 30 minutes of working out to maximize the number of employees who can use the gym. Disinfection: The gym(s) will be disinfected twice per day between gym sessions using fumigation techniques and 1012020 COVID-19 Exposure Prevention Plan Page 21 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 51 of 54 Page 25 of 25 virucide. Additionally, users of the gym must wipe down the equipment after use with disinfectant spray and paper towels. Gym User Rules: • Must perform a symptom self-check daily before coming to work/before using gym. • Must sign in and out on daily log to help assist in contact tracing and notification. • Must wear face coverings (masks) at all times (exception —when drinking water or wiping face while allowing adequate social distancing). • Must maintain social distancing from other gym users. (No spotting or assisting) • Use hand sanitizer when entering or exiting the gym. • No use of porous gym equipment such as ropes, leather medicine balls, foam rollers, etc. • No sharing of personal gym equipment such as back belts, gloves, towels, etc. • Must disinfect equipment, mats, machines, etc before and after use. • No shaking of hands, fist bumps, elbow bumps, or physical contact. • No sharing of personal items such a cell phones, water bottles, etc. 1012020 COVID-19 Exposure Prevention Plan Page 22 December 1, 2020 Regular ADMIN Committee Meeting Agenda Packet- Page 52 of 54