COVID-19 SAFE RESTART PLAN JULY 2020

2

CONTENTS Coronavirus ..................................................................................................................................... 4

Overview ......................................................................................................................................... 5

COVID-19 Exposure Control ............................................................................................................ 6

Phasing Staff Back to In-Person Work ............................................................................................ 7

Buildings and Equipment ................................................................................................................................ 8

PHASE 1 ............................................................................................................................................................... 8

Field Staff ........................................................................................................................................................ 8

LARA Construction Crew ................................................................................................................................. 9

PHASE 2 ............................................................................................................................................................... 9

In-Person Hearings ........................................................................................................................................ 10

In-Person Board and Commission Meetings ................................................................................................ 10

PHASE 3 ............................................................................................................................................................. 11

PHASE 4 ............................................................................................................................................................. 12

PHASE 5 ............................................................................................................................................................. 13

COVID-19 Preparedness & Response plan .................................................................................... 14

General .............................................................................................................................................................. 14

Exposure Determination ................................................................................................................................... 14

Engineering controls ......................................................................................................................................... 16

Administrative Controls .................................................................................................................................... 17

Hand Hygiene & Disinfection of Environmental Surfaces ................................................................................ 19

Personal Protective Equipment (PPE) .............................................................................................................. 20

Health Surveillance ........................................................................................................................................... 21

Training ............................................................................................................................................................. 22

Recordkeeping .................................................................................................................................................. 23

Staff requirements ........................................................................................................................ 23

Training ............................................................................................................................................................. 25

Supervisor checklist .......................................................................................................................................... 26

CertIfication of Readiness to Return Employees to the Workplace ............................................. 28

3

APPENDICES .................................................................................................................................. 30

Appendix A ........................................................................................................................................................ 30

Teams ............................................................................................................................................................ 30

Appendix B ........................................................................................................................................................ 31

Resources and Support ................................................................................................................................. 31

Appendix C ........................................................................................................................................................ 32

LARA locations .............................................................................................................................................. 32

Appendix D ........................................................................................................................................................ 34

Staff requirements and Supervisor Checklist ............................................................................................... 34

Training ............................................................................................................................................................. 35

Supervisor checklist .......................................................................................................................................... 36

4

CORONAVIRUS

The State of Michigan Coronavirus website (www.michigan.gov/coronavirus) states:

Health experts are still learning about how this new coronavirus1 spreads. The

virus is thought to spread mainly from person-to-person:

• Between people who are in close contact (within about six feet) of an ill

person.

• Through respiratory droplets produced when an infected person coughs or

sneezes.

• It also may be possible that a person can get COVID-19 by touching a surface

or object that has the virus on it, then touching their mouth, nose or eyes.

What is considered a “close contact”?

Here are some examples of close contact:

• Caring for, living with or visiting someone who has COVID-19.

• Being near someone who has COVID-19 in a confined space if that person is

not wearing a mask.

• Being coughed or sneezed on by someone who has COVID-19.

Close contact is defined as:

a. Being within approximately 6 feet (2 meters) of a COVID-19 case for a

prolonged period of time.

– or –

b. Having direct contact with infectious secretions of a COVID-19 case (e.g.,

being coughed on).

We do not know exactly how long is necessary for close contact to occur, but it is

thought to be between 10-30 minutes.

The virus that causes COVID-19 has not been detected in drinking water.

Conventional water treatment methods that use filtration and disinfection, such

1 Also known as COVID-19 or SARS-CoV-2.

5

as those in most municipal drinking water systems, should remove or inactivate

the virus that causes COVID-19.

There are steps you can take to prevent spread of flu and the common cold that

will also help prevent COVID-19, including:

1. Wash your hands with soap and water.

2. Avoid touching your eyes, nose or mouth with unwashed hands.

3. Cover your mouth and nose with a tissue or upper sleeve when coughing or

sneezing.

4. Avoid contact with people who are sick.

5. Stay home if you are sick and contact your healthcare provider.

6. Keep at least six feet away from one another to the maximum extent

possible.

7. Frequently clean and disinfect high-touch surfaces such as tables, doorknobs,

light switches, countertops, handles, desks, phones, keyboards, toilets,

faucets, and sinks.

8. If you are traveling, follow the CDC’s guidance at CDC.gov/Travel.

OVERVIEW

This fluid plan serves as a guide for the Michigan Department of Licensing and Regulatory

Affairs (LARA) to return staff to in-person job duties after providing for exposure control. Staff

and visitor safety and well-being is of the utmost importance. As new information becomes

available, our department strategy will be updated to reflect any orders, requirements, and

guidance. LARA does not plan to transition all employees back to the office in the immediate

future. The implementation of this plan is in collaboration with bureaus, staff, and building

management. The success of this plan involves the participation and cooperation of leadership,

management, employees, customers, and visitors.

This plan follows:

• Governor Gretchen Whitmer’s Executive Orders and Executive Directives

• Centers for Disease Control and Prevention (CDC) recommendations,

• Michigan Department of Health and Human Services (DHHS) guidelines,

• Michigan Occupational Safety and Health Administration (MIOSHA) standards.

6

When Director Orlene Hawks deems it necessary to bring LARA staff back to in-person work and

in-person business, the following plan will guide staff to return to our buildings using a phased

approach.

COVID-19 EXPOSURE CONTROL

Since the start of the COVID-19 emergency, LARA has transitioned staff out of the office to a

telework setting. As of April 20, 2020, 99% of LARA employees were teleworking. Twenty

employees report to their respective buildings on a full-time basis due to the nature of their

duties. LARA has successfully implemented virtual call centers, virtual board and commission

meetings, virtual and telephonic hearings, and has continued the day-to-day operations of the

department, albeit differently than when in the normal office setting.

As we move through Governor Whitmer’s Michigan Safe Start plan and the respective phases,

LARA will incrementally phase employees back to in-person work where possible. Staff and

visitor safety are of the upmost importance for all of LARA. The department goal will be to

safely and successfully meet our customers’ needs while balancing our employees’ duties with

in-person work and continued telework.

Part of the planning process includes assessment of our workers’ risk to COVID-19 exposure.

According to the Occupational Risk Pyramid for COVID-192, exposure determination is divided

in the following categories:

Very High Risk o Jobs with high potential for exposure to known or suspected sources of COVID-

19 during specific medical, postmortem, or laboratory procedures. o Includes healthcare, laboratory, morgue employees during specific procedures

LARA does not have any very high-risk employees. High Risk

o Jobs with high potential exposure to known or suspected sources of COVID-19. o Could include-licensed health care professionals, medical first responders,

nursing home employees, law enforcement, correctional officers, or mortuary workers. High risk employees include Nurse Consultants, Healthcare Surveyors,

2 https://www.osha.gov/Publications/OSHA3993.pdf.

7

Environmental Sanitarians, Fire Safety Inspectors, Nutrition Food Management Consultants and Lab Evaluation Specialist.

Sources of exposure includes customers and the public. • Medium Risk

o Jobs that require frequent and/or close contact (within 6 ft) with people who may be infected but are not known or suspected COVID-19 patients.

o In areas without ongoing community transmissions, workers in this risk group may have frequent contact with travelers who may return from locations with widespread SARS-CoV-2 transmission

o In areas where there is ongoing community transmission, workers in this category may have contact with the public (for example, schools, high-population-density work environments, high-volume retail settings). Medium risk employees include all Inspectors, Regulation Agents, Child Care

Consultants, Construction staff, Adult Foster Care Consultants, Camp Consultants, Mailroom Staff and Revenue Services staff/cashiers, MOAHR staff conducting in-person hearings, Board and Commission support staff conducting in-person meetings, OPLA staff attending legislative meetings and committee testimony.

Sources of exposure include the public, customers, visitors, and co-workers. Low risk

o Jobs that do not require contact with people known or suspected of being infected with coronavirus.

o No frequent close contact (within 6 ft) with the public. o Minimum contact with co-workers. Low risk employees include all office staff, varying from GOA5 to SME 19. Sources of exposure include co-workers.

High Risk employees will be or continue to be trained on the proper use of PPE while on the job,

along with hygiene etiquette and how to mitigate the spread of COVID-19.

Medium and Low Risk employees will be required to complete training on hygiene etiquette

and how to mitigate the spread of COVID-19.

Other training requirements will be determined and communicated to staff.

PHASING STAFF BACK TO IN-PERSON WORK

All staff will be screened prior to in-person work daily. While long-term screening mechanisms

are being determined, the paper screening form will be used for the immediate future.

8

BUILDINGS AND EQUIPMENT

LARA is responsible for cleaning printer/copy machines and other major office equipment.

Employees should disinfect all parts of the machine by using sanitizing wipes on surfaces and

touch screens before and after each use.

Staff are responsible for disinfecting their workspace, individual or shared, twice daily which

includes disinfecting:

• Computer/laptop

• Keyboard and mouse

• Desktop surface

• Chair arms/handles, seat and back

• Pens, pencils, phone chargers, etc.

DTMB facilities will monitor air quality and exchange in DTMB-managed buildings. Please see

the DTMB plan for additional cleaning, ventilation and state vehicle protocols.

LARA will follow any additional guidelines established by the landlord in leased spaces. If there

are questions or concerns about a non-DTMB managed or leased space, please reach out to

Jamie Cutler/Property Management. For a complete list of LARA locations, please see Appendix

C.

All phases will incorporate any office setting requirements per Executive Order(s).

PHASE 1 FIELD STAFF

All inspectors, regulation agents and investigators will start to return to in-person field work3.

3 LARA has numerous inspectors, regulation agents and investigators that have maintained their in-person visits throughout the COVID-19 pandemic. These staff members will continue with in-person work.

9

This includes but is not limited to Fire Safety Inspectors, Hazardous Storage Materials

Inspectors, Construction/Building Code Inspectors and Licensing Investigators.

Field staff that are not currently working in-person in the field will get proper PPE4 and have

protocols in place to safely return to in-person inspections, investigations, etc.5

To evaluate the PPE needs, including face masks, N-95 respiratory masks, disposable clothing

coverings, goggles or eyewear, face shields and foot coverings, each bureau will assess their

field staff’s specific job duties. The employee’s risk level, region/jurisdiction assignment,

inspection or visit location (healthcare facility, bar, construction site, etc.) will be taken into

consideration.

When returning to in-person and on-site work, it is understood there may be county-specific

regulations that staff need to be aware of before and during visits. Staff and managers are

responsible for this knowledge.

Each bureau with field staff has developed guidance for in-person work that is applicable for

their respective professions, industries, and assignments. Bureau-specific plans can be found by

visiting: https://www.michigan.gov/lara/0,4601,7-154-10573_35828---,00.html.

LARA CONSTRUCTION CREW

The LARA construction crew will return to in-person work in preparation of Phase 2. The crew

will start with creating and installing plexiglass barriers throughout the LARA buildings to help

mitigate the spread of COVID-19. Once the plexiglass barriers are installed, the crew will begin

work on several unfinished projects that were started prior to the COVID-19 emergency.

PHASE 2

4 Gloves are not recommended unless you are disposing after every use/touch point; the employer has provided hand sanitizer for this purpose. 5 Field staff that have continued to perform in-person inspections and visits have been provided PPE appropriate to their job duties.

10

IN-PERSON HEARINGS

At the expiration of any Executive Orders allowing hearings to be held by electronic means,

some staff in the Michigan Office of Administrative Hearings and Rules (MOAHR) will need to

return to the office to accommodate in-person hearings. Initially, only the minimum amount of

staff that are needed to support the hearings will be required to return to the office on a part-

time basis. The remaining MOAHR staff will continue to telework. Please see the MOAHR plan

for details.

IN-PERSON BOARD AND COMMISSION MEETINGS

LARA is home to 59 boards and commissions consisting of 638 members. At the expiration of

any applicable Executive Order(s), all board and commission meetings will need to be held in-

person and allow members of the public to participate in-person.

The following bureaus support the boards and commissions in LARA:

Bureau of Construction Codes (BCC) Bureau of Community and Health Systems (BCHS) Bureau of Fire Services (BFS) Bureau of Professional Licensing (BPL) Corporations, Securities and Commercial Licensing (CSCL) Finance and Administrative Support (FAS) Michigan Indigent Defense Commission (MIDC) Michigan Liquor Control Commission (MLCC) Michigan Public Service Commission (MPSC) Marijuana Regulatory Agency (MRA)

During Phase 2, only staff responsible for working with the boards and commissions with

meetings will transition into in-person work. The presence of these employees during this

timeframe would be for the limited purpose of conducting in-person meetings. Each bureau’s

management would be responsible for scheduling and rotating staff in accordance with the

scheduled board meetings. Equipment needs, such as laptops, may need to be assessed to

allow teleworking staff to return to the office for these meetings.

11

Any meeting participants will have access to restrooms on the same floor where their

respective meeting is held. Participants will not be allowed to move in-between floors in a state

office building without a staff escort.

All public meeting notices will include information about social distancing and face mask

requirements.

Each bureau with boards or commissions has developed guidance for in-person work that is

applicable for their respective in-person meetings and hearings. Bureau-specific plans can be

found by visiting: https://www.michigan.gov/lara/0,4601,7-154-10573_35828---,00.html.

Building Visitors

Security procedures in each building remain in effect. All visitors, including hearing and meeting

attendees, will need an employee escort to and from their building destination. All employees

and visitors are expected to have their identification (State of Michigan badge or visitor badge)

visible while in any LARA building.

All visitors (meeting attendees, customers, etc.) screening procedures are being determined.

All Remaining Staff

Remaining LARA staff will continue to telework.6

LARA will continue to meet customers’ needs through online services or postal mail. Walk-in

services will remain closed.

PHASE 3

After Phase 2 is implemented and has been in place for at least 30 days, LARA will begin

discussions with bureaus about those staff that want to voluntarily return to the office. An

6 Approximately 25% of LARA employees are field staff, leaving approximately 1200 employees who normally report to an office setting.

12

emphasis will be placed on the need to evaluate part-time in-person in-office work while the

remaining time is teleworking.

In addition to staff who volunteer to return to in-office work, the LARA Safe Start Team and the

RENEW Team will work with each bureau to assess which staff should return to in-person work

based on their job duties. Priority services that best serve Michiganders by being conducted in

person, such as those services in MRA, BFS, MLCC, BPL, CSCL and BCC will be the primary focus.

Staff whose duties include answering bureau call center phones may have to return together,

regardless of the phase, depending on current equipment capabilities. Equipment needs and

workspace layout/organization will be part of bureau discussions.

As a safety precaution, no more than 25% of the LARA staff will be allowed to return to the

office in this phase.

LARA will continue to meet customers’ needs through online services or postal mail. Walk-in

services will remain closed.

Discussions with all bureaus will also include the opportunities for staff who could permanently

or semi-permanently continue with teleworking or have an adjusted work schedule on a part-

time or full-time basis. Accountability measures for staff who telework will need to be assessed.

All decisions on staff returning to the office will include any requirements in the applicable

Executive Orders. If an Executive Order is in place that requires any work that can be done

remotely to continue to be done remotely, LARA will push the start of Phase 3 to after

expiration of the order.

PHASE 4

After Phase 3 is implemented and has been in place for at least 30 days, the LARA Safe Start

Team and the RENEW Team will work with bureaus on the next group of staff that could return

to in-person work. Bureaus will help the Teams prioritize staff who may need to return to in-

person work, both on a full-time and part-time basis, based on their job duties.

13

Staff whose duties include answering bureau call center phones may have to return together,

regardless of the phase, depending on current equipment capabilities. Equipment needs and

workspace layout/organization will be part of bureau discussions.

If it is decided that an area best meets customer needs through online services or postal mail,

LARA will consider keeping some walk-in services closed.

Discussions with all bureaus will also include the opportunities for staff who could permanently

or semi-permanently continue with teleworking or have an adjusted work schedule on a part-

time or full-time basis. Accountability measures for staff who telework will need to be assessed.

All decisions on staff returning to the office will include any requirements in the applicable

Executive Orders.

If there is another outbreak of COVID-19 cases, LARA will return to telework to the fullest

extent possible.

PHASE 5

After Phase 4 is implemented and has been in place for at least 30 days, the LARA Safe Start

Team and the RENEW Team will work with the bureaus on the remaining staff that have not yet

been addressed in the previous phases. Many of these employees should be individuals who

could continue to telework, or adjust their work schedule to telework, permanently on a part-

time or full-time basis.

As with Phases 2, 3, and 4, discussions will include accountability measures for all staff who

telework.

If there is another outbreak of COVID-19 cases, LARA will return to telework to the fullest

extent possible.

14

If there has not been another COVID-19 outbreak, LARA will evaluate the opportunity to offer

walk-in services. During this evaluation period, customers’ needs will continue to be met

through online services or postal mail.

COVID-19 PREPAREDNESS & RESPONSE PLAN

General

The following COVID-19 Preparedness & Response Plan has been established for Michigan

Department of Licensing and Regulatory Affairs (LARA) in accordance with the requirements in

the most recent Executive Order (EO) concerning employee safety and health, and all

requirements therein signed by Governor Gretchen Whitmer, and also in accordance with

Guidance on Preparing Workplaces for COVID-19 as referenced by EO. Specific requirements for

employers in various industry sectors are contained in the associated EO.

A paper version of this plan will be available in the Ottawa building in Human Resources. An

electronic version will be emailed to all department staff and posted on the Inside LARA

intranet site. The purpose of this plan is to minimize or eliminate employee exposure to COVID-

19. An electronic copy will be provided upon request. Refer to the EO and referenced Guidance

on Preparing Workplaces for COVID-19 therein for specific requirements. These employees are,

for the most part, low or medium risk but there may be some who fall into the high risk

category due to the work that they carry out by being in the field on inspections or

investigations.

Exposure Determination

LARA will evaluate routine and reasonably anticipated tasks and procedures for all employees

to determine whether there is actual or reasonably anticipated employee exposure to COVID-

19. The LARA Safe Restart Team, in coordination with the Leadership team and Managers will

be responsible for seeing that exposure determination is performed.

LARA categorized its employees’ jobs into the following risk categories:

15

Low exposure risk jobs. These jobs are those that do not require contact with people known to

be, or suspected of being, infected with COVID-19 nor frequent close contact (for example,

within six feet) with the public. Workers in this category have minimal occupational contact

with the public and other coworkers.

Medium exposure risk jobs. These jobs include those that require frequent and/or close

contact (for example, within six feet) with people who may be infected with COVID-19, but who

are not known or suspected COVID-19 patients. In areas without ongoing community

transmission, workers in this risk group may have frequent contact with travelers who may

return from locations with widespread COVID-19 transmission. In areas where there is ongoing

community transmission, workers in this category may have contact with the public and

coworkers (for example, schools, high-population-density work environments, high-volume

retail settings).

High exposure risk jobs. These jobs include those with high potential for exposure to known or

suspected sources of COVID-19.

LARA has determined that the following positions/jobs/tasks have been determined to have the

following exposure determination(s).

NOTE: Employees may perform tasks that have differing exposure determinations depending

on assignment or need.

Positions/job/task Determination

Qualifying Factors

(i.e. no public contact, public

contact, job task description)

Nurse Consultants,

Healthcare Surveyors,

Environmental Sanitarians,

Fire Safety Inspectors,

Nutrition Food

High Risk In-person inspections or visits

where social distancing

standards cannot be

maintained, involving

customers or the public.

16

Management Consultants,

Lab Evaluation Specialists

Inspectors, Regulation

Agents, Child Care

Consultants, Construction

staff, Adult Foster Care

Consultants, Camp

Consultants, Mailroom Staff

and Revenue Services

staff/cashiers, MOAHR staff

conducting in-person

hearings, Board and

Commission support staff

conducting in-person

meetings, OPLA staff

attending legislative

meetings and committee

testimony

Medium Risk Interaction with customers,

visitors, coworkers, and the

public where social distancing

standards can usually be

maintained.

All office staff varying from

GOA5 to SME19

Low Risk Interaction with coworkers

where social distancing

standards can be maintained.

Engineering controls

LARA has implemented feasible engineering controls to prevent employee exposure to COVID-

19. Engineering controls involve isolating employees from work-related hazards. In workplaces

where they are appropriate, these types of controls reduce exposure to hazards without relying

on worker behavior and can be the most cost-effective solution to implement.

The LARA Safe Restart Team, in coordination with the Leadership team and Managers will be

responsible for seeing that the correct engineering controls are chosen, installed, maintained,

and serviced for effectiveness as often as required.

17

In most circumstances, LARA has no control over engineering controls, especially for high

exposure risk positions/jobs/tasks, so it will rely on the pre-existing engineering controls in the

buildings and locations that staff visit. For medium exposure risk positions/jobs/tasks, LARA will

work with DTMB and/or building owners on any adjustments that may need to be made to

heating, ventilation, and air-conditioning systems in buildings, local exhaust ventilation, floor-

to-ceiling walls, cubicle walls, plexiglass barriers between employees and customers in

customer service areas.

Administrative Controls

Administrative controls are workplace policies, procedures, and practices that minimize or

eliminate employee exposure to the hazard. The LARA Safe Restart Team, in coordination with

the RENEW team, the Leadership team and Managers will be responsible for seeing that the

correct administrative controls are chosen, implemented, and maintained for effectiveness to

minimize or eliminate employee exposure to COVID-19.

Additional engineering controls are not recommended for workers in the lower exposure risk

group. Low exposure risk group employers should monitor public health communications

about COVID-19 recommendations and ensure that workers have access to that information.

Frequently check the CDC COVID-19 website: www.cdc.gov/coronavirus/2019-ncov.

The following administrative controls have been established for LARA.

Positions/job/task Exposure

Risk

Administrative Control Type

(workplace distancing, remote work, notifying

customers)

Nurse Consultants,

Healthcare Surveyors,

Environmental Sanitarians,

Fire Safety Inspectors,

Nutrition Food

Management Consultants,

Lab Evaluation Specialists

High Workplace distancing when going into AFC,

Nursing Homes, etc. Remote work when

appropriate. Frequent hand washing.

PPE includes: Shoe covers - Hair covers

- Face shields - Droplet surgical masks - KN95 respirators (not NIOSH certified)

18

- Gloves - Hand Sanitizer - N95 NIOSH certified respirators (currently on order)

Inspectors, Regulation

Agents, Child Care

Consultants, Construction

staff, Adult Foster Care

Consultants, Camp

Consultants, Mailroom Staff

and Revenue Services

staff/cashiers, MOAHR staff

conducting in-person

hearings, Board and

Commission support staff

conducting in-person

meetings

Medium Various: workplace social distancing, masks,

cleaning supplies, which include gloves, wipes,

sanitizer, encourage frequent hand washing.

All office staff varying from

GOA5 to SME19

Low Same as above

In addition, all LARA staff will:

1. Keep at least six-foot distance from the closest person.

2. Limit the time talking to co-workers.

3. Not shake hands. Use forms of greeting that do not involve physical contact.

4. Wash hands frequently with soap and water for at least 20-seconds.

5. Use an alcohol-based hand sanitizer with at least 60% alcohol when soap and water are

unavailable.

6. Wash hands immediately if they become visibly soiled.

7. Not touch eyes, nose, or mouth with unwashed hands.

8. Not touch potentially contaminated surfaces.

9. Promptly remove themselves from sick people.

10. Practice proper cough and sneeze etiquette.

11. Field staff will have employees, representatives and management representatives wear

masks or cloth face coverings during interviews or in-person meetings.

19

12. Field staff will have interviewees decontaminate before meeting them away from their

workstation for interviews or meetings.

Hand Hygiene & Disinfection of Environmental Surfaces

The LARA Safe Restart Team in coordination with the Leadership team and Managers will be

responsible for seeing that adequate handwashing facilities are available in the workplace and

that regular handwashing is required. Frequency of such handwashing will be determined in

part by factors such as when and how often the employee’s hands are potentially exposed to

COVID-19. When provision of handwashing facilities is not feasible, the employer shall provide

employees with antiseptic hand sanitizers or towelettes.

The LARA Safe Restart Team in coordination with the Leadership team and Managers will be

responsible for seeing that environmental surface in the workplace are cleaned and disinfected.

Frequency of such disinfection will be determined in part by factors such as when and how

often the environmental surfaces are potentially exposed to COVID-19. When choosing

cleaning chemicals, LARA will consult information on Environmental Protection Agency (EPA)-

approved disinfectant labels with claims against emerging viral pathogens. Products with EPA-

approved emerging viral pathogens claims are expected to be effective against COVID-19 based

on data for harder to kill viruses. The manufacturer’s instructions for use of all cleaning and

disinfection products will be strictly adhered to.

An enhanced cleaning and disinfection shall be performed after persons suspected or

confirmed to have COVID-19 have been in the workplace. The LARA Safe Restart Team in

coordination with the Leadership team and Managers will be responsible for seeing that such a

cleaning and disinfection is performed as required.

The following is a list of environmental surfaces, methods used to disinfect, and the frequency

of such disinfection:

Surface Method/Disinfectant Used Schedule/Frequency

Offices Supply staff with sanitary

wipes

2x a day

20

Office equipment Sanitary wipes/regular cleaning After each use by a different

employee

High touch areas will be

sanitized daily by Peckham

or staff working in the area

Cleaning product/sanitary

wipes and gloves

3x a day

LARA will ensure the availability and ready accessibility of handwashing facilities in state office

buildings. When handwashing facilities become unavailable (for example, due to water shut

off), LARA will provide its staff with antiseptic hand sanitizers or towelettes.

For the field, LARA will provide staff with antiseptic hand sanitizers or towelettes.

LARA will ensure that the state office buildings are regularly cleaned, and that environmental

surfaces and equipment are disinfected to prevent transmission of COVID-19.

LARA will ensure that enhanced cleaning and disinfection are performed in state office

buildings after persons suspected or confirmed to have COVID-19 have been in the workplace.

Personal Protective Equipment (PPE)

LARA will provide employees with personal protective equipment for protection from COVID-19

appropriate to the exposure risk associated with the job following the CDC and OSHA guidance

applicable to the industry and types of jobs at the workplace and in accordance with latest EO.

LARA will provide its staff with PPE for COVID-19 appropriate to the exposure risk associated

with the job following the CDC and OSHA guidance applicable to the industry and types of jobs

at the workplace7.

LARA will ensure that the PPE is properly fitted and worn; consistently used; regularly

inspected, maintained, and replaced, as necessary; and properly removed, cleaned, and stored

or disposed of to avoid contamination of self, others, or the work environment.

In lower and medium exposure risk establishments, LARA staff:

• Are required to wear face masks.

7 Please also see guidance in the MIOSHA Standards 33, 433 and 451.

21

• May voluntarily wear a NIOSH-certified disposable N95 filtering facepiece respirator.

In high exposure risk positions/jobs/tasks, LARA staff will wear the following PPE when they are

in areas with known or suspected cases of COVID-19:

• Respiratory protection. A respirator that is at least as protective as a NIOSH-certified

disposable N95 filtering facepiece respirator. A half-mask elastomeric facepiece with

high efficiency particulate air (HEPA) filter cartridges would be an example.

• Gloves. Fluid-resistant gloves.

• Gown and/or Tyvek suits.

• Eye protection. Goggles or a disposable face shield that covers the front and sides of

the face.

• Disposable shoe covering.

LARA staff will always bring the full set of PPE on their field activities, even if the initial exposure

assessment or prior visit indicates medium or low risk. This gives LARA staff access to the

necessary PPE if the initial exposure assessment is incorrect, or if the COVID-19 exposure risk

changes from the previous visit or during the visit itself.

LARA staff will don PPE in the clean area. LARA staff will doff the PPE prior to re-entering the

clean area. LARA staff will wash their hands and face before reentering the clean area or use

antiseptic hand sanitizers or towelettes if handwashing facilities are unavailable.

LARA staff will dispose of the PPE immediately after use unless it can be disinfected. Goggles

will be disinfected and reused.

LARA staff will dispose of PPE in a dedicated container (for example, trash bag supplied by

LARA) preferably at the worksite.

Health Surveillance LARA has implemented a screening protocol to identify known or suspected cases of COVID-19

among employees and isolate them from the remainder of the workforce. The LARA Safe

Restart Team in coordination with the Leadership team and Managers will be responsible for

ensuring that all required health surveillance provisions are performed as required.

22

At the beginning of each day at the start of each work shift LARA will screen employees for

signs and symptoms COVID-19 as required. Employees have been directed to promptly report

any signs and symptoms of COVID-19 to their supervisor and/or Margie Holben/HR Director

before and during the work shift and they have provided employees with instructions for how

to make such a report to the employer.

Manufacturing facilities must also conduct a daily entry screening protocol for workers,

contractors, suppliers, and any other individuals entering the facility, including a questionnaire

covering symptoms and suspected or confirmed exposure to people with possible COVID-19,

together with temperature screening as soon as no-touch thermometers can be obtained.

Businesses or operations in the construction industry must also: Conduct a daily entry screening

protocol for workers, contractors, suppliers, and any other individuals entering a worksite,

including a questionnaire covering symptoms and suspected or confirmed exposure to people

with possible COVID-19, together with, if possible, a temperature screening.

The specific instructions for employee reporting signs and symptoms of COVID-19 are as

follows:

Report immediately to your supervisor and/or Margie Holben/HR Director via phone call.

LARA will physically isolate any employees with known or suspected COVID-19 from the

remainder of the workforce, using measures such as, but are not limited to:

a. Not allowing known or suspected cases to report to or remain at their work location.

b. Sending known or suspected cases to a location (for example, home) where they are

self-isolating during their illness.

c. Assigning known or suspected cases to work alone at the location where they are self-

isolating during their illness.

Training

The LARA Safe Restart Team in coordination with the Leadership team and Managers shall

coordinate COVID-19 training and ensure compliance with all training requirements.

Train workers on, at a minimum:

23

A. Routes by which the virus causing COVID-19 is transmitted from person to person. B. Distance that the virus can travel in the air, as well as the time it remains viable in the

air and on environmental surfaces. C. Symptoms of COVID-19. D. Steps the worker must take to notify the business or operation of any symptoms of

COVID-19 or a suspected or confirmed diagnosis of COVID-19. E. Measures that the facility is taking to prevent worker exposure to the virus, as described

in the COVID-19 preparedness and response plan required under the most recent EO. F. Rules that the worker must follow to prevent exposure to and spread of the virus. G. The use of personal protective equipment, including the proper steps for putting it on

and taking it off.

NOTE: It is recommended that records of employee training be maintained that at a minimum

document the name(s) of employee(s) trained, date of training, name of trainer, and content of

training.

Recordkeeping The LARA Safe Restart Team in coordination with the Leadership team and Managers shall

coordinate COVID-19 required recordkeeping and ensure compliance with all such

requirements, including those specified in the most recent EO.

The following records are required to be maintained:

1. Required training. 2. A record of daily entry self-screening protocol for all employees or contractors entering

the workplace, including, at a minimum, a questionnaire covering symptoms and suspected or confirmed exposure to people with possible COVID-19.

3. When an employee is identified with a confirmed case of COVID-19.

STAFF REQUIREMENTS

Supervisors are required to confirm staff have read this section, taken any required training and

signed the supervisor checklist. Appendix D can be printed and used for this purpose. Once

complete, please submit the signed document to the HR Liaison.

24

Prior to returning to the office setting, staff are obligated to understand the following

requirements.

1. Under absolutely no circumstances should anyone enter LARA offices if they are exhibiting any symptom of illness, even if you perceive them to be minor. Anyone who is at work and exhibiting symptoms will be directed to leave the office. For example, you are required to stay home and contact your supervisor if you have: • a fever, • cough, • shortness of breath, • chills, • repeated shaking with chills, • muscle pain, • headache, • sore throat, • new loss of taste or smell, or • have been diagnosed with or have been in close contact with someone who has been

diagnosed with COVID-19. Note: supervisors are required to inform HR of this to determine if additional steps need to be taken.

o For additional information, please visit:

https://www.michigan.gov/documents/mdhhs/2019-

nCoV_Web_FAQ_Final_02.07.20_680693_7.pdf

2. Staff who may be at higher risk for severe illness from COVID-19, such as older adults and people of any age who have serious underlying medical conditions, must discuss returning to in-person work with their supervisor and/or HR.

3. Staff who are reporting to the building must take required training prior to reporting the first day for in-person work.

4. All employees, customers, patrons, visitors, contractors and vendors who can medically tolerate a face mask must wear a face mask over his or her nose and mouth in a shared space, including during in-person meetings, in restrooms, hallways, breakrooms, or when social distances standards are not feasible. If staff do not have a mask available, LARA will provide one at the entrance of the building.

a. Any customer, patron, visitor, contractor, or vendor entering the building will be required to wear a mask. LARA will provide a mask, if necessary.

a. Any customer, patron, visitor, contractor, or vendor entering the building will be required to check in with the security guard, if there is one stationed at the building. Upon entering, everyone will maintain six feet apart while standing in line.

b. Hearing schedules will be shared with the security guard at the main entrance of the building(s). Participants will not be escorted by staff to the appropriate hearing room until 10 minutes before the hearing starts.

c. If a guard is stationed in the building, Board and Commission meeting schedules will be shared with the security guard at the main entrance of the building(s), along with

25

a list of board/commission members. According to the Open Meetings Act (OMA), public participants are not required to register attendance and therefore, are not required to make an appointment to attend a meeting. All meeting participants will not be escorted by staff to the appropriate conference room until 10 minutes before the meeting starts.

5. All staff will have access to hand sanitizer and wipes. 6. Staff are required to maintain 6 feet social distancing, where possible, including

attendance at a meeting or hearing. 7. All employees, board and commission members and visitors must adhere to social

distancing standards, where possible. 8. Staff may store food in break room refrigerators, but no food shall be left out for

general consumption, including coffee. Individual food deliveries are permitted but staff must meet delivery drivers outside the building. Staff must bring their own utensils, dishes, etc. Staff are required to either wash their dishes before leaving for the day or take their dishes home for washing. Dirty dishes must not be left in the building. Staff who use or touch refrigerators, microwaves, toasters, etc., are required to wipe down handles and any other areas that have been touched.

9. Employees will wipe down work areas thoroughly at the beginning and end of each shift using the provided cleaning wipes. Areas to be cleaned include keyboards, counter tops, computer mice, laminated protocol reference sheets, door handles, restroom handles and critical surfaces, copy machines, chair arm rests and any other relevant surfaces that may have been exposed to the operator’s germs.

10. Staff who have questions or concerns about this plan or the requirements within, should contact their supervisor.

Training

All staff will be required to complete the following training:

□ Routes by which the virus causing COVID-19 is transmitted from person to person. □ Distance that the virus can travel in the air, as well as the time it remains viable in the

air and on environmental surfaces. □ Symptoms of COVID-19. □ Steps the worker must take to notify the business or operation of any symptoms of

COVID-19 or a suspected or confirmed diagnosis of COVID-19. □ Measures that the facility is taking to prevent worker exposure to the virus, as described

in the COVID-19 preparedness and response plan required under the most recent EO. □ Rules that the worker must follow to prevent exposure to and spread of the virus. □ The use of personal protective equipment, including the proper steps for putting it on

and taking it off. □ Other trainings as assigned.

26

All reasonable efforts will be made to have the training available prior to employees returning to in-person work.

Supervisor checklist

Supervisors must have each employee complete the following form on the employees’ first day

back in the workplace. You must review LARA protocols with your employees before they sign

this form8. A blank copy of this section can be found in Appendix D.

Supervisors are responsible for each staff members assigned equipment. It is critical that supervisors validate that all assigned equipment is returned to the office as LARA staff returns to onsite activities. Welcome back! We are glad you are here.

Employee Name and ID Supervisor/Manager

A. State Property Please confirm which of the following state-owned equipment you are returning to the office.

□ Key card/security badges □ Mobile device (e.g. cellphone, notebook) asset # □ Laptop/desktop – asset # □ Computer Monitor(s) □ USB flash drive □ Building keys □ Purchasing card □ Office Chair □ Other (please specify) _______________________________________ ☐ Yes ☐ No Did you clean and sanitize all equipment according to guidelines? Specify: ☐ Yes ☐ No I verify the state-owned equipment marked above has been cleaned and sanitized

according to the instructions and returned to my agency.

B. Communications □ Remove any modified service message on your voicemail and record a new personal

greeting. □ Remove any modified services delivery message on your internal and external email.

8 Employee Return to the Workplace Form (template)

27

□ I will be required to disinfect high touch areas and participate in daily health screenings. □ My supervisor and I have discussed, and I understand expectations for social

distancing, hand hygiene, cleaning, face masks, and other protocols to reduce the spread of COVID-19. I understand that I need to stay home if I am sick.

I VERIFY I UNDERSTAND THE EXPECTATIONS FOR PERFORMING MY JOB IN THE WORKPLACE UNDER OUR NEW COVID-19 PREPAREDNESS PROTOCOLS.

Employee Signature DATE________________

Supervisor Signature DATE________________

28

CERTIFICATION OF READINESS TO RETURN EMPLOYEES TO THE WORKPLACE

Agencies must implement the following items to ensure they are ready to recall their priority services and employees to the workplace.

• My agency has identified priority services operations (prioritized, operational requirements enumerated, cost and revenue considered). This includes identifying the percentage or number of employees:

• Required to work on premises. • Who will remain remote on a short-term, medium-term, and long-term basis? • My agency has social distancing plans in place for work areas, elevators, meeting

rooms, and common spaces. • My agency has a plan to conduct health screenings for all employees and may do

so for all vendors, contractors, and visitors. (Some facilities may require body temperature screenings.)

• My agency has communicated infection control protocols, including handwashing, health screening, temperature taking, face mask wearing, and respiratory etiquette, to anyone who is in the workplace.

• My agency has plans in place for telework, flextime, and staggered schedules in areas where social distancing is not possible.

• My agency has communicated travel restrictions and policies for remote meetings. • My agency has consulted with facilities management, the DTMB, or the landlord

to ensure extra cleaning and sanitizing schedules, needed layout changes, etc. • My agency has appropriate and sufficient signage posted denoting social distancing

requirements, hygiene reminders, restrictions on public access, required conference room seating, maximum number of people allowed in each space, what to do if employees become ill, etc.

• My agency has made cleaning and disinfecting supplies available for employees to maintain their workspaces and equipment, along with adequate hygienic products such as soap, towels, and tissues.

• My agency has a process for employees and supervisors to report, inventory, and sanitize all state-owned equipment and office furniture removed from the agency and subsequently returned.

• My agency has employee communication plans that include notifying employees of information needed BEFORE they return to the site.

• My agency has notified all employees how to contact the Employee Service Program (ESP)if necessary.

• My agency has mechanisms in place to report and resolve compliance issues with safety protocols. These mechanisms are widely known to employees,

29

either through signage or frequent verbal or written communication. • My agency has protocols in place and an appropriate space set aside to isolate

anyone who becomes ill with COVID-19 symptoms while working.• If applicable, my agency has the necessary Personal Protective Equipment (PPE)

on hand to distribute to employees when necessary.• I certify my agency has protocols in place to comply with executive orders allowing

the safe return of employees to the workplace. By signing this certification, I attestmy agency has followed all applicable guidance in this document and hascommunicated or will communicate all relevant standards and policies to employeesbefore they return or immediately as they return to the workplace.

AGENCY DIRECTOR SIGNATURE

DATE 07-28-2020

30

APPENDICES

Appendix A TEAMS LARA Safe Restart Team

• Orlene Hawks, Director • Kim Gaedeke, Chief Deputy Director • Adam Sandoval, Deputy Director • Margie Holben, Human Resources Director • Courtney Pendleton, Assistant Director • Amy Gumbrecht, Assistant Deputy Director • Courtney Adams, Assistant Deputy Director

Resume In Person Work (RENEW) Team • Margie Holben, Human Resources (HR) Director • Courtney Pendleton, Executive Office • Amy Gumbrecht, Executive Office • Courtney Adams, Executive Office • Kathy McGonagle, Executive Office • LeAnn Droste, Finance and Administrative

Services (FAS) Director • Jeanette Doll, Security and Management

Coordinator/FAS • Jamie Cutler, Property Management/FAS • David Harns, Communications • Joy Ryan, Communications • Hillary Millen, Bureau of Construction Codes

(BCC) • Jonathon Paradine, BCC • Chris Williams, BCC/MSEA • Steve Gobbo, Bureau of Community and Health

Services (BCHS) • Erin Dittmer, BCHS • Rhonda Howard, Bureau of Fire Services (BFS) • Ann Searles, BFS • Angela Awrey, Bureau of Professional Services

(BPL)

• Brian DeBano, BPL • Tamara Jaeger, Corporations, Securities and

Commercial Licensing (CSCL) • Ben Parker, CSCL • Nick Gobbo, FOIA • Arleen Platte, HR • Celene Flannery, Michigan Liquor Control

Commission (MLCC) • Kerry Krone, MLCC • Marcela Westrate, Michigan Indigent Defense

Commission (MIDC) • Wendy Wisniewski, Michigan Office of

Administrative Hearings and Rules (MOAHR) • Lynn Beck, Michigan Public Service

Commission (MPSC) • Leslie Thomas, MPSC • Anna Schiller, MPSC • Mike Byrne, MPSC • Charlene French, Marijuana Regulatory

Agency (MRA) • Marnie Wills, Office of Policy and Legislative

Affairs (OPLA)

31

Appendix B RESOURCES AND SUPPORT COVID-19 Resources Executive Orders: https://www.michigan.gov/whitmer/0,9309,7-387-90499_90705---

,00.html Executive Directives: https://www.michigan.gov/whitmer/0,9309,7-387-90499_90704---

,00.html MDHHS Coronavirus Resources: www.mi.gov/coronavirus CDC Coronavirus Resources: www.cdc.gov/coronavirus/ MIOSHA Workplace Safety: https://www.michigan.gov/leo/0,5863,7-336-100207---

,00.html All Departments Return to Work Plans: https://www.michigan.gov/ose/0,4656,7-143--

533755--U,00.html

Support Resources Employee Service Program: Confidential program to assist employees with personal and

work-related concerns. www.mi.gov/esp, 800-521-1377, or MCSC-ESP@mi.gov. Coping with COVID-19:

https://stateofmichigan.sharepoint.com/teams/insidelara/coping-with-covid Employee COVID-19 Updates:

https://stateofmichigan.sharepoint.com/teams/insidelara/work_/Pages/employee-covid19-updates.aspx

COVID-19 Testing Sites: https://www.michigan.gov/coronavirus/0,9753,7-406-99891_99912---,00.html

Spaces and Workflow Resources • State of Michigan: COVID-19 Guidance for Business • State of Michigan: COVID-19 Guidance for Individuals • AG's Guidance to Help Determine Whether a Worker is a "Critical Infrastructure Worker" • OSHA: Guidance on Preparing Workplaces for COVID-19 • CDC: Environmental Infection and Control Guidelines for Air Handling • ASHRAE: Technical Resources for COVID-19 Preparedness

Cleaning and Sanitizing Resources • CDC: Cleaning and Disinfecting Your Facility • CDC: Cleaning and Disinfection for Community Facilities • CDC: Cleaning vehicles from the CDC • CDC: Cleaning and Disinfecting Your Home • EPA: Disinfectants to use against SARS and COVID-19

32

Appendix C LARA LOCATIONS

Building/Location State-Owned/Leased/MOU Bureau # of Employees

Cadillac Place, Detroit State-Owned MOAHR, BCHS

55

Constitution Hall, Lansing

State-Owned MLCC 88

Escanaba State Office Building, Escanaba

State-Owned MLCC 2

Grand Rapids State Office Building

State-Owned BCHS 8

LTA Warehouse, Lansing State-Owned FAS 4

Ottawa Building, Lansing State-Owned BCHS, BCC, MOAHR, BPL, FAS, HR, OPLA, Comms, Executive Office

469

Saginaw State Office Building, Saginaw

State-Owned BCHS, MOAHR

8

Traverse City State Office Building, Traverse City

MPSC, BCHS 10

MRA Building, Lansing Leased MRA, FAS 155

MPSC Building, Lansing Leased MPSC, MOAHR

163

BFS Building, Lansing Leased BFS 27

MIDC Building, Lansing Leased MIDC 14

MOAHR Building, Traverse City

Leased MOAHR 3

33

Building/Location State-Owned/Leased/MOU Bureau # of Employees

MLCC Building, Southfield

Leased MLCC 20

DHHS Building, Pontiac MOU BCHS 24

DHHS Building, Flint MOU BCHS 13 DHHS Building, Muskegon

MOU BCHS 4

DHHS Building, Marquette

MOU BCHS 4

DHHS Building, Midland MOU BCHS 2

DHHS Building, Mt Pleasant

MOU BCHS 3

DHHS Building, Saginaw MOU BCHS 5

DHHS Building, Ypsilanti MOU BCHS 5

DHHS Building, Holland MOU BCHS 1

LEO Building, Gaylord MOU BCHS 5

LEO Building, Sterling Hts MOU BCHS 13

LEO Space, Okemos MOU CSCL 92 LEO Space, Grand Rapids MOU MPSC, MLCC 8

DHHS Space, Houghton MOU MPSC 1

34

Appendix D STAFF REQUIREMENTS AND SUPERVISOR CHECKLIST

Supervisors are required to confirm staff have read this section, taken the required training and

signed the supervisor checklist. This section be printed and used for this purpose. Once

complete, please submit the signed document to the HR Liaison.

Prior to returning to the office setting, staff are obligated to understand the following

requirements.

1. Under absolutely no circumstances should anyone enter LARA offices if they are exhibiting any symptom of illness, even if you perceive them to be minor. Anyone who is at work and exhibiting symptoms will be directed to leave the office. For example, you are required to stay home and contact your supervisor if you have: • a fever, • cough, • shortness of breath, • chills, • repeated shaking with chills, • muscle pain, • headache, • sore throat, • new loss of taste or smell, or • have been diagnosed with or have been in close contact with someone who has been

diagnosed with COVID-19. Note: supervisors are required to inform HR of this to determine if additional steps need to be taken.

o For additional information, please visit:

https://www.michigan.gov/documents/mdhhs/2019-

nCoV_Web_FAQ_Final_02.07.20_680693_7.pdf

2. Staff who may be at higher risk for severe illness from COVID-19, such as older adults and people of any age who have serious underlying medical conditions, must discuss returning to in-person work with their supervisor and/or HR.

3. Staff who are reporting to the building must take required training prior to reporting the first day for in-person work.

4. All employees, customers, patrons, visitors, contractors and vendors who can medically tolerate a face mask must wear a face mask over his or her nose and mouth in a shared space, including during in-person meetings, in restrooms, hallways, breakrooms, or when social distances standards are not feasible. If staff do not have a mask available, LARA will provide one at the entrance of the building.

35

a. Any customer, patron, visitor, contractor, or vendor entering the building will be required to wear a mask. LARA will provide a mask, if necessary.

d. Any customer, patron, visitor, contractor, or vendor entering the building will be required to check in with the security guard, if there is one stationed at the building. Upon entering, everyone will maintain six feet apart while standing in line.

e. Hearing schedules will be shared with the security guard at the main entrance of the building(s). Participants will not be escorted by staff to the appropriate hearing room until 10 minutes before the hearing starts.

f. If a guard is stationed in the building, Board and Commission meeting schedules will be shared with the security guard at the main entrance of the building(s), along with a list of board/commission members. According to the Open Meetings Act (OMA), public participants are not required to register attendance and therefore, are not required to make an appointment to attend a meeting. All meeting participants will not be escorted by staff to the appropriate conference room until 10 minutes before the meeting starts.

5. All staff will have access to hand sanitizer and wipes. 6. Staff are required to maintain 6 feet social distancing, where possible, including

attendance at a meeting or hearing. 7. All employees, board and commission members and visitors must adhere to social

distancing standards, where possible. 8. Staff may store food in break room refrigerators, but no food shall be left out for

general consumption, including coffee. Individual food deliveries are permitted but staff must meet delivery drivers outside the building. Staff must bring their own utensils, dishes, etc. Staff are required to either wash their dishes before leaving for the day or take their dishes home for washing. Dirty dishes must not be left in the building. Staff who use or touch refrigerators, microwaves, toasters, etc., are required to wipe down handles and any other areas that have been touched.

9. Employees will wipe down work areas thoroughly at the beginning and end of each shift using the provided cleaning wipes. Areas to be cleaned include keyboards, counter tops, computer mice, laminated protocol reference sheets, door handles, restroom handles and critical surfaces, copy machines, chair arm rests and any other relevant surfaces that may have been exposed to the operator’s germs.

10. Staff who have questions or concerns about this plan or the requirements within, should contact their supervisor.

Training

All staff will be required to complete the following training:

□ Routes by which the virus causing COVID-19 is transmitted from person to person. □ Distance that the virus can travel in the air, as well as the time it remains viable in the

air and on environmental surfaces.

36

□ Symptoms of COVID-19. □ Steps the worker must take to notify the business or operation of any symptoms of

COVID-19 or a suspected or confirmed diagnosis of COVID-19. □ Measures that the facility is taking to prevent worker exposure to the virus, as described

in the COVID-19 preparedness and response plan required under the most recent EO. □ Rules that the worker must follow to prevent exposure to and spread of the virus. □ The use of personal protective equipment, including the proper steps for putting it on

and taking it off. □ Other trainings as assigned.

All reasonable efforts will be made to have the training available prior to employees returning to in-person work.

Supervisor checklist

Supervisors must have each employee complete the following form on the employees’ first day

back in the workplace. You must review LARA protocols with your employees before they sign

this form9. A blank copy of this section can be found in Appendix D.

Supervisors are responsible for each staff members assigned equipment. It is critical that supervisors validate that all assigned equipment is returned to the office as LARA staff returns to onsite activities. Welcome back! We are glad you are here.

Employee Name and ID Supervisor/Manager

A. State Property

Please confirm which of the following state-owned equipment you are returning to the

office.

□ Key card/security badges □ Mobile device (e.g. cellphone, notebook) asset # □ Laptop/desktop – asset # □ Computer Monitor(s) □ USB flash drive □ Building keys

9 Employee Return to the Workplace Form (template)

37

□ Purchasing card □ Office Chair □ Other (please specify) _______________________________________

☐ Yes ☐ No Did you clean and sanitize all equipment according to guidelines? Specify: ☐ Yes ☐ No I verify the state-owned equipment marked above has been cleaned and sanitized

according to the instructions and returned to my agency.

B. Communications □ Remove any modified service message on your voicemail and record a new personal

greeting. □ Remove any modified services delivery message on your internal and external email. □ I will be required to disinfect high touch areas and participate in daily health screenings. □ My supervisor and I have discussed, and I understand expectations for social

distancing, hand hygiene, cleaning, face masks, and other protocols to reduce the spread of COVID-19. I understand that I need to stay home if I am sick.

I VERIFY I UNDERSTAND THE EXPECTATIONS FOR PERFORMING MY JOB IN THE WORKPLACE UNDER OUR NEW COVID-19 PREPAREDNESS PROTOCOLS.

Employee Signature DATE________________

Supervisor Signature DATE________________