COVID 19-Health and Safety Checklist Format

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Classification: Internal Use

Rev: 0

SABIC E&PM
Date :4/22/20
COVID-19 Health and Safety Checklist
Page 1 of 3

Project Name: Date:

S. No) CHECK POINT YES NO REMARK

Pick-up and drop-in point was identified for the transportation of project work
1. force.

2. Disinfection of bus before and after each trip is done.

Employees assigned to perform disinfection are trained and qualified to perform


3. the disinfection job.
Social distancing is maintained during seating and boarding. No use of AC &
4. windows opens during transport.
Have hand sanitizer stations at entry and exit points and around the workplace.
5. Hand sanitizer should be having minimum 70% IPA.
Posters around the workplace on keeping at least 6-foot social distance between
6. everyone at the workplace.
Are employees equipped with vinyl gloves & mask to wear at camp prior to
7. boarding on vehicles/buses?
Signs age at the entrances to meeting rooms is available to ensure the maximum
8. safe capacity is not exceeded.
Disinfection of areas such as offices, bathrooms, common areas, and shared
9. electronic equipment which the exposed person may contact is done.

Body temperature of all employees is monitored prior of entering project gate.


10.

Calibration of thermal Scanners/gun is regularly done.


11.

COVID-19 monitoring team assigned to perform essential functions in regards to


12. COVID-19 compliance monitoring.

COVID-19 monitoring team area trained to identify COVID-19 symptom.


13.

Are vehicle/buses used for transportation of employees sanitized daily?


14.

Is advice, guidance and reinforcement on travel regularly communicated to


15. employees?

Mosques and training room are closed until further notice?


16.
Are employees above age of 55 years or employees with Chronic disease screened
17. from project?
Classification: Internal Use
Rev: 0

SABIC E&PM
Date :4/22/20
COVID-19 Health and Safety Checklist
Page 2 of 3

Are employees working on project site based in Jubail for the last 14 days?
18.

Is any employee present at project site travelled from other effected area of KSA or
19. country?
Does project management sign body temperature recoding checklist of all project
20. employees?
Is hand sanitizer available in the offices, rest shelter and at appropriate locations for
21. all employees?
Are project employees familiar with potential of COVID-19, symptoms &
22. preventive measures (Washing hand frequently, maintaining social distancing,
avoid touching nose, eyes, and mouth & practice respiratory hygiene)?
Are employees aware of the procedure, if COVID-19 systems observed?
23.

Is there is one-hour gap between shifts and will stagger the lunch break of staff, to
24. ensure social distancing?

Is there is sanitization schedule for common tool and equipment’s.


25.
No operator change in a same process until shift is over. If needed for any
26. replacement of operator sanitize of work station/equipment once again shall be
done.
Are organization strictly ban of gutka, tobacco etc. and spitting here and there at
27. project site and camp?
Are organization identified hospitals / clinics in the nearby areas, which are
28. authorized to treat COVID19 patients and the list is available at work place all the
times?

Inspector Information:

CHECKED BY: ID: POSITION: SIGNATURE:

DEPARTMENT: SECTION: DATE:

Accepted by:

CHECKED BY: ID: POSITION: SIGNATURE:

DEPARTMENT: SECTION: DATE:


Classification: Internal Use
Rev: 0

SABIC E&PM
Date :4/22/20
COVID-19 Health and Safety Checklist
Page 3 of 3

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