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Appendix A WORKSITE SPECIFIC COVID-19 PREVENTION PLAN All departments/divisions must implement all measures listed below in order to ensure a safe workplace for employees. Review the UCR EHOS CORONAVIRUS
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How to fill out work site specific covid-19

01
Identify all potential hazards related to COVID-19 at the work site.
02
Develop a plan to control and mitigate the identified hazards.
03
Implement the plan by providing necessary resources such as PPE, sanitization stations, and safety protocols.
04
Train all employees on the new safety measures and protocols.
05
Regularly monitor and update the plan as needed based on new information or changing circumstances.

Who needs work site specific covid-19?

01
Work site specific COVID-19 plans are needed by any organization or business that has employees working in a physical location, to ensure the safety and well-being of their staff and visitors.

What is Work Site Specific COVID-19 Prevention Plan Form?

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Work site specific covid-19 refers to the reporting of covid-19 cases that are specifically related to a workplace or work site.
Employers are required to file work site specific covid-19 cases.
Employers can fill out work site specific covid-19 forms online or through a designated reporting system.
The purpose of work site specific covid-19 reporting is to track and monitor covid-19 cases in workplaces to prevent further spread of the virus.
Information such as the number of covid-19 cases, affected employees, date of diagnosis, and workplace location must be reported on work site specific covid-19 forms.
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