Pandemic Preparedness Checklist

1. Do you have adequate clean hand-washing facilities equipped with soap and touch-free waste bins?

2. Where you cannot provide hand-washing facilities, have you supplied alcohol-based hand sanitizer?

3. Do you provide tissues and encourage employees to wash hands following use? (This can be done during a safety meeting, with a poster, etc.)

4. Do you remind staff not to share cups, glasses, dishes and cutlery? Are dishes washed in soap and water immediately after use?

5. Have you removed or do you regularly disinfect commonly touched items, such as waiting room magazines, water coolers, etc.?

6. Have you trained employees in proper handwashing procedure?

7. Have you trained employees how to protect themselves from illness while at work? (Wash hands, avoid close contact, avoid touching others' personal items,etc.)

8. Have you instructed employees what to do if someone close to them falls ill? (Assign one primary caregiver and isolate the individual.)

9. Have you instructed employees what to do if they begin to feel ill? (Stay at home and seek medical care if symptoms are severe.)

10. Are your ventilation systems working properly?

11. Do you have a contingency plan for continuing services in the case of an outbreak?

12. Who is your contingency plan coordinator?

13. Have you clearly communicated your remote / work-from-home policy?

14. Have you instructed employees on how to manage absences from work over 5 days?

15. Have you planned how you will protect temporary or contingency personnel from infection?

16. Do you have a company infection control plan?

17. Who is your infection control plan coordinator?

18. Are your staff with janitorial duties included in your plan and protected through control and prevention measures?

19. If you provide transportation or housing for employees, have you included prevention and isolation measures in your control plan?

20. Write Comments or Remarks here: