HomeMy Public PortalAboutReopening_Control_MA_Eng_FINAL (1)All businesses in the state of MA must develop a written control plan outlining how its workplace will
comply with the mandatory safety standards for operation in the COVID-19 reopening period. This
template may be filled out to meet that requirement. Control plans do not need to be submitted for
approval but must be kept on premise and made available in the case of an inspection or outbreak.
All individually listed businesses must complete a control plan, even if the business is part
of a larger corporation or entity.
BUSINESS INFORMATION
Business name:
Address•
please provide the following information
Check if part of a larger corporation
Contact information (Owner/Manager)•
Contact information (HR representative), if applicable•
Number of workers on -site:
SOCIAL DISTANCING 1 check the boxes to certify that you have:
Ensured that all persons, including employees, customers, and vendors remain at least six feet apart
to the greatest extent possible, both inside and outside workplaces
Established protocols to ensure that employees can practice adequate social distancing
Posted signage for safe social distancing
Required face coverings or masks for all employees
Implemented additional procedures. Please describe them here•
HYGIENE PROTOCOLS 1 check the boxes to certify that you have:
Provided hand washing capabilities throughout the workplace
Ensured frequent hand washing by employees and provided adequate supplies to do so
Provided regular sanitization of high touch areas, such as workstations, equipment, screens,
doorknobs, restrooms throughout work site
Implemented additional procedures. Please describe them here:
All businesses in the state of MA must develop a written control plan outlining how its workplace will
comply with the mandatory safety standards for operation in the COVID-19 reopening period. This
template may be filled out to meet that requirement. Control plans do not need to be submitted for
approval but must be kept on premise and made available in the case of an inspection or outbreak.
All individually listed businesses must complete a control plan, even if the business is part
of a larger corporation or entity.
STAFFING & OPERATIONS check the boxes to certify that you have:
Provided training for employees regarding the social distancing and hygiene protocols
Ensured employees who are displaying COVID-19-like symptoms do not report to work
Established a plan for employees getting ill from COVID-19 at work, and a return -to -work plan
Implemented additional procedures. Please describe them here•
CLEANING & DISINFECTING check the boxes to certify that you have:
Established and maintained cleaning protocols specific to the business
Ensured that when an active employee is diagnosed with COVID-19, cleaning and disinfecting is performed
Prepared to disinfect all common surfaces at intervals appropriate to said workplace
Implemented additional procedures. Please describe them here: