THERMA PRE-TASK HAZARD PLAN
Safe operating procedures & return to work guidelines for Therma employees
| SYMPTOMS / DIAGNOSIS | STAY AT HOME | RETURN TO WORK |
|---|---|---|
| Fever (temp>38°C/100°F) | STAY AT HOME | After at least 72 hours of no fever without the use of antipyretics (i.e., fever reducing medications such as Motrin, Tylenol etc.) AND Symptoms have significantly improved AND Contact Mike Fisher at 408-210-2300 prior to return to work |
| One or more of these symptoms without fever · Cough · Shortness of breath · Sore throat · Nasal congestion/runny nose · Body aches | STAY AT HOME · If these symptoms get better after 2 days call Mike Fisher at 408-210-2300 prior to return to work · If these symptoms worsen after 2 days OR · If you develop a fever, then continue to stay home & contact Mike Fisher at 408-210-2300 | If able, work from home If able, attend meetings by phone/video If symptoms get better after 2 days & you feel well enough to work, but have cough, cold or allergy symptoms wear a face mask to work after confirming your return to work with Mike Fisher at 408-210-2300 Disinfect your hands after touching items others may have touched Do not shake hands with others |
| Diagnosis of COVID-19 Dated: 3/25/2020 | Stay at home, self-isolate & monitor your symptoms | 14 Days after onset of symptoms 5 days after resolution of symptoms WHICHEVER IS LONGER OR If you develop a fever, then continue to stay home & contact Mike Fisher at 408-210-2300 |
Recommendations to Stop the Spread of Germs:
If you have a fever, cough, shortness of breath, sore throat, nasal congestion/runny nose, or body aches, you must stay home.
See Stay at Home Guidelines for more details.
- Regularly wash hands with soap and water for at least 20 seconds.
- Avoid touching your eyes, nose, and mouth with unwashed hands.
- Clean and disinfect frequently touched objects and surfaces.
- Practice social distancing (maintaining 6' distance from others).
- Avoid sharing personal items with coworkers (dishes, cups, utensils, towels, tools)
- Disinfect your workspace, tools and equipment daily
Questions for employees:
- Do you have signs of fever or measured (100.4F or greater) fever, cough, shortness of breath, sore throat, nasal congestions/runny nose, or body aches?
- Have you, or anyone that you have been in close contact with (within 6 feet for at least 5 minutes), been diagnosed with COVID-19?
- Have you been issued a public health order to enforce isolation, quarantine or conditional release related to COVID-19?
RESPONSES and ACTIONS:
- No to ALL questions, the worker(s) may begin and/or continue work.
- YES to ANY question, the worker(s) is required to immediately leave the project and remain off work for the durations outlined in the Stay at Home Guidelines. (FEVER: Can return after a minimum 72 hours fever-free while not taking any fever reducing medications, AND symptoms significantly improved. SYMPTOMS without fever: Can return after a minimum 48 hours, AND symptoms significantly improved, AND no fever develops. Therma employees must call Mike Fisher prior to return to work).
- YES to any question the supervisor must complete the Illness/Health Assessment Questionnaire and forward to Mike Fisher. (mfisher@therma.com)
ILLNESS/HEALTH ASSESSMENT QUESTIONNAIRE
Key questions to ask when assessing close contact exposure
Are you experiencing any symptoms such as fever, cough or shortness of breath?
- Yes
- No
- Comment:
Have you been in close contact with anyone who has been diagnosed with 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: close contact can occur while caring for, living with, visiting, or sharing a healthcare waiting area or room with a COVID-19 case
-OR-
b. Having direct contact with infectious secretions of a COVID-19 case (e.g. being coughed on)- Yes
- No
- Comment:
Have you had close contact with anyone who may have COVID-19 but is yet to be confirmed?
- Yes
- No
- Comment:
Are you currently in close contact with anyone, such as a family member, who is experiencing symptoms or has been confirmed as positive for COVID-19?
- Yes
- No
- Comment:
Have you traveled internationally in the last 14 days?
- No
- Yes
- Comment:
By signing below, I certify that all the information is true and correct to the best of my knowledge.
Employee Name: (print)
Employee Signature:
Date:
THERMA PRE-TASK HAZARD PLAN
| Project/Equipment/System Description: | Date: | Time: | |||||
|---|---|---|---|---|---|---|---|
| Foreman: | Phone: | Company: | |||||
| Building: | Floor: | Area: | Job #: | ||||
| Work Description: |
| Task Specific Work Plans | Hazards | Safe Plan of Action (SPA) | |
|---|---|---|---|
| Energized Electrical Work Hot work | Slips, Trips, Falls | Inspect for trip/slip hazards Area clean/clear of debris Hazards marked Tools and material properly stored Electrical/emergency equipment clear | |
| Floor/wall penetrations | Hand: Cut/Bump Hazards | Inspected work area for sharp edges Found sharp edges and protected Inspected walking paths Identified edges and marked as such | |
| Required PPE | Interruptions to Production | Area inspected to identify EMOs (electrical connections, valves, pipes, tubing, fittings, gauges, fire sprinklers smoke detection, liquid leak detection, AMH equipment) Protected, guarded or marked | |
| Additional PPE (see comments) | Hand & Power Tools | Reviewed safety requirements Inspected condition Guarding OK GFCI in use Identified PPE required Inspected electrical cord Routed cord overhead or taped/ barricaded | |
| Excavation | Chemical Hazards | Area inspected for potential chemical hazard MSDS available Identify PPE for highest recognized hazard (see left side) Reviewed decontamination/disposal or storage procedures Reviewed contingency plan and equipment is on hand | |
| Non-electrical Hot Work | Excavation | Reviewed as-builts/locates Barricades provided Proper sloping/shoring Access/gress provided Excavation inspected by competent person Hand dig areas are clearly marked (within 3 feet of utilities) | |
| Fall Protection | Vehicular Traffic | Traffic barricades Cones Flagmen Lane closure Fire lane is clear | |
| Ladder inspection completed | Crane or other Lifting Equipment | Lifting/rigging equipment inspected Tag lines in use Areas barricaded Overhead utility clearance verified Signalman assigned |
Additional safe plans for hazards
| Major Steps of Task | Tools Required to do Job Safely | Recognized Hazard categories and additional hazards not captured on front page. | Additional safe plans for hazards |
|---|---|---|---|
| Eyewash/Shower Location: | Fire Extinguisher Location: |
|---|---|
| Phone Location: |
Recognized Hazard categories and additional hazards not captured on front
Did conditions change?
STOP the job!
Identify control measures.
Update the PTP.
Communicate!
Tools Required to do Job
Instructions: 1) Conduct a walk-through of work area, inspecting for hazards. 2) Write the steps of the task. 3) Note Safe Plan column, provide the corrective actions that will be taken to mitigate the hazards. 5) List tools needed to do the
Did conditions change? STOP the job! Identify control measures. Update the PTP. Communicate!