Back to Work Workplace Hygiene Management Plan Generate your Workplace Hygiene Management Plan by completing this form. Step 1 of 6 – Your Details 0% Introduction The COVID-19 Safe Workplace Principles outline the new legal requirements for businesses. Both the Commonwealth and State Governments have the powers to close a workplace to control the spread of Coronavirus. Reducing the chances of this occurring to your business is as simple as having a Workplace Hygiene Management Plan (WHMP) in place. Instructions If your workplace doesn’t have a Hygiene Management Plan or Policy already in place, you will need to create one. You can use this form to generate your WHMP by completing the 17 questions (in 4 sections). Your WHMP will be delivered to you by email as a PDF. If you will not finish all in one go, you MUST select Save and Continue Later at the bottom of the page, and have the link emailed to you so you can return to your form at a later stage. Once you have completed and submitted your form, you will no longer be able to return to it for editing. Your DetailsSite Name*Your Name*Email Address* Note: Most of the following questions are mandatory, and you will not be able to advance to the next page until you have completed the current page. Preview all questions here Part A – Cleaning Businesses are required to assess their workplace for ways to best protect workers and visitors from contamination. For further information, please consult the Cleaning the Workplace guide. Complete the following questionsPlease list the cleaners you use to deal with this virus.1. What cleaners do you use?* Please list the disinfectants you use to deal with this virus.2. What disinfectants do you use?* 3. How often do you clean the following items?Counter Tops*— Select —After each useHourlyMore than once a dayDailyWeeklyNot ApplicablePhones*— Select —After each useHourlyMore than once a dayDailyWeeklyNot applicableEFTPOS Machines*— Select —After each useHourlyMore than once a dayDailyWeeklyNot ApplicableComputer mice & keyboards*— Select —After each useHourlyMore than once a dayDailyWeeklyNot applicableDoor handles*— Select —After each useHourlyMore than once a dayDailyWeeklyNot ApplicableLight switches*— Select —After each useHourlyMore than once a dayDailyWeeklyNot applicableDesks*— Select —After each useHourlyMore than once a dayDailyWeeklyNot ApplicableToilets*— Select —After each useHourlyMore than once a dayDailyWeeklyNot applicableTaps*— Select —After each useHourlyMore than once a dayDailyWeeklyNot ApplicableTV remotes*— Select —After each useHourlyMore than once a dayDailyWeeklyNot applicableKitchen surfaces & cupboard handles*— Select —After each useHourlyMore than once a dayDailyWeeklyNot ApplicableShared plant and equipment*— Select —After each useHourlyMore than once a dayDailyWeeklyNot applicable4. Have workers been trained in how to clean and disinfect? Using a Toolbox Meeting, discuss with workers how to best clean and disinfect possible contaminated surfaces as per the Cleaning the Workplace Guide. Add a photo or PDF of your toolbox meeting where this was discussed.4. Cleaning Training Toolbox* Drop files here or Select files Max. file size: 10 MB, Max. files: 3. 5. Do you have a process in place to clean and disinfect your workplace after a worker has been infected by the virus? Review the Infected Worker Cleaning material and discuss at a Toolbox Meeting. Add a photo or PDF of your toolbox meeting where this was discussed. or5. Infection Process Toolbox* Drop files here or Select files Max. file size: 10 MB, Max. files: 3. 5ToolboxExists Included in Question 4 Toolbox Meeting 6. Do you provide appropriate PPE for workers when cleaning and disinfecting?*Select the types of PPE you have you made available for workers to use. Gloves (latex) Masks Eye Protection Disposable overalls or splash suit Other Attach photos of each item that’s been ticked.6. Photos of PPE* Drop files here or Select files Max. file size: 10 MB, Max. files: 3. Other PPE* Part B – Control Controlling transmission and protecting vulnerable workers will prevent contamination. Complete the following questions7. Have you put measures in place, where reasonably practicable, to minimise contact between people?*Tick the box beside each item you have implemented. Cashless Transactions Sneeze Screens Floor Markings Paperless Transactions Visitors handle their own receipts Workers use individual, dedicated tools Marked out flooring Barriers Workers working from home Staggered hours or shift work Segregating Workers Other measures (please list) Other contact measures*List any other contact measures you have implemented. 8. Do you provide hand sanitising stations for workers and visitors to practice good hygiene? View the Sanitising Station and Sanitising Station Sign documents for more info. Take pictures of each station and hand washing area to show how this is being addressed.8. Photos of Hand Sanitising* Drop files here or Select files Max. file size: 10 MB, Max. files: 3. 9. Do you have touch-free bins with closed tops to hygienically dispose of tissues and paper towels? Take pictures of how this is being addressed.9. Photos of Touch Free Bins* Drop files here or Select files Max. file size: 10 MB, Max. files: 3. 10. Have workers been instructed in the changes to workflow and traffic management? Using the 4 points below as a guide have a Toolbox Meeting about workflow. The maximum number of workers allowed on site at any one time. Shift work arrangements. Entry and exit points to building to be used. High traffic areas. Add a photo or PDF of your toolbox meeting where this was discussed.10. Workflow Toolbox Meeting* Drop files here or Select files Max. file size: 10 MB, Max. files: 3. 11. Have you identified vulnerable workers in your business? Complete the Vulnerable Workers Chart and refer to the Vulnerable Worker Guide for reference. Upload your completed Vulnerable Workers Chart here.11. Vulnerable Workers Chart*Upload your completed Vulnerable Workers Chart here. Drop files here or Select files Max. file size: 10 MB, Max. files: 3. Part C – Training It is important to ensure workers have been trained in procedures relating to preventing transmission. Complete the following questions12. Have you educated workers on good health and hygiene practices? Using the following 3 subjects as a guide, have a Toolbox Meeting about good health and hygiene practices. Do your workers know not to come to work when they are unwell, even if they feel fit to work? Have you trained workers on how to correctly use alcohol-based hand sanitiser? Are workers aware of ways to minimise contact with others where possible? Add a photo or PDF of your toolbox meeting where this was discussed.12. Health & Hygiene Toolbox*Upload your completed Toolbox here. Drop files here or Select files Max. file size: 10 MB, Max. files: 3. 13. Have you informed workers of good hygiene measures to limit the spread of the virus? Using the following subjects as a guide, have a Toolbox Meeting about personal hygiene. Cover coughs and sneezes with an elbow or a tissue Avoid touching the face, eyes, nose and mouth Dispose of tissues hygienically Wash hands before and after smoking a cigarette Clean and disinfect surfaces and shared equipment Wash body, hair (including facial hair) and clothes thoroughly every day Wherever possible, stay more than 1.5 metres away from others Don’t shake hands and avoid any other close physical contact where possible No spitting Put cigarette butts in the bin Set up reminder alerts on computers, in meal rooms, bathrooms and company vehicles etc. to remind workers about washing hands and good hygiene measures Add a photo or PDF of your toolbox meeting where this was discussed. or13. Personal Hygiene Toolbox*Upload your completed Toolbox here. Drop files here or Select files Max. file size: 10 MB, Max. files: 3. 12ToolboxExists Included in Question 12 Toolbox Meeting 14. Have you informed workers about the importance of washing their hands? Using these 6 points as a guide, have a Toolbox Meeting about hand washing. Refer to the Hand Washing Video as a reference. Before and after eating After coughing or sneezing After going to the toilet After changing tasks After touching potentially contaminated surfaces Add a photo or PDF of your toolbox meeting where this was discussed. or14. Hand Washing Toolbox*Upload your completed Toolbox here. Drop files here or Select files Max. file size: 10 MB, Max. files: 3. 13ToolboxExists Included in Question 12 or 13 Toolbox Meeting Part D – Communicating Businesses are required to have processes in place to effectively communicate any COVID-19 regulations to workers and visitors. For further information, please consult the Communicating COVID-19 Rules guide. Complete the following questions15. Have you appointed a person to regularly check the websites of the relevant authorities for updated COVID-19 information?*Please enter the name of the appointed person.Signs play an important role in communicating a consistent message, provided that they are in good condition, in colour and displayed in appropriate locations. Please visit our recommended Supplier for your COVID-19 Signage.16. Do you display posters which inform workers and others how to wash their hands correctly? Download the Hand Rub Poster and How To Hand Wash Poster.pdf to display in your workplace. Take pictures showing where your posters are located.16. Hand Washing Posters* Drop files here or Select files Max. file size: 10 MB, Max. files: 3. 17. Do you display posters advising social distancing measures? Download the Keeping Your Distance Poster Poster to display in your workplace. Take pictures showing where these posters are located.17. Social Distancing Posters* Drop files here or Select files Max. file size: 10 MB, Max. files: 3. Thank you for completing your Workplace Management Hygiene Plan. Agree to the Data Collection Policy below, and click SubmitConsent*I agree to Monit storing this information. I understand the information will not be shared with any other party without my consent. Monit will retain your Personal Data only for as long as is necessary for the purposes set out here. We will retain and use your Personal Data to the extent necessary to comply with our legal obligations (for example, if we are required to retain your data to comply with applicable laws), resolve disputes and enforce our legal agreements and policies. Monit will also retain Usage Data for internal analysis purposes. 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