Occupational Health & Safety

SCHOOL DISTRICT NO. 42 (MAPLE RIDGE - PITT MEADOWS)

EXPOSURE CONTROL PLAN FOR COVID-19

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Table of Contents Exposure Control Plan for COVID-19 .............................................................................................. 2

Health Hazards of COVID-19 .............................................................................................................. 2

Statement of Purpose ............................................................................................................................ 3

Responsibilities ....................................................................................................................................... 3

Responsibility of Employer ............................................................................................................ 3

Responsibility of Supervisors ........................................................................................................ 4

Responsibility of Employees .......................................................................................................... 5

Risk Identification and Assessment ................................................................................................. 5

Contact Transmission both Direct and Indirect ..................................................................... 5

Droplet Transmission ....................................................................................................................... 5

Droplet Contact versus Airborne Transmission .................................................................... 5

Risk Controls ............................................................................................................................................. 7

Administrative Controls .................................................................................................................. 8

If Staff show Symptoms of COVID-19 ...................................................................................... 10

Written Safe Work Procedures, Education & Training ......................................................... 10

Health Monitoring ............................................................................................................................... 11

BC COVID-19 Self-Assessment Tool ......................................................................................... 11

Who should be tested for COVID-19? ................................................................................. 11

Who does not need to be tested for COVID-19? ............................................................. 11

Record Keeping ..................................................................................................................................... 12

Absence Coding ................................................................................................................................ 12

Annual Review ...................................................................................................................................... 13

Appendices ............................................................................................................................................. 14

Appendix A: Illness isolation room identified for infected staff & students ............ 14

Appendix B: Instructions for classroom teachers .............................................................. 14

Appendix C: Instructions for first aid attendants ............................................................... 15

Appendix D: Social (physical) distancing protocols .......................................................... 15

Appendix E: Incident & exposure reporting ......................................................................... 15

Appendix F: Staff risk assessment ............................................................................................ 18

Appendix G: Risk assessment for students/children (only to be used when students/children are on site) ................................................................................................... 19

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Exposure Control Plan for COVID-19 Pandemics are worldwide outbreaks of disease such as influenza/virus. Three outbreaks of pandemic influenza (as opposed to seasonal influenza) occurred in the 20th century: 1918 (Spanish influenza), 1957 (Asian influenza), and 1968 (Hong Kong influenza). The World Health Organization (WHO), Health Canada, and the BC Centre for Disease Control have recommended that all jurisdictions and workplaces create an exposure control plan to diminish the potential adverse effects of a pandemic virus. The WHO has declared a pandemic virus/influenza that could cause widespread illness and death in humans, COVID-19 is now considered to be one of them. Coronaviruses (CoV) are a large family of viruses that cause illness ranging from the common cold to more severe diseases. Coronavirus disease COVID-19 is a new strain that was discovered in 2019 and has not been previously identified in humans. Coronaviruses are zoonotic, meaning they are transmitted between animals and people.

Health Hazards of COVID-19 The effects of COVID-19 are expected to be much more severe than for seasonal influenza because most people will not have any immunity to the virus. Symptoms Symptoms may occur 2-14 days after exposure. Symptoms for the novel coronavirus (COVID-19) include:

• Fever • Cough • Sore throat

• Difficulty breathing • Sneezing

Transmission The Centre for Disease Control states that COVID-19 is a new disease and we are still learning how it spreads, the severity of illness it causes, and to what extent it may spread in Canada. There is still a lot we don't know about COVID-19 and there are studies underway to better understand it. There have been instances of transmissions before the person became sick or the symptoms were mild that the person did not know they were sick. Many people became ill from being in close contact with someone who showed symptoms such as coughing and sneezing, therefore transmitting the virus through droplets. This is why B.C. health officials are focused on putting protection around people who are ill and showing symptoms, in order to decrease the spread to others. There have been several of community based spread since COVID-19 has been discovered.

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COVID-19 virus is spread in the same way that seasonal influenza is spread. Exposure to the virus may occur in a variety of ways, including the following:

• Shaking hands with an infected person or touching a surface contaminated with the virus, followed by touching one’s eyes, nose, or mouth

• Infectious droplets (from a coughing or sneezing person) landing in the eye or onto the mucosa (moist inner surfaces) of the nose or mouth

• Breathing infectious airborne droplets or particles (from coughing, sneezing, or aerosol-generating medical procedures on infected patients)

• Sharing food items or utensils with an infected person

Statement of Purpose The Maple Ridge Pitt Meadows School District is committed to providing a safe and healthy workplace for our staff. A combination of measures will be used to minimize worker exposure to COVID-19 virus, including the most effective control technologies available. Our work procedures will protect not only our workers, but also other workers who enter our facilities. All employees must follow the procedures outlined in this plan to prevent or reduce exposure to the COVID-19 virus.

Responsibilities Employers are required by law to ensure that work is being conducted safely, and to protect their workers from all work-related hazards, including exposure to infectious diseases. Section 115 of the Workers Compensation Act specifies that employers are not only responsible for their own workers, but also for any other workers who may be present at their workspace.

Responsibility of Employer The Maple Ridge Pitt Meadows School District will ensure that the materials and chemicals required to control exposure are supplied and readily available where and when required. The District will also ensure to the extent possible the following for all workers:

• Identify infectious diseases that are, or may be in the workplace • Inform workers about how they may be exposed to infectious diseases in the

workplace • Educate, train, and supervise workers on safe work procedures, including

hand washing and the proper use of personal protective equipment (PPE). If students/children are attending in person, see Appendix: A,B,C,D for checklists and control measures

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• Offer vaccinations as recommended in the BC Centre of Disease Control’s

Communicable Disease Control Manual, without a cost to workers who are at risk of occupational exposure (when available for COVID-19)

• Purchase safety-engineered medical devices, where appropriate • Tell workers to seek medical attention, as required • Provide reporting methods for employees to report exposure, including

needle-stick injuries. See Appendix E for reporting procedures. Examples of control measures in place for custodial staff while working to combat the spread of COVID-19:

• Gloves (for custodial staff and first aid attendants), soap, washing facilities, alcohol-based hand rubs when washing facilities are unavailable

• Worker training materials to ensure adequate cleaning is provided • Ensure that supervisors and workers are educated and trained to an

acceptable level of competency • Ensure that workers use appropriate personal protective equipment (PPE) –

for example: gloves, eye protection, and N95 respirators when required. • Conduct a periodic review of the plan’s effectiveness. This includes a review

of the available control technologies to ensure that these are selected and used when practical.

• Maintain records of training and inspections. • Ensure that a copy of the exposure control plan is available for workers.

Responsibility of Supervisors The Maple Ridge Pitt Meadows School District Supervisors (Principals, Vice Principals, Managers) will:

• Ensure that employees are adequately instructed on the controls for the hazards at the location.

• Ensure that employees understand the safe work procedures outlined such as social (physical) distancing, hand washing and sneezing/coughing etiquette

• Ensure that employees use proper respirators, they have been fit tested, and the results are recorded (for maintenance and custodial staff)

• Direct work in a manner that eliminates or minimizes the risk to workers, for example staggering work shifts when many people are in the building.

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Responsibility of Employees The Maple Ridge Pitt Meadows School District staff (all staff employed by the district) will:

• Know the hazards of the workplace. • Follow established work procedures and safety protocols as directed by the

employer or supervisor. • Use any required PPE as instructed. • Report any unsafe conditions or acts to the supervisor. • Maintain physical distancing from co-workers/public/students • Know how and when to report exposure incidents.

Risk Identification and Assessment Three primary routes of transmission are anticipated for the COVID-19 virus, all of which need to be controlled. These include contact, droplet, and airborne transmission due to particulates from sneezing and coughing that may remain airborne.

Contact Transmission both Direct and Indirect Direct contact involves skin-to-skin contact, such as patient care or emergency response activity that requires direct personal contact (for example, First Aid attendant administering first aid to an injured worker). Indirect contact involves a worker touching a contaminated intermediate object such as a table, doorknob, telephone, or computer keyboard, and then touching the eyes, nose, or mouth. Contact transmission is important to consider because influenza viruses can persist for minutes on hands and hours on surfaces.

Droplet Transmission Large droplets may be generated when an infected person coughs or sneezes, and also during certain medical procedures such as cough induction. Droplets travel a short distance through the air, and can be deposited on inanimate surfaces or in the eyes, nose, or mouth.

Droplet Contact versus Airborne Transmission Coughs and sneezes produce both large droplets and smaller airborne particles. The smaller particles remain suspended in air for longer periods, and can be inhaled. The large droplets can also evaporate quickly to form additional inhalable particles. As the distance from the person coughing or sneezing increases, the risk of infection from airborne exposure is reduced; but it can still be a concern in smaller, enclosed areas, especially where there is limited ventilation. As the number of infected people in a room increases, the risk of infection can increase.

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This is why it is vital to practice social distancing (physical distancing) when and where-ever possible. COVID-19 usually have temporary acute symptoms for workers but may have serious consequences for students and workers who are frail or immunocompromised.

The following risk assessment table is adapted from Regulation Guideline G6.34-6. Using this guideline as a reference, we have determined that the risk level of our workers is low while school is not in session. Workers who work in a school environment, and have regular contact with the general public, with the possibility of handling potentially contaminated objects when school is in session, the risk grows from low to high depending on the following variables.

Table One: Risk assessment for COVID-19 virus Low Risk

Workers who typically have no contact with people infected with pandemic COVID-19 virus

Moderate Risk Workers who may be exposed to infected people from time to time in relatively large, well-ventilated workspaces

High Risk Workers who may have contact with infected students or with infected people in small, poorly ventilated workspaces, or may be immunocompromised

Hand Hygiene

Yes (washing with soap, using an alcohol based hand rub, or using hand wipes that contain effective disinfectant)

Yes (washing with soap, using an alcohol based hand rub, or using hand wipes that contain effective disinfectant)

Yes (washing with soap, using an alcohol based hand rub, or using hand wipes that contain effective disinfectant)

Disposable Gloves

Not Required Not Required (unless handling contaminated objects on a regular basis)

Yes, in some cases (for example, when working directly with a student who has been diagnosed)

Social or Physical Distancing

Not required due to limited people at the work site

Required, but able to maintain physical distancing at all times

Unable to maintain physical distancing (for example when working directly with a student who has been diagnosed)

School in Session

Workers may or may not have contact with people/students infected with pandemic flu virus throughout the day, but are not exhibiting symptoms of COVID-19.

Workers may have contact with people/students who might be infected with pandemic virus throughout the day, and who may be presenting symptoms of COVID-19.

Workers may have contact with people/students infected with pandemic virus throughout the day, and/or may be presenting with symptoms of COVID-19 or live with someone who has been diagnosed with COVID-19.

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Table Two: Risk Assessment for Employee Groups during COVID-19

Role – If there are students at the school or daycares are in session.

Low Risk Workers who typically have no contact with people infected with pandemic virus

Moderate Risk Workers who may be exposed to infected people from time to time in relatively large, well ventilated workspaces

High Risk Workers who may have contact with infected students or with infected people in small, poorly ventilated workspaces

School Office Staff X DEO and Maintenance Office Staff

X

Exempt Staff X Teachers/Instructional Support Staff

X

Custodians X Trades X Drivers X

Risk Controls The regulation requires employers to implement infectious disease controls in the following order of preference:

1. Engineering controls a. Site ventilation systems operating at standard operational capacity

2. Administrative controls a. Ability to wash hands (wash stations available with soap, water and

paper towel) b. If wash stations unavailable, then hand sanitizer with alcohol content

70% or higher is available c. Coughing and sneezing etiquette is adhered to by all staff and students d. Social (physical) distancing is mandatory e. If worker is sick, then they need to call in sick and stay home

3. Personal protective equipment (PPE) a. For custodians and/or first aid attendants (for cleaning purposes):

gloves, eye protection, N95 mask when required for cleaning procedures

b. For most staff PPE is not required; however if new items come to play we will develop a standardized plan for those who it may impact

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It is not necessary to implement additional engineering controls in our workplace because the risk of exposure can be controlled using administrative controls (for example, hand washing and cough/sneeze etiquette) and PPE where necessary. However, if more teachers and support staff are reintroduced into the worksite, then engineering controls such as ensuring ventilation systems are functioning at normal capacity will be required.

Administrative Controls Please carefully read these expectations regarding strict health and safety measures for all employees amid the COVID-19 outbreak: Employees are required to abide by the following expectations: Do not come to work if you are ill or are experiencing symptoms of illness

• Employees need to enter their absence into the ADS when ill

Follow social (physical) distancing requirements: • As per Provincial Health Officer requirements effective March 18, 2020, keep

a minimum of 6 feet or 2 metres distance between yourself and another person

• Avoid congregating in common rooms or areas (lunchroom, lobby, washroom, etc.)

• Make use of phone calls instead of in-person conversations • Conduct meetings by phone or by making use of Microsoft Teams or Zoom • Whenever possible, relocate to another workspace or location to maximize

social distancing • In a shared office space: shift positions to meet social distancing

requirements • All reception areas and outside entrances should have signage restricting

access • Chairs in common areas should be spaced out according to social distancing

requirements or removed completely Hand washing Hand washing is one of the best ways to minimize the risk of infection. Proper hand washing helps prevent the transfer of infectious material from the hands to other parts of the body – particularly the eyes, nose, and mouth – or to other surfaces that are touched. Wash your hands for at least 20 seconds immediately:

• When entering the work area • Before leaving a work area • After handling materials that may be contaminated • Before and after eating, restroom breaks, drinking, smoking, handling contact

lenses, applying makeup, or touching your face

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Image One: Hand Washing Procedure

Use soap and warm running water for at least 20 seconds. (It doesn’t need to be hot to do the job.) If water is unavailable, use a waterless hand cleanser that has at least 70% alcohol. Follow the manufacturer’s instructions on how to use the cleanser. Alcohol-based hand rub dispensers are provided only in portable classrooms where sinks are not available. Cough/sneeze etiquette Workers are expected to follow cough/sneeze etiquette, which is a combination of measures that minimize the transmission of diseases via droplet or airborne routes. An image can be found on the following page. Cough/sneeze etiquette includes the following components:

• Cover your mouth and nose with a sleeve or tissue when coughing or sneezing.

• Use tissues to contain secretions, and dispose of them promptly in a waste container.

• Offer surgical masks to people who are coughing, or stay home if sick. • Turn your head away from others when coughing or sneezing. • Wash hands regularly.

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Image two: Coughing & Sneezing Etiquette

If Staff show Symptoms of COVID-19 If employees are showing any type of illness symptoms they should stay at home. If they develop symptoms of COVID-19 while at work, they should leave the workplace. Employees should only return to the workplace once they have recovered from COVID-19 and are no longer showing symptoms (14 days of strict isolation). Employees should inform their manager or supervisor if they are ill with COVID-19.

Written Safe Work Procedures, Education & Training Workers will receive information and/or training in the following:

• The risk of exposure to COVID-19, and the signs and symptoms of the disease • Safe work procedures to be followed, including hand washing and

cough/sneeze etiquette • Location of washing facilities, including dispensing stations for alcohol-based

hand rubs (in portable classrooms) • How to seek first aid (Site based OHS orientation) • How to report an exposure of COVID-19 (Appendix: E)

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Health Monitoring Employees will promptly report any COVID-19 symptoms to their supervisor or manager and the first aid attendant as a control measure. Their manager/supervisor will then report it to HR.

BC COVID-19 Self-Assessment Tool This self-assessment tool, developed with the BC Ministry of Health, will help determine whether you may need further assessment or testing for COVID-19. You can complete this assessment for yourself, or on behalf of someone else, if they are unable to. Click here to access: COVID-19 Symptom Self-Assessment Tool

Who should be tested for COVID-19? People with respiratory symptoms who are:

• Hospitalized, or likely to be hospitalized • Health Care Workers • Residents of long-term care facilities • Part of an investigation or cluster or outbreak

Who does not need to be tested for COVID-19? • People without symptoms • Patients with mild respiratory symptoms who can be managed at home,

including returning travelers with an onset of illness within 14 days of return to Canada

The BC Ministry of Health strongly urges anyone who has symptoms – including cough, fever, sneezing, sore throat, or difficulty breathing – to self-isolate for 14 days. You will log your absence under illness in the ADS if you are sick. Dr. Bonnie Henry is recommending that you stay at home if you are exhibiting any symptoms or signs of illness. The province has created a phone service to provide non-medical information about COVID-19, including the latest information on travel recommendations and social distancing. Information is available in more than 110 languages, 7:30 a.m. – 8:00 p.m. Pacific Standard Time at 1-888-COVID19 (1-888-268-4319) or via text message at 604-630-0300.

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Record Keeping The Maple Ridge Pitt Meadows School District will keep records of instructions and training provided to workers regarding the COVID-19 virus, as well as exposure reports and first aid records.

Absence Coding Special absence codes have been developed to help track the data of transmission of the COVID-19 virus in our District. If you have tested positive for COVID-19 the Public Health Officials (PHO) will contact you and ask for a list of people and places you have been in contact with while being symptomatic. The Public Health Official will contact the school district and inform the employer of any employees who have quarantined as a result of COVID-19. All people that have been directly exposed will be contacted with detailed instructions from the Public Health Officials. The Public Health Officials will contact the school district, and the district will code your absence to ensure employee confidentiality, and continuity of pay will not be disrupted until you are able to return to work. Illness – Use this code if you are symptomatic, or are ill in order to stay home from work, or your doctor has provided you with a note to support a medical leave. If you do not have access to sick time, you will need to apply for Medical EI, please be in contact with payroll so they can send a ROE in for you. General leave without pay (you are not ill but wish to be off work to self-isolate) – Check with your supervisor and payroll to see if you have vacation bank or time in lieu to support this. If you do not have any storage banks, then this will be considered a general leave without pay.

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Compromised immune system and vulnerable populations Anyone who is:

• An older adult (people working past the age of 65 will be included)

• At risk due to underlying medical conditions (e.g. heart disease,

hypertension, diabetes, chronic respiratory diseases and cancer)

• At risk due to a compromised immune system from a medical condition or

treatment (e.g. chemotherapy)

• Caring for a dependent that has any of the aforementioned conditions

These employees are at a higher risk, so they will be excluded from performing any of the mandatory tasks as defined in the Operational Plans for the Pandemic. Continuity of pay will not be disrupted at this time. Employees who fall in this category are still encouraged to work from home if possible. If an employee falls in this category and is unable to work from home due to work duties they will be asked to contact Human Resources, who will enter their appropriate absence code. Continuity of pay will not be disrupted at this time.

Annual Review The Maple Ridge Pitt Meadows School District will review the exposure control plan every year and update it as necessary, in consultation with our joint health and safety committee or worker health and safety representative.

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Appendices

Appendix A: Illness isolation room identified for infected staff & students Checklist for Room Requirements (only used for schools providing care for first responder students/children)

Location is near an exit/entrance of the school Garbage bins, (2 – one for inside the room, one for outside of the room) Room layout – tables and chairs spaced 2 m apart Hand Sanitizer or access to sink and soap inside the room Hand sanitizer outside the room, for use prior to entry Hand protection for employees Respirator N95 masks to be used for sick staff and students Clipboard/sign-in and out form Sign on the door to alert people to knock before entering Signs – put on tables (to be disinfected) Paper towels Boxes of tissues Bottled water

Appendix B: Instructions for classroom teachers (only used for schools providing care for first responder students/children)

Wash hands upon arrival to school, sign in with your own pen or disinfect with wipes if they are available

Reinforce hand washing practices—before entering the class Review with students proper hand washing and sneezing etiquette Watch for potential signs of illness (coughs, face flush as it may be a sign of

fever, trouble breathing) Have tissues on hand—ease of access Plan class activities that will allow for social distancing If student is unwell, ensure all his/her belongings are put away and that child

leaves class with coat, bag, etc. to avoid re-entry in the class Notify the office that student is on way down to isolation room Office to contact parent (s) for early pick-up

Place card on desk for additional cleaning by Custodian

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Appendix C: Instructions for first aid attendants (only used for schools providing care for first responder students/children)

Wash hands before putting gloves on Wear medical gloves if providing care Remove gloves as per Safe Work Procedures Wash/sanitize hands between ill persons When using respiratory protection N95, wash hands before putting mask on

as per Safe Work Procedures Remove respiratory protection using Safe Work Procedures

Appendix D: Social (physical) distancing protocols Reconfigure the workspace to maintain appropriate distance between

workers and students Students workspaces need to be 2 meters apart, along with teachers Limit worker participation in in-person gatherings and encouraging practices

like teleconferences as an alternative Limit worker travel between sites when possible Increase workplace cleaning protocols Student attendance needs to be monitored in case of possible outbreak; more

than 10% away with similar symptoms

Appendix E: Incident & exposure reporting ACCIDENT/INCIDENT REPORTING AND FOLLOW UP In accordance with the Occupational Health and Safety Regulation, the Maple Ridge Pitt Meadows School District is committed to ensuring the investigation of workplace incidents, exposure, threats and accidents. Statement of Purpose The purpose of the investigation of incidents/accidents, threats and occupational diseases is to identify the root cause to ensure the prevention of recurrence. An investigation is carried out when an accident results in or has the potential to cause serious injury or disease, when an employee receives medical attention or when an accident involves a major structural failure. Responsibilities: District Administration

• Ensure the provision of an effective incident/accident investigation program. • Ensure all supervisory personnel attend accident investigation training

sessions as required.

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Supervisors

• Administer the incident/accident investigation program as required. • Conduct accident/incident investigations with involved employee(s). Refer to

the online reporting requirements below. • Inform the District Manager Health, Safety & Wellness immediately when

there is: • Serious injury to, or the death of a worker • Injury as a result of a major structural failure or collapse of a building, bridge,

tower, crane, hoist, temporary construction support system or excavation • Injury involving the major release of a hazardous substance • Develop and implement recommendations as appropriate. • Communicate corrective action to all employees. • Ensure employees are trained in injury/illness reporting and recording

procedures. • Provide monthly statistics to school/site safety committee • Follow up to ensure corrective action was effective. • Use accident investigations as a basis for safety meeting topics to heighten

employee awareness. • Ensure appropriate arrangements are made for transporting the employee to

emergency medical care and/or home if necessary. DO NOT drive injured/exposed workers to the doctor or clinic, call a family member Employees

• File the appropriate report online by going to the forms section on MYSD42 • Report the following work-related incidences to Principal/Supervisor: • An injury • A near miss or close call • Going to the doctor because of a work-related injury • Losing time from work because of a workplace injury • Threat/violence • Workplace bullying and harassment

First Aid Attendant Responsibility

• The first aid attendant will: • Treat all injuries in an appropriate manner • Complete online first aid record by going to the forms section, click on MYSD42

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Joint Health and Safety Committee

• Participate in accident investigations as required. • Review all employee incident, accident and threat reports (A report should

be generated that does not disclose personal information). • Analyse all accident investigation reports relative to basic causes providing

information to appropriate supervisory personnel. Online Reporting All health and safety reporting forms can be found by accessing MYSD42 on the District’s website: www.sd42.ca, click on the MYSD42 tab > My Info > documents & eforms > click eforms and my Eforms List > Health & Safety folder > Workers report of injury > once you are in form you will fill out “exposure”. Screen shots on the next page provide a visual context for user.

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Appendix F: Staff risk assessment Screening to be Completed by Staff over the Phone with Supervisor Risk Assessment: Screening for COVID-19

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Appendix G: Risk assessment for students/children (only to be used when students/children are on site) Screening to be Completed by Staff ** This form may change, any changes will be communicated with staff** Risk Assessment: Initial screening questions for families of first responders

RISK ASSESSMENT Circle One 1.Do you or your child attending the program, have any of the below symptoms?

• Fever YES NO

• Cough YES NO

• Shortness of Breath/Difficulty Breathing YES NO

2. Have you, or anyone in your household, travelled outside of Canada in the last 14 days or been in close contact with someone who has? If so, when did you or the person in your household return or have contact with someone who has returned __________________________________

YES NO

3. Did you or your child provide care to or have close contact with a person who has COVID-19 (probable or confirmed) while they were ill (cough, fever, sore throat, or sneezing). If so, when __________________________________ Close contact: anyone in your household, anyone who you have been intimate with, or provided care for someone without the proper personal protective equipment

YES NO

If you have answered “YES” to any of the above questions, the family and children are not permitted to enter at this time.

If you have answered “NO” to all above questions, a staff member will sign the family and/or child(ren) in. Remind parent/caregiver to practice hand hygiene

(wash hands for 20 seconds, and or use hand sanitizer) before and after their visit Our goal is to minimize the risk of infection to staff and children, thank you for your understanding and cooperation.