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HSE Orientation Module on DTI  & DOLE Guidelines  on Workplace Prevention  &  Control of   Covid-19

CHSI
Center for Ilealth Sersice•s. Inc.

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The first 27  slides are the  DTI &  DOLE Interim  Guidelines  on  Prevention   & Control  of Covid-19 and slides  28 to  63  are  the DTI  & DOLE  Suppleme ntal Guidelines  on Workplace Prevention  &  Control of   Covid-19   Covid-19  Orientation

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DTI and DOLE
Interim Guidelines on
Workplace Prevention and
Control of COVID-19
BUREAU OF WORKING CONDITIONS
Department of Labor and Employment

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BACKGROUND
• March 8: Declaration of State of Public Health Emergency
through Proclamation No. 922
• March 16: Implementation of Luzon-wide ECQ until April 14
April 7: Extension of the Luzon-wide ECQ until April 30
April 23: Recommendation of the IATF for the issuance of
guidelines by different government agencies to provide policy
directions for the public and stakeholders in complying with
government regulations following the modification of ECQ
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines | 2

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OBJECTIVE a COVERAGE
• To assist private institutions allowed to operate during the ECQ
and GCQ in developing the minimum health protocols and
standards in light of the COVID-19 pandemic.
• Applies to all workplaces, employer and workers in the private
sector.
Aligned with DOH AO 2020-0015 (Guidelines on the Risk-based
Public Health Standards for COVID 19 Mitigation; April 27, 2020)
Department of Labor and Employment
DTI and DOLE Interim Guidelines | 3
BUREAU OF WORKING CONDITIONS

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WORKPLACE SAFETY AND HEALTH
A. Increasing physical and mental resilience
B. Reducing transmission of COVID-19
C. Minimizing contact rate
D. Reducing risk of infection from COVID-19
Department of Labor and Employment
DTI and DOLE Interim Guidelines | 4
BUREAU OF WORKING CONDITIONS

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WSH: Increasing Physical & Mental
Resilience
1.
2.
3.
Emphasize everyday actions to stay healthy such as:
a. Eat nutritious and well-cooked food,
b. Drink plenty of fluids and avoiding alcoholic beverages,
c. Have adequate rest and at least 8 hours of sleep, and
d. Exercise regularly;
Enjoin companies to provide free medicines and vitamins; and
Provide referral for workers needing counselling or presenting
with mental health concerns.
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines | 5

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WSH: Reducing transmission of COVID-
19 (PRIOR TO ENTRANCE in buildings or workplaces)
a. All employers and workers shall:
Wear mask at all times
(may use cloth masks),
Accomplish daily the
health symptoms
questionnaire,
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Have your temperature
checked and
recorded, and
Spray alcohol to both
hands and provide foot
baths at the entrance, if
practicable;
DTI and DOLE Interim Guidelines | 6

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WSH: Reducing transmission of COVID-
19 (PRIOR TO ENTRANCE in buildings or workplaces)
b.
c.
Disinfect equipment or vehicle
entering the operational hub; and
Instill physical distancing of one
meter on queue outside the office
or store premises.
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines
7

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WSH: Reducing transmission
19 (INSIDE THE WORKPLACE)
of COVID-
a.
b.
c.
d.
Clean and disinfect at least once
every 2 hours all work areas and
frequently handled objects;
Provide sufficient clean water and
soap in all washrooms and toilets;
Encourage workers to wash hands
frequently and avoid touching face
Provide
sanitizers
in
corridors,
conference areas, elevators, stairways
and areas where workers pass;
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines | 8

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WSH: Reducing transmission of COVID-
19 (INSIDE THE WORKPLACE)
d.
e.
g.
0000
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Practice physical distancing of 1 meter
radius space between workers at all
times;
Communal eating is discouraged
Ensure that physical distancing is
maintained if eating in dining areas;
dispose wastes properly; and
Clean and disinfect regularly canteens
and kitchens.
DTI and DOLE Interim Guidelines | 9

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WSH: Minimizing contact
1.
2.
Adoption of alternative work
arrangements- shift work or staggered
work hours, WFH;
Discourage prolonged face-to-face
interaction between workers and with
clients;
Masks should be worn
Meetings with minimum pax
short duration
Use videoconferencing
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
rate
DTI and DOLE Interim Guidelines | 10

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WSH:
Minimizing contact rate
3.
4.
5.
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Arrange office tables to maintain
proper physical distancing;
Design workstation layout to allow
for unidirectional movement in
aisles, corridors or walkways;
Limit number of people in enclosed
space;
— Elevators: physical distancing
DTI and DOLE Interim Guidelines | 11

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WSH: Minimizing contact rate
6.
7.
8.
Encourage use of stairs with physical
distancing (unidirectional if possible);
Encourage highly the use of online
system for clients needing assistance
from offices including the use of
videoconferencing; and
Roving officer ( exr safety officer) shall
ensure physical
distancing
and
observance of health protocols.
Department of Labor and Employment
-l
DTI and DOLE Interim Guidelines 12
BUREAU OF WORKING CONDITIONS

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WSH: Reducing risk of infection from
COVID•19 (worker is a COVID-19 suspect)
a.
b.
The worker
shall immediately
proceed to the designated isolation
area and never remove his/her mask.
Clinic personnel attending to the
workers should wear appropriate
PPEs and, if needed, require the
transport of the affected worker to
the nearest hospital.
PCR testing shall be done and results
reported by hospital to DOH
Department of Labor and Employment
$ BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines | 13

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WSH: Reducing risk of infection from
COVID•19 (worker is a COVID-19 suspect)
c. Decontamination of workplace:
6
ii.
iii.
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Workplace shall be decontaminated
with appropriate disinfectants;
After decontamination of the work
area, work can resume after 24 hours;
and
Workers present in the work area with
the suspect COVID-19 worker shall go
on 14 days home quarantine.
DTI and DOLE Interim Guidelines | 14

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WSH: Reducing risk of infection from
COVID•19 (worker is sick or has fever, not COVID-19)
Employer must advise the worker to take
prudent measures to limit the spread of
communicable diseases, as follows:
Stay at home and keep away from
work or crowds;
ii. Take adequate rest and plenty of
fluids;
iii. Practice personal hygiene to prevent
spread of disease; and
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines | 15

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WSH: Reducing risk of infection from
COVID•19 (worker is sick or has fever, not COVID-19)
iv. Seek appropriate medical care if there is:
Persistent fever,
Difficulty of breathing, or
Weakness.
Department of Labor and Employment
$ BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines | 16

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DUTIES OF EMPLOYERS
1
2.
3.
Provide the necessary company policies for
the prevention and control of COVID-19 in
consultation with workers;
Advocacy and IEC programs from reliable source
Provide resources and materials needed to
keep the worker healthy and the workplace
safe (masks, soap, disinfectants, PPE, testing
kit);
Designate a safety officer to monitor
COVID-19 prevention and control measures;
Department of Labor and Employment
DTI and DOLE Interim Guidelines 117
BUREAU OF WORKING CONDITIONS

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DUTIES OF EMPLOYERS
4.
5.
6.
7.
Enhance health insurance provision for
workers;
Provide shuttle services and/or decent
accommodation on near-site location to
lessen travel and people movement, when
feasible;
Enjoin the hiring from the local community;
and
Put up a COVID-19 Hotline and Call Center
for employees.
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines 18

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DUTIES OF WORKERS
1.
2.
3.
4.
5.
Comply with all workplace measures in place for the prevention
and control of COVID-19 (masks, physical distancing, frequent
handwashing);
Observe proper respiratory etiquette;
Cough and sneeze into tissue or into shirt sleeve
Dispose used tissues properly; and
Disinfect hands immediately after a cough or sneeze.
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines 19

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COVID-19 TESTING
Employers may test workers for
COVID-19.
Testing of workers and interpretation
of results shall be in accordance with
DOH Memorandum No. 2020-0180
and Administrative Order No. 2020-
I Revised Interim Guidelines on Expanded Testing for COVID-19, 16 April 2020
eona
(COVID-19)
rRT-PCR DETECTION
2 Guidelines in Securing a License to Operate a COVID-19 Testing Laboratory in the Philippines, 07 April 2020
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines | 20

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MOST AT RISK WORKERS AND
VULNERABLE GROUPS
Employer are highly encouraged to allow
most at risk workers and vulnerable groups
to do work from home arrangement.
Most at risk workers: >60 years old or of
any age with co-morbidities or pre-
existing illness
Work arrangements should be developed
to detail the workers' deliverables and
there shall be no diminution in wages or
benefits.
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
DTI and DOLE Interim Guidelines 21

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ASSISTANCE AND REPORTING
DTI and DOLE shall extend assistance and technical support to all
workplaces, employers and workers in complying with the
Guidelines.
The employer shall provide the DOLE through its Regional Office,
copy furnished the DOH, monthly reporting of illness, diseases and
injuries utilizing the DOLE Work Accident/lllness Report Form
(WAR).
Department of Labor and Employment
DTI and DOLE Interim Guidelines 122
BUREAU OF WORKING CONDITIONS

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SAMPLE PROTOCOL FOR SCREENING
EMPLOYEES AND VISITORS
37.æc
or greater
Temperature
Check
37.40C
.or lower
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Cannot Enter
Building
Réstünikoiated
Hö\dihg• Area for
15 minutesthen
recheck
•temperature
Accomplish Visitor's
Checklist
Higher than
37 soc
.still 315tc
Lower than
37.50C
With Yes
Response
No Yes
Response
TO & assessed by:
Doctor / Nurse
Enter
DTI and DOLE Interim Guidelines | 23

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HEALTH
CHECKLIST
Health Checklist
Residence:
Nature
of
Please check one
Company Name;
Company
Address:
Temperature:
Sex:
Age:
Visit:
Official:
Personal:
a.
c.
anakit n
d.
If official, fill-in company details below
1. Are you experiencing:
(nakakaranas ka ba
ng:)
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Sore
throat
(pananakit ng lalamunan /
naasakil lumunok
Body
ananakit n katawan
Headache
Fever for the past few days
(Lagnat sa nakalipas na mga
araw
Yes
o
No
o
DTI and DOLE Interim Guidelines | 24

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HEALTH
CHECKLIST
2.
3.
4.
5.
Have you worked together or stayed in the same close environment of a
confirmed COVID- 19 case? (May nakasama ka ba o nakatrabahong tao
na kumpirmadong may COVID-19 / may impeksyon ng coronavirus?)
Have you had any contact with anyone with fever, cough, colds, and sore
throat in the past 2 weeks? (Mayroon ka bang nakasama na may lagnat,
ubo, sipon o sakit ng lalamunan sa nakatipas ng dalawang (2) lingo?)
Have you travelled outside of the Philippines in the last 14 days?
(Ikaw ba ay nagbyahe sa labas ng Pilipinas sa nakalipas na 14 na araw?)
Have you travelled to any area in NCR aside from your home?
(Ikaw ba ay nagpunta sa iba pang parte ng NCR o Metro Manila bukod sa
iyong bahay?) Specify(Sabihin kung saan):
I hereby authorize [name of establishment], to collect and process the data indicated herein for
the purpose of effecting control of the COVID-19 infection. I understand that my personal
information is protected by RA 10173, Data Privacy Act of 2012, and that I am required by RA
11469, Bayanihan to Heal as One Act, to provide truthful information.
Signature:
Department of Labor and Employment
BUREAU OF WORKING CONDITIONS
Date:
DTI and DOLE Interim Guidelines | 25

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END OF PRESENTATION
"t faee%ce?
just dial
CONTACT US

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DTI &  DOLE   SUPPLEMENTAL  GUIDELINES  ON  WORKPLACE PREVENTION   &   CONTROL OF  COVID-19   (Joint Memorandum Circular No. 20-04)

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Mandatory Covid-19  Awareness                                    Seminar/Orientation  CHSI OSH committee  is committed  to  facilitate the enforcement of  Covid-19  prevention & control awareness program  through  webinars ,  virtual lectures  and  trainings  with the following topics : Topics shall include as per JMC : a) Wearing of masks and face shield and reducing frequent manipulation;  b) Physical distancing;  c) Frequent and proper hand washing;  d) Frequent Disinfection; and  e) Other preventive strategies in reducing the spread of COVID-19 .

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A. CHSI on the Increase Physical and Mental Resilience

CHSI  shall provide their employees with  psychosocial support,  especially those presenting mental health concerns.  2.  A committee on Mental health headed by CHSI Physician shall be  established to address possible mental health issues by CHSI employees.   2. CHSI  shall likewise promote work-life balance, especially in these trying times through proper scheduling of activities and workforce rotation.    3.  CHSI  policies on prevention and control of COVID-19 is aligned with the  existing  minimum public health standards and  guidelines issued by the DOH and other regulatory agencies.

NATOONAL
MENTAL HEALTH
WEEK 2019
October 6-12,

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B . CHSI on Reducing Transmission of COVID-19    CHSI  also complies  the following criteria & description of face masks and face shield to be worn by its employees as stated in this memorandum.   CHSI  on Wearing of Face Masks 	 i . CHSI shall use medical grade masks as highly encouraged and should be properly disposed of after use.    ii. Masks with vents should not be used in CHSI workstations   iii. CHSI may allow the use of cloth masks, with additional filter such as tissue paper or similar material, may be used as long as they are clean and washed daily. The filter should be changed daily or after every sneezing or coughing episode, and should be properly disposed of after use. Hands should be washed/disinfected before replacing the filters.    iv. CHSI employees shall be informed in many ways to avoid frequent mask handling and manipulation.

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CHSI  on Wearing of Face Shields   i . CHSI shall use  face shields which covers the entire face  (completely cover the sides and length of the face). If possible, face shields should extend to the ears and below the chin.    ii. CHSI shall not allowed the use visor-type face shields.    iii. CHSI employees shall be informed the use of face shields and masks together when interacting with colleagues, clients and/or visitors.    iv. CHSI employees’ face shields may be removed according to the demands of the work or when the occupational safety and health of the employees so requires.

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Physical distancing of at  least one (1) meter, or two (2) meters  when possible, shall be observed at all times in all CHSI workplaces in combination with the wearing of masks and face shields.  ii. Red demarcation tape  shall be placed around each workstation chair to remind, prohibit close distance & maintain physical distancing among co-workers.   iii. CHSI  offices, pharmacy &  clinic  if needed shall be  re-arranged  in order to comply physical distancing protocol.

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CHSI  on Frequent Disinfection    i . CHSI  shall advise its employees to do frequent hand washing with soap and water or the application of alcohol-based disinfectants.   Hand washing soap, clean water, sanitizers and disinfectant shall be made available and will be provided by CHSI in-charge personnel in all strategic areas.    Workplace disinfection shall be done weekly whereas, those frequently touched objects shall be done every after two (2) hours.

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Provision  of  Signages   CHSI  signages  shall be provided to remind CHSE employers, employees, visitors & patients. It shall be posted in all strategic areas in order to properly practice the minimum safety & health standards.  Signages  includes but not limited to:

i . Before and after handling food or eating;  ii. After using the bathroom;  iii. Before and after taking off their face mask and/or face shield;  iv. After touching frequently-touched surfaces and objects (e.g. stair railings, elevator controls, door knobs); and  v. Before and after touching their face.

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HEALTH & SAFETY
Z VEAR FACEWSK
VEAR FACE se-*LD
KEEP DSTANCNG AT LEAST
1 NETERAhAY.
(1
FREQJENTHAND

INSIDE WORKPLACE HEALTH
& SAFETY PROTOCOL
(Highly
MEAL/ EATING SAFETY
& HEALTH

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Joint Memorandum Circular (JMC) states that:   “Employers classified as large and medium sized private establishments (i.e.  those with total assets1 above PHP15M ) are enjoined to provide shuttle services to their employees.”   CHSI  may provide  shuttle service to its employees  depending on the availability of public  transport and latest IATF guidelines.  Minimum safety & health protocols in the shuttle service shall apply such as:

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1. Use of  face shields and face masks,  2. Observance  of physical distancing, 3. Frequent  disinfection, 4. Avoid  talking with each other,  5. Avoid  taking phone calls,  6. Eating  and removing their masks and shields 7. Display  of  signages  such as “No Talking,” “No Eating,” and “No Taking Phone Calls”

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CHSI  on the Provision of Adequate Ventilation   CHSI employees shall be  encouraged to enforce  the provision of adequate ventilation as regulated under this JMC with the following details:   Inside the workplace   - Natural air flow exchange ( opening windows, opening doors, turning off air-conditioning units to reduce air recirculation ) will be highly encouraged. If possible, the installation of exhaust fans, installation of air filtration devices with High-Efficiency Particulate Air (HEPA) filters or the recalibration of building heating, ventilation and air-conditioning (HVAC) systems should be explored.

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b.  Inside  the shuttle service – The  opening of windows, with at least three (3) inches  of opening, while in transit should be practiced whenever possible. The observance of  physical distancing  of at least one (1) meter and wearing of face masks and face shields shall be followed. Proper  disinfection before and after each use  of the vehicle is likewise mandatory.

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CHSI controlled premises shall be provided a  designated  smoking area in  accordance to the applicable requirement & standards under RA No. 9211 & EO No. 26, S. 2017   In addition, CHSI employee shall be required to strictly observe the following safety & health protocol:   1. Observe 1 meter physical distancing. 2. No sharing of cigarettes  3. Provision of  signages 4. Isolated smoking area 5. No talking 	6. No standby/limited time to be allotted

KEEP A SAFE DISTANCE AT DSAs
REMINDER!
Designated Smoking Area

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CHSI Adopted Guidelines  in Reducing Contact

Work from home arrangement   for most at risk CHSI personnel like senior, pregnant women, employee with underlying health condition, aged below 21 year old etc. In case they need to report to work, they will be required to present  medical certificate   that they are physically fit to work. Restriction for mass gathering   shall be monitored. It may be allowed with following restrictions; for confined space up to 10% seating capacity shall be permitted and for open space a maximum of 50% seating capacity shall be allowed. Use of  video conferencing  for large attendance for longer meeting exceeding 15 minutes or more. Safety Officer to determine the maximum number of employees   in the busy areas or to implement occupational safety & health program. CHSI to  adopt staggered meal schedule . Eating alone in a work station is to be highly recommended.

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7.  Bringing  of own food is  encouraged  as much as possible. Buying of meal at the canteen is discourage. 8.  Meal  table to be arranged  to ensure social distancing. No talking, no sharing of foods, snacks, utensils and other items. 9.  Use  only designated chair and table  and other office supplies as possible.  10.  Serving  of buffet meals  and other similar set-ups is strictly prohibited. 11. Costumer  transaction if possible is up to  15 minutes duration but for patient  it can be extended as long as social distancing, complete  ppe  and other safety & health protocol is observed.

On the detection of SARS-CoV-2, all employees, visitor & patients, upon entering the building premises/workplaces controlled by CHSI, shall be required to  accomplish manually the Health Declaration Form or CT Form. Online accomplishing of health declaration form shall also be available . QR code will be posted at clinic door for visitors and patients and unit 1606 door for CHSI employee. Process shall be posted to facilitate such operation.

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2. The CHSI Nurse, clinic personnel, security staff or other appointed personnel shall immediately screen the accomplished form and perform a temperature check with the following guide:   a. If  “ Yes ” to any item is answered or if with a  T> 37.5 degrees Celsius , the  employee/client shall be denied entry  and referred to the workplace isolation area for further evaluation by the Safety Officer.    b. If  “ No ” to all items are answered and temperature is  <37.5 degrees Celsius, the employee/client shall be permitted entry.    c.  The  security staff or other responsible CHSI personnel  on duty shall immediately give the accomplished health declaration form to the company  Human Resources (HR ) for appropriate action and storage.  d. Should  an  online health declaration  form be used, the form should be electronically submitted to HR.

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FOR YOUR
HEALTH
CHSI Health
Declaration

CHSI  Manual & Electronic Health declaration forms

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e. The  Health Declaration Form shall be handled and processed  in accordance with  the Data Privacy Act and related  issuances.

3.  Employers shall direct symptomatic individuals through appropriate health       system  entry points  such  as the primary care facility (e.g. Barangay Health       Center ,  Infirmaries, Private Clinics/hospitals ) or  tele -health consultation.       Referral  networks shall  be established .    4. Employers  may contact the DOH through its hotline 1555 for guidance on the       handling and referring  symptomatic employees.    5. CHSI QR code for employees and visitors safety & health protocol shall be       utilized  to minimize contact.

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What to do when CHSI employee experience Covid-19 or                                                       Not Covid-19 like symptoms?   CHSI employee shall  report to his direct Account Supervisor or Manager .   Account Supervisor or Manager shall  inform HSE or Clinic Head . HSE or Clinic Head shall recommend on duty physician to initiate a  Tele-consultation or Tele-medicine service s (for Non-MPO CHSI employees ). CHSI on duty physician shall  call the patient  for Tele-consultation/Tele-medicine services.  Contact tracing  to be done by Safety Officer through the help of Account Supervisor/Manager.  Monitoring  by Account Supervisor/Manager, Safety Officer & CHSI on duty physician .

Dialing is faster than going
to the emergency roam.
Anytime, Anywhere,
Maxicare at your Service.

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7.  Submission  of medical clearance  to the Accounts Supervisor or Manager upon return to work. The patient or the Account Supervisor/Manager shall also furnish a copy of medical clearance to HR & HSE department . 8. Physician shall  issue medical certificate  to the recovered patient. 9 .  Documentation   by Safety Officer or CHSI health personnel.   10. Safety  Officer  WAIR reporting  to DOLE.

Note 1: The employee may choose to avail health services to their  “Barangay Health Emergency Response Team” or BHERT  who shall then conduct health monitoring & issue medical clearance after recovery.   Note 2: If CHSI employee was detected of Covid-19 symptom/s upon entry or during working hour, she/he will be advised to proceed to the Isolation  Area  for further evaluation by CHSI health personnel. If the symptom/s is not Covid-19 like, he/she will be  referred to the duty Physician  for health consultation.

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CHSI Process of Reporting for Covid-19 or Not Covid-19 like s ymptoms or illness

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Note 3. In the case of  Non-MPO CHSI employees , they will be consulted by CHSI Physician on site, if not available, MPO CHSI Physician shall be informed for them to initiate  tele -consultation/medicine services .   Note  4 :  Please refer also to  CHSI offices return to work guidelines  released on May 15, 2020.

Isolation  and Referral  Guidelines  (MPO clinic shall use admin Isolation)   As per  LA No. 20-02 citing section III B(1) on the designation of isolation area of one (1) room for every 200 employee actually reporting to work per shift. All controlled clinics run by CHSI shall be provided with  isolation area/room  just near or outside the clinic entrance to be used as an area for employees needing further assessment. Isolation are shall be provided with  rest room, chair, adequate ventilation  with complete PPE needed for health personnel & patient and to be disinfected once every 2 hours or immediately after any infected or confirmed covid-19 employee/patient.

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4. CHSI  shall make  arrangement to  Brgy /LGU  temporary treatment and monitoring activity until the isolation room is established. 5.  Proper  PPE  for health personnel such as disposal gown, face shield, medical grade mask and gloves. 6. Isolation  area should be  provide  signages   and Covid-19 hotlines for CHSI,  Brgy , City Health office or national covid-19 hotlines.

Contact  Tracing  Guidelines 1 . CHSI shall ensure the implementation on contract tracing of employees in close contact with a covid-19 case based on the  DOH Memorandum No. 2020-0189  entitled, “Updated Guidelines on Contact Tracing of Close Contacts of Confirmed Coronavirus Disease (COVID-19) Cases”

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2. CHSI recognized that  close contact employee/s are those with face to face , direct physical contact or direct care for patient confirmed to covid-19 or with exposures two (2) days before or within 14 days from onset of symptoms of a suspect, confirmed or probable case.   3. CT shall be done through  mobile call or text  and land line call to the identified individuals as well as online processes on safety & health protocol.   4. A  procedure for CT  among workforce shall be established.   5. All accomplished  health declaration  form shall be gathered by HR department ready for further reference by CT team . 6. A designated CHSI contract trace or health officer shall  be in-charge  in CT, recording & reporting.

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Procedures  in Contact Tracing among Workforce of CHSI   a. CHSI employees shall be required to undergo  health & safety entry protocol  & accomplish health declaration form prior to clinic and offices entry.   b. Contact tracer (CT) team shall conduct contact tracing within CHSI workplace to identify  close contacts.  Admin CCTV may be requested to determine close contacts. If the control & operation of CCTV is under CHSI jurisdiction, the CT team may get approval from the CEO or his representatives with the assistance of IT to review the CCTV.    c. Identified close contacts of employees whose RT-PCR test confirmed positive undergo a  14-day quarantine  period. Close contacts who have symptoms shall be advised to go home or do home quarantine.

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d. CHSI employee currently under 14-day quarantine shall be required to  regularly report to their CHSI authorize personnel  or representative for any development, including new symptoms. Symptomatic employees should update their employer regarding their COVID-19 test results from a nationally accredited testing facility.    e. Close contacts CHSI employee who remain  asymptomatic for 14 days may return to work without need for a test.    f. CHSI shall make available work-from-home ( WFH)  arrangements for the close contacts when feasible.

g. Contact tracing shall be done  through phone call or text via mobile  or land line interview and gathered information shall be encoded in the computer for further reference.   h. Health  monitoring  and documentation for close contacts shall apply.

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Guidelines  in Covid-19 Testing     Please refer to the  CHSI guidelines for physician decision making in handling suspect, probable and confirmed covid-19 positive patients dated July 28 2020 .

Procedure  in Testing of Symptomatic & Close Contacts    CHSI employee experiencing symptoms of COVID-19 & those identified to have a close contacts to a positive covid-19 patient  shall undergo teleconsultion. Please refer to CHSI  Covid-`9 guidelines/RT PCR Request Guide

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Guidelines  in  Creation  of  Safety  &  Health Committee   1. CHSI  shall  create OSH committee  as mandated by law (RA11058/DO198-18). 2. OSH  committee/safety officer shall  oversee the implementation of minimum public health standard for covid-19 .

3.  OSH  committee monitoring  will includes: evaluation & analysis of the minimum health protocols to immediately address the spread of covid-19. 4 . Causes  of spread or transmission  shall be determined to address the lapses .

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5. CHSI  shall cooperate in the creation  of joint OSH committee as  mandated by law.

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Guidelines  in Disinfection & Closure of Building/Workplaces   1. CHSI  disinfection with an appropriate  disinfectant solution (0.5% bleach solution)  shall be done upon detection of a covid-19 positive. The conduct of this comprehensive disinfection maybe done by specialists as recommended under this JMC.    2. CHSI  controlled building/facility/offices/clinic shall be  locked down for 24 hours  prior to disinfection to lessen transmission to sanitation personnel in the case of detection of covid-19   3. During  the disinfection process, all  doors and windows shall be opened  to maximize natural ventilation. The facility shall be opened after 24 hours of disinfection process.

4. In  case of  case clustering, CHSI shall make a policy on temporary closure , disinfection process & contact tracing to ensure continuity of operation.

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5.  Granular  lock down of offices and clinic shall  ap ply as provided in LA 20-02 and Prevention & Control of Covid-19 Program ( please refer to regular cleaning & disinfection guidelines ) 	 6. Aside  from daily cleaning & disinfection, a regular disinfection of all offices including clinic shall be done  once   a week after work.    7. If  applicable, after the disinfection process, a  “certificate of return to work ” shall be issued by the specialists/cleaners or disinfecting agents. Certificate includes the date, date, disinfectant used, number of cleaners & area covered.   8. Prior  to return to work,  AC temperature shall be regulated  to provide a suitable work environment up to 25 degrees centigrade.

9.  No  misting  disinfection shall be done during working hours. Note : Disinfection procedure or process please proceed to “Regular Cleaning & disinfection procedure.

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Leave  of Absence & Entitlements Guidelines    Aside from entitlement of  leaves of absence benefits, Phil health benefits, SSS benefits, ECP benefits , CHSI shall make more efforts in providing supports to the confirmed covid-19 employees & those with close contact employees while under medication or 14 days quarantines.    CHSI may extend help to employees who underwent 14 day home quarantine due to Covid-19 positive test result.

Compliance  Monitoring and Enforcement    To avoid CHSI non-compliance or temporary closure due inspection & audit by DOLE, DTI, LGU’s Health Sanitation Office monitoring,  CHSI shall strictly implement the safety & health protocols  as per interim guidelines & JMC.   WAIR monthly reporting  shall be processed and email to DOLE at the end of the month.

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CHSI  Covid-19 Hotline: NERISSA A. CUETO, RN, COHN Group Manager - Integrated Clinic  Management  and Services Group Office Phone:  +632 8632 3837 Mobile:  +639178031530   RAPHAEL C. SANCHEZ CHSI Vice-Chair, Marketing  Manager Clinic No. 02 637 0562 to 63 Mobile No.  09178416174

Hahn Acuna, RN CHSI Health  Officer Mobile:  + 639277030428

BRGY Covid-19 Hotline: ROBERTO E. BENITO Brgy   Captin No:  642-9510/640-0138 Pasig City Covid-19 Hotline: PASIG CITY HEALTH OFFICE No.  8-643-0000 Mobile:  09104020701/0961825020

DOH Covid-19 Emergency Hotlines: Tel No: 02-894-COVID (02-894-26843)  and  1555.

Pasig City General Hospital.  0920-890-5313 Txt  Pasig.  09615825019

Pasig hotline.  8643-1111 Pasig  trunkline .  8643-2222 Pasig Children’s Hospital . 8643-3333

FERNAN O. TABONES CHSI-Safety Officer Mobile:  +639975721538

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PowerPoint Presentation

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         CHSI  Covid-19 Hotline: NERISSA A. CUETO, RN, COHN Group Manager - Integrated Clinic  Management  and Services Group Office Phone:  +632 8632 3837 Mobile:  +639178031530   RAPHAEL C. SANCHEZ CHSI Vice-Chair, Marketing  Manager Clinic No. 02 637 0562 to 63 Mobile No.  09178416174

PowerPoint Presentation

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