environment, health and safety management system covid19

This document is a controlled property of Higher Colleges of Technology (HCT). It remains uncontrolled once printed, or produced in any other form of 30

Environment, Health and Safety Management System

COVID19 Pandemic Mitigation & Controls

EHSMS Operational Procedure Doc No.: HCT/EHS/OP-40

Pandemic Mitigation & Controls Rev. No.: 1.0

Doc. Date: February/2021

This document is a controlled property of Higher Colleges of Technology (HCT). It remains uncontrolled once printed, or produced in any other format

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Revision History

Version No.

Date of revision & issue

Description of Changes Pages

Affected Issued By

1 February/2021 4.1.1 - Additional update regarding emergency use of approved COVID-19 vaccines

7

1 February/2021 Additional terms for definition – DPI, DOH, DHA 5

1 February/2021 c. Diagnoses – update on new diagnostic tests for COVID-19

8

1 February/2021 e. Recommendations – students to be included 8

1 February/2021 4.3.2 – Include students to report suspected cases 9

1 February/2021 4.3.4 – Include student/Student Life regarding sick/suspected cases

9

1 February/2021 4.3.8 – Additional implementation of daily checklist/disinfection of areas/rooms

11

1 February/2021 4.4.1 – DOH and DHA added to list 13

1 February/2021 4.4.2.2.2 – Added recommendations for students (Steps 1, 3, & 4)

14

1 February/2021 4.4.4 - Addendum: COVID-19 PCR test result verification thru AL Hosn App, Vaccination Card/Certificate submission, MOH edited to local health authority, local health authority directives added

22

1 February/2021 4.4.5 – Medical certificate changed to clearance certificate as per local health authority directives

23

1 February/2021 6. Additional online references 24

1 February/2021 4.2 - Added vaccination training for nurses 9

1 February/2021 4.3.3 - Required quarantine days must be followed as per local health authority

9

1 February/2021 4.3.6 - Added Student Life and Students as part of the process; daily temperature checking to be omitted

10

1 February/2021 4.4.2.2.2 - Added the use of thermal cameras for temperature screening

14

1 February/2021 4.4.3.4 - Additional bins for PPE waste used generally (surgical mask/gloves)

21





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1 February/2021 4.4.4 - Added requirements for temporary contractors

22

1 February/2021 4.4.5 - Updated requirement for management of confirmed cases in HCT

23

1 February/2021 Updated document header details

(Rev. No. & Doc. Date)

1-32

1 February/2021 3. DOH & DHA moved after ADPHC 6

1 February/2021 3. PCR definition added after DPI 6

1 February/2021 4.4.2.2.2. Screening - Replaced photo with actual taken at HCT-ADWC Campus Main Reception

16

1 February/2021 4.4.2.2.2. - Screening Step 3 (Nurse) added Detailed Initial Assessment Form

17-18

1 February/2021 5. Forms and Attachments - added Detailed Initial Assessment Form

30-32

1 February/2021 3. Added definition of COVID-19 vaccine 7

1 February/2021 3. Additional update on definition of Close Contact Person

8

1 February/2021 4.3.4 - 4.3.4 Environment, Health & Safety Unit - Additional roles for HSE Officer

11

1 February/2021 4.3.7 - Security - Additional roles and responsibilities

12

1 February/2021 4.4.2.2.3 Added CLEANING AND DISINFECTION INTERVALS DURING COVID-19 Table

20-22

1 February/2021 Replacement of CS with HQ, Addition of ADPHC, into terms and definition

All





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Contents:

1. Purpose ....................................................................................................................................................... 5

2. Scope ........................................................................................................................................................... 5

3. Terms & Definitions ..................................................................................................................................... 5

4. Procedure .................................................................................................................................................... 7

4.1 Introduction ........................................................................................................................................ 7

4.2 Training & Competency ....................................................................................................................... 9

4.3 Roles and Responsibilities ................................................................................................................... 9

4.4 Requirements .................................................................................................................................... 12

4.4.1 Assessment of Pandemic ................................................................................................................... 12

4.4.2 Precautions ........................................................................................................................................ 13

4.5 Infection Control ............................................................................................................................... 21

4.5.1 Possible Source of Infection .............................................................................................................. 21

4.5.2 Hand Hygiene .................................................................................................................................... 21

4.5.3 Personal Protective Equipment ......................................................................................................... 23

4.5.4 Waste Management .......................................................................................................................... 25

4.5.5 Contractor/ Visitor Management ...................................................................................................... 25

4.5.6 Management of Confirmed Cases in HCT ......................................................................................... 27

4.5.7 Communication & Reporting............................................................................................................. 27

5. Forms ......................................................................................................................................................... 28

6. Reference .................................................................................................................................................. 30





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1. Purpose

The purpose of this procedure is to establish the requirements to mitigate and control the transmission of

infectious disease.

2. Scope

This procedure is applicable to all facilities of HCT including their contractors, visitors and all concerned

parties.

3. Terms & Definitions

HCT : Higher Colleges of Technology

HQ : Head Quarter

EHS : Environment, Health and Safety

WHO : World Health Organisation

CDC : Centers for Diseases Control and Prevention

NCEMA : National Crisis and Emergency Management Authority

MOHAP : Ministry of Health and Prevention

ADPHC : Abu Dhabi Public Health Center

DOH

DHA

MOE

:

:

:

Department of Health

Dubai Health Authority

Ministry of Education

MSDS : Material Safety Data Sheet

WFH : Working from home

WFO : Working from office

PUI : Person Under Investigation

PPE : Personal Protective Equipment

Pandemic : A worldwide outbreak of new disease.

DPI

PCR

COVID-19

:

:

:

Diffractive Phase Interferometry

Polymerase Chain Reaction

Coronavirus Disease 2019.





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COVID‑19 vaccine : A vaccine intended to provide acquired immunity against severe acute respiratory

syndrome coronavirus 2 (SARS‑CoV‑2), the virus causing coronavirus disease 2019

(COVID‑19).

Coronavirus : It is a large family of viruses that cause illness ranging from the common cold to more

severe respiratory diseases caused by the SARS-CoV-2 virus.

Common signs of

infection

: It includes respiratory symptoms, fever, cough, shortness of breath and breathing

difficulties. In more severe cases, infection can cause pneumonia, severe acute

respiratory syndrome, kidney failure and even death.

Transmissible

diseases

: A contagious disease wherein the pathogen is transmissible from one host to

another.

Sick Person : A person who is afflicted with the sickening factor, its toxic products or secretions,

whether or not the signs and symptoms of the disease appear on him/her.

Contact Person : Any person who has been in contact with a sick person or a carrier of the sickening

factor in a way that the infection is likely to be transmitted during the period of the

disease spread.

Quarantine : Restricting the activities of healthy people or animals who were exposed to the

sickening factor during the period of disease spread, for a period equivalent to the

longest incubator period.

Suspected Case : Patient present with upper or lower respiratory symptoms “With or Without Fever”

AND any of the following:

a. A history of travel to any of the affected countries 28 days prior to symptoms

onset.

b. Has cared for/come into contact with an individual known or strongly suspected

to have COVID-19 within 28 days.

c. A patient with acute respiratory illness (fever and at least one sign/symptom of

respiratory disease, e.g., cough, shortness of breath, AND a history of travel to or

residence in a location reporting community transmission of COVID-19 disease

during the 14 days prior to symptom onset.

OR

d. A patient with any acute respiratory illness AND having been in contact with a

confirmed or probable COVID-19 case in the last 14 days prior to symptom onset;

OR

e. A patient with severe acute respiratory illness (fever and at least one

sign/symptom of respiratory disease, e.g., cough, shortness of breath; AND

requiring hospitalization) AND in the absence of an alternative diagnosis that

fully explains the clinical presentation.

https://www.biologyonline.com/dictionary/contagious

https://www.biologyonline.com/dictionary/disease

https://www.biologyonline.com/dictionary/pathogen

https://www.biologyonline.com/dictionary/host





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Confirmed Case : A person with laboratory confirmation of COVID-19 infection, irrespective of clinical

signs and symptoms.

Infection Control : Approach and practical solution designed to prevent or stop the spread of infections

Close Contact

Person

: A close contact is someone who has been face to face for at least 15 minutes, or

been in the same closed space for at least 2 hours, as someone who has tested

positive for the COVID-19 when that person was infectious.

OR

A close contact is any individual who spent time with a confirmed COVID-19 case,

whether it was two days before their symptoms appeared or since the person

received their positive result or any time during the 10 days of infection.

Code of Practice : Written document issued by OSHAD that includes unified technical requirements at

Emirate level and that should be followed by entities in compliance with OSHAD-SF

applicable requirements.

4. Procedure

4.1 Introduction

4.1.1 COVID -19

COVID -19 is a new strain that was discovered in 2019 and has spread from China to many other countries

around the world. COVID-19 was classified by WHO as pandemic, due to its severity, international impacts

and outbreak conditions which can affect all aspects of daily activities and operations. An influenza pandemic

occurs when a new influenza virus emerges and spreads around the world, and most people do not have

immunity.

As of December 2020, WHO facilitated the availability and use of vaccines during public health emergencies.

The update explains that in an emergency, like a pandemic, vaccines may be temporarily approved for use

under an emergency use authorization as it may not be possible to have all the evidence that regulators would

usually have before full approval. However, it is still emphasized that the best way to prevent infection is to

avoid being exposed to the virus. Hence, the procedure shall be read in conjunction with the latest relevant

advisories issued by relevant bodies, like, World Health Organization, Ministry of Health (UAE), Dubai Health

Authority, and Abu Dhabi Public Health Centre.

a. Symptoms

Infection with SARS-CoV-2, the virus that causes COVID-19, can cause illness ranging from mild to severe and,

in some cases, can be fatal. Symptoms typically include fever (37.7C° and above), cough, and shortness of

breath. In more severe cases, infection can cause pneumonia, severe acute respiratory syndrome, kidney

failure and even death. According to the CDC, symptoms of COVID-19 may appear in as few as 2 days or as long

as 14 days after exposure.





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b. How COVID-19 Spreads

Although the first human cases of COVID-19 likely resulted from exposure to infected animals, infected people

can spread SARS-CoV-2 to other people. The virus is thought to spread mainly from person-to-person,

including, but not limited to;

Between people who are in close contact with one another (within about 6 feet).

Through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly inhaled into the lungs.

Touching a surface or object, that has SARS-CoV-2 on it and then touching their own mouth, nose, or possibly their eyes.

People are thought to be most contagious when they are most symptomatic (i.e., experiencing fever, cough, and/or shortness of breath). Some spread might be possible before people show symptoms.

c. Diagnoses

In addition to nose swab analysis for early assessment of the virus within 48 hours, there are three new

approved tests including the antigen test, the RT-LAMP test and the saliva test. The saliva test can be used for

children in healthcare facilities if a nose swab is not possible. The new tests provide faster results and will

efficiently contribute to physicians’ decision-making when it comes to providing suitable treatment for

patients. DPI tests are also available for commuters within UAE borders, which utilises a laser technique to

scan a blood sample for signs of surging red blood cells, said to be an early sign that the body is fighting off a

virus. Results are produced within five minutes.

d. Treatment

The best treatment for the virus as of today is by providing good nutrition and hospital care to let the patient

recover, which is likely to work for a vast majority of patients.

e. Recommendations

Maintain social distance

Avoid person-to-person meetings

All staff/students and associated members shall be at home if not well

Flexibility of working hours/ locations

Activate employee/student ID for time and attendance to avoid spread of viruses through fingerprints for physical log-in/out.

Closure of common areas (mosque, gym, cafeteria, etc.)

Usage of pre-filled water bottles instead of personal ones to avoid the transfer of any viruses present on the dispenser tap, due to wrong filling practices.

Strictly follow HCT and regulators’ recommendations and guidelines.





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4.2 Training & Competency

HCT staff and contractors may receive an orientation/awareness material that communicates the necessary

information relevant to pandemic mitigation and controls including, but not limited to;

Pandemic Mitigation and control procedure

Relevant legal/ regulators requirements

Applicable EHS Management System Requirements

Classification of Emergency situation

Common hazards in the workplace and how to prevent occupational injuries and illnesses

4.3 Roles and Responsibilities

4.3.1 EHS Committee Head - System Wide

Provide the required resources for the effective implementation of this procedure.

Ensure the provision of adequate information regarding the pandemic mitigation and control strategies and approaches.

Set the minimum requirements for pandemic mitigation and control across HCT campuses.

Advocate a positive and healthy culture in HCT.

Encourage the employees to notify and report cases.

4.3.2 Campus Directors

Support the implementation of this procedure, pandemic mitigation and control strategies, and approaches.

Create a positive and healthy culture in the campus.

Ensure all employees and students notify and report suspected and confirmed cases and communicate the same to the respective department/ unit (if necessary).

Promote awareness on the pandemic disease and the means to control it.

Ensure the effectiveness of this procedure.

4.3.3 Human Capital

Communicate with the concerned regulators/service providers to obtain the list of staff/faculty who travelled in the past 14 days to ensure they do not report to work.

Communicate to all HCT campuses the names of the people who came from abroad and the date of their arrival; to ensure they do not enter the campus, until they comply with the recent requirements followed by HCT.

Send an email to all staff, faculty and department heads to ensure that they stay at home if they are sick, and needs to complete the required quarantine days as per local health authority.

Notify all sick employees or those who were found having high temperature or other symptoms (during the initial and second campus assessment) not to enter the campus unless they provide the EHS/HR at the campus with the medical report that specifies that they are clear from virus.

4.3.4 Environment, Health & Safety Unit





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Coordinate with HR/Student Life regarding the sick or suspected employees/students.

Consult with each campus director to identify the appropriate location to conduct the health screening at

the soonest to avoid any delay or traffic.

Raise awareness of HCT employees, students, contractors, and visitors on the hygiene practices

implemented in HCT.

Implementation and monitoring of this guideline.

Communicating this guideline to all concerned parties.

Compiling the incident reports for all incidents and ensure the necessary actions are taken as a result of the investigation.

Coordinating with any external parties involved in incident reporting and investigation.

Escalate incidents that might have potential impact on the operations.

Report the suspected cases to the respective health authority.

4.3.5 Environment, Health & Safety Specialist/ in-charge

Coordinate the planning and implementation of the COVID-19 safety procedures including the distribution

of pandemic supplies.

Ensure COVID-19 Business Signs are prominently posted near building entrances and common areas.

Assist The Environment, health and safety unit with the assessment and reporting of suspected/confirmed

COVID-19 cases.

Respond to students, employees, contractors and authorized visitors questions regarding COVID -19

concerns and requirements.

Ensure that all personnel know and follow established safe work procedures in accordance with safety

protocols.

Conduct virtual or in-person COVID-19 safety training/awareness.

Report and follow up the COVID-19 confirmed and close contact cases.

Monitor the campus disinfection plan and implementation.

Monitor catering providers’ safety compliance.

4.3.6 Facilities

Ensure proper implementation of this procedure

Communication of pandemic situation requirements to the concerned parties i.e. contractors

Allocation of safe working areas to HCT staff taking into account the situation requirements i.e. maintain a safe distance between desks and chairs.

Ensure that cleaning and disinfection material used by the cleaning company are approved by relevant regulator(s) and as per their recommendation.

Ensure the effectiveness of the implemented cleaning and disinfection methods

Review the cleaning methods and practices

4.3.7 Department Heads

Notify EHS/HR/Student Life on any employee/student with apparent symptoms.





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Provide approval and support to the employees/student, who are suspected to have the symptoms, to report from home, in line with HR/Student Life procedure.

Share the staff/student schedule and/ or availability on campus with the Facilities department to ensure the availability/ allocation of required resources including all mitigation measures i.e. disinfection and sterilization.

Ensure all their employees onsite have gone through health screening and their temperature are measured on daily basis.

4.3.8 Security

Ensure that all security personnel within HCT locations are fit for work and they are not a source for spreading any disease.

Ensure that all security personnel are using the appropriate PPE’s and following all Pandemic Mitigations and Controls.

Follow good hygiene practices

Strict compliance with HCT pandemic procedures and requirements.

Ensure that all public areas i.e. meeting rooms are not operational. Usage/unlocking of any of these areas shall be done upon obtaining a written permission from facilities.

Control the entry to all HCT campuses/locations.

Daily temperature screening of all comers/ visitors, and follow the instructions in section 4.4.2.2.2

Prohibit the entrance of any suspected and reported confirmed cases.

Report the suspected cases to respective nurses/environment, Health & Safety – Specialist/in-charge.

Assist the staff/student/person (suspected cases) going to campus clinic.

After assessment done by the clinic nurse, assist the staff/student/person (suspected cases) in leaving the campus using proper exit gates.

Call ambulance as needed and/or requested by clinic nurse in cases that suspected person is unable to drive and/or no companion going to medical facility outside campus.

Ensure the cleaning and disinfection of their staff accommodation and transportation facilities and provide the relevant records/ evidences

4.3.9 Housekeeping

Implementation of this procedure

Ensure that all cleaning personnel within HCT locations are fit for work and they are not a source for spreading any disease.

Ensure that all personnel are using the appropriate PPE’s and following all Pandemic Mitigations and Controls.

Usage of approved/ recommended cleaning and disinfection material and submission of MSDS

Ensure proper cleaning and disinfection of all areas after every use or when reporting suspected or confirmed case

Ensure proper use of daily checklist on each areas/offices that are cleaned and disinfected for proper documentation and monitoring





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Ensure the cleaning and disinfection of their staff accommodation and transportation facilities and provide the relevant records/ evidences

4.3.10 Nurse

Implementation of this procedure

Ensure that their fitness to work and that they are not a source for spreading any disease.

Ensure the usage of appropriate PPE’s and following all Pandemic Mitigations and Controls.

Usage of recommended disinfection material as recommended by relevant regulators/ HCT

Examination of suspected cases temperature within the campus, and recommend the necessary action based on the requirements in section 4.4.2.2.2

Report any suspected or confirmed case.

4.3.11 Employees

Strict implementation HCT pandemic mitigation and control, including activities restriction.

Follow access control process including temperature screening and restriction.

Report any medical cases/ concerns.

Ensure the usage of appropriate PPE’s and following all Pandemic Mitigations and Controls.

Stay home in case of any flue like symptoms and follow HR policies relevant to this situation.

4.3.12 Contractors

Adhere to all EHS guidelines, Pandemic Guidelines and Infection Control Guidelines issued by HCT. They are responsible to communicate the guidelines to all ranks and workers of their company and ensure the compliance.

Submit all required plans, procedures and documents prior to mobilizations.

Ensure that all staff are aware of the updated EHS risk management relevant to the pandemic situation.

Ensure that all staff are trained on hygiene practices and pandemic requirements.

Ensure the implementation of disinfection and sterilization in the labour accommodation and transportation as per HCT/ relevant regulator(s) requirements.

Ensure that all workers visiting or working at HCT shall be free from any transmissible disease.

Ensure that all staff are equipped with required PPE’s to reduce the spread of disease.

4.4 Requirements

4.4.1 Assessment of Pandemic

Outbreak or spill over are significant emergencies that are classified by WHO as pandemic, due to its severity,

international impacts, which can affect all aspects of daily activities and operations (such as SARS, COVID -19).

Being ready to respond to an emergency requires engaging in a continuous cycle of activities that focuses on

four phases which often overlap and steps taken in one phase will directly impact how the next phase will

progress.





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Prevention / Mitigation - includes all activities that attempt to avoid or prevent a COVID-19 disease outbreak or reduces the chance of such an outbreak happening (prevention), or reduces the impact of COVID-19 disease outbreak (mitigation).

Preparedness - combines planning and training for response, such as the development of Pandemic mitigation and control procedure.

Response - addresses the short-term impact of the pandemic. This includes immediate actions taken to protect life.

Recovery - includes all activities that focus on restoring the situation after an acute infectious disease emergency to normal.

In case of such events, HCT shall activate the emergency situation as per the Emergency Management

Procedure, section 5.4, Classification of Emergency Situations, upon getting the required management

approvals for declaring the situation.

For pandemic management, HCT will refer to valid informative resources relevant to the situation, which may

include, but not limited to the following;

World Health Organization – WHO

Center for Disease Control & Prevention - CDC

National Crisis and Disasters Management Authority - NCEMA

Ministry of Health and Prevention - MOHAP

Abu Dhabi Public Health Center - ADPHC

Ministry of Education – MOE

Department of Health – DOH

Dubai Health Authority – DHA

4.4.2 Precautions

4.4.2.1 Personal Precautions

Regularly and thoroughly wash your hands with soap and water.

Regularly clean your hands with an alcohol-based hand rub (preferably wash with soap and water, after 4 times of alcohol-based usage).

Maintain social distance (at least 2 meters) between yourself and anyone who is in the workplace, especially who is coughing, sneezing, or not feel well.

Follow good respiratory hygiene. This means covering your mouth and nose with your bent elbow or tissue when you cough or sneeze. Dispose the used tissue immediately.

Wearing a surgical mask if you have respiratory symptoms and performing hand hygiene after disposing of the mask.

Avoid touching eyes, nose and mouth. Your hands touch many surfaces and can pick up viruses. Once contaminated, hands can transfer the virus to your eyes, nose or mouth. From there, the virus can enter your body and can make you sick.





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Avoid shaking hands.

Clean and disinfect frequently touched objects and surfaces (especially before use).

Inform your supervisor or manager when you do not feel well, especially if you have a fever, cough and/or difficulty in breathing.

Organisational Precautions

Declaration / Communication

HCT shall declare the pandemic and activate the relevant procedure(s) based on the evaluation and

classification of emergency situation, taking into consideration the government directions, relevant legal and

regulatory requirements.

The pandemic declaration may include the following actions;

Refer to Pandemic mitigation & control procedure (including roles & responsibilities).

Establishment of relevant pandemic committee;

Association with relevant regulators and authorities;

Benchmarking with local/ international institutions/ bodies;

Flexible working hours/ location (working from home);

Development of relevant process/ requirements that needs to be implemented across HCT community for mitigation and control (example: no travel policy, screening, disinfection, etc.).

Screening

The temperature screening is intended to manage the access to HCT

Campuses during the activation of pandemic emergency that are

categorized as per WHO Guidance WHO/CDS/CSR/GIP/2005.5.

All comers shall report to respective campus main gate for initial

temperature screening.

Steps 1 (Security/Staff)

Vehicles have to drive-thru the designated gates.

Security will use the infrared thermometer/thermal scanning to check the staff/ visitor temperature at designated locations, taking in account the usage of appropriate PPE’s (mask, gloves).

Whilst the temperature screening the security shall maintain a safe distance of 1 meter (as minimum)

Security shall follow the temperature scanning manufacturer guidance and specifications

Security to take temperature readings for the staff and all visitors taking into consideration that only 1 person from an organisation can enter for a meeting/ site visit purpose.





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Security to take temperature readings for students and provide access based on their timetable (as needed)

Step 2 (Security/ Nurse)

Once temperature is taken and the readings are between 35.4 and 37.6 degree Celsius student/staff/ visitor can access the respective campus.

Temperature readings from 37.3 to 37.6 degree Celsius will be classified as low-grade fever, which shall be highlighted as potential case and closely monitored.

If the temperature reading are 37.7 degree Celsius (Forehead assessment) and above, then student/staff is suspected to have a “Fever” and shall not access the campus, unless the second screening is carried out.

Step 3 (Nurse)

All suspected student/staff will have a second screening by the campus nurse using ear thermometer to validate the temperature readings.

Nurse shall take the details of the suspected student/staff and has to fill-in the initial assessment report for the clinic. (See below)

DETAILED INITIAL ASSESSMENT FOR SUSPECTED NOVEL CORONA VIRUS 2019 (nCoV – 2019) PATIENT

NAME: _______________________________ STUDENT/STAFF ID NUMBER: _____________________ TIME IN: ____________________ TIME OUT: ____________________

EPIDEMIOLOGICAL FACTORS

In the 28 days before onset of illness had the patient any of the following: A history of travel to an area with documented cases of nCoV infection (___) YES (___) NO (___) Unknown (CHINA, SOUTH KOREA, JAPAN, IRAN, SINGAPORE, ITALY) Close contact* with a confirmed or probable case of nCoV infection, (___) YES (___) NO (___) Unknown while the patient was symptomatic Presence in a healthcare facility where nCoV infections have been managed (___) YES (___) NO (___) Unknown *Close contact may be defined as: - Direct exposure to individual with confirmed nCoV infection. - Working together in close proximity or same classroom environment with an nCoV individual. - Traveling together with novel coronavirus individual. - Living in the same household as a novel coronavirus patient.

VITAL SIGNS

Temperature: _______ Celsius HR: _______ bpm RR: _______ cpm BP: _______ mmHg Oxygen Saturation: _______ On: (___) Room air (___) Oxygen therapy (___) N/A





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SIGNS AND SYMPTOMS

RESPIRATORY SYMPTOMS: - Fever (___) YES (___) NO (___) Unknown if YES (Date): _____________ - Cough (___) YES (___) NO (___) Unknown with sputum production (___) YES (___) NO (___) Unknown bloody sputum (___) YES (___) NO (___) Unknown - Sore throat (___) YES (___) NO (___) Unknown - Runny nose (___) YES (___) NO (___) Unknown OTHER SYMPTOMS: Ear pain (___) YES (___) NO (___) Unknown Wheezing (___) YES (___) NO (___) Unknown Chest pain (___) YES (___) NO (___) Unknown Muscle aches (___) YES (___) NO (___) Unknown Joint pain (___) YES (___) NO (___) Unknown Fatigue (___) YES (___) NO (___) Unknown Shortness of breath (___) YES (___) NO (___) Unknown Headache (___) YES (___) NO (___) Unknown Abdominal pain (___) YES (___) NO (___) Unknown Nausea/Vomiting (___) YES (___) NO (___) Unknown Diarrhea (___) YES (___) NO (___) Unknown Conjunctivitis (___) YES (___) NO (___) Unknown Skin rash (___) YES (___) NO (___) Unknown Skin ulcers (___) YES (___) NO (___) Unknown Bleeding (___) YES (___) NO (___) Unknown if YES, specify site (s) _________________________________________________





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SUMMARY

(_____) MAY GO BACK TO CLASS (_____) NO FURTHER ASSESSMENT NEEDED (_____) NEEDS REFERRAL TO OUTSIDE MEDICAL FACILITY

CLINIC NURSE NAME & SIGNATURE:

DATE:

Temp. C°

35.4° – 37.6°

Temp. C°

37.7° – 38.9°

Temp. C°

40° – 41°

35.4° – 37.2°

Normal

37.3 – 37.6

Low Grade Fever

Fever Hyperthermia

You can access You can access.

Temperature to be Highlighted & Monitored

Not allowed at the Campus Not allowed at the Campus

Step 4 (Nurse)

If validation readings show 37.7 and above, the following steps to be followed;

Report the case to Environment, health and safety Specialist/ In-charge and HRO.

The student/staff has to leave the campus

Staff student/shall coordinate with his line manager/ department head

Follow HR procedures for sick leave; for students, they must follow as instructed by Student Life

Nurse shall send a report the HR and EHS the details of staff. Details of the student must be sent to EHS. (Refer to Initial Assessment Report)

Step 5 (HR/ Department Head)

HR to inform the Person Under Investigation (PUI) staff about the initial assessment report.

HR to advise staff to visit the hospital and get the medical report following the HCT HR procedures.

Staff to provide a medical report from a registered physician certifying that they are asymptomatic.

Resuming to Duty (Recovery Stage)





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Drive Thru the Main Gate

Temperature screening by Security – Forehead

Assessment

Temperature Reading

Security will not Allow Staff to the Campus and

Proceed to 2'nd Screening (step 3).

Proceed to Duty

37.7 & Above

2'nd Screening by Nurse – Ear Assessment

Suspected Case

37.7 & Above

Nurse to Take Initial Details of

Staff & Report to H&S & HR

HR to Inform the Staff to Report to Hospital for Medical

report .

Asymptomatic Medical Report

Yes

No

Staff will not be Allowed to the

Campus

STEP 2STEP 3

STEP 4

STEP 5

Clinic Initial Assessment Form

37.6 or less

STEP 1

Temperature Screening Process - Staff

Temperature Reading

37.2 or less

Low-Grade Fever

37.3 – 37.6

Cleaning & Disinfection

Deep cleaning shall be carried out before and after high-level disinfection and sterilization to ensure the effectiveness of the process.

To ensure adequate cleaning and disinfection it is recommended to conduct a verification test (i.e. swab sampling).

At a minimum, all instruments should be individually inspected and be visibly clean.

“Alcohol” refers to two water-soluble chemical compounds—ethyl alcohol and isopropyl alcohol— and the optimum bactericidal concentration is 60%–90% solutions in water (volume/volume).

Proper and well-documented implementation of scheduled cleaning in the campus as reflected in the table below, and that all must be strictly followed.


CLEANING AND DISINFECTION INTERVALS DURING COVID-19

Date:

Sr. Location Equipment & Disinfectant Materials Frequency Intervals Resources Manpower Remarks

1.

Office Area

Hand Sanitizers

Mask

Steaming Machine (Sterilization) if available

Surface Disinfectant with Isopropyl alcohol 70 %.

Daily Disinfectant According to the traffic footprint in each campus

Daily Cleaning

Deployment 1 – 4 worker at least each building based on the size of building

The disinfection should be done for occupied areas

2.

Canteens & Cafeteria

Hand Sanitizers

Mask



Hourly Disinfectant According to the traffic footprint in each campus

Daily Cleaning



3. Services providers’

areas (MEP, security,

etc.)

Hand Sanitizers

Mask



Daily Disinfectant According to the traffic footprint in each campus

Daily Cleaning



4.

Reception area

Hand Sanitizers

Mask



3 Hours Disinfectant According to the traffic footprint in each campus

Daily Cleaning



5.

Clinic area

Hand Sanitizers

Mask




Daily Cleaning



6.

Meeting Rooms

Hand Sanitizers

Mask



Before/After each meeting Disinfectant (Gap Time of 1 hour minimum )

According to the traffic footprint in each campus Daily Cleaning



7.

Washrooms/Toilets

Hand Sanitizers

Mask




Daily Cleaning



8. Labs and

Workshops

Hand Sanitizers

Mask


Based on the frequency of use to be coordinated with the Lab Instructor Daily disinfection

Deployment 1 – 4 worker at least each






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Surface Disinfectant with Isopropyl alcohol 70 %. building based on the size of building

9.

Auditorium

Hand Sanitizers

Mask



Unless utilized Daily Disinfectant (Based on the frequency of use)

Daily Cleaning



10. Classrooms Hand Sanitizers

Mask



Closed Daily Cleaning



11. Emergency Cases with

contaminated area

Hand Sanitizers

Mask



Bio-Hazard Spill kit

Waste Management

When & where required As per regulation and applicable law

Backup workers ( 1- 4)

at each campus

In case any contaminated areas with

suspected cases have been identified and determined

Name of Facilities Officer : ---------------------------------------------------- Signature :-----------------------------------------

Name of Health & Safety Specialist : ---------------------------------------- Signature :-----------------------------------------


Disinfection of Receivables

All items shall be received at the main gate by security (including daily mail), then shall be cleaned and

disinfected by cleaning service provider prior handing over to the concerned, taking into consideration the

following;

All disinfectant/ cleaning materials shall be in line with the authority requirements and approved by relevant regulator.

Cleaning and disinfection shall be done manually using water and disinfectants.

Usage of relevant PPE’s (gloves, mask, goggles, etc.) shall be ensured while cleaning and disinfecting.

Ensure proper Hand Hygiene before and after receiving/ handing over.

4.5 Infection Control

4.5.1 Possible Source of Infection

People: healthy and sick. Common sources is unwashed hands.

Fomites: Inanimate objects or materials on which disease-producing agents may be conveyed.

Instruments, equipment

Food

Water

4.5.2 Hand Hygiene

Hand hygiene (including sanitizer hand rub, soap and water hand wash) is one of the most essential control

measure to prevent transmission and spread of disease.

When using alcohol-based hand sanitizer, take into consideration the following instructions:

Put product on hands and rub hands together as shown in the below figure

Cover all surfaces until hands feel dry

Hand rub should take around 20-30 seconds





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When cleaning your hands with soap and water, wet your hands first with water, apply the amount of product

recommended by the manufacturer to your hands, and rub your hands together vigorously for at least 20

seconds, covering all surfaces of the hands and fingers.

Rinse your hands with water and use disposable towels to dry. Use towel to turn off the faucet.

Avoid using hot water, to prevent drying of skin.

Do not routinely wash hands with soap and water immediately before or after using an alcohol-based hand rub.

After hand rubbing or handwashing, let your hands dry completely before putting on gloves.

Hand wash should take around 40-60 seconds





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4.5.3 Personal Protective Equipment

Based on the available evidence, the COVID-19 virus is transmitted between people through close contact and

droplets, not by airborne transmission. The people most at risk of infection are those who are in close contact

with a COVID-19 patient or who care for COVID-19 patients.

PPE is only one effective measure within a package that comprises administrative, environmental and

engineering controls, as described in WHO’s Infection prevention and control of pandemic-prone acute

respiratory infections.

Personnel Type Of PPE Required Recommendations

1. Individuals with respiratory symptoms

Maintain spatial distance of at least 2 m.

Ensure usage of surgical mask

WFH

2. Individuals without respiratory symptoms, but in shared office


Ensure usage of Surgical mask

3. Individuals in common areas


Ensure usage of Surgical mask

Gloves





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4. Screening gate (temperature measurement) not involving direct contact


Surgical mask Gloves

5. Second screening (i.e. interviewing passengers with fever for clinical symptoms suggestive of COVID-19 disease and travel history).


Surgical mask Gloves

6. Cleaners

Surgical mask Gown Gloves Eye protection (if risk of

splash from organic material or chemicals).

Boots or closed work shoes

7. Patient with suspected COVID-19 disease. Surgical mask Gloves

Not allowed in campus - Isolate in a pre-set area till leave/ transported out of the campus.

The above Personal Protective Equipment shall be used by every individual within the campus (as applicable),

taking into consideration the following;

Surgical Mask

Do not reuse after working hours and perform hand hygiene after discarding the facemask;

Goggles

Use the goggles in the suspected areas, where there is a possibility of virus transfer

Reusable goggles shall be cleaned and disinfected regularly before reusing

Disposable eye protection should be discarded after use.

Gloves

Change gloves when frequently roaming around the campus and/or holding different objects from different parts of the campus (pathogens can still be transmitted through overused gloves).

Change gloves if they become torn or heavily contaminated.

Perform hand hygiene before and after using gloves at all times.

Gown

Change the gown if it becomes soiled;

Remove and discard the gown in a dedicated container for waste.





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4.5.4 Waste Management

Waste produced during the care of suspected COVID-19, which includes PPEs and other utensils and

equipment should be collected safely in a designated biohazard bags in the biohazard waste room provided

at each campus clinic.

There should be allocated special waste bins for discarded surgical face mask and gloves that will be available

throughout different locations inside the campus.

The waste disposal shall be done through an approved medical waste disposal service provider (approved by

legal authorities, for example centre of waste management, Dubai Municipality).

4.5.5 Contractor/ Visitor Management

The temperature screening shall be carried out on the main gate for all permanent contractors’ employees and

all visitors (1 person only from the respective organization, who has a pre-approval for the visit purpose). All

details shall be registered in the daily log and submitted to the H&S specialist/ In-Charge.

Temperature readings shall follow the above screening matrix, and any readings from 37.7 and above will not

be granted an access, whatever the purpose of the visit is.

Drive Thru the Main Gate

Temperature screening by Security – Forehead

Assessment

Temperature Reading

Security will not Allow to enter the Campus and Proceed to 2'nd Screening (step 3).

Access Granted

37.7 & Above

2'nd Screening by Nurse – Ear Assessment

Suspected Case

37.7 & Above

Asymptomatic Medical Report

Not Allowed to the Campus

STEP 2STEP 3

STEP 4

Clinic Initial Assessment Form

37.6 or less

STEP 1

37.6 or less

Temperature Screening Process – Contractor/ Visitor

STEP 5

Yes

No

Temperature Reading

37.3 - 37.6

Low-Grade Fever

37.2 or less

The Contractors and service providers shall;





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Fill the health-screening sheet confirming that the proposed staff were in UAE and didn’t leave the country for the last 14 days.

Address COVID-19 or any pandemic disease risks in their EHS risk register with control measures, which shall be submitted for HCT review and approval.

Provide awareness/ toolbox talks to all organisation staff at HCT campuses and the records shall be maintained.

Provide any relevant document required by HCT according to the stipulated time frame like, but not limited to;

H & S Policy

Hygiene Plan

Health Assessment (Checking of actual health status of workers)

Latest Negative COVID-19 PCR Test Result valid for 7 days (for non-vaccinated) in AL HOSN App for permanent contractors

Latest Negative COVID-19 PCR Test Result valid for 3 days (for non-vaccinated) in AL HOSN App for temporary contractors

COVID-19 Vaccination Card/Certificate indicating completed vaccination (for vaccinated)

Health free of transmissible diseases – “Fit-to-Work” report

Monitoring of health status.

Prevention and control procedures for Influenza or other transmissible diseases.

Containment Plan in case of health incidence.

Ensure that their staff accommodations are meeting with the Government Guidelines, like;

Increase the frequency of cleaning of surfaces direct contact with persons inside the accommodation such as:

• Bathrooms, Showers and washbasins

• Dining Tables and Chairs

• Workers kitchens and accessories

• Workers rooms, furniture, and all door handles

• Prayer Rooms

• Control Devices for electronic devices (television , air conditioners, light etc.)

• Ladder handles

• Gym Equipment

• Seats and Tables in the training, meeting and entertainment rooms

• Worker buses (seats & handles)

Ensure their labour accommodations are free from any suspected cases of Pandemic cases (e.g. COVID-19, SARS etc.). If any suspected case contractor shall act as per local health authority directives.





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Ensure that their staff wearing clean uniform which is cleaned on daily basis.

If any positive case at the accommodation, the workers should report to HCT without any delay. In such case, all the contractor staff residing in that particular camp will cease to enter the HCT premises until further orders as per local health authority.

4.5.6 Management of Confirmed Cases in HCT

Symptoms of any positive identification shall be waived from any entry to HCT Campus and shall be isolated

immediately once identified. Contractor’s employees shall be asked to leave the campus immediately and his

employer and HCT Health and Safety Unit shall be notified accordingly.

In addition to the above;

Confirmed cases shall be banned from entering the campus at the first point of access.

No one is allowed to deal with the case, other than the campus nurse, provided they got the required PPE’s.

Confirmed staff cases shall be quarantined as per the government directions and guidelines.

Proper cleaning and disinfection for whole area at the point of access of confirmed cases shall be done immediately and full PPE’s shall be used.

Shut down of all activities and operation at campus until disinfection is completed

Confirmed cases will not be allowed to enter the campus until they submit 1 recent negative COVID-19 PCR Test Result and clearance certificate as per local health authority directives.

4.5.7 Communication & Reporting

In case of confirmed case, it should be immediately communicated for all concerned;

Internal Communication

Campus Nurse

H&S - Specialist – Campus Level

Sr. Manager- Campus Support

Security

H&S - Specialist – System Level

Head of H&S Committee

External Communication

Communication to Local authority in the respective Emirate (as below) the address & contact persons details.

UAE HELPLINE

Ministry of Health and Prevention 800 111 11

Knowledge and Human Development Authority 800 5432 ext. 4





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Department of Health Abu Dhabi - Estijaba 800 1717

Dubai Health Authority 800 342

EMERGENCY SERVICES

Ambulance 998

Follow the HCT incident notification and investigation procedures for any cases been found with associated forms.

5. Forms

Detailed Initial Assessment Form

DETAILED INITIAL ASSESSMENT FOR SUSPECTED NOVEL CORONA VIRUS 2019 (nCoV – 2019) PATIENT

NAME: _______________________________ STUDENT/STAFF ID NUMBER: _____________________ TIME IN: ____________________ TIME OUT: ____________________

EPIDEMIOLOGICAL FACTORS

In the 28 days before onset of illness had the patient any of the following: A history of travel to an area with documented cases of nCoV infection (___) YES (___) NO (___) Unknown (CHINA, SOUTH KOREA, JAPAN, IRAN, SINGAPORE, ITALY) Close contact* with a confirmed or probable case of nCoV infection, (___) YES (___) NO (___) Unknown while the patient was symptomatic Presence in a healthcare facility where nCoV infections have been managed (___) YES (___) NO (___) Unknown *Close contact may be defined as: - Direct exposure to individual with confirmed nCoV infection. - Working together in close proximity or same classroom environment with an nCoV individual. - Traveling together with novel coronavirus individual. - Living in the same household as a novel coronavirus patient.

VITAL SIGNS

Temperature: _______ Celsius HR: _______ bpm RR: _______ cpm BP: _______ mmHg Oxygen Saturation: _______ On: (___) Room air (___) Oxygen therapy (___) N/A

SIGNS AND SYMPTOMS

RESPIRATORY SYMPTOMS: - Fever (___) YES (___) NO (___) Unknown if YES (Date): _____________





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- Cough (___) YES (___) NO (___) Unknown with sputum production (___) YES (___) NO (___) Unknown bloody sputum (___) YES (___) NO (___) Unknown - Sore throat (___) YES (___) NO (___) Unknown - Runny nose (___) YES (___) NO (___) Unknown OTHER SYMPTOMS: Ear pain (___) YES (___) NO (___) Unknown Wheezing (___) YES (___) NO (___) Unknown Chest pain (___) YES (___) NO (___) Unknown Muscle aches (___) YES (___) NO (___) Unknown Joint pain (___) YES (___) NO (___) Unknown Fatigue (___) YES (___) NO (___) Unknown Shortness of breath (___) YES (___) NO (___) Unknown Headache (___) YES (___) NO (___) Unknown Abdominal pain (___) YES (___) NO (___) Unknown Nausea/Vomiting (___) YES (___) NO (___) Unknown Diarrhea (___) YES (___) NO (___) Unknown Conjunctivitis (___) YES (___) NO (___) Unknown Skin rash (___) YES (___) NO (___) Unknown Skin ulcers (___) YES (___) NO (___) Unknown Bleeding (___) YES (___) NO (___) Unknown if YES, specify site (s) _________________________________________________

SUMMARY

(_____) MAY GO BACK TO CLASS (_____) NO FURTHER ASSESSMENT NEEDED (_____) NEEDS REFERRAL TO OUTSIDE MEDICAL FACILITY

CLINIC NURSE NAME & SIGNATURE:

DATE:





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6. Reference

Educational Guidelines for Institutions to deal with Novel Corona virus nCoV 2019 – Version 2 Feb 2020

( Department of Health , Abu Dhabi Public Health Centre, Dubai Health Authority, UAE Ministry of

Health & Prevention )

Business Continuity Readiness Guidelines for UAE Organizations In the event of the Novel Coronavirus

(COVID- 19) - AE/SCNS/NCEMA 7002:2020 Version (I) March 2020

Guidance on Preparing Workplaces for COVID-19 U.S. Department of Labor Occupational Safety and

Health Administration (OSHA 3990-03 2020)

THE LATEST ON THE COVID-19 GLOBAL SITUATION & VACCINE DEVELOPMENT - Version 21 December 2020 (https://www.who.int/docs/default-source/coronaviruse/risk-comms-updates/update45-vaccines-developement.pdf?sfvrsn=13098bfc_5)

DoH approves three new Covid-19 tests to be used in Abu Dhabi’s emergency departments and urgent care centres – 21 January 2021 (https://doh.gov.ae/en/news/DoH-approves-three-new-Covid-19-tests-to-be-used-in-Abu-Dhabis-emergency-departments)

UAE develops a rapid coronavirus laser testing technology – 19 May 2020 (https://www.mohap.gov.ae/en/MediaCenter/News/Pages/2420.aspx)

https://www.who.int/docs/default-source/coronaviruse/risk-comms-updates/update45-vaccines-developement.pdf?sfvrsn=13098bfc_5

https://www.who.int/docs/default-source/coronaviruse/risk-comms-updates/update45-vaccines-developement.pdf?sfvrsn=13098bfc_5

https://doh.gov.ae/en/news/DoH-approves-three-new-Covid-19-tests-to-be-used-in-Abu-Dhabis-emergency-departments

https://doh.gov.ae/en/news/DoH-approves-three-new-Covid-19-tests-to-be-used-in-Abu-Dhabis-emergency-departments

https://www.mohap.gov.ae/en/MediaCenter/News/Pages/2420.aspx

environment, health and safety management system covid19

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