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Appendix B: Weekly COVID-99 Inspections <br /> Date: <br /> Name of person conducting the inspection: <br /> Work location evaluated: <br /> Exposure Controls Status Person Assigned Date Corrected <br /> to Correct <br /> Engineering <br /> Barriers/partitions <br /> Ventilation (amount of fresh airand <br /> filtration maximized) <br /> Additional room air filtration <br /> Other <br /> Other <br /> Administrative <br /> Physical distancing <br /> Surface cleaning and disinfection <br /> (frequently enough and adequate <br /> supplies) <br /> Hand washing facilities (adequate <br /> numbers and supplies) <br /> Disinfecting and hand sanitizing solutions <br /> being used according to manufacturer <br /> instructions <br /> Other <br /> Other <br /> PPE (not shared, available and being worn) <br /> Farce coverings (cleaned sufficiently often) <br /> Gloves <br /> Face shields/goggles <br /> Respiratory protection <br /> Other <br />