COVID-19 ESSENTIAL WORKERS AGREEMENT

To ensure continuity of operations of essential functions, CDC advises that critical infrastructure workers may be permitted to continue work following potential exposure to COVID-19, provided they remain asymptomatic and additional precautions are implemented to protect them and the community.

 

A potential exposure means you have been in close contact (6 feet for 15 minutes or more over a 24-hour period) with someone who is COVID-19 positive & both individuals were NOT wearing a mask.

 

Critical Infrastructure workers who have had an exposure but remain asymptomatic should adhere to the following practices prior to and during their work shift:

 

PRESCREEN:
Employees must take their temperature and assess symptoms prior to them starting work. Temperature checks should happen before the individual enters the facility.

 

REGULAR MONITORING:

As long as the employee doesn’t have a temperature or symptoms, they should self-monitor under the supervision of HR and their immediate supervisor.

Employees must self-monitor to ensure no fever or symptoms have started to develop.  If an employee starts to feel ill or develop any symptoms of illness (e.g. fever, cough, shortness of breath, upset stomach, headache, congestion, etc.) they are not to report to work.  If symptoms develop at work, they are immediately required to leave the workplace and notify their supervisor and HR.

 

WEAR A MASK:

The employee MUST wear a face mask at all times while in the workplace for a minimum of 14 days of initial exposure. Employees may use cloth face coverings in the event of shortages.

 

SOCIAL DISTANCING:

The employee MUST maintain a minimum of 6 feet and practice social distancing in the workplace at all times.

 

DISINFECT & CLEAN WORKSPACES:

Employees should clean and disinfect all areas such as offices, bathrooms, common areas, shared equipment routinely. All glasses/goggles must be disinfected after use. Do not share PPE supplies.

 

If the employee becomes sick during the day, they should go home immediately.  

Contact Human Resources at 800-249-6161 or humanresources@mjsia.com regarding any changes or questions.

SELF DECLARATION

I agree to check in with Human Resources each day I am scheduled to work by calling 1-800-249-6161 between 4 pm and 5 pm to confirm I have taken my temperature or complete the daily log prior to my shift. *
I agree to wear a face covering at all times when I am working - this may be one supplied by MJS or a cloth face covering in the event of a shortage? *
I agree to maintain 6 foot minimum social distancing from coworkers and client workers at all times. *
I agree to disinfect and clean my workspaces and equipment regularly and will not share PPE with anyone. *
I agree to monitor my symptoms at all times. *
I agree to not report to work or to leave work immediately if I begin to feel unwell or develop symptoms of any kind. *
I agree to notify HR immeidately by calling 800-249-6161 or emailing humanresources@mjsia.com if I develop symptoms and I will provide information on the specific symptoms, when these symptoms started and who I may have exposed. *

EMPLOYEE ACKNOWLEDGMENT

I agree that the information I am providing is true and accurate to the best of my knowledge.

Signature: *
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