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Eagle County Business Social Distancing Protocol [Non-Fillable]
Must be completed for each facility or work site

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Business Name:

Facility Address:

Approx. gross square footage of space open to the public:

Businesses must implement all applicable measures listed below, and be prepared to explain why any measure that is not implemented is inapplicable to the business.


Signage 

Measures To Protect Employee Health (check all that apply to the facility or work site)

Measures To Keep People At Least Six Feet Apart (check all that apply to the facility or work site)

Measures To Prevent Crowds From Gathering: (check all that apply to the facility or work site)

Measures To Increase Sanitization (check all that apply to the facility or work site)

  • Break Rooms

  • Bathrooms

  • Other

Measures To Prevent Unnecessary Contact (check all that apply to the facility or work site)

Measures To Reduce Exposures in Employee Transportation (check all that apply to the facility or work site)


Any additional measures not included here should be listed on separate pages,
which the business
may attach to this document.

Do not send this document to Eagle County Public Health for approval.

This document must be available for employees, customers and law enforcement to view. Please post this document to your website and in a conspicuous place, such as your front door.

You may contact the following person with any questions or comments about this protocol:

Name:

Phone number:

Daily Symptom Check-In

***If symptoms are reported, please stay home, isolate yourself from other family members, and call your medical provider***

Employer Name:                                                        Date:

Name

Do you have any of the following symptoms today (y/n)?  
COVID-19 symptoms include -- Headache, sore throat, fever, dry cough, recent inability to taste or smell, shortness of breath, body aches, fatigue, diarrhea, vomiting, abdominal pain.

p.