Ref H NMCI Version CTF COVID 19 Response Training rev4.pdf

COVID-19 Response Training

CTF COVID-19 Response Training

05-11-2020

This booklet provides guidance to safely test during COVID-19 outbreak. Its intended use is to broaden the knowledge of the COVID-19 OSHA requirements as they relate to the Integrated Power System Compatibility Test Facility (IPS CTF).

Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology, August 01, 2008.

Other requests shall be referred to NSWCCD Code 64.

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Record of Revision Revision Number

Date Title and/or Brief Description

0 3-27-2020 Initial issue.

1 4-1-2020 Revision 2 of NSWCPD Self Assessment Survey

2 4-23-2020 Addition of Return to Work Guidance and Slide Index

3 4-28-2020 Revision 3 of NSWCPD Self Assessment Survey

4 5-11-2020 Revision 6 of NSWCPD Self Assessment Survey

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Slide Index Slide

Number Section

6 References

7 Points of Contact

8 - 9 Definitions

10 - 13 Transmission and Spread

14 - 25 Work Place Controls

26 - 30 Response

31 - 37 Return to Work Guidance

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Terminal Objective:

Indoctrinate and familiarize personnel with COVID-19

OSHA/CDC guidelines to safely work together, respond to COVID-19 and continue mission essential work at CTF

Approach The safety of personnel – ensure that there is a sense of a safe work environment Minimize the spread of COVID-19 IAW CDC guidelines, ensure all measures to protect personnel are in place and adhered to To continue to support mission essential work on the

COLUMBIA Class, minimize schedule risk

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Enabling Objectives:

Prevention

1. Define proper social distancing during briefs and in work spaces

2. Define the responsibilities of everyone to keep work spaces clean and to exercise proper personnel hygiene habits

3. Proper use of Personal Protective Equipment (PPE)

4. Understand partitioning requirements of watch teams Response

1. Understand the importance of self-reporting illness and identifying at-risk personnel

2. Understand the measures that will be taken to recover from a reported case

3. Understand the measures that will be taken with a compromised watch team

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References

• OSHA Guidelines 3990-03 2020 COVID-19 Guidelines 3151-12R 2004 PPE Standards The General Duty Clause, Section 5(a)(1)of the Occupational

Safety and Health (OSH) Act of 1970, 29 USC 654(a)(1)

• CDC

https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html

• CTF Temporary Standing Order (TSO) FAC-001

• BUMED Return To Work Guidance, 17 Apr 2020

• NSWC PD Response SOP, 23 MAR 2020 https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html

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Points of Contact

CTF COVID-19 Response Training

Position Name Email Phone Number

Test Area Manager (TAM) Ed Harvey edward.p.harvey@navy.mil 215-897-7044

Asst Test Area Manager (ATAM) Neil Hiller neil.hiller@navy.mil 215-897-1187

Safety and Environmental Lead Emily Barrett emily.barrett@navy.mil 215-897-2318

Shop Manager Mario D’Adamo mario.dadamo@navy.mil 215-897-1117

Training Lead Lisa Sharpe lisa.sharpe@navy.mil 215-897-2601

Engineering Ian Peek ian.peek@navy.mil 215-897-1649

Test Team Rich Gudz richard.gudz@navy.mil 215-897-2745

Test Team Julia Saunders julia.saunders@navy.mil mailto:edward.p.harvey@navy.mil mailto:neil.hiller@navy.mil mailto:emily.barrett@navy.mil mailto:mario.dadamo@navy.mil mailto:lisa.sharpe@navy.mil mailto:Ian.peek@navy.mil mailto:richard.gudz@navy.mil mailto:Julia.saunders@navy.mil

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Definitions Close contact means being within 6 feet of a COVID-19 case for a prolonged period (>10 minutes); of time OR having direct contact with infectious secretions such as being coughed on

Congregate settings are crowded public places where close contact with others may occur, such as shopping centers, movie theatres, stadiums, etc

Coronavirus Disease 2019 (COVID-19) is a respiratory disease caused by the SARS-CoV-2 virus

Personal Protective Equipment (PPE) is equipment worn to minimize exposure to specific hazards in the workplace

Public Health Orders are legally enforceable directives that can place restrictions on a person or group for the purpose of protecting the public’s health

Self-monitoring and assessment means people should monitor their health, in this case for COVID-19 symptoms

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Definitions continued Social distancing means remaining out of congregate settings, avoid mass gatherings, and maintaining distance (approximately 6 feet) from others when possible

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Transmission, Signs and Symptoms of COVID-19 Transmission: COVID-19 is transmitted primarily via respiratory droplets produced when an infected person coughs or sneezes Droplets land in the mouths, noses or eyes of people who are nearby or possibly inhaled into the lungs of those within close proximity The contribution of small respirable particles, sometimes called aerosols or droplet nuclei, to close proximity transmission is currently uncertain Airborne transmission from person-to-person over long distances is unlikely It may be possible that a person can get COVID-19 by touching a surface or object that has the virus and then touching their own mouth, nose or possibly eyes, but this is not thought to be the main way the virus spreads

Signs and Symptoms: fever, cough and shortness of breath, symptoms can appear anywhere from 2-14 days after exposure

Signs and Symptoms requiring immediate medical attention: shortness of breath, chest pain, confusion or bluish lips/face

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Stop the spread of COVID-19 per CDC guidelines Wash your hands with soap and water for 20 seconds Use hand sanitizer when soap and water are not available (60% alcohol or higher) Practice respiratory etiquette – sneeze/cough into your elbow or tissue, wash hands/sanitize after sneezing/coughing and if you have coughed/sneezed on a surface sanitize that area

Avoid touching your face (eyes, nose and mouth) Use EPA approved surface sanitizers IAW manufacturer instructions Stay home if you are sick Avoid close contact with people who are sick and practice social distancing Use a cloth face cover or dust mask, when 6 foot barrier cannot be maintained Use alternate methods to say hello (i.e.: no handshaking, fist pumps) This guidance applies to work and once you leave the building, this will minimize exposure

Materials to enable personal hygiene requirements, such as PPE, cleaning agents, paper towels, tissues and trash receptacles shall be available to all personnel

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At-risk/self assessment

Survey to be taken by the employee each day and discussed with supervisor, if you are experiencing any symptoms you should self-quarantine (please see supervisor to obtain a copy)

Employees at a higher risk should discuss with their supervisor what is the best course of action High risk populations are people over 60, underlying health issues such as asthma, heart problems, diabetes, weakened immune systems, pregnant women, someone caring for an infected person (complete list on CDC website)

Personal medical privacy laws and regulations shall be followed – DO NOT talk about other employees medical information – it is between the employee and their supervisor Not everyone who coughs or sneezes is a cause for alarm

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SELF-ASSESSMENT SURVEY

This questionnaire is to be completed honestly and accurately on a daily basis.

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Workplace Controls

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Engineering Controls to reduce exposure Increasing ventilation rates in the work environment

Keeping doors open within bldg. 633 – control room, room 213 Opening the roll-up doors to the outside of the facility in the highbay

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Administrative Controls to minimize contact and identify appropriate PPE Complete daily survey issued by NSWCPD and discuss with your supervisor if you should be in the workplace Arrange spaces in conference and control room to ensure personnel can maintain a 6 foot separation Have test team review best practices during each pre-shift brief Ensure appropriate PPE (eg. nitrile gloves/dust masks) are available on site Telework should be utilized to the greatest extent possible, with the exception of onsite position requirements (this limits the amount of people in the workspaces)

Maintain up-to-date education and training on COVID-19 risk factors and protective behaviors including hygiene, cleaning, disinfecting, PPE, etc for all employees (the situation has the potential to change often)

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Safe Work Practices Soap and paper towels in the bathrooms on all three floors, wash your hands with soap for at least 20 seconds Hand sanitizer located throughout the building on all three floors (if soap is unavailable) Wash hands and don nitrile gloves prior to entering the control room, reminder do not touch your face with the gloves or use them while eating after you have touched a surface

Use EPA approved cleaning supplies to clean surfaces in high-touch areas such as conference tables, door knobs, elevator buttons, handrails, etc

After shift, operators and rovers wipe down their workstations and communications equipment (IAW cleaner manufacturer recommendations)

Post handwashing signs in bathrooms and throughout the facility Employees shall not use others workers’ phones, desks, offices, or other work tools and equipment, to the greatest extent possible. If necessary, equipment shall be cleaned and disinfected before or after use (such as the control room and high bay watch stations)

Use of cloth face covers or dust masks when not about to maintain 6 foot barrier

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PPE

Nitrile gloves (training team will demonstrate)

Donning (putting on)

1. Select correct type of glove and size.

2. Extend to cover wrist.

Doffing (taking off)

1. With the gloved hand, grasp the palm area of the other gloved hand and peel off – hold removed glove in gloved hand.

2. Slide fingers of ungloved hand under remaining glove at wrist, peel off and discard.

3. Dispose of gloves properly in a trash can with a lid.

Proper Use of Gloves

1. The gloves are intended to protect watch standers while operating equipment that cannot be sanitized because it is operational, they are not a replacement for good hygiene practices.

2. Do not eat with the gloves on, wash your hands before and after you eat.

Cloth Face Covering or Dust Masks Will be provided to anyone who does not have a personally procured cloth face covering.

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Testing Operations

Reducing unnecessary individuals in both the Control Room and the pre-shift brief allows for proper social distancing under current conditions

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Control Room In order to maintain social distancing – only one individual should be at a control station at any given time to the greatest extent possible No U/I (Under Instruction) will be conducted EB OTE is moved to the back row No more than 2 persons at the Test Specialist (TS) table (TS table 8’) Reliefs should be staggered to comply with the above. The area behind

TPCP and the “Fish Bowl” are available for relief Floor tiles are 2’ squares, there should be 2 empty tiles between people in the fish bowl Individuals not required to be in the Control Room will need to leave to allow others to comply with social distancing and to facilitate required reliefs

Objects other than operational equipment should be cleaned between shifts, STE will verify via checklist

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Pre-shift brief In order to maintain social distancing – occupancy will be limited to 20 individuals One person per table – including the table at the head (previously occupied by both STE/ASTE), 5 chairs on each side wall DAS Engineer and Acoustics specialist to provide information to STE separately and not attend brief Briefs limited to 1 person for each listed watchstation on watchbill, 1 electrical relief, 1 mechanical relief, 1 NAVSEA representative Backup watchstanders (other than above) should not attend brief Additional individuals may attend as needed per STE up to the 20 person limit (i.e. training) Conference room door will be propped open Personnel attending brief should have their cloth face covering or dust mask with them

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Pre-shift Brief Room 213

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Watch Turnover Keep 6 feet apart when appropriate IAW the training and the Temporary

Standing Order (TSO) Off-going STE ensure off-going watch sanitizes work stations (wearing gloves) and completes checklist All commonly used, non-operating surfaces should be cleaned by the individual watch stander at watch turn-over and more frequently when not interfering with watch team operations

Ensure that communications equipment (sound powered phone head sets, handheld microphones, telephones, etc) have been cleaned.

Sound powered phones to be cleaned with soapy water following instructions at each sanitation point.

Daily sanitization cleaning will be performed by NSWCPD Contractor in all areas other than the 2nd floor secure areas. Test Specialist will perform or coordinate 2nd floor common areas not covered by the Contractor

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Response

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RESPONSE TO EMPLOYEE WITH SYMPTOMS OUTSIDE OF

WORK

If an employee answers yes to the questions listed on the NSWCPD COVID-19 Screening

Self-Assessment Questionnaire they should inform their supervisor and seek medical advice by calling your insurance provided health line number or:

Pennsylvania Department of Public Health: 1.877.724.3258 or visit, health.pa.gov New Jersey Department of Public Health: 1.800.962.1253 or text, NJCOVID to 898-211 or visit, nj.gov/health Delaware Department of Public Health: 1.866.408.1899 or email, DPHcall@delaware.gov and CDC recommendations

Employees with a non-COVID-19 illness shall follow the NSWCPD COVID-19 Return to Work Guidance and maintain contact with their supervisor

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RESPONSE TO EMPLOYEE WITH SYMPTOMS DURING TEST/

AT WORK

If someone in Building 633 is coughing profusely or showing signs/symptoms:

• STE/TAM/Supervisor has the authority to request that person leave and follow the steps above. This may require employee to perform actions to ensure safe plant operations prior to departure

• Departure of the employee shall be done in such a way as to minimize contact with others to maximum extent possible

• Employee (and anyone rendering assistance) shall utilize face cover or mask to minimize spread of potential contagion for immediate and direct departure

• STE/TAM shall ensure the action is reported

Matt Malham to act as POC for test team reporting and will ensure the immediate supervisor of the employee is notified

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RESPONSE TO SUSPECTED OR POSITIVE COVID-19 REPORT

Employees shall report to their supervisor if they are presumptively positive or confirmed positive for COVID-19 or had direct exposure to someone who tested positive or presumptively positive

Per ref (b), Response to COVID-19 Positive Case at NSWCPD, the employee’s supervisor shall issue the Ref (c) COVID-19 Positive Employee Interview, fill out/submit the COVID- 19 Report Template, Ref (d), to Cheryl Diorisio, through the Chain of Command, and contact the COVID task force at:

COVID-19 Phone number: 215-498-5158 (available 24/7) COVID-19 Email: nswcpd_covid19_t.fct@navy.mil COVID-19 Fusion Chat: https://chat.navsea.navy.mil/channel/nswcpd-covid19

The NSWCPD COVID-19 Task Force in Coordination with C102 will determine scope of exposure (effected personnel and locations) and initiate cleaning per Ref (e).

The turnaround time for these efforts may vary depending on the situation, but reasonably be expected to take up to three days

24-hours for response cleaning crew to be contacted and into the building.

Effected areas are recommended to be quarantined for 24-hours Cleaning of CTF industrial spaces shall be performed by TSWO with appropriate level of supervision https://chat.navsea.navy.mil/channel/nswcpd-covid19

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Sanitization Response In the event of a confirmed COVID-19 case a cleaning service will have to sanitize the building.

Ensure NOFORN and Confidential materials are kept locked up when not in use even on the second floor.

EOCCs and SOPs can be kept on station just ensure that the cover is closed when not in use and it is stowed properly.

References for Response Effort:

(a): NSWCPD COVID-19 Screening Self-Assessment Questionnaire (b): Response to COVID-19 Positive Case at NSWCPD (c): COVID-19 Positive Employee Interview 24 Mar 2020 Rev 1 (d): COVID-19 Report Template (e): SOP COVID-19 Facility Cleaning and Disinfecting (f): NSWCPD COVID-19 Return to Work Guidance

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Return to Work Guidance

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Quarantine / Restriction of Movement (ROM) After travel to a high risk location (per local policy1) or close contact2 with

COVID-19 positive case (or suspected case when operationally feasible), individuals should be placed on ROM / quarantine for 14 days.

1Personnel living within high risk locations per CDC THN are not subject to domestic ROM policy and should follow local guidance on ROM.

2Close contact is defined as a) being within 6 feet of a COVID-19 case for a prolonged period (>10 minutes); close contact can occur while caring for, living with, or visiting a COVID-19 case; or, b) having direct contact with infectious secretions (e.g., being coughed on).

Personnel may RTW if no symptoms develop after 14 days since the date of departure from high risk location or the last date of contact with the individual with COVID-19, if they remain free of symptoms. One cannot test-out of ROM and you must complete the full 14-day period.

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Quarantine / Restriction of Movement (ROM) Individuals with close contact with a patient under investigation (PUI) for

COVID-19 do not need to be placed on 14-day ROM unless result of PUI’s lab test is confirmed to be positive. While awaiting results, commanders may temporarily restrict close contacts of PUIs from work.

Some personnel who are considered mission critical may complete modified quarantine/ROM requirements. These exposed asymptomatic essential personnel are allowed to continue working provided they adhere to: pre-screening, daily monitoring, wearing a cloth face cover, social distancing and frequent cleaning/disinfecting of work spaces.

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Patient Under Investigation A PUI is defined as a symptomatic individual with either a pending COVID-19 test OR for whom a test would have been ordered/conducted had one been available. Personnel identified as a PUI are undergoing a medical evaluation and may not RTW until cleared by their medical provider. The medical provider will make a determination whether the PUI is: a confirmed COVID-19 case based on testing, or a probable case based on clinical presentation, or considered to have another acute respiratory illness.

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COVID-19 Case (Confirmed or Probable COVID-19 Case) After being diagnosed as having COVID-19 (confirmed or probable) by a clinician, personnel may RTW using one of the following clearance criteria:

1. Non-testing method (preferred method):

• At least 72 hours have passed since resolution of fever without the use of fever-reducing medications and improvement of other symptoms of illness (e.g., cough, shortness of breath, loss of smell , headache, etc.);

• And at least 14 days have passed since symptoms first appeared.

2. Using a FDA Emergency Use Authorization (EUA) approved test:

• Resolution of fever, without use of fever-reducing medication (e.g.

acetaminophen, etc. );

• And improvement in respiratory symptoms (e.g., cough, shortness of breath);

• And Negative results from at least two consecutive nasopharyngeal swab specimens collected ≥24 hours apart (total of two negative specimens)

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Staying Home From Work Other Acute Respiratory Illness (i.e. flu and influenza like illnesses):

• Personnel who have symptoms of acute respiratory illness are recommended to stay home and not report to work until 7 days has passed since symptoms first appeared and 72 hours has pass since the following are met, without the use of fever-reducing or other symptom-altering medicines:

Resolution of fever (subjective or measured) or fever symptoms (shivering, chills, body aches, etc.)

Improvement of other illness symptoms (sore throat, persistent cough, sinus congestion, fatigue, etc.)

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Return to Work Flowchart

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Review

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Questions

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Backup

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CTF IPS Test Site COVID-19 Response Guidelines

1. Employees shall complete NSWCPD Entrance Questionnaire prior to entrance to building, and perform required actions if positive responses.

2. Employees must stay home if they are not feeling well, and seek medical treatment if they have symptoms similar to COVID-19.

3. Telework should be utilized to the greatest extent possible, with the exception of onsite position requirements.

4. Employees who are well but are high risk or who have a sick family member at home with COVID-19 shall notify their supervisor and follow CDC recommended precautions.

5. Employees shall minimize personal contact to the greatest extent feasible; find alternate greeting methods.

6. Employees shall implement social distancing and maintain a separation distance of 6ft, to the greatest extent possible.

7. Employees shall employ good hygiene and respiratory etiquette as delineated in CDC guidelines.

8. Employees shall wash hands often with soap and water for at least twenty (20) seconds. If soap and water are not available, an alcohol-based hand rub with at least 60% alcohol shall be used.

9. Regular housekeeping practices shall be maintained, including routine cleaning and disinfection of surfaces, equipment, and other elements of the work environment. CTF and NWSCPD will implement increased contract cleaning services to supplement employee cleaning efforts.

10. Sanitization shall be performed through the use of EPA-approved sanitization products.

11. All employees shall maintain up-to-date education and training on COVID-19 risk factors and protective behaviors including hygiene, cleaning & disinfection, PPE, etc.

12. Display posters promoting respiratory hygiene / etiquette shall be posted in common areas and restrooms.

13. Employees shall not use other workers’ phones, desks, offices, or other work tools and equipment, to the greatest extent possible. If necessary, equipment shall be cleaned and disinfected before and after use.

14. Materials to enable personal hygiene requirements, such as cleaning agents, paper towels, tissues, and trash receptacles shall be available and accessible to all personnel, including those on watch stations.

15. If available, surgical masks will be provided to anyone who develops respiratory symptoms.

16. If used, employees shall use COVID-19 related PPE appropriately (e.g., donning, doffing, disposal).

17. Airflow and the amount of outside air shall be increased to the greatest extent possible, through the opening of doors and windows. CTF Security protocols still apply.

18. Emergency services shall be contacted for personnel in respiratory distress.

19. CTF shall identify a workplace coordinator who will be responsible for COVID-19 policy enforcement and feedback.

20. The NSWCPD CTF Response Plan shall be followed to isolate symptomatic personnel, evacuate from the space, subsequent cleaning and disinfection, and re-opening of spaces.

21. Personnel returning to work shall follow the NSWCPD Guidance for Returning to Work.

22. Personal medical privacy laws and regulations shall be followed.