MITIGATION PROTOCOL TEMPLATE EVENT
(Updated 11/17/2020)
EVENT COORDINATOR MAY FILL OUT THIS FORM OR DEVELOP THEIR OWN MITIGATION PLAN USING THIS FORM AS A TEMPLATE
· Please submit this form to https://www.dropbox.com/request/QaKH4w1CNQqoWHFOwAn4 no less than 15 days prior to the event.
· Please include a simple site diagram or site plan along with your Mitigation Plan
· Updates to submitted Mitigation Plans may be required depending on changes to Public Health Orders or restriction levels prior to the event.
EVENT NAME & PHYSICAL ADDRESS:
PRIMARY CONTACT NAME:
PHONE NUMBER:
EMAIL:
EVENT TYPE:
EVENT SETTING (CHOOSE APPROPRIATE): _____ INSIDE _____ OUTSIDE
Please Provide Any Other Details (Please Note that Three-Walled Tents Are Considered Inside):
STATE GUIDANCE:
INDOOR EVENTS: https://covid19.colorado.gov/safer-at-home/indoor-events
OUTDOOR EVENTS: https://covid19.colorado.gov/safer-at-home/outdoor-events
CAPACITY (REFER TO SOCIAL DISTANCING SPACE CALCULATOR AT https://covid19.colorado.gov/safer-at-home/social-distancing-calculator-for-indoor-and-outdoor-events)
Approximate gross square footage of space total:
Seated Capacity at 50% and 25%:
Standing/Moving Capacity at 50% and 25%:
Expected Number of Participants:
EVENT COORDINATORS MUST IMPLEMENT ALL APPLICABLE MEASURES LISTED BELOW OR INDICATE WHY ANY MEASURE THAT IS NOT IMPLEMENTED IS NOT APPLICABLE TO THE EVENT.
MEASURES TO PREVENT OVER-CAPACITY: (check if yes)
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Post an employee at the door to ensure that the maximum number of participants set forth above is not exceeded.
Please List Any Additional Measures:
SIGNAGE: (check if yes)
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Signage has been posted and is visible at each entrance of the event location to inform all employees and guests/participants that they must:
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avoid entering the facility or location if they have a cough or fever (or any other symptoms
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maintain a minimum six-foot distance from one another
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sneeze and cough into a cloth or tissue or, if not available, into one’s elbow
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not shake hands or engage in any unnecessary physical contact
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frequently wash hands
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cover nose and mouth with a non-medical, cloth face-covering.
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Signage has been posted with a copy of the Mitigation Protocol at each entrance to the event location or at a visible location for both employees and guests/participants.
MEASURES TO PROTECT EMPLOYEE & PARTICIPANT HEALTH: (check if yes)
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All employees and participants have been told not to attend if sick (including any of the following- headache, sore throat, fever, dry cough, recent inability to taste and smell, shortness of breath, ear aches, body aches, diarrhea, fatigue, vomiting and abdominal pain).
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Employees and participants shall self-screen for COVID-19 symptoms each day, including measuring temperature. The employee or participant is asked to sign a record that the symptom check was completed. Any employee that exhibits COVID-19 symptoms must be excluded from work.
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All tables and individual chairs not at a table are separated by at least six feet.
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Bathrooms, and other common areas, and other high-touch surfaces are being disinfected frequently, on the following schedule:
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Bathrooms:
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Other:
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Hand sanitizer effective against COVID-19 is available to all employees at workstations and the following location(s):
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Copies of this Protocol have been distributed to all employees.
Please List Any Additional Measures:
MEASURES TO MAINTAIN APPROPRIATE DISTANCING: (check if yes)
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Place tape or other markings at least six feet apart with signs directing customers to use the markings to maintain distance.
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All employees have been instructed to maintain at least six feet distance from participants and from each other, except employees may momentarily come closer when necessary to accept payment, deliver food, or as otherwise necessary.
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Performers are separated by at least 25 feet from event participants.
Please List Any Additional Measures:
MEASURES TO PREVENT UNNECESSARY CONTACT: (check if yes)
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Prevent people from self-serving any items that are food-related.
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Lids for cups and food-bar type items are provided by staff; not for customers to grab.
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Bulk-item food bins are not available for customer self-service use.
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Contactless payment systems have been provided or, if not feasible, sanitizing payment systems regularly. Please describe:
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Provide curb-side drop-off/pick-up of products.
MEASURES TO INCREASE SANITIZATION: (check if yes)
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Use Disinfecting wipes that are effective against COVID-19
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Assign employee(s) to disinfect high-touch areas regularly.
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Provide hand sanitizer, soap and water, or effective disinfectant at or near the entrance and anywhere else inside or immediately outside where people have direct interactions.
Please List Any Additional Measures:
MEASURES TO REDUCE EXPOSURE IN SHARED TRANSPORTATION: (check if yes)
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Self-screen for COVID-19 symptoms each day and excluded if symptomatic.
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Used hand sanitizer prior to entering the vehicle.
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Reduce the number of passengers by 50% of the vehicle’s occupancy and passengers sit in locations to maximize the distance between one another.
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Drivers and passengers wear a non-medical, cloth face-covering when in vehicle containing more than one person.
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Windows remain open or ventilation is increased.
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Disinfect all high-contact surfaces of the vehicle will be done at the end of each day.
Please List Any Additional Measures: (check if yes)
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PROTOCOLS IN PLACE IF AN EMPLOYEE TESTS POSITIVE FOR COVID-19 OR A GUEST/PARTICIPANT HAS VISITED THE FACILITY/EVENT LOCATION WHILE POSITIVE (REFER TO GUIDANCE FOUND ON https://covid19routtcounty.com/):
Please List Any Additional Details:
I certify that I understand and will comply with all guidelines in place at time of event.
________________________________ ____________________________________
Host (Sign & date) Venue Owner (Sign & date)