PART 2 Departmental Risk Assessment for COVID‐19 

To protect the health and safety of the campus community and visitors, departments will be required to perform this detailed risk assessment and set site-specific prevention protocols. The completion of this risk assessment template will serve as the department’s Protection Plan as required by the Return to Campus Guidelines and Expectations.

(Note: Complete Part 3 if risk assessment is for an academic instructional/research space which may be a classroom, lab, shop, studio, etc. Skip Part 2) 

Instructions: 

1) Complete Part 1 and obtain VP/Dean approval prior to completing Part 2.

2) Complete the workplace risk questions applicable to your department’s physical workspace and activities performed. The examplesgiven for some of the questions are not limiting but there to guide you in your thinking. Think in general terms. Check “Yes” if this risk ispresent in your department or “No/Not applicable” if this risk is not present.

3) If the risk is present in your department, identify items which are unique to your department. Be specific when identifying activities,locations, and items. For example: if you have a conference room, write down the building and room number.

4) Prevention protocols are presented to you in the last section. Review them. Many of these are required per Cal/OSHA and CaliforniaDepartment of Public Health.

5) For each risk which is present in your department, include the department-specific protection plan (i.e. which prevention protocols yoube implementing, and for which identified items). Once again, be specific. Write “the who”, “the what”, and “the when”. For example:What will the occupancies be for each conference room, how will an activity take place, who will be cleaning shared items, etc.

Environmental Health and Safety

If you have questions related to the risk assessment, email the Department of Environmental Health and Safety at ehsadmin@csuchico.edu

List building, room number, or area information included in this assessment: 

For best results, save this form to your desktop before filling it out, and be sure to save changes. Additional information may be attached if necessary.

Dept. Name:

Function/Services:

RETURN TO CAMPUS FORM - PART 2 For Department & Administrative Offices

06/18/2020

Workplace Risk Present in your Dept? Identification Prevention Protocols

Frequently touched surfaces

Does your workspace have frequently touched surfaces?

Examples: doorknobs, light switches, tabletops, PIN pads, conference room chairs, copy machines, etc.

Check one:

Yes

No/Not applicable

Identify surfaces that are frequently touched:

• Establish an enhanced cleaningschedule for frequently touchedsurfaces for those surfaces notsanitized by FMS.

• Request employees’ clean personalworkspaces often.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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06/18/2020

Workplace Risk Present in your Dept? Identification Prevention Protocols

Shared equipment/tools

Does your department have equipment and/or tools that are shared?

Examples: gym, teaching, and printers, copy machines, hand tools, etc. Note: shared vehicles and carts are addressed in the next section.

Check one:

Yes

No/Not applicable

Identify shared equipment and tools: • Avoid sharing phones, work supplies,office equipment, etc. where possible.

• If equipment/tools must be shared,disinfect between users or shifts,whichever is more frequent.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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Yes

No/Not applicable

Workplace Risk Present in your Dept? Identification Prevention Protocols

Shared university-owned vehicles

Does your department have shared campus-owned vehicles? This could be work trucks, cars, vans, buses, and carts.

Check one: Identify shared university-owned vehicles:

• Establish an enhanced cleaningschedule (Ca. Dept of Public Healthrecommends between users of shifts,whichever comes first) to cleansteering wheel, shifter, anddoorknobs.

• Allow only one person per row invehicle.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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Workplace Risk Present in your Dept? Identification Prevention Protocols

Mail/package handling

Does your department handle mail and/or packages from either outside vendors or from campus mail services?

Check one:

Yes

No/Not applicable

Identify which employees handle mail/packages and from what sources:

• Minimize transaction times withtransportation personnel. Makecontactless if possible.

• Use electronic signatures wheneverpossible.

• Disinfect or let packages age-out ifthey appear tampered with.

• Provide gloves to employees whennecessary.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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Workplace Risk Present in your Dept? Identification Prevention Protocols

Waiting/seating areas

Does your department have waiting or seating areas?

Include applicable building & room #'s.

Check one:

Yes

No/Not applicable

Identify locations of waiting/seating areas:

• If possible, limit the use of waitingrooms. Develop a system that allowscustomers to wait outside.

• Rearrange chairs or mark chairs as“do not use” to create physicaldistance between users.

• Regularly sanitize chair arms.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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Workplace Risk Present in your Dept? Identification Prevention Protocols

Reception areas

Does your workspace have reception areas?

Examples: Dept. front desks, equipment distribution desks (stock rooms, Central Supply), help desks, etc. Note: the next question addresses areas where lines may form.

Include applicable building & room #'s.

Check one:

Yes

No/Not applicable

Identify locations of reception areas: • Post “please wait here” signs.• If paper transactions or other hand-

offs must take place, direct customersto leave paper on desk and then takea step back.

• Work with FMS to provide physicalbarriers such as plexiglass betweenpersonnel and customer if person-to-person contact must take place.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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Workplace Risk Present in your Dept? Identification Prevention Protocols

Areas where lines form

Does your workspace have areas where lines may form?

Include applicable building & room #'s.

Check one:

Yes

No/Not applicable

Identify areas where lines form: • Dedicate staff to direct customers.• Develop a system which allows

customers to wait outside.• Place physical distancing markers at

6-foot intervals.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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Workplace Risk Present in your Dept? Identification Prevention Protocols

Breakrooms/kitchenettes

Does your department have breakrooms and/or kitchenettes?

Include applicable building & room #'s.

Check one:

Yes

No/Not applicable

Identify locations of breakrooms and kitchenettes:

• Encourage personnel to take breaksoutside, in unoccupied areas, or attheir personal desks.

• Decrease allowable occupancy. Postmaximum occupancy signs on door.

• Implement a breakroom scheduler toensure occupancy load has notexceeded.

• Regularly disinfect frequently touchedsurfaces such as refrigerator handle,coffee machine, and sink faucet.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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Yes

No/Not applicable

Workplace Risk Present in your Dept? Identification Prevention Protocols

Conference/meeting rooms

Does your department have conference or meeting rooms?

Note: Some conference/meeting rooms are shared among multiple departments. Work with those departments for a shared effort.

Include applicable building & room #'s.

Check one: Identify locations of conference and meeting rooms:

• Encourage virtual meetings wheneverpossible.

• Decrease allowable occupancy. Postmaximum occupancy signs on door.

• Rearrange chairs or mark chairs as“do not use” to allow for physicaldistancing between users.

• Disinfect table tops and arms of chairsbetween meetings.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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Workplace Risk Present in your Dept? Identification Prevention Protocols

High traffic areas

Does your workspace have high traffic areas?

Examples: corridors, food courts, entrances/exits, etc. Note: This does not include building entrances/exits or hallways in which your department does not have sole control over.

Include applicable building & room #'s.

Check one:

Yes

No/Not applicable

Identify high traffic areas your department has control over:

• Create directional flow of traffic.• If you have two entrances, route

incoming traffic through one door andoutgoing traffic through another.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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Workplace Risk Present in your Dept? Identification Prevention Protocols

Food service/food courts

Does your department cook and/or serve food to the campus community?

Include applicable building & room #'s.

Check one:

Yes

No/Not applicable

Identify locations of food service areas: • Dedicate staff to limit the number ofcustomers.

• If you have two entrances, routeincoming and outgoing traffic throughseparate doors.

• Place floor markers where lines form.• Provide physical barriers for cashiers

and where food is ordered.• For dine-in, establish a maximum

occupancy that allows for physicaldistancing between customers.

• Disallow salad bars and self-servestations.

• Promote grab-and-go meals.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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Environmental Health and Safety

Workplace Risk Present in your Dept? Identification Prevention Protocols

Workstations/computers within 6-feet of each other

Does your workspace have desks or computers that are within 6-feet of each other?

Examples: computer labs, small shared offices, etc.

Include applicable building & room #'s.

Check one:

Yes

No/Not applicable

Identify locations of workstations and computers that are within 6-feet of each other:

• Work with FMS to evaluate thepossibility of rearranging Rearrangeworkstations to allow for 6-feet ofphysical distance between users.

• Mark off computers as “do not use”to allow for physical distancing.

• Provide physical barriers betweenworkstations or computers if 6-feet ofphysical distancing cannot bemaintained.

• Disinfect shared desktops, keyboardsand mice between users.

Department’s Protection Plan:

Dept. Name:

Function/Services:

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Workplace Risk Present in your Dept? Identification Prevention Protocols

Areas or activities where physical distancing is not possible

Does your department have areas or activities where 6-feet of physical distancing between people is not possible?

Examples: some lab and shop classrooms, certain construction activities, cash registers, etc.

Include applicable building & room #'s.

Check one:

No/Not applicable

Yes

Identify areas/activities where physical distancing is not possible:

• Provide physical barriers betweenpeople.

• Require the use of face coverings forall parties involved.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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14

Workplace Risk Present in your Dept? Identification Prevention Protocols

Visiting vendors

Does your department have visiting vendors visit your workspace?

Check one:

No/Not applicable

Yes

Identify vendors that visit your area: • Implement contactlessdeliveries/visitations if possible.

• Remind vendors of the University’srequirements on physical distancing,and use of face coverings while oncampus.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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15

Workplace Risk Present in your Dept? Identification Prevention Protocols

Other areas not previously listed

Do you have any other areas or activities not identified in other sections of this risk assessment that will need prevention protocols for COVID-19?

Check one:

No/Not applicable

Yes

Identify areas or activities that have not been listed elsewhere in this risk assessment:

• Enhanced cleaning and/or disinfectionbetween users.

• Applicable signage, physical barriers,and floor markings to ensure physicaldistancing.

Department’s Protection Plan:

Environmental Health and Safety

Dept. Name:

Function/Services:

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How will you communicate your department-specific Protection Plan (and future amendments) to your employees?

List any additional measures taken:

Date:

Department Director/Dean Request

Name:

Title:

FOR EOC USE ONLY

EOC Review (Name) Date:

Department Director/Dean is responsible for ensuring the following is complete prior to returning employees to campus:• Prevention Protocols in the Departmental Risk Assessment are complete and remain in place.• Employees have taken the required COVID-19 Awareness training.• Employees have or are provided an appropriate face covering. The University will provide face coverings, however the employee can

wear their own if it is appropriate.• A manager or supervisor has reviewed this Departmental Risk Assessment and the required protective measures with the employee.

Proposed Start Date:

Dept. Name:

Function/Services:

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17Environmental Health and Safety