covid-19 management programof diseases by the world health organization.2 ... most virulent, however...

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PEAK Infectious Disease Management Program: COVID-19 Page 1 Copyright © 2020 Peak Project Management COVID-19 MANAGEMENT PROGRAM PROGRAM OUTLINE PART 1 – Program Introduction 1.0 Program Introduction 1.1 Definitions 1.2 Transmission of COVID-19 PART 2 – General Infection Management Procedures 2.0 Protocol Overview 2.1 IPC Practices for Staff 2.2 Cleaning and Disinfecting Procedures 2.3 Customer Screening 2.4 Employee Illness 2.5 Outbreak Protocol 2.6 First Aid Response 2.7 Food and Beverage Protocols 2.8 Common Use Areas PART 3 – Specific Activity Procedures 3.0 Protocols Overview 3.1 Superfly Ziplines – Risk analysis and Procedure Summary 3.2 Whitewater Rafting – Risk analysis and Procedure Summary 3.3 Treetop Adventure – Risk analysis and Procedure Summary 3.4 Transportation in Shuttle Vehicles – Risk analysis and Procedure Summary 3.5 Vallea Lumina – Risk analysis and Procedure Summary 3.6 Transportation in Ranger Vehicles – Risk analysis and Procedure Summary PART 4 – Appendices 4.1 Cleaning and Disinfecting Protocol for Zipline Equipment 4.2 Cleaning and Disinfecting Protocol for Rafting Equipment 4.3 Cleaning and Disinfecting Protocol for Treetop Adventure Equipment 4.4 Cleaning and Disinfecting Protocol for Transportation Shuttle 4.5 Cleaning and Disinfecting Protocol for Ranger UTV 4.6 Activity Risk Scoring Tool Explanation 4.7 Sanitizers and Disinfectants 4.8 PEAK RSEQ 4.9 Cleaning and Disinfecting Documentation 4.10 Fraser Health “Stop. Do Not Enter” Signage 4.11 BC CDC Physical Distancing Poster

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Page 1: COVID-19 MANAGEMENT PROGRAMof Diseases by the World Health Organization.2 ... most virulent, however some documentation of asymptomatic transmission has been recorded. ... as operational

PEAK Infectious Disease Management Program: COVID-19 Page 1

Copyright © 2020 Peak Project Management

COVID-19 MANAGEMENT PROGRAM PROGRAM OUTLINE

PART 1 – Program Introduction

1.0 Program Introduction 1.1 Definitions 1.2 Transmission of COVID-19

PART 2 – General Infection Management Procedures

2.0 Protocol Overview 2.1 IPC Practices for Staff 2.2 Cleaning and Disinfecting Procedures 2.3 Customer Screening 2.4 Employee Illness 2.5 Outbreak Protocol 2.6 First Aid Response 2.7 Food and Beverage Protocols 2.8 Common Use Areas

PART 3 – Specific Activity Procedures

3.0 Protocols Overview 3.1 Superfly Ziplines – Risk analysis and Procedure Summary 3.2 Whitewater Rafting – Risk analysis and Procedure Summary 3.3 Treetop Adventure – Risk analysis and Procedure Summary 3.4 Transportation in Shuttle Vehicles – Risk analysis and Procedure Summary 3.5 Vallea Lumina – Risk analysis and Procedure Summary

3.6 Transportation in Ranger Vehicles – Risk analysis and Procedure Summary

PART 4 – Appendices

4.1 Cleaning and Disinfecting Protocol for Zipline Equipment 4.2 Cleaning and Disinfecting Protocol for Rafting Equipment 4.3 Cleaning and Disinfecting Protocol for Treetop Adventure Equipment 4.4 Cleaning and Disinfecting Protocol for Transportation Shuttle 4.5 Cleaning and Disinfecting Protocol for Ranger UTV 4.6 Activity Risk Scoring Tool Explanation 4.7 Sanitizers and Disinfectants 4.8 PEAK RSEQ 4.9 Cleaning and Disinfecting Documentation 4.10 Fraser Health “Stop. Do Not Enter” Signage 4.11 BC CDC Physical Distancing Poster

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4.12 VCH Hand Washing Poster 4.13 WSBC Cough and Sneeze Etiquette Poster 4.14 NRS Coronavirus Cleaning Guidance 4.15 3-Step Public Screening Process 4.16 3-Step Staff Screening Process 4.17 RSEQ Staff Placard 4.18 RSEQ Public Placard

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Program Introduction 1 1.0 1

PEAK Infectious Disease Management Program: COVID-19 Page 1

Copyright © 2020 Peak Project Management

Introduction:

The emergence of the COVID-19 pandemic in early 2020 has prompted a need for many institutions to

create policies and procedures for safe operation during the pandemic. Measures that serve to limit the

spread of COVID-19 while maintaining business operations require a shift in normal operations with the

goal of maintaining physical distancing and safe practices for Infection Prevention and Control (IPC).

In the British Columbian context, as industry and economic activity in the province scales back up from a

state of shutdown, imperative exists to develop policies and procedures for limiting spread of the virus

while resuming economic activity. All policies should be developed with the primary goal of limiting

current spread while also mitigating risk for the emergence of a second wave of the pandemic. While

many epidemiological models show room to move, the province of BC has stated enhanced surveillance

of activities will continue while cautiously lifting restrictions on travel and economic activity.

PEAK Project Management Relationship:

TAG Whistler and PEAK Project Management are collaborating on solutions for infectious disease

management and control to offer safe recreational activities in the adventure tourism space. PEAK and

TAG Whistler are focused on developing policies and procedures that are consistent with WorkSafe BC

and regional health authority’s direction on reopening businesses. The purpose of the COVID-19

management program for TAG Whistler is to fulfill the requirements from WorkSafe BC and the Provincial

Health Officer regarding written plans for safe operation.

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Definitions 1 1.1 1

PEAK Infectious Disease Management Program: COVID-19 Page 1

Copyright © 2020 Peak Project Management

SARS-CoV-2

Severe Acute Respiratory Syndrome Coronavirus 2. Refers to the virus and is terminology based on the

genetic structure and taxonomical conventions of viral classification produced by the International

Committee on Taxonomy of Viruses.1

COVID-19

Coronavirus disease. Refers to the disease caused by the SARS-CoV-2 virus when discussing disease

prevention, spread, transmissibility, and treatment. Terminology based on the International Classification

of Diseases by the World Health Organization.2

Linked households

Refers to 2 or more domestic groups of individuals who both have been undergoing quarantine and have

chosen to re-establish social ties with another household previously in quarantine. A linked household

represents one social unit with regards to disease tracking.

Self-isolation

Refers to the actions of an individual staying at their place of residence and avoiding situations where

contact with other may be possible. BC CDC guidelines on self-isolation can be found at

www.bccdc.ca/health-info/diseases-conditions/covid-19/self-isolation. Self-isolation is used to lower the

chance of spreading infectious germs.

Quarantine

Refers to the restriction of movements and social gatherings at a population level and is a strategy

employed to limit spread of disease through a population of potentially infected or susceptible individuals.

1 Naming the coronavirus disease (COVID-19) and the virus that causes it. (2020) World Health Organization. (Online). Accessed at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it 2 Ibid.

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Transmission of COVID-19 1 1.2 1

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Introduction:

SARS-CoV-2 is a lipid-encapsulated respiratory virus responsible for causing the COVID-19 disease. Current

knowledge regarding SARS-CoV-2 is mostly based on data from recent collection and extrapolation from

current knowledge about its relatives SARS-CoV and MERS-CoV. SARS-CoV spreads primarily through

droplet transmission in infected individuals. These individuals are usually symptomatic when they are

most virulent, however some documentation of asymptomatic transmission has been recorded.

Containment:

Primary containment strategies for mitigating the transmission of COVID-19 in a population are common

to containment strategies employed in the management of other respiratory pandemics. Primary

containment strategies involved isolating those who are sick, limiting social gathering, and reducing high

risk activities for transmission of the virus.

At rest, individuals infected with COVID-19 present a risk of infection to others that is exacerbated by

proximity. Since the primary transmission mechanism for COVID-19 is via respiratory droplets that tend

to reach ground level after 2m/6ft distance from the infected individual, physical distancing at this radius

is an acceptable mitigation strategy for limiting spread. Certain activities that increase respiratory demand

can promote aerosolization of the virus, which increases its propensity to spread beyond the typical radius

of 2m/6ft. Activities that present a risk of aerosolization of the virus are viewed as higher risk and require

more mitigation strategies for limiting transmission.

Non-respiratory Transmission:

Fomite transmission of viral particles is also a known transmission factor in the spread of COVID-19.

Fomite transmission describes the passage of virus containing respiratory droplets from the infected

individual to a surface, then from that surface into the respiratory tract of a different individual. Mitigation

strategies for limiting fomite transmission of COVID-19 involve increased cleaning, disinfecting, and

sanitization practices.

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2 2.0 1

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Preamble:

Part 2 of the COVID-19 Management Program describes the policies and procedures related to general

operations during COVID-19 as well as the protocols to be followed in the case of suspected or confirmed

employee or client exposure to COVID-19.

2.1 IPC Practices for Staff

Describes best practices in Infection Prevention and Control (IPC) that staff should engage in daily, as well

as operational guidelines for some specific activities in the workplace. Contributing research has been

used from the BC Centre for Disease Control, Health Canada, BC Rivers Outfitters Association, BC COVID-

19 Go-Forward Management Strategy, and WorkSafe BC.

2.2 Cleaning and Disinfecting Procedures

Describes the general cleaning and disinfecting procedures used in IPC including important terminology

and best practices for cleaning, disinfecting, and sanitizing. Contributing research has been used from the

BC Centre for Disease Control, Health Canada, and the BC Rivers Outfitters Association.

2.3 Customer Screening

Describes the procedures for pre-registration and arrival screening of customers entering the physical

premises for pre-trip orientation for their activity. Contributing research has been used from the BC Centre

for Disease Control, Health Canada, and WorkSafe BC.

2.4 Employee Illness

Describes the procedures to be followed if an employee develops symptoms at home, upon entry to work,

or during the workday. Also describes the requirements to self-isolate after travel or confirmation of

COVID-19 in the same household. Contributing research has been used from the BC Centre for Disease

Control and WorkSafe BC.

2.5 Outbreak Protocol

Describes the procedures to be followed in the event of the presentation of two or more individuals with

symptoms of COVID-19. Outlines steps forward after confirmation of an outbreak and contact information

of relevant entities. Contributing research has been used from Vancouver Coastal Health and WorkSafe

BC.

2.6 First Aid Response

Describes the additional procedures related to COVID-19 that are necessary during a first aid incident.

Outlines practices for encouraging self-treatment if possible and provides direction on limiting staff

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involvement when incidents require more than one responder. Contributing research has been used from

WorkSafe BC OFA Guidelines and PEAK Non-Urban Emergency Care curriculum.

2.7 Food and Beverage Protocols

Outlines current best practices and operational changes that should be followed for service of food and

beverages while minimizing risk of transmission of COVID-19. Contributing research has been used from

WorkSafe BC, the BC Centre for Disease Control, and orders from the Provincial Health Officer.

2.8 Common Use Areas

Outlines operational changes that should be followed in common use areas. Common use areas are

defined as areas within an operation with higher than average volume and traffic of staff and customers.

Contributing research has been used from WorkSafe BC.

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Preamble:

Staff play an important role in limiting risk of transmission of respiratory viruses. This document outlines

the general infection prevention and control procedures that all staff must adhere to for the duration of

the pandemic. Specific protocols for activities can be found in section 3 Specific Activity Procedures of

this document.

Employer Screening

Routine screening of employees by the employer must be conducted for the duration of the COVID-19

pandemic. Results must be documented and filed.

At the beginning of each shift, each employee should complete and document a PEAK RSEQ screening

assessment. Completion of the RSEQ should be done in an area conducive to maintenance of physical

distancing where employees have the space to maintain a minimum of 2m/6ft radius. If employees cannot

maintain this distance, completion of the RSEQ can be achieved while wearing a non-medical face mask.

Employee Responsibilities

Employees without symptoms of COVID-19 as per the PEAK RSEQ questionnaire are free to work if they

adhere to the following protocols:

• Frequent hand washing with soap and water for at least 20 seconds or hand sanitization before

shift and as frequently as possible during shift.

• Practice of physical distancing

• Application of a face mask when physical distancing is not attainable

• Immediate manager notification if feeling any symptoms of COVID‐19 such as fever, trouble

breathing, dry cough, fatigue, sore throat and aches and pains.

• Cleaning and disinfecting frequently touched objects and workstation surfaces as per 2.2 Cleaning

and Disinfecting Procedures and specific activity protocols in section 3.0 Specific Activity

Procedures.

Hand Washing

Use of plain soap and water is the preferred practice for hand washing. Use of hand sanitizer with

minimum 60% alcohol content is also acceptable. Hand washing or hand sanitization should occur

throughout the shift, particularly during these higher risk activities:

• Entering or leaving any building

• Entering or leaving any transport vehicle

• Before and after breaks, after use of washroom facilities, and before and after eating

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This video demonstrates the correct technique: “Reduce the spread of COVID-19: Wash your hands”:

https://www.youtube.com/watch?v=o0P-0d1mJfA.

Physical distancing

The maintenance of physical distancing is an effective strategy for reducing risk of viral transmission and

should be maintained between staff, and guests, when possible. Physical distancing guidelines from the

BC CDC state a radius of 2m/6ft should be maintained between members of different households

whenever possible. All employees are to practice the following:

• Minimize close-contact interactions with customers and other employees whenever possible.

• Whenever possible, keep at least 2m/6ft distance from others

• Do not shake hands with customers or employees, nod or wave instead.

Personal Protective Equipment

Use of Personal Protective Equipment (PPE) is categorized as follows, based on exposure risk:

Low risk: tasks where an employee is isolated.

• Regular handwashing must be observed.

• Areas and equipment that were handled are cleaned before and after use, per manufacturer-

recommended guidelines.

Medium risk: where employees have interactions with customers and/or other employees but can

be physically distanced.

• Employees and customers have a face covering or mask on their person.

• Regular handwashing must be observed.

• Areas and equipment that were handled are cleaned before and after use, per manufacturer-

recommended guidelines.

High risk: tasks where employees or customers cannot maintain physical distancing.

• Regular handwashing or sanitizing must be observed.

• Employees and customers wear non-medical face covering.

• Areas and equipment that were handled must be cleaned before and after use, per manufacturer-

recommended guidelines.

Gloves: the use of gloves at this time is not deemed necessary unless employees are working with a

disinfectant or sanitization product that recommends use of gloves as per the manufacturer.

Cleaning and disposal of non-medical face coverings

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• Non-medical face coverings should be cleaned and laundered daily following use.

• Machine washing with warm water at 60−90° C with laundry detergent is recommended. The laundry can then be dried according to routine procedures.

• Following a possible or confirmed exposure to COVID-19, disposal of the used non-medical face

covering should be included as standard infection control measures. Disposal as part of standard

household waste is acceptable.

Shift preparation

• Upon entry to the facility, all employees must wash their hands with soap for at least 20 seconds.

Hand washing must occur again every time they re-enter the facility. Staff should engage in

frequent handwashing throughout their shift.

• Personal Protective Equipment must be worn and provided for all operational duties as outlined

specifically in 3.1 – 3.6 Activity Procedures.

• Shifts and breaks should be staggered when possible as to minimize number of employees in

break rooms.

• Job mixing should be minimized. Employees should be responsible for same tasks in same areas

throughout their shifts when possible.

• When possible, common use devices such as timecards/clock should be eliminated in favour of

electronic hours tracking.

Employee Personal Effects

• Minimize personal storage areas, remove all non-essential items, and disinfect after each use.

• Only one employee is in change rooms at a time unless physical distancing can be guaranteed.

Formation of Decentralized Teams

• When employee activities allow, efforts should be made to encourage the formation of isolated

teams that complete activities as a unit. Formation of such teams will reduce potential for cross

contamination and minimize the potential effect of contact with an ill staff member.

• Formation and coordination of siloed teams should be coordinated to reduce staff mixing and

intermingling in facilities and during break times.

Staff Meetings and Training

• Reduce in-person staff meetings. Communicate task assignments via email, text, or radio.

• When possible, keep employees doing tasks they already know to minimize training.

• If training is required, have employees review standard operating procedures or watch training

videos before hands-on training.

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• For hands-on training, employees must wash their hands and wear a face covering or mask when

physical distancing cannot be maintained.

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Preamble:

SARS-CoV-2 can be destroyed with standard disinfectants and sanitizers. To reduce risk of transmission of

COVID-19, standard cleaning and disinfecting protocols should be implemented and adhered for the

duration of this public health emergency. The goals of this document are:

• Describe the best-practices for cleaning, disinfection, and sanitization of high-touch surfaces and

areas.

• Form the foundation for a regularly timed cleaning schedule that should be implemented with a

documentation process.

Important Terminology:

• Cleaning: refers to the process of removal. Cleaning does not kill bacteria or viruses but has the

capacity to lower risk by reducing the number of particles on a given surface.

• Disinfecting: refers to the process of killing all viral and bacterial entities on a surface and typically

requires the use of chemicals.

• Sanitizing: refers to the process of applying a compound to a surface that reduces bacterial and

viral particles to a safe level.

General cleaning best practices:

• Use and discard disposable gloves and cloths when recommended by product manufacturer.

• Any use of reusable gloves and cloths should be exclusive to use for cleaning surfaces for SARS-

CoV-2, not for other purposes. Thoroughly clean reusable gloves and cloths between each use.

• Use EPA-approved products for SARS-CoV-2. Follow the manufacturer’s instructions for

concentration, application method and contact time.

• Check that products are not expired.

• Follow the manufacturer’s instructions for cleaning products.

• Clean hands immediately after gloves are removed.

General disinfecting best practices:

• Use and discard disposable gloves and cloths when disinfecting hard surfaces.

• Reusable gloves and cloths are used exclusively to disinfect surfaces for SARS-COV-2, not for other

purposes. Thoroughly clean reusable gloves and cloths between each use.

• Use EPA-approved products for SARS-COV-2. Follow the manufacturer’s instructions for

concentration, application method and contact time.

• Check that products are not expired.

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• If bleach is safe for the surface, use diluted bleach solutions (at least 1000ppm sodium

hypochlorite). Follow manufacturer’s instructions for application, ensuring a contact time of at

least ten minutes for disinfecting. Allow proper ventilation during and after application.

• Never mix bleach with ammonia or any other cleaner.

• Follow the manufacturer’s instructions for cleaning and disinfection products.

• Clean hands immediately after gloves are removed.

General sanitizing best practices:

• Use and discard disposable gloves and cloths when sanitizing hard surfaces.

• Reusable gloves and cloths are used exclusively to sanitize surfaces for SARS-COV-2, not for other

purposes. Thoroughly clean reusable gloves and cloths between each use.

• Use EPA-approved products for SARS-COV-2. Follow the manufacturer’s instructions for

concentration, application method and contact time. Many common disinfectants are approved

for use in sanitization but require a longer contact time with the surface.

• Check that products are not expired.

• Follow the manufacturer’s instructions for sanitizing products.

• Clean hands immediately after gloves are removed.

When to Sanitize vs. Disinfect vs. Clean

Cleaning should be conducted on surfaces that are considered low risk both for harbouring respiratory

droplets, as well as facilitating their transmission to employees and guests. Some examples of low-risk

surfaces are:

• Whitewater rafts

• Indoor floors

• Shuttle bus floors

• Unused rescue equipment

Disinfecting should be conducted on surfaces that are considered medium risk for harbouring respiratory

droplets, as well as facilitating their transmission to employees and guests. Some examples of medium-

risk surfaces are:

• High-contact surfaces such as:

o Electronics and POS equipment

o Doorknobs, door push handles, door push bars

o Counter tops/bar tops

o Handrails, light switches, thermostat controls

o Toilets

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o Hand wash areas

• Personal use equipment used in recreational activities such as:

o Helmets

o Harnesses

o Rafting Paddles

Sanitization should be conducted on surfaces that are considered high risk for harbouring respiratory

droplets, as well as facilitating their transmission to employees and guests. Some examples of high-risk

surfaces are:

• Water bottles, eating utensils

• Face shields

• Medical masks

• Surfaces that have been exposed to a confirmed case of COVID-19

Cleaning different types of surfaces:

• Hard (non-porous) surfaces

o Clean visibly soiled surfaces using an initial rinse with water, then with detergent or soap

and water

o If required, follow initial cleaning with disinfecting agent suitable for surface

o Many hard surfaces are best suited to cleaning with diluted bleach or surface cleaner if

those solutions are not known to be damaging to the surface

• Soft (porous) surfaces:

o Clean visibly soiled surfaces using detergent or soap and water prior to disinfection.

o Fabric or porous items must be cleaned using a manufacturer-recommended product. It

is recommended to set up a system that allows each piece of equipment to be pre-rinsed,

washed in preferably warm soapy water, rinsed once or twice in freshwater and, if

possible, a disinfecting rinse. Bleach and some disinfectants are not recommended for

use because they can damage fabrics.

Health Canada provides an interactive search tool for determining the effectiveness of general household

and industrial cleaners for use against SARS-COV-2. By inputting the product DIN number into the tool,

staff can receive a confirmation that use of the product is supported by available evidence. To view the

tool, follow the link: https://www.canada.ca/en/health-canada/services/drugs-health-

products/disinfectants/covid-19/list.html

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Guest Screening 2 2.3 1

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Preamble:

All guests must be informed of their duty to self-certify fitness to engage in the activities outlined in this

document at the time of registration. Along with screening using the PEAK RSEQ guest placard, guests will

be asked to bring their own masks to the site and engage in a COVID-19 briefing in addition to standard

safety briefings that are activity specific.

Guest Screening

As part of the online registration process, guests should be screened with the PEAK RSEQ placard which

will be required before disembarking on their trip.

• When guests arrive, they should be screened at a designated entrance point using the PEAK RSEQ

placard and provided with a mask if they have not brought their own.

• Pre-booked guests should be provided with staggered arrival times to reduce mixing of groups at

check-in. Guests should be encouraged to avoid early arrival.

• Guests should be instructed with use of signage or employee direction to maintain physical

distancing during check-in procedures, and should be instructed on the use of masks during check-

in.

• Once screened, guests may proceed with their group to a designated orientation area with

adequate space for social distancing.

Use of Non-Medical Face Masks/Coverings:

• The use of non-medical face masks/coverings during activities operated by TAG Whistler will be

required at times during activities to ensure staff and guest safety.

• Guests will be informed to bring their own masks or face coverings to use during their selected

activity.

• Any fabric apparatus that limits respiratory particle outflow during periods of rest and periods of

exertion is acceptable as a non-medical face mask or covering.

• Non-medical face masks/coverings should fit snugly and cover both the mouth and nose in order

to effectively limit the spread of respiratory droplets.

Hand Washing

Guests are required to sanitize hands using provided hand sanitizer before entering building. Appropriate

signage should be provided to guide guests in proper hand hygiene procedures. Guests should be asked

to engage in hand hygiene at the following times:

• Entering or leaving any building

• Entering or leaving any transport vehicle

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• Before and after breaks, after use of washroom facilities, and before and after eating

If a guest is symptomatic at the time of arrival:

Upon arrival, if a guest answers yes to any of the PEAK RSEQ placard screening questions, they and anyone

in their household group will be asked to not enter the premises. The PEAK RSEQ questionnaire

documentation in Appendix 4.8 should be completed to serve as a record of RSEQ failure, and guests

should be instructed to return to the premises only when they have self-isolated for a period of 14 days

or been declared COVID-19 free by a medical practitioner certified to do so.

If the guest or anyone in their party has come into contact with any other guests or staff members, those

individuals are at high risk of exposure. In such a case, those individuals should also be asked to leave the

premises and self-isolate while self-monitoring for development of symptoms.

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Copyright © 2020 Peak Project Management

Preamble:

Because employees are exposed to a high volume of changing risk conditions, routine screening and

ongoing symptom awareness is recommended throughout the duration of the pandemic. See 2.1 IPC

Practices for Staff for protocols regarding screening and employee responsibilities.

If an employee is feeling sick at home:

Employees are to remain home and inform their supervisor or manager. Employees are to contact Health

Link BC at 8-1-1 for further instructions.

If an employee is showing symptoms at the beginning of the workday:

As per 2.1 IPC Practices for Staff, employees should undergo screening for symptoms of COVID-19 using

the PEAK RSEQ placard at the beginning of each workday.

If an employee answers yes to any of the questions on the PEAK RSEQ placard, the PEAK RSEQ

questionnaire documentation in Appendix 4.8 should be completed to serve as a record of RSEQ failure,

and the employee should immediately be sent home for a period of self-isolation lasting 14 days. The

employee must be informed they are not permitted to return to work until they have completed this term

of self-isolation or have been certified as COVID-19 free by a medical practitioner licenced to do so.

If any staff have been exposed to the employee showing symptoms, they should also follow the above

guidelines and may return to work after a period of self-isolation of 14 days or after being certified as

COVID-19 free by a medical practitioner licenced to do so.

Inform PEAK project management COVID-19 exposure contact at: [email protected]

If an employee develops symptoms of COVID-19 at work:

As per 2.1 IPC Practices for Staff, employees must inform their supervisor or manager if they develop any

symptoms of COVID-19. Once notification has been given, employees should immediately be sent home

for a period of self-isolation lasting 14 days. The employee should be instructed to contact HealthLink BC

at 8-1-1 and must be informed they are not permitted to return to work until they have completed this

term of self-isolation or have been certified as COVID-19 free by a medical practitioner licenced to do so.

If any staff have been exposed to the employee showing symptoms, they should initially follow the above

guidelines until definitive proof that that employee is negative for COVID-19 can be provided. If the

employee tests negative for COVID-19, those staff may return to work, however if the employee tests

positive for COVID-19, any exposed staff will be required to self-isolate for 14 days or obtain certification

as COVID-19 free by a medical practitioner before returning to work.

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Efforts should be made to confirm which guests the employee could have reasonably made contact with

in the prior 72 hours leading up to symptom detection and those guests should be notified as well.

If more than one employee is showing symptoms of COVID-19:

See 2.5 Outbreak Protocol for further direction.

Requirements for quarantine or self-isolation:

An employee who has travelled outside of Canada within the last 14 days, is not permitted to enter any

part of the facility and must quarantine and self-isolate for a period of 14 days from the date of re-entry.

If an employee shares a household with someone showing symptoms of COVID-19, they are not permitted

to enter any part of the facility and must self-isolate for a period of 14 days. Employees are advised to

contact HealthLink BC at 8-1-1 for further direction and information.

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Preamble

Established operational protocols to manage suspected and/or confirmed viral outbreaks are an essential

element of a comprehensive operational disease management program. This protocol outlines the actions

that must be undertaken in the event of an outbreak of suspected COVID-19.

For COVID-19, an outbreak is defined as 2 or more cases of fever and/or respiratory symptoms detected

in staff and/or guests.

Procedures for detection of symptoms are described in 2.3 Customer Screening, and 2.4 Employee Illness.

If an outbreak is confirmed or suspected to have occurred, all symptomatic individuals and their respective

household groups should be instructed to leave the premises and self-isolate immediately in accordance

with the above policies. Their contact information should be confirmed, and they should be informed that

they will receive follow-up information on further steps. Reasonable efforts should be made at the time

of detection to outline possible exposure to other individuals at the site. All other individuals possibly

exposed should be instructed to follow the policies outlines in 2.4 Employee Illness.

PEAK Project Management COVID-19 Response Inbox and the local Medical Health Officer must be

notified as soon as possible. The local Medical Health Authority for the resort municipality of Whistler falls

under the authority of Vancouver Coastal Health at the following contact:

Vancouver Coastal Health Authority Phone:

(604) 675-3800 Manager on call

Fax: (604) 736-8651

Email: [email protected]

Peak Project Management COVID-19 Response Inbox:

Email: [email protected]

In the case of a confirmed outbreak, Involvement of the local Medical Health Officer will be coordinated

through the office of the Health Authority. PEAK Project Management will provide a support role to the

client in this case.

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Preamble:

Responding to a first aid situation during the COVID-19 pandemic carries added risk for both the rescuer

and patient. While all staff and guests should be undergoing daily screening using the PEAK RSEQ to rule

out any overt signs of possible respiratory illness, the risk of asymptomatic transmission is still present

and staff should employ measures to preserve staff and guest safety.

Operational controls:

To minimize contact, 1 staff/guide will be designated the first aid attendant for each activity carried out

by TAG Whistler. For any first aid situation, efforts should be made to utilize the designated first aid

attendant to minimize the number of staff exposed to the patient. If a first aid situation requires more

than one responder, then efforts should be made to ensure all staff are equipped with a medical mask, a

face shield, and disposable gloves. Limit the amount of staff providing direct patient care when possible.

General Treatment Procedure:

• Upon notification of a medical incident, the first aid attendant should gather all necessary first aid

supplies and ascertain the need for any lifesaving critical interventions.

o If the patient is experiencing a medical emergency that is immediately life-threatening,

the attendant should immediately don a mask and face shield in addition to standard PPE

and perform the necessary intervention.

o If the patient has a medical complaint that is not immediately life-threatening, interview

the patient from a distance and assess if the patient has a minor injury that can receive

self-administered treatment. If yes, direct the patient to self-treat per OFA protocols.

o If the patient cannot administer self-treatment, the first aid attendant should don a mask

and face shield in addition to standard PPE and perform the necessary treatments.

• After treatment, sanitize all equipment used with either soap and water or 70% isopropyl alcohol.

Any PPE that was used for providing patient care should be either disposed of in a plastic garbage

bag or placed in a plastic bag for later cleaning if not disposable. Thorough hand washing is

required after patient contact and after handling of soiled PPE.

• If further treatment is required, follow OFA protocols for documentation and reporting of medical

incidents. Inform EMS as per standard OFA protocols.

Treating guests with respiratory symptoms:

As all staff and guests are screened for respiratory symptoms daily, the risk of sudden development of

infectious symptoms of COVID-19 is extremely low. In the case of sudden development of respiratory

symptoms, staff should recognize the heightened risk of infection from the patient and exercise a high

degree of caution. In addition to standard PPE, the use of a medical mask rated for viral particles is

recommended, such as an N95. If EMS is required, ensure to inform the 9-1-1 operator that the patient

has respiratory symptoms.

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Performing aerosol-generating procedures:

The following first-aid procedures are known to increase the likelihood of viral aerosolization and increase

the burden of risk to responders providing first aid:

• Bag Valve Mask (BVM) Ventilation

• Airway Suctioning

• High-flow Oxygen Administration

• Cardio-Pulmonary Resuscitation (CPR)

Any procedure included in the above list performed by TAG responders carries an elevated risk of rescuer

harm and should only be conducted in settings where access to the appropriate PPE is guaranteed.

Appropriate PPE in a first aid setting for these procedures requires at minimum:

• An N95 respirator

• Eye protection

• Disposable medical gloves

• A medical-grade face shield

In settings where access to the above PPE is not possible, care should be provided to the patient only in

situations where risk to responders can be minimized with alternative environmental or operational

controls. These controls can include such strategies as placing a non-medical mask over the patients face

during CPR, withholding the use of supplemental Oxygen, using passive methods for airway

decontamination, and providing compression-only CPR.

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Preamble:

Areas operated by TAG Whistler where food and beverages are served:

Cedar Café

Located within the Western Front building

9125 Sixteen Mile Creek Forest Service Road, Whistler BC. V8E 0G6

Current offerings:

Protocols for Staff:

Food Preparation and Service:

• All staff handling the preparation and service of food should be equipped with a non-medical mask

and disposable gloves. The use of protective eyewear is optional and not required. Use of a face

shield is also optional and not required.

Physical distancing

Cedar Cafe

Food Offerings Preparation Required Equipment Utilized Pre-prepared sandwiches & paninis Reheating Panini Press & Tongs Pre-prepared burritos Reheating Panini Press & Tongs Pre-prepared baked goods Some items require baking. Toaster Oven and Tongs Fresh Popcorn Heating Kernels Popcorn Machine & Serving

Scoop Pre-prepared chilli’s and soups Heating Slow Cooker Rice Heating Rice Maker Pre-packed chocolate bars N/A N/A Pre-packed candy N/A N/A Pre-packaged chips N/A N/A Smores Combining components into individually packaged

portions. Food handling gloves

Beverage Offerings Drip Coffee Brewing Coffee through Filter Disposable paper filters,

coffee machine Specialty Coffee Brewing espresso, steaming milk, adding syrup

flavourings. Coffee machine, coffee press, steamer wand, milk jug

Various Teas Application of boiling water Water Boiler

Hot Apple Cider Application of boiling water Water Boiler Hot Chocolate Application of boiling water Water Boiler Selection of pre-packaged cold beverages N/A N/A

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• Signage should be posted informing customers that physical distancing methods are being used

in the facility

• Maximum occupancy guidelines will be adjusted to ensure that customers can maintain physical

distancing at a radius of 2m/6ft. Current direction from BC CDC outlines that each customer group

should have 5 square metres/person.

• Markers will be placed on the floor in queue lines to assist with physical distancing

• To improve flow, consider adding arrows to assist with directing customers and create one-way

traffic within the food and beverage service space.

• Only one customer will be allowed at the service till at a time

Routine cleaning of food service areas:

• Food service areas should be routinely cleaned and disinfected following every use by a customer

or customer group.

• Allow sufficient time to dry between disinfection of food service area prior to allowing next

customer to utilize space. Sufficient time to dry will depend on the manufacturer instructions of

the household disinfectant used to disinfect the surface.

Protocols for customers:

• Customers will be required to follow physical distancing guidelines are outlined above, as well as

use of a non-medical face mask when within 2m/6ft of an employee or other customers.

• Customers will not be permitted to enter any building serving food or beverages if they are

displaying symptoms of COVID-19. Customers should be compliant with all posted signage

referencing handwashing before and after eating or drinking, as well as proper sneeze and cough

etiquette.

Customer facing signage:

The following signage should be posted in clear view of any customer entering the food service area:

• Appendix 4.10 Fraser Health “Stop. Do not Enter If” Signage

• Appendix 4.11 BC CDC Physical Distancing Signage

• Appendix 4.12 Vancouver Coastal Health Hand Washing Signage

• Appendix 4.13 WorkSafe BC Sneezing and Coughing Etiquette Signage

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Preamble:

Common use areas represent areas of high staff and guest traffic with increased risk of viral transmission

due to higher traffic. Common use areas should be cleaned and disinfected on a regular schedule to

reduce the risk of viral transmission in these areas. The following procedures identify areas that have been

identified as common use and that should be included as part of a regular cleaning and disinfecting

schedule.

Common use areas:

General

• If a common use area has more than one entry/exit, consider designating one portal as an entry-

only, and the other as an exit-only portal. This will reduce chance of crowding and promote flow

through the space.

• Hand sanitizing stations should be provided at the entrance to each common use area, and their

use should be encouraged with signage outlining proper hand hygiene.

Washrooms

• Guest-accessible washrooms are in the following locations:

Cougar Mountain Base Washrooms Western Front Building 9125 Sixteen Mile Creek Forest Service Road, Whistler, BC, V8E 0G6

• All high-contact surfaces in washrooms should undergo cleaning and disinfection twice per day at

the beginning and the middle of each day. Suggested times for this schedule are 0700 and 1300

daily and following conclusion of area use by an employee. High contact surfaces can be

disinfected with a household disinfectant approved for use for SARS-CoV-2. Documentation of

daily cleaning should be posted in washrooms. An example can be found in Appendix 4.9 Cleaning

and Disinfecting Documentation.

Office areas

• Areas where staff may work in an office setting are in the following locations:

Cougar Mountain Base Offices Western Front Building 9125 Sixteen Mile Creek Forest Service Road, Whistler, BC, V8E 0G6

Hilton Office 211-4293 Mountain Square Whistler, BC, V8E 1B8

St. Andrews Office 208-4433 Sundial Place

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Whistler, BC, V8E 1G7

• Office area occupancy limits should be adjusted to a reduced maximum occupancy. Occupancy is

calculated based on the maximum number of occupants who can work in a space while

maintaining physical distancing of 2m/6ft.

Administration North Capacity = 3pax

Administration South Capacity = 8pax

Guest Services/Dispatch Hut Capacity = 2pax

Hilton Office Capacity = 3pax

St. Andrews Office Capacity = 4pax

• All high-contact surfaces in office areas should undergo cleaning and disinfection twice per day at

the beginning and the middle of each day. Suggested times for this schedule are 0700 and 1300

daily and following conclusion of area use by an employee. High contact surfaces can be

disinfected with a household disinfectant approved for use for SARS-CoV-2. Documentation of

daily cleaning should be posted in office areas. An example can be found in Appendix 4.9 Cleaning

and Disinfecting Documentation.

Staff Break Rooms

• Staff break rooms are in the following locations:

Cougar Mountain Base Staff Room “Oscar” 9125 Sixteen Mile Creek Forest Service Road, Whistler, BC, V8E 0G6

• Staff break room occupancy limits should be adjusted to a reduced occupancy. Occupancy is

calculated based on the maximum number of occupants who can utilize a space while maintaining

physical distancing of 2m/6ft.

Cougar Mountain Base Staff Room “Oscar” Capacity = 3pax

• All high-contact surfaces in staff break rooms should undergo cleaning and disinfection twice per

day at the beginning and the middle of each day. Suggested times for this schedule are 0700 and

1300 daily. High contact surfaces can be disinfected with a household disinfectant approved for

use for SARS-CoV-2. Documentation of daily cleaning should be posted in staff break rooms. An

example can be found in Appendix 4.9 Cleaning and Disinfecting Documentation.

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Preamble:

The activity protocols section of the COVID-19 Management Program is designed to identify the risks

unique to each recreational activity offered by the client and highlight specific strategies to mitigate each

risk.

Each activity will be presented along with its scoring on the activity risk scoring tool, which is explained in

depth in Appendix 4.6 Activity Risk Scoring Tool.

The goal of the specific activity risk protocol documents is to identify the risks and mitigation strategies

that are unique to the activity in question. A summary of identified risks and mitigation strategies should

be interpreted within the context of general Infection Control and Prevention practices and protocols

outlined in section 2 Standard Infection Management Protocols of this document.

Activity Risk Score Summarized

Activity Activity Risk Score Risk Category

Superfly Zipline (3.1) 4/11 Medium

Whitewater Rafting (3.2) 6/11 Medium Treetop Adventure (3.3) 7/11 Medium

Transportation in Shuttle Vehicles (3.4)

6/11 Medium

Vallea Lumina (3.5) 1/11 Low

Transportation in Ranger Vehicles (3.6)

5/11 Medium

What to do with the Activity Risk Score:

Use the identified risks and mitigation strategies to highlight the protocols for cleaning and disinfecting

equipment used in each specific activity.

Consider not only the numerical risk score but also the distribution of the individual points. While 2

activities may share the same risk score, the composition of that score may be different, highlighting

different risks and mitigation strategies needed.

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Overview

The Zipline activity is a several-hour, multi line guided zipline tour through the treetops and canyons of

the Whistler forest. It requires a ratio of 1 guide to 5 clients.

Objectives

To identify the unique challenges in operating this attraction while maintaining best practices for infection

prevention and control (IPC) and maintaining routine cleaning of high contact surfaces.

Activity Risk analysis

Activity Risk Score

Activity= Zipline

Activity Risk

Does activity place 2 or more people in close contact? (<2m/6ft) No (0)

Yes (1)

Does close contact persist for: N/A (0)

< 10s (1)

10-60s (2)

>60s (3)

Is activity potentially strenuous? (risk of aerosolization) Mild (0)

Moderate (1)

Heavy (2)

How effectively can IPC be implemented on the equipment? None used (0)

Easy (<5min) (1)

Moderate (5-10min) (2)

Difficult (10+min) (3)

Is there an inherent risk of injury present? Mild (0)

Moderate (1)

Heavy (2)

Activity Risk Score (n/11) = 4 Medium Risk

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Identified Risks

Mitigation Strategies

Risk 1: Close contact. Participants must be attached and removed to Zipline equipment multiple times per tour. Many areas of the course do not allow for physical distancing.

Strategy 1: Participants and operators must wear non-medical face masks or face coverings when physical distancing cannot be maintained on course. Consider limiting groups to non-mixed households only. If groups are composed of non-mixed households, then masks will only need to be used during close contact with the Zipline guide Add hand sanitization stations at each Zipline platform for use by guides and guests prior to safety checks.

Risk 2: Shared materials. Harnesses, helmets, and trolleys are common use between tour groups.

Strategy 2: Complete cleaning of all used materials after use. Consider once-per day use of reusable materials. Refer to Appendix 4.1: Cleaning and Disinfecting Procedure for Zipline Equipment.

Risk 3: Aerosolization. Increased work of breathing before and after activity could increase probability of aerosolization of respiratory droplets.

Strategy 3: Participants and operators must wear non-medical masks when within 2m/6ft of each other. Participants may Zipline without mask by placing the mask in their pocket or on their chin for the duration of the Zipline. Mask should be replaced upon arrival to the landing platform.

Risk 4: Retrieval rescue. Any retrieval rescue will require violation of physical distancing guidelines.

Strategy 4: If a retrieval rescue is required, the guide and the guest must both don non-medical face masks for the duration of time in the rescue that they are within 2m/6ft of each other.

A risk is defined as a practice or procedure that results in close contact between individuals, use of shared

surfaces/devices, increased probability of respiratory droplet aerosolization, or increased probability of

physical injury.

Trip Procedures:

1. Customer Briefing and Waiver Signing

a. All customers must be screened with the PEAK RSEQ placard on arrival to TAG premises

prior to trip departure.

b. Employees and customer groups must maintain physical distancing (2m/6ft) during

introductory orientations and safety briefings.

2. Changing Procedures

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a. Employees and customers must maintain physical distancing (2m/6ft) where possible.

b. Employees and customers must wear face coverings or non-medical face masks if they

are within 2m/6ft of each other.

3. Activity Procedures

a. All high-contact equipment used must have undergone thorough cleaning as described

below and in accordance with Appendix 4.1: Cleaning and Disinfecting Procedure for

Zipline Equipment. since use with last guest

b. Guests must complete hand hygiene with hand sanitizer prior to entering zipline course.

c. Guests must wear non-medical face mask during harness application, while on zipline

course, and post-zipline. Guests do not need to wear non-medical face mask during

Zipline.

d. During attachment to Zipline trolley, guests must use provided hand sanitizer prior to

interaction with the Zipline guide.

e. Prior to group attachment to the Zipline trolley and safety checks, the Zipline guide must

use provided hand sanitizer prior to interaction with guests. The guide does not have to

use hand sanitization practices for each guest, only at the beginning of the process for

each group, once per platform.

f. Prior to interaction at the landing platform, the Zipline guide must use provided hand

sanitizer prior to interaction with the guest.

4. Cleaning Guidelines

a. Helmets

i. Helmets must be cleaned and following each client usage. Both hard (non-porous)

and fabric (porous) surfaces should be cleaned with soap and water and allowed

to dry in open air.

b. Harnesses

i. Harnesses must be cleaned following each client usage. It is recommended that

instructions provided in the technical notice for each harness product be followed

as chemical cleaners damage plastics and textiles. The only cleaning products

recommended for harnesses are soap and water.

ii. Guide harnesses should be cleaned following the above procedures whenever

being shared amongst different guides. If a guide uses the same harness for

several tours in a row, the harness does not need to be cleaned.

c. Zipline Trolleys

i. Trolleys must be cleaned following each client usage. Clients will be assigned

individual trolleys for the duration of the Zipline course that will be cleaned and

disinfected following use by the client. Only trolley surfaces that are high contact

need to be cleaned and should follow manufacturers guidelines. Cleaning with

soap and water is acceptable for mitigating risk of viral spread.

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d. Safety Glasses

i. Safety glasses must be cleaned following each client and staff usage. It is

recommended that a household disinfectant approved by the manufacturer be

used while adhering to general cleaning and disinfecting best practices in 2.2

Cleaning and Disinfecting Procedures. Alternatively, use of soap and water is

acceptable for mitigating risk of viral spread.

e. Rescue gear

i. Rescue gear must be cleaned if used for rescue. If rescue gear is not used it does

not require cleaning or disinfection. Follow instructions in technical notice for

each rescue product.

Signage to post:

• Appendix 4.10 Fraser Health “Stop. Do not enter if”

• Appendix 4.11 BCCDC Physical Distancing

• Appendix 4.12 VCH Hand Washing

• Appendix 4.13 Cough and Sneeze Etiquette

Implementation Plan

Training needs: All staff must complete PEAK COVID-19 IDMP course. Written test for proof of due

diligence.

Quality assurance: Training and PEAK oversight.

Materials needed: 1 x non-medical mask per operator. Cleaning/disinfection materials.

Oversight: Ongoing external audit by PEAK project management.

Reviewed and Signed:

XJeff Burko

Executive Medical Director

X[Insert Client Name]

[Insert Client Position]

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Overview

The Whitewater Rafting activity is a several-hour, guided rafting trip down the Green River in Whistler. It

requires a ratio of 1 guide and 4 to 6 clients per raft.

Objectives

To identify the unique challenges in operating this attraction while maintaining best practices for infection

prevention and control (IPC) and maintaining routine cleaning of high contact surfaces.

Activity Risk Score

Activity= Whitewater Rafting

Activity Risk

Does activity place 2 or more people in close contact? (<2m/6ft) No (0)

Yes (1)

Does close contact persist for: N/A (0)

< 10s (1)

10-60s (2)

>60s (3)

Is activity potentially strenuous? (risk of aerosolization) Mild (0)

Moderate (1)

Heavy (2)

How effectively can IPC be implemented on the equipment? None used (0)

Easy (<5min) (1)

Moderate (5-10min) (2)

Difficult (10+min) (3)

Is there an inherent risk of injury present? Mild (0)

Moderate (1)

Heavy (2)

Activity Risk Score (n/11) = 6 Medium Risk

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Activity Risk analysis

Identified Risks

Mitigation Strategies

Risk 1: Close contact. Guests will share space in the raft that results in proximity <2m/6ft.

Strategy 1: Guests must wear non-medical masks when in close contact. Consider limiting groups to only those from the same or linked household.

Risk 2: Shared materials. Guests use common use PFDs, Helmets, Paddles, and Rafts.

Strategy 2: Complete cleaning of all used materials after use. Consider once-per day use of reusable materials. Refer to Appendix 4.2: Cleaning and Disinfecting Procedure for Rafting Equipment.

Risk 3: Aerosolization. Rafting requires paddling and increased cardiovascular work, increasing probability of generation of aerosolized respiratory droplets.

Strategy 3: See strategy 1.

Risk 4: Rescue. Rafting carries a risk of being swept from the raft into water. Guides may have to perform water rescue and violate social distancing guidelines.

Strategy 4: Rescue should take priority over physical distancing guidelines. Follow standard rescue protocols as outlined.

A risk is defined as a practice or procedure that results in close contact between individuals, use of shared

surfaces/devices, increased probability of respiratory droplet aerosolization, or increased probability of

physical injury.

Trip Procedures:

1. Customer Briefing and Waiver Signing

a. All customers must be screened with the PEAK RSEQ placard on arrival to TAG premises

prior to trip departure.

b. Employees and groups must maintain physical distancing (2m/6ft) during introductory

orientations and safety briefings.

1. Changing Procedures

a. Employees and guests must maintain physical distancing (2m/6ft) where possible.

b. Employees and guests must wear face coverings or non-medical face masks if they are

within 2m/6ft of each other.

c. If possible, household groups should change together to minimize risk of transmission

during changing activities.

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2. Activity Procedures

a. All high-contact equipment used must have undergone thorough cleaning in accordance

with Appendix 4.2: Cleaning and Disinfecting Procedure for Rafting Equipment. since use

with last guest

b. If groups are composed of mixed households and physical distancing between groups

cannot be maintained, guests must wear non-medical face mask or face covering.

c. Guests must complete hand hygiene with hand sanitizer prior to embarking on rafting

trip.

3. Post activity procedures

a. Transportation via shuttle back to base requires use of non-medical masks by guests as

referenced in 3.4 Transportation in Shuttle Vehicles.

b. Once arrived at base, guests should be directed to remove and dispose of used equipment

in pre-arranged spaces such as large barrels of soapy water for PFDs. This equipment will

then be thoroughly cleaned and disinfected before being used by future guests.

4. Cleaning Guidelines

a. Paddles

i. Paddles must be cleaned and disinfected following the hard surface (non-porous)

cleaning and disinfecting procedures outlined in 2.2 Cleaning and Disinfecting

Procedures.

b. PFDs

i. PFDs must be cleaned and disinfected following each client usage. It is

recommended that they follow the soft surface (porous) cleaning and disinfecting

procedures outlined in 2.2 Cleaning and Disinfecting Procedures and are

subsequently stored separate from non-cleaned and disinfected PFDs.

c. Helmets

i. Helmets must be cleaned and following each client usage. Both hard (non-porous)

and fabric (porous) surfaces should be cleaned with soap and water and allowed

to dry in open air.

d. Rafts

i. Rafts must be cleaned but do not need to be disinfected following each client

usage. Thorough cleaning using manufacturer-recommended products is current

best practice.

ii. Hard or non-porous surfaces in rafts must be cleaned following the Hard

Surface (Non-Porous) procedure outlined in 2.2 Cleaning and Disinfecting

Procedures. Use of soap and water is acceptable for cleaning rafts.

e. Wearable rafting attire

i. Includes wetsuits, wetsuit jackets, and boots. All attire items must be cleaned

following soft surface (porous) cleaning protocols and following NRS

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manufacturer guidelines. NRS recommends the use of Gear Aid Wetsuit & Dry

suit Shampoo.

f. First Aid Equipment

i. First Aid Equipment does not need to be cleaned or disinfected unless handled by

guides in a first aid application. If used, disinfect the first aid case with household

disinfectant upon return to base. First aid equipment should be assigned to one

guide in each group to limit risk of viral transmission.

Signage to post:

• Appendix 4.10 Fraser Health “Stop. Do not enter if”

• Appendix 4.11 BCCDC Physical Distancing

• Appendix 4.13 Cough and Sneeze Etiquette

Implementation Plan

Training needs: All staff must complete PEAK COVID-19 IDMP course. Written test for proof of due

diligence.

Quality assurance: Training and PEAK oversight.

Materials needed: 1 x non-medical mask per operator. cleaning/disinfection materials.

Oversight: Ongoing external audit by PEAK project management.

Reviewed and Signed:

XJeff Burko

Executive Medical Director

X[Insert Client Name]

[Insert Client Position]

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Treetop Adventure Activity Protocol 3 3.3 1

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Overview

The Treetop Adventure activity is a self-guided, supervised network of ropes and walkways through the

canopy of the Whistler forest.

Objectives

To identify the unique challenges in operating this attraction while maintaining best practices for infection

prevention and control (IPC) and maintaining routine cleaning of high contact surfaces.

Activity Risk analysis

Activity Risk Score

Activity= Treetop Adventure

Activity Risk

Does activity place 2 or more people in close contact? (<2m/6ft) No (0)

Yes (1)

Does close contact persist for: N/A (0)

< 10s (1)

10-60s (2)

>60s (3)

Is activity potentially strenuous? (risk of aerosolization) Mild (0)

Moderate (1)

Heavy (2)

How effectively can IPC be implemented on the equipment? None used (0)

Easy (<5min) (1)

Moderate (5-10min) (2)

Difficult (10+min) (3)

Is there an inherent risk of injury present? Mild (0)

Moderate (1)

Heavy (2)

Activity Risk Score (n/11) = 7 Medium Risk

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Identified Risks

Mitigation Strategies

Risk 1: Participants must be harnessed by employees, which requires a violation of social distancing.

Strategy 1: Participants and employees should wear face masks during harnessing and demonstration activities.

Risk 2: Treetop climbing activities require increased cardiovascular workload which increases rate and character of breathing. Increased workload increases potential aerosolization of viral particles and increases risk to those in the aerosolization radius.

Strategy 2: Ensure all participants are symptom free before beginning use of equipment. Implement ‘One person per platform’ rule to minimize close contact between participants.

Risk 3: Treetop adventure is a large structure that is difficult to disinfect between uses. The Treetop adventure uses many fixed components that represent high-contact surfaces.

Strategy 3: Require all participants to perform hand hygiene before entering course. Hand sanitizing stations and signage to direct guests when to use them will be installed at the following locations:

1) Water station at end of the Green course. 2) Water station at end of the Blue course. 3) Water station at end of the Double Black

course. High contact surfaces on the course should be identified and cleaned following a recurring schedule. High contact surfaces will be cleaned routinely after use by 20 participants. This includes the safety line.

A risk is defined as a practice or procedure that results in close contact between individuals, use of shared

surfaces/devices, increased probability of respiratory droplet aerosolization, or increased probability of

physical injury.

Trip Procedures:

1. Customer Briefing and Waiver Signing

a. All customers must be screened with the PEAK RSEQ placard on arrival to TAG premises

prior to trip departure.

b. Employees and customer groups must maintain physical distancing (2m/6ft) during

introductory orientations and safety briefings.

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1. Changing Procedures

a. Employees and customers must maintain physical distancing (2m/6ft) where possible.

b. Employees and customers must wear face coverings or non-medical face masks if they

are within 2m/6ft of each other.

2. Activity Procedures

a. Guests must complete hand hygiene with hand sanitizer prior to entering treetop course.

3. Guidance for spectators

a. Spectators may observe activities from a designated distance. Spectators should be

encouraged to observe physical distancing between different households or linked

household groups.

4. Cleaning Guidelines

a. Harnesses

i. Harnesses must be cleaned following each client usage. It is recommended that

instructions provided in the technical notice for each harness product be followed

as chemical cleaners damage plastics and textiles. The only cleaning products

recommended for harnesses are soap and water.

b. Guest Carabiners

i. Guest carabiners must be cleaned following each client usage. Technical

manufacturer guidelines should be followed when available. Use of soap and

water on carabiners is effective in mitigating spread of COVID-19.

c. Safety Line

i. The safety line should be cleaned at intervals to reduce the risk of viral

transmission. Cleaning the safety line should be completed based on the traffic

seen and should receive cleaning after use by 20 participants. It is suggested that

the line be cleaned with household disinfectant.

d. Rescue Gear

i. Rescue gear must be cleaned following each usage. If rescue gear is not used it

does not require cleaning or disinfection. Follow instructions in technical notice

for each rescue product.

Signage to post:

• Appendix 4.10 Fraser Health “Stop. Do not enter if”

• Appendix 4.11 BCCDC Physical Distancing

• Appendix 4.13 Cough and Sneeze Etiquette

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Implementation Plan

Training needs: All staff must complete PEAK COVID-19 IDMP course. Written test for proof of due

diligence.

Quality assurance: Training and PEAK oversight.

Materials needed: 1 x non-medical mask per operator, cleaning/disinfection materials.

Oversight: Ongoing external audit by PEAK project management.

Reviewed and Signed:

XJeff Burko

Executive Medical Director

X[Insert Client Name]

[Insert Client Position]

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Transportation in Shuttle Vehicles Protocol 3 3.4 1

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Copyright © 2020 Peak Project Management

Overview

Transportation by shuttle bus occurs between the TAG base and the starting point for Whitewater rafting

activities.

Objectives

To identify the unique challenges in operating this attraction while maintaining best practices for infection

prevention and control (IPC) and maintaining routine cleaning of high contact surfaces.

Activity Risk analysis

Activity Risk Score

Activity= Transportation by Shuttle

Activity Risk

Does activity place 2 or more people in close contact? (<2m/6ft) No (0)

Yes (1)

Does close contact persist for: N/A (0)

< 10s (1)

10-60s (2)

>60s (3)

Is activity potentially strenuous? (risk of aerosolization) Mild (0)

Moderate (1)

Heavy (2)

How effectively can IPC be implemented on the equipment? None used (0)

Easy (<5min) (1)

Moderate (5-10min) (2)

Difficult (10+min) (3)

Is there an inherent risk of injury present? Mild (0)

Moderate (1)

Heavy (2)

Activity Risk Score (n/11) = 6 Medium Risk

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Identified Risks

Mitigation Strategies

Risk 1: Transportation by shuttle bus places guests in close contact loading and exiting the bus.

Strategy 1: All guests and employees must wear non-medical face coverings during embarking and disembarking of the shuttle vehicle.

Risk 2: Shuttle buses are enclosed spaces, with increased risk of recirculating viral particles expelled by respiration of potentially infected guests.

Strategy 2: All guests and staff must wear non-medical face coverings throughout transportation to destination.

Strategy 3: Restrict row seating to members of the same or linked households only. Seat guests only in every other row of the shuttle bus, leaving a row empty between filled rows.

Strategy 4: Establish a rule that driver is last-on, first-off of the bus.

Strategy 5: Consider installation of physical barrier between driver area and passenger area. First row of seating should be left vacant unless there is a barrier between the first row and the driver

Strategy 6: Complete cleaning of all seats and equipment after use. Refer to Appendix 4.4: Cleaning and Disinfecting Procedure for Transportation Shuttle.

A risk is defined as a practice or procedure that results in close contact between individuals, use of shared

surfaces/devices, increased probability of respiratory droplet aerosolization, or increased probability of

physical injury.

Trip Procedures:

1. Customer Briefing and Waiver Signing

a. All customers must be screened with the PEAK RSEQ placard on arrival to TAG premises

prior to trip departure.

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b. Employees and customer groups must maintain physical distancing (2m/6ft) during

introductory orientations and safety briefings.

1. Activity Procedures

a. All guests must complete proper hand hygiene before entering shuttle vehicle.

b. All guests must wear a non-medical face masks while on shuttle and adhere to physical

distancing guidelines while awaiting shuttle.

2. Cleaning Guidelines

a. Handrails

i. Handrails should be disinfected using household disinfectant spray and wipes in

accordance with general disinfecting best practice in 2.2 Cleaning and

Disinfecting Procedures. Handrails should be disinfected between transportation

of different groups in the shuttle and at the end of day.

b. Driver controls

i. Driver controls should be disinfected using household disinfectant spray and

wipes in accordance with general disinfecting best practice in 2.2 Cleaning and

Disinfecting Procedures. Driver controls should be disinfected whenever a new

shuttle operator begins shift and at the end of day.

c. Keys

i. Keys should be disinfected using household disinfectant spray and wipes in

accordance with general disinfecting best practice in 2.2 Cleaning and

Disinfecting Procedures. Keys should be disinfected whenever a new shuttle

operator begins shift and at the end of day.

d. Seats

i. Seats should be disinfected using household disinfectant spray and wipes in

accordance with general disinfecting best practice in 2.2 Cleaning and

Disinfecting Procedures. Seats should be disinfected between transportation of

different groups in the shuttle and at the end of day.

e. Cup holders

i. Cup holders should be disinfected using household disinfectant spray and wipes

in accordance with general disinfecting best practice in 2.2 Cleaning and

Disinfecting Procedures. Cup holders should be disinfected between

transportation of different groups in the shuttle and at the end of day.

f. Windows (internal surface)

i. Best practice is to leave windows in the open position to allow for maximal airflow

throughout the shuttle. However, when this cannot be achieved; windows should

be disinfected using household disinfectant spray and wipes in accordance with

general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures.

Windows should be disinfected between transportation of different groups in the

shuttle and at the end of day.

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g. Floors

i. Floors should be cleaned once a day in accordance with general cleaning best

practice in 2.2 Cleaning and Disinfecting Procedures. Use of soap and water is

recommended.

h. Exterior Surfaces (mirrors, exterior of vehicle, etc.)

i. External surfaces are sufficiently low risk for harbouring and transmitting

respiratory droplets that they may be cleaned in accordance with standard

vehicle cleaning timelines (i.e. When visibly soiled). Any exterior surface that is

frequently contacted by passengers or drivers while embarking or disembarking

the vehicle should be cleaned and disinfected using household disinfectant spray

and wipes in accordance with general disinfecting best practice in 2.2 Cleaning

and Disinfecting Procedures.

Signage to post:

• Appendix 4.10 Fraser Health “Stop. Do not enter if”

• Appendix 4.11 BCCDC Physical Distancing

• Appendix 4.13 Cough and Sneeze Etiquette

Implementation Plan

Training needs: All staff must complete PEAK COVID-19 IDMP course. Written test for proof of due

diligence.

Quality assurance: Training and PEAK oversight.

Materials needed: 1 x non-medical mask per operator, cleaning/disinfection materials.

Oversight: Ongoing external audit by PEAK project management.

Reviewed and Signed:

XJeff Burko

Executive Medical Director

X[Insert Client Name]

[Insert Client Position]

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Vallea Lumina Activity Protocol 3 3.5 1

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Overview

Vallea Lumina is a self-guided tour through the forests on the slopes of Cougar and Rainbow mountains.

It is a non-strenuous walking activity with low inherent risk of transmission for COVID-19.

Objectives

To identify the unique challenges in operating this attraction while maintaining best practices for infection

prevention and control (IPC) and maintaining routine cleaning of high contact surfaces.

Activity Risk analysis

Activity Risk

Does activity place 2 or more people in close contact? (<2m/6ft) No (0)

Yes (1)

Does close contact persist for: N/A (0)

< 10s (1)

10-60s (2)

>60s (3)

Is activity potentially strenuous? (risk of aerosolization) Mild (0)

Moderate (1)

Heavy (2)

How effectively can IPC be implemented on the equipment? None used (0)

Easy (<5min) (1)

Moderate (5-10min) (2)

Difficult (10+min) (3)

Is there an inherent risk of injury present? Mild (0)

Moderate (1)

Heavy (2)

Activity Risk Score (n/11) = 1 Low Risk

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Identified Risks

Mitigation Strategies

Risk 1: Low risk for known transmission dynamics of COVID-19

Strategy 1: Maintain physical distancing and customer screening procedures. Require the use of non-medical face masks in base area when physical distancing cannot be maintained.

A risk is defined as a practice or procedure that results in close contact between individuals, use of shared

surfaces/devices, increased probability of respiratory droplet aerosolization, or increased probability of

physical injury.

Trip Procedures:

1. Customer Briefing and Waiver Signing

a. All customers must be screened with the PEAK RSEQ placard on arrival to TAG premises

prior to self-guided tour departure.

b. Customers should be instructed to use non-medical face masks while within the Vallea

Lumina course when physical distancing cannot be maintained.

Signage to post:

• Appendix 4.10 Fraser Health “Stop. Do not enter if”

• Appendix 4.11 BCCDC Physical Distancing

• Appendix 4.13 Cough and Sneeze Etiquette

Implementation Plan

Training needs: All staff must complete PEAK COVID-19 IDMP course. Written test for proof of due

diligence.

Quality assurance: Training and PEAK oversight.

Materials needed: 1 x non-medical mask per operator.

Oversight: Ongoing external audit by PEAK project management.

Reviewed and Signed:

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Vallea Lumina Activity Protocol 3 3.5 3

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XJeff Burko

Executive Medical Director

X[Insert Client Name]

[Insert Client Position]

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Transportation in Ranger UTV Protocol 3 3.6 1

PEAK Infectious Disease Management Program: COVID-19 Page 1

Copyright © 2020 Peak Project Management

Overview

Guests are transported in Ranger UTVs between the TAG base and Zipline activities. The Ranger UTV seats

3 guests in the rear row of seating and 2 in the front row of seating.

Objectives

To identify the unique challenges in operating this attraction while maintaining best practices for infection

prevention and control (IPC) and maintaining routine cleaning of high contact surfaces.

Activity Risk analysis

Activity Risk Score

Activity= Transportation by Ranger UTV

Activity Risk

Does activity place 2 or more people in close contact? (<2m/6ft) No (0)

Yes (1)

Does close contact persist for: N/A (0)

< 10s (1)

10-60s (2)

>60s (3)

Is activity potentially strenuous? (risk of aerosolization) Mild (0)

Moderate (1)

Heavy (2)

How effectively can IPC be implemented on the equipment? None used (0)

Easy (<5min) (1)

Moderate (5-10min) (2)

Difficult (10+min) (3)

Is there an inherent risk of injury present? Mild (0)

Moderate (1)

Heavy (2)

Activity Risk Score (n/11) = 5 Medium Risk

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Transportation in Ranger UTV Protocol 3 3.6 2

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Identified Risks

Mitigation Strategies

Risk 1: Transportation by Ranger UTV places guests in close contact during entire duration of transportation.

Strategy 1: All guests and employees must wear non-medical face coverings during embarking and disembarking of the Ranger UTV. Limit passengers to members of same or linked household groups when possible.

Risk 2: Transportation via Ranger UTV requires use of full-face helmet that is shared among guests in subsequent groups.

Strategy 2: All guests and staff must wear non-medical face coverings throughout transportation to destination.

Risk 3: Ranger UTVs provide passengers several handles to hold on to during transportation.

Strategy 3: Complete cleaning of all handles and passenger areas between transports.

Risk 4: More than one staff member may operate the Ranger UTV in a workday.

Strategy 4: Complete cleaning of all operator controls between uses. Consider assignment of individual helmets for staff. Consider limiting staff responsible for operation of the Ranger UTV during workday.

A risk is defined as a practice or procedure that results in close contact between individuals, use of shared

surfaces/devices, increased probability of respiratory droplet aerosolization, or increased probability of

physical injury.

Trip Procedures:

1. Customer Briefing and Waiver Signing

a. All customers must be screened with the PEAK RSEQ placard on arrival to TAG premises

prior to trip departure.

b. Employees and customer groups must maintain physical distancing (2m/6ft) during

introductory orientations and safety briefings.

1. Activity Procedures

a. All guests must complete proper hand hygiene before entering Ranger UTV.

b. All guests must wear a non-medical face masks while in Ranger UTV and adhere to

physical distancing guidelines while awaiting Ranger UTV.

2. Cleaning Guidelines

a. Handles

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i. Handles should be disinfected using household disinfectant spray and wipes in

accordance with general disinfecting best practice in 2.2 Cleaning and

Disinfecting Procedures. Handles should be disinfected between transportation

of different groups in the Ranger UTV and at the end of day.

b. Operator controls

i. Operator controls should be disinfected using household disinfectant spray and

wipes in accordance with general disinfecting best practice in 2.2 Cleaning and

Disinfecting Procedures. Operator controls should be disinfected whenever a

new Ranger UTV operator begins shift and at the end of day.

c. Keys

i. Keys should be disinfected using household disinfectant spray and wipes in

accordance with general disinfecting best practice in 2.2 Cleaning and

Disinfecting Procedures. Keys should be disinfected whenever a new Ranger UTV

operator begins shift and at the end of day.

d. Seats

i. Seats should be disinfected using household disinfectant spray and wipes in

accordance with general disinfecting best practice in 2.2 Cleaning and

Disinfecting Procedures. Seats should be disinfected between transportation of

different groups in the Ranger UTV and at the end of day.

e. Floors

i. Floors should be cleaned once a day in accordance with general cleaning best

practice in 2.2 Cleaning and Disinfecting Procedures. Use of soap and water is

recommended.

f. Exterior Surfaces (mirrors, exterior of UTV, etc.)

i. External surfaces are sufficiently low risk for harbouring and transmitting

respiratory droplets that they may be cleaned in accordance with standard

vehicle cleaning timelines (i.e. When visibly soiled). Any exterior surface that is

frequently contacted by passengers or operators while embarking or

disembarking the Ranger UTV should be cleaned and disinfected using household

disinfectant spray and wipes in accordance with general disinfecting best practice

in 2.2 Cleaning and Disinfecting Procedures.

Implementation Plan

Training needs: All staff must complete PEAK COVID-19 IDMP course. Written test for proof of due

diligence.

Quality assurance: Training and PEAK oversight.

Materials needed: 1 x non-medical mask per operator, cleaning/disinfection materials.

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Oversight: Ongoing external audit by PEAK project management.

Reviewed and Signed:

XJeff Burko

Executive Medical Director

X[Insert Client Name]

[Insert Client Position]

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#

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Cleaning and Disinfecting Procedure for Zipline Equipment 4 4.1 1

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Copyright © 2020 Peak Project Management

Preamble:

Cleaning and disinfecting procedures for equipment are influenced by the degree of risk of materials for

transmission of viral particles. Degree of risk of materials of transmission of viral particles is a function of

exposure to viral respiratory droplets and the likelihood of transmitting those droplets to another user.

Degree of risk is split into the following categories: High-risk materials; Medium-risk materials, and Low-

risk materials.

High-risk materials:

Helmets

• Helmets must be cleaned and disinfected following each client usage. It is recommended that

they follow the hard surface (non-porous) cleaning and disinfecting procedures outlined in 2.2

Cleaning and Disinfecting Procedures.

Medium-risk materials:

Harnesses

• Harnesses must be cleaned following each client usage. It is recommended that instructions

provided in the technical notice for each harness product be followed as chemical cleaners

damage plastics and textiles. The only cleaning products recommended for harnesses are soap

and water.

Zipline Trolleys

• Trolleys must be cleaned following each client usage. Clients will be assigned colour-coded trolleys

for the duration of the Zipline course that will be cleaned and disinfected following use by the

client. Only trolley surfaces that are high contact need to be disinfected and should follow

manufacturers guidelines for use of chemical disinfectants.

Low-risk materials:

Rescue gear (unused)

• Rescue gear must be cleaned following each usage. If rescue gear is not used it does not require

cleaning or disinfection. Follow instructions in technical notice for each rescue product.

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Preamble:

Cleaning and disinfecting procedures for equipment are influenced by the degree of risk of materials for

transmission of viral particles. Degree of risk of materials of transmission of viral particles is a function of

exposure to viral respiratory droplets and the likelihood of transmitting those droplets to another user.

Degree of risk is split into the following categories: High-risk materials; Medium-risk materials, and Low-

risk materials.

High-risk materials:

Paddles

• Paddles must be cleaned and disinfected following the hard surface (non-porous) cleaning and

disinfecting procedures outlined in 2.2 Cleaning and Disinfecting Procedures.

PFDs

• PFDs must be cleaned and disinfected following each client usage. It is recommended that they

follow the soft surface (porous) cleaning and disinfecting procedures outlined in 2.2 Cleaning and

Disinfecting Procedures and are subsequently stored separate from non-cleaned and disinfected

PFDs.

Helmets

• Helmets must be cleaned and disinfected following each client usage. It is recommended that

they follow the hard surface (non-porous) cleaning and disinfecting procedures outlined in 2.2

Cleaning and Disinfecting Procedures.

Medium-risk materials:

Rafts

• Rafts must be cleaned but do not need to be disinfected following each client usage. Thorough

cleaning using manufacturer-recommended products is current best practice.

• Hard or non-porous surfaces in rafts must be cleaned following the Hard Surface (Non-Porous)

procedure outlined in 2.2 Cleaning and Disinfecting Procedures.

Wearable rafting attire

• Includes wetsuits, wetsuit jackets, and boots. All attire items must be cleaned following soft

surface (porous) cleaning protocols and following NRS manufacturer guidelines. NRS recommends

the use of Gear Aid Wetsuit & Dry suit Shampoo.

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Low-risk materials:

Hard first aid cases

• First Aid Equipment does not need to be cleaned or disinfected unless handled by guides in a first

aid application. If used, disinfect the first aid case with household disinfectant upon return to

base. First aid equipment should be assigned to one guide in each group to limit risk of viral

transmission.

Rescue gear (unused)

• Unused rescue gear does not need to be cleaned or disinfected unless handled by guides in a

rescue application. If used, clean and disinfect used rescue equipment according to manufacturer

guidelines before putting gear back into use.

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Preamble:

Cleaning and disinfecting procedures for equipment are influenced by the degree of risk of materials for

transmission of viral particles. Degree of risk of materials of transmission of viral particles is a function of

exposure to viral respiratory droplets and the likelihood of transmitting those droplets to another user.

Degree of risk is split into the following categories: High-risk materials; Medium-risk materials, and Low-

risk materials.

High-risk materials:

Safety Line

• The safety line should be cleaned at intervals to reduce the risk of viral transmission. Cleaning the

safety line should be completed based on the traffic seen and should receive cleaning after use

by 20 participants. It is suggested that the line be cleaned with household disinfectant.

Medium-risk materials:

Harnesses

• Harnesses must be cleaned following each client usage. It is recommended that instructions

provided in the technical notice for each harness product be followed as chemical cleaners

damage plastics and textiles. The only cleaning products recommended for harnesses are soap

and water.

Guest Carabiners

• Guest carabiners must be cleaned following each client usage. Technical manufacturer guidelines

should be followed when available. Use of soap and water on carabiners is effective in mitigating

spread of COVID-19.

Low-risk materials:

Rescue gear (unused)

• Rescue gear must be cleaned following each usage. If rescue gear is not used it does not require

cleaning or disinfection. Follow instructions in technical notice for each rescue product.

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Cleaning and Disinfecting Procedure for Shuttle Buses 4 4.5 1

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Preamble:

Cleaning and disinfecting procedures for equipment are influenced by the degree of risk of materials for

transmission of viral particles. Degree of risk of materials of transmission of viral particles is a function of

exposure to viral respiratory droplets and the likelihood of transmitting those droplets to another user.

Degree of risk is split into the following categories: High-risk materials; Medium-risk materials, and Low-

risk materials.

High-risk materials:

Handrails

• Handrails should be disinfected using household disinfectant spray and wipes in accordance with

general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures. Handrails should

be disinfected between transportation of different groups in the shuttle and at the end of day.

Driver controls (steering wheel, dashboard controls, console, etc.)

• Driver controls should be disinfected using household disinfectant spray and wipes in accordance

with general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures. Driver

controls should be disinfected whenever a new shuttle operator begins shift and at the end of

day.

Keys

• Keys should be disinfected using household disinfectant spray and wipes in accordance with

general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures. Keys should be

disinfected whenever a new shuttle operator begins shift and at the end of day.

Medium-risk materials:

Seats

• Seats should be disinfected using household disinfectant spray and wipes in accordance with

general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures. Seats should be

disinfected between transportation of different groups in the shuttle and at the end of day.

Cup Holders

• Cup holders should be disinfected using household disinfectant spray and wipes in accordance

with general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures. Cup holders

should be disinfected between transportation of different groups in the shuttle and at the end of

day.

Windows (internal surface)

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• Best practice is to leave windows in the open position to allow for maximal airflow throughout

the shuttle. However, when this cannot be achieved; windows should be disinfected using

household disinfectant spray and wipes in accordance with general disinfecting best practice in

2.2 Cleaning and Disinfecting Procedures. Windows should be disinfected between

transportation of different groups in the shuttle and at the end of day.

Windshield

• The shuttle windshield should be disinfected using household disinfectant spray and wipes in

accordance with general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures.

The windshield should be disinfected between transportation of different groups in the shuttle

and at the end of day.

Low-risk materials:

Floors

• Floors should be cleaned once a day in accordance with general cleaning best practice in 2.2

Cleaning and Disinfecting Procedures. Use of soap and water is recommended.

Exterior Surfaces (mirrors, exterior of vehicle, etc.)

• External surfaces are sufficiently low risk for harbouring and transmitting respiratory droplets that

they may be cleaned in accordance with standard vehicle cleaning timelines (i.e. When visibly

soiled). Any exterior surface that is frequently contacted by passengers or drivers while embarking

or disembarking the vehicle should be cleaned and disinfected using household disinfectant spray

and wipes in accordance with general disinfecting best practice in 2.2 Cleaning and Disinfecting

Procedures.

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Preamble:

Cleaning and disinfecting procedures for equipment are influenced by the degree of risk of materials for

transmission of viral particles. Degree of risk of materials of transmission of viral particles is a function of

exposure to viral respiratory droplets and the likelihood of transmitting those droplets to another user.

Degree of risk is split into the following categories: High-risk materials; Medium-risk materials, and Low-

risk materials.

High-risk materials:

Handles

• Handles should be disinfected using household disinfectant spray and wipes in accordance with

general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures. Handles should be

disinfected between transportation of different groups in the Ranger UTV and at the end of day.

Operator controls

• Operator controls should be disinfected using household disinfectant spray and wipes in

accordance with general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures.

Operator controls should be disinfected whenever a new Ranger UTV operator begins shift and at

the end of day.

Keys

• Keys should be disinfected using household disinfectant spray and wipes in accordance with

general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures. Keys should be

disinfected whenever a new Ranger UTV operator begins shift and at the end of day.

Medium-risk materials:

Seats

• Seats should be disinfected using household disinfectant spray and wipes in accordance with

general disinfecting best practice in 2.2 Cleaning and Disinfecting Procedures. Seats should be

disinfected between transportation of different groups in the Ranger UTV and at the end of day.

Low-risk materials:

Floors

• Floors should be cleaned once a day in accordance with general cleaning best practice in 2.2

Cleaning and Disinfecting Procedures. Use of soap and water is recommended.

Exterior Surfaces (mirrors, exterior of UTV, etc.)

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• External surfaces are sufficiently low risk for harbouring and transmitting respiratory droplets that

they may be cleaned in accordance with standard vehicle cleaning timelines (i.e. When visibly

soiled). Any exterior surface that is frequently contacted by passengers or operators while

embarking or disembarking the Ranger UTV should be cleaned and disinfected using household

disinfectant spray and wipes in accordance with general disinfecting best practice in 2.2 Cleaning

and Disinfecting Procedures.

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Activity Risk Scoring Tool 4 4.6 1

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Preamble:

The activity risk scoring tool is a conceptual tool for quantifying relative risk of viral transmission during

different recreational activities. It allows for recognition and comparison of the influence of several fixed

factors relevant to any recreational activity in order to highlight which factors are highest risk so that they

can be mitigated properly.

Activity Risk Score

Activity= Enter Activity Here

Activity Risk

Does activity place 2 or more people in close contact? (<2m/6ft) No (0)

Yes (1)

Does close contact persist for: N/A (0)

< 10s (1)

10-60s (2)

>60s (3)

Is activity potentially strenuous? (risk of aerosolization) Mild (0)

Moderate (1)

Heavy (2)

How effectively can IPC be implemented on the equipment? None used (0)

Easy (<5min) (1)

Moderate (5-10min) (2)

Difficult (10+min) (3)

Is there an inherent risk of injury present? Mild (0)

Moderate (1)

Heavy (2)

Activity Risk Score (n/11) = Enter Score Here

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Activity risk score rubric:

Score = 0-3 Score = 4-7 Score = 8-11 Activity is low risk for COVID-19 transmission.

Activity is medium risk for COVID-19 transmission.

Activity is high risk for COVID-19 transmission.

Question 1: ”Does the activity place 2 or more people in close contact?

No (0)

Yes (1)

Rationale: The transmission dynamics of respiratory viruses such as COVID-19 suggest an increased risk of

transmission within the radius which respiratory droplets can hang in the air during breathing, The radius

for increased risk for transmission via respiratory droplet is estimated to be approximately 2m/6ft at rest.

Question 2: “Does close contact persist for:

N/A (0)

<10s (1)

10-60s (2)

>60s (3)”

Rationale: Risk of viral transmission via inhalation of respiratory droplets is a function of time spent within

an environment with higher concentration of viral particles. Time spent in such an environment should be

minimized when possible.

Question 3: “Is activity potentially strenuous?

Mild (0)

Moderate (1)

Heavy (2)”

Rationale: Increased cardiovascular workload will increase both the minute volume and character of

respiration. Increased volume of respiration along with turbulent flow will increase formation of

aerosolized viral particles that can hang in atmosphere far longer than typical respiratory droplets formed

at rest.

Scoring: Mild refers to no increase in cardiovascular work. Equivalent to breathing during rest.

Moderate refers to an increase in cardiovascular work equivalent to exercising while being able

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to maintain conversation in full sentences.

Heavy refers to an increase in cardiovascular work equivalent to exercising beyond

the threshold at which a normal conversation can be held with full sentences.

Question 4: “How effectively can IPC be implemented on the equipment?

None used (0)

Easy (<5min) (1)

Moderate (5-10min) (2)

Difficult (10+min) (3)”

Rationale: The transmission dynamics of respiratory viruses such as COVID-19 rely on droplet transmission

via passage of viral particles from a surface into the host respiratory system. Routine cleaning and

disinfection using infection prevention and control (IPC) methods reduces the risk of transmission by

reducing viral load on surfaces.

Scoring: Dependent on resources and time required to appropriately conduct IPC on equipment used in

the activity. More resource-intensive IPC requirements represent a higher risk as more chance of

ineffective IPC is present.

Question 5: “Is there an inherent risk of injury present?

Mild (0)

Moderate (1)

Heavy (2)”

Rationale: During large pandemics such as COVID-19, emergency medical services may have reduced

capacity to manage trauma from recreational activities. Many hospitals reduce services to preserve

resources for managing the pandemic, thus increasing the potential severity of a traumatic injury.

Scoring: Mild refers to a risk of injury that is unlikely based on the exposure of the activity. Examples

could include such activities as walking, hiking, sightseeing.

Moderate refers to a risk of injury that can occur but is not likely to be severe or place a large

strain on the hospital system. Examples could include such activities as bungee jumping, rafting.

Heavy refers to a risk of injury that can occur and has reasonable possibility of severity and placing

strain on the hospital system. Examples could include such activities as mountain biking, skydiving.

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Sanitizers and Disinfectants 4 4.7 1

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Preamble:

Included below is a table outlining best cleaners, disinfectants, and sanitizers for use against SARS-CoV-2.

This list is not exhaustive or inclusive of all market products. For a searchable database on products with

evidence for use against SARS-CoV-2, visit: https://www.canada.ca/en/health-canada/services/drugs-

health-products/disinfectants/covid-19/list.html as referenced in 2.2 Cleaning and Disinfecting

Procedures.

Product Application Definition Protection Level

Multi Surface Cleaner Use full strength or dilute 250ml/4L of warm water. Pre-clean surface. Apply to the surface until thoroughly wet. Wipe with a clean cloth or mop. Sanitization: Leave for 1 minute to dry before wiping. Disinfection: Leave for 10 minutes before wiping. Rinse all food product surfaces with water after using the product.

Disinfectant that meets Health Canada’s requirements for emerging viral pathogens. These authorized disinfectants may be used against SARS-CoV-2.

Advanced disinfectant and sanitizer for Hard Surfaces

Bleach (6%) Solution 100/1 dilution of sodium hypochlorite solution with water used to disinfect surfaces. 10mL bleach to 1 Litre of water. Minimum contact time of 10 minutes in a single application. Air dry.

General use disinfectant and sanitizer for hard surfaces.

Recommended by the BCCDC for disinfecting Non-porous surfaces.

Neutral Disinfectant Cleaner

Use 3.9 mL/ 1 L water for a minimum contact time of 10 minutes in a single application. Can be applied with a mop, sponge, cloth, coarse

Advanced disinfectant and sanitizer for hard surfaces, low acidity.

Approved for use against SARS-CoV-2 disinfecting Non-porous surfaces.

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spray or by soaking. The recommended use solution is prepared fresh for each use then discarded. Air dry.

Disinfecting Wet Wipes (70% Alcohol)

Pre-clean surface. Use 70% alcohol based fresh wipes to thoroughly wet the surface. To sanitize: Allow the surface to remain wet for 10 seconds. Air dry.

Single use isopropyl alcohol wet wipes, disposable.

Safe to use on electronics. Ie. Smartphones, Tablets, and POS equipment.

Touch Free hand Sanitizer

Minimum 70% alcohol hand sanitizer solution. Rub hands together until dry.

General use to kill bacteria and viruses.

On hands if handwashing is not available.

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RESPIRATORY SYMPTOM & EXPOSURE QUESTIONNAIRE

RECORDING INFORMATION

PEAK USE

PEAK USE DATE (dd/mm/yy) CURRENT TIME (24 hr.) NAME OF ADMINISTRATOR DATE IMO NOTIFIED (dd/mm/yy) TIME IMO NOTIFIED (24 hr.)

/ / : / / :

GUEST INFORMATION

NAME AGE GENDER

MALE FEMALE OTHER

This questionnaire, PEAK Emergency Response Training (PEAK), Respiratory Symptom & Exposure Questionnaire (RSEQ), is to ascertain (as best as possible if any guest(s) or staff members pose a risk to others by way of respiratory infectious disease transmission. The RSEQ is to be utilized for any guest contact. NOTE: if any question is answered YES in either section (Symptom &/or Exposure Reporting) or, if an individual is febrile, the patient is to be considered High Risk Category and should not be permitted entry into the facility until certified by a medical practitioner.

Is the individual currently &/or has the individual experienced any of the following

symptoms within the last 14 days?

SYMPTOM REPORTING NO YES MILD MODERATE SEVERE

DATE OF ONSET

(dd/mm/yy)

TIME OF ONSET (24 hr.)

CURRENT TEMPERATURE TIME TAKEN : OC ORAL AXILLARY TYMPANIC INFRARED

ANTIPYRETIC MEDICATION USE TIME TAKEN : NAME OF MEDICATION DOSE MG

FEVER / / :

COUGH / / :

DIFFICULTY BREATHING (SOB) / / :

DIARRHEA / / :

DIMINISHED SMELL &/or TASTE / / :

NASAL CONGESTION / RUNNY NOSE / / :

FATIGUE &/or MALAISE / / :

SORE THROAT / / :

MUSCLE & BODY ACHES / / :

Does the individual meet any of the criteria below?

EXPOSURE REPORTING NO YES

HAD CONTACT WITH A CONFIRMED OR POSSIBLE CASE OF COVID-19 WITHIN THE LAST 14 DAYS.

TRAVELLED OUTSIDE OF CANADA WITHIN THE PAST 14 DAYS.

HAD CONTACT WITH A PERSON WHO HAS TRAVELLED OUTSIDE OF CANADA WITHIN THE PAST 14 DAYS.

COMMENTS

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[TAG Logo]

Location: Example location #1

Day: 0700 Disinfected by: (initial) 1300 Disinfected by: (initial)

Tuesday June 2, 2020 Initial here Initial here

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REDUCE THE SPREAD OF COVID-19

If you have fever, a new cough, or arehaving difficulty breathing, call 8-1-1.

Coronavirus COVID-19BC Centre for Disease Control | BC Ministry of Health

PHYSICAL DISTANCING IN PROGRESS

Maintain a distance of at least 2 arms lengths from others.

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SOAP

20SEC

20SEC

COVID-19

HOW TO CLEAN YOUR HANDS

LEARN ABOUT THE VIRUSCOVID-19 is a new virus. It spreads by respiratory droplets of an infected person to others.

Gloves do not replace excellent hand hygiene.

Learn more at www.vch.ca/COVID19

HOW TO HAND WASH

HOW TO USE HAND RUB

1

1

4

2

2

5

3

3

6

a

b

c

Wet hands with warm (not hot or cold) running water

Ensure hands are visibly clean (if soiled, follow hand washing steps)

Rinse thoroughly under running water

Apply liquid or foam soap

Apply about a loonie-sized amount to your hands

Pat hands dry thoroughly with paper towel

Lather soap covering all surfaces of hands for 20-30 seconds

Rub all surfaces of your hand and wrist until completely dry (15-20 seconds)

Use paper towel to turn off the tap

Rub back of each hand with palm of other hand

Rub fingernails of each hand in opposite palm

Rub each thumb clasped in opposite hand

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1 https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html 2 https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html 3 https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-disinfection.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcommunity%2Fhome%2Fcleaning-disinfection.html 4 https://www.nationalgeographic.com/science/2020/03/why-soap-preferable-bleach-fight-against-coronavirus/

Gear Cleaning and People Protection – Coronavirus

How to clean gear and protect employees and customers during the coronavirus/COVID-19 pandemic are frequent questions we hear. We are not medical or healthcare professionals but here we’ll share some thoughts and tips from some professional sources. Prevention The first line of defense in protecting both employees and customers is not getting exposed to the virus in the first place.

• Symptoms of COVID-191 o Cough o Shortness of breath o Chills o Repeated shaking with chills o Muscle pain o Headache o Sore throat o New loss of taste or smell

• Urge employees to self-monitor and stay home if they show any of the symptoms.

• When communicating with customers before they arrive, urge them to protect themselves and others by not joining you if they are showing symptoms or have possibly been exposed to someone who has been diagnosed or has symptoms.

• If a customer comes showing any of the symptoms, you will be wise to politely ask that they postpone their trip with you.

Remediation How the virus spreads2

• It’s thought to spread by person-to-person contact. • When they are within 6 feet of one another. • Through respiratory droplets produced when an infected person coughs or

sneezes. Those droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.

Common sense steps for protection2 • Frequent hand washing, with soap and water, for 20 seconds. • Encourage that in the boathouse and office.

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1 https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html 2 https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html 3 https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-disinfection.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcommunity%2Fhome%2Fcleaning-disinfection.html 4 https://www.nationalgeographic.com/science/2020/03/why-soap-preferable-bleach-fight-against-coronavirus/

• On trips, when serving food, set up a handwashing station and supply hand sanitizer with at least 60% alcohol content. Have employees wear disposable gloves when fixing and serving food.

• Social distancing, keeping 6 feet apart, is hard to do in our types of communal outdoor activities, but encourage it as much as possible. Work it into pre-trip talks.

Cleaning and Disinfecting What is currently known about transmission of the virus:

• “Based on what is currently known about the novel coronavirus and similar coronaviruses that cause SARS and MERS, spread from person-to-person with these viruses happens most frequently among close contacts (within about 6 feet). This type of transmission occurs via respiratory droplets. On the other hand, transmission of novel coronavirus to persons from surfaces contaminated with the virus has not been documented.”3

• This is very important. What they’re saying is at this time, March 26, 2020, transmission of the virus hasn’t been seen from contaminated surfaces.

• That being said, that kind of transmission may be possible, especially if a person, after touching that contaminated surface then puts the hand on eyes, nose or mouth.

• So, out of an abundance of caution, you will want to do some cleaning and possibly disinfecting, to protect both employees and customers.

The Difference Between Cleaning and Disinfecting3

• Cleaning refers to the removal of germs, dirt, and impurities from surfaces. Cleaning does not kill germs, but by removing them, it lowers their numbers and the risk of spreading infection.

• Disinfecting refers to using chemicals to kill germs on surfaces. This process does not necessarily clean dirty surfaces or remove germs, but by killing germs on a surface after cleaning, it can further lower the risk of spreading infection.

Cleaning

• This can be as simple as using soap and water, just as with washing hands. Some experts believe it’s as effective as using disinfecting chemicals to prevent the spread of the virus.4

• If you’re using the gear in whitewater there’s going to be some natural “washing” of the surfaces of boat, paddles, etc during a trip.

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100% Employee Owned

1 https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html 2 https://www.cdc.gov/coronavirus/2019-ncov/prepare/prevention.html 3 https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-disinfection.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcommunity%2Fhome%2Fcleaning-disinfection.html 4 https://www.nationalgeographic.com/science/2020/03/why-soap-preferable-bleach-fight-against-coronavirus/

• At the end of a trip some scrubbing with soap and water may be all that’s needed. Wetsuits and technical outerwear can be washed with a product such as Gear Aid Revivex Wetsuit and Drysuit Shampoo.

• With larger gear like boats and paddles, soap, water and rags or brushes can be used.

• With smaller items like helmets, PFDs and apparel you can set up a multi bucket/barrel washing line, like in dishwashing. Pre-rinse, warm soapy water, one or two freshwater rinses and possibly even a disinfecting rinse.

• Employees should wear gloves when doing cleaning and thoroughly wash hands after removing gloves.

Disinfecting3

• If surfaces are dirty, they should be cleaned with soap and water before disinfecting.

• Diluted household bleach can be used for appropriate surfaces. Look on the bleach container to see if it’s still within it’s Use By Date. Prepare a solution by mixing 5 tablespoons (1/3 cup) bleach per gallon of water, or 4 teaspoons per quart of water. Note that chlorine can be hard on neoprene and technical outerwear materials.

• These EPA-approved products are expected to be effective against COVID-19, based on data for harder-to-kill viruses. Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, etc.).

• Certainly, employees need to take precautions, wearing gloves, goggles, etc, as necessary, to protect themselves from these chemicals.

We hope this information is helpful as you navigate this upsetting period in our businesses, our country and our personal lives. By working together we’ll get through this and hopefully soon get back to more normal times. Thank you for your business with us and best of success to you and your employees! Your Friends at NRS

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3-STEP COVID-19 SCREENING PROCESS

FOR TAG Whistler

General Requirements Individuals are prohibited from entering the facility until they have completed the ‘3-Step COVID-19 Screening Process’.

Step 1

- Sequester guests outside of the facility while maintaining physical distancing (2 meters).

- Ensure that all individuals hand sanitize prior to entering the facility and each time they re-enter.

- Instruct individuals to read the RSEQ Placard (Appendix 4.14). Independently ask each individual if they have answered YES to any of the RSEQ placard questions.

• If any individual answered YES to any of the RSEQ questions that individual must not be allowed entrance into the facility and will be politely asked to return home. Complete RSEQ documentation in Appendix 4.8 for recording of event.

• Individuals that have answered NO to all of the RSEQ questions are to proceed one-by-one to Step 2.

Step 2 - Reconfirm that the individual has answered NO to all of the RSEQ questions.

- Individuals that have answered NO to all of the RSEQ questions – obtain their body temperature via infrared thermometer.

- If an individual’s body temperature is within normal limits direct the individual to proceed one-by-one to Step 3.

- Individuals that present febrile must not be allowed entrance into the facility and will be politely asked to return home.

Step 3 - Direct guests to the appropriate registration and pre-trip briefing area within their group.

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3-STEP COVID-19 SCREENING PROCESS

FOR TAG Whistler

General Requirements Staff members are prohibited from entering the base facility until they have completed the ‘3-Step COVID-19 Screening Process’.

Step 1

- Sequester staff members outside of the facility while maintaining physical distancing (2 meters)

- Ensure that all staff members hand sanitize prior to entering the facility and each time they re-enter.

- Instruct individuals to read the RSEQ Placard (Appendix 4.14). Independently ask each individual if they have answered YES to any of the RSEQ placard questions.

• If any individual answered YES to any of the RSEQ questions that individual must not be allowed entrance into the facility and will be politely asked to return home. Complete RSEQ documentation in Appendix 4.8 for recording of event.

• Individuals that have answered NO to all of the RSEQ questions are to proceed one-by-one to Step 2.

Step 2

- Reconfirm that the individual has answered NO to all of the RSEQ questions.

- Individuals that have answered NO to all of the RSEQ questions – obtain their body temperature via infrared thermometer.

- If an individual’s body temperature is within normal limits direct the individual to proceed one-by-one to Step 3.

- Individuals that present febrile must not be allowed entrance into the facility and will be politely asked to return home.

Step 3

- Direct guests to the appropriate registration and pre-trip briefing area within their group.

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RESPIRATORY SYMPTOM & EXPOSURE QUESTIONNAIRE

COVID-19 COMPLIANCY

This Respiratory Symptom & Exposure Questionnaire (RSEQ), is to ascertain (as best as possible) if any staff member poses a risk to others by way of respiratory infectious disease transmission. The RSEQ is to be utilized at the beginning of each workday, prior to beginning daily working activities.

NOTE: If any question is answered YES in either the Symptom or Exposure Reporting Sections, &/or if a staff member is currently febrile, the staff member is not to be allowed to attend their shift and must be denied access to the facility.

Are you currently &/or have you experienced any of the following symptoms within the last 14 days?

SYMPTOM REPORTING

FEVER

COUGH

DIFFICULTY BREATHING (SOB)

DIMINISHED SMELL &/or TASTE

DIARRHEA

FATIGUE &/or MALAISE NASAL

MUSCLE & BODY ACHES

CONGESTION / RUNNY NOSE

SORE THROAT

Do you meet any of the criteria below?

EXPOSURE REPORTING

HAD CONTACT WITH A CONFIRMED OR POSSIBLE CASE OF COVID-19 WITHIN THE LAST 14 DAYS

TRAVELLED OUTSIDE OF CANADA WITHIN THE PAST 14 DAYS

HAD CONTACT WITH A PERSON WHO HAS TRAVELLED OUTSIDE OF CANADA WITHIN THE PAST 14 DAYS

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RESPIRATORY SYMPTOM & EXPOSURE QUESTIONNAIRE

COVID-19 COMPLIANCY

This Respiratory Symptom & Exposure Questionnaire (RSEQ), is to ascertain (as best as possible) if any individual wanting to enter the facility poses a risk to others by way of respiratory infectious disease transmission. The RSEQ is to be utilized at the beginning of each activity, upon registration check-in.

NOTE: If any question is answered YES in either the Symptom or Exposure Reporting Sections, &/or if an individual is currently febrile, the individual is not to be allowed to participate in scheduled activity and must be denied access to the facility.

Are you currently &/or have you experienced any of the following symptoms within the last 14 days?

SYMPTOM REPORTING

FEVER

COUGH

DIFFICULTY BREATHING (SOB)

DIMINISHED SMELL &/or TASTE

DIARRHEA

FATIGUE &/or MALAISE NASAL

MUSCLE & BODY ACHES

CONGESTION / RUNNY NOSE

SORE THROAT

Do you meet any of the criteria below?

EXPOSURE REPORTING

HAD CONTACT WITH A CONFIRMED OR POSSIBLE CASE OF COVID-19 WITHIN THE LAST 14 DAYS

TRAVELLED OUTSIDE OF CANADA WITHIN THE PAST 14 DAYS

HAD CONTACT WITH A PERSON WHO HAS TRAVELLED OUTSIDE OF CANADA WITHIN THE PAST 14 DAYS