HEALTH AND SAFETY CHECKLIST

Health and Safety Checklist

FILL OUT OUR HEALTH AND SAFETY CHECKLIST AND HELP HONOLULU GET BACK ON THE WAVE

Only owners, general managers, or designees should take the survey

INTRODUCTION

This site will help you identify additional steps to consider in protecting your staff and guests. For consumers, it has a directory of businesses that have taken an educational safety assessment to help increase people’s confidence as they shop, dine out, and take part in the everyday activities that power our recovery.

The City and County of Honolulu, in partnership with the University of Hawaiʻi Economic Research Organization (UHERO), created this site to support Oʻahu's recovery. UHERO will manage the secure data collection and data analysis. No identifying information for any business will be shared with the City.

It's Easy.

Step 1: Complete a general safe practices assessment that indicates the actions your business/organization is undertaking to prevent the spread of COVID-19. Please note that only you will see the results of your assessment. Your safety score will not be shared anywhere else. The assessment is designed to help you determine any additional safe practices in your location. You can complete the assessment as many times as you want to provide updated information.

Step 2: Complete an economic impact and needs assessment. Your individual responses will not be made public. This information will allow UHERO to evaluate the economic impacts caused by COVID-19. Survey results will also help the City allocate resources to better support the business community.

Mahalo for everything you’re doing to keep our community safe and for supporting Oʻahu’s recovery!

By clicking next, you understand and agree to this privacy policy.

BASIC INFORMATION

Are you the owner, general manager, or designee of a business/organization?

Note: If you are an independent contractor or employee (i.e. stylist, realtor, salesperson, installer), you are not eligible to be included in the directory. Please have the owner or manager of your place of business, complete this survey as the intent is to include business locations (not individuals) that are implementing COVID-safe practices.

This tool must be completed by the owner, general manager, director, or a designee. Please encourage the owner, general manager, or director of your organization to complete this tool. Thank you.

BUSINESS INFORMATION

this will only be used to match future responses.
Address *
Residential address?

Additional Addresses

Address

SUBMITTER INFORMATION

Please tell us about yourself (the person completing this assessment).

CERTIFICATION

The following assessment is going to ask how you are resuming operations while protecting your staff and guests.

I, [226], as a representative of [190], certify that the information I provide in this assessment is true and accurate to the best of my knowledge.

Not all organizations have the same level of risk. Please complete the following questions to determine the COVID-19 public health risk of your particular organization. The following safety assessment was adapted from the nationally renowned Johns Hopkins Bloomberg School of Public Health.

Note: This is a self-assessment survey, and your answers will not be shared publicly.

This is a self-assessment survey and your answers will not be shared publicly.
Do you or your employees or volunteers interact with any clients, guests, or other community members in person, on a daily basis? *
Are you a business or organization that requires employees and volunteers to directly touch clients, guests, or other community members? *
This is a self-assessment survey and your answers will not be shared publicly.
Does your business or organization require employees, clients, guests, or other community members to spend more than 15 minutes less than 6 feet apart? *
This is a self-assessment survey and your answers will not be shared publicly.
Are you a business or organization that requires a high density of people (over 25) in an enclosed space at one time? *
This is a self-assessment survey and your answers will not be shared publicly.
Do you, your employees, or your volunteers interact with more than 100 clients, guests, or other community members in person, on a daily basis? *
This is a self-assessment survey and your answers will not be shared publicly.
Does your business or organization have high-touch surfaces – countertops, cash registers, door handles, etc.) that are required for operations? *
Are you a business or organization that requires the handling and transfer of goods and other products between employees, volunteers, clients, guests, or other community members?
This is a self-assessment survey and your answers will not be shared publicly.
Are you a business or organization that requires your employees or volunteers to travel to numerous different sites domestically in order to conduct business? *
Are you a business or organization that relies on international travel in order to operate? *
Are you a business or organization that works directly with vulnerable populations, such as kupuna or people living with a disability? *

Your business/organization has a lower risk for spreading COVID-19. It is important that you maintain good practices to continue to keep your staff and guests safe.

On the next page, we will ask you to think about the things you and your business/organization could do to ensure that you are minimizing risk – helping Oʻahu stay open and stay safe.

Note: This safety assessment is for your information only. Your answers will not be shared publicly.

Your business/organization has a medium risk for spreading COVID-19. It is important that you maintain good practices to continue to keep your staff and guests safe.

On the next page, we will ask you to think about the things you and your business/organization could do to ensure that you are minimizing risk – helping Oʻahu stay open and stay safe.

Note: This safety assessment is for your information only. Your answers will not be shared publicly.

Your business/organization has a high risk for spreading COVID-19. It is vital that you maintain good practices to continue to keep your staff and guests safe.

On the next page, we will ask you to think about the things you and your business/organization could do to ensure that you are minimizing risk – helping Oʻahu stay open and stay safe.

Note: This safety assessment is for your information only. Your answers will not be shared publicly.

Restaurants, Food and Beverage

Public health experts and epidemiologists note that the virus that causes COVID-19 is thought to spread mainly person-to-person, primarily through respiratory droplets produced when an infected person talks, coughs, sneezes, sings, yells, or otherwise expels respiratory droplets. Another person may become infected when the droplets end up in their mouth, nose, or eyes.

Spreading the virus is most likely when people are in close quarters, within 6 feet of each other for prolonged periods, as well as when touching their mouth, nose, or eyes with contaminated hands or objects. While some people are asymptomatic, it is thought that people are most contagious when they are showing symptoms.

We can reduce risk by maintaining distance, minimizing contact with potentially contaminated surfaces, ensuring good ventilation, and reducing contact with people who may be infected. It is safest to consider everyone potentially infected, even if they are not showing symptoms.

Restaurants, Food and Beverage

We know that not all businesses will do everything on this checklist and, in some cases, it might not make sense for a business to do everything. Please read carefully and only check the things that your specific business will be doing.

What are the actions you are taking to MAINTAIN DISTANCE between and among staff and guests? *
Restaurants, Food and Beverage

We know that not all businesses will do everything on this checklist and, in some cases, it might not make sense for a business to do everything. Please read carefully and only check the things that your specific business will be doing.

What are the actions you are taking to MINIMIZE CONTACT WITH INFECTED SURFACES between and among staff and guests? *
Restaurants, Food and Beverage

We know that not all businesses will do everything on this checklist and, in some cases, it might not make sense for a business to do everything. Please read carefully and only check the things that your specific business will be doing.

What are the actions you are taking to *
Restaurants, Food and Beverage

We know that not all businesses will do everything on this checklist and, in some cases, it might not make sense for a business to do everything. Please read carefully and only check the things that your specific business will be doing.

What are the actions you are taking to ENSURE GOOD VENTILATION? *
Restaurants, Food and Beverage

We know that not all businesses will do everything on this checklist and, in some cases, it might not make sense for a business to do everything. Please read carefully and only check the things that your specific business will be doing.

What are the actions you are taking to KEEP YOUR BUSINESS INFORMED AND KNOWLEDGEABLE ABOUT GUIDELINES? *