ASCOTF/Red Checklist (Form # 1)

UNIT: __________________________
DATE: _________________________

Particulars Complied Not Complied Remarks

1. Compliance on Offices:
a. Thermal Scanner
b. Foot Soak Disinfectant
c. Alcohol/Sanitizer
d. Disinfectant for
Document/materials
e. Office cleanliness
f. Are Hazardous waste
properly managed and disposed of?
g. Based on your risk
assessment, was there any
mitigation/defense plans
implemented
h. Are these risk
mitigation/defense plans
implemented
2. Personnel:
a. Individual facemasks
b. Hand Gloves for message
center personnel
c. Individual alcohol/sanitizer
d. Observe of physical
distancing
e. Skeletal Work Scheme

Comments:

Recommendations:

Inspected by: Concurred by:

____________________________ __________________________
Red Team Member Admin/Security Officer of Unit
ASCOTF/Red Checklist (Form # 2)
UNIT: __________________________
DATE: _________________________

N Not
Particulars Complied Remarks
O Complied
1. Personnel:
a. All personnel Underwent Rapid Assessment Test (RAT)
All personnel tested positive for RAT secured certification
b.
from PNP HS
All personnel of unit registered/enrolled in the Contact
c. Tracing Data Information and Geographical System
(CTDIGS)
d. All personnel regularly updated health status in CTDIGS
e. Personnel on WFH regularly submitted work output
2. Personnel:
Designated Safety Officers to ensure implementation of
f.
health protocols
Work scheme adopted/implemented in the office/unit
Please check appropriate space:
a. Work-from-Home ( )
g. b. Staggered Working Hours ( )
c. Four-day Workforce Skeleton Workforce ( )
d. 50/50 Work Scheme (for UP only) ( )
e. Other (Specify in the remarks column) ( )
Elderly/immunocompromised/pregnant personnel were
h.
prioritized for work scheme
Personnel on work scheme were duty accounted twice a
i.
day (8:00 AM and 4:00 PM)
Work scheme adjusted according to changes in COVID
j.
situation

Comments:

Recommendations:

Inspected by: Concurred by:

____________________________ __________________________
Red Team Member Admin/Security Officer of Unit
 ASCOTF/Red Checklist (Form # 3)
UNIT: __________________________
DATE: _________________________

Not
Particulars Complied Remarks
Complied
A. Offices/Workplace:
Office space configuration plan
Mandatory conduct of thermal scan to all individual at entry
points
Placement of foot bath at entry points
Mandatory wearing of face mask for all individuals
Mandatory wearing of gloves for personnel receiving
papers/documents
Mandatory placement of sanitizing dispensers and handwriting
facilities
Mandatory placement of markings/decals and signage
Installment for partition/barriers
Reconfiguration of workspace of at least 1-meter separation
Provision of chairs and appropriate barriers among clients of
other individuals
Consider moving some personnel to alternate rooms to have
adequate space
Mandatory cleanliness of frequently touched surfaces and
objects
Disinfection/sanitation of offices after every working hours
B. Vehicles
Vehicle space configuration plan
All passenger must wear face masks
Social distancing (At least 1 Meter distance)
For patrol Cars- not more than 4 passengers including the
driver
Patrol Jeep- not more than 8 passengers
Vans, Multi-cabs of pick-ups not more than 50% capacity
Buses and coasters- not more than 50% capacity: 1 passenger
per row
Trucks- not more than 50% capacity
Boats/watercrafts- not more than 50% capacity
H125 Helicopter- Not more than 4 persons (including pilot)
Disinfection of vehicle interior and frequently touched surfaced
after every trip

Comments:

Recommendations:

Inspected by: Concurred by:

____________________________ __________________________
Red Team Member Admin/Security Officer of Unit
 ASCOTF/Red Checklist (Form # 4)
UNIT: __________________________
DATE: _________________________

YES NO REMARKS
1. Do your office spaces compliant with the requirement of
physical distancing?
2. Does your office post advisories on minimum health
Standards?
3. Does your office have safety officer?
4. Does your office observe 50-50 or other work scheme?
5. Does your office have available Hand Wash Basin or
Alcohol Sanitizer?
6. Does your office have footbath?
7. Does your office conduct document sanitation?
8. Does your office have equipment disinfection?

Checklist of PNP Personnel

YES NO REMARKS
1. Are personnel observing wearing of Face Masks?
2. Do personnel have QR Code and Medical certificate of Fit to Work
Clearance
3. Do personnel monitor their temperature?
4. Do personnel wash hands using soap frequently or sanitize using
alcohol?
5. Do personnel observe social/physical distancing