Name Re-Entry Program / ESH Program Location Date

RE-ENTRY FORM
OFFICE

Problem Action Plan Accountability Target Output

Time

LEAKING Engineering Control Mecahnical Manager Working Ongoing

Provision proper ventilation for good air circulation the the Hours
room

Administrative Control
HR Working
Hours Ongoing
Recording and monitoring the inflow and outflow of
Security Guard
workers as well as recording their temperature

Provision of office Barriers

Classify:

Physical

Chemical Management Office Working

Personal Protective Equipment
Hours Ongoing

Wearing facemasks and Face shields

✓ Biological

Ergonomic

Mechanical

Electrical