1. a) Does your classroom and/or other work spaces, have the recommended 2 metres of physical distancing between students or other workers while sitting at desks? If no, please record location or room numbers and provide measurements.

b) Is the recommended 2 metres of physical distancing maintained between students and workers? If no, please record location or room numbers and a short explanation.

2. a) Has the employer ensured proper cohorting of students by limiting the number of your contacts (in class, at recess/nutrition breaks, on the bus and in before/after school program) to a maximum of 50? If no, please record some examples of the number of contacts.

b) Has the employer also ensured proper cohorting by limiting the number of your contacts to a maximum of 50? If no, please record some examples of the number of contacts. If you are itinerant or occasional staff how many different students do you work with (on average) in one day/one week?

3. Do you believe the ventilation is adequate in your classroom or work space? If not, please explain.

4. a) Does the employer have policies and procedures in place to minimize contacts for workers during school bus loading/unloading? If not, please explain.

b) Are there measures and procedures in place to protect workers who drive and/or ride the bus with students? If not, please explain.

5. a) Has the policy/procedure for dealing with exemptions from masking and dealing with unmasked individuals who do not have an exemption been communicated to staff? Please explain if there are concerns.

b) Is the employer providing additional controls for workers who work with unmasked individuals?

6. Are all other layers of protective protocols in place, such as PPE, soap/hand sanitizer, enhanced cleaning and disinfection, signage and outbreak management protocols? If not, please explain.