Site Specific Safety and Health Program

Insulet Corp. Phase 3

100 Nagog Park Acton, MA 01720

Project # 2297                   

Emergency Response Plan



This Emergency Response Plan (E.R.P.) is specifically developed for Consigli Construction work associated with the Insulet Corporation project # 2297


The construction site is located at 100 Nagog Park, Acton, MA 01720.The location for the project field office will be in the 100 Nagog Park location in office trailer at east side of parking lot. If otherwise determined, the field office will become the Emergency Operations Center (EOC).


The following situations are considered emergency response actions and should be handled in accordance with the procedures outlined in this plan.

  • Serious Injury/Fatalities
  • Fire/Explosion
  • Structural Damage/Collapse
  • Weather or Geological Event Classified as an Act of God
  • Environmental Incident
  • Traffic Disruption
  • Utility Damage
  • Illegal Activity
  • Labor Problems
  • Bomb Threats/Military Ordinance Unearthing
  • Acts of Terrorism

When reporting an emergency, please provide the following:

• Your location, phone number, and name;

• The location of the incident (building name, floor and room number);

• Nature and extent of the incident (injury, accident, spill, smoke/fire, damage, etc.);

• The safest route to the incident

Crisis Response Protocol:

  • Attend to the injured
  • Immediately contact Dan Della-Giustina (508)686-6008
  • Post person at front gate, only allow access to emergency responders
  • Record names/addresses of witnesses
  • Do not allow media on site
  • Refer all media inquiries to home office (See “Crisis Response Cards”)

A Consigli designated individual shall wait at the Langdell Hall site entrance to escort Emergency Services personnel as they arrive.

The following is a list of the Chain of Command/Call Hierarchy on the project for establishing lines of succession during communication involving all emergencies.

Back End of Emergency Response Plan

Emergency Contact Names and Numbers

1. First call: 911 Fire or Police

2. CCC Superintendent: Dave Deters  (774)278-0759

3. CCC General Superintendent: Tom Smith (508)509-1421

4. CCC Project Manager: Jon Schiraga (508)400-6916

5. CCC PX: Bill O’Rourke (508)922-6755

6. Corporate Safety: Dan Della-Giustina  (508)686-6008

7. Insulet Owner Rep: Colin Schmith (609)400-1006

Dig Safe  811

National Grid-electric (508)897-5500

NSTAR Gas Co. (800)592-2000

                          Environmental Consultant

Cashins & Associates  (781)245-1400

599 North Ave. Wakefield, MA  01880

Back End of Emergency Contact Names and Numbers

Medical Facilities

Directions to Emerson Hospital

133 Old Road Nine Acre Corner Concord, MA  01742



Back End of Medical Facilities

Site Safety Plan

Scope of Proposed Operations: This project, starting in April 2020, with an expected 5 month scheduled completion date, will involve a conversion of existing pallet storage area into new 11,000 sq. ft. office space as well as a new 875 sq. ft. CT/X-Ray/Flow Accuracy Lab. Projects will run simultaneously with expected turnover in October. The adjacent areas in the building will be occupied throughout construction.

Construction of the new office space will take place on level 2 of the existing building and will include creation of an open office area with 73 new office workstations, new partition walls to create 9 directors offices, new men’s and women’s bathrooms and a new break room. Selective demolition to MEP systems, adjacent interior walls and a section of exterior wall to create a new emergency egress is scheduled.

The new 875 sq. ft. CT/X-Ray/Flow Accuracy Lab will be constructed on level 1 adjacent to the loading dock and will be outfitted with new equipment including 9 Mettler Toledo digital balance stations complete atop vibration-dampening marble tables, Baker Hughes x-ray inspection station, Nordson Dage x-ray system and new coordinate measuring machine Contura 776. Demolition of the existing concrete floor to excavate and install new reinforced pads will be required at new equipment locations.

Upgrades to the existing MEP systems will take place at both construction areas along with new finishes including flooring, ACT grid systems, DFH, millwork and plumbing fixtures.

PURPOSE: The purpose of this Site-Specific Safety and Health Program is to illustrate Consigli’s approach to identifying project specific hazards and controls and how said risk is managed through a comprehensive Safety and Health Program.

S.A.F.E.: Staying Accident Free Every Day is the Safety Mission that forms the very foundation of the Consigli Safety Culture. The S.A.F.E.  mission, which is supported by technology, (Predictive Solutions internal auditing instrument  which identifies and defines leading indicator related information); Leadership (Empowering our team members to assure safe projects); Humanization (Protect the ones you love by protecting yourself); Jobsite Gym (Morning warm-ups,); Training (Integrating sub-contractors into the Consigli Safety Culture); and Lean (nothing hit the ground), is the driving force behind Consigli’ s drive to our vision – ZERO. ZERO is the philosophy that all accidents are preventable, and that no accident is acceptable. The S.A.F.E. mission is the guiding force to achieving the Consigli Safety Vision which is ZERO.  

Identify the specific route in and out of the construction site (Traffic Management): For this project all deliveries and waste removal shall enter using the Nagog Park entrance and be coordinated with the Consigli Superintendent, Dave Deters.  Also only permitted truck routes will be used, all contractors will be responsible for adhering to truck routes and restrictions plan which will be made available to all sub-contractors.

Personnel Protective Equipment (PPE):  All workers will wear hard hats and safety glasses at all times. High visibility vest will be worn when exposed to vehicular/equipment hazards/ traffic. All personnel performing work with their hands shall be required to wear gloves that are appropriate to the task. When not performing actual work with their hands workers will be required to have them available for immediate use. Face shields will be required for all personnel who are performing overhead work, using metal chop saw or any type of metal grinding.  All welders will be required to have hard hats with integral welding shields.

Designated work hours (any work outside these hours must have prior CCC approval):  All material host related work shall take place during regular business hours of, Monday – Friday 7:00am to 3:30pm.  Any work which may need to take place outside of these hours will need to be approved by the CCC Superintendent. All deliveries must be coordinated with the CCC superintendent, Dave Deters,  with at least 48 hours’ notice.

Evacuation Plan (RACE, and Routes of Egress): Please refer to the Evacuation Plans attached. All Consigli employees shall attend the Project Safety Orientation. Consigli Construction’s Job Supervisor will conduct a safety orientation talk to each employee and subcontractor to site specific fire safety protocols.

Emergency Management Response: In the event of an Emergency the construction workers shall leave the building immediately. Point of assembly/muster shall be as defined in the attached Evacuation plan.  In the Event of a DISASTER, the Superintendent or Safety director shall instruct the construction workers to leave the site or remain in place and await further instruction. The following steps should be taken in the event of an emergency

When reporting an emergency, please provide the following:

• Your location (100 Nagog Park Acton, MA) phone number, and name;

• The location of the incident (building, floor and room number);

• Nature and extent of the incident (injury, accident, spill, smoke/fire, damage, etc.);

• The name and amount of the material spilled (if applicable); and

• The safest route to the spill (if applicable).

** Please review chapter 8 for additional details. **  

Pre-task Plans: Pre-task Plans or Job Safety Analyses shall be conducted prior to all and any operation. Said plan to be reviewed initially with all involved personnel performing that particular task, signed by all workers, including their supervisor, and filed on site.

Job Safety Analysis (JSA):  An JSA, depending on level of hazard, shall be conducted for each identifiable feature of work to be performed. The JSA shall be submitted to Consigli superintendent for review. JSA shall be reviewed with all personnel weekly and shall be signed by all involved personnel performing that particular task, including their supervisor.

Excavations:  All required permitting will be obtained before any excavating is to begin. If necessary, tabulated data/engineering for shoring and shielding systems will be obtained and available on site always when said systems are in use. All excavations will be inspected by a competent person daily. Written excavation inspections will be done if the excavation exceeds 5’.  

  1. Dig Safe Notification – dig safe number will be obtained and posted in the site office.
  2. Jackie’s Law (520CMR 14.00) will be strictly adhered to and permits must be obtained. A copy will be posted in construction office.
  3. Copies of shoring engineering and tabulated data sheets for all trench boxes or other shoring/shielding systems brought on site will be provided to CCC and be kept in construction office.

**Review Chapter 19 for more detail**

Demolition: Prior to the start of demo operations, the contractor preforming demo will confirm that all utilities leading into the area have been made safe. The electrician will disconnect and lock out all electrical, the plumber will do the same with any plumbing lines, and the HVAC subcontractor will do the same on the HVAC piping and duct work.  Lock out tag out will be reviewed during the pre-construction safety meetings to assure disconnect and responsibility for protection of existing utilities is safe for any construction activities to commence. In spaces where some electrical or mechanical must remain live, a color coding system will be utilized for easy identification of live utilities that must stay active and utilities that must be removed. Any and all utilities spray painted Red are not to be touched and are need to be protected during all operations. Utilities spray painted Green are to be removed as part of the selective demolition process only after lock-out/tag-out has been confirmed and utilities tested.  If any utilities are unmarked, they shall be considered live. The demo contractor will be responsible for completing CCC demo checklist prior to the start of any work in their target areas

Fall Protection: All workers exposed to a fall of 6′ or greater shall be protected by guardrails, safety nets, or personnel fall arrest systems. This includes, but is not limited to, steel erection, roofing, scaffold erection and dismantling, overhand brick laying and pre-cast concrete related work. Holes greater than 2” will be covered with acceptable material (3/4 plywood ½ steel) which will be secured and marked hole (cover must be able to withstand two times the intended load).  Covers will stay in place until the hole/penetration has been filled.  Building perimeters will be protected with some form of fall protection if fall is greater them 6 feet. Cable guard rail systems (if used) will be provided with turnbuckles installed for all straight runs and any straight run over 100 feet in length.  Holes greater than 2” will be covered with acceptable material (3/4 plywood ½ steel) which will be secured and marked hole.  Covers will stay in place until the hole/penetration has been filled. At no time are cross braces on scaffold allowed to be used as fall protection. The use of safety Monitors is prohibited.

**Review Chapter 13 for more detail**

Work on Ladders: All work on step ladders/straight ladders will be done correctly per manufacturer’s recommendations. Any worker who is on a step/straight ladder shall maintain 3 points of contact at all times or will be required to tie off.  Step ladders will not be used as a form of access to a walking /working level, also all straight ladders will be tied of when installed for use. Only ladders with a rating Type 1A or 1AA will be allowed on Consigli projects.

Scaffold and Elevated Work Platforms/Material Hoists:  All scaffolding and material hoists shall be inspected daily, by a competent person – designated by each contractor – before each shift. Said inspection shall be documented on installed scaffold tags. Said Scaffold Inspection Tags shall be located at the stair tower/access point to each section. A scaffold inspection guide will be provided to each designated persons (upon request) by Consigli Construction to aid them with their inspection. All contractors erecting or dismantling scaffolding shall provide CCC with certification/qualification of scaffold erection training as well as an erection/dismantling plan.  Fall protection is required at all times during erection/dismantling operations. Overhead protection will be provided for all access points to any buildings located under any form of scaffolding/material hoist.

Aerial Lifts/Scissor lifts:  Area and ground conditions in the intended work area will be inspected for overhead power lines and underground structures. Aerial lift platforms and scissor lifts shall be inspected daily before each shift by a competent person designated by the contractor using it.  Inspection shall be documented on Inspection tags for each machine in use. Completed inspection tags shall be filed in the site office. All contractor employees performing work from an aerial lift shall exhibit documented proof of training.  Steel plates or equipment mats will be placed on the ground above any utility/ steam tunnel/underground vault if there will be Aerial lifts operating on them. Workers shall be tied off at all times when using an aerial lift!!

Haz Com/Global Harmonization:  All contractors bringing materials/chemicals on site shall provide Safety Data Sheets to the Consigli project team.

  • SDS sheets shall be kept on file in Consigli Construction’s project office
  • All SDS sheets shall be readily accessible.

Fire Protection: Code Red Consultants have prepared a Construction Fire Safety Program for the Insulet project (attached as addendum) in compliance with NFPA 241 and 527 CMR.  Said plan has been submitted to the Acton Fire and Building Dept. In the program, the Consigli Superintendent, has been designated as the Fire Protection Program Manager.  The plan addresses equipment with internal combustion engines, combustible material storage, hot work, fire watch protocol, flammable storage, and fire protection during construction, to include an impairment plan for fire protection systems during construction. 

In addition to the Code Red plan, Consigli will look to enforce its own hot work permit program, which will be implemented for all hot work to be conducted on the project on a daily basis. 

**Review Chapter 17 for more detail.**

Electrical: The electrician will be responsible for all temp power and any temp lighting that may be needed.  They will coordinate all lock out tag out procedures regarding electricity during the “make safe” operation prior to demo. There are no overhead power lines in any of the intended work areas. All electrical tools, cords and equipment must be in good working order. To that end, all electrical tools and components must be visually checked on a daily basis.  Any tools with damaged cords or damaged cords must be taken out service immediately.  All cords must be equipped with a ground pin.   Flat three wire cords are not allowed.  Only SJO and SJT, or other similarly rated cords, shall be used.Cords must be 12 gauge or better. The electrician shall be responsible for all temp power and any general temp lighting that may be needed. Subcontractors will be responsible for task lighting in the event that lighting above the OSHA standard is required for a particular work task. The electrician will coordinate all lock out tag out procedures. All temporary power for the project will be installed on protected and dedicated circuits with 100% GFCI protection. GFCI will be tested by the electric contractor to assure proper function with a log book filed with CCC monthly.  No live electrical work shall be conducted.

Cranes: Crane use limited. Any crane on site will require an independent, annual 3rd party inspection to be completed and will be permitted to operate only after detailed lift plans are submitted and reviewed.  This lift plan may also be required to include the FAA criteria letter of determination with regards to crane proximity to flight paths. It is anticipated that most cranes will be hydraulic. In the event that a lattice boom crane is utilized then the crane must receive an on-site 3rd party inspection once the crane is assembled, prior to operation. 

There is a requirement to assure that certified riggers, signalmen, and crane assemblymen are utilized. All picks are to be done by a licensed operator. As previously mentioned, a detailed pick plan will be required to assure that no picks are critical in nature.  Critical picks are defined as those involving 2 cranes lifting simultaneously, a pick that is over 75% of capacity, a pick that involves the lifting of a man basket, or any other lift that is deemed to involve special conditions.  Location and set up will be reviewed with crane operator prior to set up and pick.  All lifting operations will require that the operator and any involved contractors follow the steps listed below as well as in Consigli Crane Safety policy.

1. All Hoisting equipment will have an up to date 3rd party inspection certificate with the equipment which will be copied and filed in the office trailer.

2. All lattice boom cranes will have an independent 3rd party inspection completed each time one is set up on the project, after assembly.

3. All equipment operators will be required to have in their possession all appropriate licensing and training as required by OSHA (NCCCO or equivalent) and the Commonwealth of MA.

4. All underground vaults and existing utilities will be marked before as well as before any crane is set up.

5. Documented rigging equipment inspections.

6. Documented daily crane inspections filed with CCC weekly.

** Please review chapter 24 for additional details. ** 

Confined Space: Not expected. A written plan will be needed to work in any tanks/vaults and crawl spaces designated as permit required confined spaces by CCC.  Said plan shall include air monitoring.

** Please review chapter 21 for additional details. ** 

Designated First Aid Plan: Consigli Construction shall follow Site Safety Plan for first Aid. A list of first aid/CPR trained people shall be posted on site. Report any incidents to the Safety Director.

Materials Management: Getting materials into and out of the project will be a challenge that needs to be adequately planned.  All deliveries are to be scheduled with the CCC Superintendent. A comprehensive Activity Hazard Analysis shall be done on all materials that will be hoisted and placed into or on the building. Only materials which will be used/installed in a reasonable amount of time will be delivered to the site. Attention must be paid to structural analysis in regards to loading of existing floors with material and equipment.

Lean Requirements: No materials shall be delivered to the site earlier than 3 days before said materials are to be installed/put into place.  If materials have to be delivered before that 3 day time period, subcontractor shall get prior approval from Consigli Superintendent. Because of this, notification / scheduling is required for all deliveries to the site. Subcontractors must notify Contractor at least 24 hours in advance. Contractor has the right to refuse any deliveries not properly scheduled or due to logistical constraints as necessary. All subcontractors delivered materials shall be placed on wheeled carts, wheeled racks or in wheeled bins so as to necessitate easy relocation in the event materials need to be moved.  Carts, racks, or dollies shall not exceed manufacturers intended weight loads. Materials/tools can be delivered and stored on pallets only if pallet jacks are delivered simultaneously with said delivery to provide for ready mobility. Additionally, pallet jacks need to remain in immediate area. Each subcontractor will need to supply their own pallet jacks for their own materials and keep their pallet jack within reasonable distance at all times. All work stations shall be provided with wheeled trash bins for immediate placement of all debris produced as a part of the subcontractor’s operations. 

All trash will be immediately placed in wheeled containers provided by Consigli. All subcontractors shall use rubber wheeled carts when moving material or removing trash from a building. No trash or materials shall be left on the floor.  Subcontractors shall, where feasible, elevate all electrical extension cords, hoses, or cables – removing them from all walking/working surfaces. Electrical Cords,when elevated shall be supported or suspended in a manner that does not subject them to damage.  Storage of delivered materials in cardboard containers shall be discouraged. When materials must stay in cardboard containers, said containers shall be removed from the projects immediately after product is unpacked. 

Subcontractor will participate in schedule development meetings as required by Consigli

Restricted Areas:  Contractors are prohibited from entering adjacent occupied areas unless work has been previously authorized and scheduled. Only designated workers will be allowed into the occupied areas. No exceptions.

Back End of Site Safety Plan

Environmental Emergency Contact and Management Response

Environmental Issues: A hazardous material report has been created for the Insulet project by the company listed below. This report will be on site at all times and available for review at any time.

Cashins & Associates (781)245-1400

599 North Ave. Wakefield, MA  01880

With the building being built in 1981, chances that lead paint or asbestos are present and pose a potential exposure are unlikely. Actual determination will not be made until a Certified Industrial Hygienist has surveyed and tested suspect materials and rules out haz-mat presence.  A copy of the hazardous Material report will be on site at all times and available to anyone request it. This does not mean that asbestos could not still be found in other areas. Caution must be used when working. If workers identify any potentially hazardous substances, they should stop and notify their supervisor immediately, who in turn, will notify the CCC Superintendent. 

IAQ (indoor air quality): This project will occur in an occupied building. During construction, an indoor air quality plan will be implemented. This plan will ensure that adjoining areas have not been contaminated during construction. The air will be tested for typical indicators such as but not limited to temperature, relative humidity, carbon monoxide, carbon dioxide, dust particulates and VOC’s (volatile organic compounds). Monitoring (frequency/duration) will be done in accordance with a written IAQ plan provided by a Certified Industrial Hygienist. Barriers will be set up between any work areas and occupied spaces prior to the start of any work. Negative air machines will also be used to create a negative air flow from the occupied space to ensure that no dust and debris enter an occupied area. If a hard barrier cannot be set up set up due to an unforeseen condition or emergency, a 6-mil poly barrier will then be used. This will only be allowed after approval from CCC Superintendent.

** Please review chapter 29 for additional details **

Mercury:  All fluorescent lamps/thermostats are presumed to contain mercury vapor, which is a hazardous substance. Mercury-containing lamps associated with fluorescent light fixtures in areas designated to be renovated will be treated accordingly. All florescent bulbs removed during renovation will be collected, stored properly on site and giving to Stoughton High School so as to be recycled or disposed of properly.

Freon/Glycol: All Freon/Glycol materials will be removed from equipment and stored per manufacturer’s recommendations before it is disturbed. All workers who will be working with the above mentioned materials must provide CCC with certifications or qualifications. If not re-used, a disposal manifest will be provided to CCC.

Silica: Any activity which can produce silica dust will use engineering controls to keep dust to a minimum.  There will be no dry cutting of any masonry material allowed; if water can not be used then a dustless vacuum system consisting of a HEPA dustless vacuum system shall be used. An exposure assessment shall be required of any worker involved initially in grinding, demoing or cutting masonry so as to establish the silica exposure level. No respirators will be issued without the express consent of the Consigli Safety department.  Nuisance mask like an N95, if used, will be on a voluntary basis and at no time will these types of mask be issued to the workers.

Mold: Mold issues are not anticipated to be prevalent on this project, however if mold is discovered Consigli’s mold remediation policy will be implemented and followed.

Noise: Noise exposure will also be a concern so all deliveries must be coordinated with CCC Superintendent to limit their impact on the surrounding areas. Normal working hours will be between 7am and 3:30pm; any contractor who may need to work late must first seek approval from the CCC Superintendent. Interior work will take place between 7pm -3am. Noise levels will be monitored if high levels of noise are found to exist or could be expected to assure that noise levels do not exceed acceptable OSHA levels.  Consigli permissible noise policy and procedures will be followed

Equipment issues: All operators will be required to have in their possession all appropriate licensing and training as required by OSHA and the State of Mass. All safety devices and warning alarms must be in good working order and all leaks are to be repaired immediately. All equipment will be used in accordance with the manufacturer’s recommendations for safe usage and have its operators manual as well as an extinguisher with it at all times.

Exposure to the Visitors, Staff and Students: During all phases of construction, adjacent areas of the existing building will be open and occupied. Pathways in and out of the job site could potentially be through share corridors. Any means of access/emergency egress leading to or from the building which finds itself under any type of work will be provided with overhead protection. An emergency egress route through the job site will be established and maintained during the course of construction. At no time is any worker allowed to enter any area in which they are not working.  Non-fraternization with staff, visitors or students will be stressed with all subcontractors personnel during orientations. 

Utility Exposures All utilities entering the site will be cut and prior to the start of demolition. There are no overhead power line hazards. Written notification of this work will be provided to CCC prior to commencement of Demolition work. 

Planning:  The project team as well as CCC safety department will meet with each subcontractor, before they start to review their Site Specific Safety and Health Program and all project specific Job Hazard Analyses. The project team shall be an integrated mix of owner, architect, engineer and Consigli Construction personnel. If, after reviewing programs and meeting with the individual subcontractor, the team is satisfied with the risk control direction, they will be permitted to begin work.  

Safety Spot Recognition Plan: The purpose of this plan is to instantly recognize workers “on the spot” for working safely and to reward those workers immediately. This will assist CCC reduce the complacency of workers on all of our projects. Members from the CCC and project teams (Supers, PM, APM, PE, OPM, Architect, Owners, etc..) will be provided with $5 Dunkin Donut gift cards (or similar) prior to their walk on site. They are to present these cards to workers who are working safely and or those taking additional steps to work safely.

After issuing the card, the name and hard hat sticker number of the worker as well as a brief description of what they were doing will be documented in a log that will be maintained in the field office. This shall be completed at a minimum of three times a week. It is required that different field staff take turns in issuing the cards to workers in the field. Also required will be the communication of who is be recognized to other sub-contractors/workers through foreman meetings and daily stand up meetings. At the end of the project the sub-contractor who has had the most workers recognized will receive an appropriate acknowledgment from CCC as well as some type of reward that is to be determined by CCC field staff.

Working Safely with COVID 19

  • Employees experiencing any symptoms (runny nose, headache, cough, sore throat and/or fever) shall stay home and contact your Supervisor. Supervisors should immediately communicate any individuals reporting symptoms to the Consigli Superintendent.
  • Any employee that has had contact with someone that has a presumed positive for COVID-19 or someone awaiting testing COVID-19 should stay home and contact their supervisor. Supervisors should immediately communicate any individuals reporting potential contact to the Consigli Superintendent.
  • Any individuals that have traveled outside of the United States should stay home and contact their supervisor.  Supervisors should immediately communicate individuals reporting foreign travel to the Consigli Superintendent to discuss authorization to work on site. 

** This Screening Protocol will be, maintaining proper 6’ spacing, with everyone on site at the start of every shift. **

The following GUIDELINES need to be followed

  • Consigli Project Team shall communicate with our customer to confirm we are in compliance with all facility work rules.
  • All subcontractor’s Project Managers, Assistant PM’s, Safety Officers, etc. should work remotely. 
  • Any site visits by non-essential personnel should be discussed with the Consigli project team.
  • All meetings will be done via Skype or conference calls. 
  • All vendors and delivery drivers are prohibited from entering the site. When deliveries arrive near the site, contact the Consigli Superintendent for direction. 
  • Avoid cafeterias and high activity areas.
    • When possible eat outside or in isolated area.
    • As much as possible avoid intermingling with other crews or groups
    • Prohibit all food and drink inside the work areas
    • Any lunch rooms within the work areas should be closed
  • Wash or sanitize hands frequently
    • Always before and after any lunch period or break time
  • Maintain social distancing when practical
    • Preferably maintain at least 6’ between yourself and others
    • If working with a partner is required assure proper hygiene practices are followed
  • Disinfect frequently touched objects and surfaces, such as tools, keyboards, light switches and tables at least twice per day. Most household cleaners, such as bleach wipes or alcohol, will kill the virus.
  • Utilize proper etiquette when coughing or sneezing.
  • Discontinue the use of community water, coffee, or food.

Back End of Environmental Emergency Contact and Management Response