Cleanup Guidelines For Suspected or Confirmed Coronavirus Sites - Updated 3-11-20v2

March 11, 2020
Cleanup of Properties Impacted by Coronavirus

This general guideline provides recommendations on the cleaning and disinfection of rooms or areas
after persons suspected/confirmed to have COVID-19 have been in the facility and are based on
recommendations from the Centers for Disease Control and Prevention (CDC). It is aimed at limiting the
survival of novel coronavirus in key environments. This guide may be superseded by federal, state and
local regulations. You should work with your local and state health officials to ensure any local protocols
and guidelines are followed for cleaning and disinfection.
It is recommended before commencing any work that you contact your general liability and pollution
insurer regarding coverage for workers compensation and emerging pathogen type work.
About Coronavirus
According to the U.S. Centers for Disease Control (CDC), coronaviruses (CoV) are a large family of viruses
that cause illness ranging from the common cold to more severe diseases such as Middle East
Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). A novel
coronavirus (nCoV) is a new strain that has not been previously identified in humans. CDC is responding
to an outbreak of respiratory disease caused by a novel (new) coronavirus that was first detected in
Wuhan City, Hubei Province, China and which has now (as of this publication) been detected in 60
locations internationally, including cases in the United States. The virus has been named “SARS-CoV-2”
and the disease it causes has been named “coronavirus disease 2019” (abbreviated “COVID-19”).i The
CDC has setup a Coronavirus Disease 2019 (COVID-19) Situation Summary page to provide updated
information as it becomes available, in addition to updated guidance.
The CDC has also provided information about how the virus potentially spreads. This is important
knowledge for those creating cleanup plans for individual buildings and facilities. According to the CDC,
their current understanding about how COVID-19 spreads is largely based on what is known about
similar coronaviruses. COVID-19 is a new disease and there is more to learn about how it spreads, the
severity of illness it causes, and to what extent it may spread in the United States. The virus is thought to
spread mainly from person-to-person. This could be between people who are in close contact with one
another (within about 6 feet) or through respiratory droplets produced when an infected person coughs
or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be
inhaled into the lungs. It may be possible that a person can get COVID-19 by touching a surface or object
that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not
thought to be the main way the virus spreads.ii
Inclusions/Exclusions
This cleanup guideline involves a customer that is requesting facility or structure cleaning and
disinfection of rooms or areas after persons suspected/confirmed to have COVID-19 have been in the
facility. For community, non-healthcare facilities (e.g., schools, institutions of higher education, offices,
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daycare centers, businesses, community centers) that do and do not house persons overnight follow the
Centers for Disease Control and Prevention (CDC) Interim Recommendations for US Community Facilities
with Suspected/Confirmed Coronavirus Disease 2019, which is incorporated into this guideline.
This cleanup document serves as minimum guidelines which can and should be superseded by the
presiding governmental agency. Contact your state/local health officials for information and/or
recommended protocols applicable to your specific local.
If you believe the facility and/or situation requires a more specific protocol, you are encouraged to have
the property owner engage an industrial hygienist, with infectious disease mitigation experience to
evaluate the property, the level of contamination present, and prepare a project specific protocol for
cleaning and disinfecting.
Customer Questioning and Information Gathering

Cleanup requests should be properly questioned and evaluated prior to arriving on site. Franchises
should gain enough information from the property owner, owner representative, or tenant to
determine what type of coronavirus situation has taken place in the property.
A potential customer requesting cleaning with no known or suspected SARS-CoV-2 contamination or

exposure within their structure, does not require special reporting.
A potential customer requesting facility or structure cleaning and disinfection involving actual or
potential exposure including [1] a Person Under Investigation (PUI); someone who is involved in a
quarantine situation or has come in contact with someone who has been in a quarantine situation; or [2]
a person with a confirmed case of SARS-CoV-2. This situation requires reporting to the proper
governmental agency.
Franchises are encouraged to ensure that a primary care doctor and public health officials have been
involved, as well as made privy to the results of any COVID-19 testing and number of infected or
potentially infected individuals. Franchise should determine what guidance (if any) has been offered for
cleaning or decontamination of any structure the infected or potentially infected individual may have
occupied.
Cleaning/Sanitizing/Disinfecting
It is important for all parties to understand the different levels of cleaning that may or may not be
possible for each surface. All surfaces can be cleaned, many surfaces can be sanitized, and some
surfaces can be disinfected.
The three main levels of microbe control are:

• General surface cleaning – physically removes visible dirt, organic matter, viruses, fungi, and
bacteria. General surface cleaning is accomplished with water, detergent, and physical scrubbing
of the surface. The guiding principal is to remove microbes if possible, rather than kill them
(with a sanitizer or disinfectant). In addition, thoroughly cleaning a surface can reduce the need
to disinfect because without the nutrients and moisture needed to survive and multiply, most
microbes cannot live on a clean and dry surface for very long. iii
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• Sanitizing – reduces but does not necessarily eliminate all the bacteria on a treated surface.
Sanitizers do not have claims for viruses or fungi. To be a registered sanitizer, the test results for
a product must show a reduction of at least a. 99.9% in the number of each type of bacteria
tested on non-food-contact surfaces. Examples of non-food-contact sanitizers include carpet
sanitizers, air sanitizers, laundry additives, and in-tank toilet bowl sanitizers. iv
• Disinfecting – works by using chemicals to kill germs on surfaces. This process does not
necessarily clean dirty surfaces or remove germs.v Disinfecting destroys or irreversibly
inactivates infectious or other undesirable microbes, but not necessarily the spores of bacteria
and fungi. The number of microbes killed during a disinfecting process will vary, depending on
the specific chemical and how it is used. vi
Cleanup Scope of Work and Planning

The CDC encourages cleaning of high touch surfaces such as counters, tabletops, doorknobs, bathroom
fixtures, toilets, phones, keyboards, tablets, and tables at a minimum.vii These same surfaces are
mentioned in the CDCs guidance for commercial spaces as well. viii Building and spaces greatly differ.
Each location will require individual planning.
Cleaning removes the soil and dirt that harbors the infectious agents, while disinfecting kills the
remaining environmental pathogens.ix Cleaning of visibly dirty surfaces followed by disinfection is a best
practice measure for prevention of COVID-19 and other viral respiratory illnesses in community
settings.x Both cleaning and disinfecting must be a part of your scope of work and plan.
The cleanup scope is dependent on the type of coronavirus situation.
1. High Touch Cleanup: Cleanup of high touch surfaces is required for a situation involving a person
who is suspected to have COVID-19 or a Person Under Investigation (PUI); which is someone who is
involved in a quarantine situation or has come in contact with someone who has been in a
quarantine situation, or has come in contact with someone testing positive. This includes cleaning
and disinfecting of high touch nonporous surfaces and cleaning and sanitizing of high touch porous
surfaces.
2. Enhanced Cleanup: Enhanced cleanup is required for an area in which a person who has been
confirmed positive for COVID-19 has inhabited. This includes cleaning and disinfecting of all
nonporous surfaces and cleaning and sanitizing of all porous surfaces. This enhanced cleaning
includes walls up to 8 feet but excludes ceilings.
A combination of High Touch Cleanup and Enhanced Cleanup may be needed within a structure based
on where the infected individual has directly traveled or occupied.
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Surfaces to consider for cleaning and/or disinfecting based on porosity would include but are not limited
to:
Kitchen/Food Areas Bathrooms Classrooms Offices

• tables and chairs • bathroom stalls • book covers and • chairs
• countertops • countertops binders • telephones
• cabinets and pulls • cabinets/vanities • chairs • computer equipment
• doorknobs and pulls • computer • countertops
• floors-hard • doorknobs equipment • doorknobs
surfaces/wood • floors-hard • countertops • floors- hard
• mats surfaces/wood • doorknobs surfaces/wood
• food contact • handrails • floors- hard • light switches
surfaces • light switches surfaces/wood • shared office
• light switches • paper towel/napkin • small hard surface equipment
• paper towel/napkin dispenser items • tabletops/desktops
dispensers • sink hardware • light switches • water fountains
• push doors • sinks • mats • carpet
• salt and pepper • soap dispensers • carpet • rugs
shakers • toilets • paper
• sink hardware • diaper changing towel/napkin
• soap dispensers station dispensers
• tabletops • sink hardware
• sinks
• soap dispensers
tabletops/desktops
Retail Space Hallways Other

• shelving • diaper-changing • Fitness equipment
• racking pads • Lamps
• displays • diaper-changing • Storage bins
• mannequins tables • Shelves and racking
• packaged inventory • doorknobs • Lockers
• fitting room stalls • floors- hard • Stair handrails
• chairs surfaces/wood • Elevator cars
• telephones • handrails
• computer • light switches
equipment and • playground
registers equipment
• sales counters • water fountains
• doorknobs • carpet
• floors- hard
surfaces/wood
• light switches
• tables
• water fountains
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Some items may need to be pretested to determine if cleaning and disinfecting is possible without
causing damage. Be cautious of valuable pieces of art; some cleaning processes could cause damage to
these items.
A part of the scope of work will include protective measures such as isolation and containment, safety
training, personal protective equipment, and supervision of safe work practices to ensure the health and
safety of occupants and workers.
The scope of work will be created and agreed upon by the customer and the SERVPRO franchise to
ensure a set of agreeable expectations. The customer needs to acknowledge that cleaning and
disinfecting will only apply to the current state of the structure and contents. This should be
documented with the form Request for Cleaning and Disinfection to Limit the Survival of Emerging Viral
Pathogens - including Coronavirus 3-10-2020. The structure would not be protected from future SARS-
CoV-2 contamination if an infected person were to enter and occupy the building.
Worker Safety Training

It is the employer’s responsibility to help ensure employees entering and working in areas contaminated
with biological or infectious matter or in designated areas where contaminated contents are being
handled and decontaminated have received proper training and personal protective equipment (PPE).
Safety training should include hazard communication, proper PPE selection, proper donning and doffing
procedures, proper personal hygiene, and incident reporting.
• Hazard communication: Inform workers of hazards related to the work being performed,
chemicals they will be using, and the importance of PPE usage. This cleanup guideline includes
disinfectants and any general-purpose detergents chosen for soil removal.
• Proper PPE selection: Inform workers that personal protective equipment is required within
the work area. Inform workers that they will be wearing respiratory protection, disposable
coveralls, eye protection, and hand protection. Inform workers that coveralls and gloves are
disposable and should be changed prior to re-entering the work area. Inform workers on the
cleaning and decontamination process required for any reusable PPE.
• Proper donning and doffing procedures - Inform workers that personal protective equipment
must be put on and taken off following a specific procedure. See Appendix A of this document
for a donning and doffing procedure handout.
• Proper personal hygiene – Inform workers that specific hygiene practices must be followed.
See Appendix B of this document for a personal hygiene handout.
• Sign In/Out: Inform workers they will be required to sign in and sign out of the work area. See
Appendix C for an example.
• Incident reporting – Inform workers that any exposure to infectious materials (skin, eye,
mouth, mucous membrane) must be reported to the supervisor immediately. If contact with
blood or Other Potential Infectious Material (OPIM) occurs, skin must be washed with soap
and water or eyes and mucous membranes flushed with water immediately.
Additional, safety training may be required based on federal, state or local regulations.
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Personal Protective Equipment (PPE)
Personal protective equipment (PPE) should be selected and used to maintain worker health and safety.
• Respirators: Due to potential respiratory exposure, at a minimum a N-95 respirator (such as

product #7003 or #DS7082) should be worn by all workers. Tight-fitted respirators may also be
worn including half-mask respirators or full-face respirators; with P100 filters (such as product
#DS7081).xi This includes air-purifying respirators (APR) and powered air-purifying respirators
(PAPR). An APR or PAPR is recommended for Enhanced Cleanup.
• Coveralls: Coveralls with attached hood and boots (such as product #7046) should be worn by all
workers. For added protection, other options such as disposable non-permeable coveralls (such
as product #DS7085) with a separate boot cover (such as product #DS7084) or disposable non-
permeable coveralls with built-in booties may be considered. All coveralls should have a storm
flap over front zipper. Appropriate size is typically coat size or coat size plus one. Recommend XL
and XXL sizes.
• Gloves: Disposable gloves, 4-mil nitrile (such as product #7057) should be used for outer glove
and a 5-mil nitrile long-cuff glove (such as product #7052) for the inner glove. Two different
color gloves, one for inner and one for outer, would allow for tears to be noticeable; this is
recommended but not required.
• Tape: Tape (such as product #DS9879) or another quality duct tape should be used to seal gloves
to coveralls.
• Face Shield or Goggles: If using an N-95 or half-mask respirator, eye protection should include a
face shield or goggles (such as product #7004).
A designated area must be established for donning and doffing PPE outside the work area. All donning
and doffing should take place in this designated area. This area will have to be cleaned, disinfected, and
maintained.
Donning procedures should be established and adhered to throughout the cleaning and disinfecting
process (see Appendix A). Cleanup personnel should don PPE prior to entering the work area and
engaging in cleaning and disinfecting surfaces, and/or manipulating contents. Donning procedures
should be observed by trained personnel.
During the cleaning and disinfecting process, cleanup personnel should keep their PPE on while working
in the space. Cleanup personnel should avoid touching any exposed skin while working to limit dermal
exposure.
Doffing procedures should be established and adhered to throughout the cleaning and disinfecting
process (see Appendix A). When removing PPE and other soiled materials, do not allow the outer
surfaces of PPE and other soiled material to contact bare skin. Doffing procedures should be observed
by trained personnel. Personal hygiene best practices should be observed after exiting the workspace
(see Appendix B).
Additional or alternative personal protective equipment and PPE usage may be required based on
federal, state or local regulations.
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Isolation and Ventilation
Feasible engineering and work practice controls should be utilized to minimize employee exposures to
airborne infectious disease. Examples of engineering controls include airborne infection isolation rooms
(AIIR), exhaust ventilation, air filtration, and air disinfection.xii
It is recommended to close off areas used by the ill persons and wait as long as practical before
beginning cleaning and disinfection to minimize potential for exposure to respiratory droplets.xiii This is
normally accomplished by closing doors or erecting critical barriers with 6 mil polyethylene sheeting to
facilitate source containment. The work area shall be locked when unattended. A Biohazard sign should
be posted at any potential entry point to the work area. See Appendix D for example.
The CDC recommends opening outside doors and windows to increase air circulation in the area. If
possible, wait up to 24 hours before beginning cleaning and disinfection.xiv Based on existing
bioremediation standards, there is value in controlling air flow from affected to unaffected areas. To
control the spread of aerosolized contamination, workers can put the contaminated area under HEPA-
filtered negative air pressure. This air should be exhausted outside the structure when practical.xv It is
recommended to have an air change rate of ≥6 mechanical air changes per hour (ACH).xvi
If utilizing negative pressure, pressure differentials should be monitored to ensure that air is always
flowing from the surrounding area into the work area. Negative pressure can be monitored either
continuously or periodically. Monitoring methods include chemical aerosols (e.g., smoke tube),
differential pressure-sensing devices (e.g., manometer), and physical indicators (e.g., flutter strips).xvii If
using a manometer, it is recommended to achieve a pressure differential of ≥0.01 inch of water
gauge.xviiixix
Additional or alternative isolation and containment may be required based on federal, state or local
regulations.
Clean up Procedures
These procedures focus on the critical role cleaning plays in preventing the transmission of viruses.
Cleanup procedures may vary depending on the environment, but the general guideline includes[1]
disinfectant selection [2] cleaning and sanitizing of porous and non-porous surfaces, [3] disinfecting of
non-porous surfaces, [4] cleaning and disinfecting of equipment, tools, and/or supplies used for cleanup
process, [5] post clean up evaluation, and [6] disposal of waste.
1. Disinfectant Selection
The CDC recommends usage of a disinfectant with the EPA-approved emerging viral pathogens
claim. As of the date of this publication, there are no disinfectants that have been tested
specifically for use against novel coronavirus SARS-CoV-2, the Cause of COVID-19. However,
disinfectant manufacturers are working with the EPA to have the emerging viral pathogen claim
added to existing products which are designed to kill viruses similar to SARS-CoV-2. Disinfectant
information can be found at Disinfectant Options for SARS-CoV-2 Clean-Up.
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2. Cleaning and Sanitizing of Porous and Non-porous Surfaces
The CDC describes cleaning as removing germs, dirt, and impurities from surfaces or objects.
Cleaning works by using a detergent and water to physically remove germs from surfaces. This
process does not necessarily kill germs, but by removing them, it lowers their numbers and the
risk of spreading infection.xx
Some materials cannot be cleaned with detergent and water without being damaged. For this
reason, paper and paper products are not able to be cleaned and/or disinfected. Cleaning
methods typically used on water sensitive materials such as vacuuming or dry sponging would
not be capable of removing enough soil and residue to be effective.
For soft (porous) surfaces such as carpeted floor, rugs, and drapes, remove visible
contamination if present and clean with appropriate cleaners indicated for use on these
surfaces.xxi Surfaces that are not water sensitive, can be wet cleaned using a Hot Water
Extraction or Deluxe Preconditioner and Rinse method. Refer to SERVPRO’s EZ Production
Guidelines for detailed guidelines on how to perform these two textile cleaning methods (page
62 and 66). Upholstered items and carpets can be sanitized with certain disinfectants. Refer to
and follow label directions for specific instruction.
Affected laundry/linen items should be minimally handled. If the items can be laundered,
launder items in accordance with the manufacturer’s instructions using the warmest
appropriate water setting for the items and then dry items completely. Otherwise, use products
with the EPA-approved emerging viral pathogens claims that are suitable for porous surfacesxxii,.
• Do not shake dirty laundry; this minimize the possibility of dispersing virus through the
air.xxiii
• Wash items as appropriate in accordance with the manufacturer’s instructions. If
possible, launder items using the warmest appropriate water setting for the items and
dry items completely. Dirty laundry that has been in contact with an ill person can be
washed with other people’s items.xxiv
• Clean and disinfect hampers or other carts for transporting laundry according to
guidance above for hard or soft surfaces.xxv
Non-porous materials like hard surface floors, cabinets, countertops, doorknobs, and plumbing
fixtures can be wet cleaned using a variety of SERVPRO hard surface cleaners (general purpose
cleaners) and cleaning methods. Refer to SERVPRO’s EZ Production Guidelines for detailed
guidelines on wet cleaning hard surfaces (page 16), wet cleaning finished wood surfaces (page
19), cleaning resilient flooring (page 23), cleaning non-resilient flooring (page 28), and wet
cleaning non-porous wall surfaces (page 14).
All cleaning procedures should be performed in such a manner as to minimize the splashing,
spraying, spattering, falling, aerosolization, cross-contamination, migration, and generation of
infectious material. Avoid cleaning techniques such as pressurized air or water sprays, which
may generate droplets or bioaerosols.
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3. Disinfecting of Non-porous Surfaces
The CDC describes disinfecting as killing germs on surfaces or objects. Disinfecting works by
using chemicals to kill germs on surfaces or objects. This process does not necessarily clean dirty
surfaces or remove germs, but by killing germs on a surface after cleaning, it can further lower
the risk of spreading infection.xxvi
Not all surfaces can be disinfected. Because of the porosity of some materials, disinfection is
not possible. This includes carpet, area rugs, upholstered items, and draperies.
Non-porous materials like hard surface floors, cabinets, countertops, doorknobs, and plumbing
fixtures can be disinfected. Refer to SERVPRO’s EZ Production Guidelines for detailed guidelines
on disinfecting nonporous surfaces (page 46).
The application method should be selected based on surface type, location of surface, amount
of surface area, and manufacturer recommended application method. Disinfectants can be
applied using a saturated towel, spray bottle, pump-up sprayer, electric sprayer, ULV Mister, or
electrostatic sprayer. Refer to manufacturer’s label for appropriate application method and
dwell time. Following label directions for application and maintaining wet contact or dwell time
as indicated by the manufacturer is critical.
Avoid over wetting of electronic items, such as phones and computers to prevent potential
damage.
4. Cleaning and Disinfecting of Equipment, Tools, and/or Supplies Used for Cleanup
Process
Any equipment, tools, and/or supplies used for the cleanup process must be cleaned and
disinfected using the cleaning methods described in step 1 and 2. This is to ensure that
potential contamination is not moved to other parts of the structure.
5. Post Clean Up Evaluation

At the time of this publication, there is no available surface test for the SARS-CoV-2 virus. In lieu
of specific pathogen testing, a luminometer (such as product #685) and test swabs (such as
#70685) can be used to determine the effectiveness of cleaning. There is currently no way to
measure the effectiveness of disinfection of SARS-CoV-2. This is an optional step for added
evaluation of surface cleaning results.
6. Disposal of Waste
SERVPRO® Franchises should follow all applicable federal, state, provincial, and municipal laws
regarding the packaging, transportation, and disposal of medical waste. All disposable PPE (i.e.
gloves, disposable respirators, coveralls), cleaning towels, and other waste should be bagged
and sealed within the work area. For proper disposal refer to Links to Hazardous Waste
Programs and U.S. State Environmental Agencies and contact the local solid waste authority.
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Recommendations for Property Owners
Beyond the cleaning and disinfecting performed by the provider, property owners must understand that
persons infected with the SARS-CoV-2 virus and/or COVID-19 that enter their property will potentially
infect others and deposit the virus on surfaces.
According to the CDC, the virus is thought to spread mainly from person-to-person. This could be
between people who are in close contact with one another (within about 6 feet) or through respiratory
droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths
or noses of people who are nearby or possibly be inhaled into the lungs. It may be possible that a person
can get COVID-19 by touching a surface or object that has the virus on it and then touching their own
mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.xxvii
The CDC has setup a webpage titled Preventing COVID-19 Spread in Communities which addresses
homes, childcare and K-12 schools, colleges and universities, work environments, healthcare settings,
and large community events and mass gatherings.
For business purposes, the CDC recommends routine environmental cleaning. This should include
routinely cleaning all frequently touched surfaces in the workplace, such as workstations, countertops,
and doorknobs; and provide disposable wipes so that commonly used surfaces (for example, doorknobs,
keyboards, remote controls, desks) can be wiped down by employees before each use.xxviii For
structures that utilize an internal or external janitorial crews, it is recommended that they follow proper
cleaning protocols established by the CDC.
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Appendix A. Proper Donning and Doffing Procedures
Donning Personal Protective Equipment (PPE)

1. Prepare two 12” lengths of good quality duct tape or commercial hazmat suit tape, fold over a
1” section on one end of each length of tape, making a tab, and set them aside.
2. Unzip the suit and sit down.
3. You must already be wearing appropriate footwear.
4. Accordion one leg of the suit so that as you set one of your feet into the suit, your boot will slip
directly into the built-in bootie.
5. Do the same for the other leg.
6. Now stand up and pull the suit up.
7. Put your arms into the sleeves of the suit, and work your shoulders into the suit. It is
recommended that another technician assist you with your shoulders, as this may be difficult on
your own.
8. It is optional that you zip up the suit and seal the storm flap at this time. Delaying this step may
keep you cooler until it’s time to enter the work area.
9. Raise and lower your arms and perform a deep-knee bend to ensure the suit allows adequate
room and good range of motion without tearing.
10. Don your first pair of gloves.
a. Push the sleeves of the suit up your arm and extend the cuffs of the glove as far as
possible up your arm.
b. Pull the sleeves of your suit down over the cuffs of the gloves.
11. Using the remaining two tape strips, seal the suit sleeves to the cuffs of the gloves by evenly
applying half the width of the tape over the sleeve and the other half of the width over the cuff.
a. Apply the non-tabbed ends of the tape first. Be sure not to make the tape so tight that it
impedes blood circulation in your hands. This is a process that is best accomplished by
using an assistant.
b. Press the tape down firmly to ensure a good water-tight seal.
12. Don a second pair of gloves over the first pair, but do not tape them. This is so the outer gloves
can be easily changed when damaged or contaminated. Outer gloves are frequently changed
during a work period.
13. Don the respirator and perform a seal-check if required for the type of respirator utilized.
14. If the respirator is not a full-face air-purifying respirator or powered air-purifying respirator, if
using goggles, don googles for added eye and face protection
15. Don your integral hood, making sure that it meets, but does not interfere with, the seal of your
respirator.
16. If using a face shield, don the face shield for added eye and face protection (goggles and face
shield does not have to be worn at the same time).
17. If you have not already done so, zip up the zipper on the suit, making sure to fully zip to the top,
then remove the protective strip over the adhesive side of the storm flap, and press into place.
18. If a gap still exists between the base of the respirator and the top of the storm flap, seal this
area with duct tape.
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Doffing Personal Protective Equipment (PPE)
1. When ready for doffing, a second technician shall examine your PPE for visible Other Potentially
Infectious Material (OPIM).
2. Disinfect your outer gloves.
a. Spray your outer gloves with disinfectant and rub them together like you are washing
your hands. An EPA-registered disinfecting wipe may be used in lieu of a spray
disinfectant.
b. Wipe with a disposable cloth and dispose as regulated waste.
3. Open the storm flap and unzip the suit, taking care not to touch your inner clothing.
4. Remove your outer gloves, leaving your inner gloves on. Be careful to not snap your gloves
during the removal process, which could cause contamination to splatter.
a. To remove the outer set of gloves, take the non-dominate gloved hand and grab the
outside of the other glove around the cuff, grabbing it about 1 inch from the end. Pinch
the glove using a finger and thumb.
b. Pull the glove off of your hand and ball it up in the gloved hand.
c. Now take your dominate hand and slide a finger or thumb under the cuff of the
remaining outer glove.
d. Slide the glove off of your hand, grabbing the underside of the glove as you remove it.
Be careful to not touch the outside (contaminated side) of the glove.
e. As you pull off the glove, allow the glove to turn inside out with the balled up first glove
inside of the second glove. Dispose of both gloves as regulated waste.
5. Remove the tape from the inner gloves. Grab the underlying tape tabs and remove the tape.
Discard the tape as regulated waste.
6. Pinch the outside of the suit at the shoulder and gently pull the suit off of your shoulders. It is
recommended that you are assisted in this.
7. Remove your arms and hands from the sleeves by allowing the sleeves to become inside out as
you pull your hands out. Do not allow your inner gloves to come off during this process.
8. Carefully begin rolling your suit down, being sure to only touch the inside of your suit, but not
your inner clothing with your gloves.
9. When the suit is rolled down to the ankles, carefully step out of the built-in booties. Dispose of
the suit as regulated waste.
10. Disinfect your inner gloves.
a. Spray your gloves with disinfectant and rub them together like you are washing your
hands. An EPA-registered disinfecting wipe may be used in lieu of a spray disinfectant.
11. If you are wearing goggles:
a. It is important that you do not touch the front of the goggles.
b. Tilt your head forward slightly, grab the strap at the temples on each side and pull it
forward and over your head, which will let the goggles fall from your face.
c. Set aside for cleaning and disinfection.
13. If you are wearing an N-95 respirator:
a. It is important that you do not touch the front of the respirator.
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b. First, tilt your head forward. Then, use the thumb and fore finger of both hands to grasp
the bottom strap, pull to the sides, then over your head.
c. Next, use the thumb and fore finger of both hands to grasp the upper strap, pull to the
sides, then over your head. Keep tension on the upper strap as you remove it, which will
let the mask fall forward, away from your face.
d. Dispose as regulated waste.
14. If you are wearing a full-face or half-face air purifying respirator:
a. It is important that you do not touch the front of the respirator.
b. Tilt your head forward and release the tension on the straps.
c. Use the thumb and fore finger of both hands to grasp the bottom strap, pull to the
sides, then over your head which will let the mask fall forward, away from your face.
d. Set aside for cleaning and disinfection.
16. Clean and disinfect your goggles, face shield, and/or respirator, if required.
18. Remove your inner gloves.
a. To remove the inner set of gloves, take the non-dominate gloved hand and grab the
outside of the other glove around the cuff, grabbing it about 1 inch from the end. Pinch
the glove using a finger and thumb, make sure to avoid touching your arm or any other
part of your body.
b. Pull the glove off of your hand and ball it up in the gloved hand.
c. Now take the hand with no glove on and slide a finger or thumb under the cuff of the
remaining glove.
d. Slide the glove off of your hand, grabbing the underside of the glove as you remove it.
Be careful to not touch the outside (contaminated side) of the glove.
e. As you pull off the glove, allow the glove to turn inside out with the balled up first glove
inside of the second glove. Dispose of both gloves as regulated waste.
19. Wash your hands immediately with an antimicrobial soap.
13
Appendix B. Personal Hygiene
1. Avoid touching any exposed skin while in the work area to limit dermal exposure.
2. Do not eat, drink, smoke, apply cosmetics or lip balm, or handle contact lenses within the work
area.
3. If handwashing facilities are available, wash hands and any other skin with soap and water, as
soon as feasible, after doffing PPE. Dry with a single-use towel.
4. If handwashing facilities are not available, use antiseptic cleanser (minimum 70% alcohol) and
single-use towels or antiseptic towelettes. Hands should be washed with soap and running
water as soon as feasible.
5. The OSHA Respiratory Protection standard, paragraph 29 CFR 1910.134(g)(1)(i)(A), states that
respirators shall not be worn when facial hair comes between the sealing surface of the
facepiece and the face or that interferes with valve function. Facial hair is allowed as long as it
does not protrude under the respirator seal or extend far enough to interfere with the device's
valve function. Short mustaches, sideburns, and small goatees that are neatly trimmed so that
no hair compromises the seal of the respirator usually do not present a hazard and, therefore,
do not violate paragraph 1910.134(g)(1)(i).Follow proper PPE donning and doffing
procedures.xxix
14
Appendix C . Worker Sign In/Sign Out Form
Bio-Hazard Remediation Sign In/Sign Out Sheet

The purpose of this form is to provide a standardized method for maintaining an accurate, real time
tracking of entrants to this bio-remediation project.
Company Signature Name (Printed) Date Time Time
In Out
15
Appendix D. Bio Hazard Signage
16
i
https://www.cdc.gov/coronavirus/2019-nCoV/summary.html
ii
https://www.cdc.gov/coronavirus/2019-ncov/about/transmission.html
iii
https://irp-
cdn.multiscreensite.com/22c98fa0/files/uploaded/Cleaning%20for%20Healthier%20Schools%20FINAL%202.4.11.p
df
iv
https://irp-
df
v
https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/cleaning-disinfection.html
vi
https://irp-
df
vii
https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-prevent-
spread.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fguidance-prevent-
spread.html
viii
https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/guidance-business-response.html
ix
https://www.issa.com/infectionprevention
x
xi
https://www.dir.ca.gov/dosh/Use-of-Respirator-Supplies.html
xii
https://www.dir.ca.gov/dosh/Coronavirus-info.html
xiii
xiv
xv
IICRC S540 Standard for Trauma and Crime Scene Cleanup, Sections 11.6.3 and 11.6.5
xvi
https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5417a1.htm
xvii
xviii
xix
https://www.cdc.gov/infectioncontrol/guidelines/environmental/background/air.html
xx
https://www.cdc.gov/flu/school/cleaning.htm
xxi
xxii
xxiii
xxiv
xxv
xxvi
https://www.cdc.gov/flu/school/cleaning.htm
xxvii
https://www.cdc.gov/coronavirus/2019-ncov/about/transmission.html
xxviii
https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/guidance-business-response.html
xxix
https://www.osha.gov/laws-regs/standardinterpretations/2016-05-09
17

Cleanup Guidelines For Suspected or Confirmed Coronavirus Sites - Updated 3-11-20v2

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Cleanup Guidelines For Suspected or Confirmed Coronavirus Sites - Updated 3-11-20v2

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March 11, 2020

Cleanup of Properties Impacted by Coronavirus

Customer Questioning and Information Gathering

A potential customer requesting cleaning with no known or suspected SARS-CoV-2 contamination or

The three main levels of microbe control are:

Cleanup Scope of Work and Planning

The cleanup scope is dependent on the type of coronavirus situation.

Kitchen/Food Areas Bathrooms Classrooms Offices

Retail Space Hallways Other

Worker Safety Training

• Respirators: Due to potential respiratory exposure, at a minimum a N-95 respirator (such as

5. Post Clean Up Evaluation

Donning Personal Protective Equipment (PPE)

Bio-Hazard Remediation Sign In/Sign Out Sheet

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