Moose Lodges

COVID Forms

Signs

Do Not Enter Required Signage PDF
Face Mask Required Signage PDF

Self Cleaning Station PDF PUB
If your Safe, Were Safe PDF

Letter of new process template PDF DOC

Forms

Member Covid Waiver .Doc Form
Member Covid Waiver .PDF Form

Screening Forms
Employees/Volunteer Single Sheet Form PDF
Employees/Volunteer Log Form PDF XLS
Members Screening Questions PDF
3rd Party Supplies Form PDF

Logs
Visitor Sign In/Out Log PDF XLS
Employee Screening Log PDF XLS

Monitoring Charts

Three Compartment Sink Monitoring Chart: Handy chart for checking the sanitizer concentration and water temperature of the third sink from Kalamazoo County: PDF format

Chemical Mechanical Dish Machine Monitoring Chart: From the Michigan Department of Agriculture: PDF format

Hot Water Dish Machine Monitoring Chart: from the Michigan Department of Agriculture: PDF format

Refrigeration Monitoring Chart: from the Michigan Department of Agriculture: PDF format

Cleaning Check List

EPA Cleaning, Sanitizing, and Disinfecting Guidance

ServSafe Coronavirus resources