Safer Hudson Initiative
Survey of Your Business Safety Practices
Business Name and Address:
Please check all that apply to your business:
___ Regularly sanitizes surfaces
___ Provides sneeze/cough (Plexiglass) shields for staff and customers
___ Requires masks for staff and employees when not eating or drinking
___ Requires and enforces masks for customers while not eating or drinking
___ Has capacity limits
___ Able to meet social distancing guidelines of 6 feet between groups of guests
___ Screens staff for illness prior to beginning of their shift
___ Provides contactless transactions
___ Has inspected ventilation systems and made modifications if deemed necessary to increase
airflow or filter air
Please list or describe any additional safety practices you use relating to COVID-19 that you
would like posted on our city website:
Alternatives for your customers:
Dining:
___Provides outdoor dining options
___Provides takeout
___Provides curbside
___In Person Dining with the above noted safety precautions
Retail:
___ Provides curbside
___ Provides home delivery
___ Provides online orders
___ Provides virtual resources
___ Provides in person
___ Provides by appointment
Other businesses:
___ Encourages virtual meetings
___ Has in-person meetings only with scheduled appointments
___ Has in-person meeting on a drop in basis
