Response Measures To Covid-19 For The Marine and Offshore Industries OCTOBER 2020
Response Measures To Covid-19 For The Marine and Offshore Industries OCTOBER 2020
Response Measures To Covid-19 For The Marine and Offshore Industries OCTOBER 2020
The impact of the COVID-19 pandemic is being felt across all sectors of shipping and offshore, including
stakeholders’ supply chains. As carriers of 90% of world trade volumes, the fortunes of the commercial
shipping sector and its supply chain are directly tied to those of the global economy.
With all maritime and offshore parties affected by the outbreak of the virus, it is important that industry
works to achieve standards of cleanliness and contamination response to improve health and safety of
personnel while maintaining continuity of operations. This will require that best practices for disease
prevention and mitigation are understood and implemented.
In response to the global outbreak of COVID-19, these Guidance Notes provide best practices for:
These Guidance Notes have been developed based on several independent governmental and commercial
sources and are intended to present a consolidation of the best available information at the time of
publication.
This document may be applied to marine and offshore assets including navy vessels, commercial vessels,
drilling units, production installations, and other offshore units. Certain types of passenger vessels may
have special guidelines beyond the scope of these Guidance Notes. Guidance on shoreside facilities may
be included in the future revisions.
The October 2020 edition addresses the potential for the airborne transmission of COVID-19 and adds the
considerations for disinfectants based on thymol, the application of bleach on limited machinery items, and
the use of full-face respirators for spraying disinfectants. It also adds an alternative method for disinfection
of contaminated spaces.
Due to the nature of this publication and the amount of new information being released, users are advised
to check periodically on the ABS website www.eagle.org to verify that this version of these Guidance
Notes is the most current.
Terms of Use
The information presented herein is intended solely to assist the reader in the methodologies and/or
techniques discussed. These Guidance Notes do not and cannot replace the analysis and/or advice of a
qualified professional. It is the responsibility of the reader to perform their own assessment and obtain
professional advice. Information contained herein is considered to be pertinent at the time of publication
but may be invalidated as a result of subsequent legislations, regulations, standards, methods, and/or more
updated information and the reader assumes full responsibility for compliance. Where there is a conflict
between this document and the applicable ABS Rules and Guides, the latter will govern. This publication
may not be copied or redistributed in part or in whole without prior written consent from ABS.
ABS GUIDANCE NOTES ON RESPONSE MEASURES TO COVID-19 FOR THE MARINE AND OFFSHORE ii
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GUIDANCE NOTES ON
RESPONSE MEASURES TO COVID-19 FOR THE MARINE
AND OFFSHORE INDUSTRIES
CONTENTS
SECTION 1 Introduction.......................................................................................... 6
1 General........................................................................................... 6
2 Scope..............................................................................................6
3 Application...................................................................................... 6
4 Regulatory Compliance.................................................................. 6
4.1 Port Authority..................................................................... 6
4.2 ISM Code...........................................................................7
5 Definitions....................................................................................... 7
6 Abbreviations.................................................................................. 7
SECTION 2 COVID-19.............................................................................................. 9
1 Background.....................................................................................9
2 Symptoms.......................................................................................9
3 Transmission of Disease...............................................................10
4 Impact to Personnel......................................................................10
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1 General......................................................................................... 21
2 Prevention Management Plan...................................................... 21
3 Hand and Respiratory Hygiene.....................................................21
4 Social Distancing.......................................................................... 22
5 Food Handling.............................................................................. 22
6 Cleaning and Disinfection Practices............................................. 22
6.1 Shared Accommodation Areas........................................ 23
6.2 Mess and Main Deck Common Areas............................. 23
6.3 Restroom & Shower.........................................................23
6.4 Galley...............................................................................23
6.5 Bridge.............................................................................. 23
6.6 Machinery Spaces........................................................... 23
6.7 Engine Control Room...................................................... 23
6.8 Open Deck Spaces and Equipment.................................23
6.9 Re-usable Equipment and Tools......................................24
6.10 Laundry............................................................................24
7 Ventilation..................................................................................... 24
8 Embarkation and Disembarkation.................................................24
8.1 Personnel Coming Onboard............................................ 24
8.2 Disembarkation Measures and Crew Rotations.............. 26
9 Crew Baggage and Supply Provisions......................................... 26
9.1 Crew Baggage................................................................. 26
9.2 Supply Provisions............................................................ 26
10 Crew Training................................................................................26
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2.2 Determine Who Should be Involved................................ 34
2.3 Establish Formal Risk Acceptance/Tolerance Criteria..... 34
2.4 Establish Common Risk Terminology.............................. 34
3 Risk Assessment.......................................................................... 34
3.1 Determine the Risk-Related Information Needed to
Answer the Questions......................................................34
3.2 Select the Risk Analysis Method and Tool.......................35
3.3 Establish the Scope for the Analysis............................... 35
3.4 Generate Risk-Based Information Using the Analysis
Method(s) and Tool(s) .....................................................35
4 Alternative Evaluation & Selection................................................36
4.1 Develop Alternate Strategies to Manage Risk................. 36
4.2 Assess the Risk Impact of the Proposed Alternatives..... 36
4.3 Select Risk Management Alternatives............................. 37
5 Implementation and Monitoring.................................................... 37
5.1 Implement the Chosen Mitigation Strategies .................. 37
5.2 Develop Metrics to Measure Effectiveness .....................37
5.3 Monitor the Performance................................................. 37
APPENDIX 3 References..........................................................................................40
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SECTION 1 Introduction
1 General
In response to the outbreak of the virus SARS-CoV-2, and the disease it causes, COVID-19, ABS has
created these Guidance Notes to assist the marine and offshore industry to protect their workforce while
maintaining continuity of operations.
2 Scope
These Guidance Notes provide best practices for:
The measures in this document are intended to help reduce the spread of the virus but will not eliminate the
risk of transmission. They should be used in conjunction with operating practices of each asset.
These Guidance Notes have been developed based on current information provided by several independent
governmental and commercial sources and are intended to be a consolidation of the best available
information at the time of publication.
The policies and procedures vary among government and commercial resources and their “best practices”
may change over time in this very dynamic environment.
This document does not cover medical treatment of COVID-19 patients on board. Personnel in charge of
medical care onboard should rely on the recommendations of recognized medical professionals.
3 Application
These Guidance Notes are applicable to marine and offshore assets including navy vessels, commercial
vessels, drilling units, production installations and other offshore units.
4 Regulatory Compliance
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Section 1 Introduction 1
Cleaning: Removal of visible soil (e.g., organic and inorganic material) from objects and surfaces. It is
usually accomplished manually or mechanically using water with detergents or enzymatic products [3].
Decontamination: The use of physical or chemical means to remove, inactivate, or destroy pathogens on a
surface or item to the point where they are no longer capable of transmitting infectious particles and the
surface or item is rendered safe for handling, use, or disposal [4].
Disinfection: A process that eliminates many or all pathogenic microorganisms, except bacterial spores, on
inanimate objects [3].
Isolation: Separation of sick people with contagious disease from people who are not sick [5].
Microbe: Microscopic bacteria, viruses, fungi, and protozoa that may cause disease.
Quarantine: Separation and restriction of movement of people who were exposed to a contagious disease
to see if they become sick [5].
Sanitation: Effective use of tools and actions that will reduce the occurrence and growth of bacteria,
viruses, and fungi and help maintain hygienic conditions.
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Section 1 Introduction 1
MARPOL The International Convention for the Prevention of Pollution from Ships
MDH Maritime Declaration of Health
MERS Middle East Respiratory Syndrome
MODU Mobile Offshore Drilling Unit
MEPC Marine Environment Protection Committee
PHEIC Public Health Emergency of International Concern
PLF Passenger/Crew Locator Form
PPE Personal Protective Equipment
ppm parts per million
PVC PolyvVinyl Chloride
QAC Quaternary Ammonium Compounds
SARS Severe Acute Respiratory Syndrome
SARS-CoV Severe Acute Respiratory Syndrome Coronavirus
SARS-CoV-2 Severe Acute Respiratory Syndrome Coronavirus - Second
SCC Stress Corrosion Cracking
SDS Safety Data Sheets
SOLAS The International Convention for the Safety of Life at Sea
US EPA United States Environmental Protection Agency
UV Ultraviolet Light
WHO World Health Organization
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SECTION 2 COVID-19
A diagnosis of any of the more common human coronaviruses (229E, NL63, OC43, HKU1) is not the
same as a COVID-19 diagnosis. Patients with COVID-19 should be evaluated and cared for differently
than patients with more common coronavirus diagnoses.
Two other coronaviruses that cause human infection are the Severe Acute Respiratory Syndrome
Coronavirus (SARS-CoV, causing SARS) and the Middle East Respiratory Syndrome Coronavirus
(MERS-CoV, causing MERS).
SARS was first recognized in 2003 with reports of an atypical pneumonia in mainland China. Within about
six months, the outbreak spread to 26 countries; the virus infected more than 8,000 patients and caused 774
deaths. The most recent human SARS cases were in 2004. They were laboratory-acquired infections
reported from China.
MERS was first recognized in Saudi Arabia in 2012. Of the nearly 2,500 reported laboratory-confirmed
cases, 80% have been in Saudi Arabia with the remainder in 26 other countries. About one third of those
infected have died. MERS is not readily spread person-to-person, though outbreaks have occurred in
healthcare settings and other environments with close person-to-person contact. The most recent cases can
be directly or indirectly traced to dromedary camels in the Arabian Peninsula.
The SARS-CoV-2 virus causes COVID-19. The syndrome was first recognized in China through reports of
atypical pneumonia in late 2019. The disease spread rapidly, primarily through person-to-person contact.
By January 30, 2020, WHO declared it a “public health emergency of international concern (PHEIC)”.
The disease had been reported from nearly every country around the world, and is having tremendous
impacts on the entire world, ranging from health to economics.
● fever
● tiredness
● dry cough
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Section 2 COVID-19 2
● Shortness of breath
● Aches and pains
● Sore throat
● In limited cases, diarrhea, nausea, or a runny nose
● Neurologic, such as impaired taste and smell
Some people become infected, but do not show any symptoms (asymptomatic), but may serve as carriers
for the disease, and contribute to the spread of the virus.
The ease with which a virus spreads from person-to-person varies. The virus that causes COVID-19
spreads very easily and sustainably between people. Information from the ongoing COVID-19 pandemic
suggests that this virus spreads more efficiently than common influenza, but not as efficiently as measles,
which is highly contagious.
New research indicates the potential for airborne transmission of the virus that causes COVID-19 via
droplet nuclei [10]. Droplet nuclei are the residue of droplets. They are usually between 1 μm and 5 μm in
size and can remain suspended in the air for a very long time. Droplet nuclei can travel large distances and
can constitute an indirect form of infectious disease transmission.
4 Impact to Personnel
Due to the nature of transmission, and the close quarters maintained by individuals on marine and offshore
assets, it is possible for the virus to spread rapidly. Given the range of symptoms, and severity of the
disease, assets with suspected cases should take immediate measures to limit exposure to the virus.
The virus may potentially spread throughout the personnel onboard, straining onboard medical resources,
impacting the operation of an asset, and affecting the ability of a vessel to enter a port or disembark
personnel. Additionally, personnel onboard experiencing severe symptoms may not be able to receive
adequate medical care in time.
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SECTION 3 Cleaning Products, Disinfectants and PPE
1 General
Cleaning of visibly dirty surfaces followed by disinfection is a best practice measure for the prevention of
COVID-19 and other viral respiratory illnesses [11]. The effectiveness of disinfection is greatly reduced if
it is applied to a visibly dirty surface.
This Section provides best practices for storage, use, and disposal of common cleaning and disinfecting
products, as well as the recommended types and use of PPE for various activities on board an asset.
Cleaning and disinfection frequency is discussed in Sections 4 and 5.
2 Cleaning Products
Detergents, soaps, and other common cleaning products should be used in accordance with manufacturer’s
instructions and regular marine and offshore cleaning procedures. Hard, non-porous, surfaces should be
cleaned using a detergent or soap and water. Soft, porous, surfaces such as carpeted floors, rugs, and drapes
should be cleaned with cleaners designed specifically for use on these surfaces, or with a steam cleaner.
Visible contaminants also should be removed from all electronic items using the appropriate general-
purpose cleaners.
It is important to follow the manufacturer’s recommendations regarding the usage of cleaning solutions,
their concentration, and method of application for each surface to be cleaned. Standard asset procedures for
storing, handling, and disposing of cleaning products should be followed.
The list of Safety Data Sheets (SDS) kept on board any asset for each chemical being carried should be
updated if new cleaning agents are brought on board.
3 Disinfectants
This is a fast-acting disinfectant that does not leave a toxic residue and is unaffected by water
hardness.
ii) Alcohol
Isopropyl alcohol (also known as isopropanol, 2-propanol) and ethyl alcohol (also known as
ethanol or drinking alcohol) are frequently used in rubbing alcohol, hand sanitizers, and
disinfection pads and wipes.
iii) Quaternary Ammonium Compounds (QAC)
Quaternary ammonium compounds are often found in disinfectants. Their effectiveness depends
on other chemical compounds in the disinfectant.
iv) Hydrogen Peroxide
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Section 3 Cleaning Products, Disinfectants and PPE 3
Commercially available hydrogen peroxide (3% ~ 6%) is a stable and effective disinfectant when
used on surfaces.
v) Thymol
Thymol is the main component of the essential oils isolated from the herb thyme and other plants.
Commercial applications of these essential oils include food additives and preservatives, natural
insect repellants, aromatherapy oils, cosmetic products, and disinfectants. Ready-to-use
disinfectant products usually have thymol concentrations between 0.05% and 0.23%. At such low
concentrations, thymol is generally considered to be noncorrosive, nonflammable, non-irritant,
and to have low toxicity.
Two other disinfectants are being increasingly used to disinfect medical facilities, laboratories, schools,
etc. Their performance has not been independently verified by ABS.
Hypochlorous acid is very effective against bacteria, fungi, and viruses. In concentrations used for
disinfection, e.g. 50 ppm, it does not irritate skin and is very mild to mucous membranes. It is
often used for sanitizing food and contact surfaces.
® ®
ii) Accelerated Hydrogen Peroxide (AHP )
®
AHP contains hydrogen peroxide that has been accelerated to increase its germicidal potential.
®
Note: AHP is the registered trademark of Virox Technologies Inc.
Other chemical compounds may be considered as disinfectants if their effectiveness against the virus that
causes COVID-19 has been confirmed by national or international health authorities e.g. United States
Environmental Protection Agency (US EPA) [12] and European Chemicals Agency (ECHA) [13]).
When evaluating a disinfectant that is not listed above, the following characteristics may be considered:
i) Fast acting and effective against the virus that causes COVID-19
ii) Compatible with soaps, detergents, and other cleaning chemicals
iii) Nontoxic
iv) Should not corrode instruments and metallic surfaces and should not cause the deterioration of
cloth, rubber, plastics, and other materials
v) Easy to use with clear instructions on the label
vi) Stable in concentrate and after being diluted
vii) Not harmful to the environment when disposed of
The list of SDS kept on board any asset for each chemical being carried should be updated if new
disinfectant agents are brought on board.
i) Diluted bleach solutions should be used with at least 1000 ppm sodium hypochlorite (e.g. five
tablespoons of bleach per one gallon of water)
ii) Spray-on disinfectant or sanitizers should contain a minimum of one of the following: 0.5%
sodium hypochlorite, or 70% isopropyl or ethyl alcohol, or 0.5% hydrogen peroxide
iii) Hand sanitizers should contain a minimum of 70% alcohol (isopropyl or ethyl)
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Section 3 Cleaning Products, Disinfectants and PPE 3
Bleach at the concentrations recommended for cleaning has generally a low incidence of serious toxicity
according to the CDC. However, contact with the eyes can be serious even at relatively low concentration.
In high concentration (e.g. from the original container) bleach can irritate mucous membranes, the skin,
and the airway, and is especially toxic if splashed into the eyes.
Isopropyl and ethyl alcohol can cause skin itching, redness, rash, drying, and cracking under repeated
exposure. Skin exposure to quaternary ammonium compounds can lead to skin rashes and inhaling can
irritate the lungs.
At higher concentrations, thymol can cause severe irritations of the skin and the respiratory system.
All of these chemicals can cause serious eye irritation and damage. Therefore, the manufacturer’s guidance
for wearing personal protective equipment (PPE) while working with disinfectants should be followed. If
such guidance is not available, reference should be made to Section 3/4.
Manufacturer's instructions for preparation of any disinfectant should be followed, especially the
recommended concentration levels. These levels should not be exceeded, as adverse effects on human
health, surfaces (corrosion, bleaching, hardening, swelling, etc.) and the environment may occur. The
manufacturer’s recommended concentration levels should also satisfy the recommendations from 3/3.2,
otherwise a different disinfectant should be used.
Disinfectants should be used within their shelf lives for maximum effectiveness against the virus that
causes COVID-19.
Different disinfectant products should never be mixed as this can produce hazardous vapors and oxidizing
reactions (i.e., bleach and ammonia). Also, disinfectants should never be mixed with other cleaning agents.
Bleach should be diluted with cold water as hot water reduces its effectiveness. Once diluted, bleach
solutions should be stored in closed containers, and used within 24 hours.
Alcohol wipes should be transported within a container with a closed lid to prevent evaporation and
combustion.
The long-term effects of daily usage of disinfectants on various substrates remain largely unknown and
constant monitoring of surface degradation is recommended. Appendix 2, Tables 1 and 2 contain the
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Section 3 Cleaning Products, Disinfectants and PPE 3
degradation risk of various metallic and non-metallic substrates on marine and offshore assets when in
contact with common disinfectant chemicals.
The subsection below contains general precautionary measures that should be employed when applying
disinfectants to various surfaces.
Chlorine causes stress corrosion cracking. The use of bleach solutions or hypochlorite wipes
should be avoided on any bare metals to avoid stress corrosion cracking.
Disinfectants based on QAC should not be used on copper bearing alloys (piping, components,
fasteners) to avoid stress corrosion cracking.
Alcohol based disinfectants are recommended on bare metal surfaces. Use of flammable
disinfectants should be avoided in hot-work areas.
Using bleach solutions or hypochlorite wipes should be avoided on sensitive machinery casings
but may be used judiciously on limited items such as control panel switches and valve
handwheels. Surfaces treated with the hypochlorite products should be rinsed with fresh water
using a damp rag or cloth.
Alcohol-based disinfectants are recommended for machinery and other sensitive equipment. It is
important not to oversaturate the equipment with the disinfectant and to prevent the pooling of
liquids.
Alcohol-based disinfectants should not be applied to machinery components that are hot to touch
or energized.
Alcohols may damage the shellac mountings of lensed instruments; they tend to swell and harden
rubber and some plastic tubings after prolonged and repeated use. They can also bleach rubber and
plastic tiles.
3.4.1(c) Coatings
In general, alcohol-base disinfectants can soften coatings. The bases for coating are variable, and
there are numerous types of fillers that perform a specific function. The paint bases for
accommodation and deck areas are usually:
● Epoxy
● Alkyd
● Acrylic
● Polyurethane
3.4.1(d) Cables
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Section 3 Cleaning Products, Disinfectants and PPE 3
To clean and disinfect exposed cables, use general purpose cleaning liquids and disinfecting
liquids that are free of bleach, alcohol, and ammonia.
3.4.1(e) Electronics
To clean or disinfect any enclosure for electrical equipment, the equipment should first be
disconnected from its electrical power sources. If this is not possible, a qualified operator or
technician of the specific equipment should be present to prevent cleaning liquids from getting
inside the equipment or onto sensitive electronics. Also, since alcohol-based disinfectants are
flammable, the risk of combustion is greater if electronic equipment is connected or hot to touch.
All electrical equipment installed on vessels should have a minimum IP (Ingress Protection) rating
according to the location where the equipment is installed. See 4-8-3/Tables 1A, Table 1B, and
Table 2 of ABS Rules for Building and Classing Marine Vessel. For example, electrical equipment
installed in a dry accommodation space should, at minimum, to be rated IP 20. Electrical
equipment in machinery spaces should be rated IP 22, IP 44, or IP 55. Equipment installed in
exterior locations should have a minimum rating of IP 55 or IP 56.
The first numeric digit in the IP rating represents the degree of protection against solid objects,
such as dirt and dust. The second numeric digit in the IP rating represents the degree of protection
against water.
Cleaners and disinfectants may be sprayed on equipment that has an IP rating of at least IP x5.
In general, cleaners and disinfectants should not be poured or sprayed directly onto any electrical
equipment. It is recommended to dampen a lint free cloth with the cleaner or disinfectant, and then
wipe the equipment with the cloth. Liquid contact with pushbutton switches should be avoided to
reduce the risk of intrusion to internal electrical connections.
It is recommended to use general purpose cleaners on electrical and electronic equipment. Bleach,
ammonia, compressed air, or hydrogen peroxide should not be used. For disinfection, isopropyl
alcohol-based disinfectants are recommended. Ethanol disinfectants may also be considered as
effective alternatives.
Keyboard should be unplugged before cleaning and disinfecting. Linen-free cloth dipped in
isopropyl alcohol should be used. Top and sides of each key should be rubbed before proceeding
to other keyboard surfaces, including its bottom. The mouse should be disinfected using a new
disinfectant wipe or cloth.
Cleaners with bleach or ammonia should not be used for coated glass or screens to avoid damage.
Isopropyl or ethanol alcohol products are typically available in a range of concentrations. If no
manufacturer guidance is available, alcohol-based wipes or spray containing at least 70% alcohol
should be used to disinfect touch screens [11].
When using alcohol-based products, one should be cognizant of the risk of combustion if the
product is exposed to a spark, static electricity “shock” (especially in extremely dry
environments), or electric current.
3.4.1(f) Fabrics
Bleach should not be used on fabrics. QAC and hydrogen peroxide are recommended for
disinfecting fabrics (carpets, drapes, furniture, etc.). Alcohol may also be considered.
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Section 3 Cleaning Products, Disinfectants and PPE 3
TABLE 1
Usage of Disinfectants on Common Surfaces (1 October 2020)
Hydrogen
Surfaces Bleach Alcohol QAC Thymol
Peroxide
Floors in accommodation spaces
Structure and bare metal surfaces
Machinery and sensitive
equipment
Cables
Electronics
Fabrics
Notes:
Should be considered
May be considered
Should not be considered
3.5.1 Mopping
Floors and other horizontal surfaces can be mopped using a damp cloth that has been soaked in a
disinfectant and wrenched. A steady mopping motion should be used to prevent liquid splashing
which may aerosolize the virus.
3.5.2 Wiping
Walls, other vertical surfaces, doors, windows, furniture, armrests, tabletops, switches, electronic
equipment and components, light fixtures, thermostats, lavatory surfaces, galley work area,
various equipment, handrails, handles, knobs, tools and some re-usable PPE, etc. can be wiped
down using a damp cloth that has been soaked in a disinfectant and wrenched, or using
disinfectant wipes.
3.5.3 Spraying
Sprayers that offer a wide-dispersion mist can be used to dispense disinfectant on a treated
surface. Delivering a stream of disinfectant should be avoided. Light mist spraying is
recommended to mitigate the risk of virus re-aerosolizing from the surface.
All types of hard non-porous and soft porous surfaces can be treated with spraying, except for the
surfaces in machinery, propulsion spaces and those covering electrical equipment, components,
and outlets.
One coating of mist is sufficient. In general, the surfaces should not be wiped afterwards.
However, if pools of disinfectant occur, the excess should be wiped off.
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Section 3 Cleaning Products, Disinfectants and PPE 3
3.5.4(a) Fogging
Foggers are used to uniformly dispense nonflammable and noncombustible disinfectants in the
form of dry mist to all the surfaces in a room. Optimal coverage is usually achieved by setting the
particulate size to 10-20 microns.
Fogging is useful for disinfecting soft surfaces and hard to reach places. Considerations should be
given to the size and type of space being fogged. All occupants should leave the room or any area
being disinfected. All air ducts and gaps around room openings should be sealed off. The effect of
fogging techniques on electronic equipment has yet to be sufficiently studied. Therefore, if
foggers are to be used, electronic equipment should be sealed off.
Only products approved for fogging should be used, in conjunction with the appropriate
equipment and PPE.
3.5.4(b) Steaming
Steam-cleaning machines may aid in the disinfection process. Handheld steam cleaners may be
used for upholstered items such as chairs, couches etc. For larger areas, such as rugs and carpets,
larger steamer units may be used. Because there are uncertainties related to the temperature of the
steam, the relative humidity at the surface, contact time with pathogens, distance between the
surface and the steam outlet, skill of the cleaning crew, etc., this processes’ ability to kill
pathogens can vary significantly. Therefore, steaming on its own should not be considered as an
alternative for using chemical disinfectants.
UVC light systems are sometimes incorporated with air and water-filtration systems for
sanitization purposes on marine and offshore assets. UVC lights also can be placed near the coils
and drain pans of heating, ventilation and air-conditioning (HVAC) systems to keep
microorganisms from increasing in these damp areas.
UVC light products (wands, tunnels) are also available and used for sanitizing work surfaces and
small devices, such as phones, small appliances, luggage and packages.
However, there is presently insufficient information on the proper usage of UVC light and its
efficacy in eliminating harmful bacteria, viruses and molds. UVC light should not be considered
as an alternative to using chemical disinfectants.
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Section 3 Cleaning Products, Disinfectants and PPE 3
Oxidizing disinfectants such as bleach (calcium hypochlorite, sodium hypochlorite) and hydrogen peroxide
and flammable disinfectants containing alcohol never should be stored in the same compartment.
Secondary containers used to store diluted disinfectant solutions should be properly labeled with the
product name, the manufacturer's name, stock number (if applicable), date of preparation, and the nature of
the hazard (e.g., flammable, corrosive, toxic, irritant, etc.).
When not in use, the disinfectants should be sealed to prevent the release of vapors and the evaporation of
active ingredients.
The supply of cleaning and disinfecting products may exceed the capacity of designated lockers. In that
case, spaces designated as service spaces per SOLAS/IMO MODU Code, may be used to store cleaning
products and disinfectants. Any area that is used to store cleaning products and disinfectants should be
well-ventilated, cool, and shaded. Other products should not be stored in the same space. Special
consideration should be paid to storing alcohol, which is flammable.
For assets not equipped with a sewage treatment plant (i.e. fitted with a sewage comminuting and
disinfecting system or with a holding tank), discharge of sewage should meet MARPOL Annex IV
provisions subject to any recommendations/instructions that might be issued by local Authorities or the
WHO.
Disinfectant wipes should not be flushed down the sewage system and should be disposed of similar to
other infectious waste (see 5/4.3.3).
The following table contains general guidance for usage of PPE for different activities onboard an asset. In
addition, during cleaning and disinfecting, PPE guidance from the cleaning and disinfection product
manufacturers should be followed.
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Section 3 Cleaning Products, Disinfectants and PPE 3
TABLE 2
Usage Guidance for PPE(1) (1 October 2020)
Goggles or
PPE Disposable Respirator Disposable Disposable
ACTIVITY Face Apron
Level Masks Masks Gloves Gown
Shield
Gangway watch
Notes:
1 Depending upon the circumstances, identified PPE in this table may not be available for all personnel involved, it is
important to continually identify risks and make adjustments accordingly.
2 Disposable mask is recommended when there is an occurrence of COVID-19 on board.
3 Respirator mask is recommended.
4 Specific PPE would vary with type of interaction.
5 Goggles may be required based on the cleaning and disinfectant products being used and whether there is a risk of splash
[11].
6 Chemical resistant boots are recommended.
7 Chemical resistant gloves are recommended.
8 When respirators are not available, use the best available alternative, like a disposable mask [16].
9 For spraying disinfectants, the use of a full-face respirator mask with organic vapor and P100 combination filters, or
equivalent, is recommended. In this case, goggles or face shield are not necessary.
Individuals should be provided proper training for the application and removal of PPE. This should also
include the proper maintenance and how to inspect the PPE for any issues or removal from service. The
training should be provided in person, for verification of proper understanding.
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Section 3 Cleaning Products, Disinfectants and PPE 3
As the service life and replacement recommendations will differ depending on the PPE manufacturer,
reference should be made to equipment instruction manual.
Some individuals may have compromised health conditions and it may affect their ability to use face
masks. This should be taken into consideration when issuing guidance. Crew members should be assessed
for issues using a face masks during employment physicals, if and when possible.
Biohazard disposal stations should be available throughout the asset for the disposal of any contaminated
PPE.
The WHO advises the following regarding the use of disposable and respirator masks [17]:
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SECTION 4 Measures to Mitigate Exposure
1 General
Early detection, prevention, and control of COVID-19 is important to protect the health of other personnel
and avoid transmission of the virus. This section addresses how to prevent the marine and offshore assets
from getting contaminated during the global COVID-19 pandemic.
The prevention-management plan should include the descriptions of the following, if applicable:
● All crew, passengers and visitors should frequently wash their hands using soap and hot water or
alcohol-based (at least 70%) hand rub for 20 seconds
● Touching the face, including the mouth, nose and eyes, with unwashed hands should be avoided; in
general, physical contact with the mouth, nose and eyes should be minimized.
● All crew, passengers and visitors should cover their nose and mouth with a disposable tissue when
sneezing, coughing, wiping and blowing their noses. The tissue should be immediately disposed of
into a no-touch waste bin with a lid. If a tissue is not available, a bent elbow can be used to cover the
nose and mouth while coughing and sneezing
● Signs and posters displaying proper hand and respiratory hygiene should be placed in highly trafficked
areas
● Highly trafficked areas should be equipped with hand-sanitization stations, wherever possible. A
supply of hand sanitizer should be maintained within all areas that are normally manned. The touch
points on the hand-sanitizer dispensers should be cleaned regularly
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Section 4 Measures to Mitigate Exposure 4
4 Social Distancing
Maintaining social distance of at least 2 m (6 feet) is very important in preventing the spread of virus that
causes COVID-19 [20]. All crew, passengers, and visitors should practice social distancing. Special
attention should be paid to keeping a social distance from people who may be coughing, sneezing, or may
have a fever. Persons at high risk for serious disease (older persons and those with existing medical
conditions such as diabetes or heart disease) should take extra precautions to avoid infection as they are
more susceptible to severe disease.
● Unnecessary access to areas, especially those of vital importance to the asset (e.g. bridge, engine
control rooms, etc.) should be restricted
● Crew should be divided into smaller groups based on their workspaces, duties and shifts. Staggering
shifts should be considered. Group activities should be eliminated or minimized
● Use remote communication technology as much as possible
● Limit social contacts among highly specialized and mission critical personnel
● Organize meal schedules to allow only a limited number of people to occupy the galley and dining
mess at any given time. Consider removing chairs from dining areas to prevent overcrowding
● Eliminate self-serve dining
Consider sealing off public bathrooms, showers, fitness rooms and other non-essential areas.
5 Food Handling
Personnel handling, preparing, and serving food should wash their hands with soap and water or hand
sanitizer upon each entry into the galley. Level 1 PPE should be worn by all personnel handling, preparing,
and serving food in accordance with Section 3, Table 2. Disposable masks should be worn while entering
the walk-in refrigerators.
The use of disposable paper towels for drying surfaces and hands should be promoted in the galley.
Accessible disposal containers should be available and emptied as needed.
Consider replacing community plates, cups and utensils with individually wrapped or disposable plates,
cups, and utensils. Communal condiments should be packaged individually.
Cleaning of visibly dirty surfaces followed by disinfection is a best practice measure for the prevention of
COVID-19 and other viral respiratory illnesses.
At least daily, disinfection should be performed on all frequently touched surfaces after visible dirt has
been removed from them. Very highly trafficked areas may require more frequent disinfection. Reusable
equipment and tools should be cleaned and disinfected at the end of each use. Information on disinfectant
selection, preparation, handling, application, storage, and disposal can be found in 3/3.
The preferred way to apply cleaning and disinfectant solutions is by mopping or wiping as described in
3/3.5.1 and 3/3.5.2, respectively.
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Section 4 Measures to Mitigate Exposure 4
During cleaning and disinfection, Level 3 PPE should be worn in accordance with Section 3, Table 2. The
PPE selection should also be in accordance with the manufacturer’s recommendations for the disinfection
product being used.
The following subsections present recommended cleaning and disinfection practices for typical spaces
found on marine or offshore assets. Cleaning and disinfection measure for other spaces not listed below
should be considered on a case-by-case basis.
Soap dispensers should be checked daily and refilled as necessary. Toilets and urinals should be sprayed
daily with disinfectant, scrubbed with a brush and flushed. Care should be taken not to aerosolize or splash
while brushing.
6.4 Galley
Focus on sinks and their drains, faucets and their filters, counter tops, cutting boards, doors and their
handles, drawer/cabinet handles, refrigerator door handles, galley appliances, stove overhead vent and drip
pans, garbage bins and switches.
6.5 Bridge
Focus on control panels and consoles, helm, electronics, navigation equipment, displays (especially touch-
sensitive), control sticks, computer peripherals, telephones, radios, binoculars and other visual-
augmentation systems, reusable PPE, office material, sign-in binders, tabletops, desks, chart tables,
armrests, handles, doors, windows, garbage bins and switches.
Special attention should be paid to areas that may have been accessed by shore personnel.
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Section 4 Measures to Mitigate Exposure 4
Equipment used during drills should be cleaned and disinfected after use.
Tools used by the crew, including small electrical appliances, should be cleaned and disinfected.
6.10 Laundry
Focus on washing machine consoles and doors, floors and horizontal working surfaces, garbage bins and
switches.
Precautions should be taken not to shake laundry items such as linen and cloths, as this could re-aerosolize
the virus. The manufacturer’s instructions should be followed when washing laundry items, using the
hottest appropriate water setting. Laundry should be dried thoroughly using the highest appropriate drier
setting.
Hampers and other carts used to transport laundry should be cleaned and disinfected in accordance with
the guidance for cleaning and disinfecting hard and soft surfaces in Section 3.
Pre-boarding screening is to identify contact with any probable/confirmed COVID-19 case or any
person displaying the common symptoms of COVID-19. These persons should not be allowed to
board the asset.
According to the WHO, a ‘contact’ is defined as a person who experienced any one of the
following exposures during the 2 days before and the 14 days after the onset of symptoms of a
probable or confirmed COVID-19 case [22]:
● Face-to-face contact with a probable or confirmed case within one meter and for more than
15 minutes;
● Direct physical contact with a probable or confirmed case;
● Direct care for a patient with probable or confirmed COVID-19 disease without using proper
personal protective equipment; or
● Other situations as indicated by local risk assessments.
Note: For confirmed asymptomatic cases, the period of contact is measured as the 2 days before through the
14 days after the date on which the sample was taken which led to confirmation.
Access points to the assets (gangways, heliports, shorebases) should be limited and controlled.
Pre-boarding screening should be performed at all access points. No crew member should come
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Section 4 Measures to Mitigate Exposure 4
into direct contact with shore gangways and ladders. Gangway watch should wear appropriate
Level 1 PPE in accordance with Section 3, Table 2.
They board the asset while it is in port, shipyard, drydock, or while passing through canals and
gates. All shore personnel coming on board the vessel should wear appropriate Level 1 PPE in
accordance with Section 3, Table 2.
Special attention should be paid to restricting the access of shore personnel to vital areas of the
asset, such as the bridge or the engine control room. Whenever possible, it is recommended to use
email for exchanging documents between the crew and the shore personnel. Remote
communication techniques (phone, VHF, e-mail) between the crew and shore personnel while
performing cargo operations should be promoted.
Shore personnel should not bring food on board, nor use the common dining mess. The asset
manager should designate separate restrooms for shore personnel. These restrooms should be
cleaned and disinfected before the shore personnel embark the asset and after they disembark, in
accordance with 4/6.
All crew members interacting with shore personnel should wear Level 1 PPE in accordance with
Section 3, Table 2.
8.1.2(b) Pilots
Pilots coming on board the asset should be pre-screened for common COVID-19 symptoms. All
frequently touched surfaces on the bridge and on the way to the bridge, pilot designated restroom,
as well as any equipment used by the pilots, should be cleaned and disinfected before embarkation
and after the pilots disembarks the asset in accordance with 4/6. While the pilot is on board the
asset, periodic disinfection of these surfaces and equipment is also recommended.
Only essential personnel should be allowed on the navigational bridge while the pilot is on board.
Social distancing between the crew and the pilot should be practiced at all times. All crew
members and the pilot should wash their hands with hand sanitizer before entering the bridge. The
pilot should not bring any food on board the vessel.
Multiple pilot ladders should be available on board to avoid using the same ladder by pilots and
the existing crew.
All crew members interacting with the pilot should wear Level 1 PPE in accordance with Section
3, Table 2.
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Section 4 Measures to Mitigate Exposure 4
Any crew member should report to the asset management office, if he or she has been diagnosed with
COVID-19 or exhibits symptoms within 14 days of disembarkation. Also, the management of the asset
should inform all potentially exposed crew members if there has been a confirmed or suspected case
onboard the asset within 14 days of disembarkation.
During crew rotations, special attention should be placed on social distancing between the on-signing and
off-signing crew members.
All provisions and supplies should be ordered from licensed suppliers. It is recommended to avoid
ordering the supplies from high-risk ports.
Appropriate Level 1 PPE should be worn when bringing supplies on board in accordance with
recommendation in Section 3, Table 2. The supplies may be cleaned and wiped with disinfectant when
received on board. Any direct contact of food with cleaning agents and disinfectants should be avoided.
Packing material and dunnage should be returned to the supplier or put in closed garbage bags and
disposed of onshore, if permitted by the port authority.
It is recommended that incoming supplies should be over wrapped in plastic where possible and stowed
onboard for 3 days where possible.
10 Crew Training
All crew on marine and offshore assets should be trained to recognize the common symptoms of
COVID-19 and follow the basic procedures for handling any suspected COVID-19 cases. This includes
proper isolation measures, contact tracing and quarantine procedures. The crew should be trained to keep
social distance and use PPE as appropriate for each activity on board the vessel.
Managers of marine and offshore assets should emphasize the importance of cleaning and disinfecting their
assets and provide special training to their cleaning crews. In particular, the cleaning crews should be
familiar with:
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Section 4 Measures to Mitigate Exposure 4
Health care staff on board assets should be continuously informed and updated on any new information
and guidance regarding viral transmission, diagnosing and treating of COVID-19 patients, and any new
disinfectants being brought on board in case there are additional medical considerations.
All staff on board should have knowledge of the Prevention Management Plan (see 4/2), understand their
responsibilities under the plan, and implement it as required.
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SECTION 5 Exposure Response Measures
1 General
This section outlines the basic steps that an asset operator should take when there is a suspected case of
COVID-19 disease on board with a focus on decontamination of the asset. This section is not meant to
provide medical advice. The medical management of the patient should rely on best practices provided by
recognized medical professionals.
If a suspected case emerges on board the asset, the Outbreak Management Plan should be activated
immediately.
Those areas which were accessed by the suspected case should be thoroughly cleaned and disinfected.
Other personnel should be restricted from entering those areas until the decontamination activities are
complete. The extent of cleaning and disinfection should be determined on a case-by-case basis.
Once the infected personnel are disembarked and the asset is decontaminated, the exposure mitigation
measures featured in Section 4 can be resumed.
All staff on board should have knowledge of the Outbreak Management Plan and an understanding of their
related responsibilities; they should be able to implement it as required.
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Section 5 Exposure Response Measures 5
3 Prior to Decontamination
● A patient with acute respiratory illness (fever and at least one sign/symptom of respiratory
disease e.g. cough, shortness of breath), and with no other set of causes that fully explains the
clinical presentation and a history of travel to or residence in a country/ area or territory
reporting local transmission of (COVID-19) during the 14 days prior to the onset of the
symptoms.
● A patient with any acute respiratory illness and having been in contact with a confirmed or
suspected COVID-19 case during the 14 days prior to the onset of the symptoms.
● A patient with severe acute respiratory infection (fever and at least one sign/symptom of
respiratory disease e.g. cough, shortness of breath) and requiring hospitalization and with no
other set of causes that fully explain the symptoms.
In the context of these Guidance Notes, the term “suspected case” also includes confirmed case as
defined in 5/3.1.2 below.
In general, the suspected case should be immediately isolated in a predefined isolation ward,
cabin, room or quarters with a separate toilet and bathing facilities. Consideration should be given
to the HVAC arrangement onboard the asset to avoid airborne contamination.
The access to the isolation space should be restricted only to the personnel needed to support the
suspected case. All persons entering the isolation area should be appropriately trained and wear
Level 4 PPE as listed in Section 3, Table 2.
Isolation protocols should cover the management of the isolated suspected case.
In the context of a suspected case on board an asset, a close contact could be considered as an individual
without PPE who, for example [21]:
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Section 5 Exposure Response Measures 5
All close contacts should be quarantined for 14 days from the last time they were exposed to the suspected
case. If no symptoms appear within 14 days of their last exposure, they will no longer be considered as
close contacts [21].
Personnel entering the quarantined spaces should take the same precautions as entering the isolated spaces.
Disembarkation protocols and procedures, as stated in the Outbreak Management Plan should be followed.
During the disembarkation of suspected cases, every effort should be made to minimize the exposure of
other persons and environmental contamination. Suspected cases should wear Level 1 PPE and personnel
involved in transporting suspected cases should wear Level 4 PPE as listed in Section 3, Table 2.
Quarantine spaces should be cleaned and disinfected at least daily, until the end of the quarantine period.
Other areas that suspected cases might have contaminated prior to their isolation should be thoroughly
cleaned and disinfected. Until decontamination of those areas is performed, other personnel should be
restricted from entering those areas.
● Wear appropriate Level 3 PPE (see Section 3, Table 2) while cleaning and disinfecting
● Clean all visibly dirty surfaces prior to disinfection
● Follow disposal instructions.
Reference should be made to Section 3 for the selection of suitable cleaning agents, disinfectants and
PPEs.
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Section 5 Exposure Response Measures 5
i) Remove all visible biological contamination, e.g. blood, respiratory secretions, or other
body fluids when first noticed. Clean and disinfect the site
ii) Clean and disinfect frequently touched surfaces in the room at least daily. Focus on
bedside tables, bedframes, desks, other bedroom furniture, doors, doorknobs, handles,
remote controls, light fixtures and switches
iii) Clean and disinfect bathroom and toilet surfaces at least daily
iv) Change towels and bed linens as needed. Place laundry items into designated laundry
bags. Precautions should be taken not to shake laundry items as this could re-aerosolize
the virus
4.1.2 Disinfection After Disembarkation of Suspected Cases
After the suspected cases have disembarked, the isolation spaces should be cleaned and
disinfected thoroughly.
i) Remove linen, curtains, and other washable fabrics. Do not shake any fabric type
materials. Any fabric materials that are removed should be laundered prior to being
reinstalled
ii) Wipe all accessible surfaces including walls, windows, and blinds that may have been
contaminated in the space with disinfectant
iii) Mop the floor with disinfectant. Carpeted floor and rugs should be cleaned and
disinfected according to the manufacturer’s instructions
iv) If a disinfectant sprayer is used, spray all horizontal and vertical surfaces in the space that
may have been contaminated.
Hampers and other carts used to transport laundry should be cleaned and disinfected in accordance
with the guidance for cleaning and disinfecting hard and soft surfaces in Section 3.
Contaminated dishware should be taken to appropriate washing station for cleaning and
disinfection. Machine dishwashing at the highest possible temperature is recommended.
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Section 5 Exposure Response Measures 5
Disinfect buckets by soaking in disinfectant solution or rinse in hot water before filling.
Appropriate Level 3 PPE should be worn during handling and disposal of infectious waste in
accordance with Section 3, Table 2.
5 Post Decontamination
Once the infected areas have been disinfected and use restored, the exposure mitigation measures outlined
in Section 4 should be resumed.
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APPENDIX 1 Risk Management Framework
1 General
Risk management is the process of identifying and managing the impact of uncertain events, and bringing
the consequences to acceptable levels. The recommended risk-management cycle is comprised of the
following four phases (See Appendix 1, Figure 1):
The cycle has proven to be effective for prioritizing risks and weighing the value of alternate risk-
mitigation strategies. The process organizes information about the possibility of a spectrum of unwanted
outcomes into an inclusive, orderly structure that helps decision makers to make more informed choices
about their organization’s ability to reduce risks. For marine and offshore assets, reference can be made to
ABS Guidance Notes on Risk Assessment Applications for the Marine and Offshore Industries.
FIGURE 1
Risk Management Cycle
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Appendix 1 Risk Management Framework A1
2 Establish Objectives
Phase 1 of the risk-management cycle involves establishing the scope and structure of the decision-making
process. Mission-critical steps in this phase include:
Identify the factors that will influence the decisions. The decision to pursue a given strategy is not based
solely on risk. For each individual element within a strategy and for the strategy as a whole, decision
makers should weigh a number of factors, including:
3 Risk Assessment
Risk information fundamentally seeks to help decision-makers answer three critical questions:
i) What can go wrong? In this instance, consider the following two scenarios:
● Scenario 1 – The vessel is not infected by COVID-19 (prevention management scenario)
● Scenario 2 – There is at least one COVID-19 Case aboard (outbreak management scenario)
ii) How likely is it? This is typically captured in the threat and vulnerability analyses.
iii) What are the impacts? This can be impacts to people, property, business interruption, and the
environment, among others.
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Appendix 1 Risk Management Framework A1
● Bridge
● Machinery spaces
● Lockers/storage areas
● Cargo areas
● Tanks & Bilges
● Staterooms
● Meeting spaces
● Recreational spaces
● Galley
● Dining Area/mess
● Food storage/reefers
● Passageways/Ladders & Railings
In addition, the tolerable risk of transmission should be determined. This involves considering whether the
vulnerability to infection from performing work in a defined area is tolerable.
Other factors to consider are the numbers of people, personnel risk factors (e.g. age, pre-existing medical
conditions, etc.), access controls, potential transmission modes (i.e. surfaces, personal contact, airborne)
and the likelihood of transmission.
3.4 Generate Risk-Based Information Using the Analysis Method(s) and Tool(s)
Apply the risk-analysis tool(s) that were selected. This may involve some iterative analysis (i.e., starting
with a high-level assessment and progressing to a more detailed evaluation); or performing separate
assessments for a prevention-management scenario and progressing to an outbreak-management scenario.
An example of a risk-ranking tool is shown below.
Very High Area contains numerous characteristics that increase the probability of virus transmission with
numerous crew members who are required to interface with those vulnerabilities on a daily basis
High Area contains numerous characteristics that increase the probability of virus transmission with several
crew members required to interface with those vulnerabilities on a daily basis
Medium Area contains a few characteristics that increase probability of virus transmission with more than one
crew member required to interface with those vulnerabilities on a daily basis
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Appendix 1 Risk Management Framework A1
Low Area contains at least one characteristic that increases probability of virus transmission with at least one
crew member required to interface with that vulnerability on a daily basis
Very Low Area contains no known characteristics that increase probability of virus transmission
An example of risk levels for a vessel during outbreak is shown in Appendix 1, Figure 2.
FIGURE 2
Example Risk Levels for a Vessel
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Appendix 1 Risk Management Framework A1
each of the alternate strategies. While quantitative estimates of risk reduction might be desired, a
qualitative assessment of the alternative will likely be sufficient to inform the planning process.
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APPENDIX 2 Chemical Compatibility
The following two tables contain the risk of degradation to various metallic and non-metallic substrates on
marine and offshore assets when contacted with common disinfectant chemicals.
TABLE 1
Risk of Metallic Substrate Degradation for Common Disinfectants
(1 October 2020)
Risk of Degradation
(Known Exposure Temperatures Given for Reference)
Disinfectant
Stainless Stainless Aluminum Copper Bronze Brass Carbon
304 316 Steel
Bleach High(1) High(1) High(1) High(1) High(1) High(1) High(2)
Isopropyl Alcohol Low(3) Low(3) Low(3) Low Low Low Low
Ethyl Alcohol Low Low Low(3) Low(3) Low Low(3) Low(4)
QAC High High High High High High High
Hydrogen Peroxide (Dilute) Low Low Low High(1) High(1) High(1) High(1)
(<300oF) (<212oF)
Thymol Low Low Low Low Low Low Low
Notes:
1 If left on surface
2 Forms adherent black ferrous oxide
3 Causes slight oxidation discoloration
4 Causes stress corrosion cracking (SCC) after long duration
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Appendix 2 Chemical Compatibility A2
TABLE 2
Risk of Non-Metallic Substrate Degradation for Common Disinfectants
(1 October 2020)
Risk of Degradation
(Known Exposure Temperatures Given for Reference)
Disinfectant
Rubber Fiberglass Fiberglass Polyethylene(1) Polypropylene PVC(2) Nylon
Epoxy Polyester
Notes:
1 Depends on the type of polyethylene (HDPE or LDPE)
2 Depends on the type of PVC
3 May swell and weaken the material
4 May weaken the material
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APPENDIX 3 References (1 October 2020)
[1] WHO, International Health Regulations (2005), 2nd ed., Geneva: World Health Organization,
2008.
[2] IMO, ISM Code and Guidelines on Implementation of the ISM Code, London: International
Maritime Organization, 2015.
[3] CDC, Guideline for Disinfection and Sterilization in Healthcare Facilities, Atlanta: Centers for
Disease Control and Prevention, 2019.
[4] OSHA, "Bloodborne Pathogens - Definitions," United States Department of Labor - Occupational
Safety and Health Administration, 4 2012. [Online]. Available: https://www.osha.gov/laws-regs/
regulations/standardnumber/1910/1910.1030. [Accessed 7 2020].
[5] CDC, "Quarantine and Isolation," Centers for Disease Control and Prevention, 9 2017. [Online].
Available: https://www.cdc.gov/quarantine/index.html. [Accessed 7 2020].
[6] CDC, "About COVID-19," Centers for Disease Control and Prevention, 6 2020. [Online].
Available: https://www.cdc.gov/coronavirus/2019-ncov/cdcresponse/about-COVID-19.html.
[Accessed 7 2020].
[7] CDC, "People Who Are at Increased Risk for Severe Illness," Centers for Disease Control and
Prevention, 6 2020. [Online]. Available: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-
precautions/people-at-increased-risk.html. [Accessed 7 2020].
[8] CDC, "Symptoms and Testing," Centers for Disease Control and Prevention, 5 2020. [Online].
Available: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html.
[Accessed 7 2020].
[9] CDC, "How to Protect Yourself & Others," Centers for Disease Control and Prevention, 4 2020.
[Online]. Available: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/
prevention.html. [Accessed 7 2020].
[10] WHO, "Transmission of SARS-CoV-2: implications for infection prevention precautions," World
Health Organization, 7 2020. [Online]. Available: https://www.who.int/news-room/commentaries/
detail/transmission-of-sars-cov-2-implications-for-infection-prevention-precautions. [Accessed 7
2020].
[11] CDC, "Cleaning and Disinfecting Your Facility," Centers for Disease Control and Prevention, 4
2020. [Online]. Available: https://www.cdc.gov/coronavirus/2019-ncov/community/disinfecting-
building-facility.html. [Accessed 7 2020].
[12] US EPA, "List N: Disinfectants for Use Against SARS-CoV-2 (COVID-19)," United States
Environmental Protection Agency, 7 2020. [Online]. Available: https://www.epa.gov/pesticide-
registration/list-n-disinfectants-use-against-sars-cov-2. [Accessed 7 2020].
[13] ECHA, "COVID-19 updates," European Chemicals Agency, 5 2020. [Online]. Available: https://
echa.europa.eu/covid-19. [Accessed 7 2020].
[14] IMO, "Resolution MEPC 159(55) - Revised Guidelines on Implementation of Effluent Standards
and Performance Tests for Sewage Treatment Plants," International Maritime Organization,
London, 2006.
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Appendix 3 References A3
[15] IMO, "Resolution MEPC 227(64) - 2012 Guidelines on Implementation of Effluent Standards and
Performance Tests for Sewage Treatment Plants," International Maritime Organization, London,
2012.
[16] CDC, "Using Personal Protective Equipment (PPE)," Centers for Disease Control and Prevention,
4 2020. [Online]. Available: https://www.cdc.gov/coronavirus/2019-ncov/hcp/using-ppe.html.
[Accessed 7 2020].
[17] WHO, "Advice on the use of masks in the community, during home care and in health care
settings in the context of the novel coronavirus (2019-nCoV) outbreak - Interim guidance," World
Health Organization, Geneva, 2020.
[18] WHO, "Home care for patients with COVID-19 presenting with mild symptoms and management
of their contacts - Interim Guidance," World Health Organization, Geneva, 2020.
[19] ICS, Coronavirus (COVID-19) Guidance for Ship Operators for the Protection of the Health of
Seafarers, London: International Chamber of Shipping, 2020.
[20] CDC, "Social Distancing," Centers for Disease Control and Prevention, 7 2020. [Online].
Available: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-
distancing.html. [Accessed 7 2020].
[21] WHO, "Operational considerations for managing COVID-19 cases or outbreaks on board ships -
Interim guidance," World Health Organization, Geneva, 2020.
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