The Bulk Staff Form (XLSX, 269 KB) provides organizations with a template to collect detailed information that enables extensive filtering for refined prioritization. Organizations can mail these forms to ma.aemaplans@gov.ab.ca with the subject line "CESW Bulk Staff Form". when complete, or may choose to retain this information in readiness for a possible announcement from government that prioritized supports are available. Your information will be stored in a secure location with need-to-know access to protect personal information.
This form allows organizations to list Tier 1, 2 and 3 workers:
The definition of Tier 1 workers is:
- High-Value, Low-Density Experts
- Occupy a single point of failure in a complex system.
- eg. industrial control / process experts (e.g. control room supervisor).
Tier 2 – Limited pool of specific expertise
- Specialist doctors, nurses, others with specialized training in healthcare
- Key government / EM officials
Tier 3 – Large pool of “fungible” employees with redundant skills
- Police, fire, and EMS; corrections and social services staff
- Select industrial tradespeople and transportation workers
Name of Organization * |
Can't find my organization ➡
|
Staff Name
| |
Position |
|
Phone * |
Format: 7805555555 |
Email * |
|
Supervisor's name * |
|
Supervisor's phone * |
Format: 7805555555 |
Supervisor's email * |
Note: All requests are verified with their organization. |
Has a self-assessment been completed? * | Refer to https://www.albertahealthservices.ca/topics/Page17058.aspx |
Was testing recommended? * | |
Critical Infrastructure Category * |
|
Critical Services Category |
|
Provide specific rationale for your selection of tier above |
300 words max |
Specialized skill/training/licence |
|
How is the health and safety of Albertans impacted if this work is not done? |
|
Impact if this function is lost for 24 hours |
|
Impact if this function is lost for 72 hours |
|
Impact if this function is lost for 1 week |
|
Is this person currently working remotely? * | |
How many staff members provide this identical function in your organization? |
|
What Personal Protective Equipment (PPE) is this position currently equipped with? What other protective measures are already in place? |
|
List mutual aid agreements * |
Please enter one per line |
List potential sources of replacements |
|
Can this person work while isolated? * | |
Does this position fulfill a critical safety function? * | |
Can this person work while complying with physically distancing two metres from other staff? * | |
The information submitted through this website is collected in accordance with sections 33(a) and 33(c) of the Freedom of Information and Protection of Privacy Act. The information will be used to prioritize Covid-19 testing to maintain critical infrastructures in Alberta.
If you have questions regarding the collection, use and disclosure of this information, please contact the Provincial Operations Center BizConnect Branch at BizConnect@gov.ab.ca.