Antigen Rapid Test (ART) Implementation at Construction Worksites - Privileged/Confidential information may be contained in this presentation ...
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Antigen Rapid Test (ART) Implementation at
Construction Worksites
Privileged/Confidential information may be contained in this presentation.
Please do not circulate or reproduce without the permission of BCA.
Outline
1. Introduction to Antigen Rapid Test (ART)
2. Overview of ART Requirements
3. Progress of ART implementation at Pilot Worksites
4. Preparation and Implementation Details
• Training of ART Supervisors
• Setting up of ART Station
• Drawing of ART Test Kits
5. Worker’s Supervised Self-Swab Journey at Construction Worksites
6. Uploading of ART Self Test Results
7. Workflow and Management of Ag-/Ag+/Re-tested Ag Invalid Case
8. Summary of Steps to Take
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Privileged/Confidential information may be contained in this presentation. Please do not circulate or reproduce without the permission of BCA.
Introduction Of Antigen Rapid Test
Rostered Routine Testing (RRT) Antigen Rapid Testing
(ART)
• A surveillance tool used in Construction,
Marine and Process (CMP) sectors to An additional layer of risk
identify cases early, isolate and contain mitigation measure to reduce risk
the spread of COVID-19, as part of Safe of transmission from community
Management Measures
into and/or within CMP
• RRT Regime since 18 May 2021 – revert
worksites, so that workers can
to RRT frequency of 7 or 14 days continue to work safely
respectively for anyone entering
worksites, regardless of vaccination status
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Should we implement ART at worksites now?
• With the evolving COVID-19 situation, construction worksites can
be better prepared
• Developers and contractors are strongly encouraged to pilot
ART implementation now, given that:-
• Worksites will be given ART test kits to implement
• ART supervisory training are being heavily subsidized
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Overview of ART requirements
For Which worksites? For Who? How?
• BCA has extended to all • Personnel entering construction • Broadly once every 3 days2 on
main contractors of worksites and supply work top of existing RRT Regime
ongoing construction premises • Workers will administer the ART
projects, ready-mixed • Personnel Not residing in test kits through self-swabs
companies and DfMA dormitories (i.e. Singaporeans / under supervision of trained
suppliers to participate in permanent residents and personnel to ensure proper
the pilot programme migrant workers residing in HDB Infection Prevention Controls,
and private residential SMMs, and the correct use of
properties) the test kits
• Personnel must not display Acute • Test before entering site
Respiratory Infection (ARI)1
symptoms before taking test
1 ARI symptoms refer to fever, cough, runny nose and loss of taste/smell
2 For workers not vaccinated: ART at Day 3, Day 7 and Day 11 of the 14-day RRT, cycle or Day 3 of the 7-day RRT cycle;
For vaccinated workers: One ART within 14-day RRT or 7-day RRT cycle
Day 1 refers to the following day of the RRT appointment
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Progress of ART Implementation at Pilot Worksites
To date, more than 150 worksites are in the process of implementing ART, and
30 have started operation. We are in the process to onboard more worksites
(The ART is on top of the existing RRT regime at worksites)
Supervised
Self-Swab
Results out in
15 mins
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Overview of ART Implementation workflow
Contractor enrols a few Personnel attend course
personnel to attend ART 2 sessions - 3 hours each
supervisor course (1 theory and 1 practical)
Contractor plans site layout for
ART and procure essentials Contractor sets up
such as tables, chairs, PPE, hand worksite for ART
What’s the sanitizers, trash bags, etc
Worksite
processes like commences
ART
to onboard Implementation
ART? Contractor BCA verifies quantity HPB delivers
submits order and place order with test kits to
for ART test kits HPB worksite
Contractor prepares nominal rolls for ART attendance
eligible dates for ART, results reporting, etc
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Preparation &
Implementation Details
Training of ART Supervisors
• Supervised self-swab on site – Contractor to send personnel for
Supervisor training (guideline: 1 supervisor to supervise not more
than 20 pax for self-swab)
• Contractors to plan and consider the number of ART supervisors
needed to oversee the self-swabbing process
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Preparation &
Training of ART Supervisors Implementation Details
• BCAA has rolled out training course to train ART Swab Supervisors
• Companies can enrol staff for training ahead of ART implementation
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Preparation &
Setting up of ART station Implementation Details
A ART Self Swab Instruction Guide
Available in different languages for
contractors to display at swab site
RESTRICTED. Do not circulate to external parties without BCA’s prior consentPreparation &
Setting up of ART station Implementation Details
B Selection of Site
1) Fresh air ventilation is recommended for swab sites to prevent possible concentration of
aerosolised substances. Not ideal to have air-conditioning at swab sites
2) Possible swab sites:
a) Outdoor spaces / fields/Outdoor Tents (Preferred)
For outdoor space/fields, there should be tentages and raised platforms set up to cater for wet
weather
b) Indoor function spaces / canteens
Although less ideal, indoor function spaces/canteens, may be used. However, the doors and windows
should be opened to allow as much fresh air ventilation as possible
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RESTRICTED. Do not circulate to external parties without BCA’s prior consentPreparation &
Setting up of ART station Implementation Details
C Site Layout
• Contractor should plan the site layout to set up ART stations at the site. Site
layout plan must be retained on site. Refer to ART playbook for more info
https://go.gov.sg/bca-mom-art-playbook.
• Suggest to have two (2) queues at the site to facilitate faster entry to site:-
Queue for ART Queue to enter site w/o ART
Personnel on site daily & visitors who are Personnel on site daily & visitors who are:
non-dorm workers falling on: • Dorm workers and;
• D3/D7/D11 of RRT cycle (for non-vac) • Non-dorm workers not falling on D3/D7/D11 of RRT
• D7 (for vac) cycle (for non-vac) or D7 (for vac)
To distinguish between Dormitory and Non-Dormitory Workers → Use FWMOMCare and SGWorkPass Apps
To distinguish visitors requiring ART →
• Migrant workers : Use SGWorkPass showing last RRT swab
• SCPR: Use HealthHub/Manual Search showing last RRT swab
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RESTRICTED. Do not circulate to external parties without BCA’s prior consentPreparation &
Setting up of ART station Implementation Details
C Site Layout - Generic Schematic of Swab Site (example provided by MOH)
Swab Supervisor/ Staff PPE Donning Swab Supervisor/ Staff PPE Doffing
Individual’s Zone Zone Individual’s
Entry Point Exit Point
Registration
• SafeEntry
• Temperature
Taking
• Registration
Central disposal and
decontamination stations
(To be used if unable to dispose
Tables should be placed 2m apart waste at swab station).
*Number of Tables in the swabbing zone is dependent on the area of the site.
To ensure that SMMs are in place at all times
Swab stations (should comprise minimally of a plastic table – plastic for ease of wipe down and two pedal lid bins, one for biohazard waste and one for general
waste. You may also choose to provide both tables and chairs or voting booth- like set-up for each swab station. From the infection control perspective, the lesser
furniture / items there are at the site, the better, as there will be lesser items to wipe down)
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RESTRICTED. Do not circulate to external parties without BCA’s prior consentPreparation &
Setting up of ART station Implementation Details
Ensure compliance to standards/measurable
D Infection Prevention & Control elements of the following 7 areas:
1. Registration area
2. Sample activity and testing area
3. Holding area (waiting area for results)
4. Conveyance of Ag+
5. PPE & Hygiene
6. Environmental Cleanliness
7. Disposal of Infectious & Waste Materials
• To be discarded as biohazardous waste, to be collected by a licensed
biohazardous waste disposal contractor or;
• Disposed as general waste, subject to the following conditions:
• Must be disposed of in closed bins (e.g. pedal bins) and;
• Must be double-bagged and cable-tied before placing them at
the disposal holding area and;
• General waste in that area will be sent for incineration.
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RESTRICTED. Do not circulate to external parties without BCA’s prior consentPreparation &
Drawing of ART Test kits Implementation Details
• ART test kits will be provided by HPB for pilot sites
• Contractor to order by registering interest to pilot ART at their worksites and
order the ART kits via registration form https://go.gov.sg/bca-art-apply and
provide the following:
• Consent from developers to implement the ART at the specific worksite
• Contractor should provide the estimated number of persons [same as figures provided
to the GPEs) staying in non-dorm (HDB/Private Residential Premises (PRP)] who are
entering the construction site, including ad-hoc personnel per day under the Quantity
(Number of Persons)
• Target commencement date to start ART operation at the worksite
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RESTRICTED. Do not circulate to external parties without BCA’s prior consentWorker’s Supervised Self-Swab Journey at Construction Worksites
~10-15 mins for total journey
Green Zone Yellow Zone Red Zone
1 2 3
When ready, worker will proceed for
Worker arrives Temperature screening and registration, verification of personal
TT SafeEntry check-in done1 information
Note:
1. If individual has ARI-
symptoms, on-ground staff to
direct worker to nearest
SASH-PHPC for ART-PCR
swab test (as per workflow Test Kit to be left Worker will be
for ARI-patients) 6 Worker enter worksite 5 at Result table for 4 directed to the
2. If Ag+, the Ag+ workflow to if test result is Ag- 15 – 30mins to supervised self-swab
kick-in analyse for results ART station
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RESTRICTED. Do not circulate to external parties without BCA’s prior consentUploading of ART Self Test Results
Who to Upload
• ART Supervisor / Main contractor’s Point Of Contact (POC)
When to Upload
• Immediately after completion of testing for the day
Where and How to Upload
Swab Registration System (SRS) BCA’s FormSG
HPB’s User Guide to upload ART Tests (using excel) to SRS, Daily update of ART results to BCA (not required if there is
will be provided to employers no ART operation for the day) via go.gov.sg/dailyartreport
RESTRICTED. Do not circulate to external parties without BCA’s prior consentWorkflow for Ag-/Ag+/Re-tested Ag Invalid
Worker arrives at worksite for ARI Symptoms
ART self swab DETECTED Worker should consult a doctor for medical
No ARI Symptoms treatment immediately (per usual ARI workflow)
Worker undergo self swab and
wait for results
2nd ART Swab test is Invalid1 Ag+ (Positive) /
Ag Invalid Re-tested Ag
Ag- (Negative)
1st test Invalid
Worker inform
Employer/Supervisor on result Ag+ Worker to be
Worker proceeds isolated at site.
to work and request for new test kit
No ARI ARI
Symptoms Symptoms
Employer/Supervisor Worker to self-isolate Employer to issue Employer
DETECTED
PCR (C-)
to submit all results to at own place of referral note and arrange arranges
SRS/Sector Leads residence until PCR private transport2 to CMTG
results return. SASH PHPC for conveyance3
Public Health PCR
If worker is unable to confirmatory PCR test to SIF for
Actions Commence (C+)
self-isolate at home, • Worker to bring NRIC isolation and
1 Only workers with two Ag invalid results would be treated as Ag+. SASH PHC will help to and referral note confirmatory
Workers are to be issued with the referral note for confirmatory PCR swabs. arrange for CMTG (signed by Employer)
2 To be conveyed via a private transport (e.g. car / taxi) with windows wind PCR test
conveyance to SIF for verification
down.
3 Case Management Task Group (CMTG) can be contacted at 6435-4060 to 18
help arrange for conveyance of the worker to a Swab Isolation Facility (SIF) RESTRICTED. Do not circulate to external parties without BCA’s prior consentManagement of an Ag+/Re-tested Ag Invalid Worker
1) In the case that an Ag+/Re-tested Ag Invalid worker is detected, the worker should be isolated at site and
his/her employer should be informed. Main Con POC/ART Supervisor/Employers should
ensure that all Ag+ individuals go for a confirmatory PCR swab, and inform BCA of
the Ag+ case vis go.gov.sg/dailyartreport
2) For SASH PHPCs, workers/employers must call the clinic to make an appointment and confirm that they are
able to obtain a confirmatory PCR test during their visit, before heading down to the clinic. The list of SASH
PHPCs can be found at http://phpc.gov.sg.
3) Main Con POC/ART Supervisor/Employer will be required to:
a. Have sight over the worker’s Ag+/Re-tested Ag invalid results (but not necessary for the employer to retain the
photos of worker’s test kit results and ID)
b. Issue the “Notification of Positive / Invalid COVID-19 ART Result” to individuals – hardcopy or digital copy
c. Inform worker of his/her legal requirement to go for a confirmatory PCR test and self-isolate until they receive
his/her PCR results
d. Issue him/her a PCR referral note (signed by ART provider/employer) – hardcopy or digital copy
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RESTRICTED. Do not circulate to external parties without BCA’s prior consentManagement of an Ag+/Re-tested Ag Invalid Worker
3) The Ag+/Re-tested Ag Invalid worker should travel via private transport (car or taxi) with the windows
wound down (switch off air conditioning). In addition, worker should wear a surgical mask and sit alone
in the back seat (on the other side from driver). Seats should be wiped down at the end of the trip.
4) The following list of private transport service providers are available for booking. Transport cost would be
borne by the worker/employer.
a. Employers/workers are required to inform the hotline operator that the worker is going to a SASH PHPC
for his swab test.
b. For booking through mobile app, employers/workers must key “SHN” in the chat/note/comment box or
check the SHN checkbox (if provided within the app).
S/N Service Provider Contact Number / Mobile Application Estimated Charges
ComfortDelGro Taxi (Comfort &
1 6333 1133 or via ComfortDelGro app
CityCab taxis)
2 Trans-Cab 6213 0997
Booking fee (between $2.30 to $4.50)
3 SMRT 6477 5971 on top of taxi metered fare
4 Prime 6776 7553
5 Premier 6681 9462
6 GrabSHN, Go-Jek, Ryde, MVL(TADA) Via respective providers’ app Flat fare based on App 20
RESTRICTED. Do not circulate to external parties without BCA’s prior consentStart Today
To kick start the ART implementation, main contractor of the worksites can take the
following steps concurrently (not necessary to be sequential):
Step 1: Apply to participate in pilot ART at worksites via
https://go.gov.sg/bca-art-apply
Step 2: Enrol supervisors for ART training via
https://go.gov.sg/bcaa-art-training
Step 3: Prepare site layout plan (to be retained on site)
Click here to download ART playbook https://go.gov.sg/bca-mom-art-playbook
for more info
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