HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA

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HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA
HPB ART Operations Playbook for Companies
              Updated 4 Oct 2021

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HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA
Content of Playbook
1. Training Requirements to Support ESSS Testing Modalities
2. Infection Prevention and Control Guidelines for ESSS Model
3. Client Journey
4. Exemption from FET-RRT Regime
5. Ground Operations & Recommended Site Layout Templates
6. Distribution Channels for Test Kits
7. Submitting Test Results for Workers under ESSS Model through SRS
8. Definition of Vaccination Status
9. Support Channels

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HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA
1. Training Requirements to Support ESSS Testing Modalities

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HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA
Employer-led Supervised Self-Swab Training
                                  Course Duration: 4 hours synchronous learning over Zoom.
Overview
• The supervisory training in ART swab is 4 hours in duration and conducted via Zoom
• Fully subsidised for at least 2 supervisors per company or outlet from mandatory FET & VoRT sectors.
• For workers in the non-mandatory sectors, the training cost can be found on HMI’s website
• Certificate of attendance will be issued one month after the course
• Learners can conduct ART Supervision Duties immediately after completing this 4 hours synchronous course (3 time slots: 8am-
   12pm, 2pm-6pm & 6pm-10pm)

Course Evaluation
As this is only a Certificate of Attendance but not a competency based course, HMI will use quiz to evaluate the level of understanding
and reinforce the topics as required. There will be no formal assessment to be conducted.

•   Visit HMI’s website at https://hmi-ihs.com/supervisory-training-in-art-self-swab/ for latest details on the ESSS training.
•   Booking link: https://lms.wizlearn.com/hmiinstitute-virtualcampus/Login/Login_hmiinstitute-virtualcampus.aspx

                                        Course Outline:        ART Self-Swab Supervisor Handout:

                                                                English:

                                                                Chinese:

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HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA
Guidelines for Supervisors
Additional requirements (in accordance with VoRT policy)
• For supervisors who are 50 years old and above and NOT fully vaccinated, and where supervision
  cannot be carried out in a well-ventilated area with 3m distancing from employee conducting self-
  swab, N-95 mask, gown, gloves of proper size, face shield/goggles, and hair net (for individual with
  long hair) are required.
• For fully vaccinated supervisors who are 50 years old and above and fully vaccinated/unvaccinated
  supervisors 49 years old and below, surgical 3-ply mask and face shield/goggles are required.
Roles & Responsibilities of Site Supervisors
• Before commencing the swab process, supervisor need to ensure that workers:
   • Do not have any ARI symptoms
   • Do not have any nosebleed (past 24hrs), facial surgery (last 8 weeks), nasal surgery (last 4 weeks)
• Ensure IPC measures are observed
• Ensure that self-swabbing and testing is done properly, e.g. through observation of the individuals
  performing the self-swab and testing.
• Ensure safe management measures (SMMs) are observed
• Attendance-taking and collection and documentation of results
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HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA
Registration Instructions for Supervisory Training in ART Self-Swab (Synchronous E-Learning)
  Registration instructions can be found on http://hmi-ihs.com/supervisory-training-in-art-self-swab/ (refer to the “How to register?” column on the right). User journey as follow:

     1                                          2                                    3                                                  4a

                                                                                                                                             Register with your particulars,
     Click “Public Catalogue” on                     Choose preferred timeslot             Choose training date and click                  company profile info, and create a
      direct registration page:                     (8am -12pm, 2pm - 6pm, or             “Register”. Registrations close 3                 profile. Please use a valid email
      https://lms.wizlearn.com/hmiinstitute-         6pm - 10pm) & English or            days before class commencement                     address as confirmation will be
     virtualcampus/Login/Login_hmiinstitute-
                virtualcampus.aspx                         Chinese class                 or when classes are fully booked.                    sent to that email address.

4b                                             4c                        5                              6

                                                                                                                                       Zoom link automatically sent to participant’s
                                                                                                                                        registered email address. Do note that this
                                                                                                                                                email is not a confirmation.
 When creating a participant account,
                                                 Do remember to
      select the most accurate job              select “Yes” under        Pre-reading materials                                          Confirmation emails will be automatically
   category that you belong to under              the “Company               can be accessed                                              sent when the minimum no. of learners
  the “Establishment” dropdown, e.g.               Sponsored”                 directly in your                                         required to open a class is achieved (30 pax).
  Masseurs should select “Masseurs”              dropdown if you                  account                                                Classes may be cancelled 1 day before &
 from the list of choices. If you do not        are sponsored for                                                                      participants asked to reschedule if there are
    see your industry, please select
                                                     training.                                                                            not enough learners to open up a class.
                “Others”.

HMI Hotline: 6253 3818                                                                                                                                                                  6
HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA
Attendance Taking & Verification During Training
Please ensure your video is turned on during class and that you can be identified using this format: Full Name (Company Name).
                                Instructions on how to rename your Zoom account are as follow:

  1                                                    2                                    3
            1) After launching the
           Zoom meeting, click on
           the “Participants” icon
             at the bottom of the
                   window.
                                                        In the “Participants” list on the       Click “Rename” and input your
                                                        right side of the Zoom window,            full name (company name).
                                                        hover over your name and click             E.g. Tan Wei Ming (Koufu)
                                                                     “More”.

       4
                           Verification of
                          attendance for
                           Certificate of
                       Attendance, etc. will
                          be captured via
                        screenshot. Please
                         ensure your full
                         name (company
                        name) is accurate.
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HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA
Qualified persons are exempted from supervisory training for Employer-led Supervised Self-Swab

  Who are considered qualified persons?

  A “qualified person” means an individual who —
  (a) is a legally qualified medical practitioner;
  (b) is a qualified nurse(1);
  (c) has, after obtaining any of the following qualifications, acquired at least 3 continuous years of practical experience
  in clinical laboratory work in Singapore:
        (i) a degree in Biomedical Science;
        (ii) a degree or diploma in Medical Laboratory Science; or
  (d) has undergone training conducted by a specified training provider, in each of the following:
        (i) to perform every type of regulated activity;
        (ii) to supervise the carrying out of every type of regulated activity;

  (1) “a   qualified nurse” means a registered nurse or an enrolled nurse within the meaning of the Nurses and Midwives
  Act
  (Cap. 209), who holds a valid practising certificate under that Act

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HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA
2. Infection Prevention & Control Guidelines for ESSS Model

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HPB ART Operations Playbook for Companies - Updated 4 Oct 2021 - NEA
Infection Prevention & Control (IPC) Guidelines for Supervisors to Note
Hand Hygiene                                              • Preferably to conduct self-swabs in an outdoor setting, or indoor
                                                            with ample ventilation (open windows/doors and fans). It is not
                                                            ideal to have air-conditioning at swab location and hence, air-
                                                            conditioning to be switched off (where possible).
                                                          • There should be minimal items at the swab stations.
                                                          • Test kits must be disposed of in closed bins, e.g. pedal bins) and
                                                            waste must be then be double-bagged and cable-tied before
                                                            placing them at the disposal holding area (which must be located
                                                            away from human traffic and public access to prevent
                                                            unintended exposure and cross contamination)

• Wash your hands with soap and water (via the 8
  simple steps)*

                                     OR

• Rub hands with hand sanitiser for at least 30 seconds

*https://www.who.int/publications/i/item/9789240021280

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IPC Guidelines: Cleaning & Disinfecting High Touch Surfaces
                                                                                                       •   Supervisors (or client) should wipe down the swab station after
                                                                                                           an individual has completed self-swab. The supervisor should
                                                                                                           also ensure that the wipe down of each station is done properly
                                                                                                           (“S-Shape Technique”).

                                                                                                       •   If company uses mirror (mounted or tabletop), it is not
                                                                                                           necessary to wipe down after every client if the worker does not
                                                                                                           touch the mirror.

                                                                                                       •   The swab area should be properly wiped down after each day’s
                                                                                                           testing operations. This includes furniture/queue poles/physical
                                                                                                           barriers/partitions.

                                                                                                       •   It is not necessary to change gloves or do hand rub after every
                                                                                                           worker if supervisor did not touch the workers’ belongings or
                                                                                                           test consumables.

                                                                                                       •   The flooring at swabbing zone should have a smooth surface,
                                                                                                           e.g. linoleum, vinyl finish, concrete, hard flooring) to facilitate
                                                                                                           ease of cleaning, such as mopping. The use of carpeted areas
                                                                                                           and fabric chairs are strongly discouraged as it is difficult to
                                                                                                           clean and would have to be wet-vacuumed/deep
                                                                                                           cleaned/removed and discarded after the end of the operations.
                                                                                                           If not possible, carpeted areas must be covered with a smooth
                                                                                                           finish surface (e.g. canvas plastic lining).

                                                                                                       •   In the event of an AG+, the company should ensure the area is
                                                                                                           thoroughly cleaned before the next individual is ushered to
•   Advisory on Surface Cleaning and Disinfection for COVID-19                                             perform the self-swab. For more details about disinfectants and
•   List of Household Products and Active Ingredients for Surface Disinfection of the COVID-19 Virus       contact time, please refer to the two reference links.        11
3. Client Journey

                    12
ESSS for Mandatory Sectors at ESSS / QTCs (10-15 mins)

     1                                      2                                                    3

                                                                                                       When ready, client will          Payment at QTC for
         Client arrives                     Temperature screening (if                                 proceed for registration,         those tested at QTC
                                            applicable) and TT SafeEntry                               verification of personal           (unvaccinated &
                                            check-in *                                                      information**                medically eligible)

                           Client leaves and does not                      Test Kit to be labeled                   Client will be directed to the
                   6        need to wait for results.               5      and left at Result               4       supervised self-swab ART station.
                          Results will be sent via SMS                     table for 15 mins to                     Disinfect area with alcohol wipes
                              to employee’s mobile                         await results                            when self-swab is completed

                                                           Green Zone       Yellow Zone      Red Zone

* Temperature taking for employees (under ESSS) at company premises will be dependent on Sector Lead’s advisory/ requirements. Temperature taking will not be
required at QTCs. If client has ARI-symptoms, on-ground staff to direct worker to nearest SASH-PHPC for ART-PCR swab test (as per workflow for ARI-patients)
** If client has contraindications, employers can seek exemption requests (See Exemption from FET-RRT section)
# Workers who are unvaccinated and medically ineligible would be required to show proof via doctor memo, for FOC test at QTC                                  13
Note: ESSS can also be conducted virtually.
Sample of ART Results SMS

SMS will be sent once results have been successfully uploaded into SRS. Refer to SRS guide for instructions

                                         AG INVALID                                        AG POSITIVE

 AG NEGATIVE

                                       Click to add text

                                                                 Do note that the link
                                                               expires in 24 hours after
                                                                 text message is sent.
                                                                                                              14
4. Exemptions from FET-RRT Regime

                                    15
Exemptions from FET-RRT Regime (Contraindications or PWDs or recovery from C+)
Client/Employee:
• To submit the Declaration Form to Employer to seek exemption from FET-RRT                              Employee to
                                                                                                       submit completed
Employer:                                                                                              Declaration Form
• To check and approve the exemption on the Declaration Form                                              to Employer
• To track the total count of the exemption cases and report to Sector Leads.
                                                                                                       Employer to check
                                                                                                        Declaration Form,
                                                                                                         keep a copy and
Cases exempted from the FET RRT are listed below:                                                      inform Sector Lead
1. Exemption due to contraindication
• Nasal Surgery
• Facial injury (that may affect the collection of nasal samples from the nostril)                      Sector Leads to
                                                                                                             remove
                                                                                                        Client/Employee
2. Exemption due to special needs and disability                                                         from FET-RRT
• Special needs such as autism
• Disability such as vision loss, physical impairment
                                                                                                        Client/Employee
                                                                                                        exempted from
3. Exemption due to past infection from COVID-19                                                           FET regime
• Employees recovered from a previous COVID-19 infection less than 270 days ago
Supporting Documents:
• Positive Covid-test record in HealthHub within 270 days (this should be the first C+ from the last
    episode of confirmed infection/re-infection, a C+ from persistent shedding will not be counted),

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5. Ground Operations & Recommended Site Layout Templates

                                                      17
Storage Guidelines for Kits

   BD Veritor Plus System                    SD Biosensor Standard Q                   Abbott Panbio Covid-19 AG
                                       [Majority Stock for Workplace ART Operations]
                                                17 x 7.1 x 23.5 cm (~0.39kg)

• Storage temperature requirements: 2-30 degree Celsius
• Indoor, within an air-conditioned room where available
• Pallet size 40 x 48 inch / 122 x 108 cm (height clearance – approx 1.8-2M)
• Per Pallet –
    • BD - 4,320 Tests
    • Bio Sensor – 9,000 Tests
    • Pan Bio - 9, 600 Tests
• Per box - 25 Tests for SD BioSensor & Abbott PanBio. 30 Tests for BD Veritor.
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How to Break Bulk – For Employers
Items to prepare
1. Face shield and surgical mask, disposable gloves
2. 70% alcohol wipes and handrub
3. Ziplock bags or packing containers for ART kit items (depending on company’s preference)
4. SD Biosensor test kit: Test cartridge, sterile swab stick, nozzle cap, extraction buffer tube
5. Abbott Panbio test kit: Test cartridge, sterile swab stick, extraction tube with caps, buffer bottle

Steps for packing
1. Clean packing surface with alcohol wipe, put new box of kits on table surface.
2. Packing staff to do hand hygiene and wear face shield, mask, gloves. No talking between staff and maintain safe distance of
    2m if there is more than 1 staff packing.
3. Commence packing the 4 (SD Biosensor) or 5 (Abbott Panbio) items, and check expiry date of kits
4. Companies can decide if they want to break the bulk package either individually or based on the quantity required. For
    example, individually packed bags using ziplock bag or container, whichever is easier for distribution. Each person
    conducting self-swabbing will have 4 (SD Biosensor) or 5 (Abbott Panbio) items in total.
5. In between new box of kits, practice hand hygiene with gloves on.
6. For Abbott Panbio test kits, please see the bulk breaking process for details.

For info:
• (X) Other items in the bulk package which is not required, for e.g. buffer rack, plastic label, can be discarded.
• Any loose items (that will be used in future) should be kept in a clean (wiped down) storage box/ziplock bag.

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SD Biosensor

               20
Items inside SD Biosensor Box
Items in one box             SD Biosensor Standard Q    Qty       Needed for Individual Testing?                               SD BIOSENSOR KITs
Test Cartridge                                             25     Yes - to break bulk
(wrapped individually in
foil pouch with desiccant)

Sterile Swab Stick                                         25     Yes - to break bulk

Nozzle Cap                                                 25     Yes – to break bulk

Extraction buffer tube                                     25     Yes – to break bulk

Buffer Tray                                              2 trays No – not essential to individual testing, not required to break bulk
                                                                 (This is to hold the extract buffer tubes in a mass swab setting.)

Plastic Film                                                  1   No – not essential to individual testing, not required to break bulk
                                                                  (This is to cover the test device to prevent contamination by dust in a mass swab setting. If
                                                                  the individual's swab setting is generally dusty, the test device may be protected by using a
                                                                  sterile clear plastic bag.)
Standard COVID-19 Ag+                                         1   No – not essential to individual testing, not required to break bulk
Positive Control Swab                                             (This is a control swab manufactured to verify the user’s ability to properly perform the test
                                                                  and interpret the results.)
                                                                  Not to be discarded
Standard Respiratory                                          1   Good practice: Employers should use the QC control swabs to determine the fidelity of the
Negative Control Swab                                             test kits in each box. If the QC controls do not match and display the right results, the
                                                                  company should escalate to Sector Lead/HPB.                                             21
Overview on how self-swabbing is conducted using SD Biosensor test kits   SD BIOSENSOR KITs

                                                                                      22
Preparation Stage: 4 Required Items to Prepare for Testing with SD Biosensor Kits
                                                                                     SD BIOSENSOR KITs

                                                             The following 4 items should be
                                                             prepared/pre-packed by the supervisor
                                                             prior to self-swabbing:

                                                             1. Test cartridge
                                                             2. Extraction buffer tube
                                                             3. Nozzle cap
                                                             4. Sterile swab stick

                                                                                                 23
Abbott Panbio

                24
Items inside Abbott Panbio Box
Items in one box                Picture    Quantity    Needed for Individual Testing?                 ABBOTT PANBIO KITS
Test Cartridge                                  25     Yes – to break bulk
(wrapped individually in foil
pouch with desiccant)
Sterile Swab Stick                              25     Yes - to break bulk

Extraction tube                                 25     Yes – to break bulk

Caps (blue cap & white                          25     Yes - to break bulk
bottom cap)
Buffer bottle with solution                     25     Yes – to break bulk

Tube rack                                     1 tray   No – not essential to individual testing, not required to break bulk
                                                       (This is to hold the extract buffer tubes in a mass swab setting.)

Abbott Panbio Positive                          1      No – not essential to individual testing, not required to break bulk
Control Swab                                           (This is a control swab manufactured to verify the user’s ability to properly
                                                       perform the test and interpret the results.)
Abbott Panbio Negative                          1
                                                       Not to be discarded
Control Swab
                                                       Good practice: Employers should use the QC control swabs to determine the
                                                       fidelity of the test kits in each box. If the QC controls do not match and
                                                       display the right results, the company should escalate to Sector Lead/HPB.
                                                                                                                         25
                                                                                                                           25
Overview on how self-swabbing is conducted using Abbott Panbio test kits          ABBOTT PANBIO KITS

                                                         Key differences between SD Biosensor &
                                                          Abbott Panbio (bold and underlined)
                                                       • Step 2: Preparation items
                                                       • Steps 4-5: Twirling 5x in each nostril
                                                       • Step 6: Swirling swab stick 5x in tube
                                                       • Step 8: Swab stick needs to be broken at
                                                          the breakpoint
                                                       • Step 10: Open cap at the bottom of
                                                          extraction tube
                                                       • Step: 12: 5 drops placed in test cartridge

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Preparation Stage: 5 Required Items to Prepare for Testing with Abott Panbio ART kits   ABBOTT PANBIO KITS

                                                           The following 5 items should be
                                                           prepared/pre-packed by the supervisor
                                                           prior to self-swabbing:

                                                           1.   Test cartridge
                                                           2.   Extraction tube
                                                           3.   Blue cap
                                                           4.   Buffer bottle
                                                           5.   Sterile swab stick

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Preparation Stage: How to Fill the Extraction Tube with Buffer Solution                                                                  ABBOTT PANBIO KITS

                                                                  Fill Line

   1. Tilt the buffer bottle
   2. Fill the extraction tube with buffer fluid until it reaches the fill-
      line of the extraction tube
   3. Close the nozzle (blue cap)

   Test cartridge, swab stick, and extraction tube with buffer solution
       to be provided to the employee to conduct self-swabbing.

                                                                                                                                                      28
The buffer bottle may be opened and resealed after each buffer preparation. The buffer is stable until expiration date if kept at 2-30 °C
Employee needs to break swab stick at the break point              ABBOTT PANBIO KITS
after swabbing

  1. After swirling the swab stick 5x, employee conducting the
     self-swab should squeeze the extraction tube to extract
     swab specimen.

  2. Next, look for the line around the middle of the swab stick
     and then break the stick at that point.

  3. Tighten the blue cap after breaking the stick.

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What You Need to Prepare Before using Abbott Panbio ART kits (ESSS)
Key Considerations in the Bulk Breaking and Preparation
1. Care must be taken to prevent contamination of the extraction tube when filling the buffer
   fluid. This is to ensure the kits can be support the highest confidence as possible for the test
   result.
2. The Supervisor must ensure all the personnel handling the dispensing of the buffer fluid into
   the extraction tubes are familiar with the process. This include personnel preparation the test
   kits for their own use.
3. If the preparation are centrally conducted (ie. Doing as a bulk to be given to the masses), the
   Supervisors must ensure that all the personnel conducting the preparation are in the proper
   PPE and practiced proper hand hygiene. This is to prevent any potential IPC issues when
   handing out the extraction tubes to the rest of the people.
4. The preparation area should not be subjected to heavy dust or impurities that will likely
   contaminate the extraction tubes

Logistic Items needed for central preparation for mass uses
1. The minimum PPE required are Face shield, Surgical Mask, Disposable Gloves.
2. 70% alcohol wipes and hand rub.
3. Disposable containers to pack ART kit items (if applicable).

                                                                                                      30
What You Need to Prepare Before using Abbott Panbio ART kits (ESSS)
Important To Note
1. Always ensure all the kits are within the expiry periods
2. Ensure the amount of Buffer fluid in all the Extraction Tubes are exactly at
   the “Fill-Line”
3. The Buffer fluid once dispensed in the Extraction Tube must be used within
   48 hours
4. The unused Extraction Tube with the Buffer fluid must be stored upright
   and between the temperature of 2 to 30 deg Celsius
5. The Extraction Tubes stored under refrigeration must be allowed to
   stabilise at normal room temperature before use. Abbott recommends to
   use the Extraction Tubes 30 minutes after it has been taken out from the
   refrigerator.
6. Do not mixed Buffer fluid from different batches into the same Extraction
   Tube

                                                                                  31
Results Interpretation Using SD Biosensor & Abbott Panbio Test Kits

 Please note that the lines on the test cassette will appear in 15 minutes after you have added the specimen buffer in
                                  the test well. Do not read results after 30 minutes.

                                                                                                                  32
Proposed Site Layout - ESSS
                                                      Option 1: Swab and Go                                Option 2: Swab and Hold for Results
IPC Requirements for all
• Hand wash & Hand Rub                        Mirror to be placed on each table                             Mirror to be placed on each table
   before and after test
• Wipe down of swab
                                                             3m                                                                3m
   stations before and after

                                                                                 Results Table
   every test

 IPC Requirements for supervisors
 • Don face shield & surgical 3-ply
    face mask and gloves of proper
    size                                             3m                                                            3m
 • To keep 3m distance from
    employee conducting self-swab                          Supervisor                                                     Supervisor
 • Preference for self-swab to be
    conducted in an outdoor
    setting or indoor with ample           If the ART tests are read at a central                Legends        Descriptions
    ventilation (open                      testing area, the test devices will need
                                                                                                                Chairs with Tables (non-absorbent) and Small
    windows/doors and fans)                to be labelled clearly to avoid mix-up.
                                                                                                                Mirror (instructions poster to be included)
                                           The central testing area must be wiped
                                           down after each batch of tests are read.                             Tables
                                                                                                                Dustbin (double-lined, preferably with a
Recommend 1 Supervisor : 5 clients (per cycle).
                                                                                                                lid/cover)
New companies can consider 1 Supervisor : 2 clients (per cycle) before scaling up.                                                                         33
6. Distribution Channels for Test Kits

                                         34
Supply of ART Kits
• For newly onboarded companies, SL will arrange the first order of ART kits. The logistic vendor (PnP) will inform
  companies on the collection/ delivery of ART kits once ready, via SMS and email. Once companies receive the
  ART kits, companies are to commence the swab tests for the workers immediately.

• Replenishment of subsequent ART kits will be determined based on the utilization rate of the ART kits of your
  company, where it is tracked via the number of swab test result uploads to the SRS.

• The replenishment is based on a 2 month supply till end October 2021, excluding balances from previous
  issuance. As replenishment will be based on records of issuance, eligible companies are to wait for the push of
  ART kit supply. No action is required from company for the replenishment of ART kits.

• Commencing 1st October 2021, reviews on replenishment will be conducted based on utilisation to top up
  further if required based on submission of test results to SRS. Companies with low compliance will not receive
  Top Ups further.

• Companies with the following conditions may send in their requests via the Request Form at
  http://go.gov.sg/fet-kits. Please note that all requests are subject to Sector Lead’s approval.
    • Increase in Headcount;
    • Urgent Replenishment - Request for Additional Kits (e.g. insufficient kits to continue testing);
    • Change in Company’s contact person and details.
                                                                                                               35
Queries on ART Kit Collection or Parcel Status

• Queries on ART Kit Collection or Parcel Status to contact logistic vendor, Park N Parcel:
   • PNP tracking page https://tracking.parknparcel.com
   • Hotline at +65 6428 6200

• For other enquiries-related to ART Kit Status to approach hotline or:
   • Contact Email support@parknparcel.com.sg

                                                                                              36
7. Submitting Test Results for Workers under ESSS Model through Swab
                       Registration System (SRS)

                                                                  37
How to upload ART test results to SRS
                                Two methods to upload ART results (upload via either method)
SRS Portal: https://swab.hpb.gov.sg/ext/Login.aspx

Method 1: Using SRS web portal
1. Upload ART results in an excel spreadsheet via SRS web portal, using the “Bulk Result Upload” option.
2. Company to download the available template from SRS portal prior to swab test to, i) Fill in the particulars (nominal roll) of the workers to be
   tested and ii) Fill in workers’ swab test results after test results are ready.
3. Once the template is filled in with details, upload to SRS via web portal.

Method 2: Using SRS mobile portal (also called as SRS v2)
1. Upload ART results using workers’ personalized QR code.
2. Firstly, each worker needs to create a profile on http://go.gov.sg/srs-profile before swab test. After creation of profile, they will be able to see a
   generated personalised QR code on their page.
3. Supervisors will need the QR codes of the workers in order to upload their swab test results to SRS. Company may request the workers to
   present their QR codes after the swab test (come back after swab test and show their QR code to supervisor) or request workers to send
   their QR codes to supervisors before swab test.
4. Uploading of results to SRS:
     a) Supervisors are to use the company-specific SRS v2 link (this link is available via the company’s SRS web portal. Go to Covid-19
          testing > ART Link(s)).
     b) Supervisors are to use the link to log in and upload the results of all workers 1 by 1, by scanning their respective QR codes and filling in
          the result for each of the worker.

                        Companies should upload all results (Negative/ Invalid/ First Positive only*)
                  *Do not need to upload the result(s) of the follow-up ART test for AG+ and asymptomatic cases
                                         (i.e. subsequent ART test(s) after the first AG+)                                                      38
Overview of Roles in SRS

      Company HR                         Swab Supervisor
• Have an SRS account                • Employee of the company
• Have access to Daily Reports       • Has attended HMI’s 4-hrs swab
  specific to company                  supervisory training.
• Main Role:                         • Main role:
    • Upload employees’ results in       o Supervise employees in
       SRS in V1                            performing a self-test
    • Maintain the list of swab             every 2 weeks or as
       supervisors in SRS in V2             required by sector lead
    • Upload and schedule                o Record employees’ results
       employees for appointments           in SRS
       at QTCs                                                         39
Summary of SRS Accounts, Functions and Roles

           Company HR Account (Created by: Sector Lead)
                        SRS Guide for Company HR: ESSS
                               English Language
                               Chinese Language
                                Malay Language
                                Tamil Language

   ART Results Submission (Method 1):   ART Results Submission (Method 2):
   Upload via Excel                     Upload via Company-Specific Link
   Swab Supervisor’s Role: Record ART   Company HR’s Role: Add Swab
   Results using Excel Nominal Roll     Supervisor, Generate Company-
   Template                             Specific Submission Link

   Company HR’s Role: Upload Excel      Swab Supervisor’s Role: Upload ART
   Nominal Roll                         Results using Company-Specific Link

                                                                              40
Personal Data - Standard Notification (For Companies to Display)
Purpose: The standard notification will be used as part of the instructions to the companies (communicated via SLs) to
notify the employees that their employees will be collecting their Personal Data and FET results to submit to HPB and the
Singapore Government.
Use: Companies are to print and put up copies of the Standard Notification at prominent spots where the employees will be
able to read the notification statement prior to them doing the FET swab.

                                                                                              Standard
                                                                                    Notification (For Companies)

                                                                                                                       41
                                                                                                                         41
Terms & Conditions for Mobile SRS (For Companies reference)
Purpose: Similar to the Standard Notification, the T&Cs will be used in the mSRS as this involves the direct use of an IT
system for data submission by the employees.
Use: SLs are to inform companies about the T&Cs which employees' Personal Data and FET results will be collected and
submitted to HPB and the Singapore Government through mSRS.

                                                                                T&Cs for mSRS

                                                                                                                            42
                                                                                                                              42
SRS workflow for Supervised Self-administered ART (ESSS) – Method 1

1                        2                  3                         4
     Pre-setup
                                                                      SMS notification will
                                             Company HR to upload
Sector Leads to create    Client performs                              be sent by SRS to
                                            Results through Nominal
    Company HR           supervised swab.                                   client.
                                              Roll excel template.
      accounts.

                                                                                              43
SRS workflow for Supervised Self-administered ART (ESSS) – Method 2

                       2a
                        Swab Supervisors and clients
                       to create individual profiles at
                         http://go.gov.sg/srs-profile
1    Pre-setup

Sector Leads to
create Company         2b                         3                       4                5                   6
HR accounts.                                     Share the company-                                                  SMS
                        Company HR to                                                      Swab Supervisor
                                                  specific SRS results   Client performs                        notification
                       upload details of                                                    to scan Client’s
                                                 submission link and        supervised                         will be sent by
                       swab supervisors                                                      QR code and
                                                 the company’s swab           swab.                            SRS to client.
                           into SRS                                                         upload results.
                                                      supervisors

                       Access from              Access from
                       Staff Management >       COVID-19 Testing >
                       Add New Staff            ART Link(s)

                                                                                                                   44
Screenshots of SRS Web Interface for ESSS – Method 2
                                    Creation of Profile & Keying in Personal Results
Generic Link for Employees Profile Creation:
http://go.gov.sg/srs-profile

                                                                               •   Fields required same
                                                                                   as Nominal Roll

                  •    Profile is tied to NRIC
                       + Mobile Number                                                                    •   Personal details
                                                                                                              remembered for
                  •    Mobile Number can                                                                      subsequent login
                       be the same for
                       different profiles (e.g.                                                           •   Key in results
                       husband & wife
                                                  •   QR code will be
                       sharing a phone)
                                                      generated upon
                                                      submission of data
                                                      (i.e. profile created)
                                                                                                                                 45
Screenshots of SRS Web Interface for ESSS – Method 2
                                         Submission of Results – Supervised Version
                                                                                                                                         Select the accurate
                                                                                                                                         test result, double
Swab Supervisor                                                                                                                          check client’s
                                                                                                        Results to be read after
logs into their SRS                                                                                                                      details and submit.
                                                                                                        15min.
Web profile                                   Swab Supervisor to scan the client’s QR Code and verify   Please refer to your test kit
through company-                              name, NRIC and mobile correct is correct. Tap Save.       for specifics on timing and on
                       Swab Supervisor to
specific SRS results                                                                                    how to interpret the results.
                       + ADD ART by tapping
submission link.       on the 3 bars at the
                       top right.

 S12345
 67U

                                                                                                                                                46
Note: Employee needs to select the type of kit at the
                 result submission portion in SRS

• How about the results entry? Swab supervisor will need to select
  Abbott Panbio test kit before submission.

                                                                     47
8. Definition of Vaccination Status

                                      48
Definition of “Fully Vaccinated”

a) Individual must have been vaccinated against a COVID-19 infection by the administration of the appropriate regimen of any
approved vaccine*; and 14 days or more have elapsed after the day the individual was so vaccinated.

b) Individual must have recovered from COVID-19 infection starting from the day the individual first tested positive for SARS-COV-2 via
a PCR test and ending 270 days later; or had a second COVID-19 infection and recovered from it starting the day the individual first
tested positive for SARS-CoV-2 via a PCR test for the second COVID-19 infection and ending 270 days later.

c) Individual must have recovered from COVID-19 infection and must have been vaccinated against a COVID-19 infection by the
administration of one dose of any approved vaccine*; and 14 days or more have elapsed after the day the individual was so vaccinated.

*These are limited to: (1) Tozinameran (Pfizer-BioNTech COVID-19 vaccine or Comirnaty COVID-19 vaccine); (2) Moderna COVID-19 vaccine; (3) Vaxzevria
(AstraZeneca COVID-19 vaccine); (4) Covishield COVID-19 vaccine; (5) Johnson & Johnson’s (J&J) Janssen COVID-19 vaccine; (6) Sinopharm COVID-19
vaccine; (7) Sinovac-CoronaVac COVID-19 vaccine; or (8) any other vaccine regimen as approved by the Ministry of Health (“MOH”). Where the individual
is vaccinated under (3) to (8), their vaccination records must have been ingested into MOH’s national IT systems before they will be recognised. Please
refer to the First Schedule of the Infectious Diseases (Mass Gathering Testing for Coronavirus Disease 2019 Regulations 2021) for the most updated
information on the vaccination regimen and approved vaccines.

                                                                                                                                               49
Definition of “medically ineligible” (MI)

The medically ineligible for mRNA COVID-19 vaccines includes:
    a) Persons who are known to be allergic to the mRNA vaccine or any of the other components of
       mRNA COVID-19 vaccines
    b) Persons who had developed myocarditis following administration of any mRNA COVID19
       vaccine
    c) Persons who developed a severe adverse reaction to a previous dose of any mRNA COVID-19
       vaccine and has been determined by a physician that he/she should not receive a second mRNA
       vaccine dose
    d) Persons with the following conditions, who will hence be severely immunocompromised, and
       who have not been able to obtain a memo from their specialist to certify that they are eligible
       for vaccination at that point in time, will temporarily not be eligible for any COVID-19 vaccine
       under national vaccination programme
       o Transplant within past 3 months
       o Aggressive immunotherapy
       o Active cancer on treatment

                                                                                                     50
Approach to verify MI status for provision of government-funded ART kits

• All MI individuals would need to be certified by doctors and provided a doctor’s memo

• Some MI individuals would have been certified by a doctor at a Vaccination Centre. If the
  individual lost his doctor’s memo, he will need to re-obtain it from a doctor.
    • The individual could go to a PHPC clinic or other GP clinics to re-obtain a memo at their own
       charge.

                                                                                                      51
9. Support Channels

                      52
Support Channels for Employers
General Enquiries: How to use ART kit, how to upload results, advice on what      Training Enquiries                                           Sector Leads support for companies
MOP should do if results is AG+, ESSS workflows, Swab preparation, disposal                                                                    Verification of staff details (Names, mobile, ID, Email address)
management, ART kit orders (replenishment)                                                                                                     Whether MOP can opt for ESSS or QTC testing model
Basic SRS troubleshooting: SRS Navigation, Uploading of ART result, Did not                                                                    Eligibility/ exemption from mandatory swab tests & Funding
receive OTP, Password reset, Company HR Bulk Uploading Issues                                                                                  Change of QTC appointments, ESSS training
                                                                                                                                               Collection & replenishment/ quantity of ART kits, consolidate lost/ damage ART kits for replacements. Access denied,
                                                                                                                                               accounts blocked.
                                                                                                                                               SRS: Onboarding process, amendment of staff details in SRS, Creation of SRS account
FET Hotline 6876 5830/ AskSRS@hpb.gov.sg                                          HMI Hotline 6253 3818/Swab@hmi.com.sg                        See below table
Operating Hours: Mon to Fri 8 AM to 5 PM                                          Operating Hours: Mon to Fr: 8.30am to 6pm
(Closed on Sat, Sun and PHs)                                                      (Closed on Sat, Sun and PHs)

 Use Cases                                    Sector Lead                                                                                            Hotline                        Email

 F&B                                          ESG (malls, restaurants, & cafes, MOM workplace canteens, JTC industrial estates, foodcourt in         6898 1800                      enquiry@enterprisesg.gov.sg
                                              hospital premises, HDB complexes)

                                              SFA (Coffee shops/ Food Courts)                                                                        NIL                            SFA_FET@sfa.gov.sg

                                              NEA (hawker centres)                                                                                   62255632                       https://www.nea.gov.sg/corporate-functions/feedback
                                                                                                                                                                                    Indicate “ART Enquiry” in email

                                              HDB (Wet markets, Produce stalls)                                                                                                     plgmail@mailbox.hdb.gov.sg

                                              MINDEF (Camp canteen operators, Barbers)                                                               63731510 / 63731427            Welfare_benefits_enquiry@defence.gov.sg

 Hotel/ Svc Apt/ Hostels (F&B, Spa,           STB (Hotels)                                                                                           NIL                            hotelfet@stb.gov.sg
 Housekeeping)
                                              URA (Backpacker hostels & Svc Apts)                                                                    NIL                            URA_SDMO_CLE@ura.gov.sg

 Gym & Fitness Studios                        SportSG (ActiveSG Staff, Gyms/Studios, SSIC Companies)                                                 NIL                            SportandFitness@sport.gov.sg
                                                                                                                                                                                    Sport_coaching@sport.gov.sg

 Education Sector                             MOE (Canteen Vendors /Teachers in Mask-off Settings / Cleaners in High-risk Settings *includes
                                                                                                                                                     9836 2360                      moe_hqcc@moe.gov.sg
                                              contracted cleaners)

                                              ECDA (Preschools, Preschools Cleaners etc)                                                             6735 9213                      contact@ecda.gov.sg

                                              MCCY/ NAC (Wind instrumt, vocal coaches)                                                               6346 9400                      NAC_Feedback@nac.gov.sg

 Disinfection Workers                         NEA (Disinfection and Retail Mall Cleaners)                                                                                           https://www.nea.gov.sg/corporate-functions/feedback
                                                                                                                                                     62255632
                                                                                                                                                                                    Indicate “ART Enquiry” in email

 Personal Care                                MHA (Massage Establishments)                                                                           6557 3461                      SPF_PLRD_GLD@spf.gov.sg

                                              HDB & ESG (Neighbourhood shops, heartland)                                                                                            enquiry@enterprisesg.gov.sg
                                                                                                                                                     6898 1800
                                                                                                                                                                                    plgmail@mailbox.hdb.gov.sg

 Nursing Homes                                MOH/AIC                                                                                                1800-650-6060                  enquiries@aic.sg

 Public Bus Drivers​                          LTA​                                                                                                   NIL​                           OMCG_HDMON@lta.gov.sg
End of Playbook

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