Version: 2
February 17, 2012
Detailed Emergency Response Plan
Remote Medical Service (RMS) has developed the following emergency response preparedness plan to assist in the preparation for an emergency or rescue situation. The following is a partial list of potential emergencies and subsequent protocols. The client may retain a copy for the duration of the project and choose to implement these procedures and share with subcontractors.
It is important to note that this is a living document and protocols should be reviewed and modified as required.
Client:
Prospect:
Compiled by:
**Anything highlighted in “BLUE” must be edited or deleted prior to submitting this ERP to RMS or the Client
Table of Contents
1. Emergency Contact Information......
Radio Frequencies......
Medical Channel: ...... 153.290 152.120
3. Contact List......
4. Directions to Hospital from Camp
5. Important GPS locations......
6. In Case of Fire......
7. Medical ERP Plan......
8. Transportation Plan......
9. Hazard Identification......
Steep Hill......
Dangerous Ground......
Danger Trees...... 0
Deep/Shallow Holes......
Thin Ice......
Open Water...... 1
Icy Surfaces...... 1
Wildlife......
Highways and Lease Roads...... 2
Hypothermia and Frostbite...... 2/13
Fatigue and Stress...... 3
Hazard Frequency and Severities...... 4
10. Personnel Count / Lost Worker Procedure...... 15
11. Roadside as a Workplace Protocol...... 6
Notes on vehicle abandonment...... 16
12. Electrical Accidents...... 18
13. Vehicle Collisions...... 19
14. H2S Emergency Response Plan......
15. Spill Response Procedure...... 0
16. Critical Incident Stress Debrief...... 1
17. Radio/Repeater Communication Failure...... 1
List of Tables and Figures
Figure 1- Hazard Frequency Chart...... 14
Figure 2- Hazard Severity Ratings...... 14
Figure 3- Hazard Frequency/Severity Matrix...... 15
Figure 4- LKP Search Procedure...... 16
Figure 5- Proper Roadside Workplace Setup...... 17
1. Emergency Contact Information
Contact / Location / Services / Phone NumberMedic / Job Site / Indicate level of Medical Training in this section (EMR OFA III, EMT, PCP…)
Medic / Job Site / ..
Medic Supervisor / Job Site / ..
Camp Physician’s Assistant
Etc… / ALS
Primary Hospital / Note type of care available at each hospital (stabilize and transport only, 24 on call doctor, mass trauma capabilities … ) and location of the nearest heli-pad.
Secondary Hospital / ..
Ambulance / 911
STARS / Site ID # / Air Med-Evac / *4567
Local Police / Police / Law Enforcement
RCMP
Forest Fire / Fire Emergency Response
- Radio Frequencies
Medical Channel:
Recording Channel:
Road Channel:
Road Channel:
3. “Job Name” Contact List
Name / Title / Phone Number4. Directions to Hospital from Camp
Directions from Camp to Hospital
1.
2.
3.
4.…
In this area please note the number of oxygen cylinders you have in your MTC, and the psi for all. Use the following formula to calculate whether you have enough oxygen to transport your patient to the hospital on a 15L/min flow rate and a 10L/min flow rate. **Refer to the O2 training program if you are unsure of the constants for each tank size.
To determine the Time Remaining in each tank, the formula is as follows:
Time remaining (min) = [cylinder pressure remaining (psi) – safe residual pressure (200psi)] x constant
Flow rate (L/min)
5. Helipad GPS locations
NAME / EASTING / NORTHING6. In Case of Fire
In the event of a fire notify those around you of the danger, and pull the fire alarm.
Scene Survey:
- Location?( line and station number, building or trailer )
- Are access routes blocked?
- What speed is the fire traveling?
- How large is the fire?
- Wind direction?
- What is burning?(building, oil, gas, trees, grass)
Attempt to extinguish fire if possible
- Do not attempt to extinguish the fire if it is large or there is too much smoke
- Ensure you have a clear exit and escape plan
- Pull the pin on the extinguisher
- Aim for the base of the fire
- Use a sweeping motion
If your attempt is unsuccessful exit the area immediately, and report to the Muster Station.
7. Medical ERP Plan
In the event of an emergency due to injury or illness the following procedure should be activated:
“Emergency, Emergency, Emergency” or “Medic. Medic. Medic”
- “All crews stand down radio silence, all crews stand down radio silence, all crews stand down radio silence.”
- “Go for ______where are you?” Location:
- If applicable - “Medic 2 can you start your skidoo and let me know before you leave for an update”
- “What is the best route to the location?” (Get someone for escort and find escort for medic 2):
- “Is it accessible by Truck or sled only? “(Get someone to bring your truck closer to incident location. ask someone at staging or ask Eric which crew is closest to your staging):
- “What happened?”
- “Is the scene safe? “ Yes/ No (can you leave to a safe location or make the area safe?)
- “How many injured?” :
- “How many bystanders?” :
- “Is there someone available with a Skidoo licence?” :
- “Do you know first aid?”: Yes/No
- “ Can you describe the injuries to me?” :
- Delegate immobilization of fractures, direct pressure on bleeds, c-spine control etc…
- Is he conscious and breathing? : Yes/No( If no delegate start CPR)
- If applicable - Give Medic 2 update on patient status thus far
- Delegate OSCAR- “specify names” and begin following the ERP.
- Check peg board for crews nearby the incident or ask for all crews nearby to safely make their way to the incident location.
- Find route to incident and back-up route. Confirm escort. Check in with OSCAR regularly for updates missed while on skidoo.
- Notify crew when enroute!!!!
**NOTE: This is only an example, you are responsible for creating your own series of questions which are more specific to the job you are on.
- 1 -
Version: 2
February 17, 2012
8. “Insert job name”Transportation Plan
Scenario 1:
CODE GREEN(Walking wounded injury): the injured worker will be treated on-site by the medic and if required, will be transported to a hospital or clinic by an onsite supervisor. All workers will remain on standby and maintain radio silence until permission has been granted by the project manager to resume work.
Scenario 2:
CODE YELLOW: The medic will follow medical response plan and be led to patient location in either their truck or their skidoo. If skidoo is used a crew member will be delegated to transfer truck to the nearest access road by the patient. If the patient is unable to transfer to hospital in a supervisor vehicle, the site supervisor will drive the MTC to the hospital or designated transfer location while the medic remains in the back of the MTC with the patient. All workers will remain on standby and maintain radio silence until permission has been granted by the project manager to resume work.
Scenario 3:
CODE RED: If the worker is critically injured the use of STARS will be considered. The OSCAR“insert specific members of your crew”or Medic on standby will phone STARS. The program is registered under STARS site ID #. The medics will have a list of potential helicopter pads within the program and STARS may be redirected to the alternate GPS Coordinates. List specific hospital helipads here (or nearest helipads to the hospitals).
A rescue response will be coordinated by the medics with the use of the MTC, Quad/Snowmobile and rescue toboggan. Medical equipment will be transported to the patient, the patient will be treated accordingly and packaged for transport. An ambulance can be dispatched from insertclosest town and meet the MTC at insert pre-determined meeting lotation.
The project manager and HSE must be immediately informed of the incident and included in transport decisions.
9. Hazard Identification
This section contains a list of many hazards found on the job site. Included is a brief description of the hazards that can be encountered, mitigating strategies for reducing the severity of the hazard and rescue considerations related to the hazard.
Steep Hill
Description: This terrain is steep with an incline of 45-60 degrees. Characteristics of this terrain are: Trees, brush, soft soil and rock. A fall <10ft would not normally cause death, but injury and permanent disability is possible. In this terrain rescue will be delayed.
Mitigation: Workers in this terrain should be able to walk in upright position up or down terrain carrying 20lbs of equipment. There will be some sections that will require hands and feet. A fall <10ft would not normally cause death, but injury and permanent disability is possible. In this terrain rescue will be delayed.
Rescue Considerations: Ground rescue and helicopter transport.
Dangerous Ground
Description: This terrain includes a variety of characteristics such as river/creek edges, loose rocks, loose soil, and weak step-downs/drop-offs.
Mitigation: Workers should be able to maneuver around dangerous areas or carefully through, using hands for balance.
Rescue Considerations: Ground rescue and helicopter transport.
Danger Trees
Description: In this terrain leaning trees, snags and standing dead trees can be found. High angle slopes may contain trees with poor root structure and unsupported ground. These trees should not be used for hand holds due to their weak structure. Also high winds pose a threat of knocking these trees down. A tree falling can cause injury, permanent disability or death.
Mitigation: Workers should ensure that standing trees have solid root structure before using them as hand rails while traversing or descending a slope. If dangerous trees are found on work lines, workers are to find alternate routes and report the hazard. Slashers will be notified and remove the hazard.
Rescue Type: Ground response and transport to nearest helicopter pad.
Deep/Shallow Holes
Description: This is terrain where workers will encounter animal holes, spaces between boulders, and snow covered rocks. Falling into a hole can cause injury to the worker.
Mitigation: Workers need to be attentive with their footing and the use of poles/branches to maintain their balance.
Rescue Considerations: Ground response
Thin Ice
Description: Creeks, streams, rivers, ponds, lakes and marshes are found within the project boundary. They can range from closed with snow and ice, to open current with a thin layer of ice coverage. An encounter with open water can cause the worker injury, permanent disability or death.
Mitigation: All bodies of water need to be checked before crossing, assessing their thickness. Workers need to understand that a deep snow pack can insulate the ice causing deceivingly weak layers of ice.
Workers should be familiar with the Red Cross Ice Safety Standards.
Rescue Considerations: Ground response and helicopter transport.
Open Water
Description: This occurs when currents, sheer volume, and warming temperatures allow water to flow. Exposure to open water in cold air temperatures can result in severe hypothermia in a matter of seconds. This hazard poses a serious risk to injury, permanent disability or death.
Mitigation: Workers must take alternate routes to avoid open water at all times.
Icy Surfaces
Description: Icy conditions include parking lots, pathways, ground water seepage and any previously wet surface that has frozen. The slippery condition may or may not be obvious to the naked eye. This hazard does pose a potential risk to injury or permanent disability.
Mitigation: Caution should be used when workers encounter this condition. Workers should reduce their traveling speed and take extra precautions to avoid an accident. Consider using a pole or branch to help maintain footing and balance.
Rescue Considerations: Ground response or helicopter transport for RTC Patients.
Wildlife
Description: Bears, wolves, cougars, coyotes, lynx, moose and deer can be seen. These animals can pose a threat to workers. Workers may be approached by a predatory, defensive, sick or threatened animal. A wildlife attack may cause injury, permanent disability or death. Rescue may be delayed to ensure wildlife has left the scene.
Mitigation: Workers should be aware of wildlife in their vicinity at all times, they should take appropriate action when they encounter specific wildlife. Workers should have the training and knowledge to manage an encounter with predatory/defensive wildlife. If a carcass is discovered, the workers should evacuate the area as soon as possible making as much noise as possible. Supervisors should be notified immediately.
Highways and Lease Roads
Description: List specific roads in the area that apply can be busy roadways. Conditions vary with the weather and snowfall. Black ice may be found on any given section in any temperature.
Frequently encountered hazards on these roads include industry traffic, local traffic, narrow shoulders, sharp turns, narrow ditches, wildlife (especially deer, moose and coyotes), and steep drop off. Rescue may be delayed in poor road conditions.
Mitigation: Workers must drive with extreme caution and leave a long buffer between the other vehicles on the road. Speed limits must be adhered to, and in most cases reduced to conditions. A motor vehicle accident can result in injury, permanent disability or death. Maximum speed on the program lease roads is 70 km/hr.
Rescue Considerations: Ground response/Ambulance call.
All Terrain Vehicles – ATV, Sled, Rhino, Argo
Description: Many All Terrain Vehicles can be found in the seismic industry. An accident can cause injury, permanent disability or death.
Mitigation: Workers driving ATV’s should be trained to do so. Working should be orientated to the program hazards and have completed a tailgate meeting. All proper PPE must be worn at all times.
Rescue Considerations: Ground response or helicopter transport.
Hypothermia and Frostbite
Workers can be exposed to hypothermia and frostbite even in temperatures above zero.
Description and Treatment:
Frostbite: Wind chill can drastically reduce a workers skin temperature enough to freeze the tissue and impede circulation. Workers skin should be slowly re-warmed using air only. Do not rub frost bitten skin to try and re-warm, the tissue is frozen and you will cause more damage.
Hypothermia: An improperly insulated worker will not be able to retain their own body heat. If the workers body temperature drops as little as 1 degree Celsius, the body will go into a state of “self preservation” shock, bringing the bodies warm blood to the centre organs. Patients with mild hypothermia are often disoriented, with limited range of motion. Patients with severe hypothermia may be incapable of moving their extremities. Treatment must be progressive. It can be very dangerous to warm a hypothermic patient too quickly. Wet clothing should be removed immediately, dry blankets applied, and patient placed in a temperature controlled environment. Patient should be handled very gently as rough handling can throw their heart into dangerous electrical rhythms.
Hypothermia can cause injury, permanent disability or death.
Mitigation: Workers should be familiar with the signs and symptoms of hypothermia and frost bite. Workers need to look out for each other while working. Proper clothing, face shields and footwear should be worn by all workers. Workers outside should always work in pairs.
Rescue Considerations: Ground response and rapid transport to the hospital.
Fatigue and Stress
Description: It is common in the seismic industry for workers to work continuously for extended periods of time. When the human body is not given enough time to regenerate itself the mind and body are often sluggish. Workers may not be as sharp and quick to react. This state of exhaustion can lead to irritability and high stress levels. Accidents can occur that can cause injury, permanent disability or death.
Mitigation: Workers need to get sufficient sleep and have adequate time off to manage their fatigue and stress levels.
Rescue Considerations: Ground response or helicopter transport.
**Please Note: This is not a complete list of hazards. Please ensure that you list all job specific hazards that you may occur on your site. (For example: heat related illness, insect stings…)
Hazard Frequency and Severities
Figure 1- Hazard Frequency Chart
Hazard / Often / Occasional / RareExtreme Hill / “place an x”
Steep Hill
Dangerous Ground
Danger Trees
Deep/Shallow Holes
Thin Ice
Open Water
Icy Conditions
Wildlife
Highways/Lease Roads
All Terrain Vehicles
Hypothermia/Frostbite
Fatigue/Stress
Figure 2- Hazard Severity Ratings
Hazard / Severe / Moderate / Minor / NoneExtreme Hill
Steep Hill
Dangerous Ground
Danger Trees
Deep/Shallow Holes
Thin Ice
Open Water
Icy Conditions
Wildlife
Highways/Lease Roads
All Terrain Vehicles
Hypothermia/Frostbite
Fatigue/Stress
Figure 3- Hazard Frequency/Severity Matrix
High Frequency / Low Frequency(occasional and rare)
High Severity / Danger Trees
Highways/Lease Roads
All Terrain Vehicles
Wildlife
Icy Conditions / Extreme Hill
Steep Hill
Low Severity
(moderate or minor) / Dangerous Ground / Deep/Shallow Hole
Thin Ice
Open Water
Hypothermia and Frostbite
Fatigue and Stress
** recreate above chart as it applies to your specific job