This Emergency Response Plan can be distributed to the employees of a company informing them of what they must do in case of an emergency. Customize the types of emergencies this plan will cover, the types of responses permitted, the type of company, and much more. Emergencies can happen unexpectedly and companies should adequately prepare employees for any occurrence. This plan is ideal for small businesses or other entities that want to ensure employees are well-prepared in emergency situations.
Emergency Response Plan This Emergency Response Plan can be distributed to the employees of a company informing them of what they must do in case of an emergency. Customize the types of emergencies this plan will cover, the types of responses permitted, the type of company, and much more. Emergencies can happen unexpectedly and companies should adequately prepare employees for any occurrence. This plan is ideal for small businesses or other entities that want to ensure employees are well-prepared in emergency situations. Emergency Response Plan Effective Date: __________________ [Instructions: Insert the date of this Plan] © Copyright 2013 Docstoc Inc. registered document proprietary, copy not 2 1. Response Plan Objective __________________ [Instructions: Insert the Company’s name] (hereinafter referred to as the “Company”) has provided this Emergency Response Plan (hereinafter referred to as the “Plan”) on __________________ [Instructions: Insert the date of this Plan] to clearly define the process to be followed in the event of an emergency situation occurring at the workplace. The procedures in this Plan should not be regarded as rigid but rather as flexible guidelines to be used to address any unanticipated emergencies. This Plan will be used by the staff as a “living document” to set out the following; 1. The potential emergencies that is applicable to this Plan. 2. The written procedures developed in response to the potential emergencies. 3. The staff members responsible for particular actions in an emergency situation. 4. The ongoing education and training proposed as part of the overall strategy. 2. Workplace Description This Plan shall apply to the Company’s primary business address located at _______________________________________. [Instructions: Insert the Company’s address] The Company’s workplace can be best described as ________________________________________. [Instructions: Insert a description of the workplace] The Company’s operating hours are ____________________________. [Instructions: Insert the Company’s operating hours[ The Company’s employees do the following at the Company’s workplace: _______________________________________. [Instructions: Insert a brief description of what the employees do at the workplace] 3. Scope This Plan applies to the following emergency event scenarios: General Medical Emergency Critical Medical Emergency Fire or Explosion © Copyright 2013 Docstoc Inc. registered document proprietary, copy not 3 Gas Leak Hazardous Material Spill Bomb Threat Earthquakes Tornadoes Hurricanes Tidal Waves Inclement Weather Floods Riots Acts of War [Instructions: Add or remove emergencies above that this Plan will apply to] 3.1 Response Actions The above-mentioned threats may require one or more of the following responses: Evacuation of the area Evasive action Containment of threat First aid treatment Call 911 Stop all work Shutdown computers and electrical equipment (if practical) Proceed to nearest exit Do not collect personal items Do not run © Copyright 2013 Docstoc Inc. registered document proprietary, copy not 4 [Instructions: Add or remove proper emergency responses above] 4. Emergency Preparation and Training All personnel normally working in any of the areas identified through this Plan shall be trained in the following emergency management information: The general information contained within this Plan. The key personnel roles and responsibilities. Emergency exit locations and paths. Assembly point locations. Firefighting equipment locations. The written procedures applicable to this building for the emergency evacuation. All staff will be asked, at the completion of the training, to sign a statement advising that they have read the emergency evacuation procedures, understood the emergency evacuation procedures, had any questions they had answered adequately by management, and understand their responsibilities and role, in the event of an emergency. 5. Emergency Response The objective of this Plan is to: Decrease the level of risk to life and property. Control an incident, and minimize its effect. Provide the basis for training people who may be involved in a workplace emergency. 6. Evacuation Management will take the following issues into consideration when determining if and when to evacuate: The severity of the incident; The likelihood of escalation; The incident becoming uncontrollable beyond the resources available. The generic process of evacuation is as follows: Reason for evacuation. Appropriate management assesses the situation. © Copyright 2013 Docstoc Inc. registered document proprietary, copy not 5 Notification given to employees and consumers to evacuate the building. Staff to render assistance as required, under direction of management. Emergency services and 911 notified of the emergency. Staff to ensure the building is vacated (public areas, toilets, etc). Wait for emergency services to arrive and assess the situation. 7. Fire and Explosion Should you discover smoke or fire; Assess the situation and the potential for evacuation. Remove anyone in the immediate vicinity, if it is safe to do so. If trained in the use of fire extinguishers, and if the fire or smoke can be safely contained, attempt to extinguish the fire. Notify management. Management will assess the situation, and commence evacuation if deemed necessary. Notify all consumers to leave the building calmly and assemble at evacuation points. Notify other employees to evacuate the area. Notify emergency services via 911. If trained in the use of fire extinguishers, management may attempt to extinguish the fire, with the assistance of other staff under his or her direction, only if it is deemed safe to do so. Employees shall ensure that all consumers are safely evacuated towards the assembly points. Employees shall wait for police, firefighters, or paramedics to arrive and assess the situation. Employees shall wait for the “ok” from police, firefighters, or paramedics before re-entering the building. If safe to do so, consumers may re-enter the building. If not, ensure no consumers re-enter the building. Should any personal belongings of employees or consumers be inside the building, (after the “ok” from police, firefighters, or paramedics has been given) re-enter the building and obtain personal belongings. © Copyright 2013 Docstoc Inc. registered document proprietary, copy not 6 8. Location of Fire Fighting Equipment Fire Extinguishers will be located at ____________________. [Instructions: Insert where fire extinguishers will be kept at the workplace] Fire Blankets shall be kept at __________________. [Instructions: Insert where fire blankets will be kept at the workplace] Hose Reels will be located at __________________. [Instructions: Insert where hose reels will be kept at the workplace] 9. Medical Emergency Should a medical emergency occur, such as a heart attack, stroke, epileptic seizure, burns etc; Management should assess the situation and if they do not have first aid training, immediately notify police, firefighters, or paramedics. Notify emergency services via 911, and request an ambulance. Apply first aid as trained. An employee may meet paramedics outside the workplace, and take them to the medical emergency. At least one employee is to remain with the injured person until paramedics personnel arrive and take control of the incident. Complete an incident/accident report form. 10. Hazardous Material Spill/Leak Hazardous Substances stored on site, or that may come onto site for periods of time, consist o the following; Oils Gas Disinfectant/Sanitizer/Cleaning products Fuel (cars and service vehicles) The procedure to be carried out must be as follows; The employee that finds such a spill, or is notified by of such a spill is to notify management. © Copyright 2013 Docstoc Inc. registered document proprietary, copy not 7 At the direction of management, evacuate the building, if the nature of the spill warrants such an evacuation. Identify the source and amount of any released materials and section off the area such that the public can’t gain entry. If necessary: Evacuate part or all of the building. Stop any further spills. Turn off electrical equipment/gas within the area of the spill. Soak up material using mop or similar and contain spilled material for disposal to an appropriate landfill facility. Management will complete an incident report. 11. Bomb Threat Record nature of threat, and as many details as possible about the person making the threat that may assist the police in identifying them. Evacuate the workplace as per the procedures above. Call 911 and ask for police assistance. Should the police request a search of the premises, management can approve the search of the building. Any suspicious packages are to be reported to the police, and not disturbed. When the area is considered safe to enter, and the police state it is safe to do so, employees may re-enter the building. Important issues to remember when dealing with a bomb threat; Keep calm. If the person making the threat is calling on the phone, keep then on the telephone as long as possible. Let the caller speak and attempt to record as much detail as possible. [REMAINDER OF PAGE LEFT INTENTIONALLY BLANK] © Copyright 2013 Docstoc Inc. registered document proprietary, copy not 8 12. Emergency Procedure Flowchart Assess the situation/risk. Check for hazards/dangers. Action If by yourself when assessing Two or more staff when situation assessing situation Attempt to get help by: One staff member should Whistle Blasts, Assistance respond to the emergency, from a Bystander. with the other staff member Provide EAR, CPR, summonsing help. Provide Emergency care as required. EAR, CPR, Emergency Care. Emergency Authorities Arrive Act on instructions of Emergency Services © Copyright 2013 Docstoc Inc. registered document proprietary, copy not 9
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