Panic and run or plan and respond

Panic and Run
or
Prepare and Respond
Establishing an Emergency
Response Team
Matthew A. Stein, MS, CIH
Owner/President
Stein Safety & Health Services
Eau Claire, WI 54701
(715) 379-5621
MaStein@SteinSafetyAndHealth.com

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Agenda
 Defining an Emergency
 Parts of the Response
 Personnel and Organization
 Training Requirements
 Procedures

What is an Emergency?
 Medical
 Security
 Chemical

The First Law of Emergency
Response

Medical Emergency
 A sudden bodily alteration (as a
ruptured appendix or surgical shock)
such as is likely to require immediate
medical attention.
 Source: Merriam-Webster Dictionary

Security Emergency
 Trespass
 Violence – threats

Chemical Emergency
1. The response comes from outside the
immediate release area;
2. The release requires evacuation of
employees in the area;
3. The release poses, or has the potential
to pose, conditions that are immediately
dangerous to life and health (IDLH);
4. The release poses a serious threat of
fire or explosion (exceeds or has the
potential to exceed the lower explosive
limit or lower flammable limit);

Chemical Emergency
5. The release requires immediate attention
because of imminent danger;
6. The release may cause high levels of
exposure to toxic substances;
7. There is uncertainty that the employee in
the work area can handle the severity of the
hazard with the PPE and equipment that
has been provided and the exposure limit
could easily be exceeded; and
8. The situation is unclear, or data are lacking
on important factors.
(CPL 2 - 2.59A)

Priority for Any Emergency
 Protection of People
◦ Employees/Contractors
◦ Surrounding community
 Protection of Property
◦ Company and surrounding community
 NOT PROTECTION OF
ENVIRONMENT

Written Plans
 Medical
 Security
 Chemical response
 All use Incident Command System
 Goals =Reduce thinking
Increase action
Scope of Response

Evacuation
 Meeting Locations
◦ Shelter in Place (SIP)
◦ Outdoor evacuation
◦ Multiple points
 Responsible Attendants
DRILL!!!

Written Plans - Medical
 Protocols
◦ Level of care given
◦ EMTs on staff?
◦ Approved by MD?
◦ Coordination with ambulance service
◦ Emergency decontamination

Medical Plan – Bloodborne Pathogens
 Exposure Control Plan
◦ Engineering controls
◦ PPE
 Disposal
◦ Red bags
◦ Sharps containers
◦ Removal contractor

Security Plan
 Legal requirements
◦ DHS
◦ EPA RMP/ OSHA PSM
 Scope
◦ Internal
◦ External
 Site control
◦ Normal
◦ Upset conditions

Security Plan
 Rules of engagement
◦ Use of force/type of force
◦ Interviewing of suspects
 Coordination with local law
enforcement

Chemical Emergency Pre-
Planning
 Scope of
Responses
 Personnel, lines of
authority and
training
 Equipment incl.
PPE
 Communication
 Evacuation
 Decontamination
 Medical
 Critique and Follow
up

Scope of Responses
 Identify Bad Actors
◦ Strong Acids/Bases
◦ Extremely and Highly Flammables
◦ Highly Toxics
◦ Reactives/Unstable (and what they react
with)

Scope of Responses
 Develop
◦ Chemical/Class specific procedures
◦ Cheat sheets
◦ What is too big
 County Emergency Management
 Nearest Haz. Mat/CAT team

Other Chemicals
 Worst case scenario
◦ Maximum quantities
 on site
 in single location

Incident Command System
 Incident Commander
◦ First appropriately trained responder on
scene
◦ Passes command up as others arrive
 Determines objectives
 Establishes priorities
 Maintains overall responsibility

Command Staff
 Public Information Officer
 Safety Officer
 Security
 Logger – Scribe (Deputy IC)
 Liaison Officer
 Volunteer Coordinator

General Staff
 Operations
◦ Haz. Mat. Technicians
◦ First Responder Operations Responders
 Planning
 Logistics
 Finance and Administration

Medical Response
 First aid – None
 EMT/Paramedic
◦ Protocols under MD or equivalent
◦ AND implementation officer
◦ “Wheels rolling”

Security Response
 Will vary with SOPs and scope of
authority
 Consult with local law enforcement
 For large responses
untrained/minimally trained employees
can be used to secure areas.

On-Scene Incident
Commander
 Who will assume control of the
incident scene beyond the first
responder awareness level, shall
receive at least 24 hours of training
equal to the first responder operations
level and in addition have competency
in the following areas. . .

On-Scene Incident
Commander
 Know and be able
to implement the
employer's incident
command system
and emergency
response plan.
 Know how to
implement the local
emergency
response plan.
 Know of the state
emergency
response plan and
of the Federal
Regional
Response Team
 (FEMA ICS
Training)

On-Scene Incident
Commander
 Know and
understand the
importance of
decontamination
procedures
 Know and
understand the
hazards and risks
associated with
employees working
in chemical
protective clothing.

HAZARDOUS MATERIALS
TECHNICIANS
 Individuals who respond to releases or
potential releases for the purpose of
stopping the release. They assume a
more aggressive role than a first
responder at the operations level in
that they will approach the point of
release in order to plug, patch or
otherwise stop the release of a
hazardous substance.

HAZARDOUS MATERIALS
TECHNICIANS
 shall have received at least 24 hours
of training equal to the first responder
operations level and in addition have
competency in the following areas . . .

HAZARDOUS MATERIALS
TECHNICIANS
 Know how to
implement the
employer's
emergency
response plan.
 Be able to function
within an assigned
role in the Incident
Command System.

HAZARDOUS MATERIALS
TECHNICIANS
 Know the
classification, identificatio
n and verification of
known and unknown
materials by using field
survey instruments and
equipment.

HAZARDOUS MATERIALS
TECHNICIANS
 Know how to select
and use proper
specialized
chemical personal
protective
equipment
provided to the
hazardous
materials
technician
 Understand hazard
and risk
assessment
techniques.
 Understand and
implement
decontamination
and termination
procedures

HAZARDOUS MATERIALS
TECHNICIANS
 Be able to perform
advanced
control, containment, an
d/or confinement
operations within the
capabilities of the
resources and personal
protective equipment
available with the unit.

FIRST RESPONDER
OPERATIONS LEVEL
 individuals who respond to releases or
potential releases of hazardous
substances as part of the initial
response to the site for the purpose of
protecting nearby
persons, property, or the environment
from the effects of the release.

Medical Emergency Team
 Can only respond to their level of
training
 First Aid/ CPR
◦ Beginning
◦ Health Care Provider
 EMT I and II (Basic and Advanced,
paramedic)
◦ Available through Community/Tech.
Colleges
◦ Experience required for Advanced

First Responder Awareness
Level
 Individuals who are likely to witness or
discover a hazardous substance
release and who have been trained to
initiate an emergency response
sequence by notifying the proper
authorities of the release. They take
no further action beyond notifying the
authorities of the release.

FR Awareness Level
Continued
 Understanding of
what hazardous
substances
are, and the risks
associated with
them in an incident.
 Understanding of
the potential
outcomes
associated with an
emergency created
when hazardous
substances are
present.

FR Awareness Level
Continued
 The ability to recognize
the presence of
hazardous substances
in an emergency.
 The ability to identify the
hazardous
substances, if possible.

FR Awareness Level
Continued
 The ability to
realize the need for
additional
resources, and to
make appropriate
notifications to the
communication
center.

FR Awareness Level
Continued
 An understanding of the role of the
first responder awareness individual in
the employer's emergency response
plan including site security and control
and the U.S. Department of
Transportation's Emergency
Response Guidebook.

Medical Equipment
 Based on level of care
 First aid kit
◦ Does it fit your business?
 BP cuffs for chemical response
 Scale for heat stress

Security Equipment
 Video surveillance
 Uniforms and ID
 Signs, fences, other barriers
 Locks/keys
 Forms
 Appropriate paperwork for trespass

Chemical Clean Up
Equipment
 Containments and pumps
 Booms, pads, pillows other
absorbents
 Monitoring equipment
 Reference material
◦ Safety Data Sheets
◦ WISER
◦ ERG
 PPE

 Vapor-tight, providing
total encapsulation
and a high level of
protection against
direct and airborne
chemical contact
 They are typically
worn with a self-
contained breathing
apparatus (SCBA)
enclosed within the
suit

 Are not vapor-tight
and thus provide a
lesser level of
protection.
 Worn with an SCBA,
which may be inside
or outside of the
suit, depending on
the type of suit
(encapsulating or
non-encapsulating).

 Includes coveralls
or splash suits
providing a lesser
level of protection
than Level B and
are typically worn
with an air purifying
respirator only.

 Does not include a
'hazmat suit', as it
only requires
specific work
clothing such as
coveralls and/or
general safety gear
are worn.
 No respiratory
protection and very
little skin protection
is needed.

Decontamination Basics
 Procedures
◦ Emergency
◦ Full
 Dry not yet
recognized as
effective
 Done every time
someone or thing
leaves
contaminated area

Decontamination Supplies
 Kiddie Pools
 Plastic bins and
trays
 Dish soap
 Over pack
containers
 “Diaper” liners
 Brushes
 Knives
 Curtains
 Hoses
 Portable showers
 Wash racks for
heavy equipment

Critique and Follow up
 After each action, if
done by more than
one person
 Goal: Improve
process and
performance

Critique and Follow up
Agenda
 What went well
 What didn’t go well
 Suggestions for future improvement
◦ Concrete actionable items for most/all
“didn’t go well’s”
 Timeline for implementation

Critique and Follow up ROE
 Where
◦ Should be done in private
◦ If done in public – accentuate positives
 Avoid placing blame
 Don’t make it personal

Disclaimer
 The information contained in this presentation was obtained from
sources believed to be reliable at the time of production. Any
opinions expressed herein are not necessarily those of Stein Safety
and Health Services, LLC.
 Stein Safety and Health services, LLC makes no representation or
guarantee as to the correctness or sufficiency of any information
contained herein, nor a guarantee of results based on the use of this
information, and disclaims all warranties whether implied, express or
statutory, including without limitation, implied warranties of
merchantability, fitness for use and fitness for a particular purpose.
You assume the entire risk as to the use of this information, and
Stein Safety and Health Services, LLC assumes no liability in
connection with either the information presented or use of the
suggestions made in these materials.
 In addition, Stein Safety and Health Services, LLC does not
endorse or guarantee the products or services of other persons or
organizations discussed or identified in these materials, and
disclaims all liability associated with or arising from the use of any
such products or services.

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