This document outlines emergency response procedures for medical and non-medical situations. It defines key terms and describes the roles of emergency response teams, which include medical and fire fighting personnel. It provides guidance on assessing incidents, securing scenes, communicating relevant information, and administering first aid. The document emphasizes the importance of training for responding effectively in emergency situations and recommends instructing senior staff to attend first aid courses.

1. EMERGENCYEMERGENCY
RESPONSERESPONSERESPONSERESPONSE
DecemberDecember 2222nd,nd, 20032003
Dr Pierre H. MarionDr Pierre H. MarionDr Pierre H. MarionDr Pierre H. Marion
HDEC Medical CoordinatorHDEC Medical Coordinator

2. DefinitionsDefinitionsDefinitionsDefinitions
Initial situation is the INCIDENTInitial situation is the INCIDENTInitial situation is the INCIDENTInitial situation is the INCIDENT
For illness or injury the medical assessmentFor illness or injury the medical assessment
states whether it is an EMERGENCY or notstates whether it is an EMERGENCY or notstates whether it is an EMERGENCY or notstates whether it is an EMERGENCY or not
NonNon--medical situation (fire, explosion, gasmedical situation (fire, explosion, gas
leak, structure collapse etc) is always anleak, structure collapse etc) is always anleak, structure collapse etc) is always anleak, structure collapse etc) is always an
URGENCYURGENCY
Depending on the INFORMATION receivedDepending on the INFORMATION receivedDepending on the INFORMATION receivedDepending on the INFORMATION received
from witnesses, Emergency Response Teamfrom witnesses, Emergency Response Team
can provide more accurate supportcan provide more accurate supportp ppp pp

3. ACCIDENTSACCIDENTSACCIDENTSACCIDENTS

4. ROAD TRAFFIC ACCIDENTROAD TRAFFIC ACCIDENTROAD TRAFFIC ACCIDENTROAD TRAFFIC ACCIDENT

5. ACCIDENTACCIDENTACCIDENTACCIDENT
RESULTRESULT
……

6. WORKWORK--RELATED ACCIDENTRELATED ACCIDENTWORKWORK RELATED ACCIDENTRELATED ACCIDENT

7. ILLNESSESILLNESSES

8. UNCONSCIOUS PERSONUNCONSCIOUS PERSONUNCONSCIOUS PERSONUNCONSCIOUS PERSON

9. EMERGENCY RESPONSE TEAMEMERGENCY RESPONSE TEAM
E.R.TE.R.T
Two types of teams are involvedTwo types of teams are involvedTwo types of teams are involvedTwo types of teams are involved
Medical team: provides all required cares onMedical team: provides all required cares on
incident scene according to patient/casualtyincident scene according to patient/casualtyincident scene according to patient/casualtyincident scene according to patient/casualty
condition. Team is also to support Fire fightingcondition. Team is also to support Fire fighting
team as requiredteam as requiredteam as requiredteam as required
Fire fighting team: intervenes for any nonFire fighting team: intervenes for any non--
di l i id d f id didi l i id d f id dimedical incident and for accident needingmedical incident and for accident needing
rescue and/or extricationrescue and/or extrication

10. ADDITIONAL SUPPORTADDITIONAL SUPPORTADDITIONAL SUPPORTADDITIONAL SUPPORT
Following sections support E R T withFollowing sections support E R T withFollowing sections support E.R.T withFollowing sections support E.R.T with
specific missionsspecific missions
S i h i id dS i h i id dH.S.E section: to secure the incident scene andH.S.E section: to secure the incident scene and
investigateinvestigate
Security: to secure the area, control theSecurity: to secure the area, control the
spectators and assist H.S.E for investigationspectators and assist H.S.E for investigation

11. PROGRESSPROGRESSPROGRESSPROGRESS
Incident occursIncident occursIncident occursIncident occurs
Patient/casualty or witness alerts E.R.TPatient/casualty or witness alerts E.R.T
C l O h llC l O h llE.R.T Control Room Operator gathers allE.R.T Control Room Operator gathers all
relevant information and transfers to Medicalrelevant information and transfers to Medical
ffi Fi fi h i l d i dffi Fi fi h i l d i dofficer or Fire fighting team leader as requiredofficer or Fire fighting team leader as required
Operator notifies H.S.E and SecurityOperator notifies H.S.E and Security
Team responds according to situationTeam responds according to situation

12. PROGRESSPROGRESSPROGRESSPROGRESS
PREVIOUS PROGRESS DESCRIPTIONPREVIOUS PROGRESS DESCRIPTION
INDUCES SEVERAL MAJOR ISSUESINDUCES SEVERAL MAJOR ISSUES

13. ALERTALERTALERTALERT
Communication : emergency numbers should figureCommunication : emergency numbers should figure
on gate pass card back side and near all telephoneson gate pass card back side and near all telephoneson gate pass card back side and near all telephoneson gate pass card back side and near all telephones
Communication means: if no telephone is availableCommunication means: if no telephone is available
i h i i i di d li i ffii h i i i di d li i ffiin the vicinity, use radio or send liaison officerin the vicinity, use radio or send liaison officer
Safety Officer who notices there is no answer shallSafety Officer who notices there is no answer shall
relay informationrelay information
Message: identify yourself, give your location,Message: identify yourself, give your location,g y y , g y ,g y y , g y ,
describe incident and number of concerned personsdescribe incident and number of concerned persons
Notify if any immediate additional hazardNotify if any immediate additional hazardNotify if any immediate additional hazardNotify if any immediate additional hazard

14. ALERTALERT
EMERGENCY NUMBERSEMERGENCY NUMBERS
Fire fighting team Plant Area:Fire fighting team Plant Area: 11191119
First aid room Plant Area:First aid room Plant Area: 15511551
Both above numbers can be used withoutBoth above numbers can be used without
distinctiondistinction
Fire fighting team Iranian Camp:Fire fighting team Iranian Camp: 30123012,, 31193119
Clinic Iranian Camp:Clinic Iranian Camp: 30053005 30063006Clinic Iranian Camp:Clinic Iranian Camp: 30053005,, 30063006
ANY ALERT ON ANY NUMBER WILL BEANY ALERT ON ANY NUMBER WILL BEANY ALERT ON ANY NUMBER WILL BEANY ALERT ON ANY NUMBER WILL BE
FORWARDED ACCORDINGLYFORWARDED ACCORDINGLY

15. RELEVANT INFORMATIONRELEVANT INFORMATIONRELEVANT INFORMATIONRELEVANT INFORMATION
MEDICAL OR NONMEDICAL OR NON--MEDICAL SITUATIONMEDICAL SITUATION
Time of accident/incident:Time of accident/incident: When?When?
Exact location:Exact location: Where?Where?
CircumstancesCircumstances:: How?How?
Personnel involved:Personnel involved: Who?Who?
Number of persons involved:Number of persons involved: How many?How many?
Material involved:Material involved: What?What?Material involved:Material involved: What?What?
Action takenAction taken If you are first aidIf you are first aid
trainedtrainedtrainedtrained
Additional hazardAdditional hazard

16. RELEVANT INFORMATIONRELEVANT INFORMATIONRELEVANT INFORMATIONRELEVANT INFORMATION
YOU MIGHT FEEL THAT ANSWERING ALLYOU MIGHT FEEL THAT ANSWERING ALLYOU MIGHT FEEL THAT ANSWERING ALLYOU MIGHT FEEL THAT ANSWERING ALL
QUESTIONS IS WASTING TIMEQUESTIONS IS WASTING TIME
The more details we get the more accurate theThe more details we get the more accurate theThe more details we get, the more accurate theThe more details we get, the more accurate the
response can beresponse can be
K i h l i id d l fK i h l i id d l fKnowing the exact location avoids delays forKnowing the exact location avoids delays for
reaching the placereaching the place
Knowing how many casualties are involved orKnowing how many casualties are involved or
fire extent allows mobilising immediatelyfire extent allows mobilising immediately
backback--up teamsup teams

17. CHECKLISTCHECKLIST –– INJURYINJURYCHECKLISTCHECKLIST INJURYINJURY
DRAFTDRAFT

19. CHECKLISTCHECKLIST –– ILLNESSILLNESSCHECKLISTCHECKLIST ILLNESSILLNESS
DRAFTDRAFT

21. RESPONSERESPONSERESPONSERESPONSE
MEDICAL SITUATIONMEDICAL SITUATION
Medical team proceeds to accident/incident sceneMedical team proceeds to accident/incident scene
During medical assessment time, immediate care isDuring medical assessment time, immediate care isDuring medical assessment time, immediate care isDuring medical assessment time, immediate care is
provided as requiredprovided as required
Patient/casualty is stabilised on the field andPatient/casualty is stabilised on the field andPatient/casualty is stabilised on the field andPatient/casualty is stabilised on the field and
transported to first aid room or clinictransported to first aid room or clinic
C l t i i t li i iC l t i i t li i iComplementary care provision at clinic, ongoingComplementary care provision at clinic, ongoing
assessment and medical evacuation as requiredassessment and medical evacuation as required

22. MEDICAL RESPONSEMEDICAL RESPONSEMEDICAL RESPONSEMEDICAL RESPONSE

23. RESPONSERESPONSERESPONSERESPONSE
NONNON--MEDICAL SITUATIONMEDICAL SITUATION
Fi fi h i d i idFi fi h i d i idFire fighting team proceeds to incident sceneFire fighting team proceeds to incident scene
Team leader assesses general situation andTeam leader assesses general situation and
additional hazard and takes action accordinglyadditional hazard and takes action accordingly
Secure incident sceneSecure incident scene
If first on scene, provide first aid as requiredIf first on scene, provide first aid as required
In case of trapped casualty (road traffic accidentIn case of trapped casualty (road traffic accidentIn case of trapped casualty (road traffic accident,In case of trapped casualty (road traffic accident,
scaffolding collapse etc) start extrication processscaffolding collapse etc) start extrication process
and await medical support for casualty safeand await medical support for casualty safeand await medical support for casualty safeand await medical support for casualty safe
extractionextraction

24. NONNON--MEDICAL RESPONSEMEDICAL RESPONSENONNON MEDICAL RESPONSEMEDICAL RESPONSE

25. HOW CAN YOU HELP?HOW CAN YOU HELP?
YOU SHOULDYOU SHOULD
Assess the incident sceneAssess the incident sceneAssess the incident sceneAssess the incident scene
Secure the incident sceneSecure the incident scene
id i f i d lid i f i d lProvide accurate information and alertProvide accurate information and alert
Provide first aid if you are trainedProvide first aid if you are trained

26. INCIDENT SCENE ASSESSMENTINCIDENT SCENE ASSESSMENTINCIDENT SCENE ASSESSMENTINCIDENT SCENE ASSESSMENT
Is there any additional hazard?Is there any additional hazard?Is there any additional hazard?Is there any additional hazard?
Is there any immediate aggravation risk?Is there any immediate aggravation risk?
S d d t ffi id tS d d t ffi id tSecondary road traffic accidentSecondary road traffic accident
Car fire or explosionCar fire or explosion
Wall crashWall crash
Gas leakGas leak
EtcEtc

27. ADDITIONAL HAZARDADDITIONAL HAZARDADDITIONAL HAZARDADDITIONAL HAZARD

28. ADDITIONAL HAZARDADDITIONAL HAZARDADDITIONAL HAZARDADDITIONAL HAZARD

29. PROTECTIONPROTECTIONPROTECTIONPROTECTION
Protect yourselfProtect yourself
Disconnect mains supplyDisconnect mains supply
Do not enter a confined space if gas suspectedDo not enter a confined space if gas suspected
Protect attendantsProtect attendants
Move them awayMove them awayMove them awayMove them away

30. FIREMEN PROTECTIONFIREMEN PROTECTION
BREATHING APPARATUSBREATHING APPARATUS

31. PROTECTIONPROTECTIONPROTECTIONPROTECTION
Protect patient/casualtyProtect patient/casualtyProtect patient/casualtyProtect patient/casualty
Remove harmful objectsRemove harmful objects
Secure unstable objectsSecure unstable objectsSecure unstable objectsSecure unstable objects
Protect incident sceneProtect incident scene
SignpostingSignposting
Disconnect car batteryDisconnect car battery
Extinguish starting fire if matching extinguisherExtinguish starting fire if matching extinguisher
availableavailable

32. PROTECTIONPROTECTIONPROTECTIONPROTECTION

33. ALERT QUALITYALERT QUALITYALERT QUALITYALERT QUALITY
When available make use of checklists forWhen available make use of checklists forWhen available, make use of checklists forWhen available, make use of checklists for
injury or illnessinjury or illness
Familiarise with checklistsFamiliarise with checklistsFamiliarise with checklistsFamiliarise with checklists
Familiarise with communication meansFamiliarise with communication means
Request for assistance around you (SafetyRequest for assistance around you (Safety
officer, supervisor etc)officer, supervisor etc)

34. FIRST AIDFIRST AIDFIRST AIDFIRST AID
ATTEND FIRST AID TRAININGSATTEND FIRST AID TRAININGSATTEND FIRST AID TRAININGSATTEND FIRST AID TRAININGS
Each heartbeat pumps aboutEach heartbeat pumps about 450450 ml bloodml blood
Human body contains averageHuman body contains average 66 litres bloodlitres bloodHuman body contains averageHuman body contains average 66 litres bloodlitres blood
Blood loss in case of artery injury will beBlood loss in case of artery injury will be
complete in aboutcomplete in about 1212 heartbeats i eheartbeats i e 1010complete in aboutcomplete in about 1212 heartbeats, i.e.heartbeats, i.e. 1010
secondsseconds
Result is deathResult is deathResult is deathResult is death
Immediate direct compression might saveImmediate direct compression might save
casualty’s lifecasualty’s lifecasualty s lifecasualty s life

35. DIRECT COMPRESSIONDIRECT COMPRESSIONDIRECT COMPRESSIONDIRECT COMPRESSION

36. FIRST AIDFIRST AIDFIRST AIDFIRST AID
DO NOT MOVE CASUALTYDO NOT MOVE CASUALTYDO NOT MOVE CASUALTYDO NOT MOVE CASUALTY
IF NO IMMEDIATE HAZARDIF NO IMMEDIATE HAZARD
f i k i i l l d i di hf i k i i l l d i di hIf risk is vital, real and immediate, then moveIf risk is vital, real and immediate, then move
safely the casualtysafely the casualty
Do not put yourself at riskDo not put yourself at risk
Follow recommendations provided during firstFollow recommendations provided during firstp gp g
aid trainings regarding emergency movingaid trainings regarding emergency moving
Protect the spineProtect the spineProtect the spineProtect the spine

37. FIRST AIDFIRST AIDFIRST AIDFIRST AID
DO NOT DO WHAT YOU HAVE NOTDO NOT DO WHAT YOU HAVE NOTDO NOT DO WHAT YOU HAVE NOTDO NOT DO WHAT YOU HAVE NOT
BEEN TRAINED FORBEEN TRAINED FOR
DO NOT PUT YOURSELF AT RISKDO NOT PUT YOURSELF AT RISKDO NOT PUT YOURSELF AT RISKDO NOT PUT YOURSELF AT RISK
DO NOT INDUCE SECONDARY INJURIESDO NOT INDUCE SECONDARY INJURIES
BE BASIC IN YOUR ACTIONBE BASIC IN YOUR ACTION

38. CONCLUSIONSCONCLUSIONSCONCLUSIONSCONCLUSIONS
Emergency Response is the result of aEmergency Response is the result of aEmergency Response is the result of aEmergency Response is the result of a
comprehensive chaincomprehensive chain
Whenever one single link is defective itWhenever one single link is defective itWhenever one single link is defective, itWhenever one single link is defective, it
impairs the whole chain efficiencyimpairs the whole chain efficiency
Thi i h ll ibl lThi i h ll ibl lThis is why all responsible personnel presentThis is why all responsible personnel present
on site should be involved in emergencyon site should be involved in emergency
responseresponse
This is why safety induction and first aidThis is why safety induction and first aid
training are that importanttraining are that important

39. RECOMMENDATIONSRECOMMENDATIONSRECOMMENDATIONSRECOMMENDATIONS
Instruct your senior employees to attend firstInstruct your senior employees to attend firstInstruct your senior employees to attend firstInstruct your senior employees to attend first
aid trainings, beginning with your HSEaid trainings, beginning with your HSE
managers and supervisors and your safetymanagers and supervisors and your safetyg p y yg p y y
officersofficers
Follow HYUNDAI/ENI recommendationsFollow HYUNDAI/ENI recommendations
regarding safetyregarding safety
Do not transport patient/casualty by yourselfDo not transport patient/casualty by yourselfp p y y yp p y y y
Clear up access to each structure and allowClear up access to each structure and allow
E.R.T reaching the incident sceneE.R.T reaching the incident scenegg

40. I HAD A DREAMI HAD A DREAMI HAD A DREAMI HAD A DREAM
Everybody on site was following safety regulationsEverybody on site was following safety regulationsy y g y gy y g y g
There had not been any serious incident since threeThere had not been any serious incident since three
monthsmonths
There was no need of emergency responseThere was no need of emergency response
We were working in an ideal worldWe were working in an ideal world
AND I WOKE UP …AND I WOKE UP …
I was definitely not Martin Luther King!I was definitely not Martin Luther King!

41. THANK YOU FOR YOURTHANK YOU FOR YOURTHANK YOU FOR YOURTHANK YOU FOR YOUR
ATTENTIONATTENTION
HOPE SEING YOU SOON ATHOPE SEING YOU SOON ATHOPE SEING YOU SOON ATHOPE SEING YOU SOON AT
HDEC TRAINING CENTREHDEC TRAINING CENTRE