Get On Call Form

Emergency Call-In Form Call Taker Follow-Up Date Time Your Name Goal Engage a Plant Incident Commander Plant IC Who Report From Notification Alert to Plant IC Lead Responder Notification Unit Leader and Evacuation Group Supervisor Phone alarm auto-notification alert computer email alert or cell-phone alert/page use the Alert Forms What Nature of Event Examples Fire medical chemical release bomb threat structural collapse explosion smoke investigation alarm system sounding suspicious activity unruly person etc. Where Location Hazard Zone Machine Room cold store warehouse loading dock battery charging room etc. Life Safety Risks and Threats Number injured spread of fire smoke or vapor movement trapped victims etc. Call Back Contact Phone or radio What to do next Assure that the caller can safely stay on the line Chemical Ask if a vapor cloud or aerosol stream exists move people out of the danger area Isolation Zone to safe refuge area. Fire pull fire alarm use fire extinguisher if trained contain the fire close doors and/or escape to evacuation point or safe refuge area. Medical Secure the situation to prevent further risk of injury perform first aid if trained to do so control bleeding breathing clear airway CPR treat for shock. Bomb Threat Calmly speak with the caller while simultaneously giving the alert for help determine the location and description of the device. Plant IC to Accept Command Announce the following five points via radio and/or page 1. Nature of Problem Life environment property 2. Hazard Zone Location of Hot Zone 3. Level of Concern Level 1 incidental/small 2 contained but NOT controlled 3 emergency out of control 4. Size of Isolation Zone 100 to 1 000 5. Location of Incident Command Post Notification Unit Leader 9-1-1 and Engage the Command Team 1. Notification Leader will use the Notification Log form to document the 9-1-1 report and make the other pre-authorized calls from the Hazard Zone Checklist and notifications as ordered by the Plant IC engagement ICS 214 and Situation Status Report. Bomb Threat Calmly speak with the caller while simultaneously giving the alert for help determine the location and description of the device. Plant IC to Accept Command Announce the following five points via radio and/or page 1. Nature of Problem Life environment property 2. Plant IC to Accept Command Announce the following five points via radio and/or page 1. Nature of Problem Life environment property 2. Hazard Zone Location of Hot Zone 3. Level of Concern Level 1 incidental/small 2 contained but NOT controlled 3 emergency out of control 4. Hazard Zone Location of Hot Zone 3. Level of Concern Level 1 incidental/small 2 contained but NOT controlled 3 emergency out of control 4. Size of Isolation Zone 100 to 1 000 5. Location of Incident Command Post Notification Unit Leader 9-1-1 and Engage the Command Team 1. Size of Isolation Zone 100 to 1 000 5. Location of Incident Command Post Notification Unit Leader 9-1-1 and Engage the Command Team 1. Notification Leader will use the Notification Log form to document the 9-1-1 report and make the other pre-authorized calls from the Hazard Zone Checklist and notifications as ordered by the Plant IC engagement ICS 214 and Situation Status Report.