Free Emergency Treatment Plan Template

Emergency Treatment Plan


I. Introduction

The purpose of this Emergency Treatment Plan is to provide a structured, efficient response to medical emergencies within [YOUR COMPANY NAME]. By clearly defining roles, procedures, and communication protocols, this plan ensures the safety and well-being of all employees, clients, and visitors on-site.


II. Assessment and Immediate Actions

When encountering a medical emergency, follow these immediate and critical steps:

  1. Remain Calm: Quickly evaluate the situation to avoid panic.

  2. Call Emergency Services: Dial 911 (or the appropriate local number) and clearly describe the nature of the emergency, location, and number of people affected.

  3. Provide First Aid: If qualified and only if safe to do so, administer first aid to stabilize the individual until professional help arrives.

  4. Notify Key Personnel: Contact the Health & Safety Officer and other designated emergency coordinators listed in this plan.


III. Communication Plan

Clear and accurate communication is essential during an emergency.

A. Emergency Services Communication:

  • Provide details such as the nature of the emergency, exact location, contact person, and any known hazards.

  • Stay on the line with dispatchers and follow their instructions.

B. On-Site Notifications:

Inform the following key personnel promptly:

Name

Role

Contact Number

Ruth Andrews

Site Manager

222-555-7777

[YOUR NAME]

Health & Safety Officer

222-555-7777

Jane Smith

HR Representative

222-555-7777


IV. Roles and Responsibilities

Assigning clear roles ensures effective management of the situation:

Role

Responsibilities

First Responder

Provides immediate first aid, assesses the individual’s condition, and offers comfort until help arrives.

Communicator

Contacts emergency services, update them on the situation and coordinates with key personnel.

Recorder

Documents the incident details, including actions taken, time stamps, and outcomes, ensuring accuracy.


V. Medical Supplies and Equipment

Ensure the following medical supplies are maintained, readily accessible, and regularly inspected:

Item

Location

Quantity

Last Restocked

First Aid Kit

Main Office

2

January 1, 2050

Automated External Defibrillator (AED)

Reception Area

1

December 15, 2049

Emergency Oxygen Kit

Warehouse

1

January 10, 2050


VI. Follow-Up Procedures

  1. Incident Documentation: Complete the Incident Report Form and submit it to the Health & Safety Officer within 24 hours.

  2. Plan Effectiveness Review: Evaluate the emergency response to identify strengths and areas for improvement.

  3. Support Services: Offer counseling or employee assistance programs for those impacted by the incident.

  4. Debriefing: Schedule a meeting with relevant staff to discuss lessons learned and implement improvements.


VII. Review and Updates

To maintain effectiveness, this plan must be reviewed and updated regularly:

  • Last Reviewed: January 1, 2050

  • Next Review: January 1, 2051

Significant incidents should trigger an immediate review and necessary updates.


VIII. Contact Information

For further details or assistance regarding this Emergency Treatment Plan, please contact:

Field

Details

Position

Health & Safety Officer

Company

[YOUR COMPANY NAME]

Address

[YOUR COMPANY ADDRESS]

Email

[YOUR COMPANY EMAIL]

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