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ZAJEL TELECOMMUNICATIONS CO.

EMERGENCY ACTION PLAN

VERSION 2.0

Change History ED 1.0 2.0 Date March 13, 2011 January 13, 2012 Change Note First Release Second Release Document owner Pyara Kamboj Pyara Kamboj Manager Ayad Shehadeh Ayad Shehadeh

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CONTENTS

1. 2. 3. 4. 5. 6. 7.

Introduction Scope of Application Roles & responsibilities Emergency Contacts List of Hospitals in Qatar Hazard Analysis Emergency Guidelines: A. Guidelines to shut down Activity in an Emergency B. Guidelines for Evacuation in an Emergency C. Guidelines to restart Activity 8. Emergencies & Action Plan A. Medical Emergencies B. EMF Exposure C. Fire D. Severe Weather E. Bomb Threat F. Tower Rescue G. Earthquake H. Other Emergencies: 1. Heat Related Injury Procedures 2. Personnel Count-lost person 3. Notable Hazards 4. Spillage of Hazardous Material 5. Traffic Accident 6. Assault at entry control 7. Insect or Poisonous Animal Bite

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1: Introduction:
Many different types of emergencies could occur in Project activities including health, fire, explosion, gas leaks, and chemical spills. Planning before an emergency happens allows those involved to respond effectively and in ways that should minimize worker injuries and property damage. Specific elements must be included in any Emergency Action Plan (EAP). The department of Environmental Health and Safety (EHS) has developed a plan for Project team to implementation of their all project activities.

2: Scope
The Occupational Safety and Health Administration (OSHA) require emergency action planning in all workplaces. Each team is responsible for the implementation of a provided Emergency Action Plan covering the facilities and project activities under their control. Zajel, is committed to protect the Safety, Health and Environment, of our customers, employees, subcontractors, and communities where we work as established by our Zajel Telecommunications Safety, Health and Environment Policy. Zajel expects that its contractors and sub-contractors have accident prevention norms, as well as their own procedures for response in emergencies. This Plan was created to be used by Zajel personnel in our facilities or for those that participate in field installation operations, as well as contractor's personnel that have voluntarily decided to adhere to these guidelines or supplement with this one their own existing plans. The purpose of this program is to reduce the damages to the personnel, the facilities, suspension to the productive process and exposure of Zajel to unnecessary liabilities as a result of accidents or other emergency situations. This Health and Safety Plan (HSP) describes lines of authority, responsibility, and communication as they pertain to health and safety functions at its sites. It also details key personnel who are responsible for the development and implementation of this HSP, it also includes the general functions and responsibilities of the site supervisor and specific chain of command. During works conducted on sites Zajel has responsibility for its employees only. Zajel shall provide a copy of this HSP to its subcontractors working on that site to inform them of hazards and emergency procedures pertinent to that site. It is the responsibility to subcontractors however to develop their own HSP and to maintain safe and healthful working conditions for their employees and other personnel who may have access to the site.

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3: Roles and Responsibilities


EHS Department
o o o Develop a written Emergency Action Plan which incorporates all the required elements. Assign responsibility for the plan. Train workers in the actions required of them under the plan.

Site Supervisors
o o Ensure workers are trained. Follow plan in the event of an emergency.

EHS and Public Safety


o o Provide assistance in development and implementation of plan. Periodically audit the plan.

Individual
o o Read and understand elements of plan Follow plan in the event of an emergency.

4. Emergency Contacts
A. Emergency Number (fire brigade, ambulance, or police): 999 B. Worldwide Emergency Phone Number: 112 This is a worldwide emergency phone number for GSM users, can be used outside the normal network coverage area. Mobile will search for any existing network to establish an emergency service. This service should operate even though the phone has no SIM card, or the keypad is locked. C. Zajel Health and Safety Personal: 1. Pyara Lal Kamboj (HSE Manager) 2. Abdul Sameer Ansari (HSE Supervisor) D. Alcatel Health and Safety Personal: 1. Amir Joseph Fahmy (QEH&S Manager) 2. Rami Samy (EH&S Coordinator) Mobile Number:77984012 Mobile Number: 77984019 Mobile Number:70099037 Mobile Number:77207545

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5: List of Hospitals in Qatar


Hamad Medical City After the Asian Olympic Games, the Olympic village will be integrated into Hamad Medical City, containing within its grounds Hamad Hospital, Al Amal Oncology Hospital, Rumailah Hospital and the Womans Hospital.

Government Hospitals
Al Khor General Hospital Location: on the main road out of Al Khor (towards Al Thakira). Tel: +974 474 5555

Hamad General Hospital (includes Accident and Emergency) Offers private medical
service Tel: +974 4394444 Location: Off Al Rayyan Road opposite Lulu Centre. The Womens Hospital Tel: +974 439 6666 Located in the same grounds as Hamad Hospital.

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Al Amal Oncology Hospital (cancer treatment) Aims to provide total cancer care. Includes early detection unit, therapy, counseling and rehabilitation Tel: +974 4745555 Location: Off Mohammad Bin Thani Street next to the womens hospital.

Rumailah Hospital
Services include plastic surgery, Ear nose and throat surgery, ophthalmology and a stroke unit. Tel: +974 4393333 Location: off Al Istiqlal Street, next to the Olympic Village.

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Private Hospitals Al Ahli Hospital Tel: +974 489 8888 Postal Address: PO Box 6401, Doha, Qatar Location: Ahmed Bin Ali Street

The American Hospital Tel: +974 442 1999; Email: ahdoha@qatar.net.qa Location: Al Muntazah, next to the Labour Department on C-ring road. Postal Address: PO Box 22314, Doha, Qatar

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Al-Emadi Hospital Tel: +974 466 6009 Postal address: PO Box 5804, Doha Qatar Location: On D ring road, opposite Regency Hall and near The Mall roundabout.

The Doha Clinic Hospital Email: dohaclnk@qatar.net.qa Tel: +974 432 7300 Location: New El-Merqab Street, Fariq Al-Nasr Postal Address: PO Box 9958, Doha, Qatar Emergency: +974 4327303

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6. Hazard Analysis Process


This HSP describes potential health and safety hazards associated with site works and control measures to be implemented to protect workers by conducting a Site Risk Assessment. The purpose of this letter is to identify and possibly quantify potential health and safety hazards associated with the different tasks pertinent to that site in order to implement adequate control methods. Elements of this HSP include: -Site description: please refer to relevant TSSR (Technical Site Survey Reports) -Hazard Notification Process: Information contained in this HSP is made available to all employees who could be affected by the works on that site prior to works commencement. -Job Safety Analysis: Potential risks associated with works sites and control measures are detailed per the table below.
RISK SCORE CALCULATOR What would the SEVERITY Of an occurrence be? Disaster Multiple Fatalities Very Serious Major Illness or Injury, disability Serious Serious but nonpermanent injury or ill health Work days lost Substantial Medical attention needed. No work restrictions. Minor Minor cuts & bruises or sickness Use The Risk Score Calculator To Determine The Level Of Risk Of Each Hazard What is the LIKELIHOOD of an occurrence? Hierarchy of Controls Almost Very Very Can the hazard be Eliminated or Likely Unlikely Certain Likely Unlikely removed from the work place? Can the product or process be Medium High 25 High 20 High 15 Medium 5 substituted for a less hazardous 10 alternative? High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers? Can Administration Controls be adopted i.e. procedures, job rotation etc

High 15

High 12

Medium 9

Medium 6

Low 3

Medium10

Medium 8 Medium 4

Medium 6 Low 3

Low 4

Low 2

Medium 5

Low 2

Low 1

Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?

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7: Emergency Guidelines:
A. Guidelines to shut down Activity in an Emergency
a. These are the operations that would have to be performed, previous to an evacuation procedure, so as not to generate additional risks during our absence; if the emergency allows it and your physical integrity is not threatened. b. Typical operations: 1. 2. 3. 4. 5. 6. 7. 8. Take important documents Save information in your computer Disconnect electric equipment Turn off heat sources Open vents or respirators Unblock security devices Notify the building's security Close filling valves

B. Guidelines for Evacuation in an Emergency


Evacuation of the facilities: The situations that provoke an evacuation of the site must be defined and the basic guidelines to perform an evacuation in an emergency are as follows: 1. A Chain of Command must be defined: who decides / and using what criteria. 2. Notification system: how to notify the personnel. 3. When listening or receiving the signal, make an emergency shutdown (see Chapter 3) and/or start evacuation from wherever you are. 4. The person responsible for the safe evacuation of a visitor is the person visited. 5. Each employee will know his/her basic route and emergency exit and his/her alternatives. 6. The evacuation will be made without running or talking to others. 7. If during the process you find a person who has fainted or is injured, if your physical integrity is not threatened, help her/him, otherwise leave her/him and report it immediately to the emergency crew at the meeting point. 8. Every evacuation will be to the meeting point established. In said site a personnel count will be made and a list of all the people missing or that would have stayed or been left at the facilities will be made. 9. All the evacuation doors must open outwards and not be blocked. 10. Any evacuation notification (alarm) must be taken as real.

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C. Guidelines to restart Activity


These are the inspection of the facilities activities, previous to the restart of operations, in order to detecting and controlling possible risks to the personnel caused by the emergency. Typical aspects to check: 1. Status of the load bearing structures of the site 2. Existence of cracks in filler panels, load bearing walls 3. Presence of infiltration of liquids on the walls 4. Movement or tilting of structures 5. Ruptures of pipelines: water, LP Gas, electric or others 6. Status of the windows, under pressure? 7. Smell of LP gas 8. Abnormal noises 9. Placement of furniture and accessories 10. Status of routes, exits and emergency doors 11. Status of the emergency alarm system or public address system 12. State of mind of the personnel, would some therapy be necessary? 13. In what sequence should the facilities be occupied? 14. If risks are detected, are there alternative places? If it is not possible to restart operations at the regular workplaces, then the Business Continuity Plan will be started.

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8: Emergencies Reporting & Evacuation/Action Plan


Types of emergencies to be reported by site personnel are:
A. B. C. D. E. F. G. MEDICAL EMF EXPOSURE FIRE SEVERE WEATHER BOMB THREAT TOWER RESCUE OTHER EMERGENCIES 1. Heat Related Injury Procedures 2. Personnel Count-lost person 3. Notable Hazards 4. Spillage of Hazardous Material 5. Traffic Accident 6. Assault at entry control 7. Insect or Poisonous Animal Bite

Emergency action plans and procedure are as below: A: MEDICAL EMERGENCY


In the event of a Medical Emergency the following steps shall be taken: 1) ASSESS THE INCIDENT SCENE USING S-E-T-U-P Safety YOUR safety first! If unsafe, report emergency immediately and request help. Environment Inspect environment for potential hazards Traffic Consider traffic conditions required to move victim if necessary Unknown Hazards Observe our surroundings for gases, electrical wiring or other hazards. Protection Protect yourself and the patient. 2) PERFORM INITIAL ASSESSMENT: a) Check for responsiveness by tapping victim on shoulder and shouting are you OK. b) Assess airway doing the head-tilt chin technique (inspect mouth for foreign objects) c) Assess breathing by performing look, listen and feel technique (breath about every 5 seconds) d) Assess circulation by checking pulse in neck or wrist (80-100 beats per minute)

3) ACTIVATE EMERGENCY RESPONSE PROCEDURE (ERP): a. Contact your designated on-site First Aid Responder for assistance. b. First Aid Responder shall state the problem and give the location of the emergency to proper outside medical assistance. c. Contact an ambulance via cellular phone by calling 911, for the following:

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d. severe bleeding, broken bones, allergic reactions, breathing difficulties, suspected heart attack, severe burns, and sudden illness. Advanced medical personnel will determine if air transport is necessary. e. Locate the closest accessible road and gate to the incident site and give this information to the 911 operator. f. Designate someone who is familiar with the area to meet the ambulance and lead them to the victim.

4) ADMINISTER FIRST AID a) The First Aid Responder shall administer First Aid and/or CPR on the victim until Paramedics arrive at the scene of the incident. b) Maintain an open airway, monitor breathing & circulation and control bleeding as necessary. c) Stabilize injured extremities with splints. 5) YOUR ON-SITE FIELD SUPERVISOR SHALL NOTIFY HIS/HER HSE ADVISOR AND PROJECT MANAGEMENT. The site manager should then be informed. 6) AFTER EVACUATION IS COMPLETE, OPERATIONS MAY RESUME

FIRST AID PROCEDURES IN MEDICAL EMERGENCY


First aid can be defined as the immediate and temporary care given the victim of an accident or sudden illness until the services of a physician can be obtained. Effective first aid consists of common sense and a few simple rules. The following conditions require that basic life support procedure to be used immediately. Severe bleeding if large blood vessels are severed, enough blood can be lost in one or two minutes to cause death. No breathing/circulation death or brain damage can occur in four to six minutes if breathing or circulation is not restored. Poisoning every second counts in preventing further injury.

The primary objective in first aid is to sustain life by utilizing basic life support techniques to: Maintain an airway Maintain breathing Maintain circulation Control bleeding Treat for shock Get medical care for the victim The first aid provider must avoid panic, offer reassurance, inspire confidence, and do no more than necessary until medical help arrives.

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B: EMF EXPOSURE
When complete compliance boundary information is not available, a field monitor must be used during a site visit. It is important that the field monitor cover the frequency range of the radio services at the site. Manufacturers instructions supplied with a field monitor must be fully understood prior to use of the field monitor, and followed at all times during the site visit. This is particularly true for body-worn field monitors that may be shadowed by the body in certain directions and have a larger tolerance on the accuracy of field measurements. Whenever a field monitor gives an alarm, or indicates a value exceeding the applicable threshold, the worker must move away from the transmitting antenna and avoid entering any areas where the exposure limit could be exceeded. It should be noted that RF levels from base station antennas vary in time for several reasons, e.g., the number of calls routed through the base station. The RF levels from antennas for other services may not vary or may vary in quite different patterns. Therefore, the field must be constantly monitored, unless the measured levels are significantly below the limits (for example, more than 10 times) at the location of work. Shut-down procedures If it is necessary to work within the compliance boundary, the worker must use appropriate precautions, which may Include switching off RF transmissions from several or all antennas. If none of the practice detailed above can assure compliance to the RF limits, procedures must be used to limit RF exposure so that compliance is assured, or the transmitting antenna must be shut-down. In some cases, the network operator may need advance notice before allowing a base station or antenna to be switched off. All this should be taken into account when planning a work schedule. On the other hand, contact information of the antenna operator must always be available to workers. A field monitor is also useful in confirming that a power down has been completed and that the antenna is not radiating RF fields. RF Monitor Availability: The RF Monitor is available with the Zajel EHS Team. Contact person in any emergency: Pyara Lal Kamboj: 70099037 Abdul Sameer Ansari: 77207545

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C: FIRE EVACUATION
In Event of Fire, the following steps shall be taken: 1. Survey the scene and note the following a. Location of fire (e.g., near building or trailer) b. Which direction it is traveling c. At what speed it is traveling (e.g., fast, slow) d. How large is the fire (e.g., length, width, acres) e. What is burning (e.g., building, oil, gas, trees, grass) 2. If you are unable to contain the fire with extinguishers, get out of the area or leave the building. 3. Inform key personnel call for Emergency Services (See contact no in page:4) 4. Inform your EHS Manager

D: SEVERE WEATHER
In event of bad weather, following steps shall be taken by team: 1. Crew personnel shall keep a weather eye for lightning: a) In the event lightning is sighted, notify your supervisor immediately and give direction of sighting. b) To determine the distance between you and the lightning, count the number of seconds between the lightning and thunder, divide by five for the distance in miles. c) Once it is determined the storm is headed toward operations or is within 5 miles of the operations, shut down operations/procedures shall be initiated by the supervisor. d) Keep away from tank batteries, cable fences and tall objects such as trees and power lines. Stay inside vehicles, if available, until lightning passes. 2. In the event of severe weather (i.e. severe thunderstorm, hurricane, or tornado): a) Notify your supervisor at once b) At the direction of the supervisor, crew personnel shall assemble at the nearest designated head-count area. The observer will determine whether to wait out the storm, move to a safer area, or return to town after all personnel are accounted for. 3. Tornado Safety: a) In open country, lie flat in the nearest depression, such as a ditch or ravine. Be alert to the possibility of flash flooding. b) In a town, seek inside shelter and stay away from doors and windows. Take cover against inside walls or under heavy furniture if able. c) Basements or tornado shelter are most preferable, but not always available. If you utilize an underground evacuation, ensure adequate air inlet/outlet and confirm that the area is free of gas, debris, and water.

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E: BOMB THREAT
Threat Overview Bomb or substance threats are usually a form of communication, written or verbal, delivered by Electronic (email, FAX etc), oral (telephone, tape recording), or other medium (letter) which are Frequently used to disrupt business or cause alarm. These procedures are designed to help People respond to and deal with a threat. Because each threat is different, it is almost impossible to have a detailed procedure for each contingency. These procedures are designed to help people to assess the level of the threat and, on the information available, decide on a course of action. The following points provide an overview of the initial actions to take when a threat is received. Telephone Threat Procedures Any person receiving a telephone threat should observe the following: a) Keep calm. If possible attract the attention of a fellow worker. b) Keep the caller on the line as long as possible to gather information. c) Use the threat check list provided. The check list can be used as evidence against the perpetrator of the threat in any subsequent legal proceedings. d) Obtain as much detail as possible about the bomb or substance and its location. e) Listen carefully for any background noises, speech mannerisms, accents or other details that might give a clue to the age, sex, identity and location of the caller. f) DO NOT discuss the call with other occupants. g) Immediately after the threat, contact the Chief Warden, your immediate supervisor and notify the Police. h) Complete the threat report form (reverse of check list) and hand it to the Police when they arrive. Threat Report Check list 1- Questions to ask: What is your name? What is your address? When is it going to explode? Where is the bomb right now? What kind of bomb is it? What will cause it to explode? What does it look like? Did you place the bomb? Why did you place it here? What is your telephone number?

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2- Anything that would help to identify the caller: voice type; nasal__, soft__, loud__, slurred__, male__, female__, accent__, lisp__ 3- Any background noises: street noise__, factory__, house noises__, childrens voices__, PA systems__, static__. 4- Language used:

Educated__, incoherent__, message read by caller__, irrational__, taped__, foul__.

5- Phone number that received the call 6- Date and time of call
Written Threat Once it has been confirmed that a message is a bomb or substance threat the message and Envelope or its container must preferably be placed inside a plastic envelope to preserve Fingerprints etc. Any further direct handling of the message must be avoided. Threat Evaluation Following the receipt of a threat the team lead must consider the level of threat and decide on the appropriate action, using the threat report, results of searches by the Emergency Control organization and information obtained from building occupants and the Police. The threat may be assessed as: NON-SPECIFIC THREAT OR LOW RISK. For example a call made by a child and/or with childish laughter in background or where little detail is received. SPECIFIC THREAT OF MUCH GREATER RISK. For example a call made in a calm deliberate manner where greater detail regarding timing, location or type of device is given. To help determine the level of threat from a suspect item found during a search, consideration must be given to: Whether the item was hidden; Is it obviously a device; Is it similar to the original threat description; Is it typical of all other items in the area; Has there been a report of unauthorized persons being on site; Is there evidence of forced entry Other factors that may provide assistance are: a threat is only that until something obvious is found; a perpetrator will infrequently give warning of an attack; the consequence for issuing a threat is not as severe as the placement or initiation of a device;

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Follow the Below Procedure 1. Notify the location of a suspicious explosive object immediately to Security. Who: The person who detected it. 2. Do not touch the object or get close to it, just indicate the internal emergency group the exact location of the object. Who: The person who detected it. 3. Proceed with the Evacuation Process immediately (Chapter 4 of this Plan) of the area involved. Who: Person Responsible for the Security Area and/or Person Responsible of the Emergency Brigade 4. If it is considered necessary and safe, form a search team with Security, Maintenance and the Emergency Brigade personnel. Who: Person Responsible for the Security Area and/or Person Responsible for the Emergency Brigade. 5. Do not move or remove the object, only remove objects or materials that could aggravate the explosion in the event that this was to happen. Who: Person Responsible for the Security Area and/or Person Responsible for the Emergency Brigade. 6. Call the local Police, give clear and precise information if available: Type of the object, appearance, relative size, color, noise, particular odors, safety measures taken, name of the caller, location in the building, telephone number, address and who to contact at their arrival. Who: Receptionist or Person Responsible for Security. 7. Locate the Public Relations Director: to come to the site, collaborate in the investigation and act as public spokesperson. Who: Receptionist or Person Responsible for Security. 8. Receive the external help and collaborate with them in the investigation and maneuvers if required Who: Person Responsible for Human Resources or the Emergency Brigade or EHS Specialist If the object or device really explodes or detonates and people are injured or material data is damaged, follow the procedures established in the operations "Individual or Collective Serious Accident" and "Fire Incident in Critical Area". Who: As established in those Procedures.

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F: TOWER RESCUE
To insure that all personnel performing elevated tower work are prepared in an emergency to provide assistance and/or remove an injured employee from an elevated workstation, the following plan must be followed: Rescue Plan To ensure all hazards, control measures, and rescue information is communicated to each employee the crew shall conduct a Pre-Work Assessment Survey that includes the following: Rescue method and equipment to be used; Location of rescue equipment and first aid kits; Longitude and Latitude numbers; Directions and map to site; All emergency numbers and contact numbers.

Prior to work, the tower crew will hold a tailgate meeting to discuss the information listed above in addition to job hazards and scope of work.

Rescue Procedures
In the event of a fall incident, regardless of the medical condition of the employee, the supervisor or foreman will direct an employee to call emergency personnel and give them adequate information to prepare for the situation they will encounter upon arrival. In the event a climber is unable to remove himself from the tower the following procedure will be put into action to insure the employee receives adequate and timely response. The supervisor or lead person will obtain all rescue equipment and take measures to get it to the rescuer. The rescuer will rig a controlled descent (load) line above the injured employee as close as possible to the injured employee. A vertical lifeline will be secured to a separate anchorage point (Unless the tower structure is the anchorage for both) next to the descent line. The rescuer will attach a rope grab from their back D-ring to the vertical lifeline. The rescuer will connect his/her descending device to the load line and descend into position to connect to the injured climber. After utilizing the breaking device on the Fisk Descender the rescuer will attach a carabineer to the injured employees back D-ring. This carabineer will then be attached to the controlled descent device (not to the rescuers harness). Upon reaching the ground the rescuer will remove the injured employee from his fall arrest or suspension device and lower the employee safely to the ground. First aid should be administered to the injured employee by a trained employee until the local emergency medical team arrives.

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Five Rescue Techniques


Self Rescue Emergency Services Winch Suspension Equipment Ascending/Descending Devices

For all work performed at the heights of 150 feet and above, rescue lines will be rigged prior to performing the assigned job tasks. The use of a capstan hoist for rescue is strictly prohibited.

Post-Rescue
Zajel EHS department & Client EHS Department should be notified immediately of the accident. The site and all equipment should be secured until a proper accident investigation can be performed.

Rescue Equipment Availability: The Rescue Equipment is available with the EHS Team in Zajel Qatar. Contact person in any emergency: Pyara Lal Kamboj: Abdul Sameer Ansari: 70099037 77207545

G: EARTHQUAKE EMERGENCY
In Earth Quake situation following action to be taken: Identify emergency exits and/or security areas in advance. When feeling the tremor or earthquake, proceed to leave the facilities. Responsible: The Site supervisor and Team Evacuate the facility according to the plan of the site. If there is none (it cloud be Customer site), follow this plan. Responsible: The Site supervisor and Team Go to the security area and be sure NOT to run, NOT to scream, NOT to push. Responsible: The Site supervisor and Team If before getting to the meeting point you find someone injured and their own physical integrity is not at risk, proceed to help. Responsible: The Site supervisor and Team The injured people are transported to the security area to receive first aid.

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Responsible: Personnel who saw injured person Responsible: The Site supervisor and Team For the injured people that need to be transported to a hospital proceed according to Serious Individual/Collective Accident. Responsible: Personnel who saw injured person Distribution to check the facilities and verify the damages. Responsible: Guard on Site Close gas valves; check the solvents and hazardous wastes room. Responsible: Guard on Site Decision of return to work or go home. Responsible: The Manager, the EHS specialist and/or Human Resources Director. Decision of requesting external help (Fire Department, civil protection, ambulance, etc.). The internal resources will subordinate and act as consultants when the emergency services arrive. Responsible: The Manager and/or the EHS specialist. Receive the external help, direct them to the place affected and give them the information they require. Responsible: The Site supervisor and/or the EHS specialist. Decision of requesting external help (Fire Department, civil protection, ambulance, etc.). The internal resources will subordinate and act as consultants when the emergency services arrive. Responsible: The Manager and/or the EHS specialist. Follow the guidelines to shutdown activity in emergency Responsible: The Site supervisor and Team

H: OTHER EMERGENCIES
1. 2. 3. 4. 5. 6. 7. Heat Related Injury Procedures Personnel Count-lost person Notable Hazards Spillage of Hazardous Material Traffic Accident Assault at entry control Insect or Poisonous Animal Bite

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1. Heat Related Injury Procedures


Exposure to extreme heat is the reality of team for any project in Qatar. All heat injuries are preventable. Site supervisors must assess project activity duration and training requirements against the risk associated with operating in warm weather environments. Early recognition and treatment of workers presenting with symptoms of heat injuries are key to saving lives. Heat exhaustion and heat stroke should be taken very seriously due to the fact that it is often difficult to distinguish the difference between them. Both are serious conditions, but heat stroke can be fatal. Even with advanced medical attention, 50-percent of all heat stroke victims do not survive. Heat exhaustion and heat stroke have similar symptoms, but the signs are different. A heat exhaustion victim can become a heat stroke victim rapidly without first aid being administered quickly. Heat Exhaustion Symptoms Fatigue, nausea, headachy, giddines Skin clammy and moist, complexion pale May faint on standing Rapid pulse and low blood pressure Oral temperature normal or low but rectal temperature usually elevated Urine volume small, concentrated

Heat Exhaustion - Predisposing Factors Sustained exertion in heat Lack of acclimatization Failure to replace water lost in sweat dehydration Depletion of circulating blood volume Competing demands for blood flow to skin and to active muscles

Heat Exhaustion-Treatment Move the victim to a cool, shaded area and elevate the legs slightly to prevent or treat shock. Remove excess clothing and wet the victim down with water (do not pour ice water on the victim). Fan the victim. Have the victim drink water (do not let the victim drink too quickly). Refusing water, vomiting or lessoning of consciousness, mean that the victims condition is getting worse.

Heat Stroke Symptoms Failure of sweat mechanism Hot dry skin (red, mottled or cyanotic) Rectal temperature 104 or greater

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Confusion, loss of consciousness, convulsions Rectal temp continues to rise Fatal if treatment delayed

Heat Stroke Predisposing Factors Sustained exertion in heat by unacclimatized workers Lack of physical fitness and obesity Recent alcohol intake Dehydration Individual susceptibility Chronic cardiovascular disease

Heat Stroke Treatment Immediate and rapid cooling immersion in chilled water wrapping in wet sheet with vigorous fanning Avoid overcooling Treat shock if present

Heat Stroke Treatment Immediate and rapid cooling immersion in chilled water wrapping in wet sheet with vigorous fanning Avoid overcooling Treat shock if present Call 911. This is a life-threatening emergency

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2. Personnel Count-lost person


In the event that an individual is recognized as missing; please follow the below procedure:

Any other designated head-count areas will be contacted to determine if the individual may have gone to a different head-count area. If no other area can account for the missing individual, your on-site manager will be notified immediately of the situation. The missing individuals supervisor will ascertain the area of the project where that individual was working, and all available personnel will proceed with an immediate search of that area once the emergency has ended. If you are the lost person, remain calm and make yourself as visible as possible. Move to as open an area as you can find and wait for help to arrive. Use your vest or hard hat as a signal.

3. Notable Hazards
Vehicles Power lines, power poles, and electrical boxes Potential of heat-related illness Heavy underbrush, thorn bushes Snake bites, insect stings Bee attacks Narrow dirt roads Barbed wire fence lines Thunderstorms Potential lack of communications

4. Spillage of Hazardous Material


Hazardous material is the one that because of its corrosiveness, reactivity, explosiveness, toxicity, flammability or infectious-contagious properties, seriously threatens the personnel's health or partial or total destruction of equipment or facilities or suspension of the productive process. Please follow the below procedure o o o o o o o Notify the site supervisor of the site of the incident Responsible: The person who detects the leak or spillage and/or the employee in charge of the site. Isolate the area and place signals indicating that there is a spillage. Responsible: The person who detects the leak or spillage and/or the employee in charge of the site. If there is an injured person by the spillage, resolve it as "Individual or Collective Serious Accident". Responsible: The employee in charge of the site and/or the person who detects the spillage. Decide if it is necessary to partially or totally evacuate the area.

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o o o o o o o o o o o o o o o

Responsible: The employee in charge of the site and/or the person who detects the spillage. Once the partial or total evacuation has been decreed, the evacuation procedure included in this procedure will be followed Responsible: All personnel affected. The personnel who participate in the control of the spillage must use Personal Protection Equipment as indicated by the applicable procedures. Responsible All workers Take the preventive measures according to the case, such as: De-energize the area, remove possible sources of ignition, block nearby drains, etc. Responsible: The employee in charge of the site and/or the person who received the adequate training. If it is a corrosive substance, neutralize using the appropriate method. Responsible: The employee in charge of the site and/or the person who received the adequate training. Absorb it with adequate material. Responsible: The employee in charge of the site and/or the person who received the adequate training. Deposit the residue in 200 liters metal containers, covered inside with plastic bags and hinged lids. Identify the containers with adhesive tags with the legend "HAZARDOUS MATERIALS HANDLE WITH CARE". Responsible: EHS Specialist Dispose of the container respecting the applicable ecological regulations. Responsible: EHS Specialist

5. Traffic Accident
The following steps to be taken in the event of an accident: If there are injured people call the ambulance. Notify the Supervisor and the EHS Specialist. Once the external help arrives our resources will subordinate and act as consultants or will stay out of the way Notify the following members of the Emergency Committee: CSO, Human Resources Director, Public Relations Director, Legal Department The area Manager will decide if due to its magnitude the accident will impair the continuity of the production and will take control measures. If these are vehicle companies, talk to the insurance company. Identify the accident's causes and Plans of Action Fill in an accidents report and hand it to the EHS Specialist

IMPORTANT NOTE: If you are sure that one of those injured DIED, DO NOT move him/her, or the physical agents that could have caused the death.

6. Assault at Entry Control


When facing this type of situation, the most important thing is the physical integrity of our Employees, avoid heroic acts, remain centered and collaborate with the assailant without resistance.

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Below procedure to be followed: If the site supervisor is tied up, he/she will oppose no resistance nor will he/she face the assailants, as much as possible he/she must remain calm and courteous. Responsible: Employees involved Must try to talk with the assailant(s) and make them see that their attitude will be calm and collaborative. Responsible: Site supervisor and/or Employees involved. If another person detects the assault and/or the assailants are already gone, he/she must: Notify the police, giving the following information: Name of the caller. -Address, name and telephone number. -Description of the facts. -If possible, description of the perpetrators. -If there was a kidnapping, who is the person kidnapped. -The route they took, if they are already gone. Responsible: The site supervisor of the site and/or Employee in charge of the site. If they took a hostage and introduce him/her to the facilities, the hostage collaborates with them and waits for the arrival of official help. Responsible: Personnel affected. STRESS THE POINT THAT WE WISH TO RESOLVE THE INCIDENT PEACEFULLY AND OUT OF THE FACILITIES. Responsible: The site supervisor of the site and/or Employee in charge of the site. If it is impossible to request external help during the assault, it is necessary to remain calm and wait for this to end. Responsible: Personnel affected. Notify the Supervisor and/or Area Manager Responsible: Personnel affected.

7. Insect or Poisonous Animal Bite


Generally, insect bites and stings are only painful and produce local swelling (redness and itching). Ice packs and cold compresses help to heal the pain and itching. Cold clothes are applied locally and help to calm and alleviate the itching. Insects' poison can produce severe allergic reactions that can cause anaphylactic shock. Ice and cold compresses also help to alleviate the local pain and itching. Go to the doctor immediately. Any bite or sting can get infected and must be under observation in case the redness, swelling, pain or accumulation or increase of puss. The use of adequate clothing and application of repellents that contain DDT constitute important preventive measures. 1. Bee Sting. Bee, after stinging, leaves a sharp and poisonous stinger in the victim. The bee, yellow jacket and wasp can bite repeatedly. The pain is immediate and causes swelling, redness and raises the temperature around the bite. Treatment. 1. In allergic individuals, an anaphylactic shock can occur, which must be treated immediately with Epinephrine and antihistaminic or local equivalents.

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2. Remove the poisonous stinger, pulling it out of the skin by using some twissers or wood shavings clips. Must be careful not to spread more poison 3. Apply the venom extractor approximately 10 minutes. 4. Apply ice packs or cold water on the place of the bite. 5. Go to the local doctor to get treatment.

2. Black Widow Spider. The spider is identified by its red coloring in the abdomen. The bite generally feels like a sharp thorn and sometimes it is microscopic. The place affected can, within an hour, be surrounded by a red halo. The victim starts to feel a tingling sensation and an annoying pain in the extremity affected along with muscle cramps, particularly in the abdomen and back. In severe cases, the abdominal muscles can become rigid. The patient starts sweating and can complain of weakness. Treatment: 1. Apply cold water compresses to relieve the pain. 2. As soon as possible take the victim to a doctor. People recover in a period of 8 to 12 hours. Small children and older people can have severe reactions.

3. Lone Brown Spider. The lone brown spider presents a mark in the form of a violin in the high part of its body. The initial sensation of the bite is light, producing the same degree of pain as an ant bite. In many cases there is a burning sensation for 1 to 5 hours and a red hot blister appears surrounded by a bluish rash. If the blister pops it can form a great ulcer with severe damage to the skin. Treatment 1. Apply ice immediately to the wound to alleviate the pain. 2. If the blister has popped, immediately take the victim to get medical help. Opportune administration of the treatment specified by the doctor can minimize the discomfort. The insects' venom can produce allergic and dangerous reactions and can cause anaphylactic shock endangering life. 4. Scorpion Bite The great majority of scorpion bites just produce local pain and itching. The wound can provoke a numbing sensation of limited effects. Treatment 1. Apply an ice pack to relieve the pain. The ice pack should not be applied directly on to the skin. 2. Follow the instructions of the venom extractor if available.

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5. Small Scorpion The bite of a hay color small scorpion has a toxin that IS POTENTIALLY LETHAL. Its bite causes immediate pain. The place of the bite should not be pressed either lightly or hard because its lethal potential increases. Other symptoms are: tiredness, abnormal movement of the head and neck, difficulty moving the eyes, muscle spasms, increase of salivation, numbing and tingling around the mouth and difficulty breathing. Treatment

There is not a good first aid Treatment, however a piece of ice can be placed on the bite area to reduce the pain. Seek medical attention as soon as possible.

6. Animal Bites Animals' bites generally get infected and can transmit illnesses such as rabies. In particular, cat bites get infected really fast. Treatment 1. Vigorously clean the wound. 2. The best antiseptic for bite wounds are wipes of Benzalkolnium Chloride. This antiseptic can kill the rabies virus. 3. An animal bite must never be saturated or closed with court plaster. 4. Cover the wound with gauzes wet on a saline solution and bandages, which must be changed daily. 5. Seek medical attention as soon as possible. Afterwards if the wound turns red, swells, hurts or if puss drains out of it, go to the doctor as soon as possible. 7. Animals with high risk of transmitting rabies Animals with high risk of transmitting a rabies infection are dogs, foxes, badger, raccoons, wolves and vats. Squirrels, rats, mice, monkeys, opossums rarely transmit rabies. Treatment If rabies is confirmed, the injured must request medical assistance as soon as possible. The doctor will determine if the vaccine and anti rabies serum are necessary. 8. Snake Bites. There are two classes of poisonous snakes: a) Snake Pits (Rattle snake, cotton mouths, sliders, cobras). The snake pits have a triangular head, with an organ between the eye and the nostrils and an elliptic pupil that perceives heat. b) Coralillo Snakes. Coral snakes are characterized by the drawing of its red with black and yellow or white shapes around the body, the fangs are very short. These snakes bite chewing instead of hitting or attacking.

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a) Snake Pits Poisoning symptoms:

One or more marks of fangs (Rattle snake can leave one, two and up to three fang marks). Pain on the place. Swelling on the place of the bite that usually occurs within 15 to 30 minutes after the bite. Bruising or blacking or blue discoloration of the skin and formation of a blister on the bite. Numbing and tingling of the lips and face that usually occurs within 30 to 60 minutes after the bite. Eye and mouth muscle spasms. Metal like taste from 30 to 90 minutes after the bite. Bleeding through the gums, nose or bruising.

b) Coralillo Snake Burning pain in the place of the bite. Paralysis or weakness on the bitten arm or leg 90 minutes after. Spasms, nervousness, choking, increase of salivation, drooling for one or two hours, stuttering, double vision, difficulty breathing between 5 to 10 hours.

Treatment 1. Do not touch the bite. 2. Wash with water around the bite area to remove any type of venom that could have spilt on the skin. 3. Suction as soon as possible, using the extractor and/or a syringe (no needle) applying it directly over the places where the fangs entered. If it is applied within the first 3 to 5 minutes after the bite, 30% of the venom can be removed with the extractor, continue suctioning while the victim is taken to the doctor. (Definitely do not suction with the mouth). 4. Do not make kind of incision on the skin, since this traditional technique is no longer recommendable. 5. Clean the wound and cover it with the sterilized bandage. 6. Remove all the rings and jewelry from the victim. 7. If it is possible immobilize the injured part in a functional position just below heart level. 8. Take the victim to the closest hospital as soon as possible, notify the hospital via telephone in advance that a snake bite victim is being transported so the hospital is prepared and can obtain the antivenom. 9. The definite treatment for snake poisoning is administration of the antivenom.

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