HSP Emergency

Policy 1.
3
Revision 0
6/15/00
Page 1 of 10
EMERGENCY/CONTINGENCY PLANNING
1.0
PURPOSE:
To provide HydroGeoLogic, Inc.s office with a plan of action in case of an emergency

adversely threatening office personnel and property.
2.0
GENERAL:
A. The HydroGeoLogic, Inc.s office and each field office site will have a plan of
actions to be taken in the event of an emergency threatening office personnel,
visitors, and/or its property. See Attachment A which is a blank form
accompanied by an example of a filled out form.
B. Coping with an emergency requires planning, experience and good judgment.
The Emergency/Contingency Plan is to include:
1. Procedures to report an emergency and to sound the alarm to the employees
and visitors.
2. A designated rally point.
3. Procedures to account for all employees in the event of an evacuation.
4. A building diagram showing paths of emergency exit and the location of
emergency equipment.
5. Directions and map to the nearest emergency medical facility
6. Emergency telephone numbers with names and titles of essential personnel.
7. Contingency plan for expected emergencies.
8. A list of any critical equipment which must be shut down/off during an
emergency.
9. The location of the critical equipment noted in the plan and the personnel
responsible for shutting down/off the equipment.
This Emergency/Contingency Plan will be filed with the Fire Prevention Plan,
the Hazard Communication Program and the Respiratory Protection Program.
The location of this plan shall be noted on the Health and Safety Emergency
Action Plan for employees to review.
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Policy 1.3
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C. All affected office personnel will be informed as to actions to be taken in the

event of an emergency and location of the Emergency Action Plan.
D. Definitions:
10. Emergency: Fires, explosions, gas release, spills, injuries/illnesses, floods,
tornadoes, hurricanes, typhoons, earthquakes, lightning, power failure, bomb
threats, or similar significant occurrences.
3.0
PROCEDURE:
Responsibility
Action
Office/Area Managers
1.
Check that the facility Emergency/Contingency

Action Plan is appropriately developed and
implemented.
Area/Office Safety Officers
1.
Assist the Office/Area Manager in the

development,
implementation,
and
administration of the Emergency/Contingency
Action Plan.
2,
Train the personnel in the office affected by the

Emergency/Contingency Action Plan
1.
Immediately report the emergency to your

supervisor.
2.
Be Familiar with and comply with the

requirements
of
the
Facility
Emergency/Contingency Action Plan
1.
Audit
compliance
with
Emergency/Contingency
Action
development,
implementation
administration.
Employees
Corporate Safety Manager
Attachments:
A: Emergency/Contingency Action Plan Form
B. Example of completed Emergency/Contingency Action Plan Form
the
Plan
and
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1.3 EMERGENCY/CONTINGENCY ACTION PLAN

ATTACHMENT A
(Emergency/Contingency Action Plan Form)
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HydroGeoLogic, Inc.
EMERGENCY/CONTINGENCY ACTION PLAN
I.
INTRODUCTION:
The purpose of this Plan is to provide information about the steps to be taken in
the case of an emergency and who is responsible to take these steps
The administration of this Emergency/Contingency Action Plan for this location is
the responsibility of:
Area/Office Manager
The implementation of this Emergency/Contingency Action Plan for this facility
has been delegated to:
Area/Office Safety Officer
II.
GENERAL
A.
Once an emergency situation is recognized, the person observing the

emergency will immediately notify ____________________________
who will communicate to all affected employees by __________________
and contact the appropriate agency as follows:
Medical: ___________________________________________________
Fire/Explosion: ______________________________________________
Flooding: ___________________________________________________
Other Emergencies: ___________________________________________
B.
The designated rally point or assembly area is: _____________________

____________________________________________________________
and is shown on the building diagram located:
____________________________________________________________
NOTE: COMPLETE ALL SECTIONS. USE NA IF SECTION IN NOT

APPLICABLE
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C.
The procedures to account for all employees in the event of an evacuation

from this office are as follows:
D.
The building diagram showing paths of emergency exits and the locations
of emergency equipment is located:
E.
The nearest emergency medical facility is: _________________________

located at: __________________________________________________
telephone #: _________________________________________________
directions and map to this facility are located:
F.
The personnel who have assigned tasks to perform in the event of an

emergency are as follows:
Name
G.
Title
Assigned Task
Telephone #
Special procedures for expected emergencies such as earthquakes,

flooding, fire, etc., are located.
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H.
The following critical equipment must be shut down/off during an

emergency:
Equipment
Located
Responsible Personnel
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1.3 EMERGENCY/CONTINGENCY ACTION PLAN

ATTACHMENT B
(Example of completed Emergency/Contingency Action Plan Form)
Policy 1.3
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HydroGeoLogic, Inc.
EMERGENCY/CONTINGENCY ACTION PLAN
I.
INTRODUCTION:
The purpose of this Plan is to provide information about the steps to be taken in
the case of an emergency and who is responsible to take these steps
The administration of this Emergency/Contingency Action Plan for this location is
the responsibility of:
Area/Office Manager
The implementation of this Emergency/Contingency Action Plan for this facility
has been delegated to:
Area/Office Safety Officer
II.
GENERAL
A.
Once an emergency situation is recognized, the person observing the

emergency will immediately notify ____________________________
who will communicate to all affected employees by __________________
and contact the appropriate agency as follows:
Medical: ___________________________________________________
Fire/Explosion: ______________________________________________
Flooding: ___________________________________________________
Other Emergencies: ___________________________________________
B.
The designated rally point or assembly area is: _____________________

____________________________________________________________
and is shown on the building diagram located:
____________________________________________________________
NOTE: COMPLETE ALL SECTIONS. USE NA IF SECTION IN NOT

APPLICABLE
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C.
The procedures to account for all employees in the event of an evacuation

from this office are as follows:
D.
The building diagram showing paths of emergency exits and the locations
of emergency equipment is located:
E.
The nearest emergency medical facility is: _________________________

located at: __________________________________________________
telephone #: _________________________________________________
directions and map to this facility are located:
F.
The personnel who have assigned tasks to perform in the event of an

emergency are as follows:
Name
G.
Title
Assigned Task
Telephone #
Special procedures for expected emergencies such as earthquakes,

flooding, fire, etc., are located.
Policy 1.3
Revision 0
6/15/00
Page 10 of 10
H.
The following critical equipment must be shut down/off during an

emergency:
Equipment
Located
Responsible Personnel

HSP Emergency

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HSP Emergency

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Policy 1.

To provide HydroGeoLogic, Inc.s office with a plan of action in case of an emergency

C. All affected office personnel will be informed as to actions to be taken in the

Check that the facility Emergency/Contingency

Area/Office Safety Officers

Assist the Office/Area Manager in the

Train the personnel in the office affected by the

Immediately report the emergency to your

Be Familiar with and comply with the

Corporate Safety Manager

1.3 EMERGENCY/CONTINGENCY ACTION PLAN

Once an emergency situation is recognized, the person observing the

The designated rally point or assembly area is: _____________________

NOTE: COMPLETE ALL SECTIONS. USE NA IF SECTION IN NOT

The procedures to account for all employees in the event of an evacuation

The nearest emergency medical facility is: _________________________

The personnel who have assigned tasks to perform in the event of an

Special procedures for expected emergencies such as earthquakes,

The following critical equipment must be shut down/off during an

1.3 EMERGENCY/CONTINGENCY ACTION PLAN

Once an emergency situation is recognized, the person observing the

The designated rally point or assembly area is: _____________________

NOTE: COMPLETE ALL SECTIONS. USE NA IF SECTION IN NOT

The procedures to account for all employees in the event of an evacuation

The nearest emergency medical facility is: _________________________

The personnel who have assigned tasks to perform in the event of an

Special procedures for expected emergencies such as earthquakes,

The following critical equipment must be shut down/off during an

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