B08-Attach 5_SOP_.pdf

STANDARD OPERATING PROCEDURE REVIEW: EMERGENCY PLAN FOR THE

EVACUATION OF INJURED PEOPLE FOR USAG LIVORNO/CAMP DARBY

COMMUNITY

Coordination Procedures between Camp Darby Emergency Services (911) and Italian Off Post Ambulance Service (118)

10 July 2006

CAMP DARBY MILITARY POLICE

Interpreters’ Office

TRANSLATION 04-LPMO-120

CONTENTS

I. INTRODUCTION

A. Past experiences B. Purpose C. Standard Operating Procedures (SOP)

II. RESPONSIBILITIES

A. Local Nationals at Livorno Military Camp Darby Installation (LNs) and Contractors B. 118 C. 911 D. Constructors Personnel

III. APPENDIX

A. Procedure flowchart B. Emergency call procedures C. List of the areas with coordinate system and corresponding gates numbers (identification and location) D. Questions to be asked in order to ascertain clinical condition of injured person.

E. Explanation of signs and symbols F. SOP signatures

TRANSLATION 04-LPMO-120

I. INTRODUCTION

A. IAW Italian Law # 626/94, art. 3 para P and Italian Law # 494/96, art. 3 para. 1, the Safety Office, together with the Italian Base Commander, agreed with the need of a more efficient plan between Camp Darby emergency services (911) and the off post ambulance services (118). On the basis of past experiences we realized that, during emergency situations, contractors continue to dial the Italian Health Emergency # 118 in spite of the numerous briefings we held and the accessibility of documents carrying the Camp Darby emergency phone number 911; Installation Emergency Services are in this way excluded, causing big delays in the intervention and a low quality service.

B. The final purpose is to establish a system which will be efficient/integrated and capable to provide a prompt service at the scene of the accident, no matter which number we dial.

C. This Standard Operating Procedure (SOP) provides all the information and details which allow both parties to implement the plan. See Appendix F for the SOP signatures of all parties involved.

II. RESPONSIBILITIES

A. The Camp Darby Local Nationals and/or the building contractors in case of an accident:

1) Will call 118 and keep in contact, if needed, until the ambulance arrival.

2) Will inform 118 operator that they are working inside Camp Darby Area and will specify the nature of the injury.

3) Will give the 118 operator the ”Base Grid Coordinates” and/or the directions to the place of the accident.

- The “Base Grid Coordinates” and the name of the area of the gate to be used will be posted at the construction yard, on the special notice board, together with the other information on safety measures.

4) Will specify to the 118 operator the number of the gate that the ambulance will utilize (for example Camp Darby Area, Gate # 4, etc.)

5) Will answer clearly to every question that the 118 operator will ask about the condition of the injured person.

6) Will send immediately a worker to the Area entry to receive and escort the ambulance to the place of the accident.

TRANSLATION 04-LPMO-120

7) Will call immediately 050/547575 or 050/547114 (911) or 050/547695 (Carabinieri) and will specify to the operator the number of the gate that the ambulance will utilize.

8) In case of non transport by the ambulance of deceased person; will coordinate with the

Carabinieri (050/547695) and/or Italian Base Commander (050547419) and/or Department of the Emergency Services (050 547575) for the removal of the body.

See Appendix A for the graphic representation of the procedure.

B. 118 – The Italian Ambulance Service: In case 118 receives a call from Camp Darby:

1) Will ask or ensure that the following information is provided:

a. The nature of the accident and telephone number of the person who is calling

b. The “Base Grid Coordinates”.

c. The entry of the area where accident occurred (gate number)

d. General directions to get to the place of the accident.

2) Will send the ambulance to the entry of the area as far as the place of the accident, possibly escorted by personnel provided by the Military Police or by the Camp Darby Carabinieri.

3) Will call immediately 050/547575 or 050/547114 (911) or 050/547695 (Carabinieri) and will provide the following information (following instructions at appendix B in case of answer by American personnel)

a. The nature of the accident and telephone number of the person who is calling.

b. The confirmation between the received coordinate and the number of the entry gate.

c. General directions to get to the place of the accident

4) Will communicate the numbers of 118 operators aboard the ambulance arriving to the gate.

5) Will transport the injured person to the nearest hospital for treatment.

Note: The Installation Health Clinic, located inside Camp Darby area, will mainly be responsible for the accidents that occur within the area, from Monday thru Wednesday from 0730 thru 1630, Thursdays from 1300 thru 1630 and Fridays from 0730 thru 1500, except US holidays.

TRANSLATION 04-LPMO-120

See Appendix A for the graphic representation of the procedure.

See Appendix E for the explanation of the symbols and the signals used in Camp Darby, Ammo Area.

C. 911 – Corresponds to Camp Darby Emergency Service: In case 911 (DES) receives a telephone call from 118 (or from a person asking for an ambulance):

1) Will ask and ensure to get the following information:

a. The nature of the accident, the telephone number of the person who is calling and the condition of the injured person (as listed in Appendix E).

b. The “Base Grid Coordinates”.

c. The entry of the area to be used (gate number)

d. General directions to get to the place of the accident

2) 911 will send vehicles/personnel qualified for a first aid intervention.

- The Installation Fire Department and/or the Health Clinic Doctors will go immediately to the place of the accident, possibly escorted by the contractor who will be waiting at the entry of the area.

- Military Police will arrive at the entry of the area to escort 118 to the place of the accident and coordinate with Installation Carabinieri.

- The Garrison Commander will be informed in order to coordinate with the Italian Base Commander and the Installation Carabinieri.

3) 911 will evaluate the situation and will call 118 for updating.

4) The installation Emergency Personnel will take care of the injured person until the arrival of 118 personnel.

See Appendix A for the graphic representation of the procedure.

Because of the large personnel turnover at the Camp Darby Installation, the division responsible for the First Aid intervention has to inform regularly the personnel about this SOP.

D. Agencies working with Contractors: the following Agencies (see list below) will ensure that this SOP is included in their Contractor Safety Plan and that Contractor personnel are constantly briefed and updated on emergency procedures.

See Appendix A for the graphic representation of the procedure.

Agencies involved:

- Activity/Agency Contracting Officer’s Representative (COR)

TRANSLATION 04-LPMO-120

- Department of Public Works (DPW)

- Engineer Project Office (Corps of Engineers)

In case of an accident, the personnel involved in construction works will immediately inform their commander/supervisor (Higher Headquarters) and the Safety Office at DSN 633- 7841/7318. POC for this matter is: Eng. Chiara Chelossi, Prevention and Protection Service Responsible, Safety Office. Telephone # 050/547841 (DSN 633-7841).

TRANSLATION 04-LPMO-120

III. APPENDIX

APPENDIX A. Procedure flowchart

Suggested “First Emergency Plan”Suggested “First Emergency Plan”

ContractorContractor

• The Contractor will call 118 •will communicate BGC ” .will send an escort to the gate

• The Contractor will call 118 •will communicate BGC ” .will send an escort to the gate

*BGC = Base Grid Coordinate

118118

Place of the accident

(BGC)

Place of the accident

(BGC)

•will communicate

BGC

• will send an ambulance

• 118 will call 911 to confirm the area and the BGC

•will communicate

BGC

• will send an ambulance

• 118 will call 911 to confirm the area and the BGC

118118

118118

Area GateArea Gate

911911

The Installation medical staff will go to BGC

The Installation medical staff will go to BGC

MPs or CC will escort 118 to BGC

MPs or CC will escort 118 to BGC

Fire Dept will go to

BGC

Fire Dept will go to

BGC

911911

Installation Commander

Italian Base Cmm.

Carabinieri

APPENDIX B: Emergency call procedures

ACCIDENT ALERT PROCEDURE

CAMP DARBY : 050/547575

Italian: Questo e’ l’uno uno otto English: THIS IS ONE ONE EIGHT

“DIS IS UAN UAN EIT”

Italian: Abbiamo ricevuto una chiamata di pronto intervento

English: WE HAVE RECEIVED AN EMERGENCY CALL FROM

“UI AV RICIVED EN EMERGENSI COL FROM”

Italian: Area Coordinate English: AREA COORDINATES

“ ERIA” “COORDINETS”

X X/X

VEDERE ELENCO VEDERE GRIGLIA

DI RIFERIMENTO ALLEGATO

See the attached list See Grid

Italian: si prega di ripetere per confermare English: PLEASE REPEAT TO CONFIRM

“PLISE RIPIT TU CONFIRM”

SEGUE REPLICA USAF

English: Usaf replies

“CONFIRMED” (IF COMMUNICATION IS CORRECT)

“CONFIRMT”

“I REPEAT” (IF COMMUNICATION IS NOT CORRECT)

“AI RIPIT”

APPENDIX C: List of the areas with coordinates system and corresponding gate numbers Identification and locations

ELENCO DELLE AREE

AREAS’ LIST

Area # 1 = Camp Darby Area (Coordinates: A…..D ; 1…..14 - Gates: 4 & 1)

Area # 2 = Area CEB-LI (LI Supply & Maintenance) (Coordinates: E…..H ; 15…..34 - Gates: 27 (& 28))

Area # 3 = ASA Area (Coordinates: I…..U ; 35…..51 - Gates: 9 (4 & 1 from C. Darby))

Area # 4 = LTA Area (Coordinates: V…..W ; 52…..61 – Gate usually closed)

Area # 5 = Coltano Area (Coordinates: X…..Z ; 62…..65 – Gate usually closed)

Area # 6 = American Beach Area (Coordinates: AA…..BB ; 66….69 – Entry from V.le del Tirreno)

APPENDIX D: Questions to be asked in order to ascertain clinical condition of injured person

TUSCANY REGION

PISA U.S.L. (Local Health Center)

PISA 118

OPERATIONS’ CENTRE

QUESTIONS TO BE ASKED TO THE PERSON CALLING FOR

EMERGENCY ASSISTANCE

1) Ital: LA PERSONA INFORTUNATA O COLTA DA MALORE E’ COSCIENTE, E’

SVEGLIA ?

Engl: IS THE VICTIM CONSCIOUS?

• SI YES

• NO NO

2) Ital: COME RESPIRA ?

Engl: IS HE/SHE BREATHING?

• BENE YES

• MALE WITH DIFFICULTY

• NON RESPIRA NO

3) Ital: DOVE HA DOLORE ?

Engl: WHERE DOES THE VICTIM HAVE PAIN ?

• AL TORACE CHEST

• ALL’ADDOME ABDOMEN

• ALTRO OTHER

4) Ital: IN CASO DI TRAUMA, OLTRE ALLA VALUTAZIONE DELLA COSCIENZA, DEL RESPIRO E DOVE HA DOLORE (vedi punti 1, 2, e 3), CHIEDERE ANCHE LA DINAMICA DEL TRAUMA (come l’individuo si e’ procurato la lesione).

Engl: IN CASE OF TRAUMA, ALSO ASK HOW THE TRAUMA OCCURRED (how did the victim get hurt).

APPENDIX E: Explanation of signs and symbols

SYMBOLS EXPLANATIONSYMBOLS EXPLANATION

Explosive Class 1.1 Explosive Class 1.1 –– Fire Symbol 1 Fire Symbol 1

Danger Danger –– Massive ExplosionMassive Explosion

Safety Distance Safety Distance –– 1300 MT 1300 MT ExampleExample: MK series bombs : MK series bombs

Explosive Class 1.2 Explosive Class 1.2 –– Fire Symbol 2 Fire Symbol 2 Danger Danger –– Explosion and Outthrust of FragmentsExplosion and Outthrust of Fragments

Safety Distance Safety Distance –– 800 MT 800 MT ExampleExample: Explosive shells / fire: Explosive shells / fire--bombs bombs

Explosive Class 1.3 Explosive Class 1.3 –– Fire Symbol 3 Fire Symbol 3 Danger Danger –– Massive FireMassive Fire

Safety Distance Safety Distance –– 200 MT 200 MT ExampleExample: Rocket engines and Dropping Bombs : Rocket engines and Dropping Bombs

Explosive Class 1.4 Explosive Class 1.4 –– Fire Symbol 4 Fire Symbol 4 Danger Danger –– Moderate FireModerate Fire

Safety Distance Safety Distance –– 100 MT 100 MT ExampleExample: Small arms munitions: Small arms munitions