S02 Att03 Emergency Contact List - Template.pdf

This is an Emergency Contact List template for a federal construction project at Hines VA, identified by Project Number 578-XX-XXX. The document provides a standardized format for maintaining critical contact information required for project management and emergency response coordination.

The template includes three pre-populated emergency contact numbers for the Hines VA facility: Police (23200), Fire (22323), and Safety Office (25614). Below this section are blank fields for contractor information (name, office location, and phone) and a roster table for key project personnel including the Superintendent, Alternate Superintendent, Project Manager, Safety Manager, Hines VA Contracting Officer Representative (COR), and Hines VA Backup COR. Each personnel entry requires name and office or cell phone number. The document displays the Hines VA Medical Center logo in the upper right corner and is formatted as a single-page reference tool designed to be completed and distributed to ensure all parties have immediate access to essential contacts for emergencies and routine project coordination.