Attachment4UptStandOpProcEng.pdf

STANDARD OPERATING PROCEDURE REVIEW: EMERGENCY PLAN FOR THE

EVACUATION OF INJURED PEOPLE WITHIN USAG ITALY DARBY MILITARY COMMUNITY

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

7 January 2016

STANDARD OPERATING PROCEDURE REVIEW: Emergency plan for the evacuation of injured people within USAG Italy Darby Military Community

(7 January 2016)

CONTENTS

I. INTRODUCTION

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

II. RESPONSIBILITIES

A. Darby Military Community (DMC) employees and Contractors B. 118 - Italian Ambulance Service

C. 911 – PMO

D. SETAF Carabinieri E. Agencies working with Contractors F. DMC & Tenant Units

III. APPENDIX

A. Procedure flowchart B. Emergency call procedures C. List of the areas with coordinates system and corresponding gate numbers D. Explanation of ASA signs and symbols E. Signatures

I. INTRODUCTION

A. IAW Italian Law D.lgsl.81/08 art.18 comma 1 lettera t) & art. 43 comma 1 lettera a), the Darby Military Community (DMC) Deputy Garrison Manager and the DMC Safety Office agreed with the Italian Base Commander to develop a plan for an effective and efficient coordination between the Darby Military Community (DMC) Provost Marshall Office (911) and the off post ambulance services (118). On the basis of past experience, it was determined that, during emergency situations, contractors and Italian employees had been dialing directly the Italian Health Emergency # 118, in spite of the numerous briefings that were held and information provided to the DMC. The PMO has been quite often excluded thus causing major and risky delays in the intervention, and, in general, a low quality of service.

B. The final purpose is to establish this Standard Operating Procedure (SOP) in order to streamline the accident intervention process. At the same time, its purpose is to create an efficient and integrated system that is capable to provide a prompt service at the scene of the accident. All Units personnel and contractors are mandated to comply with this SOP.

C. This SOP provides information and details that allow all parties to implement the plan.

II. RESPONSIBILITIES

A. The DMC employees and all the Contractors working within the installation in case of an accident/emergency:

1) Will call 118, inform the operator that the accident occurred within the DMC Area of Responsibility (AOR), will specify the nature of the injury responding to all questions posed by the operator, and will follow directions as instructed by the 118 personnel.

2) Will provide the 118 operator with the ”Base Grid Coordinates”, the directions to the place of the accident, and the number of the gate that the ambulance will utilize (for example Camp Darby Area, Gate # 4, etc.). The “Base Grid Coordinates” and the name of the area of the gate to be used are posted at each construction yard within the Installation on the safety board together with the other information on safety measures.

3) Will dispatch immediately a worker to designated entry points to facilitate the arrival of the ambulance to the place of the accident.

4) Will call immediately DSN 633-7575 (COMM 050/547575) (PMO/911) or DSN 633- 7695 (COMM 050/547695) (Carabinieri) and will specify to the operator the number of the gate that the ambulance will utilize.

See Appendix A for the graphic representation of the procedure.

B. 118 – The Italian Ambulance Service, once an emergency call has been received from the

DMC AOR:

1) Will obtain the following information:

a. The nature of the accident and telephone number of the person that 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 PMO and/or by the SETAF Carabinieri.

3) Will call immediately 050/547575 (PMO/911) or 050/547695 (Carabinieri) and will provide the following information (following instructions at Appendix B in case of an 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.

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

C. 911 – Provost Marshall Office (PMO). In case 911 (PMO) receives a telephone call from 118 (or from a person asking for an ambulance):

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 B)

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 dispatch personnel qualified for a first aid intervention, ensuring that:

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

- PMO will provide escort to the 118 ambulance and personnel to the place of the accident and coordinate with the SETAF Carabinieri.

- The Deputy Garrison Manager will be informed in order to coordinate with the Italian Base Commander and the SETAF 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.

5) Will coordinate with the SETAF Carabinieri DSN 633-7695 (COMM 050/547695) and

Italian Base Commander DSN 633-7419 (COMM 050/547419) for the removal of the body in case of non-transport by the ambulance of a deceased person.

See Appendix A for the graphic representation of the procedure.

D. SETAF Carabinieri. In case SETAF Carabinieri receive a telephone call from 118 (or from a person asking for an ambulance):

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

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) Will dispatch personnel qualified for a first aid intervention, ensuring that:

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

- PMO or SETAF Carabinieri will provide escort to the 118 ambulance and personnel to the place of the accident.

- The Deputy Garrison Manager will be informed in order to coordinate with the Italian Base Commander and the PMO.

3) Will coordinate with the Italian Base Commander DSN 633-7419 (COMM 050/547419) and PMO DSN 633-7575 (COMM 050/ 547575) for the removal of the body in case of non-transport by the ambulance of a deceased person.

E. All 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.

Agencies involved:

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

- Public Works Office (PWO)

- Engineer Project Office (Corps of Engineers)

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

F. All DMC & Tenant Units. Because of the frequent personnel turnover at the Darby Military Community, all DMC & Tenant Units must brief all newcomers about this SOP in addition to the regular safety briefing.

APPENDIX A. Procedure flowchart

APPENDIX B. Emergency call procedures: return call of 118 service to PMO

ACCIDENT ALERT PROCEDURE

CAMP DARBY 050/547575 (PMO)

The 118 Italian service may call back the PMO to verify the request for service and to obtain additional information. They will say:

- “Questo é l’uno uno otto” (THIS IS ONE ONE EIGHT)

- “Abbiamo ricevuto una chiamata di pronto intervento” (WE HAVE RECEIVED AN

EMERGENCY CALL)

The PMO will verify/confirm the request and may provide additional information such as accident location (see APPENDIX C). Interpreters/SETAF Carabinieri support may be required.

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

AREAS’ LIST

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

Area # 2 = Depot Area (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 Darby))

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

APPENDIX D: Explanation of ASA signs and symbols

APPENDIX E: SOP Signatures

EXECUTIVE AGREEMENT

The undersigned individuals agreed on the intervention methodologies reported on this SOP:

“Emergency Plan for the evacuation of injured people for USAG Italy Darby Military Community”.

The implementation of every step of this SOP will be assured in case of an accident within the Installation. Every change applied to this SOP will be coordinated and approved by the undersigned persons or by their respective successors in charge. This SOP will become effective by the date of the last signature.

_//original signed//________________ _____________________________

DR PAOLO TOGNARELLI STEVEN M. MARKS

Responsabile Centrale Operativa 118 COL, SF Pisa, Italia Commanding