Page 18 - Construction Forms
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Emergency Plan

Emergency Situations

The potential emergencies that could arise in our workplace or on our work site are:

Gas leak                   Fire                    Chemical Spill   Earthquake

Vehicle Accident           Electrical Event        Accident / Harm  Heights Event

Other

Accident Procedures:                               Earthquake Procedures:

1. Stay calm                                       1. Seek shelter under a table or solid object that
                                                      will provide protection from falling debris
2. Shut down any plant or equipment
                                                   2. Keep clear of collapsible structures
3. Provide first aid if someone is injured & stay
   with them                                       3. Evacuate the workplace to the Safe Assembly
                                                      Area, when safe to move
4. Dial 111 & ask for AMBULANCE
                                                   4. Remain in the Assembly Area
5. Arrange for someone to meet the ambulance at
   the front of the site when they arrive          5. Report to your supervisor or manager

All Notifiable Events must be reported to WorkSafe NZ immediately on 0800 030 040:
For assistance phone HazardCo on 0800 555 339

Other Emergency Procedures:

In the event of a Fire, Chemical Spill, Gas Leak, Electrical Event or any other Emergency:
1. Evacuate the Workplace to the Safe Assembly Area
2. Dial 111 & ask for FIRE
3. Remain in the Assembly Area
4. Report to your supervisor or manager
5. Arrange for someone to meet the fire service at the front of the site

Our Evacuation Signal is:                          Our Safe Assembly Area is located at:

Our Communication Method in an                     The frequency of testing of our emergency
emergency is:                                      procedure is:

Emergency Contact Numbers - The emergency contacts for our workplace are:

Poison Centre: 0800 764 766                        Gas Co: ________________________

Medical Centre: _________________                  Regional Council: ________________

Phone Co: _____________________                    Power Co: ______________________
Supervisor: ____________________                   WorkSafe NZ: 0800 030 040

Other:
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