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SRS Name
Version 1.0 — 2008
SRS Name
Street No., Name and Type
Suburb
Supported Residential Services
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Emergency Management Plan
Version 1.0 — October 2008
Supported Residential Services
Emergency Management Plan
Version 1.0 — October 2008
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Emergency Management Plan
SRS Name
Version 1.0 — 2008
Copyright
The State of Victoria owns the Copyright for the Emergency Management Plan Guide.
Disclaimer
Supported Residential Services (‘SRS’) should seek their own advice about the Emergency Management
Plan Guide and Sample Emergency Management Plan (‘Guide’) which is provided to assist SRS Proprietors
to develop an Emergency Management Plan (‘Plan’) that is appropriate for their site. The State of Victoria,
the Department of Human Services (‘DHS’) and Specialists On Safety make no representation that this
Guide will be suitable for any particular situation, and accept no responsibility for any loss, damage or
claim arising out of any decision to apply this Guide to a particular situation. SRS using the Guide do so
at their own risk and accept responsibility for any actions arising from its use. SRS must not use the name
of DHS, or DHS letterhead on Plans, documents or letters generated by the Guide and must not represent
themselves as employees or agents of DHS in their use of the Guide. DHS may update the Guide at its own
discretion. No responsibility is taken for failure to update the Guide and it is the responsibility of the SRS
to ensure that the information contained in their Plan is up to date and reflects the current law and any
guidelines issued by the State of Victoria. DHS is not responsible for the provision of updates to the Guide.
SRS that use the Guide must ensure that the needs of their organisation and its residents are taken into
account when using the Guide. Some aspects of the Guide such as the section on bushfires may not be
relevant to some SRS. Appropriate Workplace Emergency Response training and evacuation exercises are
required to educate staff and residents on how to respond to a variety of emergency situations. The Guide
may not include all of the information required by SRS when dealing with emergency situations.
Published by, Victorian Government Department of Human Services, Melbourne Victoria
© Copyright State of Victoria, Department of Human Services, 2008
This publication is copyright. No part may be reproduced by any process except in accordance
with the provisions of the Copyright Act 1968.
Also published on the Supported Residential Services website:
www. health.vic.gov.au/srs
Authorised by the State Government of Victoria, 50 Lonsdale Street, Melbourne.
Printed on sustainable paper by:
Big Print 45 Buckhurst Street, Sth Melbourne 3205
Emergency Management Plan iii
SRS Name
Version 1.0 — 2008
Table of Contents
Preface
Emergency Management Policy
1
2
Policy for emergencies
2
Aim of this plan
2
Authority
2
Emergency Managment Plan
3
Overview
3
Version history
3
Distribution List
3
Definitions
Section 1: Fire Safety
4
7
1.0 Emergency contact telephone numbers
7
1.1 Emergency control organisation
8
1.2 Risk assessment
9
1.3 Description of workplace
12
Resident profile
12
Location
12
1.4 Building safety features
13
Raising an alarm
15
Training
15
Section 2: Wardens
16
2.0 Warden duties and responsibilities
16
2.1 Chief Warden
16
2.2 Area Warden
17
2.3 First Aid Officer
17
2.4 Evacution
17
Use of lifts in emergency
18
Evacuation packs
18
2.5 Non-evacuation
19
2.6 Mobility impaired persons
19
2.7 Assembly areas
19
2.8 Visitors and contractors
20
Section 3: Procedures
21
3.0 Types of emergencies
21
3.1 Emergency prevetion
21
3.2 Typical hazards
22
3.3 Actions for fire
22
Fire in the SRS
22
Fire extinguishers
24
Fighting fire with extinguishers
24
Using the extinguisher
25
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Emergency Management Plan
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Fighting fire with blankets
25
Fighting fire with hose reels
25
3.4 Actions for bomb threats
22
Written threat
26
Telephone threat
26
Suspicious objects
27
Evaluating a threat
27
Courses of action
27
How to search
28
Evacuation
29
Mobility impaired persons
29
3.5 Action for threatening behaviour
29
3.6 Action of armed hold-up
30
Precautions
30
During the Hold-Up
30
After the hold-Up
30
3.7 Hazardous substances
31
3.8 Gas leakage
31
3.9 Natural disasters
32
Earthquake
32
Flood / Severe Storm
32
3.10Structural / building damage
33
3.11 Medical emergencies
33
3.12 Actions for bushfire
34
Section 4: Plans
36
4.0 Site plan
36
4.1 Floor Plan
37
Section 5: Checklists
38
Resident evacuation management
38
Assistance required to evacuate form
39
Bomb threat checklist
40
Offender description form
41
Chief Warden
42
Medical incident report form
43
Fire safety audit checklist
44
Warden meetings record
46
Warden training record
47
Evacuation exercise record
48
Evacuation exercise – Observers checklist
49
Hot work permit procedure
50
Material safety data sheets
54
Emergency Management Plan 1
SRS Name
Version 1.0 — 2008
Preface
This Emergency Management Plan has been developed for SRS Name. It is designed to identify the roles
and responsibilities of staff in providing an effective response to an emergency through the Emergency
Control Organisation (Chief Warden and Area Wardens).
The plan is based on recognised emergency management and risk management principles. References
are made to the Victorian Occupational Health and Safety Act 2004 and Australian Standard AS3745 –
2002 Emergency control organization and procedures for buildings, structures and workplaces.
During an emergency, all people on site may require evacuation. The procedures in this plan are designed
to enable the safe evacuation of all people in the SRS, and it is therefore necessary that these procedures
are actively supported and adopted by all people in the SRS of this site.
SRS Name recognise that this plan is greatly enhanced by the incorporation and support of training,
evacuation plans and evacuation exercises. Coordination of training and evacuation exercises will be the
responsibility of the proprietor, with assistance from the Emergency Control Organisation.
This plan will serve as a reference tool for staff with emergency management responsibilities on site,
following their Workplace Emergency Response (Warden) training.
The Proprietor (or Chief Warden) shall review this plan yearly to ensure it remains current. Alterations to
any part of the building or its usage will also initiate an immediate review of this plan.
NOTE THAT THIS EMERGENCY MANAGEMENT PLAN IS A CONTROLLED DOCUMENT AND SHOULD
NOT BE COPIED FOR USE BY ANY PERSONS. THIS DOCUMENT MUST BE MAINTAINED IN ITS
ENTIRETY TO ENSURE PARTS OF THE PLAN DO NOT GO MISSING. IMPROPERLY CONSTRUCTED
VERSIONS CAN CAUSE CONFUSION DURING EMERGENCIES. UPON AMENDMENT OF THE PLAN,
ALL PERVIOUS COPIES MUST BE REMOVED AND DESTROYED.
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Emergency Management Plan
SRS Name
Version 1.0 — 2008
Emergency Management Policy
Policy for emergencies
This Emergency Management Plan has been developed for SRS Name as part of our commitment to the
safety of all who live, enter, use or work at this site.
Our primary goal is to protect the life safety of all staff, residents and people who visit our SRS.
This plan forms part of the overall emergency preparedness and response, and should be used in
conjunction with appropriate training, evacuation plans and exercises to ensure the safety of people in the
SRS and the surrounding community.
Aim of this plan
The aim of the Emergency Management Plan is to raise the awareness of how to respond to an emergency
situation. By being prepared, the potential for injury, loss of life and damage to property can be reduced.
A successful response to an emergency will ensure all residents and staff are safe, and that SRS Name
can continue to provide ongoing service to all residents.
Authority
The Proprietor of SRS Name has given authority to implement the information provided within this plan
to all staff on the premises at the time of an emergency. Staff shall be indemnified against civil liability
resulting from practice or emergency evacuation of this building or site where those persons act in good
faith and in the course of their duties.
Authorised By:
Name:
Position:
Signature:
Date:
Implementation Date:
dd / mm / yyyy
Review Due Date:
dd / mm / yyyy
……/……/……
Emergency Management Plan 3
SRS Name
Version 1.0 — 2008
Emergency Management Plan
Overview
The Department of Human Services has contracted Specialists On Safety to provide this Emergency
Management Plan Guide as part of their commitment to assist proprietors in meeting their obligations
concerning fire safety and emergency management, and to build SRS sector emergency response
capacity. Consideration has been given to the Victorian Health Services Act 1988, the Health Services
(Supported Residential Services) Regulations 2001, and the Victorian Occupational Health and
Safety Act 2004.
Version history
The following table shows the development of this plan.
Version
1.0
Pages
68
Effective From
dd/mm/yyyy
No. Copies
1
Details
First issue of the plan
Distribution List
Copy
Issued To
Date of Issue
Master
dd/mm/yyyy
1
dd/mm/yyyy
2
dd/mm/yyyy
Issued By
4
Emergency Management Plan
SRS Name
Version 1.0 — 2008
Definitions
Term
Definition
Armed Person
A person who is in possession of an offensive weapon or instrument.
AS3745
Australian Standard 3745 – 2002 Emergency control organization and
procedures for buildings, structures and workplaces.
Assembly Area
(External)
An area far enough away from the emergency that, where practicable, people
in the SRS are protected from the physical impact of the emergency, and that
allows for further movement away from potential sources of danger.
Assembly Point
(Internal)
An area within the building, structure or workplace, such as a nominated area
or another floor, where people in the SRS from the affected emergency area
are initially protected from its impact.
Building, structure
and workplace
A building, structure or workplace that is occupied by people, including
offices, warehouses, factories, public buildings, shopping centres and
apartment buildings.
CBR
Chemical, Biological or Radiological incident, which is usually associated with
some kind of terrorist activity
Emergency
Any event that arises internally or from external sources, which may adversely
affect persons or the community generally, and which requires an immediate
response.
Emergency Control
Organisation (ECO)
A structured organisation that will initiate an appropriate response to
emergency situations.
Emergency Planning
Committee (EPC)
A committee responsible for establishing an emergency management plan,
setting up of the ECO, and arranging the appropriate training and evacuation
exercises.
Emergency
Management Act 1986
Legislation provided for the organisation of emergency management in
Victoria.
Emergency Services
Police, Fire Brigades, Ambulance and State Emergency Services.
Emergency Warning &
Intercommunication
System (EWIS)
A combined emergency warning and intercommunication system that
facilitates both way communications and control during an emergency.
Emergency Warning
System (EWS)
A warning system that sounds an alarm throughout the workplace on
activation of smoke alarms, fire sprinkler or break-glass alarm (note: this
equipment may not all be installed in your workplace)
Evacuation Exercise
A theoretical or practical exercise designed to test the ECO response to an
emergency at the site. It may or may not involve residents, but should include
all staff (including night shift staff). The results of each evacuation exercise
should be documented, and any issues should be reviewed to ensure the
Emergency Management Plan is appropriate.
Evacuation Point
A point of exit from an area that requires evacuation.
Emergency Management Plan 5
SRS Name
Version 1.0 — 2008
Term
Definition
Evacuation Procedures
Floor plans that show the layout of the site, where emergency equipment
is located, the external assembly areas, and gas or electricity meters. The
Standard Fire Orders and Emergency Contact Number may also be displayed
on the Evacuation Procedures.
Fire Indicator Panel
The Fire Indicator Panel is used to manage the building alarms, which may
be activated by operation of a sprinkler, smoke alarm or thermal detector.
The FIP may also be programmed to shut down the air conditioning and gas
supply, or release smoke doors.
Hazard
A source of potential harm to people, property or the environment, or a
situation with a potential to cause loss.
HVAC
Heating, Ventilation and Air Conditioning system
Incident
Any unplanned event which may cause the ECO to be activated.
May
Indicates the existence of an option.
Mobility Impaired
Person
A person with a physical, intellectual, visual or auditory impairment - either
temporary or permanent - who requires assistance during an emergency
evacuation.
Material Safety Data
Sheet (MSDS)
An information resource from the manufacturer of a particular product
designed to provide both staff and emergency personnel with the proper
procedures for handling a particular substance, including appropriate first aid.
Occupational Health
and Safety Act 2004
An act to promote and improve standards for occupational health, safety and
welfare.
Proprietor
The Owner of an SRS
Risk
The chance of something happening that will have an impact upon
objectives, which is measured in terms of consequence and likelihood.
Safe Place
A place of safety within a building, structure or workplace which is not under
threat from an emergency and from which people are able to evacuate to an
external Assembly Area if necessary.
Safety
A state where the potential for harm to people or property is limited to an
acceptable level.
Shall
Denotes items that must be completed
Should
Denotes items which are recommended but not compulsory
Standard Fire Orders
Six point procedures for responding to a fire emergency.
SRS
Supported Residential Service
Training Exercise
An activity simulating an emergency event through activation of alarms and
response by emergency personnel designed to test existing procedures,
identify needs or inadequacies, and maintain awareness by all people in the
SRS of evacuation procedures and assembly areas.
SRS Name
Emergency Management Plan 7
Version 1.0 — 2008
Section 1: Fire Safety
Section 1: Fire safety
1.0 Emergency contact telephone numbers
Remember, if you need to dial ‘0’ to get an external line, you must include ‘0’ in front of each number!!
Emergency Services Telephone
Ambulance............................................................................................................................................000
Victoria Police......................................................................................................................................000
Fire Brigade..........................................................................................................................................000
State Emergency Service........................................................................................................... 13 25 00
General Emergency Contacts
Worksafe Victoria........................................................................................................................ 13 23 60
Environment Protection Authority.......................................................................................... 9695 2777
Victorian Poisons Information Centre........................................................................................ 13 11 26
Interpreter Service (24 hours)................................................................................................... 13 14 50
Tel: 1111 1111
Local Hospital.............................................................................................................................................
Tel: 1111 1111
Local Doctor................................................................................................................................................
Tel: 1111 1111
Local Government.......................................................................................................................................
Utilities
Gas Leaks (24 hours)................................................................................................................... 132 771
Tel: 1111 1111
Electricity Provider......................................................................................................................................
Tel: 1111 1111
Water Provider.............................................................................................................................................
Tel: 1111 1111
Telephone Provider.....................................................................................................................................
Contractors
Fire Panel contractor name
Tel: 1111 1111
Fire Extinguishers
contractor name
Fire Blankets
Tel: 1111 1111
Exit Lighting Emergency Lighting contractor name
Tel: 1111 1111
Smoke Alarms
Thermal Alarms
contractor name
Tel: 1111 1111
Authorised Officer name
Tel: 1111 1111
DHS after hours contact
name
Tel: 1111 1111
DHS contact
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Emergency Management Plan
SRS Name
Section 1: Fire Safety
Version 1.0 — 2008
1.1 Emergency Control Organisation
The Emergency Control Organisation will be identified by hard hats, caps, vests that shall be worn during
any emergency or evacuation exercise, and will be identified by the following colours:
CHIEF WARDEN
White
AREA WARDENS
Yellow
WARDENS
Red
FIRST AID OFFICER
Green (with White Cross)
Emergency Control Organisation Telephone
Chief Warden name
Tel: Warden
name
Tel: Warden
name
Tel: Warden
name
Tel: Warden
name
Tel: First Aid
name
Tel: First Aid
name
Tel:
First Aid
name
Tel:
First Aid
name
Tel:
First Aid
name
Tel:
Likelihood
Possible
Possible
Unlikely
Likely
Unlikely
Hazard
Fire (internal)
Fire (external)
Bushfire
Personal Threat
Bomb Threat
1.2 Risk assessment
Major
Moderate
Major
Moderate
Major
Consequence
High
High
High
High
Extreme
Rating
SRS Name is not considered a specific target for a bomb
threat, however consideration must always be given to the
potential for a bomb threat to be used to disrupt the normal
business of this site. Bomb Threats at neighbouring premises
are also a realistic threat to this building – response to any
external threat should be determined by the ECO at the time
of the incident.
A Personal Threat from residents or intruders is considered
a high risk due to the potential (or perception) for cash and
drugs to be kept on site. Resident characteristics, including
psychiatric issues (including acquired brain injury or other
psychiatric disabilities, such as dementia), increase the
potential for Personal Threats to staff. There are easy areas of
escape around the site for offenders to escape in vehicles or
on foot.
A bushfire may impact the SRS, and consideration must
be given to management of residents. Planning for where
to take residents during a bushfire is outlined in this plan.
Consideration must be given to shutdown of HVAC (Heating,
Ventilation, Air Conditioning).
A fire in a neighbouring property has the potential to impact
on SRS Name. The ECO should assess the potential impact
at the time of an incident, assisting where safe and when
trained to use the equipment. Consideration must be given
to shutdown of HVAC.
The building safety features reduce risk of a structural
fire causing significant damage. Appropriate training
must support the use of this equipment for staff with an
emergency management role.
Comments
SRS Name
Emergency Management Plan 9
Version 1.0 — 2008
Section 1: Fire Safety
Likelihood
Unlikely
Possible
Unlikely
Likely
Unlikely
Rare
Hazard
Hazardous Substances
Gas Leak
Flood
Storm
Windstorm
Earthquake
Major
Moderate
Minor
Moderate
Moderate
Major
Consequence
High
Medium
High
Medium
High
High
Rating
This site is not in a known earthquake zone, but is considered
high risk due to the impact if one does occur. Procedures
contained within this plan provide directions for staff to follow
in an earthquake.
The potential for a windstorm causing damage at this site is
Medium. Roofing may be removed by high winds, or falling
trees may affect the building. Procedures contained within
this plan provide directions for staff to follow in
a windstorm.
A storm can potentially impact this site, causing minor
building damage or localised flooding. Procedures contained
within this plan provide directions for staff to follow in a
storm.
This site is not located in a known flood-prone area, and is
only considered a medium risk of flood. The biggest potential
is for localised flooding from burst sprinkler pipes. Procedures
contained within this plan provide directions for staff to follow
in a flood.
The risk of a gas leak within SRS Name, surrounding
properties or the surrounding public space is a high risk and
may impact on the site. This plan will assist with actions to be
taken by staff during a gas leak incident.
Only small quantities of cleaning chemicals are kept
on-site, and neighbouring properties are not known to have
significant quantities of hazardous substances. This plan will
assist with actions to be taken by people in the SRS during a
hazardous substances incident.
Comments
10 Emergency Management Plan
SRS Name
Section 1: Fire Safety
Version 1.0 — 2008
Likelihood
Unlikely
Possible
Likely
Likely
Unlikely
Likely
Hazard
Structural Building Damage
Transport Accident
Medical Emergency
Utility Outage
Armed Hold-Up
Evacuation Routes
Moderate
Moderate
Minor
Moderate
Moderate
Major
Consequence
High
Medium
High
High
High
High
Rating
Consideration must be given to evacuation of SRS Name
during an emergency. Communication is critical and
different Assembly Areas may be used by people in the SRS
depending on the event. Where possible and appropriate,
internal assembly points should be used prior to external
evacuation.
This SRS does not have significant quantities of money, drugs
or electrical items that would make it a specific target for an
Armed Hold-Up. Any issues between residents and family
members may increase the potential for armed conflict, and
should be assessed by staff at the time of an emergency.
A Utility Outage will not provide any long-term impact on
SRS Name. However, consideration must be given to safety,
if no lighting is available, and we are unable to cook food on
site. Business continuity procedures in case of power or gas
failure should be implemented to highlight what this SRS will
do during any prolonged outage.
Trained first aid officers should provide the initial response
to a medical emergency. Contact arrangements for nearest
hospitals are contained in this plan, however an ambulance
must be called for serious injuries that occur on-site. There
is a medical centre close to the SRS if minor treatment is
required.
SRS Name is located on a main road, and there is significant
traffic that presents the risk of a transport accident. Trucks
using the road at the front of the SRS increase the potential
for a transport accident impacting people in the SRS or at
this site.
SRS Name complies with current building regulations. If
structural damage does occur, these procedures will provide
direction to staff on appropriate actions.
Comments
SRS Name
Emergency Management Plan 11
Version 1.0 — 2008
Section 1: Fire Safety
12 Emergency Management Plan
SRS Name
Section 1: Fire Safety
Version 1.0 — 2008
1.3 Description of workplace
SRS Name is a single storey Supported Residential Service, with X Number of residents in X number
of rooms.
The SRS has staff on site 24 hours a day, 7 days a week, with X number of staff on during the morning,
X number on duty during the afternoon, and X number on overnight (Note: overnight staff are
stand-up / sleep-over).
Resident Profile
This SRS provides accommodation and support to residents of varying ages, with similar requirements.
Residents may require assistance with personal care, including ensuring medication is taken as required.
Some residents may have physical or psychiatric disabilities (including acquired brain injury or other
psychiatric disabilities, such as dementia) that require additional management during an emergency. These
disabilities may also increase the potential for dangerous or fire lighting behaviour.
Residents may come from different environmental and cultural backgrounds. Some residents may have
English as a second language, and this should be considered when communicating with them during an
emergency. Residents that may be affected by drugs or alcohol will also impact any communication of
information during an emergency, and may reduce their capability to respond.
Residents may be frail aged or mobility impaired, which means they will require assistance to evacuate
during an emergency.
Location
The SRS is located on a main road, with a variety of businesses surrounding the property. Trucks regularly
use the road at the front of the property to transport dangerous goods and hazardous substances. There is
a hotel 100m to the South, and a service station on the opposite side of the road.
Residential houses and units border the SRS at the rear, with no escape from the property at the back.
There is a small carpark at the front of the SRS for staff and visitors.
The local fire brigade is located at Number Name Street Suburb, and the normal response time is
expected to be less than 8 minutes.
SRS Name
Emergency Management Plan 13
Version 1.0 — 2008
Section 1: Fire Safety
1.4 Building safety features
Fire and emergency safety equipment is provided to assist in ensuring a safe environment for residents,
staff, visitors and contractors. All staff should familiarise themselves with safety features and equipment
within the building, and ensure that it is operational and/or useable at all times. (Please ✔ the following)
Fire Indicator Panel
Sprinkler System
Emergency Warning and
Intercommunication System
Fire Hydrants
Fire Hose Reels
Portable Fire Extinguishers
Dry Chemical
Water
Carbon Dioxide
Fire Blankets
14 Emergency Management Plan
SRS Name
Section 1: Fire Safety
Version 1.0 — 2008
Emergency Lighting
Break Glass Alarm
Exit Signs
Internal Stairs/
External Stairs
Smoke Alarms
Thermal Detectors
Smoke Doors
SRS Name
Emergency Management Plan 15
Version 1.0 — 2008
Section 1: Fire Safety
Raising an alarm
When an emergency occurs on site, an alarm can be raised by;
• Automatic activation of the Emergency Warning System (EWS) due to activation of a sprinkler, smoke
alarm or thermal alarm
• Calling the Emergency Services on ‘000’
• Someone witnessing the emergency (ie. fire, gas leak, etc.) and activating a Break Glass Alarm, or
reporting it to a staff member
• Manually alerting people in the SRS in the affected area
Training
During an emergency, the appropriate response is only achieved if all members of the Emergency Control
Organisation (ECO) and other people in the SRS are familiar with what is expected of them. Therefore
an Annual Program of education, training and evacuation exercises should be scheduled to test the
organisation, test these procedures and test occupant responses to emergency situations.
Warden
Wardens will be required to attend appropriate training every two (2) years, or when new wardens are
nominated. All training provided to Wardens should be recorded on the ‘Warden Training Record’
(pg 47). Training should be designed to develop the skills and knowledge required to undertake the duties
assigned to their position to ensure they provide an appropriate response in real emergency situations.
Evacuation exercises
All staff and residents are expected to participate in regular emergency evacuation exercises conducted at
this SRS. In accordance with AS 3745 (2002) at least one evacuation exercise must be conducted every
twelve (12) months. It is recommended an evacuation exercise occur every six (6) months to ensure as
many people in the SRS as possible participate, and staff are reminded how to react to an emergency
situation. All details of evacuation exercises shall be recorded on the ‘Evacuation Exercise Record’ (pg 48).
Induction
All new staff must be made aware of the building safety features, warden role, and the Emergency
Management Plan for this site. They must be advised to act in accordance with the established procedures
in a real emergency. The DHS Workplace Emergency Response Training DVD can be used as one tool to
induct new staff on what to do in an emergency.
Skills maintenance
ECO personnel shall meet at intervals not greater than six (6) months. These meetings shall be used to
discuss changes in personnel, prepare for Evacuation Exercises, arrange necessary training, analyse any
incidents since the last meeting, identify new risks, and be used as short skills maintenance sessions to
maintain awareness and improve knowledge. These meetings are included as part of the Annual Program,
and all details of ECO meetings shall be recorded on the ‘Warden Meeting Record’ (pg 46).
All staff should familiarise themselves with this Emergency Management Plan.
16 Emergency Management Plan
Section 2: Wardens
SRS Name
Version 1.0 — 2008
Section 2: Wardens
2.0 Warden duties and responsibilities
The primary role of wardens in an emergency is to ensure life safety. In order to react appropriately in
emergency situations, all wardens shall be familiar with their duties and responsibilities, and are required
to attend appropriate training every two (2) years. First Aid Officers should attend training annually to
ensure they maintain competency.
2.1 Chief Warden
The Chief Warden will normally be the most senior staff member on shift.
When notified or becoming aware of an emergency affecting the site, the Chief Warden will;
1. Ascertain the nature and scope of the emergency.
2. Initiate the appropriate action.
a. No action required
b. Evacuate the area
c. Evacuate the building
3. Ensure the appropriate Emergency Services have been notified and coordinate any evacuation.
4. Assume control of all people in the SRS building until the emergency is over.
5. Communicate with Wardens, or activate a Break Glass Alarm to alert all people in the SRS of
an emergency.
6. Provide advise to Wardens and people in the SRS using the Emergency Warning and
Intercommunications System or PA System.
7. Nominate an appropriate person to meet and direct the attending Emergency Services and control
access to the building.
8. Advise the attending Emergency Services of any relevant information regarding the status of the
emergency and the progress / result of evacuation.
9. Coordinate evacuation to the nominated Emergency Assembly Area, taking any documents that may
assist, and ensure all people in the SRS are accounted for.
10. If multiple Emergency Assembly Areas are used, communicate with Wardens at the other Assembly
Area to ensure all people in the SRS have been accounted for.
Following the Emergency;
11. Notify the Proprietor or SRS Management.
12. Ensure required reporting guidelines are met.
13. Arrange debriefing for people in the SRS, clients, visitors or contractors where necessary
(your DHS Authorised Officer can assist with contact details for local services).
14. Ensure any equipment used is returned to its original working condition.
Emergency Management Plan 17
SRS Name
Section 2: Wardens
Version 1.0 — 2008
2.2 Area Warden
On discovery or notification of a fire or other emergency, the Area Warden will;
1. Determine the nature and scope of the emergency.
2. Raise the alarm by activating a Break Glass Alarm, or advising staff and residents in person.
3. Evacuate all people in the SRS from immediate danger.
4. Communicate with the Chief Warden giving details of:
a. The present situation
b. Any action taken
c. Whether further evacuation is required
5. Check all areas in the SRS, including rooms, offices, lounge rooms, dining rooms, toilets, store rooms
and kitchens. Close doors after checking each room.
6. Consider using fire fighting equipment (fire extinguisher or fire blanket) only if safe and trained to
do so.
7. Assist residents with evacuation to the internal Assembly Point or nominated Emergency
Assembly Area.
8. Assist with stopping any residents re-entering the SRS during the emergency.
Note: In the case of a bomb threat, ensure doors are left open following the check of each area.
2.3 First Aid Officer
First Aid Officers perform a very important role during an emergency, as they have the ability to provide
immediate assistance before the arrival of the Emergency Services.
Qualified First Aid Officers will:
1. Determine the nature and scope of the emergency.
2. Raise the alarm by activating a Break Glass Alarm, or advising staff in person.
3. Assist with evacuation and treatment of all staff and residents in immediate danger.
4. Treat minor injuries at the Emergency Assembly Area.
All medical incidents that require response by a First Aid Officer should be recorded. This can be done
using the Medical Incident Report (pg 43), if no specific organisational report is available.
2.4 Evacuation
1. Evacuate the residents from immediate danger urgently.
2. Remember to take any documents, such as visitor sign-in books, when evacuating to the Emergency
Assembly Area (to assist with accounting for all people in the SRS).
3. In the instance of fire, keep everyone as low as possible.
4. As rooms are cleared, close doors. This will assist in retarding both fire and smoke.
5. Mark checked areas by using chalk or a sticker on a door.
6. Ensure there are no obstructions leading to the Emergency Assembly Areas.
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7. Ensure all new residents are made aware of these procedures and their responsibilities in an
emergency.
8. Do not take bulky items or personal belongings when evacuating in an emergency. If time and
circumstance permit and return to the SRS is unlikely, such as for flood, these items may be taken
during evacuation.
9. If safe, lock away confidential files and shut down computers containing sensitive information.
10. Ensure computer server back-up tapes are collected during evacuation, only if safe.
11. Remain at the Emergency Assembly Area until given the ‘all clear’ by Emergency Services to return to
the building.
Person refusing to comply with a Warden’s direction:
When an employee, resident, volunteers, contractor or visitor refuses to comply with
directions given by a Warden acting in their capacity during an emergency:
a. Ensure the person has been clearly advised they are required to evacuate the building,
because the emergency situation, may be life threatening.
b. Notify the Chief Warden, who shall advise the Officer-In-Charge of the Emergency Service
who, at his/her discretion, may take the appropriate action under the Emergency Services
Act 1986 to remove the person.
Use of lifts in emergency
SRS Name is equipped with internal lifts.
People in the SRS must be reminded not to use lifts during an emergency. Evacuation must be controlled
by Wardens to ensure people in the SRS do not try to leave using the lifts. The Chief Warden should
ground lifts during an emergency to remove the risk of people in the SRS using them.
The Emergency Services will make a decision as to the safety of using the lifts to evacuate mobilityimpaired people in the SRS when they arrive.
Evacuation packs
Evacuation Packs or a central location for all equipment required in an emergency should be available for
wardens. This should be kept in an office or near an exit, and should include;
1. The Emergency Management Plan.
2. Resident Details (Including required medication, emergency contact information, resident profile).
3. First Aid kit.
4. Torch.
5. Keys.
6. Identification – cap, helmet, vest.
7. Pen & paper.
Following any evacuation, the Chief Warden will be able to contact any key stakeholders, as all contact
information will be contained in this Emergency Management Plan.
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2.5 Non-Evacuation
Some external emergencies may result in people in the SRS of this building being advised to stay inside,
as leaving may expose them to greater risk. The Chief Warden will make a decision regarding remaining in
the building, as opposed to evacuating, at the time of an emergency.
The Chief Warden may seek advice from the Emergency Services regarding an external emergency, and
whether it is safer to evacuate people in the SRS of this building or to remain on site.
There may also be cases where full evacuation of the building is not required, as the emergency is
contained to a specific area within the building. In this case, and Area Warden or Warden should evacuate
any people in the SRS in immediate danger, and advise the Chief Warden of the current situation.
In all emergencies, the Chief Warden (or a Communications Officer) must keep people in the SRS informed
of an emergency, and what response is being undertaken. Communication between members of the
Emergency Control Organisation and the people in the SRS of a building is critical during an emergency.
2.6 Mobility impaired persons
A mobility-impaired person is a person with a physical, mental or sensory impairment, either temporary or
permanent, who requires assistance during an emergency.
Any occupant who requires assistance during an emergency evacuation, due to mobility impairment,
must advise the Chief Warden of their needs. The ‘Assistance Required to Evacuate’ (pg 39) form should
be completed for any person in an SRS that will require assistance, and kept with the Emergency
Management Plan.
The procedures for assisting mobility-impaired persons should be discussed with the individuals
concerned.
2.7 Assembly areas
When advised by the Chief Warden or an Area Warden, all persons within the building are to make their
way to the Internal Assembly Point. If further evacuation is required, wardens will control evacuation to the
external Emergency Assembly Areas.
The selection of the appropriate Emergency Assembly Area will be made by the Chief Warden, taking into
account:
1. Location of the emergency.
2. Type of emergency.
3. Wind direction.
The nominated Assembly Areas for people in the SRS of SRS Name are:
PRIMARY:
SECONDARY:
Consideration for evacuation further from the nominated Emergency Assembly Areas may be required
to move people in the SRS to safety. When utilising the Emergency Assembly Areas. Wardens must be
aware of the access requirements of emergency services, and maintain the safety of people in the SRS
at all times.
If evacuation to an external Emergency Assembly Area has occurred, no person shall re-enter the building.
Wardens must ensure people in the SRS are accounted for using staff lists and visitor sign-in book.
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2.8 Visitors and contractors
All visitors are the responsibility of SRS Name and the person they are visiting. The visitor must follow
Warden instructions during any emergency, and in the event of an emergency evacuation, must proceed to
the Emergency Assembly Area.
SRS Name will consider the impact of any work being conducted at this site. Control of hot works, and
management of contractors during an emergency, (especially if working in isolation of other people in the
SRS) will ensure they are included in any evacuation.
Contractors conducting minor works on SRS layout, or servicing equipment, should follow the procedures
for visitors. This includes signing the visitor book to ensure there is a record that they are on site, and
signing out when they leave the site. During an emergency, contractors working in the SRS will be
included in an emergency evacuation.
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Section 3: Procedures
3.0 Types of Emergencies
A full or partial evacuation may be instigated as a result of any of the following:
1. Fire or explosion in the building.
2. Fire in an adjacent building.
3. Bushfire.
4. Medical emergency.
5. Personal threat.
6. Bomb threat.
7. Chemical, Biological or Radiological Incident.
8. Flood.
9. Civil disorder (riot or protest).
10. Hazardous substance contamination.
11. Internal Emergency.
12. Gas leak.
13. Utility outage.
14. Natural disaster.
15. Building sustaining structural damage.
16. Transport accident.
or
17. by direction of the Emergency Services.
This site or a part thereof may no longer be operational following the above emergencies, and relocation to
an alternate location may be required, until facilities are restored to the affected area.
Less serious emergencies, which may not result in urgent evacuation, but nonetheless may affect the
ability to continue with ‘normal’ operations include:
18. Water leak.
19. Communications failure.
3.1 Emergency prevention
1. Preventing emergencies in this building is the responsibility of all people in the SRS.
2. Good housekeeping is the ongoing maintenance of your workplace and access / exit pathways.
3. All electrical, gas and solid fuel appliances must be inspected and regularly serviced.
4. Access / exit pathways must be kept clear of obstructions.
5. A clean and orderly workplace is a key factor in accident, injury and fire prevention.
6. Fire fighting equipment must not be obstructed in any way, and must be readily accessible at all times.
7. It is essential that all people in the SRS report any matters that they consider as a potential hazard in
the workplace to their Occupational Health and Safety Representative, a Manager, or a Warden.
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3.2 Typical hazards
1. Any accumulation of litter which may increase the danger of fire.
2. Any furniture, boxes, decorative items, equipment, etc. obstructing exits, exit signs or impairing access
to emergency equipment and alarms.
3. Passageways and stairwells not kept free from obstructions.
4. Faulty electrical wiring or appliances.
5. Missing, defective or discharged fire extinguishers.
6. The storage of any articles in fire hose reel and electrical cupboards.
7. Incorrect storage of flammable liquids or hazardous substances.
All staff and residents should exercise the greatest care in the use of matches, portable heaters, electrical
appliances and other possible sources of ignition. Their immediate surroundings should be kept neat and
tidy. The keeping of flammable liquids in resident rooms is not permitted unless expressed permission
has been obtained from management. Approval will only be granted in special circumstances, and only
minimal quantities may be allowed.
The way to a safe workplace is through the implementation of safe work practices combined with
formal emergency procedures and the relevant staff training.
3.3 Actions for fire
Fire in the SRS
When fire or smoke is discovered in the SRS, Wardens (staff) must respond immediately. Wardens may be
alerted to smoke through the activation of a smoke alarm, which will also activate the Alert Tone through
the Fire Indicator Panel. A sprinkler activating will alert Wardens to the presence of fire, which will also
activate the Alert Tone through the Fire Indicator Panel.
Regardless of whether your SRS has a history of false alarms, every alarm must be responded to as if it is a
real emergency. Only after proper investigation should an alarm be declared as being false.
The response to fire or smoke may vary in order, depending on the circumstances of the fire (including
location and time of day). Wardens must give priority to life safety.
1. Assist any person in immediate danger, only if safe to do so.
2. Close doors to reduce the spread of smoke and contain the fire.
3. Ensure the Emergency Services are notified (even if you have Alarm Signalling Equipment attached to
your Fire Indicator Panel.
4. Evacuate residents and staff from immediate danger.
5. If evacuating the entire SRS, start with ambulant residents who are able to self-evacuate.
6. Collect the Evacuation Pack, with all necessary items for residents.
7. Collect the Visitor Sign-In book.
8. Use visitors or other people in the SRS to assist, as required and if capable.
9. Conduct a search of all rooms, offices, common areas to ensure all residents, staff and visitors have
evacuated.
10. Proceed to the Assembly Area and remain there until the ‘All Clear’ is provided by the Emergency
Services.
YES
YES
LIMITED
YES
NO
NO
NO
NO
YES
NO
LIMITED
YES
YES
YES
YES
NO
AB(E)
B(E)
CARBON DIOXIDE
FOAM
WATER
WET CHEMICAL
HOSE REEL
FIRE BLANKET
DRY
CHEMICAL
NO
NO
NO
NO
NO
NO
MOST SUITABLE
YES
YES
YES
Electrical –
Computers,
Wiring
E
Class
MOST SUITABLE
YES
NO
YES
NO
LIMITED
YES
LIMITED
NO
Cooking Oils
& Fats
F
Class
A Fire Blanket can also be
used on Cooking Oil fires
Use only on
Class A fires
Do Not use on
Electrical fires
Isolated the power supply
where possible
Dangerous if used on
Electrical fires
Not suitable for
use outdoors
Check to determine if the
Dry Chemical extinguisher
is AB(E) or B(E)
COMMENTS
Version 1.0 — 2008
NO
NO
NO
NO
LIMITED
YES
YES
Flammable
Gases – LPG,
Natural Gas
Flammable
Liquids –
Petrol, Oils,
Grease
Ordinary
Combustibles
Paper, wood
Type of Fire
C
B
A
Class
Class
Class
Portable Fire Extinguisher Guide
SRS Name
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Fire extinguishers
Most fires, on a small scale and if quickly detected, can be controlled. Portable fire extinguishers are
designed precisely for this purpose. There are different types of extinguishers that may be used very
effectively over a wide range of fires. This site is equipped with Dry Chemical and Water extinguishers.
A guide to the type of fire each extinguisher can be used on is provided on Page 23.
Fighting fire with extinguishers
There is no one type of equipment that is equally suitable and desirable for use on all classes
of fire.
It is essential that the correct type of equipment be selected for use with the class of fire that is
anticipated.
1. Do not panic.
2. Try to remain calm and think.
3. Warn everybody in the immediate vicinity.
4. Ensure someone has alerted the Fire Brigade.
5. Instruct someone to advise the Chief Warden.
6. Determine type of fire and exact location.
7. Select right type of extinguisher.
8. Be sure you know how to use the extinguisher.
9. If in doubt read the instructions.
10. Have another person back you up with another extinguisher.
11. Where possible keep the doorway at your back or behind you.
12. Keep low to avoid smoke.
13. Do not get too close to the fire.
14. Direct extinguisher agent at the base of the fire not at smoke.
15. Ensure the fire is extinguished.
If you do not think the fire extinguisher will successfully put the fire out, or the fire becomes too large, leave
and close the door behind you.
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Using the extinguisher
1. Remove the extinguisher from the wall.
2. Walk briskly to the fire — NEVER run.
3. Use the correct extinguisher for the class of fire.
4. Remember the acronym PASS when operating the extinguisher.
P
A
S
S
Pull the pin
Aim the extinguisher at the base of the fire
Squeeze the trigger
Sweeping motion at base of fire
Fighting fire with fire blankets
Fire blankets may be used on small electrical appliance fires and flammable liquid containers such as
deep fat fryers, etc.
1. Remove fire blanket from container and carry to the fire.
2. Grasp blanket by fitted tabs and wrap hands into blanket.
3. Approach fire with arms straight and using the blanket for protection.
4. Gently lower blanket onto fire by bending legs and keeping head at hand level.
5. Turn off the source of the heat.
6. Leave the fire blanket on the pot or appliance. Do not remove a pot from the stove until it cools down,
and leave appliances until the fire brigade arrives.
7. Call the Fire Brigade.
Fire blankets are designed for small Class F, A and B fires. They can also be used for clothing fires. Never
attempt to carry a hot cooking pot out of the kitchen.
Fighting fire with hose reels
Fire hose reels are primarily used by professional fire fighters and people in the SRS who have been highly
trained in its use. If you have training and/or are confident in using a hose reel, proceed as trained. People
in the SRS with little or no training in using hoses should not attempt to use them.
Remember, the primary role of Wardens in an emergency is to ensure life safety.
Fire hose reels are only to be used on Class A fires.
Do not use on electrical fire or flammable liquids.
Whenever possible, two people should be used to run out a hose reel, (i.e. one to run out the hose and
one to ensure hose runs off reel freely and is not caught around doors/corners).
Remember to turn on the water supply at the reel before running out the hose.
The water is capable of being turned on and off at the nozzle.
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3.4 Actions for bomb threats
Bomb threats are frequently used to disrupt business or cause alarm. The threats can generate a great
deal of panic in a very short time. As each threat is different it is almost impossible to have a detailed
procedure for each contingency. These procedures are designed to assess the level of the threat and on
the information available, evaluate a course of action.
NOTE: In the case of building evacuation due to bomb threat, please follow fire evacuation
procedures (2.7—page 16).
Written threat
1. Keep the written threat, including any envelope or container.
2. Contact a Warden or a Manager immediately.
All persons handling mail that is either delivered or received through the post should be conscious of
the following:
1. Foreign mail, air mail and special delivery.
2. Misspelling of common words.
3. Restrictive markings such as confidential or personal.
4. Unusual odour.
5. Oily stains or discoloration.
6. Lopsided or uneven envelopes.
7. Rigid envelope.
8. Protruding wires / tin foil.
9. Visual distractions.
10. Excessive securing material such as masking tape or string.
11. Excessive weight.
12. Granular contents.
What to do DO NOT TOUCH
DO NOT COVER
DO NOT MOVE
DO NOT DISTURB IN ANY WAY
Telephone threat
Complete the ‘Bomb Threat Checklist’ (page 46)
1. DO NOT PANIC. If possible, attract the attention of a fellow worker.
2. Keep the caller on the line as long as possible.
3. After caller has hung up on you, leave your phone off the hook.
4. DO NOT HANG UP THE PHONE.
5. Use the bomb threat check list provided.
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6. Let the caller finish the message, and try to ascertain the location of the bomb and the expected time
of explosion.
7. If asked for a response, keep your answer as short as possible.
8. Be sympathetic and do not abuse caller.
9. Listen carefully for any background noises, speech mannerisms, and accents that might give a clue to
the age, sex and location of the caller.
10. Immediately after the bomb threat, contact the Chief Warden, your manager and notify the Police.
11. Complete the Bomb Threat Checklist and hand it to the Chief Warden or your manager.
12. Do not attempt to locate the bomb or remove it.
13. Wardens should contact appropriate authorities who will advise what action to take.
Suspicious objects
1. If you are advised of a suspect item on site, or one is found, contact Emergency Personnel (Wardens
or a Manager) who will advise Police.
2. If the item is located do not touch or move it.
3. Do not use a mobile phone within immediate vicinity (20m radius).
4. Evacuate on advice of Emergency Personnel or Police.
5. All doors and exit points should remain open.
Evaluating a threat
Following a bomb threat, Emergency Personnel and Police must consider the level of the threat and decide
on the appropriate action. The threat may be assessed as:
NON-SPECIFIC THREAT or LOW RISK
For example, the call may have been made by a child with laughter in the background, or where little
details are received.
SPECIFIC THREAT or HIGH RISK
For example, a call made in a calm, deliberate manner, perhaps by someone where specific details
regarding timing, location and type of device is given.
Courses of action
Disregard Threat
It may be tempting, when receiving a threat that you perceive as low-risk, to do nothing. The Chief Warden
must be absolutely certain that it is a malicious call or a prank. If there is any doubt, the Chief Warden
MUST adopt one of the other options.
Search — Then Evacuate If Suspicious Object Is Found
This choice means that people will be in the building for a longer period if there is a bomb present. On
the other hand, if a bomb is found, they can be evacuated away from the danger. If there is nothing found,
and there are no other significant factors, the Chief Warden may then feel that the building can be
declared safe.
The Chief Warden may consider this option appropriate if assessing the threat as low.
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Search — Partial Evacuation
This is where only the search team (Emergency Personnel) and essential staff remain.
The Chief Warden may deem this option appropriate when the level of threat is considered moderate.
Evacuate Immediately Without Search
In the event of a call that the Chief Warden considers to be high risk, the building should be evacuated
as quickly as possible, without conducting a search, especially where there is a possibility of imminent
explosion.
Appropriate in situations considered to be high risk.
How to search
Police will not normally search a building following receipt of a bomb threat for two reasons:
1. Police are unlikely to know the layout of the premises and the various places in which a device can be
concealed.
2. Police will not know what should be in a particular place and what should not. Staff will know and be
able to search more thoroughly.
The Police will often request a search to be conducted by the building staff in the SRS. All building
Wardens are instructed in Bomb Threat Strategy and procedures during their routine training.
If a search is decided upon, Wardens should be directed to conduct a search of their floor / area and
report the location and description of any suspicious item.
Wardens should look for anything:
• that should not be there
• that cannot be accounted for
• that is out of place
If a suspicious object is found Wardens are instructed:
• not to touch it
• not to move it
All occupied and normally non-occupied areas should be searched, along with public or common areas,
toilets and reception areas.
When searching for suspicious objects following a bomb threat, Wardens should:
1. listen for any unusual sounds.
2. conduct a passive search only (ie. look, don’t touch).
3. systematically check the area as follows.
a) floor to waist level,
b) waist to head level,
c) head level to ceiling
4. mark the zone as clear (eg. using chalk, stickers, etc.).
Be aware that the search of all areas should continue until complete, even if a suspicious object is found.
A second object could remain undiscovered if the search is terminated after finding a suspicious object.
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Evacuation
If the evacuation of a floor, an area or the complete evacuation of the site is required, the procedures are
similar to an evacuation for a fire (2.0 Warden Duties and Responsibilities – Page 16–18)
Wardens are to:
1. Direct staff, volunteers, clients, visitors and contractors to the nearest exit and guide them to the
external Emergency Assembly Area, away from the building.
Note: If a suspicious object has been found, it may be necessary to use a specific exit or escape
route, away from the object.
1. Check all areas including rooms, offices, toilets, storerooms, kitchen and all other spaces.
2. Conduct a final check of the floor / area to ascertain all areas are clear.
3. Advise the Chief Warden that the floor has been evacuated.
4. Ensure all internal doors, except fire doors, are left open if possible.
5. Do not let people in the SRS re-enter the building.
6. Proceed to the nominated external Emergency Assembly Area, taking personal items with you, and
remain there until directed it is safe to return to the building by Emergency Services personnel.
Mobility impaired persons
On receipt of a bomb threat notification, Wardens should ascertain the location of any mobility-impaired
persons in the building. If a decision is made to evacuate the building, the Chief Warden should arrange for
mobility impaired persons to be removed from their work location to the Emergency Assembly Area.
3.5 Action for threatening behaviour
At times, a situation may arise when you have to deal with verbal abuse, threatened violence, substance
affected behaviour, etc. from residents or visitors. This may cause a great deal of distress to people in
the SRS.
Defuse the Situation
1. Identify if a suitable solution to the cause of the problem can be found.
2. If not, in a polite manner, request the offending person to leave the building.
3. Inform the manager or senior staff member of the situation.
4. If there is a perceived threat to life or well being, call the Police immediately.
Chief Warden / Manager
1. Obtain information from staff involved and offer a suitable solution (if available).
2. If no solution is available, in a polite manner, request the offending person to leave.
3. Request Police to attend and advise the offending person of same.
4. Inform other staff of the situation.
5. Organise debriefing for affected staff and/or people in the SRS when the incident is over.
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3.6 Action for armed hold-up
Precautions
1. Be aware of people loitering.
2. Advise a Warden or Manager if you see anyone acting strangely or suspiciously.
3. Keep unused doors, or doors to private areas, locked from external access.
4. Keep cash in office / on site to a minimum.
5. Valuable items kept in drawers or a safe should be locked at all times when not being used.
6. Record Police and security telephone numbers and keep them close to the telephone.
7. Keep the ‘Offender Description Form’ (Page 41) available and know how to complete them correctly.
8. Be knowledgeable about the location and operation of all security and duress alarms or procedures
used for your organisation.
Under no circumstances should staff or residents place themselves in further danger
During the hold-Up
1. Try to remain calm.
2. Obey all instructions given by the offender.
3. Try to be observant.
4. If safety permits, raise the alarm.
5. Do not make any sudden movements.
6. Do not take any action to excite the person.
7. Be courteous and talk to the person and answer any questions asked.
8. If told to hand over money, give out coins and small notes first.
9. Notice the offenders mannerisms, clothing and speech.
10 .Try not to involve other staff in the hold-up.
After the hold-Up
1. As the offender leaves, gauge height against something on the wall or door.
2. Lock yourself in.
3. If safe, observe which direction the offender goes, the type of car, colour, registration.
4. Do not touch any area the offender has touched.
5. Cordon area off, do not allow other staff, residents or visitors into the area.
6. Keep witnesses there until Police arrive.
Complete the ‘Offender Description Form’ (see page 41)
Armed offenders are not commonly apprehended while committing a crime, so Police rely heavily on factual
information supplied by witnesses. Working to a system is always effective and staff should develop a
systemised approach to observing the offender.
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It is difficult for those not familiar with firearms to give an accurate description of a weapon. Most guns have
a brand name or logo prominently displayed on the handle or barrel. If circumstances permit, check for that
identification. Look for distinguishing marks or scratches on the weapon.
Never assume that the gun used is a fake! Many of the more unusual brands of guns look like toys, and most
fake guns look more real than the original.
3.7 Hazardous substances
If the spill may give off toxic or noxious fumes:
1. Call the Fire Brigade on ‘000’ and notify the Chief Warden. Provide as much information about the
hazardous material as possible.
2. Ventilate the area with fresh air if possible.
3. Turn off air conditioning, central heating and recirculation fans.
4. Notify all persons in the building to evacuate, under instruction from the Chief Warden.
(Ensure the Emergency Assembly Area that is upwind is used)
5. Control the evacuation to the Emergency Assembly Area (if required).
6. Do not attempt to re-enter the affected area.
7. Remain at the Emergency Assembly Area until advised by emergency services.
If the spill is a suspected flammable material:
1. Remove any ignition sources (if safe to do so).
2. Evacuate all persons in immediate danger, under instruction from the Chief Warden
(Ensure Emergency Assembly Area is 200 metres clear of the hazard).
3. Do not attempt to re-enter the affected area.
4. Control the movement of people in the SRS to the Emergency Assembly Area (if required).
5. Remain at the Emergency Assembly Area until advised by emergency services.
3.8 Gas leakage
In the event of a gas leak:
1. Ensure that the Chief Warden is notified.
2. Isolate the gas supply at the source (if safe to do so).
3. Notify the fire brigade on ‘000’.
4. Shut down the air conditioning to prevent the spread of any flammable and/or toxic gasses.
5. Remove all ignition sources (if safe to do so). Turn off the electrical supply.
6. Report to the Chief Warden regarding any actions taken.
7. Control the movement of people in the SRS to the Emergency Assembly Area (if required).
8. Remain at the Emergency Assembly Area until further advised by emergency services.
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3.9 Natural disasters
Earthquake
Earthquakes strike without warning - you become aware of the building shaking or of a severe tremor.
Generally, the safest place to be is in the open, away from buildings. However, if you are in a building when
the earthquake strikes, you should not attempt to run from the building. Outside the building, you could be
met with falling debris. It is safer for you to remain in the building.
Basic guidelines for earthquakes are as follows:
1. Try to remain calm.
2. Move away from the windows and outside walls.
3. Keep away from mirrors, light fittings, bookcases and other furniture which may fall or slide.
4. If possible, take cover under a desk from falling debris, or move to an internal corner of a room, sit
down and protect your face and head.
5. Do NOT use telephones straight away, unless reporting serious injury.
6. Do NOT go sightseeing (ie. looking at damage in other areas).
7. Do NOT use vehicles unless there is an emergency.
Once the tremor has stopped, look around for injured persons and reassure others on your floor.
The Chief Warden should call emergency Personnel into action as soon as possible after the earthquake.
Their duties include:
1. Assessing damage to the building or site.
2. Ensuring First Aid is given to those injured.
3. Notifying the relevant authorities.
4. Switching off electric power to appliances, if safe to do so.
5. Initiating controlled evacuation by Area Wardens (if required).
6. Conducting a search of the site, if safe to do so.
Flood / Severe Storm
1. Store or secure all loose items external to the building, such as outdoor furniture, etc.
2. Secure windows (close curtains and blinds) and external doors. If necessary, tape windows and glass
entrances. Utilise boards and sand bags if required.
3. Isolate / shut off electricity, water and gas services.
4. Protect valuables and disconnect electrical equipment — cover and / or move this equipment away
from external windows.
5. During a severe storm, remain in the building and keep away from windows. Restrict the use of the
telephone to emergency calls only (this includes e-mails).
6. After the storm passes, evaluate the need to evacuate if uncontrolled fires, gas leaks, or structural
damage has occurred as a result of the storm.
7. Report to the Chief Warden regarding the status of the people in the SRS’ safety.
Emergency Management Plan 33
SRS Name
Section 3: Procedures
Version 1.0 — 2008
3.10 Structural / Building damage
The Chief Warden should call emergency Personnel into action as soon as possible after structural /
building damage is found. Their duties include:
1. Assessing damage to a building or the site.
2. Notifying the relevant authorities.
3. Initiating controlled evacuation by Area Wardens (if required).
4. Conducting a search for further damage, if safe to do so.
3.11 Medical emergencies
Action for Medical Emergencies
Medical emergencies such as a cardiac arrest, a major epileptic seizure, a severe asthma attack
or numerous other situations may produce a great deal of panic and anxiety for staff who are not
accustomed to handling such situations.
If you witness a medical emergency
Remain calm
1. CONTACT THE AMBULANCE SERVICE BY PHONING ‘000’.
2. State the nature of the situation.
3. Give the correct address of the location.
4. Give your name and the contact telephone number.
5. Do not hang up before the ambulance operator has received all the relevant information
required from you.
Stay alert
Notify
1. First Aid Officer
2. Senior Manager
3. Chief Warden
4. Area Warden
Remain at the location until the arrival of the ambulance
If the affected person is conscious, remaining with them will provide comfort and reassurance until the
ambulance arrives.
Warden / First Aid Officer
Alert senior management of incident and possible need for debriefing.
34 Emergency Management Plan
SRS Name
Section 3: Procedures
Version 1.0 — 2008
To Prevent Contact with Infectious Diseases
1. Provide a Sharps container for disposal of needles and syringes.
2. Always wear gloves when dealing with blood, waste and spillages.
3. Ensure staff remain clear of areas exposed to blood, waste or spillages until fully cleaned.
4. Take the necessary precautions when dealing with a medical emergency where the person may be
bleeding, sick or drunk
What to do if exposed to blood
Immediate Action
Broken skin:
Encourage bleeding of punctures or cuts and wash area thoroughly with
soap and water
Eye Contamination:
Rinse eyes with lots of water and saline
Blood in Mouth:
If blood gets in your mouth, spit it out and rinse mouth out with water
Reporting
After carrying out the appropriate first aid, as outlined above, report all needle stick injuries and all contact
of blood to open wounds, eyes and mouth to Management.
See a medical practitioner as soon as possible. They will assess the risk and the need for testing for blood
borne viruses, and will take appropriate action.
3.12 Actions for bushfire
If your SRS is located in a Bushfire prone area, or has grassland in the surrounding area, you should
have additional procedures in place to be able to react when the risk is high, or if there is a bushfire
near your SRS.
High Fire Risk Days
When a day of Total Fire Ban is declared for the part of Victoria where your SRS is located, you should
implement these procedures.
During summer, when the temperature regularly exceeds 35 degrees and there is a strong wind
(especially a Northerly), you should implement these procedures.
1. Staying during a bushfire should not be an option that is considered by any SRS.
2. Obtain information regarding any fires in your area through the Bushfire Information Line
(1800 240 667), or check the CFA or DSE websites.
3. Listen to ABC Radio, as they provide regular updates on current emergencies.
4. If you need to relocate residents to another facility, prepare early and leave before the emergency
is affecting your SRS.
5. Contact your Local Government Authority to ascertain what assistance they can provide, such as
any Emergency Recovery Centres that may have been established.
6. Call resident’s Emergency Contact to advise them of the potential danger.
Emergency Management Plan 35
SRS Name
Section 3: Procedures
Version 1.0 — 2008
Fire Close to the SRS
If there is a fire close to your SRS, you must act on any instructions provided by Emergency Services
regarding the safety of staff and residents.
The Chief Warden, acting on information provided by the Emergency Services and in conjunction with the
Proprietor, should:
1. Decide whether to evacuate or remain in the SRS.
2. Advise staff and residents of the actions being taken.
3. Call resident’s Emergency Contact (where time permits) to advise them of the action being taken.
Staying in the SRS
1. If time permits, block roof gutters and fill with water.
2. Remove combustible material from around the outside of the SRS.
3. Place wet towels under any external door.
4. Close all windows and curtains, to help keep out heat and smoke.
5. Prepare garden hoses to use once the fire front has passed.
6. Fill buckets with water and wet brooms or mops to assist with putting out embers or spot fires.
7. Dress in clothing that covers all skin, including gloves, with heavy boots if possible.
8. Assemble residents in a suitable room, at the furthest point from the direction the fire is coming
(with consideration for their ongoing medical requirements and nutrition).
9. Monitor the SRS for any penetration of embers or smoke, and put out fires with mops and water
in buckets.
10. Stay inside the SRS as long as possible – only go outside after you are sure the fire has passed.
11. When the fire has passed, connect hoses to outside taps and put out any spot fires.
12. If you must evacuate the SRS, take residents to a burnt area into the direction of the wind, so that
the fire is moving away from the group.
13. Follow any advice from the Emergency Services.
Leaving the SRS
1. Take the Evacuation Pack, with all necessary information.
2. Take additional items, such as water, resident’s medication, snacks, a fire extinguisher and fire blanket
to use while away from the SRS.
3. Use information from the Bushfire Information Line or ABC Radio to determine the best route away
from the SRS.
4. Transport residents to the designated Recovery Centre.
5. Maintain communication with the Proprietor or Manager as required.
6. Do not return to the SRS until you receive the ‘All Clear’ from the Emergency Services.
If any residents have been residing with family or relatives during the bushfire, contact them when the
danger has passed to advise it is safe to return to the SRS.
36 Emergency Management Plan
Section 4: Plans
Section 4: Plans
4.0 Site plan
SRS Name
Version 1.0 — 2008
Emergency Management Plan 37
SRS Name
Section 4: Plans
Version 1.0 — 2008
4.1 Floor plan
38 Emergency Management Plan
SRS Name
Section 5: Checklists
Version 1.0 — 2008
Section 5: Checklists
Resident Evacuation Management
Resident Name:
Room Number:
Medication Required:
Emergency Contact:
Procedure to Follow:
Resident Name:
Room Number:
Medication Required:
Emergency Contact:
Procedure to Follow:
Resident Name:
Room Number:
Medication Required:
Emergency Contact:
Procedure to Follow:
Resident Name:
Room Number:
Medication Required:
Emergency Contact:
Procedure to Follow:
Resident Name:
Room Number:
Medication Required:
Emergency Contact:
Procedure to Follow:
SRS Name
Emergency Management Plan 39
Version 1.0 — 2008
Section 5: Checklists
Assistance Required to Evacuate Form
If you require assistance to evacuate the SRS in an emergency, please complete this form and return it to the Manager
or Chief Warden.
Name:
SRS Address:
Telephone:
I require assistance to evacuate in an emergency due to: (please ✔)
 Disability
 Illness (ie. heart condition, asthma, etc.)
 Pregnancy
 Other temporary reason
please explain
 Other reason
please explain
Note: If your condition changes at any time and you no longer require assistance to evacuate in an emergency
(ie. if reason was pregnancy, or broken leg, etc.), please notify your Manager or Chief Warden as soon as possible.
Signature:
Date:
......... /......... /.........
40 Emergency Management Plan
SRS Name
Section 5: Checklists
Version 1.0 — 2008
Bomb threat checklist
Try to record the exact wording of the threat
Ask the following questions:
• When is the Bomb going to explode?
• Where did you put the Bomb?
• When did you put it there?
• What does the Bomb look like?
• What kind of Bomb is it?
• What will make the Bomb explode?
• Did you place the Bomb?
• Why did you place the Bomb?
• What is your name?
• Where are you now?
• What is your address?
• Estimate: Age
D O
years N O T
Accent – (specify)
H A N G
U P
Voice
Speech
Manner
Telephone
Background
 Man
 Fast
 Calm
 Local
 Music
 Woman
 Slow
 Angry
 STD
 Talk
 Child
 Distinct/Cultured
 Emotional
 Trunk
 Typing
 Unknown
 Impeded
 Loud
 Public
 Children
 Stutter
 Soft
 Private
 Traffic
 Nasal
 Pleasant
 Mobile
 Machines
 Hesitant
 Raspy
 Aircraft
 Other
 Intoxicated
 Trains
 Other
 Other
D O
N O T
H A N G
U P
Notify any Emergency Personnel. To avoid inappropriate actions, do not inform other persons.
Follow all directions given by a Warden.
Date: ........ /........ /........
Number called: Your number: Time: am / pm
Your Name (print):
Signature:
Duration of call:
SRS Name
Emergency Management Plan 41
Version 1.0 — 2008
Section 5: Checklists
Offender description form
Notes for completion:
1. The form is to be completed by staff and bystanders IMMEDIATELY AFTER AN INCIDENT.
2. Use a separate form for each person.
3. No consultation should take place when completing the form.
4. A senior officer is to collect the forms and pass them on to police.
5. Please indicate the correct response. If unknown, write “UK”.
Premises name:
Location:
Offence:
 Robbery  Theft  Assault
Date:
 Other:
Day:
Time:
...... /...... /......
am / pm
Compiler's details:
Surname:
Occupation:
Given Name(s):
Contact No. (home): (work):
Address:
Employer:
 M
 F
 Thin
 10-15
 15-20
 20-25
Medium
Large Approx Weight:
25-30
30-35
35-40
40+ Approx Age:
Sounded like:
Colour
 Black Fat
name
Was called:
B
u
d

 i l
a g e

h
a i r

Type
 Grey  Straight
Length
Afro
 Brown  Sandy  Wavy
 Blonde  Dreadlock  Shaved
cm’s
ft
Colour
in
 Curly
Long
 Short
 Medium
 Clean
 Scruffy
 Bald
 Greasy
 Thick
 Thinning
height
Green Zone
Yellow Zone e y e
s

Type
Eyebrows
 Black
 Grey
 Narrow
Wide
 Brown
 Green
 Bulging
 Blue
 Deep Set
 Squint
Condition
Bushy
 Thin
Red Zone
Eyeglasses
 Joined
 Clear
 Tinted
 Thick
 Plastic
 Metal
 Shaved  Dark
42 Emergency Management Plan
SRS Name
Section 5: Checklists
Version 1.0 — 2008
Chief warden—Incident report form
Type of incident:
Date of incident:
Time of incident: Who reported incident to you?
...... /...... /......
am / pm
How was incident reported to you?
What time did YOU
receive the report?
What time did you contact
the emergency service(s)?
am / pm
am / pm
Who else did you contact?
What actions were taken?
At what time?
am / pm
am / pm
am / pm
am / pm
What time did
How many Was evacuation Explain:
the evacuation
people
completed?
commence?
evacuated?
 Yes
 No
Details:
Were there any injuries?
Yes  No 
What time was evacuation
completed?
What time was the
all clear given?
Were there any Near misses? Yes  No 
What could have been done better?
Main points from debrief sessions:
Date:
Time:
Debrief Wardens:
......... /......... /.........
am / pm
Debrief Staff /
People in the SRS:
......... /......... /.........
am / pm
Action to be taken:
SRS Name
Emergency Management Plan 43
Version 1.0 — 2008
Section 5: Checklists
Medical incident report form
Date: ......... /......... /.........
Start Time of Treatment:
Sex:  Male  Female
Casualty Name: Home Address:
Telephone: Date of Birth:
Employer/Next of kin: Occupation/Area:
Witness Name:
Witness Phone:
......... /......... /.........
History of Accident Incident:
Time
Skin colour
Temperature
Pulse
Respiration
Signs and Symptoms of Problem:
First Aid Management:
Pupils
R
L
Conscious state
Key to coding
A — Abrasion
B — Burn
C — Contusion
D — Discolouration
E — Fracture
H — Haemorrhage
L — Laceration
N — Sprain/Strain
P — Pain
R — Rigidity
S — Swelling
T — Tenderness
Previous allergies/sensitivities
and known medical conditions:
Casualty Referred to: (please relevant box ✔)  Ambulance
 Hospital
 Doctor
Other:
Specify place and address where patient was referred:
First Aider: (print name):
Casualty Signature:
Finish Time of Treatment:
44 Emergency Management Plan
SRS Name
Section 5: Checklists
Version 1.0 — 2008
Fire safety audit checklist
Original - the Emergency Control Organisation representative, the Chief Warden, or the Occupational Health & Safety representative
conducting this check should copy this original and complete an office inspection at least every 6 months.
Inspected by:
Plans and Records
Date:
Yes
No
• Are Emergency Procedures in place. ...................................................... 

• Are Standard Fire Orders displayed in prominent locations. ................... 

• Has an Evacuation Exercise been conducted in the past 12 months....... 

• Are the Evacuation Exercise records up to date...................................... 

• Are Safety Audits conducted on a monthly basis.................................... 

Fire Protection Equipment and Systems
• Are extinguishers in their proper location................................................ 

• Are extinguishers accessible for use....................................................... 

• Are extinguisher locations marked correctly. .......................................... 

• Are the gauges on the extinguisher showing they are fully charged......... 

If installed,
• Are smoke alarms tested regularly (record last test date)......................... 

• Are Fire Hose Reels in good condition.................................................... 

• Are the Fire Hose Reels inspected regularly............................................ 

• Is the Fire Hose Reel nozzle attached to the locking mechanism. .......... 

Emergency Personnel / Procedures
• Is there a current list of designated emergency.......................................
personnel clearly displayed..................................................................... 

• Have all emergency personnel been trained .......................................... 

• Have all staff been made aware of the Emergency Procedures............... 

• Have provisions been made for mobility impaired persons
in the office............................................................................................. 

General Housekeeping (Internal)
• Are passageways leading to exits clear of obstructions........................... 

• Do all exit doors open / close easily . .................................................... 

• Are all emergency exits clearly marked................................................... 

• Are exit signs illuminated and operating.................................................. 

• Are emergency lighting systems working correctly. ................................ 

• Are all unwanted papers and other materials removed from the
premises and stored away from the building........................................... 

Action
......... /......... /.........
SRS Name
Emergency Management Plan 45
Version 1.0 — 2008
Section 5: Checklists
General Housekeeping (External)
Yes
No
• Is there any accumulated rubbish close to the building. ......................... 

• Are rubbish bins stored away from the building. ..................................... 

• Are all pathways leading from Emergency
Exits to external Emergency Assembly Areas clear
of obstructions, locked gates and motor vehicles.................................... 

Kitchen Areas
• Are all electrical appliances turned off at the power point
when not in use...................................................................................... 

• Is the stove clean of cooking oils and fats. ............................................. 

• Are there any tea-towels or other combustible materials
close to the stove or other hot surface.................................................... 

• Are Fire Extinguisher and Fire Blankets in place
and unobstructed.................................................................................... 

• Are all appliances free of dust and lint ................................................... 

• Is there sufficient air space around electrical appliances
to prevent overheating when in use........................................................ 

• Are the filters on the range hood (where fitted) clean
and free of fats and oils........................................................................... 

Electrical Equipment
• Are there any electrical cords or cables with frayed /
damaged sections or exposed wires....................................................... 

• Are there any power points with more than one double
adaptor attached..................................................................................... 

• Are all electrical appliances turned off at the power point
when not in use...................................................................................... 

• Are all electrical appliances tested and tagged as required
(AS3760 – 2001)..................................................................................... 

Other (Complete Where Required)
•


•


•


•


•


Action
46 Emergency Management Plan
SRS Name
Section 5: Checklists
Version 1.0 — 2008
Warden meetings record
Date
Attendees
Start time
End time
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
SRS Name
Emergency Management Plan 47
Version 1.0 — 2008
Section 5: Checklists
Warden training record
Name
Training
Date
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
......... /......... /.........
48 Emergency Management Plan
SRS Name
Section 5: Checklists
Version 1.0 — 2008
Evacuation exercise record
Date
Wardens present
Start time
End time
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
am / pm
SRS Name
Emergency Management Plan 49
Version 1.0 — 2008
Section 5: Checklists
Evacuation exercise – Observer’s checklist
Building:
No. Staff:
No. Clients:
Yes
No
Did the person discovering the emergency alert the other people in the SRS?................................................ 

Was the alarm activated?................................................................................................................................ 

Was the emergency service notified promptly?............................................................................................... 

Did Wardens direct persons from the building as per evacuation procedures?................................................ 

Were isolated areas searched?........................................................................................................................ 

Was the evacuation logical and methodical?................................................................................................... 

Did someone take charge?.............................................................................................................................. 

Did people in the SRS act as per instructions?................................................................................................ 

Was a role call conducted?.............................................................................................................................. 

Was someone appointed to liaise with the emergency service(s)?................................................................... 

Was the emergency service(s) given the correct information?......................................................................... 

Did anyone re-enter the building before the ‘all clear’ was given?.................................................................... 

Did anyone refuse to leave the building?......................................................................................................... 

Time
Hours
Alarm sounded
Floor / Area Warden responds
Wardens check floor / area
Evacuation commenced
Warden reports floor / area clear
Arrive at assembly point
Warden checks personnel present
Evacuation completed
Exercise completed
Problems encountered
Issues to be raised
Date: ......... /......... /.........
Observers name:
Minutes
50 Emergency Management Plan
SRS Name
Section 5: Checklists
Version 1.0 — 2008
Hot work permit Permit No.
This permit becomes void as the end of the shift during which it is issued unless properly endorsed by an authorised
person. Endorsement extends the life of the permit to one operating shift only.
All work is to cease and be left as safe and practicable on sounding the evacuation alarm.
Site Location:
Plant or Equipment:
Work Request No.:
Date:
......... /......... /.........
Work to be done:
2. Materials normally present
 Solvents
 LPG (Propane)
 Acetylene
 Paper
 Air
 Thinners
 Natural Gas
 Oven condensate
 Oil
 Water
 Paint
 White Spirits
 Plastic
 Grease
 Other
3. Precautions Required
 Avoid Skin Contact
 Dust Mask
 Respirator
 Glove
 Fire Extinguisher
 Gas Test
 Fire Watch
 Face Mask
 Chemical Goggles
 Equipment Used
 Combustible
 Oxygen
 Hose
4. Equipment Preparation Checklist
Yes
No
N/A
A. Equipment (electrical) Isolation lockout and tagged............................................. 


B. Equipment (chemical) purged isolated blind and tagged...................................... 


C. Equipment gas free.............................................................................................. 


D. Other Permit (s) needed e.g. Elevated, Excavation, Confined Spaces................... 


E. LEL Reading necessary........................................................................................ 


F. Pressure relief valves vented safe........................................................................ 


G. Adjoining equipment materials and operation effects on work reviewed,
e.g. Leak spills, etc............................................................................................... 


H. Ignition sources contained................................................................................... 


I. Combustible material removed............................................................................ 


J. Do not operate tags in place................................................................................ 


K. Employees (s) review permit conditions............................................................... 


L. Ventilation adequate............................................................................................ 


M. Drains, pits, depressions sealed........................................................................... 


N. Fire watch trained................................................................................................ 


O. Flash screens in place......................................................................................... 


Sign
SRS Name
Emergency Management Plan 51
Version 1.0 — 2008
Section 5: Checklists
Hot work permit (cont.)
5. Type of gas tests required and results
Tester Model:
Serial No.:
Combustibles (1% LEL max.):
Result % LEL:
Date/Time of meter test:
Gas Tester Sign:
Date:
Time: ........ /........ /........
........ /........ /........
am/pm
6. Conditions/Precautions
7. Permit Valid: From am/pm
to am/pm
8. Name and signature of Fire Watch:
Signature: Date:
........ /........ /........
Signature: Date:
........ /........ /........
Signature: Date:
........ /........ /........
(1) (Name): Signature: Date:
........ /........ /........
(2) (Name): Signature: Date:
........ /........ /........
(3) (Name): Signature: Date:
........ /........ /........
(4) (Name): Signature Date:
9. Permit approved by name:
10.Permit received by name:
11. Other
........ /........ /........
12. Permit Cancelled
I have inspected the work site and it has been declared safe for normal operations
Approval name: Signature: Date:
Received name: Signature: Date:
........ /........ /........
........ /........ /........
52 Emergency Management Plan
SRS Name
Section 5: Checklists
Version 1.0 — 2008
Hot work permit procedure
Manager/Supervisor Duties
1. Identifies that the work to be completed involves the use of equipment or materials that could
generate a flame or spark that may ignite a flammable material.
2. Consider if it is practicable to move the work to a safe location.
3. Inform the employee/contractor when a Hot Work Permit is required to be completed prior to the
commencement of work.
4. Completes the Hot Work Permit with the employees performing the work ensuring that:
a. All flammable materials within 15m in the area is identified and removed from the area,
Or
The flame or sparks generated by the work activities are contained in a manner that they cannot
come in contact with the flammable materials.
b. The fire watch has the necessary fire fighting equipment and is familiar with the requirements of
the position.
c. Where flammable gas or vapour may be present carry out a test to ensure that the atmosphere
the flammable concentration is less than 5% of the lower explosive limit (L.E.L.). See testing of
flammable atmosphere.
d. Ensure isolation and lockout of equipment (pipes, tanks, sewers, relief and excess flow valves)
containing flammable materials or other flame/spark producing equipment.
e. Use water when appropriate to dampen, flush floors or purge pipes of flammable materials.
f. Cancel the permit at the completion time.
Warning: It is difficult to anticipate every contingency; employees should always be on guard for the
unexpected or unusual circumstances to occur.
Employees/Contractors Duties
1. Employees complete the Hot Work Permit with the Manager/Supervisor and follow the conditions of
the permit.
2. Make arrangements before work commences to prevent any hot material off-cuts, slag, electrode
stubs from contacting flammable materials.
3. Rope off the area or continually watch for and warn off other employees or materials from entering
the area.
4. Cancel the permit at the completion time.
SRS Name
Emergency Management Plan 53
Version 1.0 — 2008
Section 5: Checklists
Fire Watcher Duties
Fire Watch (Company employee) on signing the permit understands the conditions of the permit and
remains in observation for the duration of the permit.
Assigned firewatcher shall follow the following:
1. Be alert for any fire outbreak or hazardous condition and take immediate action to stop work.
2. Check adjoining compartments, if heat transfer is possible.
3. Not allow hot work to continue outside the area specified on the permit.
4. Monitor wind change.
5. Be aware of the need to wear eye protection, to protect against flashes where hot work involves arc
welding, cutting or grinding.
6. Obtain fire extinguishers or fire hose or both – 2 x 9kg CO2 or Dry Chemical extinguishers as a
minimum, 1 x water hose or hose reel. Where electrical equipment is involved, CO2 should be used.
7. Not leave the job unless relieved by an authorised person.
54 Emergency Management Plan
SRS Name
Section 5: Checklists
Version 1.0 — 2008
Material safety data sheets (MSDS )
No.
Product
Manufacturer