Shortened emergency plan (from clone of Play 9)

IAB FIELD EMERGENCY PLAN

Use this form to describe your emergency plan for field work off of the UAF campus. This plan should help you and emergency responders maintain communication, locate field personnel, and negotiate an emergency if one arises.
INSTRUCTIONS:

1. IMPORTANT: Regularly save your work by clicking the "save and continue later" button at the end of each section. You will receive a link to the document you saved. Unsaved progress will be lost.

2. Navigate using the tabs at the top of the form or the buttons at the bottom of each section.

3. The level of risk and remoteness of your trip will determine the amount of detail required. Skip questions that do not apply to your trip. You may upload existing emergency plans, documents, and files throughout the form to avoid redundant efforts.

4. Submit your plan to IAB by clicking the submit button at the bottom of the last section. The Safety Office will provide you with a PDF of your plan after review and approval by:
1. Principal investigator or team leader if the form was not submitted by them. Be sure the PI or team leader has approved the submitted version of this plan.
2. IAB safety officer
3. IAB director
4. Environmental Health Safety and Risk Management (EHSRM) if your activity includes minors, the use of firearms or explosives, non-conventional modes of travel (this includes most forms of transportation other than on-road vehicles or commercial travel), or if it is requested by a reviewer.
Start this process early and please submit this plan at least two weeks before departure. Submit this plan at least four weeks before departure if your trip involves the use of firearms or explosives, ATV's, snow machines, boats, or the participation of minors. The approval process and trainings, particularly for remote travel and activities involving minors or unconventional modes of travel, may take several weeks to complete.

Section III: SITE LOCATIONS

Describe the location of field sites as accurately as possible. You may use the expandable table, provide other descriptions, or attach files and maps as appropriate. Include GPS coordinates when available.
Use this expandable table as needed to identify the location of your field site(s):
Use this space as needed to describe your field site(s):
Upload maps or other documents as needed to describe the location of your field site(s):

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Section IV: ANTICIPATED TRAVEL ROUTES, MODE OF TRAVEL, AND ITINERARY

Use this section to describe travel to or between multiple distant field sites. Add as many rows to the table as necessary. If more convenient, upload an existing document that captures this information.
What modes of travel will you be using (select all that apply)? Non-conventional modes of travel (most travel other than by car, truck, or commercial air) require review by Environmental Health Safety and Risk Management.

ATVSnow MachineBoat (skiff, canoe, zodiac, etc)Chartered boatChartered flightHelicopterPrivate planeOther
If you prefer, you may upload a file that captures the information requested in this section.

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Section IV: COMMUNICATION
A. Communcation equipment
List the communication equipment you will have with you and inform IAB of any changes. Establish communication from your device(s) to your primary contact before leaving for the field.
A limited number of InReach devices and sat phones can be checked out from IAB. Please indicate below if you would like to borrow a device if one is available.

I would like to borrow an InReach if availableI would like to borrow a sat phone if available
Contact Stevie Goetz, the IAB Procurement Officer, at 907-474-7168 or scgoetz@alaska.edu to confirm availability and to check out an InReach device or sat phone.
B. Contacts: The primary contact has the responsibility to initiate a response following a missed check-in. Daily communication with your primary contact is required.
Name of primary contact
Email
Phone
Additional information if needed
Secondary contacts
C. Communication details
Frequency of communication (Example: Every morning between 8:00 a.m. and 10:00 a.m. and when departing and arriving by boat for trips outside of our main camp)
Methods or communication (Examples: InReach to cell phone, sat phone to cell phone, shortwave radio to shortwave radio)
When does a missed check-in trigger a response? (Example: 24 hours after the first missed daily check-in or immediately if no contact was made after a scheduled check-in when traveling by boat):
Describe, in detail, any additional actions that should be taken by your primary contact, UAF, or others if a response is triggered. For example, is there a local agency or group that should be contacted because they may have detailed knowledge of your movements or local conditions (include relevant contact information).
C. Additional information
If needed, use this space to provide any other information you want to include. Existing communication plans or other documents may be attached below:
You may attach existing communication plans or relevant documents here:

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Section V: EMERGENCY RESPONSE

Use this section to provide information that may help you quickly respond to an emergency and help emergency services find you and understand your needs if they are called to respond.
A. Emergency numbers

Provide contacts for emergency services or other entities appropriate for your location and situation. When you can do so safely, infom UAF Dispatch at 907-474-7721 if you had an emergency or initiated an evacuation.
B. Prominent equipment identifiers for rescuers
Describe the color or other prominent identifiers of equipment used by each participant that may help rescuers find you in a search. You may use the expandable table below or attach a separate document with this information.
C. Emergency equipment and supplies
You may use this expandable table to list the emergency equipment and supplies you will have with you. This can help rescuers understand and triage your needs in an emergency. Select items using the dropdown menu and list the quantities (total, or per person per day, etc.) or other details. If the equipment is not listed please select "other" and list it in the quantity and details column.
D. Additional information
If needed, use this space to describe any relevant details or actions you would take in the event of emergency. You may upload documents at the end of this section.
Upload any existing documents you wish to include:

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SECTION VI: MEDICAL EMERGENCIES

Use the section to describe any special medical needs and your emergency medical planning.
A. Critical medical needs:
Does anyone in your group have critical medical needs that require medication, may require an emergency response, may be affected by remote field work, or may require special accommodation (e.g. anaphylaxis requiring an EpiPen, diabetes, mood disorders, etc.)?

YesNo
Please provide details here or, if you wish to maintain more privacy, consult EHSRM by calling their main number at 907-474-5413 or their occupational health specialist at 907-474-6771. They may direct you to a health care practitioner for guidance and clearance prior to traveling. If anyone requires critical medication, please indicate if an extra supply is being carried.
B. Training and supplies:
Does anyone in your group have first aid training (e.g. basic first aid, CPR, wilderness first responder, etc.)?

YesNo
Please list the individuals with first aid training and the type of training they received. Add as many rows as needed. You may list more than one participant and more than one training in adjacent boxes.
Do you have a first aid kit? Please describe (small store bought kit with basic supplies, home built kit, injury specific kits, etc.)
C. Additional information:
Upload any additional information you would like to provide

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Should be Empty:

IAB FIELD EMERGENCY PLAN

SECTION I: GENERAL INFORMATION

Section II: PARTICIPANTS

Section III: SITE LOCATIONS

Section IV: ANTICIPATED TRAVEL ROUTES, MODE OF TRAVEL, AND ITINERARY

Section IV: COMMUNICATION

Section V: EMERGENCY RESPONSE

SECTION VI: MEDICAL EMERGENCIES