SAMPLE EAP--Emergency Action Plan FORM:
Park Emergency Action Plan (EAP)
Emergency phone numbers: 9 – 1 – 1 for all emergencies
Phone number of Park Facility: (519) telephone
Address of Park Facility: Name of Local Park/Location
911 Street Address
Town, Ontario, Postal Code
(Eg. Ball diamond located behind the School/landmark)
Address of nearest hospital(s): Name of Local Hospital (... km – .... minutes away)
911 Street address
Town, Ontario, Postal Code
(519) telephone
Charge person (1st option): Name
Charge person (2nd option): Assistant Name
Charge person (3rd option): Concession Crew Chief (On duty)
Call person (1st option): Name
Call person (2nd option): Name
Roles and Responsibilities:
Charge Person:
Clear the risk of further harm to the injured person by securing the area and shelter the injured person
from the elements
Designate who is in charge of the other participants
Protect yourself (wear gloves if he/she is in contact with body fluids such as blood)
Assess ABCs (checks that airway is clear, breathing is present, a pulse is present, and there is no major bleeding).
Wait by the injured person until emergency services personnel arrive and the injured person is
transported.
Fill in an accident report form.
Call Person:
Call for emergency help
Contact the parent/guardian of the injured person.
Provide all necessary information to dispatch (i.e.: location, nature of injury, what, if any, first aid has been done).
Clear any traffic from entrance/access road before ambulance arrives
Wait by the driveway entrance to the facility to direct the ambulance when it arrives
Directions from Name of Local Hospital to .............
Example: Start out going WEST on .............. Street toward ....... Street
Turn RIGHT at ........ Street
Turn LEFT at ........ Avenue
Turn RIGHT at ........ Street
Turn LEFT at Hwy #......
Turn LEFT at ......... Avenue
Turn RIGHT at the ...................
Picture of road map
(search and copy from online maps)
Directions from .............. Ball Park to Name of Local Hospital
Example: Head EAST on ........... Avenue toward ........... Street
Turn RIGHT at ........... Street
Continue on to Bypass
Merge onto ......... Street
Turn RIGHT at ...... Road
Turn LEFT at ........... Street
Turn RIGHT
Picture of road map
(search and copy from online maps)