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POLICE FIRE | MEDICAL EMERGENCY | SEVERE WEATHER |
EXODUS ACTIVATION | UTILITY FAILURE | INCIDENT REPORT
COMMUNICATIONS | BOMB THREAT | MATERIAL SAFETY DATA SHEET
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The ___________ Police Department provides security 24 hours a day, 7 days a week. Phone # ___________________
In the event of FIRE or SMOKE in your work area, remember the acronym RACE.
Report: Name and Title Building location What is burning, if known
Report: Name and Title Building location What is burning, if known
P Pull the metal pin. A Aim the nozzle at the base of the fire. S Squeeze the handle. S Sweep the fire from a distance of 5 to 15 feet.
If evacuation becomes necessary, proceed to the outside designated area
Call the _________________District Office at ____________________ as soon as possible
after emergency has been handled.
Any UA Division of Agriculture Cooperative Extension Service County Office employee
finding an unconscious, partially conscious or possibly seriously injured person should
initiate emergency response assistance by calling the community 911 number to obtain
For ALL emergencies, call the community 911 number to obtain emergency assistance. Notify _____________________ District Office
as soon as possible after the emergency has been handled.
When Severe Weather conditions occur:
Notify _____________________ District Office as soon as possible of any power outage
related injuries to staff or damages to office or office equipment.
Any UA Division of Agriculture Cooperative Extension Service County Office Employee
who becomes aware of a situation in which continued operations in a location are immediately
dangerous to life or health of personnel or visitors shall immediately call 911.
If immediate evacuation/rescue is required, the _____________Police at ___________________
will be called for assistance.
Notify ___________________District Office as soon as possible after the emergency
has been handled.
For failures of any of the following utilities, call the __________________County
Judge's office at ___________________________.
Heating / Cooling
Additional Information / Actions Elevators: If elevators are out of service, review fire and emergency evacuation plans. Nofity _________________________District office of outages.
It is the duty of every UA Division of Agriculture Cooperative Extension Service County
Office employee to report in a timely and accurate manner any unsafe occurrence, accident,
injury, chemical exposure or other possible safety hazard. Safety HazardsContact District DirectorWorkplace ViolenceContact __________________ Police at _______________________. Security IncidentsContact __________________ Police at _______________________. Visitor OccurrencesIf the event causes safety concerns, call 911 immediately, then notify Staff Chair
Visitor injuries and incidentsInform your District Office.
COMMUNICATIONSCRISIS COMMUNICATIONS TREE
If you receive a bomb threat call, signal a co-worker to call the _____________Police
at ___________________ Attempt to keep the caller on the line. Use the list below to record information.
CHECKLIST FOR RECEIVING BOMB THREAT
Time and date Reported:How Reported:Exact Words of Caller:
Questions to Ask:
1. When is bomb going to explode?
2. Where is the bomb right now?
3. What kind of bomb is it?
4. What does the bomb look like?
5. Why did you place the bomb?
6. Where are you calling from?
Description of Caller’s Voice:
Young_____ Middle Age_____Old_____
Accent_____ Tone of Voice____________________
Is voice familiar?_____
Who did it sound like?_______________________
Other Voice Characteristics:
Time Caller Hung Up:______________
Name, Location, Telephone Number of Recipient:
MATERIAL SAFETY DATA SHEET
A Material Safety Data Sheet (MSDS) is designed to provide both workers and emergency
personnel with the proper procedures for handling or working with a particular substance.
Your workplace or chemical storage, laboratory, etc. should have a collection of MSDS
that came with the hazardous chemicals you have ordered (don’t throw them away!).
Each applicable department should have MSDS’s available on file and near chemicals.
Know where the MSDS’s are filed.
Keep the MSDS’s up-to-date.
In case of chemical accident, please refer to MSDS and notify supervisor.