OCCUPATIONALHEALTHANDHYGIENESTANDARDMandatoryMedicalEmergencyResponseSpecificationUNCLASSIFIEDDocument0000-S-90-04-O-0270-00-EAppendix12,Revision4Validfrom01.06.2014to31.05.2017DocumentHistoryAuthorisor:R.Dashkov,Custodian:V.KarpenkoPrintedcopyuncontrolledp1of23MedicalEmergencyResponsePurposeToensureprovisionofuninterruptedMedicalEmergencyResponse1(MER)*)acrossallSakhalinEnergyActivitiestominimizethepotentialhealthconsequencesofworkplaceinjuryoracuteillness.ThisspecificationadoptsariskbasedapproachforMERembracingtwokeyconcepts:itappliesatime-dependenttieredsetofresponsestoanincident,anditsetsdifferingresponserequirementsdependingonthenatureofthehazardsandtheactivitiesontheSite.TheprinciplesofMERmanagementareto:•communicateMERprocedurestoallstaffwhomayrespondtomedicalemergencyatwork,•providecompetentpersonnelwithadequateresources,skillsmaintenance,andcommunicationfacilities,•provideperiodicexercisestomaintainMERandensuredisseminationoflearning.TargetGroup•CEO,CED,AssetManagers,FacilitiesManager,LogisticsManager,OffshoreandOnshoreInstallationManagers,PMDSiteLeads,•EmergencyCoordinators,EmergencyResponseTeam(ERT),CrisisManagementTeam(CMT),•GeneralHSEManager,SecurityManager,CorporateHealthTeam,SiteDoctors,•ContractingandProcurementManager,ContractHolders,ContractEngineers,Contractors.ScopeofApplicationThisdocumentappliestoallSakhalinEnergyAssets,Facilities,Operations,ProjectsandActivities,includingactivitiesundertakenbyanyContractoronbehalfoftheCompany.Requirements–TierResponseTimesAsset/FacilitiesManagersareAccountableforrequirements1to8.1.EnsurethatallpersonsundertakingworkonbehalfoftheCompanyhaveaccesstomedicalservicesthattakeaccountoftherisksassociatedwiththetypeandlocationoftheirwork.1.1.TierresponsetimesandMERrequirementsareasfollows:TierActionTimeafterInjury2Tier0FirstResponsebypeopleonemergencysite–MakeSafeandCallOuttoDesignatedFirstAider(DFA)andsitecontrolcentreinaccordancewithprocedureinAppendix1.ImmediateTier1•DFAarrivesonscene.•DFAstartsassessingcausalityandconductsFirstAidandBasicLifeSupporte.g.CardioPulmonaryResuscitation(CPR)andAutomaticExternalDefibrillator(AED).ThelawdoesnotrestrictuseofAEDbyDFAs.•CallOuttositecontrolcentreandTier2MERProfessional.4minutes(toarrivalatscene)Tier2Stage1Tier2MERProfessionalcommunicateswithDFAattendingemergency,whilemobilizingtoemergencylocation.AssoonaspracticableafterCallOutStage2Tier2MERProfessionalarrivesatcasualty,assessinjuryandneedforfurtheraction:•Category1SitesandCategory2Sites1hour1ItalicizedtermsinthisdocumentareincludedintheSakhalinEnergyHSEGlossary.2Thefourhourresponsetimeisbasedonthemaximumtimethatvitallifefunctions(e.g.respiration,lungfunction,andbloodpressure)canbemaintainedthroughartificialrespiration,bleedingcontroletc.withoutpotentiallyescalatingthecasualty’scondition.Itisclear,however,thatinanactualcasemedicaljudgmentshouldbeexercisedtoreadjustthetimerequirement.*)thelistoftheabbreviationsincludedinthetextisprovidedintheappendix6ofthecurrentdocumentOCCUPATIONALHEALTHANDHYGIENESTANDARDMandatoryMedicalEmergencyResponseSpecificationUNCLASSIFIEDDocument0000-S-90-04-O-0270-00-EAppendix12,Revision4Validfrom01.06.2014to31.05.2017DocumentHistoryAuthorisor:R.Dashkov,Custodian:V.KarpenkoPrintedcopyuncontrolledp2of23TierActionTimeafterInjury2Tier2•Non-routineActivitiesOnstandbytoarriveatcasualtywithin20mi...
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