Response to Catastrophic Personal Injury Loss
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- Falls
- Fires/Explosions
- Confined Spaces
- Caught in machines
- Contractors
- Motor vehicle crashes
Crisis Management
- Use your own “crystal ball.”
- What resources will you need to manage the crisis?
- People,
- Equipment,
- Services,
- Support,
- A phone, fax, notebook and pen.
Every catastrophic personal injury loss is different,But the management principles are similar.
Principles of Critical Incident Response
- “Do no [more] harm”…At all times, the priority is to assure scene safety.
- Prompt, appropriate care for the injured.
- Preserve respect & dignity for the injured, all of the “involved,” the family, all others.
- Fix the problem, not the blame.
- Restore “normal” operations.
- Prevent recurrence.
Incident Command System
- Organized system for managing emergencies.
- Used by the Fire Service since the 1950’s, originally for managing forest fires - staff, equipment, changing status, etc.
- Helps you to plan, lead, organize, control response & resources.
- Establishes hierarchy for emergency…not for everyday site management.
- Requires intimate knowledge of the facility, the people, emergency management, multitude of site plans.
- Some of your best “everyday” managers will become totally useless under ICS.
- Develop ICS Structure & Roles in your site Emergency Preparedness Plan.
Getting to the Scene~ Initial “Seize Up”
- Take your own pulse.
- Ensure the area is safe & that no other persons will become similarly injured.
- Protect would-be responders/rescuers.
- Ensure structural integrity.
- Stop equipment/process operation.
- Stop activity in immediate area.
- Plan rescue, determine resources...
Medical Care for the Injured
- Who is injured?
- What type & extent of injuries?
- Observe the location & position of the injured.
- Who is there? What are they doing?
- What treatment is being rendered?
- What hospital are they going to?
Begin “Seeing” Area ~ Observing the Physical World
- Look for pieces of evidence…expect that pieces will not yet fit together.
- What is the equipment doing? Note settings of controls.
- Any physical evidence from victim?
- Begin to note (& sketch) what you see…provide all notes to the investigator!
Meanwhile, Back at the “Office”…Gathering Records
- OBTAIN EMPLOYEE INFORMATION:
- Employee name & address, DOB, emergency contact;
- EMPLOYMENT SPECIFICS:
- Job title,
- length of employment,
- Time on the job;
- TRAINING RECORDS:
- safety training,
- orientation,
- department specific.
Before the Investigation...
- Get the incident stabilized.
- Get the area under control.
- Stop activity.
- Minimize discussion about the details of the incident. Everyone is a witness.
- Minimize written communication about the incident.
- Disallow “conclusion jumping.”
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