Safety at scene SOP

Question 1

Outline the contents of the safety at scene SOP

Answer 1

Provides overview of PPE requirements and processes at scene
Identify potential hazards
Describe process of liaising with other agencies

Applies to all operational staff

General principles of scene safety
PPE
Reporting incidents
Specific factors regarding:
– RTCs
– Motorways
– Near water
– Assaults
– Industrial/building sites
– Electrocutions
– Working at height
– Railway incidents
– Major incidents

Question 2

Describe the general principles of scene safety as per the SOP

Answer 2

Responsibility of all team members
Do not leave the vehicle until its deemed safe
Dynamically risk assess
Shared situational awareness
Ensure all safety critical info is passed to control

Question 3

Describe the required PPE for all crew as per the Safety at scene SOP

Answer 3

Helmet on the car and aircraft
High vis
Toe capped boots
Body armour
Flight suits made of nomex
Flight helmet with working visor

Question 4

Describe the road traffic collisions section of the safety at scene SOP

Answer 4

• Liaise with police and fire
• Hard hats/high vis as required
• Close the road
• Be cautious on approach of a large debris field
• Report oil/fuel leakage to fire service
• Be aware of vehicle cargo, consult hazard warnings
• Ensure ignitions are off, handbrakes applied and chocked
• Be aware of undeployed air bags
• Patient remains remains responsibility of clinical team
• Be careful of O2 therapy due to potential fire risk

Question 5

Describe the Motorway incidents section of the safety at scene SOP

Answer 5

• Try and approach using the reported carriageway in the direction of normal traffic
• Always wear high vis
• Can approach via reverse access if implemented by police/fire/highways england
• Never hop the central reservation
• Clear the carriageway as quickly as possible

Question 6

Describe the working near water section of the safety at scene SOP

Answer 6

• Request RNLI, HMC, FRS or HART as appropriate
• Don’t work within 3 metres of water
• Assess type of water
  Gather info re tides and mud
• Caution as we don’t have life jackets

Question 7

Describe the assaults/stabbings/shootings section of the safety at scene SOP

Answer 7

• Body armour
• Consider leaving observers in the vehicle/at base
• Don’t approach until Police on scene
• RVP
• Don’t approach if in doubt
• Can land away from RVP
• Regularly review scene safety

Question 8

Describe the industrial areas/building sites section of the safety at scene SOP

Answer 8

• Identify the Foreman/Health and Safety manager in charge
• Confirm if fire service is necessary/requested
• Pay attention to info boards at entrances
• Assess need for high vis/helmets
• Consider specialist assets as appropriate
• If confined space, establish emergency evac plan, always request HART
• Beware high flow O2 due to build-up and fire risk

Question 9

Describe the electrocutions section of the safety at scene SOP

Answer 9

• Request fire
• Ensure supply off
• Be aware patient may have been thrown
• Be aware of conductive media
• Consider support from electricity supplier

Question 10

Describe the working at height section of the safety at scene SOP

Answer 10

• Not expected to work at height, HART should be requested
• Perform dynamic risk assessment if there is an unacceptable delay in patient care

Question 11

What two sections of the safety at scene SOP are dealt with in their own SOPs

Answer 11

Railway incidents
Major incidents