UCL Handbook 2019 2020 New Updated
FA Medical Emergency Action Plan Form
Club name: Club address:
Name(s) and telephone numbers of First Aider(s):
1.
2.
3
Names and telephone numbers of Facility Manager / Safety Officer: Location of Club first aid room:
Location of defibrillator:
Location of first aid kit:
Location of stretcher:
Access routes:
For ambulance into Club:
From pitch to ambulance:
From Club’s first aid room to ambulance: Nearest Hospital Emergency Department:
Directions:
Distance / Journey time: Nearest Hospital Neurological Unit (for head Injuries):
Directions:
Distance / Journey time: Nearest Minor Injuries Unit / Walk In Centre:
Directions:
Distance / Journey time:
Copyright © Football Association 2014
* A map of the site identifying location of medical facilities and ambulance route attached.
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