179 / 180
179
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:
FA Medical Emergency Action Plan Form