PDFL Handbook 2017 2018

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:

130

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