Site Maps and Model Contingency plans should be completed and mailed to the following two(2) locations:

1. Durham County LEPC
   2422 Broad St.
   Durham, NC  27704
2. Second copy to the Fire Department with primary jurisdiction over the facility
   for which the Site Plan and Contingency Plan was created.
   c/o Durham County Fire Marshal
   2422 Broad St.
   Durham, NC  27704

The following are 'Model' Contingency Plans for:

I General Emergency Response
II Fire Emergency Response
III Tornado Emergency Response
IV 'Model' Site Map

IV. Site Map / Facility Diagram and Legend

I. Program for Employees On General Chemical Emergency Response and Contingency Plan

Goal of Plan: to provide the specific steps that are to be taken to secure aid, minimize injuries, and prevent the spread of a hazard should an emergency occur.

Specific steps to accomplish goal:

1. Emergency escape procedures and emergency escape route assignments.
2. Procedures to be followed by employees who remain to perform (or shutdown) critical plant operations or equipment before the plant is evacuated, so that an unattended operation will not produce an additional hazard.
3. Procedures to account for all employees (or visitors) after emergency evacuation has been completed.
4. Rescue and medical duties for those employees who are to perform them. Such employees may provide immediate assistance to personnel involved in the emergency by removing them from exposure to any additional injury. However, do not move an injured person who is not in any danger of further harm. Summon medical assistance immediately; provide first aid if possible.
5. Development of preferred procedures for reporting fires and other emergencies. These procedures will warn occupants of nearby and adjoining areas that an emergency exists and that there may be a potential hazard. If evacuation is necessary, give the alarm to notify building occupants. Establish an outside assembly area where evacuated personnel can gather, in order that all building personnel can be accounted for. Proper procedures to notify local authorities will be established.
6. Take no unnecessary risks to your own safety. Do not enter the scene of an emergency unless you have the appropriate protective equipment.
7. Plan will contain the names or regular job titles of persons or departments to be contacted for further information or explanation of duties under the plan.

I. IDENTIFICATION

• Location of Emergency Medical Care Facilities
• Emergency Medical Service
• NCERC & LEPC((919) 560-0660)
• EPA must be notified when releases meet certain reporting thresholds

• Staging areas
• Evacuation Routes
• Shelter Areas
• Need to make a list of people

• Identification of chemical
• Notification of Local Fire Department serving the facility
• Fire Marshal

• Plugging leaks, spreading absorbents, erecting barriers,
• Neutralization(e.g, acids, bases, organics, formaldehyde, etc)
• Employees know locations of containment equipment

• Must keep records of actions taken in an emergency so as to make an evaluation of effectiveness
• Keeping records of an emergency (OSHA 200 Form must be filed if an employee is injured or becomes ill as the result of an accident.)
• Investigation of an accident(purpose is to reduce accidents in the future).
• Location of areas where contaminated clothing can be changed.
• Methods for handling emergencies and Reporting of Accidents.
• Periodic Emergency Drills & Fire Drills

The emergency action plan should address all potential emergencies that can be expected in the work place. Therefore, it will be necessary to perform a hazard audit to determine toxic materials in the workplace, hazards, and potentially dangerous conditions(e.g., flammable solvents, etc.).

PERCEIVED HAZARDS at [Company Name] may include:

1. Chemical Spills

1. Poisoning
2. Splashes
3. Unknown atmospheres that may contain toxic gases, vapors or mists, or inadequate oxygen to sustain life
4. Spills inside or outside of facility

2. Fires
3. Explosion
4. Electrical Hazards
5. Asphyxiation
6. Crushing Accidents
7. Falls
8. Heat exhaustion
9. Falling Objects
10. Flying particles
11. Violence in the Workplace:

1. personnel from within
2. visitors from outside
3. breaches of security (breaking and entering)
4. theft

[Name of Company Official]

Date_______________________________
 

II. Program for Employees On Fire Emergency Response and Manual

Reviewed and approved_____________ Date___________

Reviewed and Approved_____________ Date___________
 
 

YOUR DUTY

IF YOU SEE SMOKE

IF YOU SEE FIRE

IF YOU SMELL SMOKE

RESCUE ANY PERSON(S) IN THE IMMEDIATE FIRE AREA

DIAL 9-1-1, REPORT YOUR LOCATION, WHAT YOU SEE, OR SMELL,

AND ADVISE IF CHEMICALS, BIOHAZARDS, OR FLAMMABLE

MATERIALS ARE INVOLVED, AND YOUR NAME

OR

ACTIVATE THE NEAREST FIRE ALARM PULL STATION

THEN

UTILIZE PORTABLE FIRE EXTINGUISHERS AND FIRE HOSES

AS NEEDED UNTIL HELP ARRIVES
 
 

I. INTRODUCTION

As an employee of [Company Name], you have a responsibility to be an integral part of the Fire Safety Program. This responsibility is one that should not be taken lightly. Additionally, it is our duty to protect fellow employees and visitors from accidents and fires. The best form of protection is prevention. Safe working conditions and prior knowledge of what to do in an emergency can mean the difference between safety and serious injury, or even death. Prevention means that every employee is charged with the responsibilities of:

1. Participating in all fire safety training,
2. Knowing the locations of the nearest fire escape exits and the nearest fire extinguishers,
3. Knowing [company name] procedures for notification and activation of the Fire Plan, and
4. Keeping work area neat and clean, and performing jobs in a safe manner.

II. [Company Name] FIRE RESPONSE PLAN R-A-C-E:

In the event that a fire should occur at [Company Name], Remember the word R-A-C-E and what it stands for-IT COULD SAVE YOUR LIFE!

18. RESCUE: In the event of a fire, rescue yourself and co-workers in the area.
1. ALARM: If you smell smoke, see fire, or see smoke, dial ____ and report the nature of the problem. If you cannot use the telephone safely, pull the nearest alarm. Once in a safe location, call the Operator and report the problem. Note: if you are in an off-site location , dial 911 and activate fire alarms.
3. CONFINE: Close all windows and doors in your work area. This will confine or slow the spread of smoke and fire.
5. EXTINGUISH: Fire extinguishers are located throughout [Company Name]. Learn their location in your work area. Remember, these fire extinguishers are only designed to put out a small fire. If the fire has spread beyond the area of origin, or it cannot be put out safely, then confine the area. If the alarm has been activated, help is on the way.

It is the responsibility of every employee at [Company Name] to be familiar with the elements of the Fire Safety Plan. Every new employee is provided training during new employee orientation. Every departmental/area supervisor is responsible for educating employees to the location of the nearest fire escape exits and fire extinguishers as veteran employees, it is your responsibility to maintain current knowledge of the Fire Safety Plan by reviewing the document on a regular basis. Records of these reviews and training are to be maintained by the respective departments and should be available for verification.

IV. [Company Name] FIRE ALARMS

Fire alarms at [Company Name] are sounded in two ways to alert persons of a possible fire:

1. Overhead Voice Page: In facility buildings, the Operator will announce by overhead page the workds: ATTENTION, YOUR ATTENTION, PLEASE. FIRE! FIRE!, followed by the building name and floor location.
2. Alarm Bells/Chimes/Horns/Sirens: Throughout [Company Name] there are a variety of fire alarm devices that, when activated, will sound either a bell, chime, horn or siren sound. In some areas, the fire alarm chime/bell is sounded as a series of 43 numbers that are sounded 4 times. This series of coded signals corresponds to a specific zone or location, and is summarized in a chart located in the Fire Safety Plan, as well as in hallways throughout the facility, where these chimes/bells are sounded. In business offices, these audible alarms are sounded in conjunction with the overhead voice page provided by the Operator.

A. Employee Suspecting/Locating a Fire: That employee who suspects or locates a fire has a duty to protect him/herself and others, as outlined in the [Company Name] Fire Response Plan R-A-C-E, as follows:

R- Rescue those persons that can be rescued safely, as well as yourself, by proceeding to an area out of the immediate location.

A- Alarm, dial ____ to report the nature and location of the fire, and activate the nearest fire alarm. If off-site, dial 911.

C- Close all doors in the area.

E- Extinguish the fire with the nearest fire extinguisher, if you can safely do so. If not, leave the area.

NOTE: Activating the alarm in the area assures that help is on the way.

B. Employee responsibilities in the Event of a Fire:

1. If the fire alarm has sounded for your work area, follow your Departmental Specific Responsibilities and
2. the [Company Name] Fire Safety Plan.
3. If the fire alarm has sounded for an area that is outside your work area, be alert to any instructions that
4. may be given from the Overhead Voice Page or from your supervisor.

1. Close office, and corridor doors.
2. Advise visitors/guests to stay in their location.
3. Should evacuation of a floor or area become necessary, it will be the responsibility of staff in the area to account for visitors, prior to evacuation.
4. Upon completion of these responsibilities, report to your supervisor for further instructions/information.
5. When in a safe location, report to supervisory personnel that you are out and advise them whether other personnel are still in the area.

A. Switchboard Operators/Attendants: The Operator will be responsible for receiving all calls concerning a FIRE at [Company Name]. Upon receipt of a call to [Company Name] Emergency Number, ____ , it is the duty of the operator to initiate the proper notification to Durham Emergency Commnications (9-1-1), and to advise them of the nature of the problem and location. The specific duties for each employee attending the switchboard are outlined in the Departmental Manual of Operations. Specific questions should be directed to the Switchboard Supervisor.

B. Personnel Using Compressed gases:

1. Close doors and other openings in the area.
2. Turn off all piped gases and compressed gases by closing valves.
3. Turn off all other gases in the rooms which are not in use.

1. Close all paint cans, solvent cans, and paint cabinets.
2. All designated staff should respond to the location of the alarm with a portable fire extinguisher, to assist in extinguishing the fire or to assist with other duties, as needed.
3. Personnel from the various Engineering Shops are to respond to the location of the FIRE. These personnel are assigned duties and tasks in accordance with their various trades (i.e., plumbing, electrical, etc.).
4. Personnel not assigned specific responsibilities will be asked to assist where needed.

VII. EVACUATION OF VISITORS

Visitors will be instructed to leave the building, and will be accompanied by an [Company Name] employee.

VIII. EVACUATION OF EMPLOYEES

Every employee has the responsibility of knowing where the exits out of their areas are and also the location of fire alarm activation devices (if present) and also fire extinguishers. Remember, if you are told to leave your work area, utilize the closest exit stairs.

Due to the presence of many different types of chemicals at [Company Name], a fire can escalate rapidly, with the potential for serious injury and death. Employees in the [e.g., paint area., chemical storage area, and fuel storage, etc., should pay close attention to the fire alarms in the area, and if advised to evacuate, should do so immediately. If chemicals are involved in the fire, then employees should evacuate, closing corridor doors.

IX. [Company Name] FLOOR PLAN & Site Map

X. LOCATION OF COMMAND CENTER
 
 
 
 
 
 
 
 

Signature__________________________

[ Name of Company Official]

Date_______________________________
 

III. Program for Employees On Tornado Emergency Response

I. GENERAL

A. Tornadoes constitute a special problem for emergency preparedness because these violent storms can strike communities in every section of the continental United States. Approximately one-thousand(1,000) tornadoes are observed each year throughout the United states. Although one-half occur during the Spring months (April, May and June), tornadoes have occurred during every month of the year; during some years in all sections of the country. In North Carolina, during the fall hurricane season, tornadoes may be spawned as hurricane weather hit the coast and drives inland.

B. PERTINENT FACTS CONCERNING TORNADOES AND THEIR POTENTIAL HAZARDS ARE SUMMARIZED BELOW:

1. These violent disturbances pack swirling winds up to six-hundred(600) miles per hour velocity at their core.
2. They move across the countryside from southwest to northeast with varied warnings; dipping in and out of clouds at a speed up to seventy miles(70) per hour.
3. The average path of a tornado is 1/4 mile wide and sixteen miles (16) long.
4. Tornadoes are most likely to occur on a hot sticky day between 3:00 PM and 7:00 PM Eigthty-two percent (82%) of tornadoes occur between noon and midnight, and mostly around 5:00 PM

1. TORNADO WATCH: An announcement or weather forecast that there is a possibility of twisters for the general area.
2. TORNADO WARNING: An announcement that one (1) or more of these storms have actually been sighted in this area.

Signature__________________________

[Name of Company Official]

Date_______________________________
 

IV. Site Map / Facility Diagram and Legend

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