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SITE-SPECIFIC HEALTH AND SAFETY PLAN FOR WELL INSTALLATIONS Emergency Response May 4, 2017 Date he/she is able to return to work, regular or light duty Date he/she is to return to doctor for follow-up appointment, if necessary Signature and address of doctor The SHSO is responsible for notifying the Stantec Project Manager. The Stantec Project Manager will initiate appropriate incident reporting procedures as described in Section 1.7. If the injured employee is unable to return to the job site the same day, the employee who transported him will bring this information back to the job site and report it to the SHSO who will then communicate it to the Stantec Project Manager. The Stantec Project Manager will initiate appropriate incident reporting procedures as described in Section 1.7. 1.5.2 Injury or Illness Requiring Hospital Service WITH Ambulance Service Injuries or illnesses requiring hospital service with ambulance services include severe head injuries, amputations, heart attacks, heat stroke, etc. The following procedures will be taken immediately: Call 911 or the emergency contact number listed in Section 1.1 for ambulance service. Notify the SHSO. Administer First Aid until ambulance service arrives. One designated representative will accompany the injured employee to the medical facility and remain at the facility until full diagnosis and other relevant information is obtained. If the injured employee is able to return to the job site the same day, he/she will bring with him/her a statement from the doctor containing such information as: Date Employee's name Diagnosis Date he/she is able to return to work, regular or light duty Date he/she is to return to doctor for follow-up appointment, if necessary Signature and address of doctor The SHSO is responsible for notifying the Stantec Project Manager. The Stantec Project Manager will initiate appropriate incident reporting procedures as described in Section 1.7. If the injured employee is unable to return to the job site the same day, the employee who transported him will bring this information back to the job site and report it to the SHSO who will then communicate it to the Stantec Project Manager. The Stantec Project Manager will initiate appropriate incident reporting procedures as described in Section 1.7. 1.5.3 Death of an Individual or Hospitalization of Three or More Employees The emergency response procedures in Section 1.5.2 will be followed. The Stantec Project Manager will notify Stantec Human Resources immediately, then follow the reporting procedures listed in Section 1.7. Human Resources will notify the local OSHA office within 8 hours of the incident or fatality. Stantec 8