DHHS (NIOSH) Publication Number 2004-101
Safety Checklist Program for Schools
Emergency Action Plan (Template)
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Structure Climbing/Descending Emergencies
|List structures maintained by site personnel (tower, river gauge, etc.):|
|No.||Structure Type||Location (address, if applicable)||Emergency Response Organization* (if available within 30-minute response time)|
|Emergency Response Organization(s):|
Name:_________________________ Phone Number:_________________________
Attach Emergency Response Agreement if available)
* - N/A. If no Emergency Response Organization available within 30-minute response time additional personnel trained in rescue operations and equipped with rescue kit must accompany the climber(s).
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- Centers for Disease Control and Prevention
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