SACTA EMERGENCY RESPONSE PLAN - 2021 January 2021 Version 1.01
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2021
SACTA EMERGENCY RESPONSE
PLAN
January 2021
Version 1.01
1
© 2021 SACTA EMERGENCY RESPONSE PLAN
Contents
Authority ....................................................................................................... 4
Definitions ..................................................................................................... 5
Introduction ................................................................................................... 5
Aim ............................................................................................................... 5
Scope ........................................................................................................... 6
Hazards ........................................................................................................ 6
Venue incidents and emergencies ................................................................ 6
Emergency management .............................................................................. 6
Activation of the emergency plan .................................................................. 6
Club members involvement in emergency operations .................................. 7
Media management ...................................................................................... 7
Glossary of terms and definitions.................................................................. 7
Activated incident .............................................................................................. 7
Casualty collecting area .................................................................................... 7
Command ......................................................................................................... 8
Control .............................................................................................................. 8
Coordination ...................................................................................................... 8
Critical incident .................................................................................................. 8
Disaster ............................................................................................................. 8
Event stopping – public area emergency ........................................................... 8
Forward command post..................................................................................... 8
Incident ............................................................................................................. 9
Major emergency .............................................................................................. 9
Public area emergency...................................................................................... 9
General information ...................................................................................... 9
Alcohol and drugs ............................................................................................. 9
Communications ............................................................................................... 9
Emergency numbers ......................................................................................... 9
Insurance .......................................................................................................... 9
Appendix 4 ...................................................................................................... 23
Accident/Incident Report Form ........................................................................ 23
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© 2021 SACTA EMERGENCY RESPONSE PLAN
Appendices
Appendix 1
SACTA Executive
Appendix 2
Club Secretaries and contact numbers
Appendix 3
Emergency response procedures
Appendix 4
Accident / Incident report form
Appendix 5
Incident Running Sheet
Appendix 6
State Clay Target Facilities map
Appendix 7
Medical
3
© 2021 SACTA EMERGENCY RESPONSE PLANAuthority
This plan is prepared at the direction of the Executive Committee of the South
Australian Clay Target Association Inc to allow for a coordinated response to any
incident which might occur within any of the involved areas or venues during the
period, 1 January 2021 – 31 December 2021.
Each SACTA Club Secretary has the responsibility for the implementation of this plan
and for liaison between SACTA Executive, the Australian Clay Target Association, the
SA Government and SA Police in the event of any incident or emergency.
In the event of a declared major incident, declared major emergency or declared state
of disaster, the Emergency Services Functional Services get their authority from the
Emergency Management Act through authorised officers under a declaration made by
the Commissioner of Police as State Coordinator.
This plan allows for the lawful transfer of authority for any part of an involved area
during any incident in support of measures which may need to be taken by members of
SA Police, SA Ambulance Service, SA Metropolitan Fire Service or any Functional
Service as described in the SA State Disaster Plan.
This emergency response plan is in existence for the period 0001 hours on 1 January
2021 until 2359 hours on 31 December 2021 during the conduct of any clay target
event (including practice or any other session) and can be implemented in full or in part
at any time in response to the management of an emergency.
…………………………………………………………………………...Signed
President (Print Name) ……………………………………………
Name of clay target club …………………………………………
Date…………………………………..……………………………….
………………………………………………………………………….Signed
John Bretag
President – South Australian Clay Target Association
Date…………1st January 2021…………………….
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© 2021 SACTA EMERGENCY RESPONSE PLANDefinitions
In this document, unless the context otherwise requires:
“ACTA” means the Australian Clay Target Association Inc.
“Executive” means the State Executive of the South Australian Clay Target Association.
“Clay Target Club” means a club associated with the conduct of the sport of clay target
shooting.
“Clay Target facility” means a venue or facility utilised for the conduct of the sport of clay
target shooting
“ComCen” means the Communications Centre (usually of an Emergency Service
Organisation)
“DHS” means the Department of Human Services (previously the SA Health Commission)
“EOC” means the Emergency Operations Centre
“ESO” means the Emergency Service Organisation. In this event includes SA Metropolitan
Fire Service, SA Ambulance Service, State Emergency Service and usually extends to
include SA Police.
“Clay Target Club” means “Clay Target Club”
“SAAS” means the SA Ambulance Service
“SAMFS” means the SA Metropolitan Fire Service
“SAPOL” means the SA Police
“SES” means the State Emergency Service
Introduction
Clay Target shooting is a sport involving firearms that is conducted in South Australia and
Australia. This sport is conducted at various venues in the state of South Australia, referred
to as “Clay Target Clubs” or “Clay Target Clubs”.
A variety of venues will be used throughout the sport. A series of maps depicting the involved
areas appear as Appendix 6.
Aim
The aim of this plan is to provide an efficient, effective and coordinated response to any
incident occurring within any of the venues, and to mitigate the impact of any incident,
emergency or disaster.
This document therefore provides an outline of arrangements for the effective and efficient
mobilisation of resources to manage any emergency occurring during the proclaimed time
frame.
5
© 2021 SACTA EMERGENCY RESPONSE PLANScope
The scope of this plan is to provide a platform for the coordinated response of the Clay
Target Club to any emergency impacting upon the conduct of the sport and any
associated activities.
This activity will extend to include support to the activities of any of the functional
services of the State of South Australia acting in accordance with their legislative roles
as required under the Emergency Management Act.
Hazards
An aggregated panel of experts was used to consider the risks and hazards associated
with such an event.
• The risk matrix model used is the Australian and New Zealand Standard AS/NZS ISO
31000:2009 as used by the Justice Portfolio of the SA Government and as taught by
the University of Adelaide. Copies of the Risk Definitions, Risk Register and Risk
Action Plan documents are available from file as a consolidated document, as required.
Venue incidents and emergencies
All incidents occurring at any venue are the responsibility of the Club Secretary. The
Club Secretary (or nominated deputy) will ensure that normal assistance is gained to
resolve the issue. Generally this will include the contact of, and working with
emergency services.
Emergency management
The command, control and co-ordination of any incident will be undertaken by
members of the Police and Emergency Services consistent with existing legislation and
current practice.
In the event of any significant emergency, additional human and physical resources of
the Clay Target Club will be made available to the emergency services by the Club
Secretary.
Issues which might impact on the continuation of any event will be made in consultation
with the SAPOL Commander and the President of the Clay Target Club. In the event
that consensus cannot be reached, the SAPOL Commander will make the final
decision.
Activation of the emergency plan
In the event of an incident, emergency services will respond in the manner which is
normal to their own modus operandi, based on information received regarding the
incident. Once an informed on-site assessment has been made that indicates that an
incident is larger than can reasonably be described as “normal”, any requests for
assistance from the Clay Target Club will be made to the Club Secretary.
6
© 2021 SACTA EMERGENCY RESPONSE PLANThe Club Secretary (or nominated person) will make contact with key personnel and call
them to a state of readiness as necessary. Key personnel involved are those nominated as
the Club President, Shoot Marshall and Club Committee.
As an immediate follow on, it is essential that the Club Secretary alerts the Club President;
the decision to activate this plan in whole or in part will then rest with him or her in
conjunction with the SAPOL Commander.
Once notified, key personnel will then immediately attend their area of responsibility and
conduct an audit of available assets, combining a loss and damage report, to confirm that
their property and services are intact and functional.
On completion of this survey, key members will report the result to the Club President.
These members will then stand by for other duties as directed by the Club President or Club
Secretary as appropriate.
Similarly, key contractors and staff will also immediately attend their area of responsibility
and conduct an audit of available assets combining a loss and damage report to confirm that
their property and services are intact and functional.
On completion of this survey, key members will report the result to the SACTA Secretary.
Club members involvement in emergency operations
Club members are required to assist with emergency operations only at the request of the
SA Police Commander.
Media management
In the event of an incident attracting media attention, media management will occur in
accordance with the responding agency’s standard operating procedures.
All media enquiries in relation to the conduct of SACTA should be referred to the SACTA
Secretary.
To give a clear and consistent message, the SACTA Secretary will liaise closely with the
Media Liaison Officers from each of the emergency services organisations.
Glossary of terms and definitions
Activated incident
An incident which requires remedial action (beyond that normally available at the scene of
the incident) including:
• the mobilisation of emergency services; or
• medical intervention.
Casualty collecting area
The initial collecting point where rescue services evacuate patients from an area of danger.
Paramedics and first aid staff will commence triage of patients at this site.
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© 2021 SACTA EMERGENCY RESPONSE PLANCommand
The lawful direction of members of an organisation (enshrined in legislation or in
contract of service) to undertake tasks. Each organisation engaged in clay target
activities must appoint a person capable of undertaking such a role, this person
normally being the designated Shoot Marshall.
Control
Control is vested in the lead combatant authority and provides or allows for the
authority to direct or advise other commanders. The lead combatant authority may
change depending on the incident circumstances. For example, in a fire scenario the
senior fire-fighter will be the Incident Controller; if the case of a number of persons
injured, the most suitable paramedic will assume the role of Incident Controller;
logically of course if the scenario is primarily one of a criminal nature, a police officer
will become the Incident Controller.
Coordination
Coordination is the bringing together of activities to resolve an issue or incident. It is
the systematic acquisition of human and physical resources to contain and finish an
incident. Coordination is the legislated role of SA Police.
Critical incident
An incident which results in
• injury (of significance) to a member of the public; or
• serious injury to any person which is likely to cause death.
Disaster
“Any occurrence, including fire, flood, tempest, earthquake, eruption epidemic of
human, plant or animal disease, hostilities directed by an enemy against Australia, and
accident, that:
• causes or threatens to cause, loss of life or injury to persons or animals or damage
to property; and
• is of such magnitude that extraordinary measures are required in order to protect
human life or property”.
Event stopping – public area emergency
An emergency in the public area which creates an unacceptable danger to personnel,
competitors or officials in the restricted area. The Shoot Marshall of the event, possibly
on the advice of a senior police officer or other senior official of the meeting, must
make the decision to stop the event.
Forward command post
A relatively safe area in the near vicinity of any incident from where emergency service
commanders will manage that incident.
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© 2021 SACTA EMERGENCY RESPONSE PLANIncident
An occurrence that can be adequately managed with the normal response of everyday
services to satisfactorily resolve a situation in a timely manner.
It is an unusual or unplanned event (of significance) which:
• occurs as a direct result of clay target activity; or
• affects the safety of any person engaged in clay target activity; or
• exposes any deficiency in safety procedures of facility
Ultimately, it is the responsibility of the Club Secretary to determine whether an event
constitutes an Incident.
Major emergency
“Any occurrence, including fire, flood, tempest, earthquake, eruption epidemic of human,
animal or plant disease, hostilities directed by an enemy against Australia, and accident, that:
• causes or threatens to cause, loss of life or injury to persons or animals or damage to
property; and,
• that whilst not constituting a disaster, should, in the opinion of the State Coordinator, be
dealt with under the Act because of the diverse resources required to be used in the
response to the emergency, the likelihood of the emergency escalating into a disaster or
for any other reason.
Public area emergency
An emergency in the public area involving danger to property or members of the public, but
not involving the clay target facility or restricted areas.
General information
Alcohol and drugs
The use of controlled and / or illegal substances by any competitor is strictly prohibited. All
competitors are requested to refrain from alcohol consumption whilst competing in the sport.
Communications
It is requested that all Clay Target facilities and Club Secretaries have telephone contact for
their events. The telephone numbers are provided in Appendix 1.
Emergency numbers
Emergency Number
POLICE – AMBULANCE – FIRE 000
Insurance
Public Liability insurance has been provided for the ACTA by ATC Insurance Solutions Pty
Ltd
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© 2021 SACTA EMERGENCY RESPONSE PLANAppendix 1
SACTA Executive
SACTA EXECUTIVE CONTACT DETAILS
SACTA Executive Name Phone
SACTA President John Bretag (08) 8535 4312 0427354312
SACTA Secretary Deb McPherson (08) 8572 4205 0411615369
SACTA Executive member Rob Umback 0439509154
SACTA Executive member Garry Read (08) 8821 1103 0418859795
SACTA Executive member Sue Denton 0401620642
SACTA Executive member Robert Andrews (08) 8753 4250 0409907009
SACTA Executive member Len DeCandia (08) 8572 4205 0412512440
SACTA Executive member Andrew Hoare (08) 8724 7230 0429106941
SACTA Executive member Don Beelitz (08) 85773517 0427773517
SACTA Executive member Peter Minhard (08) 8688 2658 0429013616
SACTA Executive member Samantha Johnson 0498208568
SACTA Executive member Matt Wilson 0428910327
SACTA Executive member Raymond Marshall 0434126120
SACTA OFFICE
SACTA Office – State Shooting Park
Carmello Road
Buckland Park SA 5120
Postal – SACTA Secretary
PO Box 1430 Murray Bridge SA 5253
Ph +61 8 8572 4205
Mobile: 0411 615 369
EMAIL: secretary@sacta.com.au
SACTA Secretary Contact Telephone
(08) 8572 4205 0411 615 369
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© 2021 SACTA EMERGENCY RESPONSE PLANAppendix 2
Club President and Secretaries contact numbers
CLAY TARGET FACILITIES AND CONTACT DETAILS
CLUB PRESIDENTS
EASTERN ZONE
BORDERTOWN Brian Jarrett 0487 797 492
KINGSTON SE Dale Smith 0428 754 087
LAKE ALBERT Len DeCandia 0412 512 440
MOUNT GAMBIER Andrew Hoare 0429 106 941
WILKAWATT Bryan Peter 0427 710 053
CENTRAL ZONE
BARMERA Trevor Shaddock 0438 800 076
INTERNATIONAL Dino Oliviero 0401 122 633
LOWER NORTH Barry Duncan 0419 849 993
MALLALA Gerald Hopgood 0401 672 747
MID NORTH Haydan Bowman 0439 002 708
MONARTO John Bretag 0427 354 312
SAGC Dave Renney 0400 448 834
SOUTHERN Robert Umback 0418 414 064
SYP Troy Johnson 0428 466 673
WESTERN ZONE
BROKEN HILL Darryn Nicholls 0428 345 752
ELSEWHERE Rodney Hammat 0422 893 700
FAR WEST Howard Sleep 0429 484 871
PORT AUGUSTA Steve Baynes 0428 827 330
PORT LINCOLN John Tonkin 0428 562 150
PORT PIRIE Brian Thomas 0408 395 742
UNGARRA Brad Claughton 0428 885 051
WHYALLA Razor Marshall 0434 126 120
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© 2021 SACTA EMERGENCY RESPONSE PLANCLUB SECRETARIES
EASTERN ZONE
BORDERTOWN Malcolm McGrice, PO Box 155, Bordertown, 5268 0427 836 334
KINGSTON SE Linda Smith, PO Box 20, Kingston SE, 5275 0458 778 540
LAKE ALBERT Renee Davy, PO Box 232, Meningie 5264 0457 794 317
MOUNT GAMBIER Barry Sims, PO Box 1155, Mount Gambier, 5290 0409 672 686
WILKAWATT Daniel Morgan, C/- Post Office Jabuk, 5301 0407 395 919
CENTRAL ZONE
BARMERA Bruce Morris, PO Box 1567, Renmark, 5341 0409 865 551
INTERNATIONAL Jim Finis, PO Box 312, Virginia, 5120 0413 877 833
LOWER NORTH Sue Byrnes, 6 Broster Rd, Angle Vale, 5117 0427 849 470
MALLALA Sue Denton, 7 Madeline Crt, Burton, SA, 5110 0401 620 642
MID NORTH Tracey Pollard 1/106 Shepherdson Rd, Parafield Gard, 0438 610 212
MONARTO Allan Vilcins, PO Box 379, Cudlee Creek, 5232 0439 584 531
SAGC John Hamer, PO Box 660, Salisbury, 5108 (08) 8353 2125
SOUTHERN Lill Franklin, PO Box 465, Victor Harbor, 5211 0437 206 610
SYP Mal Williamson, 2 Styles St, Meadows, 5201 0407 024 520
WESTERN ZONE
BROKEN HILL Clint Remmert, PO Box 139, Broken Hill, 2880 0408 583 170
ELSEWHERE Anthony Beyer, PO Box 348, Jamestown, 0408 651 026
FAR WEST Tony Cox, 12 Christopher Street, Ceduna, 5690 0428 830 137
PORT AUGUSTA Michael Meaney, PO Box 136, Stirling North, 5710 0417 836 795
PORT LINCOLN Brad Porter, PO Box 3221 Port Lincoln, SA, 5606 0429 133 625
PORT PIRIE Rodney Hindmarsh, 192 Kingston Rd, Port Pirie, 5540 0427 776 833
UNGARRA Kym Firth, PO Box 98, Cummins, 5631 0488 762 931
WHYALLA Michael Del Giacco, PO Box 405, Whyalla, 5600 0412 070 789
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© 2021 SACTA EMERGENCY RESPONSE PLANAppendix 3
Emergency response procedures
Introduction
The following EMERGENCY RESPONSE sequences have been developed in conjunction
with the emergency services.
The purpose of this procedure is to familiarise key personnel in all organisations but in
particular managers and supervisors, on the principles of incident management. Supervisors
and managers are responsible at law for the actions or omissions of their staff.
Fire can be the prime reason for the implementation of an EMERGENCY RESPONSE
however there are other events which may occur that require the total or part evacuation of a
building including bomb threats or collapse of a structure.
It is important that all of your staff is familiar with these basic
procedures, as a proper understanding could save life or alternatively,
limit the risk of injury, and/ or prevent loss of valuable equipment and
property.
A Few Tips
• You must know where you are – always orientate yourself to your surroundings and try
and locate your position on a circuit map
• Find and identify the manager/ supervisor in your area
• Start from the outside of the building and identify an assembly area (safety zone) in case
an evacuation is necessary – remember you may not decide to evacuate it may be done
for you
• Note the position of all fire extinguishers in your area.
• Note the building or facility layout and at least one emergency evacuation route that will
lead to your identified assembly area
• In the event of an evacuation, take a roll-call
• NEVER re-enter a building until approved by Police and/or Fire
13
© 2021 SACTA EMERGENCY RESPONSE PLANEMERGENCY RESPONSE PROCEDURES
In the event of a
LIFE THREATENING EMERGENCY
000
Ambulance
Fire
Police
South Australia
WHAT HAS HAPPENED: try and summarise in less than ten words
WHERE: describe incident site include stand names/ numbers
PHONE NUMBER provide details then stay off the phone until help arrives
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© 2021 SACTA EMERGENCY RESPONSE PLANFIRE
FIRST
• Remain calm
• Assist anybody in immediate danger
• Raise the alarm -
• Contact the Fire Service
Dial 000
• Restrict the danger area (close doors and windows)
• Evacuate to the designated Safety Zone
• Remain clear of the danger area.
Designated Safety Zone for this area is……………………………………………
THEN
• Remain in the Safety Zone
• Await further instructions from the authorities.
• Fight the fire only if it is safe to do so and if trained to use available equipment.
CAUTION
• DO follow designated escape routes and fire exits
• DO NOT run or push in stairways.
• DO NOT re-enter building until advised by authorities
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© 2021 SACTA EMERGENCY RESPONSE PLANAMBULANCE EMERGENCY
FIRST
• Call for Help in the immediate area or IF TRAINED administer first aid.
• Check for danger in the immediate area.
eg. electrical faults, dangerous objects / substances.
• Contact the Ambulance Service
Dial 000
• Arrange to meet the Paramedics
THEN
• Remain with patient until Paramedics are on site
Other medics in my area are
Name Phone No. Location
…………………………………………………………………………………………………
…………………………………………………………………………………………………
……………………………………………………………………………………………...…
…………………………………………………………………………………………………
CAUTION
• Help only within your limits
• Don’t become a victim
16
© 2021 SACTA EMERGENCY RESPONSE PLANCHEMICAL SPILLAGE
FIRST
• Establish what has been spilled (if practicable).
• Warn other persons in the vicinity of possible danger.
• If type of spillage or effects unknown EVACUATE
• Contact the Fire Service
Dial 000
• Location of spillage
• Type / Name of chemical, if known
• Size of spillage
• Danger associated with spillage (eg. fire, fumes, burns, poison)
THEN
• Evacuate affected area and close doors/ windows.
• Wait for the assistance of the Fire Service.
CAUTION
• DO follow designated escape routes and fire exits
• DO NOT run or push in stairways.
• DO NOT re-enter building until advised by authorities
BE ALERT
• Fire
• Fumes
• Burns
• Poison
17
© 2021 SACTA EMERGENCY RESPONSE PLANFLOODING/ STORM WATER DAMAGE
FIRST
In the event of severe flooding or storm water damage within a building or confined
area:-
Contact your Supervisor/ Manager and state;
• Location
• Extent of flooding
• Cause (if known)
THEN
• Commence evacuation as required
• Await the assistance of Emergency Services or Engineering Services
CAUTION
• Short circuiting of water-affected electrical supply.
• Hazards due to contamination / presence of water.
• Build up of water in a roof space may result in the sudden collapse of ceiling
structure.
• Sealing flood affected rooms may result in rising water within the area.
• Allow water to run-off where possible.
18
© 2021 SACTA EMERGENCY RESPONSE PLANEXPLOSION / EARTHQUAKE / STRUCTURAL
COLLAPSE
FIRST
• Contact the relevant Emergency Services
Dial 000
• Assist injured or physically impaired persons.
THEN
follow instructions
• Evacuate the danger area (close doors and seal off if possible).
• Turn off utilities (power, gas, water).
• Await the assistance of Emergency Services.
CAUTION
Earthquake Safety Information:
In an earthquake, if indoors, stay there
• Take cover under a sturdy piece of furniture or counter or brace yourself against
an inside wall.
• Protect your head and neck.
If outdoors, move into the open,
• Away from buildings and overhanging power lines.
After an earthquake, stay away from windows, skylights and items that could fall.
• Do not use the elevators.
• Use stairways to leave the building if it is determined that a building evacuation is
necessary.
19
© 2021 SACTA EMERGENCY RESPONSE PLANTELEPHONE / BOMB THREAT
Write straight on to this page
RESPONSE BY RECEIVER OF CALL
• Remain calm
• Don’t hang up
• Record the exact wording and nature of the threat.
• Ask the following questions and record the answers.
GENERAL THREAT BOMB THREAT
What are you threatening to do? When is the bomb going to explode?
Why are you making this threat? Where did you put the bomb?
When do you intend to carry it out? When did you put it there?
Do you intend to telephone again? What does the bomb look like?
What is your name? What kind of bomb is it?
Where are you? What will make the bomb explode?
What is your address? Did you place the bomb?
Why did you place the bomb?
What is your name?
Where are you?
What is your address?
EXACT WORDING OF THREAT
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
……………………………………………………………………………………………………
CALLERS VOICE (tick as appropriate)
Male Slow Slurred Deep breathing
Female Rapid Nasal Cracking voice
Old Soft Stuttering Disguised
Young Loud Lisping Accented
Laughing Raspy Familiar
Emotional Abusive Inconsistent
Well-spoken Incoherent Irrational
Foul Recorded Message read by caller
BACKGROUND NOISES
Street noises House noises Clear
Crockery Motor Muffled
Voices Aircraft Static
PA System Office machinery Fading
Music Factory machinery Local
Animal noises Long distance
Other
details………………………………………………………………………………………………………………
………………………………………………………………………………………………………..……….……
……………………………………………………………………………………………………………………..
20
© 2021 SACTA EMERGENCY RESPONSE PLANACTION
• Leave phone off the hook to assist in tracing the call
• Notify Police immediately using another phone; 000
• Notify the Supervisor/ Manager of affected area and hand this completed checklist to
him/her or to the Police
CALL TAKEN:
Date of call: _______________________________________________________
Time of call: _______________________________________________________
Duration of call: _______________________________________________________
Number called (ie, your number) _________________________________________________
RECIPIENT
Your name: ____________________________________________________________________
Your address: ____________________________________________________________________
____________________________________________________________________
Telephone number: ______________________________________________________________
Signature: ______________________________________________________________
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© 2021 SACTA EMERGENCY RESPONSE PLANMISSING PERSON CHECK LIST
LAST SEEN AT (location)_____________________________________________________
DIRECTION OF TRAVEL ____________________________________________________
PERSONAL DETAILS
SURNAME ________________________________________________________________
FIRST NAMES _____________________________________________________________
AGE ___________ DATE OF BIRTH _____________________ HEIGHT____________
ETHNIC ORIGIN (if known) ___________________________________________________
IDENTIFYING FEATURES ___________________________________________________
CLOTHING Head _________________________________________________________
Top __________________________________________________________
Bottom _______________________________________________________
Feet _________________________________________________________
REPORTED BY
NAME ___________________________________________________________________
ADDRESS ________________________________________________________________
TELEPHONE ___________ RELATIONSHIP __________________________________
Secretary SACTA advised at ______________a.m./pm. on (date) ___________________
Police notified at _______________a.m./pm. on (date) ___________________________
REPORT TAKEN BY ________________________________________________________
22
© 2021 SACTA EMERGENCY RESPONSE PLANAppendix 4
Accident/Incident Report Form
Name of person(s) involved:
Address
Telephone details:
Name of witness
Address
Telephone details
Incident details – please provide detail as appropriate
Injury (describe)
Property damage
Fire
Housekeeping/Maintenance
Bomb threat
Unauthorised entry
Other (please specify)
Day & date of incident
Time of incident
Exact Location
How did the incident occur?
What were the consequences of the incident?
23
© 2021 SACTA EMERGENCY RESPONSE PLANHas anything been done to prevent a recurrence?
Ambulance attendance YES / NO If YES, conveyed to
Person reporting details
Name
Address
Telephone details
Name of person receiving report
Telephone details
Day & date incident reported
Time incident reported
Event management notified (day & date)
Any other comment or notes
The Club Secretary must submit this form for ALL injuries
Please Email to the SACTA Secretary at secretary@sacta.com.au
phone on 0411 615 369
If the injury requires hospital treatment the Club Secretary must contact the
SACTA Secretary, Deb McPherson on Ph (08) 8572 4205 M: 0411 615 369
If the injury requires hospital treatment the Club Secretary must ascertain from
the injured person their choice of hospital. The Club Secretary is to arrange
transport at the injured persons cost.
24
© 2021 SACTA EMERGENCY RESPONSE PLANAppendix 5
Incident Running Sheet
Organisation name: Day & date:
Time Incident Action
(24 hour)
Fax a copy of this to SACTA Secretary at the completion of the emergency.
25
© 2021 SACTA EMERGENCY RESPONSE PLANAppendix 6
State Clay Target Facilities map
(Name of Club and location)
Elsewhere
26
© 2021 SACTA EMERGENCY RESPONSE PLANAppendix 7
Medical
Emergency Number POLICE – AMBULANCE – FIRE 000
In liaison with the Club Secretary immediate treatment will be by on site medical treatment by
a trained first aid person.
1. All injuries that occur are to be reported to the Club Secretary as soon as practicable.
2. The Club Secretary must record ALL injuries on the Incident / Accident Form.
INCIDENT / ACCIDENT REPORT FORM – Appendix 4
3. The Club Secretary is to email the Incident / Accident Form to the SACTA Secretary
as soon as practicable. SACTA Secretary email secretary@sacta.com.au
4. If the injury requires hospital treatment the Club Secretary must contact the SACTA
Secretary, Deb McPherson (08)8572 4205 OR 0411615369
5. If the injury requires hospital treatment the Club Secretary must ascertain from the
injured competitor their choice of hospital. The Club Secretary is to arrange transport
at the competitor’s cost.
Metropolitan area:
PUBLIC HOSPITALS
Flinders Medical Centre, Flinders Drive, Bedford Park 8204 5511
Gawler Health Service, 21 Hutchinson Road, Gawler East 8521 2000
Lyell McEwin Hospital, Haydown Road, Elizabeth Vale 8182 9000
Modbury Public Hospital, Smart Road, Modbury 8161 2000
Noarlunga Health Service, Alexander Kelly Drive, Noarlunga Centre 8384 9222
Royal Adelaide Hospital, North Terrace, Adelaide 7074 0000
The Queen Elizabeth Hospital, 28 Woodville Road, Woodville 8222 6000
PRIVATE HOSPITALS
Ashford Hospital, 55 Anzac Highway, Ashford 8375 5222
Flinders Private Hospital, Flinders Drive, Bedford Park 8275 3333
Noarlunga Health Service, Alexander Kelly Drive, Noarlunga Centre 8384 9222
St Andrews Hospital Incorporated, 350 South Terrace, Adelaide 8408 2111
Calvary Adelaide Hospital, 120 Angas Street, Adelaide 8227 7000
WAKEFIELD SPORTS CLINIC
City, 270 Wakefield Street, Adelaide 8232 5833
Hindmarsh, 19 Holden Street, Hindmarsh 8346 8191
After hours weekend sports casualty Toll Free 1800 888 925
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© 2021 SACTA EMERGENCY RESPONSE PLANHospital contact information per club: Name of Club Nearest Hospital Distance to hospital Telephone number Central Zone Barmera Clay Target Club Barmera Hospital 3 km 08 8588 0400 International Clay Target Club Lyell McEwin Hospital 11 km 08 8182 9000 Lower North Clay Target Club Lyell McEwin Hospital 20 km 08 8182 9000 Mallala Clay Target Club Gawler Hospital 30 km 08 8521 2000 Mid-North Clay Target Club Wallaroo Hospital 9 km 08 8823 0200 Monarto Clay Target Club Murray Bridge Hospital 15 km 08 8535 6777 Southern Clay Target Club Victor Harbour Hospital 7 km 08 8552 0500 South Australian Clay Target Club Lyell McEwin Hospital 10 km 08 8182 9000 Southern York Peninsula Clay Minlaton Medical Centre 6 km 08 8853 2001 Target Club Eastern Zone Bordertown Clay Target Club Bordertown Hospital 12 km 08 87529000 Kingston Clay Target Club Kingston Memorial Hospital 5 km 08 87670222 Lake Albert Clay Target Club Meningie Hospital 10 km 08 85752777 Mount Gambier Clay Target Club Mt Gambier District Hospital 3 km 08 87211200 Wilkawatt Clay Target Club Lameroo Hospital 15 km 08 85764600 Western Zone Broken Hill Clay Target Club Broken Hill Hospital 3 km 08 80801333 Elsewhere Clay Target Club Jamestown Hospital 5 km 08 86641406 Far West Clay Target Club Ceduna Hospital 6 km 08 86262110 Port Augusta Clay Target Club Port Augusta Hospital 6 km 08 86687500 Port Lincoln Clay Target Club Port Lincoln Hospital 20 km 08 86832200 Port Pirie Clay Target Club Port Pirie Hospital 3 km 08 86384500 Ungarra Clay Target Club Tumby Bay Hospital 20 km 08 86882107 Whyalla Clay Target Club Whyalla Hospital 4 km 08 86488300 28 © 2021 SACTA EMERGENCY RESPONSE PLAN
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