ES&H Manual



6800 Appendix T2

Injuries and Illnesses Requiring

First Aid or Emergency Medical Response



1.0            Purpose


Jefferson Lab’s Occupational Medicine Department provides medical care for injuries and illnesses site wide. This appendix describes the procedure used for responding to medical incidents at Jefferson Lab.


2.0            Scope


Occupational Medicine staff is trained in emergency medical aid techniques and provides first aid treatment to everyone at Jefferson Lab for on-the-job injuries and illnesses.


The process steps in this appendix are performed in coordination with ES&H Manual Chapter 6800 Occupational Medicine.


3.0            Responsibilities

NOTE:     Management authority may be delegated at the discretion of the responsible manager.


NOTE: Only Occupational Medicine staff is required to administer first aid and cardiopulmonary resuscitation/automated external defibrillator (CPR/AED). Care provided by anyone else is voluntary.


3.1              Everyone at Jefferson Lab

·         Call Occupational Medicine (ext. 7539) or 911 for medical assistance for injured/ill individuals or yourself.

·         Report injuries/illnesses to your supervisor/Subcontracting Officer’s Technical Representative/sponsor.

·         Seek medical attention from Occupational Medicine, or an emergency medical facility[1], as needed.

·         Follow physician’s work restriction instructions.

·         Present to Occupational Medicine for return-to-work clearance after an incident that:

o   Occurred on-site, or

o   Resulted in three or more days out of work, or

o   Requires work restrictions.


3.2              First Aid/CPR/AED Providers

·         It is not required, but it is encouraged, if it does not put you or the other person in danger, that you provide aid to injured/ill individuals until emergency responders arrive.

·         Use personal protective equipment (PPE) and other appropriate measures to prevent contact with blood and other potentially infectious material.


3.3              Supervisor/Subcontracting Officer’s Technical Representative (SOTR)/Sponsor

·         Ensure that anyone who is required to have CPR/AED training maintains current qualifications.

·         Except in an emergency, send the injured/ill individual to Occupational Medicine.

·         Ensure individuals, under your authority, present to Occupational Medicine (prior to returning to work) when their injury/illness occurred on site; resulted in three or more days out of work; or require work restrictions.

·         Provide the injured/ill individual with assignments that do not violate work restrictions.


·         Make necessary adjustments in work schedule to accommodate the individual’s appointments with doctors and/or therapists and Jefferson Lab’s Occupational Medicine Department.


3.4              Occupational Medicine

·         Ensure that Jefferson Lab’s CPR/AED training program meets accepted criteria for content and instructor credentials.

·         Refer the injured/ill individual to an off-site physician when needed.

·         Notify the emergency contact of an individual who is seriously injured/ill.

·         Review modified or alternate-duty work assignments and ensure that they are appropriate.

·         Inform the injured/ill individual’s supervisor/SOTR/sponsor when a return-to-work authorization has been provided and accepted.

·         Document all on-the-job injuries/illnesses, referrals, treatment, progress reports, and return to work status.


4.0            Process Steps

Unless otherwise stated, anyone at Jefferson Lab may perform the process steps outlined below.


All Emergencies

Dial 911

Notify Security at x5822

(757-269-5822 from an outside line)


Emergencies inside the Accelerator Fence

Call the Crew Chief at x7045.


4.1              Special Medical Situations


4.1.1        Radiological Emergencies: Refer to ES&H Manual Radiation Control Supplement for procedures.


4.1.2        Chemical Exposure: Perform the process steps outlined in ES&H Manual Chapter 6610 Appendix T6 Emergency Response to Chemical Over-Exposure. Then proceed to either 4.2 Non-Emergent Injury/Illness or 4.3 Emergency Injury/Illness as appropriate.

4.1.3        All electrical shocks, even those classified as minor, must be promptly reported to Occupational Medicine.



4.2              Non-Emergent Injury/Illness

For purposes of this appendix “non-emergent” means that 9-911 is not needed (i.e., the person is able to go to Occupational Medicine either under their own power or with the assistance of others).


4.2.1        When Occupational Medicine is Open (Monday - Friday 8:00am-5:00pm)


Step 1         Notify Occupational Medicine (x7539) and follow their instructions.


Step 2         Escort the injured/ill individual to Occupational Medicine, if needed.


4.2.2        When Occupational Medicine is Not Open:


Step 1         Go to the nearest emergency medical facility1 above.


Step 2         Inform the staff at the medical facility who your employer is and whether the injury/illness is job related. (Work-related incidents need to be disclosed to treating physician for Worker’s Compensation processing.)


Step 3         Go to Section 4.4 - After Receiving Initial Treatment and follow the process steps as appropriate.


If the injury is extremely minor (for example, a paper cut and the injured person is confident that assistance is not needed) the person may report the injury to Occupational Medicine by telephone. 

If the injury is minor (for example requiring an adhesive bandage) the injured person may self-transport to Occupational Medicine. 

In the event of more serious injuries, or if there is any question about the victim’s ability to drive safely, a second person provides transportation. 


4.3              Emergency Injury/Illness

For purposes of this appendix “emergency” means that the person is unable to go to Occupational Medicine and 911 is needed (e.g., profuse bleeding, possible broken bone, loss of consciousness, etc.).


Step 1         Unconscious Victim: Do not attempt to move an injured/ill or unconscious individual except in cases of imminent danger. Go to Step 3.




Alternate Step 1:       Conscious Victim: Ask a conscious injured/ill individual if they have prescribed medication (e.g., nitroglycerin, inhaler) that might be helpful and assist them if the medication is needed.


Step 2         Call Occupational Medicine (x7539) or 9-911 for help. Notify Security (x5822) of the incident and location.


Step 3         Administer first aid or CPR/AED if you are trained, able, and willing to do so.


Step 4         Remain with the injured/ill individual until help arrives.


Step 5         Go to Section 4.4 - After Receiving Initial Treatment and follow the process steps as appropriate.


4.4              After Receiving Initial Treatment


Step 1         Notify Occupational Medicine and your supervisor/SOTR/sponsor of your injury/illness as soon as possible, but not later than the next regular work day.


Step 2         When medical follow-up is advised inform Occupational Medicine so they can ensure that proper procedures for treatment are followed.


5.0            Revision Summary


Revision 1.1 – 12/14/16 – Added 4.1.3 per CATS NE-2016-14-01-03

Periodic Review – 05/25/16 – No changes per TPOC

Periodic Review – 05/20/13 – No substantive changes required

Revision 1.0 – 05/10/10 – Revised to reflect current laboratory operations











ES&H Division

Smitty Chandler





This document is controlled as an on line file.  It may be printed but the print copy is not a controlled document.  It is the user’s responsibility to ensure that the document is the same revision as the current on line file.  This copy was printed on 12/21/2016.

[1] Port Warwick Medical Center, 1031 Loftis Boulevard, Newport News, VA 23606.  From Jefferson Lab take a left onto Jefferson Avenue, a right onto Loftis Boulevard.