ES&H Manual



6800 Appendix T2

Injuries and Illnesses Requiring

First Aid or Emergency Medical Response


1.0          Purpose

The 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 are trained in emergency medical aid techniques and provide first aid treatment to everyone at Jefferson Lab for on-the-job injuries and illnesses.


The steps in this appendix are performed in coordination with Chapter 6800, Occupational Medicine.

3.0          Responsibilities

Note:    Management authority may be delegated to a task-qualified TJNAF employee at the discretion of the responsible manager.


Note: Only Occupational Medicine staff are required to administer first aid, cardiopulmonary resuscitation (CPR), and, use an automated external defibrillator (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 and 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, Technical Representative (TR), and 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 and/or 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 or ill individual’s supervisor, TR, or sponsor when a return-to-work authorization has been provided and accepted.

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

4.0          Process

Note:  Unless otherwise stated, anyone at Jefferson Lab may perform the 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 the Radiological Control Manual for procedures.

4.1.2      Chemical Exposure: Perform the steps outlined in Chapter 6610, Appendix T6, Emergency Response to Chemical Over-Exposure. Then, proceed to either 4.2 Non-Emergent Injury or Illness or 4.3 Emergency Injury or 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 or 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 through Friday, 8:00 am to 5:00 pm:

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


Step 2       Escort the injured or 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.


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


Step 3       Next, refer to Section 4.4, After Receiving Initial Treatment, and follow the 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 or 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 (such as nitroglycerin or an 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       Follow the steps in Section 4.4, After Receiving Initial Treatment, below.


4.4           After Receiving Initial Treatment

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


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

5.0          Revision History





periodic review

- changed TPOC from SChandler to KPadiyar

ES&H Manual Editor did the following:

- updated: footnote on page 1; Note: in 3.0; header, footer; cross-references: titles & hyperlinks

- corrected: ESH&Q to ES&H as well as SOTR to TR

- organized: previous Revision Summary section style to new table format, Revision History



periodic review – no changes necessary


Special Medical Situations, 4.1, updated per TPOC


periodic review – no changes per TPOC


periodic review – no substantive changes required



revised to reflect current laboratory operations













ES&H Division

Krishna Padiyar



3 years



This document is controlled as an online 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 online file.  This copy was printed on 6/22/2022.

[1] Refer to the Injured on the Job? card for approved, after-hour providers.  The card is available in Occupational Medicine (SSC room 22C) and in First Aid boxes found across Jefferson Lab.