UCL Handbook 2021 2022

Questions/Responses (Please tick box)

Yes

No

Don ’ t Know

Sometimes

Is there a Medical Emergency Action Plan in place at your training and match grounds? Is there an MEAP when you are at unfamiliar venues - away grounds / sports/ community centres etc? Do you always know the address of the venue you are at? Is a phone always immediately available for contacting the Emergency Medical Services? Is there an appropriately trained/competent first - aider at the pitch side when- ever activity is taking place? Is there anyone to help the first - aider? Is an AED (Automated External Defibrillator) immediately accessible? Is there an appropriately stocked first aid kit which is accessible at all times? Do any of your players have a pre - existing medical condition? Do your players complete a Medical Declaration Form? Have the players always got immediate access to their medication? Do you know where the nearest hospital is with an Emergency Department / Neurology/Chest Unit? Is there vehicle access to your playing areas? Is there a list of contact details for the players ’ parents/guardians/NOK? Do your players complete a Medical Consent Form?

Club name: Club address: Name(s) and telephone numbers of First Aider(s):

1.

2.

3

Names and telephone numbers of Facility Manager / Safety Officer:

Location of Club first aid room: Location of defirillator: Location of first aid kit: Location of stretcher: Access routes:

For ambulance into Club:

From pitch to ambulance:

From Club ’ s first aid room to ambulance:

Nearest Hospital Emergency Department:

Directions: Nearest Hospital Neurological Unit (for head Injuries):

Directions: Nearest Minor Injuries Unit / Walk In Centre:

Directions:

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