Emergency Plan For Amateur Sports Teams & Leagues Page 2

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Amateur Sports Emergency Plan
page 2.
OTHER
NAME:
PHONE:
ADDRESS:
Section III: Emergency Communication
In addition to coaches’ and managers’ cell phones, list the nearest land-line phone number at the facility and
indicate its location below:
ON-SITE PHONE # (LAND LINE):
PHONE LOCATION:
Section IV: Emergency Training
Indicate which members of your team/league have training or certification in the following procedures:
Procedure
Certified Person’s Name
Position
Cell Phone #
General First Aid
CPR
AED (Defibrillator)
EPI-Pen Injections
(Epinephrine for Allergic reactions)
Section V: Emergency Equipment
For each piece of equipment named below, indicate whether it is available at the site (Yes/No); who is
responsible for it (does the coach normally carry the First Aid kit, or is it always maintained by the school
infirmary’s staff); and where is the equipment normally located.
Equipment Type
Yes/No
Person Responsible
Location
First Aid/Trauma Kit
Splint Kit
Spine Board
AED (Defibrillator)
EPI-Pen (Epinephrine)
Rev Oct. 2015
The Amateur Sports Emergency Plan is derived from the “US Lacrosse Risk Management
Manual” and the, NCAA ‘s “Sports Medicine Handbook, Guideline 1-A,”

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