Track Licence Application Form For Race, Speed And Kart Venues - Motor Sports Association Uk - 2017 Page 7

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2017 MSA Track Licence application (Race Circuits only)
Appendix 1 – Race Circuit Medical Centre
Venue:
Please indicate whether the Medical Centre meets the following requirements of (E)9.3 - (E)9.5:
Easy and level access for ambulance and stretchers
Yes/No *
Offers security from press and public
Yes/No *
Located in accordance with CAA requirements
Yes/No *
(allowing a helicopter to be used when necessary)
Minimum of 3 sufficiently sized rooms, with adequate heating and lighting
Yes/No *
Resuscitation room capable of accommodating 2 patients minimum at one time
Yes/No *
Observation ward capable of accommodating 2 recumbent patients at one time
Yes/No *
(with total security in the event of death)
Treatment area for small dressings and other minor procedures
Yes/No *
Administration area
Yes/No *
Shower
Yes/No *
Washing facilities
Yes/No *
Toilet facilities
Yes/No *
Please indicate whether the Medical Centre is equipped in accordance with the following
requirements of (F)6.3:
Resuscitation:
Oropharyngeal airways
Yes/No *
(eight assorted sizes 2, 3 and 4)
Pocket mask or similar device
Yes/No *
(with non-re-breathing valve and O2 inlet)
Suction apparatus mains, battery, hand or foot operated
Yes/No *
(capable of 300mm Hg suction with reservoir not less than 350ml or overflow system with catheters
and wide bore suction)
Self-inflating manual resuscitator
Yes/No *
(with facemask and O2 reservoir)
O2 supply (min size F1360 litres) and spare
Yes/No *
(with reducing valves, flowmeters as necessary)
O2 tubing and masks
Yes/No *
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