Document 600 SITE SPECIFIC HEALTH AND SAFETY PLAN

CHAPTER: University of Minnesota – Twin Cities COUNTRY: Uganda COMMUNITY: Mulobere PROJECT: Bugonzi Primary School RWHS TRIP TYPE: Implementation TRAVEL DATES: May-June, 2012

PREPARED BY

Scott Evan Miller Katheryn Hope-Wilkinson

February 1st, 2012

ENGINEERS WITHOUT BORDERS-USA www.ewb-usa.org

EMERGENCY CONTACT PAGE/PROTOCOLS (Form 606)

Place holder for completed and printed 606 document

DIRECTIONS & MAP TO MEDICAL FACILITIES

1) Masaka Hospital (in Masaka, Uganda)

Masaka Regional Hospital would be the first choice in emergency medical care for medical situations on the project site in Bugonzi, Uganda.

Masaka Hospital is one of the regional referral hospitals and the referral hospital for the district for which our project site is located (Masaka District). It is a public hospital funded by the Uganda Ministry of Health and general care in the hospital is free. The bed capacity is 330.

The contact number for the Masaka Hospital is 0481-20018. The medical superintendent is Dr. Tom Rukundo. (http://www.medicstravel.co.uk/countryhospitals/africa/uganda.htm).

The distance from the project site to the Masaka Hospital is 46 km (28.6 miles).

Project Site in Bugonzi

Directions: From the project site in Bugonzi, travel south to the Mbarara – Masaka main road. Take a left on the Mbarara – Masaka Road to go east toward Masaka. Cross the river, and take a sharp left onto Kumbu Road. Continue until the first roundabout, and then take the first exit onto Alex Sseboa road (going north). Take an immediate left to enter into the Masaka Hospital.

2) Kitovu Hospital (in Masaka, Uganda)

Kitovu Hospital would be a secondary choice to the Masaka Regional Hospital. The distance from the project site to the Kitovu Hospital is 48.9 km (30.4 miles).

The Kitovu Hospital, also known as St. Joseph’s Hospital, is located 3 miles east outside of Masaka. It is a two hundred bed private not for profit hospital, operating under the umbrella organization Uganda Catholic Medical Bureau (http://www.kitovu-hospital.org/). Kitovu Hospital notes that its surgical ward was modernized in 2008.

General contact phone number is (+256)48121226.

Project Site in Bugonzi

Directions: From the project site in Bugonzi, travel south to the Mbarara – Masaka main road. Take a left on the Mbarara – Masaka Road to go east toward Masaka. Cross the river and continue onto the BroadWay Road / Masaka – Kampala Road. Take a right immediately before the Kituvo Cathedral Road (at Lubuuke’s Garage/polling station). Take a slight right, then the first left. Take a right at the first encountered T-intersection, at which the Kituvo Hospital should be visible.

3) The Surgery (in Kampala, Uganda)

“The Surgery” is a local hospital in Kampala that houses antivenoms for snake bites and spider bites. The Surgery has 24-hour walk-in appointments and 24-hour urgent and emergency care for illness and injury.

General contact phone number is 0414 256003 Emergency/ambulance phone number (24-hours) is 0752 756003

Directions: Travel to the Masaka – Kampala Road, Uganda, and drive northeast on this road. In Kampala, at the first roundabout, take the second exit. Take a left onto A 109, then a left onto Wakaliga Road. Continue onto Albert Cook Road. Turn left onto Namirembe Road. Turn right onto Makerere Hill Road. At Wandegeya Roundabout, continue onto Haji Musa Kasule Road. At the next roundabout, take the third exit onto Yusuf Lule Road. Continue straight through the next roundabout, then turn left onto John Babiha (Acacia) Avenue. Take the first right onto Lower Kololo Terrace Road. The destination will be Plot 2 Acacia Avenue, Kololo, Kampala.

4) Mhirizi Clinic

The Mhirizi Clinic is locally trusted medical station that can be accessed for non-trauma, non- serious injury situations. The clinic was attended during a previous implementation for treatment of malaria.

Directions: Written directions to the Mhirizi Clinic were not acquired on the previous trips. Directions will be acquired on this trip, as well as GPS coordinates should the travel team attend the clinic.

SIGNATURE PAGE Engineers Without Borders - USA Site-Specific Health and Safety Plan

Project Information

Name: Bugonzi Primary School RWHS

Location: Mulobere, Uganda

Chapter: University of Minnesota – Twin Cities

Travel Dates

Start Date: May xx, 2012 End Date: June xx, 2012

Project Team H&S Representative Signatures The undersigned confirm that all the information contained in this document is current and correct as of January 14th, 2012 and that all travel team members will be briefed on the contents prior to travel.

Health & Safety Officer #1: TBD Date:

Health & Safety Officer #2: TBD Date:

Project Lead: Katheryn Hope-W Date: 1/14/12

U.S. Check-In Contact: Emily Hoskins Date: 1/14/12

Professional Mentor: Jane Davidson Date: 1/14/12

TABLE OF CONTENTS EMERGENCY CONTACT PAGE/PROTOCALS (FORM 606) ...... 0 DIRECTIONS & MAP TO MEDICAL FACILITY ...... i PERSONAL HEALTH CHECKLISTS (Form 603) ...... Error! Bookmark not defined. SIGNATURE PAGE ...... 0 TABLE OF CONTENTS ...... 1 1.0 INTRODUCTION ...... 5 1.1 Site Background & Description ...... 5 1.2 History Of Prior Activities At The Site ...... 0 1.3 Contractors And Other Parties ...... 0 2.0 ORGANIZATION AND COORDINATION ...... 7 2.1 Key Project Personnel ...... 0 Table 2.1 – Key Project Personnel ...... 7 2.2 Health and Safety Personnel ...... 7 Table 2.2 – Health And Safety Personnel ...... 7 2.3 Team Member Responsibilities...... 8 Table 2.3 – Team Member Responsibilities ...... 8 3.0 TASK DESCRIPTIONS...... 9 3.1 Specific Scope of Work ...... 0 3.2 Point-to Point Travel Details...... 10 Table 3.2: Point To Point Travel Details ...... 10 3.3 Project Schedule ...... 0 Table 3.3 – Schedule ...... 11 4.0 TASK SAFETY AND HEALTH RISK ANALYSES ...... 12 4.1Preliminary Evaluation ...... 0 Table 4.1 – Task Health & Safety Risk Analysis...... 12 4.2 Security ...... 13 4.3 Chemical Hazards...... 14 4.4 Biological Hazards ...... 14 4.5 Physical Hazards ...... 0 5.0 COMMUNICATIONS ...... 16 5.1 On Site Communications ...... 0 5.1.1 Cell Phones ...... 16

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5.1.2 Radios ...... 16 5.1.3 Hand Signals...... 17 5.1.4 Emergency Signals ...... 17 5.1.5 Translator Names ...... 17 5.2 Offsite Communications ...... 0 5.2.1 Cell Phones ...... 17 5.2.2 International SOS ...... 17 5.2.3 Email ...... 17 5.2.4 Local Medical Clinic / Nearest Medical Professional ...... 18 5.2.5 Fire Response ...... 18 5.2.6 Police Response ...... 18 5.3 US . Check-In Contact ...... 18 6.0 PROTOCOLS ...... 18 6.1 Task By Task Health & Safety Protocols ...... 0 01 Noise And Hearing Conservation ...... 18 02 Inclement Weather ...... 18 03 Heat Stress ...... 18 04 Cold Stress ...... 19 05 Footcare...... 19 06 Confined Space...... 19 07 Hot Work...... 19 08 Manual Lifting ...... 19 09 Rough Terrain ...... 19 10 Housekeeping ...... 19 11 Structural Hazards ...... 19 12 Remote Areas ...... 20 13 Working Over/Near Water ...... 20 14 Traffic ...... 20 15 Heavy Equipment Operations ...... 20 16 Fall Protection ...... 20 17 Ladders ...... 20 18 Shoring and Trenching...... 20 19 Hazardous Materials Use and Storage ...... 20 20 Demolition ...... 20

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21 Active and Abandoned Utilities and Landmines ...... 20 22 Electrical Safety ...... 21 23 Hand and Power Tools ...... 21 24 Hand and Emergency Signals ...... 21 25 Lock Out Tag Out ...... 21 26 Biological Hazards ...... 21 27 Hazardous Materials ...... 21 28 Clearing, Grubbing, and Logging ...... 21 29 Falling Objects, Punctures, Abrasions, Dust, and Noise ...... 21 30 Silica ...... 22 6.2 Emergency Response Plans ...... 0 Designated Meeting Point ...... 0 Land Ambulance Service ...... 22 Air Ambulance Service ...... 22 7.0 TRAINING ...... 22 7.1 Pre Mobilization Training ...... 0 7.2 On Site Training ...... 23 8.0 PERSONAL PROTECTIVE EQUIPMENT (PPE) ...... 24 8.1 Rationale For Use ...... 24 8.2 Criteria For Selection...... 24 8.3 Listing By Task ...... 24 9.0 SITE CONTROL MEASURES ...... 25 9.1 Exclusion Zones ...... 0 Atmospheric ...... 0 Physical Zones ...... 25 9.2 Site Hygiene ...... 0 10.0 MEDICAL CONSIDERATIONS ...... 26 10.1 Medications and Vaccinations ...... 0 10.2 Location of and person responsible for First Aid Kit(s) ...... 0 10.3 Exposure/Injury/Medical Support (on site and off)...... 26 10.4 Medical Treatment Facilities (Location & Transportation) ...... 0 10.5 Incident Reporting ...... 26 11.0 POST MOBILIZATION REPORTING ...... 27 11.1 System To Capture And Report Project Related Injury And Illness ...... 0

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11.2 Participant Signatures ...... 27 ATTACHMENT A: AREA MAP ...... 1 Table A-1: Area Site Coordinates ...... 0 Picture A-1: Area Map ...... 1 ATTACHMENT B: PROJECT SITE MAP ...... 0 Table B-1: Site Coordinates ...... 1 Picture B-1: Project Site Coordinates ...... 1 ATTACHMENT C: TASK HAZARD ANALYSES ...... 0 Table C-1 – Site Specific Task Hazard Analysis ...... 1 ATTACHMENT D: PERSONAL PROTECTIVE EQUIPMENT ANALYSES ...... 0 Table D-1 – Site Assessment & Investigation PPE Analysis ...... 1 ATTACHMENT E: MATERIAL SAFETY DATA SHEETS (MSDS)...... 1 Anticipated Chemicals ...... 0 Calcium Hypochlorite General Information ...... Error! Bookmark not defined. ATTACHMENT F: POTENTIAL VENOMOUS SNAKES & SPIDERS ...... 2 ATTACHMENT G: TRAINING COPY CERTIFICATES ...... 1 ATTACHMENT H: REQUIRED MEDICAL CONTENTS ...... 1 ATTACHMENT I: TASK HAZARD MANAGEMENT STRATEGIES ...... 1 Task Hazards List ...... 1 ATTACHMENT J: INCIDENT REPORT FORM & ROOT CAUSE ANALYSIS ...... 1 ATTACHMENT K: EMERGENCY RESPONSE PLAN (FORM 614) ...... 1

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1.0 INTRODUCTION

1.1 Site Background & Description Hope Integrated Academy and the Community of Bugonzi are located 32 kilometers west of Masaka, Uganda, a major city in south western Uganda. The site is a rural setting but along the major highway between Masaka and Mbarara. The site has intermittent electricity and no civil water or sewer connection. Though the site is well connected to a major transportation artery of the country, facilities remain rudimentary. The area has numerous villages/communities of between 100-700 people, living primarily as sustenance farmers. The terrain is rolling hillside with moderate to low vegetation. It is notoriously a dry region of Uganda with a complicated hydrogeology as described by WE Consultants, a sub-contractor to our Phase II. Access to villages is primarily through motorcycle or foot traffic.

EWB-USA UMN’s previous and continuing collaboration with the Hope Integrated Academy (HIA) and surrounding communities is supported by the Uganda Rural Fund (URF), a registered 501 © (3) non-profit in Mulobere, Uganda. URF is an all-volunteer organization whose mission is to develop productive and sustainable communities by empowering children who are orphaned or marginalized. HIA currently serves students from the nearby community but would like to expand its facilities to support orphaned and marginalized children. The school will eventually serve as a secondary school, vocational school, computer center, and health clinic for over 500 children and community members. Within the next five years, HIA Hopes to also provide overnight residence for 300 of the students, mainly AIDS orphans, and for school staff. When the school was first constructed, the only water sources near the school were turbid, contained pathogenic bacteria, and fluctuated with the seasons. URF contacted EWB-USA UMN in February 2007 to address the issue of water supply. EWB-USA UMN has since implemented a rainwater harvesting (Phase I) and groundwater supply (Phase II) systems at the school.

Following successful completion of Phases I and II, EWB-USA UMN expanded its partnership with URF by reaching out to the communities surrounding the HIA. Currently, URF works closely with 12 communities in close proximity to HIA by facilitating women’s group meetings, providing vocational training, and managing after school programs. As part of Phase III, EWB-USA UMN and URF chose to work with two of these communities, Gankanga and Kyawagonya, to address indoor air pollution and agricultural production. A successful Phase III implementation of improved cookstoves and household scale drip irrigation kits in Summer 2010 established a working relationship between EWB-USA UMN and the two pilot villages, paving a path for future collaboration between EWB-USA UMN, URF, and the other communities surrounding HIA.

1.2 History of Prior Activities At The Site Over the last 3.5 years EWB-USA UMN has worked with URF to develop the necessary infrastructure to accommodate an expansion of HIA to 500 students. EWB-USA UMN has sent approximately 40 students and associated professional mentors to Mulobere on 3 assessment and 3 implementation trips.

Phase I Implementation: Rainwater harvesting for HIA In August 2007, two EWB-USA UMN students, along with a professional mentor, traveled to the newly constructed Hope Integrated Academy to perform an initial project assessment. The following June, six students and two professional mentors returned to Uganda to construct water and sanitation systems with the school. The group implemented rainwater harvesting with collection, storage, and distribution systems. In addition, a dry composting eco-sanitation system with hand washing facilities was installed.

Phase II Implementation: Groundwater for HIA In June 2009, a group of EWB-USA UMN students and a professional mentor returned to Mulobere to implement the second phase of the project. The second phase included a borehole with a submersible, solar-powered pump and a modification of the existing sanitation system. Group members, including two public health students, performed community outreach in the following areas: community health assessments, community health education, point of use water treatment, and a malaria prevention

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initiative. The groundwater and rainwater harvesting systems will generate enough water to accommodate the future expansion of the school, and the sanitation modifications will enable students to better utilize the dry compositing sanitation facilities. In communities surrounding the school, insecticide treated mosquito nets were distributed. Community health assessments were conducted to obtain a better understanding of water sources, water treatment methods, hygiene and sanitation practices, and incidences of diarrhea.

Phase III Implementation: Air Quality and Community Development In January 2010, a team of three students and a professional mentor assessed the water and health needs of the communities surrounding the HIA, focusing on issues such as water quality and quantity, indoor air quality, and economic development. The following June, a team from EWB-USA UMN returned to implement 60 improved wood-burning cook stoves (Ugastove) and 30 household scale drip irrigation kits in the villages of Gankanga and Kyawagonya. These low-risk, high impact projects helped play a role in introducing EWB-USA UMN to the surrounding communities, facilitating future collaboration on projects such as the proposed Phase IV implementation in Bugonzi.

1.3 Contractors And Other Parties The only other party involved in this phase of the project will be our partner organization, URF. Facilitated by URF, our work in the community will be through the already functioning women’s groups and the administration of the Bugonzi Primary School. We will be working with Multiple Industries, Inc., to purchase rainwater harvesting system supplies, but they will act solely as suppliers.

John Mary Lugemwa – Uganda Rural Fund President Email: [email protected] Phone: 320-363-3949

Martin Mugerwa – Uganda Rural Fund (translator) Email: [email protected] Phone: (+256) 779-846875 or (+256) 703-435717

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2.0 ORGANIZATION AND COORDINATION

2.1 Key Project Personnel The key project personnel are identified in Table 2.1. Table 2.1 – Key Project Personnel

TEAM POSITION EMAIL PHONE CHAPTER MEMBER

Katheryn Project Lead [email protected] 715-252-0552 EWB-UMN Hope W.

Valerie Chapter President [email protected] 507-261-6142 EWB-UMN Troutman

Julian Faculty Advisor [email protected] 612-625-2397 EWB-UMN Marshall

Timothy Faculty Advisor [email protected] 612-625-2397 EWB-UMN LaPara Professional Walter Mentor/Technical [email protected] NA EWB-UMN Eshenaur Lead Professional Jane Davidson [email protected] 715-252-0552 EWB-UMN Mentor

URF Project Martin (+256) 779-846875 Uganda Rural [email protected] Manager Mugerwa (+256) 703-435717 Fund

John Mary Uganda Rural NGO/Community [email protected] 320-363-3949 Lugemwa Fund

2.2 Health and Safety Personnel The health and safety personnel are identified in Table 2.2. Table 2.2 – Health And Safety Personnel

TEAM POSITION EMAIL PHONE CHAPTER MEMBER

Health & Safety TBD TBD TBD TBD Lead

Health & Safety TBD TBD TBD TBD Officer #2

U.S. Check-In Emily Hoskins [email protected] 612-965-3234 EWB-UMN Contact

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2.3 Team Member Responsibilities The team member responsibilities are identified in Table 2.3 “Team Member Responsibilities”. Table 2.3 – Team Member Responsibilities TEAM MEMBER ROLE TBD TBD

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3.0 TASK DESCRIPTIONS

3.1 Specific Scope of Work The implementation trip will involve the following specific work tasks: 1. Travel to and from the Project Site: Travel members will be traveling via a van provided by the HIA from the location of residence at HIA to the project site at the Bugonzi Primary School. 2. Purchase Materials: EWB-UMN will purchase the materials necessary for the water collection tanks and the components of the rainwater harvesting system from Kampala and/or Masaka. Some of these purchases may be conducted prior to the trip, with the materials delivered to the site by the vendor. 3. Attach Fascia to School: Purchased fascia must be installed onto the buildings of the school before attachment of gutters and first flush systems. The buildings are no more than ten feet tall to the roof edges. EWB-UMN will construct ladders to safely attach fascia to the roofs. 4. Attach Gutters to School: EWB-UMN will mark the gutter slopes on the attached fascia at the pre-determined slope. At these marks, team members will install gutter fasteners. Gutters will be measured and cut to length, and installed on the buildings. 5. Test Gutters: Team members will ensure that the gutter slopes are appropriate, and that water pooling is nonexistent and gutter overflow is minimized. 6. Construct and Install First Flushes: The EWB-UMN team will construct the first flush downspouts and the PVC piping from the gutters to the tanks. Team members will mount PVC support clips along the walls of the school and install the first flush systems. This will involve cutting PVC pipes to appropriate lengths. 7. Mix Concrete: Team members will fetch water, haul sand, gravel, and cement, and mix large quantities of concrete. 8. Frame Concrete Slabs and Lay Rebar: Team members will haul wood, cut wood to appropriate lengths, and frame the base slabs (and potentially roof, depending on final design) of the water collection tanks. Rebar shall be laid prior to pouring of concrete. 9. Place Concrete Slabs: EWB-UMN will pour concrete to form the concrete slabs of the water collection tanks. 10. Contract out Pipe Support: EWB-UMN will contract out the construction of the metal pipe supports to span the gap from the buildings to the water collection tanks. 11. Install Piping to Tanks: Using the metal pipe supports and the PVC support clips along the building walls, EWB-UMN will install the PVC piping from the first flush columns to the water collection tanks. 12. Dig and Install Taps: To most efficiently use the water collected in the tanks, taps will be installed at the bottom of the tanks. EWB-UMN will excavate into the ground at chosen tap locations. Members will install taps on the tank. 13. Education & Maintenance Training: EWB-UMN members will instruct school administrators on appropriate maintenance procedures for the rainwater harvesting system. We will also hold verbal and visual seminars for both children and adults on proper hygiene

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and safe water consumption. An operational manual will be generated prior to travel and multiple copies will be given to the school. 14. Monitor Past Systems: EWB-UMN will visit the previously implemented RWHS and groundwater systems at the Hope Integrated Academy, as well as some stove and micro- irrigation systems in neighboring communities.

3.2 Point-to Point Travel Details The implementation trip will involve the following travel: Table 3.2: Point To Point Travel Details

TRAVEL DATES TRAVEL DESCRIPTION Arrive in Entebbe Airport May 2012 - 0.045444 N - 32.444086 W Travel to Kampala via rented van or taxis. Stay overnight in HOTEL in Kampala - N May 2012 - W - ADDRESS - TELEPHONE Depart Kampala, Uganda and travel via rented van to the Hope May 2012 Integrated Academy. Arrive at Hope Integrated Academy - Along the Mbarara-Masaka Road May 2012 - Tel: 256-772-952136 - -0.396511 N - 31.416751 W Stay at the Hope Integrated Academy with everyday trips to the project site at the Bugonzi Primary School via van/car provided by the Hope Integrated Academy. May to June, 2012 - -0.368060 N - 31.389867 W - Cell phone numbers will be provided Stay at the Hope Integrated Academy with regular trips to Masaka hardware and material stores via van/car provided by Hope Integrated Academy. - -0.330345 N (location of roundabout outside of Masaka May to June, 2012 Hospital) - 31.737882 W (location of roundabout outside of Masaka Hospital) - Cell phone numbers will be provided Depart the Hope Integrated Academy and travel via rented van to June 2012 Kampala/Entebbe, Uganda.

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TRAVEL DATES TRAVEL DESCRIPTION Depart in Entebbe Airport June 2012 - 0.045444 N - 32.444086 W

3.3 Project Schedule The activities scheduled for this trip are indicated in Table 3.3 titled “Schedule”. Table 3.3 – Schedule 1 Arrive in Uganda 2 Buy Supplies in Kampala Travel to Site 3 Community Meeting, Safety Talks, Walk thru of Site 4 Organize/Coordinate Sand/Gravel Delivery, Begin Framing for Base Slabs 5 Finish Framing for Base Slabs, begin laying bedding and rebar 6 Lay Bedding and Rebar, Fetch large quantity of water 7 - REST - 8 Place Concrete for Base Slabs 9 Place Concrete for Base Slabs 10 Place Concrete for Base Slabs,Organize/Coordinate Sand/Gravel Delivery 11 Place Concrete for Base Slabs 12 Hired Masons Construct Tank Walls, Attach Fascia to School, Visit 4 Stoves 13 Hired Masons Construct Tank Walls, Attach Fascia to School, Visit 4 Stoves 14 - REST - 15 Organize/Coordinate Sand/Gravel Delivery, Hired Masons Construct Tank Walls, Attach Fascia 16 Hired Masons Construct Tank Walls, Attach Fascia, Visit 2 Micro-irrigation Systems 17 Hired Masons Construct Tank Walls, Attach Fascia, Hold Community Meeting 18 Hired Masons Construct Tank Walls, Attach Fascia, Visit previous RWH and GW systems Organize/Coordinate Sand/Gravel Delivery, Hired Masons Construct Tank Walls, Mark Gutter 19 Slope of Fascia 20 Hired Masons Construct Tank Walls, Install Gutter Fasteners, Visit Homes of HH RWH Pilot Sites 21 - REST - 22 Hired Masons Construct Tank Walls, Cut Gutters to Length and Begin Installation 23 Hired Masons Construct Tank Walls, Install Gutters 24 Hired Masons Construct Tank Walls, Install Gutters, Host Training Session for Pilot Households Organize/Coordinate Sand/Gravel Delivery, Hired Masons Construct Tank Walls, Construct First 25 Flushes 26 Begin Framing for Roof Slabs, Frame interior Tank Columns, Attach first flushes 27 Begin Framing for Roof Slabs, Frame interior Tank Columns, Test Gutters 28 - REST - 29 Place Concrete for Columns, Seal Tanks 30 Tie Rebar in Roof

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31 Place Concrete for Roof, Dig Tap Location on Side of Tank, Have welder construct pipe support 32 Place Concrete for Roof, Dig Tap Location on Side of Tank, Have welder construct pipe support 33 Place Concrete for Roof, Dig Tap Location on Side of Tank 34 Place Concrete for Roof, Dig Tap Location on Side of Tank, Attach Gutters to Tanks 35 Install Taps 36 Community Commisioning 37 Leave Uganda

4.0 TASK SAFETY AND HEALTH RISK ANALYSES

4.1Preliminary Evaluation The anticipated tasks and associated hazards are listed in the attached Task Hazard Analyses, Attachment K. A brief summary of tasks and associated general hazards are further defined in the following table. This analysis forms the basis for health and safety planning and preparations. It is also the primary basis for execution of the plan in the field, but recognizes that additional or reduced risks may be encountered in the field that will require modification to the plan by the HSO. Table 4.1 – Task Health & Safety Risk Analysis TASK CHEMICAL BIOLOGICAL PHYSICAL TASK ID HAZARDS HAZARDS HAZARDS 01 Travel to/from site X X 02 Eating/drinking on site X 03 Tour of site X X 04 Purchase Materials X X 05 Framing of Base Slabs X X 06 Lay Bedding and Rebar X X 07 Concrete Mixing X X X 08 Placing Concrete X X 09 Attach Fascia X X 10 Gutter Installation X X 11 First Flush Installation X X X 12 Piping Installation X X X 13 Tap Excavation and Installation X X

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TASK CHEMICAL BIOLOGICAL PHYSICAL TASK ID HAZARDS HAZARDS HAZARDS 14 O&M Training of Locals X Visiting Previous 15 X X Implementation Sites

4.2 Security As of January 6th, 2012, the ISOS Rating for Uganda is MEDIUM. The ISOS summary of risk is as follows: “Petty crime poses the main risk to travellers in the capital Kampala. The government's ability to maintain security in remote areas away from Kampala remains limited, particularly in the north- eastern Karamoja region, where cattle-rustling raids are prevalent and the state's authority is limited. Despite the fact that a peace process is under way and the Lord's Resistance Army (LRA) leadership has withdrawn into central Africa, the group still presents a potential security risk along border areas with Congo (DRC) and South Sudan. Border areas with Congo (DRC), including Arua, Nebbi, Bundibugyo, Kasese, Kanungu and Kisoro districts, are prone to occasional instability. The twin bombings in Kampala in July 2010 by Somali-based insurgent group al-Shabaab highlight the persistent risk posed by occasional high-impact attacks by militant Islamist groups, including against ‘soft' targets such as recreational facilities (particularly those associated with foreign personnel).” The phone number for the ISOS in Europe/Africa is 44 20 8762 8008. As of July January 6th, 2012, the U.S. State Department has no Travel Warnings for Uganda. This trip will be registered with the U.S. Embassy. The phone number for the U.S. Embassy in Kampala is (+256) 414-259-791. Up-to-date security information can be found by calling 1-888- 407-3737 in the U.S./Canada. This line is open from 8am-8pm Eastern Time M-F. The U.S. State Department security entry on Uganda reads (in part) as follows. “Potential for terrorist activity from extremist organizations such as al-Shabaab remains high and U.S. citizens are encouraged to avoid high-density public gatherings. U.S. citizens traveling in southwestern Uganda should be aware of the historical conflict in the districts of North and South Kivu in the Democratic Republic of the Congo (DRC), and the close proximity of fighting to the Ugandan border. U.S. citizens should review the travel warning for the DRC for the most up-to-date information regarding the conflict in the DRC (see below). Political or economic issues in the country may give rise to demonstrations, sit-ins or protests at any time or place, but these activities occur most frequently in the capital or on its main access roads. U.S. citizens are cautioned to avoid areas where demonstrations are being held and to follow local news media reports or call the U.S. Embassy for up-to-date information. A Travel Warning is in place for the DRC as of July 19th, 2011. The Department of State warns U.S. citizens of the risks of traveling to the DRC and recommends against non-essential travel to eastern and northeastern DRC. The most recent attack by militia groups in Uganda occurred in August 8th, 2007, when armed assailants raided Butogota, a town in the Kanungu District in southwestern Uganda. This most recent attack was nearly 150 miles away from our project location in Bugonzi, Uganda.”

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4.3 Chemical Hazards The only chemical hazard anticipated for this implementation trip is contact with concrete and cement dust. Persons handling cement will wear respiratory protection and persons coming in contact with concrete will wear long sleeves, long pants, and gloves as appropriate. Relevant management strategies include:  TH 29 Falling Objects, Punctures, Abrasions, Dust, and Noise (Personal Protective Equipment)

4.4 Biological Hazards Waterborne and food-borne diseases are a concern; as a result the EWB team will utilize food and water transported to the site from established safe sources. Adequate sanitation is available on site at the school and at our nightly residence. Recommended vaccinations include tetanus, polio, yellow fever, typhoid, and hepatitis A and B. All recommended vaccinations are required for the EWB travel team. Antimalarials will also be required, and from previous trips, we have determined appropriate and effective prescriptions to be picked up from a travel clinic. In addition, working in Sub-Saharan Africa will increase the risk of exposure to parasitic organisms. Such exposure is also possible through improperly prepared food and drinking unclean water. Team members will avoid prolonged exposure environments such as ponds and overgrown vegetation, and eat only safely prepared food and drink bottled water. No direct contact with water will be allowed; rubber boots will be required for those working in water. A post trip health assessment is recommended for all travelers 2-4 months after return from the trip. All general information regarding possible adverse health effects from the trip will be submitted to EWB-USA by the Health and Safety leads to aid in future trip preparations. Uganda has several common species of venomous snakes. The most commonly known are the Bloomslang, Bush Viper, Common or Egyptian Cobra, Gaboon Viper, Puff Adder, and Black and Green Mamba. Arachnids and insects of concern are scorpions and centipedes, respectively. Summaries and photos of these snakes, arachnids, and insects have been included in Appendix F. The Surgery in Kampala has several of the common antivenoms for snakes. Uganda is also a region of high malaria prevalence. Bed nets will be used in the quarters for all traveling members. Team members will be encouraged to use Deet and Permethryn will be required to use a prophylaxis. Poisonous spiders are not of concern for this trip. Relevant management strategies include:  TH 10 Housekeeping  TH 13 Working Over/Near Water  TH 26 Biological Hazards

4.5 Physical Hazards Physical hazards exist in every significant phase of the project, from traveling on foot and in vehicles to and from the project site, to all tasks listed in Section 3.1. The following physical hazards have been identified at the project site: - Heat stress is possible at all times, particularly at times of heavy manual labor. University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere Page 14 of 27

- Foot care is also important at all phases of the site investigation process due to buildup of moisture in shoes and the uncertain terrain of dirt and grass ground around the school. - Manual lifting will occur when moving ladders, hauling sand, rock, cement, water, PVC, and other materials. - Rough terrain is present at the project site in the form of brush and grasses but no rocky ground or cliffs are present nearby. - Housekeeping is important at all times both at the project site and at the location of residence to limit clutter. - Structural hazards while on the roof of the existing structures and care will need to be taken to ensure the roof will support the person walking on it. - Remote area work will be performed and proper precautions must be followed such as not traveling alone. - Traffic may be an issue traveling to and from the project site. The project site itself is on a minor, rural roadway, and presents minimal danger for person-vehicle collisions. - Fall protection and ladder safety is important at all times during the installation of fascia, gutters, and first flush systems. - Hand tool (hammers, shovels and hand saws) and power tool safety (drills) is relevant at all times during the installation of the rainwater harvesting system and associated water collection tanks. - Breathing dust while mixing concrete for the base of the water collection tanks. Proper PPE will be used during concrete mixing. Relevant management strategies include:  TH 02 Inclement Weather  TH 03 Heat stress  TH 05 Foot care  TH 08 Manual Lifting and Handling Of Heavy Objects  TH 09 Rough Terrain  TH 10 House keeping  TH 14 Traffic  TH 17 Ladders  TH 23 Hand and Power Hand Tools  TH 26 Biological Hazards  TH 29 Falling Objects, Punctures, Abrasions, Dust, and Noise  TH 30 Silica

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5.0 COMMUNICATIONS

5.1 On Site Communications The project team will have the following on site means and methods of communication while on site and traveling thru the country: 5.1.1 Cell Phones The team has two (2) cellular phones previously purchased and used in Uganda. It has been determined through previous trips and communications with the Uganda Rural Fund that cell phone coverage does exist at and near the project site. Possession of the cell phones will be known by all members of the project team at all times. The following numbers will be programmed into all cell phones when they are purchased. Note that the (+256) is the country code for Uganda. - Team Cell Phone Numbers - URF Project Manager (Martin Mugerwa) o (+256) 779-846875 or (+256) 703-435717 (Uganda) - Uganda Rural Fund (URF) President John Mary Lugemwa o 320-363-3949 (US) - Hope Integrated Academy o (+256) 772-952136 (Uganda) - The Surgery o General: (+256) 0414-256003 o Emergency/Ambulance: (+256) 0752-756003 - Masaka Hospital Emergency o (+256) 0481-20018 - Kitovu Hospital Emergency o (+256)-481-21226 - U.S. Check In Contact o Emily Hoskins (612-965-3234) - International SOS for Europe/Africa o 44-208-762-8008 - U.S. Embassy in Kampala o (+256) 414-259-791 - EWB Chapter Advisors o Timothy LaPara . Cell: 651-387-2860 . Work: 612-624-6028 o Julian Marshall . 612-625-2397 The following directions are special dialing and operating instructions for the cell phones: - None To dial to the US, first dial 0001 + the number. 5.1.2 Radios The project team also will use a set of 2-way radios for distance communication among the group. The radio frequency will be selected while the radios are in use.

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5.1.3 Hand Signals Hand signals will be used as a last resort and Task Hazard management strategy TH 26 “Hand and Emergency Signals” will be followed when hand signals are used. The team will follow the task hazard management strategy outlined in TH 24 ‘Hand and Emergency Signals’ when hand signal use is required. 5.1.4 Emergency Signals The likelihood of needing emergency signals is slim but may be necessary in the event of a storm, natural disaster, or security situation. The team will follow the task hazard management strategy outlined in TH 24 ‘Hand and Emergency Signals’ when emergency signal use is required. The team will use the following radio signal to indicate an emergency: one (1) long sound, then one (1) short sound, followed by one (1) long sound. After such is sent, the team will use one (1) short sound to indicate to come to the location the team is in trouble or one (1) long sound to indicate the team needs to meet at the home base outlined in section 6.0. 5.1.5 Translator Names For this trip, our team will not need to hire translators because our travel team will have two (2) local contacts, Martin Mugerwa and Adrian Lugemwa, who are fluent in Lugandan and English.

5.2 Offsite Communications The project team will have the following off site means and methods of communication while on site and traveling thru the country: 5.2.1 Cell Phones The team will purchase a minimum of (2) cellular phone upon arrival in Uganda. It has been determined through previous trips and communication with our NGO that cell phone coverage does exist at and near the project site. See section 5.1.1 for the numbers that will be programmed into all cell phones. 5.2.2 International SOS EWB-USA has contracted with International SOS, to provide 24-hour access to the latest health, safety and travel advice worldwide. Their informational website provides information about vaccinations, country safety, appropriate hospitals and the political stability within the country to which they are traveling. We strongly recommend that all EWB-USA members visit the ISOS website and research the country to which you will be traveling to. You may access the service provided by ISOS through their website www.internationalsos.com or by calling 215.942.8226. Please note that you will need EWB-USA’s membership number: 11BCPA000270. Additionally, ISOS provides support to EWB-USA members who face an emergency while traveling on an approved EWB-USA trip. If you are currently traveling abroad and need emergency assistance, contact ISOS immediately at 215.942.8226. You will need to provide them with the EWB-USA membership number 11BCPA000270. 5.2.3 Email EWB-UMN members will have access to email at the Hope Integrated Academy, with the purchase of a USB device hot spot device operated by orange or MTN mobile. Those hot spot carriers have been the most reliable in the past.

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5.2.4 Local Medical Clinic / Nearest Medical Professional The Masaka Hospital is located 32 kilometers east of HIA. Transportation will be provided by HIA personnel if professional medical treatment is required. HIA has a small van for transport and access to a larger taxi bus if necessary. 5.2.5 Fire Response There is no fire response for the project site. 5.2.6 Police Response There is no police response for the project site.

5.3 U.S. Check-In Contact The US Check-In Contact is Emily Hoskins. She is a multiple time traveler to Uganda on EWB trips and thus has the relevant experience to best understand situations the travel team may encounter. Emily Hoskins will be contacted promptly in case of a medical, security, or other emergency.

6.0 PROTOCOLS

6.1 Task By Task Health & Safety Protocols The following health and safety considerations / practices (i.e., protocols) will be used during the site assessment trip. The team will focus on accident prevention throughout the entire trip and Attachment I contains the detailed task hazard management strategies that will be employed to prevent injuries on each of these project-specific protocols.

01 Noise And Hearing Conservation The team does not expect to encounter excessive noise and hearing conservation issues during the trip because we will not be working around heavy equipment or using loud power tools.

02 Inclement Weather Inclement weather exists in the form of hot humid weather and the potential for torrential rainfall. Plenty of hydration and light colored loose clothing are recommended for participants. May is one of the rainiest months of the year, but the risk of heavy rainfall is moderate as the team will be traveling at the end of May and early June. However, light rain storms may occur. Shelter is available on the project site in the school buildings.

03 Heat Stress Temperatures average in the high 80s in southwestern Uganda during the months of May and June. All team members will be encouraged to rehydrate often, using the safe, reliable source of bottled drinking water provided by the Uganda Rural. Team members will be instructed on the prevention of and early signs of heat stress, such as pale, clammy skin, lack of sweating, or dizziness. The school buildings provide ample shade for workers to take breaks from the heat and sun rays. Lightweight, light-colored, loose-fitting clothing will be recommended for all travel members. Sunburn affects a body's ability to cool itself and can effect moderate to severe dehydration. Wide-brimmed hats, sunglasses, and sunscreen of SPF 15 or higher (the most effective products

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say "broad spectrum" or "UVA/UVB protection" on their labels) 30 minutes prior to going out are all recommended to combat heat stress and exposure to ultraviolet radiation. To prevent heat stress, more labor intensive work will be scheduled for the cooler times of the day, team members will drink enough water to never be thirsty, and regular rest/water breaks will be scheduled for the team.

04 Cold Stress Given the time and location of travel, the team does not expect to encounter a cold stress situation.

05 Footcare Team members will be required to wear closed-toed shoes at all times of the trip when engaged in physical project work. However, in the humid, hot conditions of the work site, feet may become wet or hot inside shoes, and serious foot conditions may arise. Microorganisms thrive in moist environments, so the feet may experience the growth of organisms that cause infections such as athlete’s foot and toenail fungus. Socks built for comfort and breathability will be encouraged for all members, and team members will be instructed to be regularly check on the condition of their feet and shoes.

06 Confined Space A confined space issue will exist while working in the water collection tanks, as it will have limited access. Entrants and attendants will follow all relevant safety procedures.

07 Hot Work The team will be using small power hand tools such as electric drills, and will be made aware of the risks of use of such tools.

08 Manual Lifting Team members will encounter heavy lifting situations with bags of sand, rocks, cement, and buckets of water. Training in proper lifting will be provided ahead of time, and sturdy gloves for protection will be available for a variety of tasks. The team will endeavor to notice and improve one another’s improper handling techniques.

09 Rough Terrain Most of the implementation trip will occur on terrain of hard-packed dirt and grass (or pavement in the cities), but all team members will be fit enough to traverse rough terrain and have appropriate footwear to do so should it be encountered.

10 Housekeeping An assortment of tools and materials will be used at the project site, and all team members will be expected to place these items in safe and appropriate locations when not in use. The entire team will participate in end-day cleanups to ensure a safe, organized project site for both our team and school users. Team members will be expected to keep their personal spaces at the location of residence free of clutter.

11 Structural Hazards The team does not anticipate to enter into structurally unsound buildings.

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12 Remote Areas The project team will not need to be far from existing roads during the implementation trip.

13 Working Over/Near Water The travel team will not be working over or near large water sources.

14 Traffic Travel from the Entebbe airport to the project site in Bugonzi will involve travel on high-density and highly trafficked roads. Team members will travel only in vehicles with seatbelts, which URF is able to supply.

15 Heavy Equipment Operations Travel team members will not be using heavy equipment.

16 Fall Protection The team does not anticipate that we will be walking on roofs. We will take all necessary steps to ensure that members have no need to walk on the roofs, as the structural stability is unknown at the present.

17 Ladders The roof edges of the Bugonzi Primary School are around nine feet above the ground. Sturdy ladders will be constructed and used to reach these elevations for fascia and gutter installation. Horseplay around the ladders will not be tolerated, and use of the ladder will be done in pairs (one member on the ladder, one member on the ground).

18 Shoring and Trenching Travel team members do not expect to perform large excavations or trenching, and there will be no underground utilities encountered when digging tap locations for the water collection tanks.

19 Hazardous Materials Use and Storage Travel team members will encounter cement during mixing of concrete for the water collection tank base slabs, and appropriate eyewear and dust masks will be employed during concrete mixing. Cement bags will be stored in safe locations indoors and away from water sources, to ensure dryness. Members will also be using PVC cement during the construction of the first flush and piping systems. Containers will be stored in a cool place out of the direct sunlight when not in use, away from any other oxidizers or corrosives that may be present.

20 Demolition The team does not expect to encounter a demolition type of situation.

21 Active and Abandoned Utilities and Landmines There are no known utility lines in the school grounds. Team members will use safe digging tactics when excavating the tap locations for the water collection tanks. Potential landmines will be avoided by only staying in areas the local community have deemed safe for travel.

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22 Electrical Safety The team will be using power hand tools such as electric drills, and will be aware of the risks of such items. Otherwise, team members will not be encountering larger or more dangerous electrical hazards.

23 Hand and Power Tools The team will use hand and power tools to drills holes and mount brackets. All hand and power tools will be inspected daily for the proper safety devices (i.e., guards, lose blades, damaged cords, etc.) prior the tools use.

Likely hand tools include shovels, wrenches, hand saw, mallet/hammer, file, tin snips, screwdrivers, and pliers. Likely power tools include a drill/hole saw, and hammer drill. All personnel using these will have proper training in the inspection and use of these tools, including the use of gloves, safety glasses and any other PPE that would be appropriate.

24 Hand and Emergency Signals The team does not expect to use hand and emergency signals during the trip. However, all team members will be made aware of the hand and emergency signals through daily health and safety trainings at the project site and other trainings as necessary.

Hand and emergency signals will be required when the ability to vocally communicate is lost. This may be necessary in the event of a storm, natural disaster, or security situation.

25 Lock Out Tag Out Our team does not expect to use lock out tag out procedures during this implementation trip.

26 Biological Hazards Biological hazards include water borne and food borne illnesses and parasitic infections. All food and water will be obtained from previously verified “safe” sources at the location of residence and certain restaurants. Uncooked and “washed” food items such as salads and water with ice in it in restaurants should be avoided. Direct contact will be avoided at all times with any untreated water source, such as ponds and streams. The tap water at the location of residence is safe for bathing and washing but direct ingestion should be avoided as the actual quality is unknown. Bottled water is readily available through the Uganda Rural Fund. Required vaccinations include yellow fever, typhoid, and hepatitis A and B. The health and safety officer and deputy will remind team members to use hand sanitizer before meals and after using the latrine.

27 Hazardous Materials See Tasks Hazard Management Strategy 19.

28 Clearing, Grubbing, and Logging The team does not expect to clear, grub, or log during this implementation trip. The project site is well-cleared of trees and brush.

29 Falling Objects, Punctures, Abrasions, Dust, and Noise Close toed shoes and sturdy pants are required for the implementation. No open shoes, shorts, or sandals are allowed during the implementation trip. University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere Page 21 of 27

Proper PPE will be employed during mixing of concrete, when cutting PVC, glueing PVC, and when using any hand or power hand tools.

30 Silica Exposure to silica will occur when mixing concrete. The team will wear long sleeve shirts and use rubber gloves to keep the silica from direct contact with the skin, safety glasses or goggles to prevent wet silica from getting in the eyes, and a dust mask for the person mixing the concrete / mortar to prevent breathing in silica dust particles. The team will also have clean, soapy water available for use to wash the wet silica from the skin when it gets on the skin.

6.2 Emergency Response Plans Designated Meeting Point The designated meeting point for all team members in the event of an emergency is the Hope Integrated Academy. Land Ambulance Service The Hope Integrated Academy will provide transport if medical treatment is required (the Masaka Hospital is the primary location of medical treatment for serious injuries). The HIA has a small van for transport and access to a larger taxi bus if necessary. The phone number for the HIA is 256-772-952136, and the phone number for the Uganda Rural Fund director John Mary Lugemwa is 320-363-3949. Air Ambulance Service Air ambulance service is available through ISOS. The phone number for the ambulance service is (from Uganda) 44-208-762-8008.

7.0 TRAINING Training will be provided prior to the team departing on the trip and while on site during daily task hazard review meetings.

7.1 Pre Mobilization Training The Health and Safety Lead, Member 1, is Wilderness First Aid (WFA) or Wilderness First Responder (WFR) certified through NOLS, which comes complete with CPR training. The Project Lead, Katheryn Hope-Wilkinson, is Wilderness First Aid (WFA) certified, and has completed CPR training. Relevant certifications will be listed in Attachment G when the travel team is determined. In addition, Jane Davidson is both basic first AID and CPR certified. A general training and review on the following protocols will be provided prior to the team’s departure:  TH 02 Inclement Weather  TH 03 Heat stress  TH 05 Foot care  TH 08 Manual lifting  TH 09 Rough Terrain  TH 10 House keeping  TH 14 Traffic

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 TH 26 Biological Hazards  TH 29 Falling Objects, Punctures, Abrasions, Dust, and Noise  TH 30 Silica

7.2 On Site Training The Health and Safety Officers will hold daily safety meetings at the project site prior to the commencement of activities. All relevant hazards potentially encountered over the course of the day will be identified and management strategies will be discussed. Notes of the daily safety meetings will be kept by the HSOs, listing who is present. Community members who volunteer for work in the implementation will be encouraged to attend the daily safety talks.

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8.0 PERSONAL PROTECTIVE EQUIPMENT (PPE) Required Personal Protective Equipment (PPE) will include pants and closed-toed shoes. Additional PPE, which is task dependent, includes safety glasses, gloves, waterproof boots, and dust masks.

8.1 Rationale For Use This project is for the implementation of a rainwater harvesting system. For this reason, the minimum required PPE includes closed-toed shoes and pants for the anticipated hazards.

8.2 Criteria For Selection Safety glasses and dust masks will be ANSI certified.

8.3 Listing By Task Long pants and closed-toed shoes will be worn regardless of activity. Most tasks will require the wearing of work gloves. See Attachment D for a detailed overview by task.

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9.0 SITE CONTROL MEASURES

9.1 Exclusion Zones Atmospheric The area around concrete mixing will be an exclusion zone as it will have silica particles in the air and the potential exists that someone could breathe these particles in. We will conduct concrete mixing at a reasonable location near the water collection tanks such that it does not impede foot traffic. Furthermore, there will be verbal warnings to both travel members and to school members about where not to stand during concrete mixing, which will account for wind. Physical Zones The team does not anticipate any physical exclusion zones requiring physical markings. However, other team members and children will be discouraged from the vicinity of workers on ladders when installation fascia and gutters.

9.2 Site Hygiene An assortment of tools and materials will be used at the project site, and all team members will be expected to place these items in safe and appropriate locations when not in use. The entire team will participate in end-day cleanups to ensure a safe, organized project site for both our team and school users. Team members will be expected to keep their personal spaces at the location of residence free of clutter.

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10.0 MEDICAL CONSIDERATIONS

10.1 Medications and Vaccinations All travel team members are recommended to obtain a physical prior to departure, and are required to fill out a personal health and emergency contact form listing medical conditions, treatments, location of medications, and relevant contact information. Recommended and required vaccinations include:  Current Tetanus  Polio  Typhoid  Yellow fever  Hepatitis A  Hepatitis B All recommended vaccinations are required for the EWB travel team. Travelers are also advised to maintain US health insurance for at least one year after returning from the trip. All general information regarding possible adverse health effects from the trip will be submitted to EWB- USA by the Health and Safety leads to aid in future trip preparations. Management Strategies are available in Attachment I.

10.2 Location of and person responsible for First Aid Kit(s) At all times there will be a minimum of (1) HSO at the project site. There will be two (1) first aid kits with the travel team, both of which will be stored in a safe location at the Bugonzi Primary School during working hours. This site will be noted to both school administrators and to all team members for immediate access. First aid kits will be brought back to the location of residence at the end of each day to prevent theft. For off-site purchasing or other travel needs, one (1) HSO will travel with said group and carry along one (1) of the first aid kits. The HSO lead will be responsible for checking the first aid kit to ensure full and appropriate stock of medical contents.

10.3 Exposure/Injury/Medical Support (on site and off) Minor injuries, such as abrasions, will result in on-site treatment by qualified first aid responders. Significant injuries will result in transportation to the nearest qualified medical clinic (for injuries on-site, serious injuries will be transported to the Masaka Hospital).

10.4 Medical Treatment Facilities (Location & Transportation) The location of and map to the nearest medical treatment facility is identified in the preface and will be clearly posted at the site.

10.5 Incident Report The form in Attachment J will be completed within 24 hours of any incident. The incident will be reported to the appropriate Health and Safety Committee member at the earliest possible time via telephone or email. The EWB Health and Safety Committee representative for this project is identified in Section 2.2. University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere Page 26 of 27

11.0 POST MOBILIZATION REPORTING

11.1 System To Capture And Report Project Related Injury And Illness Weekly or daily reports will be submitted to the EWB-USA H&S Committee representative as required until the incident is deemed closed.

11.2 Participant Signatures HSOs will organize a briefing for EWB-USA participants about this document before departure, and this document will be available for them to read in its entirety before travel.

Participants are required to acknowledge that they have read, understand, and will comply with the protocols contained in this document. They will indicate their agreement in the travel waiver document submitted to EWB-USA.

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ATTACHMENT A: AREA MAP

Table A-1: Area Site Coordinates

ITEM DESCRIPTION NORTHING EASTING COMMENTS

A01 Entebbe Airport 0.045444 32.444086

Masaka Hospital The two hospitals are less A02 -0.329096 31.734653 Kitovu Hospital than three (3) miles apart.

A03 Hope Integrated Academy -0.396511 31.416751

A04 Bugonzi Primary School -0.368060 31.389867

Picture A-1: Area Map

University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere ATTACHMENT A Page A-1 of A-1

ATTACHMENT B: PROJECT SITE MAP

Table B-1: Site Coordinates

ITEM DESCRIPTION NORTHING EASTING COMMENTS Hope Integrated Academy HIA is an integral location to S01 Location of Residence -0.396511 31.416751 the project Designated Meeting Point About 3 miles off the S02 Bugonzi Primary School -0.368060 31.389867 Mbarara-Masaka Road

S03 Gankanga -0.403807 31.399384 Phase III Site

S04 Kyawagonya -0.390667 31.417317 Phase III Site

S05 Masaka Hospital -0.329096 31.734653

S06 Kitovu Hospital -0.344974 31.758256

Picture B-1: Project Site Coordinates

Bugonzi Primary School (RWHS Installation)

Kyawagonya

Hope Integrated Academy

Gankanga

University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere ATTACHMENT B Page B-1 of B-2

Bugonzi Primary School Masaka Hospital (RWHS Installation)

Kitovu Hospital

Hope Integrated Academy

University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere ATTACHMENT B Page B-2 of B-2

ATTACHMENT C: TASK HAZARD ANALYSES Table C-1 titled “Site Specific Task Hazard Analysis” summaries the tasks and the anticipated hazards associated with each activity. Table C-1 – Site Specific Task Hazard Analysis

TYPE INDIVIDUAL HAZARDS

Punctures,

TASKS

InclementWeather Heat Stress FootCare ManualLifting RoughTerrain Housekeeping StructuralHazards RemoteAreas ElectricalSafety

NoiseAnd Hearing ColdStress ConfinedSpace HotWork WorkingOver /Near Water TrafficAnd Vehicles HeavyEquipment Ladders ShoringAnd Trenching HazardousUse StorageMat Demolition Utilitiesand Landmines Handand Power Tools Hand&Emergency Signals LockOutTag Out BiologicalHazards HazardousMaterials Grubb,Clear, Logging FallingObjects, Silica NoteUsed

Fall Protection

– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –

21 21

CHEMICAL BIOLOGICAL PHYSICAL 01 TH 02 TH 03 TH 04 TH 05 TH 06 TH 07 TH 08 TH 09 TH 10 TH 11 TH 12 TH 13 TH 14 TH 15 TH 16 TH 17 TH 18 TH 19 TH 20 TH TH 22 TH 23 TH 24 TH 25 TH 26 TH 27 TH 28 TH 29 TH Abrasions,Dust,And Noise (PPE) 30 TH 31 TH

01 Travel X X X X X X X X 02 Eating / Drinking X X X X X X 03 Tour of Site X X X X X X X X 04 Purchase Materials X X X X X X X X X X Framing of Base 05 X X X X X X X X X X X X Slabs Lay Bedding and 06 X X X X X X X X X X Rebar 07 Concrete Mixing X X X X X X X X X X X X X X 08 Placing Concrete X X X X X X X X X X X X X 09 Attach Fascia X X X X X X X X X X 10 Gutter Installation X X X X X X X X X X X First Flush 11 X X X X X X X X X X X X X X Installation 12 Piping Installation X X X X X X X X X X X X X Tap Excavation and 13 X X X X X X X X X X X X Installation O&M Training of 14 X X X X X X Locals University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere ATTACHMENT C Page C-1 of C-2

TYPE INDIVIDUAL HAZARDS

Punctures,

TASKS

InclementWeather Heat Stress FootCare ManualLifting RoughTerrain Housekeeping StructuralHazards RemoteAreas ElectricalSafety

NoiseAnd Hearing ColdStress ConfinedSpace HotWork WorkingOver /Near Water TrafficAnd Vehicles HeavyEquipment Ladders ShoringAnd Trenching HazardousUse StorageMat Demolition Utilitiesand Landmines Handand Power Tools Hand&Emergency Signals LockOutTag Out BiologicalHazards HazardousMaterials Grubb,Clear, Logging FallingObjects, Silica NoteUsed

Fall Protection

– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –

21 21

CHEMICAL BIOLOGICAL PHYSICAL 01 TH 02 TH 03 TH 04 TH 05 TH 06 TH 07 TH 08 TH 09 TH 10 TH 11 TH 12 TH 13 TH 14 TH 15 TH 16 TH 17 TH 18 TH 19 TH 20 TH TH 22 TH 23 TH 24 TH 25 TH 26 TH 27 TH 28 TH 29 TH Abrasions,Dust,And Noise (PPE) 30 TH 31 TH

Visiting Previous 15 Implementation X X X X X X X X X X Sites

University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere ATTACHMENT C Page C-2 of C-2

ATTACHMENT D: PERSONAL PROTECTIVE EQUIPMENT ANALYSES Table D-1 titled “Site Assessment & Investigation PPE Analysis” summaries the tasks and the PPE associated with each activity. Table D-1 – Site Assessment & Investigation PPE Analysis HAND GENERAL FOOTWEAR EYE / HEARING SPECIAL TRAINING

PROTECTION

TASK

Seat Seat Belts

Hard Hard Hats Rain Gear

Protection Protection

Long Pants Long

Respiratory Respiratory

Work Boots Work

Personal Fall Fall Personal

Work Gloves Work

Rubber Boots Rubber

Safety Safety Glasses

Safety Safety Goggles

Welding Helmet Helmet Welding Shade Lens with

Long Sleeve Shirt Sleeve Long Hearing Hearing Protection

Travel X A Eating / Drinking A Tour of Site x x A x A x Purchase Materials x x x A x A x Framing of Base Slabs x x A x x Lay Bedding and Rebar x x A x x If If dry dry Concrete Mixing x x A x x mix mix ing ing Placing Concrete x x A x x Attach Fascia ??? x x A x x Gutter Installation ??? x x A x x First Flush Installation ??? x x A x x Piping Installation ??? x x A x x Tap Excavation and Installation x x A x x O&M Training of Locals ??? x x A x

University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere ATTACHMENT D Page D-1 of D-2

Visiting Previous Implementation Sites x x x A x x A = As Required X = Required ?? = HSO To Determine

University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere ATTACHMENT D Page D-2 of D-2

ATTACHMENT E: MATERIAL SAFETY DATA SHEETS (MSDS)

Anticipated Chemicals PVC cement will be used to connect the pieces of PVC piping that will bring the water from the gutters to the water collection tanks.

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ATTACHMENT F: POTENTIAL VENOMOUS SNAKES & SPIDERS

More local to the project site, there are two hospitals in Masaka. One is located on Alex Sseboa and Katue Rd and the other is located near St Henries College off of the Masaka Kampala Road. If a snake bite or spider bite occurs three first aid techniques will be applied:  Wash the bite with soap and water  Immobilize the bitten area and keep it lower than the heart  Immediately call for medical help (if a victim is unable to reach medical care within 30 minutes, a bandage, wrapped two to four inches above the bite, may help slow the venom; A suction instruments often included in commercial snakebite kits.)  DO NOT: ice or cool the bite (this may be potentially harmful), No tourniquets; no electric shock; no incisions in the wound

Snakes of concern: A) Bloomslang: Green or brown, 60cm, blends in with habitat. Will strike if molested, venom is hemotoxic

B) Bush Viper: Ground colors to pale green to olive brown or rusty brown; 45cm-70cm. Not aggressive, venom is hemotoxic; healthy adults rarely die from its bite.

C) Common or Egyptian Cobra: Slate gray to brown overall. Venom is highly neurotoxic. Cobra would rather retreat if possible.

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D) Gaboon Viper: Pink to brown, mostly found in dense rain forests, occasionally found in open country. Not aggressive, but will stand its ground if approached.

E) Puff Adder: Yellowish, light brown, or orange. The 2nd largest of the dangerous vipers, nocturnal, seeks shelter during the day’s heat. Not shy when approached, makes a loud hissing sound, quick to strike any intruder, venom is strongly hemotoxic.

F) Black and Green Mamba: Either green or black over its entire body. This is one of the most dreaded snake species in Africa, considered one of the most dangerous snakes known. Highly aggressive and venom is highly neurotoxic.

Insects and Arachnids of concern: A) Scorpion: Dull brown, yellow, or black. Cause local pain, swelling, possible incapacitation and death.

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B) Centipede: Multijoined body, dull orange to brown active at night.

Another significant biological hazard is malaria-infected mosquitoes. Bed nets will be used in sleeping quarters for all traveling members. Team members will be encouraged to use Deet and Permethryn as well as prophylaxis.

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ATTACHMENT G: TRAINING COPY CERTIFICATES

Appropriate certifications will be acquired when the travel team is decided. The current project team has the capacity to supply travel members with appropriate wilderness and CPR training for this implementation trip.

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ATTACHMENT H: REQUIRED MEDICAL KIT CONTENTS

Required Group Medical Kit Contents There will be one (1) large medical kit with the contents listed in Table I-1. Additionally, each group with have a smaller travel site medical kit with them when they travel. Currently it is anticipated there will be 6-8 people traveling with each group performing site assessments in a groups of two (2) at a minimum. Based on the potential for up to four (4) groups traveling at the same time, we will have four (4) medical kits. Additionally, EWB-USA members will not provide treatment for host country community members beyond first aid unless they are licensed medical professionals and understand the local laws on practicing medicine.

NUMBER ITEM IN KIT Site Specific Health and Safety Plan Page one is the Emergency Contact Page, laminated and printed on brightly colored paper 1 The personal medical checklists should be placed in a sealed envelope immediately following the Emergency Contact Page, or the location of the Checklists should appear here. HSOs must return the checklists to their owners at the end of the trip. A field manual of first aid can be very useful for rapid reference. One recommended book is: 1 “The Field Guide of Wilderness and Rescue Medicine” by Jim Morrissey and David Johnson * 1 Small notebook and pen/pencil for recording vital signs 2 Safety glasses (for bloodborne pathogens) 2 CPR face shields or (even better) pocket mask 1 box Sterile and non-sterile gloves, 1 box or a minimum of 12 pairs 1 box Antiseptic wipes or “baby wipes” - 1 box 1 bottle Alcohol-based gel hand cleanser - 1 bottle 12 Providone Iodine swabs or a small bottle of betadine 1 bottle Antibacterial soap 1 bottle Hydrogen peroxide Sterile Eye Wash. Opened bottles should be replaced at the start of every trip. 3 bottles recommended for those 3 bottle doing concrete work or working with chemicals. 1 Cold pack – 4 in. x 5 in 3 Extra soft toothbrush for cleaning wounds 1 tube Antibiotic ointment (Neosporin, Bacitracin, or generic equivalent) - 1 tube Topical over the counter anesthetic (Anbesol or Chloraseptic spray) 1 Fouille First Aid Ointment if you can get it. Band-Aid assortment; and Blister dressings (Bandaid blister, moleskin, etc. Choose band-aids with elasticized 1 box cloth that stay on for days. Plastic ones don't last as long.) 3 Absorbent compress or Trauma Dressings ~ 32 sq. in. (81.3 sq. cm.) with no side smaller than 4 in. (10 cm) 1 Adhesive tape, 5 yd. (457.2 cm) total 6 Burn treatment, 0.5 g (0.14 fl. oz.) applications

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NUMBER ITEM IN KIT

4 Triangular bandages, 40 in. x 40 in. x 56 in. (101 cm x 101 cm x 142 cm) 2 Roller bandage - 4 in. (10 cm) 1 Roller bandage - 2 in. (5 cm) 1 Ace Wraps – try to get a few sizes of these 1 box Sterile gauze pads, 4x4” 1 box Non adherent dressing (Telfa), 4x4” 1 Roll of Coban wrap (a.k.a. Vet Wrap) Scissors, one pair of trauma shears for slicing bandages and cutting clothing, and one small pair for cutting 2 more delicate things (like skin) Tweezers, one small for pulling splinters and stingers, and a broader tip with grippers for picking rocks out of 2 wounds. Small box Safety pins of various sizes 1 Thermometer Ziplock bag containing a clean XL t-shirt. Can be cut up for bandages, used as a sling, or put on a patient for 1 modesty. Extra syringes/needles of varying sizes (for local physician to use if a member of the team is taken to a local medical facility. Team members should a v o i d using local syringes or needles whenever possible. (If supply is a problem, advise reusing needles in the same person. This is reasonably safe - we don't in medicine but most diabetics do. They get dull after a while, but the risk of infection is very small compared 2 of each to using needles in many developing world clinics.) Needles: 20g x 1", 22g x 1" Syringes: 3 ml, 5 ml, (20 ml for irrigation of wounds) 18g and 20g IV catheters and/or butterfly needles Portable water filter, such as the ceramic type with the 0.2 pm filter. Three stage MSR or PUR water filters are 1 probably the best. If the water is clear, the new light sterilizers work. * 1 Emergency Dental Kit (Cavit if you can get it) * 1 Stethoscope * 1 Four inch SAM splint * 1 Finger splint * Mylanta Pepto Bismol Imodium tablets Cimetidine * Dramamine (Motion sickness pills are also useful in vomiting illnesses and much safer than what might be 1 box each given at the local clinic) Benadryl or generic diphenhydramine, 25 mg capsules (allergies) Tylenol (500 mg tablets) (mild pain relief/fever reduction) Ibuprofen (200 mg tablets) (anti-inflammatory/pain relief) Aspirin (heart attacks)

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NUMBER ITEM IN KIT Primatene Mist (asthma)* Steroid cream for rashes Powder (Monkeybutt) for chafes * Appropriate to trip Antifungal cream * duration and Antiyeast tablets or cream for women * number of NeoSynephrine nasal spray (decongestant)* travelers, Sodium tablets (heat cramps) * Small hard candies like Jolly Ranchers or LifeSavers (must contain sugar – for diabetics) * Iodine tablets OR chlorine tablets with neutralizer for disinfecting water * 1 ft square of muslin cloth for filtering sediment from water before disinfection * Up to 1/day Gatorade packets 1 pack Quikclot 1 Dermabond or super glue *

* Optional components

Notes: 1. This list can and should be customized to your site, and optional components are marked by *. 2. The first aid kit should be repacked, inventoried and restocked before every trip. 3. Antibiotics are not on this list, but travelers can generally get a personal prescription for Cipro or other antibiotics from their primary care physician or a travel medicine specialist. 4. Those with a history of asthma/allergies are advised to investigate a prescription for epinephrine (Epipen) 4. EWB-USA volunteers are not permitted to provide medical treatment or medicines beyond first aid to locals unless they are licensed to do so. 5. Most of the equipment can be purchased from the drug store. For more specialized items or prepackaged kits, here are some online vendors: www.conterra-inc.com First Aid Packs and Bags www.adventuremedicalkits.com Complete First Aid Kits www.helenbacfirstaid.com Complete First Aid Kits www.mooremedical.com First Aid Supplies www.boundtree.com First Aid Supplies

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ATTACHMENT I: TASK HAZARD MANAGEMENT STRATEGIES

Task Hazards List TASK DESCRIPTION REVISION DATE HAZARD TH 01 Noise and Hearing Conservation May 2008 TH 02 Inclement Weather May 2008 TH 03 Heat Stress May 2008 TH 04 Cold Stress May 2008 TH 05 Foot Care May 2008 TH 06 Confined Space May 2008 TH 07 Hot Work May 2008 TH 08 Manual Lifting and Handling of Heavy Objects May 2008 TH 09 Rough Terrain May 2008 TH 10 Housekeeping May 2008 TH 11 Structural Hazards May 2008 TH 12 Remote Areas May 2008 TH 13 Working over or near water May 2008 TH 14 Traffic and Vehicles May 2008 TH 15 Heavy Equip Operation May 2008 TH 16 Working at Elevation and Fall Protection May 2008 TH 17 Ladders May 2008 TH 18 Shoring and Trenching May 2008 TH 19 Hazardous Materials Use and Storage May 2008 TH 20 Demolition May 2008 TH 21 Active and Abandoned Utilities and Landmines May 2008 TH 22 Electrical Safety May 2008 TH 23 Hand and Power Hand Tools May 2008 TH 24 Hand and Emergency Signals May 2008 TH 25 Lock Out Tag Out May 2008 TH 26 Biological Hazards May 2008 TH 27 Hazardous Materials May 2008 TH 28 Clearing Grubbing and Logging May 2008 TH 29 Falling Objects, Punctures and Abrasions May 2008 TH 30 Silica May 2008 TH 31 Not Used May 2008

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ATTACHMENT J: INCIDENT REPORT (Form 612) & ROOT CAUSE ANALYSIS (Form 613)

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ATTACHMENT K: EMERGENCY RESPONSE PLAN (FORM 614) 614 - EMERGENCY RESPONSE PLAN

PLEASE NOTE: This is a procedural document and meant to be a resource for chapters. There is nothing for the chapter to fill-out and the chapter does not need to submit this document to the EWB-USA national office. However, the Health and Safety Officers should carry at least one copy of this document with him/her on each trip.

The health and safety of our members is a priority for EWB-USA. International field work in general and specifically construction is inherently dangerous and carries additional hazards that may not be mitigated by planning. The Emergency Response Plan is the team’s guide for handling both emergent (serious injury or illness that requires medical treatment in country, or safety situations that involve non-EWB-USA personnel) and non-emergent incidents (minor injury or illness) that involve EWB-USA members during EWB-USA trips. This plan consists of the following: 1) Process Flow Instructions – Detailed instructions for what to do under each step of the process flow for each of the three types of incidents; 2) Process Flow Chart (Page 6) - Provides the basic outline for the procedures to follow for a each of the three types of incidents – minor injury or illness, serious injury or illness, and safety situations; and 3) Incident Report Form (form 612) – Form which standardizes the documentation of incidents. Documenting and reporting incidents or near incidents is necessary so that the H&S program can continue to evolve, improve and serve to provide the best protection possible for our volunteers and in- country partners. This form can be found on the Sourcebook Downloads page of the website and should also be included in your HASP.

Process Flow Instructions

The incident response process flow follows the three types of incidents:  Steps A1 – A6b: Minor injury or illness;  Steps B1 – B9: Serious injury or illness; and  Steps C1 – C9: Safety situations.

The Health and Safety Officers (HSOs) will be responsible for determining if the incident is a minor injury/illness or a serious injury/illness. The HSOs will also initiate these response steps, depending on the incident type.

MINOR INJURY/ILLNESS

Definition: Minor injury or illness is described is an occurrence that is not life-threatening and does not require hospitalization. A minor injury or illness can be treated by the HSO University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere ATTACHMENT K Page K-1 of K-7

on-site using the team’s first aid kit or at a local clinic.

A1. Health and Safety Officer (HSO) Notified The HSO should be notified of the team member who has suffered a minor injury or illness. If the HSO is the team member who has suffered a minor injury or illness, than the second HSO should be notified.

A2. Treat On-Site The HSO or other trained person should treat injury or illness on-site using first aid kit or should assist victim in getting to local clinic for medical attention.

A3. Rest and Reduce Activity The person who has suffered a minor injury or illness should rest and reduce his/her level of activity until he/she is feeling better.

A4. Prepare Incident Report The HSO should complete an incident report for any minor injury or illness and this should be submitted to the EWB-USA chapter relations manager (CRM) immediately upon return to the U.S.

A5. Monitor Condition The HSO should continue to check-in with the affected team member and monitor his/her condition.

A6a. Closeout Incident with National Office When the incident has been resolved in its entirety, the HSO should send a close-out e- mail to chapter relations manager (CRM) to let the national office know that no further action is necessary.

A6b. Condition Worsens If his/her conditions worsens to a major injury or illness, the HSO should be contacted immediately and should follow the process flow for Step B – Serious Injury or Illness.

SERIOUS INJURY/ILLNESS

Definition: Serious injury or illness is described as an incident that may or may not be life threatening, but requires hospitalization or evacuation.

B1. Health and Safety Officer (HSO) Notified The HSO should be notified of the team member who has suffered a serious injury or illness. If the HSO is the team member who has suffered a serious injury or illness, than the second HSO should be notified.

B2. Stabilize Victim The HSO should stabilize the victim.

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B3. Transport Victim to Medical Facility The HSO should determine the best way to transport the victim to a medical facility based on the type and seriousness of injury or illness. Please note: Seven Corners does not assist with finding a local ambulance or emergency transport, but you should maintain receipts so that you can seek reimbursement from Seven Corners.

B4. Contact CISI Travel Insurance For students who are covered by their university/college travel insurance and who do not have Seven Corners insurance, you should follow the procedures provided to you by your university/college and insurance company you are covered by.

B5. Call EWB-USA Emergency Phone Contact the EWB-USA emergency phone: +1 303 478-8244 to report the situation. The EWB-USA national office will notify the victim’s emergency contact listed on the 606 – Emergency Contact Page.

B6a. Hospitalize If recommended by the physician, admit the victim to a hospital. Contact Seven Corners to determine if hospital is within Seven Corner’s network, in which case Seven Corners will arrange payment directly with the hospital upon patient’s discharge from the facility.

B6b. Emergency Medical Evacuation If medical evacuation is recommended by the attending physician, contact Seven Corners to make evacuation arrangements for the associated expenses. It is important to remember that evacuation travel (and related) charges which have not been approved and arranged by Seven Corners will not be eligible for insurance benefits.

If Seven Corners does not provide adequate assistance, contact International SOS.

ISOS PHILADELPHIA Alarm Center: +1 215 942 8226 Membership number: #11BCPA000270

B6c. Release and Monitor If recommended by the physician, victim can be released from hospital. HSO should work with victim to fill any prescriptions, follow any medical advice and should monitor the victim in case condition worsens. All receipts should be retained for reimbursement from Seven Corners.

B7. Prepare Incident Report The HSO should complete an incident report for any serious injury or illness and this should be submitted to the EWB-USA chapter relations manager (CRM) immediately upon return to the U.S.

B8. Updates to EWB-USA National Office After hospitalization, evacuation or release, contact the EWB-USA emergency phone to provide updates on the victim’s condition. The EWB-USA national office staff will then University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere ATTACHMENT K Page K-3 of K-7

notify the victim’s emergency contact.

B9. Closeout Incident with National Office When the incident has been resolved in its entirety, the HSO should send a close-out e- mail to chapter relations manager (CRM) to let the national office know that no further action is necessary.

SAFETY SITUATION

Definition: Any event which poses a threat to team members, including natural disasters, political insurrection, kidnap, ransom, or other life-threatening criminal activity.

C1. Gather Team Members and Seek a Safe Location If the HSO is not aware of the safety situation, she/he should be notified. Meet at established emergency meeting point. Stay together as a group and seek safety.

C2a. Natural Disaster - Contact International SOS, U.S. Embassy In the case of a natural disaster such as a flood or earthquake, contact International SOS. Insurance from Seven Corners applies only if a member of your team has a medical emergency. You may also contact the U.S. Embassy for information and possible assistance.

ISOS PHILADELPHIA Alarm Center: +1 215 942 8226 Membership number: #11BCPA000270

C2b. Political or Military Events – Contact Seven Corners or College Travel Insurance (for student members who do not have Seven Corners Insurance) and U.S Embassy In the case of political or military events and there is a formal recommendation for you to leave the country, contact Seven Corners for assistance with evacuation to the nearest place of safety. If you are covered by your university’s travel insurance, please follow those procedures. You may also contact the U.S. Embassy for information and possible assistance.

U.S., Canada & Caribbean: 1-800-690-6295 (Toll Free) International:* Toll Free Country Access Codes + 800-690-6295 Collect Calls: 0-317-818-2808 (This line is monitored 24 hours a day)

When contacting Seven Corners, please have your ID card on hand so you can supply the following: 1. Your full name as it appears on the card 2. Your policy Certificate # 3. Date of Birth

C2c. Kidnap or Ransom – Contact EWB-USA Emergency Phone In a case of kidnap or ransom, contact EWB-USA Emergency Phone immediately and University of Minnesota – Twin Cities Health & Safety Plan Uganda, Mulobere ATTACHMENT K Page K-4 of K-7

wait for instructions. +1 303 478-8244

C3. Assess Injuries and Seek Medical Attention If any team member has been injured and requires medical attention, begin the process flow starting with Step B1.

If injuries, go to Step B1. If no injuries:

C4. Contact EWB-USA Emergency Phone If you have not done so already, contact the EWB-USA emergency phone: +1 303 478- 8244 to report the safety situation.

Internet access and cell phone reception are still sometimes intact, even when landlines are not. Satellite phones are generally the best option. If telephone access is limited, EWB-USA can keep emergency contacts informed.

C5. Contact U.S. Check-In Contact Contact the person designated as the U.S. Check-in contact on the 606 – Emergency Contact Information form and inform them of the situation.

C6. Prepare Incident Report The HSO should complete an incident report for the crisis and this should be submitted to the EWB-USA Chapter Relations Manager immediately upon return to the U.S.

C7. Monitor Local News, Travel Information, and US Embassy Updates If any team members have access to radio, television and/or internet, they should continue to monitor the local news and any travel information. Update all team members. The U.S. Embassy may also be in contact with your team to provide updates. The U.S. Embassy will use the contact information you provided when you registered before traveling.

C8. Provide Daily Updates to EWB-USA Emergency Phone and to US Check-In Contact While team members remain in-country, provide daily updates to the U.S. Check-In and EWB-USA emergency phone (Cathy Leslie)

C9. Closeout Incident with National Office When the incident has been resolved in its entirety, the HSO should send a close-out e- mail to chapter relations manager (CRM) to let the national office know that no further action is necessary.

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