INC/Specific/TBT-INC-012

Emergency Services Coordination

Incident Management & InvestigationSpecificEmergency Services Coordination

Emergency Services Coordination

Toolbox Talk Record

Ref: TBT-INC-012  |  Issue: 1  |  Date: March 2026
PresenterProject
LocationDate

What?

  • Effective coordination with emergency services saves lives during serious incidents on construction sites.
  • Sites must display clear information including the site address, postcode, and access instructions.
  • A designated meeting point should be agreed where site personnel guide emergency vehicles to the scene.
  • Large or complex sites should provide emergency services with a site plan showing access routes and hazards.
  • Site access gates must be wide enough for ambulances, fire appliances, and potentially aerial platforms.
  • On-site first aiders should brief paramedics on the casualty's condition and any treatment provided.
  • Construction hazards such as asbestos, chemicals, or unstable structures must be communicated to responders.
  • Overhead power lines, confined spaces, and deep excavations affect how the fire service approaches rescue.
  • Mobile phone signal can be poor on construction sites — a reliable contact method must be available.
  • Post-incident, the site team must cooperate with emergency services and preserve evidence.

Why?

Save livesMinutes matter in a medical or rescue emergency — fast and clear coordination with emergency services is critical.
Responder safetyEmergency services need to know about site-specific hazards to protect themselves during the response.
Legal dutyCDM 2015 requires arrangements for emergency services access and coordination on construction sites.
Do Don't
  • Display the site address, postcode, and what3words location at the site entrance
  • Designate a meeting point where a site escort will guide emergency vehicles
  • Provide emergency services with a site plan showing access routes and hazards
  • Ensure site gates can accommodate ambulances and fire appliances
  • Brief first aiders to provide a clear handover to paramedics on their arrival
  • Inform responders of any site-specific hazards such as chemicals or asbestos
  • Test emergency access routes regularly to confirm they are clear and passable
  • Keep a reliable communication method available for contacting emergency services
  • Cooperate fully with emergency services and preserve the incident scene
  • Include emergency coordination arrangements in the site emergency plan and induction
  • DON'T assume emergency services can find the site easily — provide clear directions
  • DON'T block access routes with parked vehicles, skips, or stored materials
  • DON'T send emergency vehicles to the wrong gate or an access point that is locked
  • DON'T withhold hazard information from responders — it endangers their lives
  • DON'T crowd around the incident scene — keep a clear path for responders
  • DON'T move the casualty unless there is an immediate danger to life
  • DON'T allow site traffic to continue on routes needed by emergency vehicles
  • DON'T rely solely on mobile phones — signal may be unavailable in some areas
  • DON'T disturb the scene after emergency services have attended without permission
  • DON'T forget to update access arrangements when site layout or gates change

See also: Emergency Plan Awareness | Medical Emergency Response

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