• Scene safety assessment: Do not enter/proceed into scene until deemed safe.
• Provide METHANE to State Operations Centre (SOC)
  • Major Incident Confirmed
  • Exact Location
  • Type of Incident
  • Hazards Present
  • Access
  • Number and type of casualties
  • Emergency Services present/required
• Assume Acting Ambulance Commander & Forward Commander Roles
• Establish on scene liaison with other agencies
• Maintain communications with SOC
• Establish Ambulance Assembly Point (AAP) & Casualty Clearing Post (CCP)
• Consider need for Mass Casualty Kits (MCKs) and/or Emergency Support Vehicles (ESV)

Report to Ambulance Commander

• Park vehicles at AAP & leave keys in vehicle
• Undertake the role delegated by the Ambulance Commander
• Use equipment/consumables from ESVs & MCKs if available
• Use radio channel designated for incident
• Maintain incident chain of command

Obtain SITREP & establish the following:

• Maintain incident documentation
• Establish command & communication structure
• Confirm setup of AAP & CCP
• Ensure availability of hand held radios
• Ensure safety of all ambulance personnel

Continue to:

• Liaise with HMA Incident Controller & other agency commanders
• Liaise with SOC & other key field staff
• Direct Hospital Response Teams (HRTs) to Health Commander
• Monitor adequacy of ambulance resources

Reports to Ambulance Commander.

Appointed once adequate incident resources are available.

• May begin initial Triage SIEVE until more resources become available
• Take responsibility for forward operational activities
• Ensure casualty Triage SIEVE & labelling undertaken using SMART tags

Reports to Forward Commander. 

Designated if size of scene requires incident to be sectored for ease of management. 

• Supervise Primary Triage Officers ensuring Triage SIEVE activities are undertaken
• Direct walking wounded to CCP
• Supervise necessary treatment before the CCP
• Report ‘Triage SIEVE’ as required
• Assist the Casualty Clearing Officer once Hot Zone/Extrication Point cleared of casualties

Officer must:

• Obtain SMART Triage Pac; place on uniform belt
• Triage each casualty and attach SMART Tag to CASUALTY’S RIGHT ARM
• Only provide treatment consisting of body positioning, opening airways & stopping life-threatening bleeds
• Maintain a written record of each casualty triaged on the back of the SMART Tag

Reports to Ambulance Commander:

• Appoint Loading Officer
• Supervise setting up and running of CCP
• Appoint staff to undertake SORT Triage
• Ensure SORT casualty log is maintained
• Liaise with Senior Doctor & Senior Nurse if Hospital Response Teams (HRTs) present
• Liaise with other key field staff
  

Reports to Casualty Clearing Officer:

• Checks all casualties correctly SMART Tagged 
• Maintain casualty Transport Log Sheets
• Supervise casualty transfer from loading area to ambulance
• Liaise with Transport Nurse if Hospital Response Teams (HRTs) present
• Take direction from SOC or the Department of Health on casualty destinations

Transport Considerations

• Triage priority
• Treatment and packaging
• Appropriate destination
  

Reports to Ambulance Commander:

• Check Access/Egress routes established

Meet arriving ambulance crews and direct incoming staff to Ambulance Commander or delegated person, ensuring that arriving crews have:

• Left keys in vehicles
• Appropriate tabards & PPE on
• Parked vehicles orderly & all lights turned off
• Taken appropriate equipment into the scene