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FSC Defibrillator Funding Application
Applications close 5pm Friday 31 March 2017
Club Name
Club Contact
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Last
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Email
How will the unit be securely stored?
How will you provide access on game day?
How will you provide access for all training?
Approximately how many players and spectators would you have during your peak time at the facility?
Does your Club have a medical emergency plan? If yes, please provide details?
Elements of your plan should include:
1. Emergency Access points
2. Location of emergency equipment
3. Club members with first aid/defibrillator training
4. The address of the facility and nearest cross street
5. Contact details including emergency services, players, coaches etc
6. Roles in an emergency
7. Incident reporting system
How many people will agree to be trained initially and ongoing?
How much are you able to contribute to the cost of the defibrillator?
Will there be other sports utilising the defibrillator and if yes, how will they ensure security of the defibrillator?
Will the defibrillator be covered as part of your contents insurance?
