2020-08-07_REVISION - M1980244 (11)

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ICMC RECERTIFICATION SUMMARY AUDIT REPORT The South West Teller County Emergency Medical Service(Ambulance) is located in Cripple Creek CO about 5 to 7 mins away.They have paramedics available 24/7 who can administer the antidote if needed. They are also provide patient transfer. A Medical Emergency Response Vehicle contains general first aid and rescue equipment. First aid related to cyanide exposure, e_g_,cyanide antidote kit and oxygen is locate at the three locations where a likely exposure will occur(ADR1,ADR2,and Mill). The operation has agreements with local facilities and will be able to utilize the local ambulance service to transport patients to these facilities.The operation is confident that the medical facility is aware of their need to treat patients for cyanide exposure and has the appropriately qualified staff and equipment to deal with an exposure. Mock emergency drills conducted are periodically to test response procedures for various cyanide exposure scenarios, and lessons learned from the drills are incorporated into response planning.The operation has undertaken a number of worker exposure exercises in addition to the routine skills training undertaken by the MRT.The operation undertakes a drill at least six monthly that includes either the Mill,ADR1 or ADR2 and the MRT.The recording of the drill includes a summary of the drill (positives and negatives,corrective actions)_All drills are unannounced. Roundtable Scenarios(CC&V coordinated meeting to discuss the ERP and responders role) have been conducted with outside responders to ensure they are prepared to assist in a cyanide emergency.Attendees at these scenarios included those parties allocated a role in the ERP, e.g., Cyanco,Teller County Emergency Services_ CC&V Mine July 28,2017 Name of Faalrty Signature of Lead Auditor Date July 2017 Gpj�r Report No.1663584-003-R-RevO 22 ASSOC>lAt@S