Transcript No Slide Title
Maryland Fire Service Health and Safety Consensus Standard
“…so our brothers and sisters will be provided every degree of safety in the delivery of emergency services…” Final Draft - January 2001
What’s the problem?
In 1999--
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112 firefighters died in the line of duty
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Increase of 21 from 1998
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300,000 + firefighters sustained injuries in the line of duty
56 died on the fireground:
32 volunteers 22 paid 1 prison inmate 1 federal forestry …21 heart attacks …13 asphyxiated …8 burned …6 internal trauma …4 crushed …3 electrocuted …1 heat stroke
32 died responding/returning
27 volunteers 4 paid 1 federal forestry …15 heart attacks …11 collisions or rollovers …2 strokes …2 aneurysms …1 drowned …1 fell from jump seat
10 died in non-fire emergencies
8 heart attacks- 3 at motor vehicle accidents 2 at false alarms volunteers 1 medical call 1 in trench rescue 1 after dog attack 2 struck and killed at the scene of motor vehicle crashes
10 died in non-emergency related on duty activities
7 in normal station activities- …5 heart attacks …2 embolisms 1 heart attack on vehicle maintenance detail 1 hit by a backhoe he was repairing 1 explosion of fireworks waste
4 died during training
1 heart attack 1 fall from a window while directing a ladder and handline 1 ruptured cerebral aneurysm during PT 1 drowned during SCUBA dive
Routine fires/incidents...
...they kill firefighters
...they injure firefighters
It’s the ones and twos…not the Worcester, MA
FSHR
Workgroup call by Secretary of Labor John O’Connor.
Workgroup comprised of paid and volunteer representatives, including labor & management.
Consensus: Paid & volunteer providers should be equally protected.
Chairperson Chief Roger Simonds.
Goal: safety, emergency scene accountability and command structure that matches NFPA 1500.
Why: prevent illness and injury.
FSHR
Accomplished without significant difficulty by most fire departments and rescue squads.
There are some costs (medical/fit testing).
Recognize some Federal, State and local regulations affect operations now.
Bottom line: a safer environment for the emergency service responder.
Status
Responses from several organizations.
Reviewed and changes made where appropriate.
Medical component completed.
Added method for revisions.
Structure
1. Purpose
2. Scope
3. Definitions
4. Organizational statement
5. Implementation Period
6. Medical Standards
Structure
7. Substance abuse programs
8. Personal Protective Equipment
9. Emergency operations
10. Investigation of vehicle collisions and injuries
11. Vehicle safety
Structure
12. Tools/equipment
13. Facility safety
14. Workplace violence
15. PIA/Critiques
16. Revision to standard
Appendices
Purpose: “…to protect members during emergency operations.”
Scope: All fire, rescue and EMS departments in the state.
Definitions:
AHJ
Command Level Officers
Emergency responder
IDLH
Mayday
Definitions:
PAR
Qualified Personnel
Rapid Intervention Crew
Senior Command Level Officer
Standard Principles of Risk
Organizational Statement:
Statement or written policy: defines the organization’s purpose--what will it do?
Fight fire?
EMS?
Confined space?
High angle?
Swiftwater/underwater?
Guidelines in appendices
Implementation period
Develop a written implementation plan.
Remember some Federal, State and local regulations affect operations now.
ID compliance date with each element of the regulation.
Although not all adopted, be pro-active, get with it now!
Medical Standard
AHJ develops medical evaluation program
Supervising physician
Baseline evaluation for all
Aged based examination
Minimum requirements
Medical Standard
Specifics of evaluation provided
Collect data
Confidentiality
Reported either acceptable or unacceptable
Substance Abuse Programs
Establish policy
Includes entry and subsequent screenings
PPE
AHJ provides commensurate with the level of hazard and response expected
Train members on use and care
Inspect it annually
Provided and used
Respirators:
Type and compliance
Fit testing
Refill in fragmentation chamber
Hydro test
Air quality
Structural Firefighting NFPA 1971
EMS NFPA 1999
Hazardous materials NFPA 1991, 1992
High angle rescue
Under water and swiftwater
Wildland NFPA 1977
Marine
Eye & ear protection
Emergency Operations
General:
Prevent injury or death
Adequate members assembled
Within organizational statement
Supervision
Incident Management System
Written
All trained in its use
Used in all activities-training, operations, special events
Incident Commander
All scenes, one in charge
Unity of command
Establish organization based on IMS adopted Risk management
Incident Commander
At emergency scene the IC :
assumes command, is identified,
performs size up with risk assessment,
initiates/maintains/controls communications,
develops strategic and tactical plan,
initiates personnel accountability,
reviews, modifies as required, and
continues, transfers, terminates.
Command Officer Training
All trained on AHJ’s system, including simulations using that community
Senior command officers-more advanced, but again based on expected response
Refresh annually on AHJ system; use simulations
Personnel Accountability
Develop a system to include:
Activation
Personnel Accountability Report (PAR)
PAR at specific times and at certain benchmarks
Health & Safety Officer
Assign
Knowledgeable, compliance
Develop safety program for prevention
Scene safety officer
Emergency Scene Operations
Training
PPE
IC & standby team
Entry team
RIC
Multiple RICs
Emergency Scene Operations
IDLH atmospheres:
Interior- requires 2 out- for structures
Exterior- requires 1 out- car fires, dumpsters, etc.
Emergency Scene Operations
Risk Life for Life
Basic Risk Management questions: Risk Little for Property
Risk Nothing for What’s Already Lost
Emergency Scene Operations
Mayday
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Develop policy for disabled, trapped, missing
Rehabilitation
CISM
Emergency Scene Operations
Communications :
Plain English
SOP/G
Terminology
Use of IMS at all times
Investigating Collisions/Injuries
Adopt policies and procedures
Determine cause and provide recommendations for prevention
Vehicles, Tools and Equipment
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Consider safety and health in specifications, design, maintenance, etc.
Facility Safety-
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During renovation/construction of fire/rescue and EMS stations all work shall comply w/all applicable health, safety and building codes
Workplace Violence
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Procedures to evaluate the potential
Post Incident Analysis & Critiques
Adopt policies and procedures for conducting PIAs and critiques.
Revisions...
Workgroup meets annually to review.
Prepared in writing by members of the Work Group to the Secretary of Labor & Industry.
Structure provided
Appendices
Provide support for various sections, give options, show examples
Comments Please!!!
Send your comments and suggestions via mail, e-mail, fax to your fire service organization representative by July 31, 2001.