maryland fire service health and safety consensus standard

Maryland Fire Service Health Maryland Fire Service Health and Safety Consensus Standardand Safety Consensus StandardMaryland Fire Service Health Maryland Fire Service Health

and Safety Consensus Standardand Safety Consensus Standard

“…“…so our brothers and sisters will be so our brothers and sisters will be provided every degree of safety in the provided every degree of safety in the

delivery of emergency services…”delivery of emergency services…”

Final Draft - January 2001Final Draft - January 2001

“…“…so our brothers and sisters will be so our brothers and sisters will be provided every degree of safety in the provided every degree of safety in the

delivery of emergency services…”delivery of emergency services…”

Final Draft - January 2001Final Draft - January 2001

What’s the problem?What’s the problem?What’s the problem?What’s the problem?

In 1999--In 1999--– 112 firefighters died in the line of 112 firefighters died in the line of

dutyduty

– Increase of 21 from 1998Increase of 21 from 1998

– 300,000 + firefighters sustained 300,000 + firefighters sustained injuries in the line of dutyinjuries in the line of duty

56 died on the fireground:56 died on the fireground:56 died on the fireground:56 died on the fireground:

32 volunteers32 volunteers

22 paid22 paid

1 prison inmate1 prison inmate

1 federal forestry1 federal forestry

……21 heart attacks21 heart attacks

……13 asphyxiated13 asphyxiated

……8 burned8 burned

……6 internal trauma6 internal trauma

……4 crushed4 crushed

……3 electrocuted 3 electrocuted

……1 heat stroke1 heat stroke

32 died responding/returning32 died responding/returning32 died responding/returning32 died responding/returning

27 volunteers27 volunteers

4 paid4 paid

1 federal forestry1 federal forestry


……11 collisions or 11 collisions or rolloversrollovers

……2 strokes2 strokes

……2 aneurysms2 aneurysms

……1 drowned 1 drowned

……1 fell from jump seat1 fell from jump seat

10 died in non-fire emergencies10 died in non-fire emergencies10 died in non-fire emergencies10 died in non-fire emergencies

8 heart attacks--8 heart attacks--

3 at motor vehicle accidents3 at motor vehicle accidents

2 at false alarms volunteers2 at false alarms volunteers

1 medical call1 medical call

1 in trench rescue1 in trench rescue

1 after dog attack1 after dog attack

2 struck and killed at the scene of motor 2 struck and killed at the scene of motor vehicle crashesvehicle crashes

10 died in non-emergency 10 died in non-emergency related on duty activitiesrelated on duty activities

10 died in non-emergency 10 died in non-emergency related on duty activitiesrelated on duty activities

7 in normal station activities--7 in normal station activities--


……2 embolisms2 embolisms

1 heart attack on vehicle maintenance 1 heart attack on vehicle maintenance detaildetail

1 hit by a backhoe he was repairing1 hit by a backhoe he was repairing

1 explosion of fireworks waste1 explosion of fireworks waste

4 died during training4 died during training4 died during training4 died during training

1 heart attack1 heart attack

1 fall from a window while directing a 1 fall from a window while directing a ladder and handlineladder and handline

1 ruptured cerebral aneurysm during PT1 ruptured cerebral aneurysm during PT

1 drowned during SCUBA dive1 drowned during SCUBA dive

Routine fires/incidents...Routine fires/incidents...Routine fires/incidents...Routine fires/incidents...

...they kill firefighters...they kill firefighters ...they injure firefighters...they injure firefighters

It’s the ones and twos…not It’s the ones and twos…not the Worcester, MAthe Worcester, MA

FSHRFSHRFSHRFSHR Workgroup call by Secretary of Labor John Workgroup call by Secretary of Labor John

O’Connor.O’Connor. Workgroup comprised of paid and volunteer Workgroup comprised of paid and volunteer

representatives, including labor & management.representatives, including labor & management. Consensus: Paid & volunteer providers should be Consensus: Paid & volunteer providers should be

equally protected.equally protected. Chairperson Chief Roger Simonds.Chairperson Chief Roger Simonds. Goal: safety, emergency scene accountability and Goal: safety, emergency scene accountability and

command structure that matches NFPA 1500.command structure that matches NFPA 1500. Why: prevent illness and injury.Why: prevent illness and injury.

FSHRFSHRFSHRFSHR

Accomplished without significant difficulty by Accomplished without significant difficulty by most fire departments and rescue squads.most fire departments and rescue squads.

Recognize some Federal, State and local Recognize some Federal, State and local regulations affect operations now.regulations affect operations now.

There are some costs (medical/fit testing).There are some costs (medical/fit testing). Bottom line: a safer environment for the Bottom line: a safer environment for the

emergency service responder.emergency service responder.

StatusStatusStatusStatus

Responses from several organizations.Responses from several organizations. Reviewed and changes made where Reviewed and changes made where

appropriate.appropriate. Medical component completed.Medical component completed. Added method for revisions.Added method for revisions.

StructureStructureStructureStructure

1. Purpose1. Purpose 2. Scope2. Scope 3. Definitions3. Definitions 4. Organizational statement4. Organizational statement 5. Implementation Period5. Implementation Period 6. Medical Standards6. Medical Standards


7. Substance abuse programs7. Substance abuse programs 8. Personal Protective Equipment8. Personal Protective Equipment 9. Emergency operations9. Emergency operations 10. Investigation of vehicle 10. Investigation of vehicle

collisions and injuriescollisions and injuries 11. Vehicle safety11. Vehicle safety


12. Tools/equipment12. Tools/equipment 13. Facility safety13. Facility safety 14. Workplace violence14. Workplace violence 15. PIA/Critiques15. PIA/Critiques 16. Revision to standard16. Revision to standard AppendicesAppendices

Purpose: Purpose:

“…“…to protect members during to protect members during emergency operations.”emergency operations.”

Scope: Scope:

All fire, rescue and EMS All fire, rescue and EMS departments in the state.departments in the state.

Definitions:Definitions:

AHJAHJ Command Level OfficersCommand Level Officers Emergency responderEmergency responder IDLHIDLH MaydayMayday

Definitions:Definitions:

PARPAR Qualified PersonnelQualified Personnel Rapid Intervention CrewRapid Intervention Crew Senior Command Level OfficerSenior Command Level Officer Standard Principles of RiskStandard Principles of Risk

Organizational Statement:Organizational Statement: Statement or written policy: defines Statement or written policy: defines

the organization’s purpose--what will it the organization’s purpose--what will it do?do?

Fight fire?Fight fire? EMS?EMS? Confined space?Confined space? High angle?High angle? Swiftwater/underwater?Swiftwater/underwater?

Guidelines in appendicesGuidelines in appendices

Implementation periodImplementation period

Develop a written implementation plan.Develop a written implementation plan. Remember some Federal, State and local regulations Remember some Federal, State and local regulations

affect operations now.affect operations now. ID compliance date with each element of the regulation.ID compliance date with each element of the regulation. Although not all adopted, be pro-active, get with it now!Although not all adopted, be pro-active, get with it now!

Medical StandardMedical StandardMedical StandardMedical Standard

AHJ develops medical evaluation programAHJ develops medical evaluation program Supervising physicianSupervising physician Baseline evaluation for allBaseline evaluation for all Aged based examinationAged based examination Minimum requirementsMinimum requirements

Medical StandardMedical StandardMedical StandardMedical Standard

Specifics of evaluation providedSpecifics of evaluation provided Collect dataCollect data ConfidentialityConfidentiality Reported either acceptable or unacceptableReported either acceptable or unacceptable

Substance Abuse Programs Substance Abuse Programs Substance Abuse Programs Substance Abuse Programs

Establish policyEstablish policy Includes entry and subsequent screeningsIncludes entry and subsequent screenings

PPEPPE

AHJ provides commensurate AHJ provides commensurate with the level of hazard and with the level of hazard and response expectedresponse expected

Train members on use and careTrain members on use and care Inspect it annuallyInspect it annually Provided and usedProvided and used

Respirators:Respirators:Type and complianceType and complianceFit testingFit testingRefill in fragmentation chamberRefill in fragmentation chamberHydro testHydro testAir qualityAir quality

Structural FirefightingStructural FirefightingNFPA 1971NFPA 1971

EMSEMSNFPA 1999NFPA 1999

Hazardous materialsHazardous materialsNFPA 1991, 1992NFPA 1991, 1992

High angle rescueHigh angle rescue Under water and swiftwaterUnder water and swiftwater WildlandWildland

NFPA 1977NFPA 1977

MarineMarine Eye & ear protectionEye & ear protection

Emergency OperationsEmergency OperationsEmergency OperationsEmergency Operations

General:General: Prevent injury or Prevent injury or

deathdeath Adequate members Adequate members

assembledassembled Within organizational Within organizational

statementstatement SupervisionSupervision

Incident Management Incident Management SystemSystem

Incident Management Incident Management SystemSystem

WrittenWritten All trained in its useAll trained in its use Used in all Used in all

activities-training, activities-training, operations, special operations, special eventsevents

59

Incident CommanderIncident CommanderIncident CommanderIncident Commander

All scenes, one in All scenes, one in chargecharge

Establish Establish organization based organization based on IMS adoptedon IMS adopted

Unity of commandUnity of command Risk managementRisk management

Incident CommanderIncident CommanderIncident CommanderIncident Commander

At emergency scene the IC :At emergency scene the IC : assumes command, is identified,assumes command, is identified, performs size up with risk assessment,performs size up with risk assessment, initiates/maintains/controls communications,initiates/maintains/controls communications, develops strategic and tactical plan,develops strategic and tactical plan, initiates personnel accountability,initiates personnel accountability, reviews, modifies as required, andreviews, modifies as required, and continues, transfers, terminates.continues, transfers, terminates.

Command Officer TrainingCommand Officer Training All trained on AHJ’s system, including All trained on AHJ’s system, including

simulations using that communitysimulations using that community Senior command officers-more advanced, but Senior command officers-more advanced, but

again based on expected responseagain based on expected response Refresh annually on AHJ system; use Refresh annually on AHJ system; use

simulationssimulations

Personnel AccountabilityPersonnel AccountabilityPersonnel AccountabilityPersonnel Accountability

Develop a system to include:Develop a system to include: ActivationActivation Personnel Accountability Report (PAR)Personnel Accountability Report (PAR) PAR at specific times and at certain PAR at specific times and at certain

benchmarksbenchmarks

Health & Safety OfficerHealth & Safety OfficerHealth & Safety OfficerHealth & Safety Officer

AssignAssign Knowledgeable, compliance Knowledgeable, compliance Develop safety program for Develop safety program for

preventionprevention Scene safety officerScene safety officer

Emergency Scene OperationsEmergency Scene OperationsEmergency Scene OperationsEmergency Scene Operations

TrainingTraining PPEPPE IC & standby teamIC & standby team Entry teamEntry team RICRIC Multiple RICs Multiple RICs


IDLH atmospheres:IDLH atmospheres: Interior- requires 2 Interior- requires 2

out- for out- for structuresstructures

Exterior- requires 1 Exterior- requires 1 out- car fires, out- car fires,

dumpsters, etc.dumpsters, etc.


Basic Risk Basic Risk Management Management questions:questions:

Risk Life for LifeRisk Life for Life Risk Little for Risk Little for

PropertyProperty Risk Nothing for Risk Nothing for

What’s Already LostWhat’s Already Lost


MaydayMayday– Develop policy for Develop policy for

disabled, trapped, disabled, trapped, missingmissing

RehabilitationRehabilitation CISMCISM


CommunicationsCommunications:: Plain EnglishPlain English SOP/GSOP/G TerminologyTerminology Use of IMS at all timesUse of IMS at all times

Investigating Collisions/InjuriesInvestigating Collisions/InjuriesInvestigating Collisions/InjuriesInvestigating Collisions/Injuries

Adopt policies Adopt policies and proceduresand procedures

Determine cause Determine cause and provide and provide recommendations recommendations for preventionfor prevention

Vehicles, Tools and EquipmentVehicles, Tools and Equipment– Consider safety and health in specifications, design, Consider safety and health in specifications, design,

maintenance, etc.maintenance, etc.

Facility Safety-Facility Safety-– During renovation/construction of fire/rescue and During renovation/construction of fire/rescue and

EMS stations all work shall comply w/all applicable EMS stations all work shall comply w/all applicable health, safety and building codeshealth, safety and building codes

Workplace ViolenceWorkplace Violence– Procedures to evaluate the potentialProcedures to evaluate the potential

Post Incident Analysis & Post Incident Analysis & CritiquesCritiques

Post Incident Analysis & Post Incident Analysis & CritiquesCritiques

Adopt policies Adopt policies

and proceduresand procedures

for conducting for conducting

PIAs and PIAs and

critiques.critiques.

Revisions...Revisions...Revisions...Revisions...

Prepared in writing by members of the Work Prepared in writing by members of the Work Group to the Secretary of Labor & Industry.Group to the Secretary of Labor & Industry.

Workgroup meets annually to review.Workgroup meets annually to review. Structure providedStructure provided

AppendicesAppendices Provide support for various sections, give Provide support for various sections, give

options, show examplesoptions, show examples

Comments Please!!!Comments Please!!!Comments Please!!!Comments Please!!!

Send your comments and Send your comments and suggestions via mail, e-mail, fax suggestions via mail, e-mail, fax to your fire service organization to your fire service organization representative by July 31, 2001.representative by July 31, 2001.

maryland fire service health and safety consensus standard

Documents

emergency operations10

emergency service responder

emergency scene accountability

vehicle safetystructure12

training1 heart attack1

emergencies8 heart attacks

motor vehicle accidents

vehicle maintenance