Maryland Fire Service Health and Safety Consensus Standard

1
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

2
Whats the problem?

• In 1999--
• 112 firefighters died in the line of duty
• Increase of 21 from 1998
• 300,000 firefighters sustained injuries in the
  line of duty
  

3
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

4
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

5
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

6
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

7
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

8
Routine fires/incidents...

• ...they kill firefighters
• ...they injure firefighters
• Its the ones and twosnot the Worcester, MA

9
FSHR

• Workgroup call by Secretary of Labor John
  OConnor.
  
• 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.

10
FSHR

• Accomplished without significant difficulty by
  most fire departments and rescue squads.
  
• Recognize some Federal, State and local
  regulations affect operations now.
  
• There are some costs (medical/fit testing).
• Bottom line a safer environment for the
  emergency service responder.

11
Status

• Responses from several organizations.
• Reviewed and changes made where appropriate.
• Medical component completed.
• Added method for revisions.

12
Structure

• 1. Purpose
• 2. Scope
• 3. Definitions
• 4. Organizational statement
• 5. Implementation Period
• 6. Medical Standards

13
Structure

• 7. Substance abuse programs
• 8. Personal Protective Equipment
• 9. Emergency operations
• 10. Investigation of vehicle collisions and
  injuries
  
• 11. Vehicle safety

14
Structure

• 12. Tools/equipment
• 13. Facility safety
• 14. Workplace violence
• 15. PIA/Critiques
• 16. Revision to standard
• Appendices

15

• Purpose
• to protect members during emergency
  operations.
  
• Scope
• All fire, rescue and EMS departments in the
  state.

16

• Definitions
• AHJ
• Command Level Officers
• Emergency responder
• IDLH
• Mayday

17

• Definitions
• PAR
• Qualified Personnel
• Rapid Intervention Crew
• Senior Command Level Officer
• Standard Principles of Risk

18

• Organizational Statement
• Statement or written policy defines the
  organizations purpose--what will it do?
  
• Fight fire?
• EMS?
• Confined space?
• High angle?
• Swiftwater/underwater?
• Guidelines in appendices

19

• 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!
  

20
Medical Standard

• AHJ develops medical evaluation program
• Supervising physician
• Baseline evaluation for all
• Aged based examination
• Minimum requirements

21
Medical Standard

• Specifics of evaluation provided
• Collect data
• Confidentiality
• Reported either acceptable or unacceptable

22
Substance Abuse Programs

• Establish policy
• Includes entry and subsequent screenings

23

• PPE
• AHJ provides commensurate with the level of
  hazard and response expected
  
• Train members on use and care
• Inspect it annually
• Provided and used

24

• Respirators
• Type and compliance
• Fit testing
• Refill in fragmentation chamber
• Hydro test
• Air quality

25

• Structural Firefighting
• NFPA 1971
• EMS
• NFPA 1999
• Hazardous materials
• NFPA 1991, 1992

26

• High angle rescue
• Under water and swiftwater
• Wildland
• NFPA 1977
• Marine
• Eye ear protection

27
Emergency Operations

• General
• Prevent injury or death
• Adequate members assembled
• Within organizational statement
• Supervision

28
Incident Management System

• Written
• All trained in its use
• Used in all activities-training, operations,
  special events

29
Incident Commander

• All scenes, one in charge
• Establish organization based on IMS adopted
• Unity of command
• Risk management

30
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.

31

• Command Officer Training
• All trained on AHJs system, including
  simulations using that community
  
• Senior command officers-more advanced, but again
  based on expected response
  
• Refresh annually on AHJ system use simulations

32
Personnel Accountability

• Develop a system to include
• Activation
• Personnel Accountability Report (PAR)
• PAR at specific times and at certain benchmarks

33
Health Safety Officer

• Assign
• Knowledgeable, compliance
• Develop safety program for prevention
• Scene safety officer

34
Emergency Scene Operations

• Training
• PPE
• IC standby team
• Entry team
• RIC
• Multiple RICs

35
Emergency Scene Operations

• IDLH atmospheres
• Interior- requires 2 out- for structures
• Exterior- requires 1 out- car fires, dumpsters,
  etc.

36
Emergency Scene Operations

• Basic Risk Management questions
• Risk Life for Life
• Risk Little for Property
• Risk Nothing for Whats Already Lost

37
Emergency Scene Operations

• Mayday
• Develop policy for disabled, trapped, missing
• Rehabilitation
• CISM

38
Emergency Scene Operations

• Communications
• Plain English
• SOP/G
• Terminology
• Use of IMS at all times

39
Investigating Collisions/Injuries

• Adopt policies and procedures
• Determine cause and provide recommendations for
  prevention

40

• Vehicles, Tools and Equipment
• Consider safety and health in specifications,
  design, maintenance, etc.
  
• Facility Safety-
• During renovation/construction of fire/rescue and
  EMS stations all work shall comply w/all
  applicable health, safety and building codes
  
• Workplace Violence
• Procedures to evaluate the potential

41
Post Incident Analysis Critiques

• Adopt policies
• and procedures
• for conducting
• PIAs and
• critiques.

42
Revisions...

• Prepared in writing by members of the Work Group
  to the Secretary of Labor Industry.
  
• Workgroup meets annually to review.
• Structure provided

43

• Appendices
• Provide support for various sections, give
  options, show examples

44
Comments Please!!!

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