2. Respond safely and Professionally to Every Call for Service Train to Respond and Maintain Your Equipment Eat Healthy, Get and Stay Fit for Duty www.firefighterclosecalls.com

8. EMT CRITICAL IN RESPONSE ACCIDENT - EJECTED - NO SEAT BELT FIREFIGHTER CRITICAL IN FALL FROM APPARATUS - FIREFIGHTER HURT IN FREAK ACCIDENT DID YOU KNOW??? There are 2,472 Fire Apparatus Accidents Each Year Six Occupants of Fire Apparatus are Killed Each Year 413 Occupants of Fire Apparatus are Injured Each Year 20% of Fire Apparatus Collisions Result in Rollovers 47% of Fire Apparatus Collisions are at Intersections Almost all Firefighter Fatalities Were From Rollovers – 73% 76% of the Firefighters Killed Were Not Wearing Seat Belts In addition to the firefighter injuries and deaths, the study found that 21 civilians are killed each year as the result of collisions with fire apparatus and 642 are injured.

12. LONG ISLAND EMS CRASH KILLS TWO EMS MEMBERS Tuesday, May 3, 2005

15. CALIF. FIREFIGHTER HURT IN APPARATUS ACCIDENT April 10, 2005

18. PA FIRE VEHICLE SLAMS HOUSE-FF CRITICAL/HEART ATTACK February 22, 2005

21. Racine, West Virginia Firefighter Killed In Truck-Related Accident

22. Pennsylvania Firefighter Killed when Fire Truck Backs Over Him

24. Los Angeles Rookie Killed in Backing Accident Jaime L. Foster, the first Los Angeles female firefighter to die on duty

25. SPOTTERS RESPONSIBILITIES DIRECT THE DRIVER WHILE BACKING UP VEHICLEDIRECT THE DRIVER WHILE BACKING UP VEHICLE AWARE OF SURROUNDINGSAWARE OF SURROUNDINGS ALWAYS LOOKING AND LISTENINGALWAYS LOOKING AND LISTENING STOP ONCOMING HAZARDS OR VEHICLE BACKING UPSTOP ONCOMING HAZARDS OR VEHICLE BACKING UP BE AWARE OF OBJECTS AND DIRECT DRIVER AROUND THEMBE AWARE OF OBJECTS AND DIRECT DRIVER AROUND THEM LOOK FOR GROUND LEVEL OBSTRUCTIONS AND ABOVELOOK FOR GROUND LEVEL OBSTRUCTIONS AND ABOVE VISUAL CONTACT WITH DRIVERVISUAL CONTACT WITH DRIVER STAY IN LINE OF SIGHT WITH MIRRORSSTAY IN LINE OF SIGHT WITH MIRRORS AT NIGHT STAY IN SPOT LIGHT OR USE A FLASH LIGHT (NEVER SHINE FLASH LIGHT IN MIRRORS)AT NIGHT STAY IN SPOT LIGHT OR USE A FLASH LIGHT (NEVER SHINE FLASH LIGHT IN MIRRORS) VOICE COMMUNICATIONSVOICE COMMUNICATIONS MORE THAN ONE SPOTTER MAY BE NESSARYMORE THAN ONE SPOTTER MAY BE NESSARY

26. DRIVERS RESPONSIBILTIES THE DRIVER IS IN CONTROL OF THE VEHICLE AND THEREFORE RESPONSIBLE FOR ITS MOVEMENTTHE DRIVER IS IN CONTROL OF THE VEHICLE AND THEREFORE RESPONSIBLE FOR ITS MOVEMENT HE OR SHE SHOULD NOT MOVE THE VEHICLE UNTIL THE SPOTTERS ARE IN PLACEHE OR SHE SHOULD NOT MOVE THE VEHICLE UNTIL THE SPOTTERS ARE IN PLACE IF THE DRIVER LOSES SIGHT OF ONE OF THE SPOTTERS, HE/SHE SHALL STOP THE VEHICLE UNTIL THEY ARE BACK IN HIS/HER SIGHTIF THE DRIVER LOSES SIGHT OF ONE OF THE SPOTTERS, HE/SHE SHALL STOP THE VEHICLE UNTIL THEY ARE BACK IN HIS/HER SIGHT IF AT ANY TIME THE DRIVER FEELS THAT THE SITUATION IS NOT SAFE, HE/SHE SHOULD STOP THE VEHICLE UNTIL THE SITUATION HAS BEEN CORRECTEDIF AT ANY TIME THE DRIVER FEELS THAT THE SITUATION IS NOT SAFE, HE/SHE SHOULD STOP THE VEHICLE UNTIL THE SITUATION HAS BEEN CORRECTED THIS MAY MEAN GETTINGOUT AND PHYSICALLY WALKING AROUND THE VEHICLE AND DOWN THE ROAD WHERE THE VEHICLE IS HEADEDTHIS MAY MEAN GETTINGOUT AND PHYSICALLY WALKING AROUND THE VEHICLE AND DOWN THE ROAD WHERE THE VEHICLE IS HEADED

28. GENERAL CONSIDERATIONS USE APPARATUS AS A SHIELDUSE APPARATUS AS A SHIELD UTILIZE CONES AND OTHER DIVERSIONS DEVICES TO CONTROL TRAFFIC FLOWUTILIZE CONES AND OTHER DIVERSIONS DEVICES TO CONTROL TRAFFIC FLOW REPOSITION APPARATUS/PERSONNEL IF THEY ARE NOT IN A SAFE POSITIONREPOSITION APPARATUS/PERSONNEL IF THEY ARE NOT IN A SAFE POSITION IF IN DOUBT SHUT THE TRAFFIC DOWNIF IN DOUBT SHUT THE TRAFFIC DOWN LOOK IN ALL DIRECTIONS BEFORE YOU STEP OFF APPARATUS AND INTO TRAFFIC FLOWLOOK IN ALL DIRECTIONS BEFORE YOU STEP OFF APPARATUS AND INTO TRAFFIC FLOW WEAR PROTECTIVE CLOTHING WITH REFLECTIVE MARKINGSWEAR PROTECTIVE CLOTHING WITH REFLECTIVE MARKINGS

36. OVER 50% OF THE FATALITIES RECORDED ANNUALLY ARE ATTRIBUTED TO MEDICAL EVENTS ASSOCIATED WITH HEART ATTACKS, STROKES OR OTHER SERIOUS ILLNESSES

37. Duty to Protect Health and Safety OSHA “general duty” clause places a duty on employers to take reasonable precautions to protect the health and safety of workers. NFPA Standards require rehabilitation –Rehab to be provided where required (1500) –Is part of tactical level management (1561) –Provides a “Recommended Practice” for rehab (1584)

38. Benefits of Providing Rehabilitation Will protect firefighters’ health and safety Can maximize cumulative work times Provide better customer service Is the right thing to do Will protect department against potential liability

39. Firefighting is Hot, Strenuous Work

40. Scientific Study: Making the Connection Heat to Heart Firefighting stresses the heart –Generates heat build-up –Fluid loss through sweating Denise Smith, Chicago ILStroke volume is decreased - heart stress is increased - Denise Smith, Chicago IL Core temperature rise -stresses the heart Blood “thickens” increases heart stress Need to provide effective rehabilitation to minimize potential for loss

41. Public Safety is our Duty Firefighter Safety is our Responsibility EVERYONE GOES HOME! Focus on “FIREFIGHTING FIT” and remember REHAB at the scene! Regular medical examinations Physical fitness program Monitored rehab after strenuous activity Eat Smart

47. PPE...... IT IS NOT JUST FOR FIREFIGHTING ANYMORE