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 …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-- 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 3 at motor vehicle accidents 2 at false alarms volunteers 2 at false alarms volunteers 1 medical call 1 medical call 1 in trench rescue 1 in trench rescue 1 after dog attack 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 kill firefighters...they injure firefighters...they injure firefighters Its the ones and twos…not the Worcester, MA Its the ones and twos…not the Worcester, MA

9. FSHRFSHR Workgroup call by Secretary of Labor John OConnor. Workgroup call by Secretary of Labor John OConnor. Workgroup comprised of paid and volunteer representatives, including labor & management. Workgroup comprised of paid and volunteer representatives, including labor & management. Consensus: Paid & volunteer providers should be equally protected. Consensus: Paid & volunteer providers should be equally protected. Chairperson Chief Roger Simonds. Chairperson Chief Roger Simonds. Goal: safety, emergency scene accountability and command structure that matches NFPA 1500. Goal: safety, emergency scene accountability and command structure that matches NFPA 1500. Why: prevent illness and injury. Why: prevent illness and injury.

10. FSHRFSHR Accomplished without significant difficulty by most fire departments and rescue squads. Accomplished without significant difficulty by most fire departments and rescue squads. Recognize some Federal, State and local regulations affect operations now. Recognize some Federal, State and local 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 emergency service responder. Bottom line: a safer environment for the emergency service responder.

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

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

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

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

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

16. Definitions: Definitions: AHJ AHJ Command Level Officers Command Level Officers Emergency responder Emergency responder IDLH IDLH Mayday Mayday

17. Definitions: Definitions: PAR PAR Qualified Personnel Qualified Personnel Rapid Intervention Crew Rapid Intervention Crew Senior Command Level Officer Senior Command Level Officer Standard Principles of Risk Standard Principles of Risk

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

19. Implementation period Implementation period Develop a written implementation plan. Develop a written implementation plan. Remember some Federal, State and local regulations affect operations now. Remember some Federal, State and local regulations 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!

20. Medical Standard AHJ develops medical evaluation program AHJ develops medical evaluation program Supervising physician Supervising physician Baseline evaluation for all Baseline evaluation for all Aged based examination Aged based examination Minimum requirements Minimum requirements

21. Medical Standard Specifics of evaluation provided Specifics of evaluation provided Collect data Collect data Confidentiality Confidentiality Reported either acceptable or unacceptable Reported either acceptable or unacceptable

22. Substance Abuse Programs Establish policy Establish policy Includes entry and subsequent screenings Includes entry and subsequent screenings

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

24. Respirators: Respirators: Type and compliance Type and compliance Fit testing Fit testing Refill in fragmentation chamber Refill in fragmentation chamber Hydro test Hydro test Air quality Air quality

25. Structural Firefighting Structural Firefighting NFPA 1971 EMS EMS NFPA 1999 Hazardous materials Hazardous materials NFPA 1991, 1992

26. High angle rescue High angle rescue Under water and swiftwater Under water and swiftwater Wildland Wildland NFPA 1977 Marine Marine Eye & ear protection Eye & ear protection

27. Emergency Operations General: General: Prevent injury or death Prevent injury or death Adequate members assembled Adequate members assembled Within organizational statement Within organizational statement Supervision Supervision

28. Incident Management System Written Written All trained in its use All trained in its use Used in all activities-training, operations, special events Used in all activities-training, operations, special events

29. Incident Commander All scenes, one in charge All scenes, one in charge Establish organization based on IMS adopted Establish organization based on IMS adopted Unity of command Unity of command Risk management Risk management

30. Incident 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, and reviews, modifies as required, and continues, transfers, terminates. continues, transfers, terminates.

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

32. Personnel Accountability Develop a system to include: Develop a system to include: @ Activation @ Personnel Accountability Report (PAR) @ PAR at specific times and at certain benchmarks

33. Health & Safety Officer Assign Assign Knowledgeable, compliance Knowledgeable, compliance Develop safety program for prevention Develop safety program for prevention Scene safety officer Scene safety officer

34. Emergency Scene Operations Training Training PPE PPE IC & standby team IC & standby team Entry team Entry team RIC RIC Multiple RICs Multiple RICs

35. Emergency Scene Operations IDLH atmospheres: IDLH atmospheres: ò Interior- requires 2 out- for structures ò Exterior- requires 1 out- car fires, dumpsters, etc.

36. Emergency Scene Operations Basic Risk Management questions: Basic Risk Management questions: Risk Life for Life Risk Life for Life Risk Little for Property Risk Little for Property Risk Nothing for Whats Already Lost Risk Nothing for Whats Already Lost

37. Emergency Scene Operations Mayday Mayday – Develop policy for disabled, trapped, missing Rehabilitation Rehabilitation CISM CISM

38. Emergency Scene Operations Communications : Communications : Plain English Plain English SOP/G SOP/G Terminology Terminology Use of IMS at all times Use of IMS at all times

39. Investigating Collisions/Injuries Adopt policies and procedures Adopt policies and procedures Determine cause and provide recommendations for prevention Determine cause and provide recommendations for prevention

40. Vehicles, Tools and Equipment Vehicles, Tools and Equipment – Consider safety and health in specifications, design, maintenance, etc. Facility Safety- 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 Workplace Violence – Procedures to evaluate the potential

41. Post Incident Analysis & Critiques Adopt policies Adopt policies and procedures for conducting PIAs and critiques.

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

43. Appendices Appendices Provide support for various sections, give options, show examples 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. Send your comments and suggestions via mail, e-mail, fax to your fire service organization representative by July 31, 2001.