Chapter 7: Occupational Safety, Health, and Wellness
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Chapter 7: Occupational Safety, Health, and Wellness

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What is one of the recommendations for preventing chemical exposures at fires?

  • Storing contaminated turnouts inside the apparatus cab
  • Doffing contaminated gear before entering the rehab area (correct)
  • Not wearing SCBA when working in or around fire-damaged structures
  • Not decontaminating turnouts after each fire response
  • How should personnel handle contaminated PPE after firefighting?

  • Do not doff PPE to avoid contamination
  • Leave PPE in personal vehicle compartments
  • Wash and shower immediately after any fire fighting efforts (correct)
  • Store contaminated turnouts inside living areas
  • What process must be followed for accidents, injuries, and near misses according to the text?

  • Completing accident forms without reviewing them
  • Ignoring reports of accidents and injuries
  • Investigating according to NFPA 1500 (correct)
  • Reviewing according to NFPA 1021
  • Why is it important to comply with rehab policies and procedures during emergency operations?

    <p>To ensure a safety-oriented culture</p> Signup and view all the answers

    What should company officers emphasize to their crews regarding rehab?

    <p>The importance of following rehab policies and procedures</p> Signup and view all the answers

    Why is selecting PPE based on the hazard and emergency response type crucial?

    <p>To ensure personnel safety</p> Signup and view all the answers

    When should personnel wash and shower after firefighting efforts?

    <p>As soon as possible</p> Signup and view all the answers

    What should company officers understand regarding PPE selection, care, and maintenance?

    <p>Selection based on hazards, donning techniques, heat, hydration, and stress issues is essential</p> Signup and view all the answers

    Why should personnel err on the side of safety when selecting PPE?

    <p>To prioritize safety in hazardous situations</p> Signup and view all the answers

    What is a key responsibility of company officers in emergency response?

    <p>Enforcing organizational policies</p> Signup and view all the answers

    Which organization in the United States is a source for injury and fatality information in emergency response?

    <p>USFA</p> Signup and view all the answers

    What is highlighted as a priority within safety, health, and wellness programs to prevent incident fatalities?

    <p>Physical fitness</p> Signup and view all the answers

    What are examples of unsafe acts at emergency scenes mentioned in the text?

    <p>Improper communication and absence of situational awareness</p> Signup and view all the answers

    Which organization in Canada is relied upon for injury and fatality information in emergency response?

    <p>CCOHS</p> Signup and view all the answers

    What risk control measure involves the implementation of NIMS-ICS and preincident planning programs?

    <p>Accountability systems</p> Signup and view all the answers

    What is an example of an unsafe condition at emergency scenes mentioned in the text?

    <p>Unsafe structural conditions</p> Signup and view all the answers

    What additional safety measure is emphasized for emergency responders to follow according to the text?

    <p>Using seat belts and safety equipment at all times</p> Signup and view all the answers

    What is essential to ensure that emergency vehicles are in optimal condition according to the text?

    <p>Promptly addressing any maintenance issues</p> Signup and view all the answers

    What aspect is highlighted as a priority within safety, health, and wellness programs to prevent incident fatalities?

    <p>Physical fitness</p> Signup and view all the answers

    What should company officers do to establish a safety-oriented culture within the organization?

    <p>Implement safety policies and procedures specific to the department’s operation</p> Signup and view all the answers

    What should be done with PPE after exposure to smoke or contaminated atmospheres?

    <p>Use a mild detergent and water for cleaning</p> Signup and view all the answers

    Which of the following is NOT an example of personnel qualifications mentioned in the text?

    <p>CPR certification</p> Signup and view all the answers

    Who should perform formal, annual, or preventive maintenance inspections on PPE?

    <p>Trained mechanics or repair technicians</p> Signup and view all the answers

    What are the leading injuries that fire and EMS personnel frequently incur while providing emergency services?

    <p>Sprains and strains</p> Signup and view all the answers

    Where should contaminated PPE be cleaned?

    <p>In the designated washing area</p> Signup and view all the answers

    When it comes to safety to and from the emergency scene, who has control over the majority of the locations where responders operate?

    <p>No one</p> Signup and view all the answers

    What is the main purpose of inspecting PPE at the beginning of each work shift?

    <p>To check for any damage or defects</p> Signup and view all the answers

    Which aspect of the workplace is generally divided into the emergency scene, en route to and from the emergency scene, and facilities?

    <p>Workplace safety</p> Signup and view all the answers

    How should PPE be stored to ensure its longevity and effectiveness?

    <p>In secure lockers in the apparatus room</p> Signup and view all the answers

    What should company officers be responsible for regarding facilities safety?

    <p>Implementing policies and procedures</p> Signup and view all the answers

    Who should handle advanced or special cleaning required to decontaminate PPE exposed to hazardous materials?

    <p>Certified repair technicians</p> Signup and view all the answers

    What is the consequence of washing PPE in a designated washer used for sheets and towels?

    <p>It may lead to cross-contamination</p> Signup and view all the answers

    Why is it important to perform inspections on new equipment delivered to the department?

    <p>To ensure it meets safety standards</p> Signup and view all the answers

    What is a key reason for not storing PPE in living quarters?

    <p>To prevent contamination from hazardous materials</p> Signup and view all the answers

    What should be done if PPE is exposed to hazardous materials?

    <p>Use a designated decon sink for cleaning</p> Signup and view all the answers

    What is the responsibility of company officers in relation to safety policies and procedures?

    <p>Establish a safety-oriented culture within the organization</p> Signup and view all the answers

    Which organization sets safety standards such as NFPA 1500, 1521, and 1582 for firefighter safety and health?

    <p>NFPA</p> Signup and view all the answers

    What is the primary reason that leads to sprains and strains among fire and EMS personnel?

    <p>Physical demands of emergency responses</p> Signup and view all the answers

    What should be a focus of personnel qualifications for fire and EMS responders?

    <p>Vehicle and apparatus operation certifications</p> Signup and view all the answers

    Who holds control over the facilities, stations, and apparatus used by fire and emergency responders?

    <p>Company officers</p> Signup and view all the answers

    What is the area that is NOT under the control of the organization and company officer where fire and emergency responders operate?

    <p>Living quarters</p> Signup and view all the answers

    Why is it important for company officers to address safety issues with their personnel during each shift?

    <p>To prevent work-related injuries</p> Signup and view all the answers

    Which regulation provides guidelines for respiratory protection in the workplace?

    <p>$OSHA$ 29 CFR 1910.134</p> Signup and view all the answers

    What type of injury is a common result of the physical demands faced by fire and EMS personnel during emergency responses?

    <p>Trauma</p> Signup and view all the answers

    What aspect should company officers focus on regarding personnel qualifications for emergency responders?

    <p>Vehicle and apparatus operation certifications</p> Signup and view all the answers

    What should be the immediate action after handling contaminated turnouts and other equipment at a fire response?

    <p>Shower as soon as possible</p> Signup and view all the answers

    How can company officers contribute to maintaining personnel safety with PPE?

    <p>Ensuring proper selection, care, and maintenance of PPE</p> Signup and view all the answers

    What is a key reason for avoiding contaminated PPE in living areas?

    <p>To avoid cross-contamination</p> Signup and view all the answers

    Why is it crucial to follow proper rehab policies and procedures during emergency operations?

    <p>To establish a safety-oriented culture</p> Signup and view all the answers

    What should be considered when determining when to wear PPE according to the text?

    <p>Similarity to training scenarios</p> Signup and view all the answers

    What is recommended for proper doffing of PPE to avoid contamination?

    <p>Washing and showering immediately</p> Signup and view all the answers

    Why should personnel err on the side of safety when selecting PPE?

    <p>To ensure protection against hazards</p> Signup and view all the answers

    What is an important aspect that company officers must understand regarding PPE selection, care, and maintenance?

    <p>Donning and doffing techniques</p> Signup and view all the answers

    What process can negatively impact the health and safety of emergency responders during fire fighting efforts?

    <p>Ignoring physical stresses of fire fighting</p> Signup and view all the answers

    What is recommended for handling contaminated PPE after firefighting?

    <p>Bagging all contaminated PPE for transport</p> Signup and view all the answers

    What should emergency responders prioritize to prevent incident fatalities, according to the text?

    <p>Physical fitness programs</p> Signup and view all the answers

    Which organization in the United States is a source for injury and fatality information in emergency response, as mentioned in the text?

    <p>USFA</p> Signup and view all the answers

    What is a common unsafe act at emergency scenes highlighted in the text?

    <p>Lack of personal protective equipment (PPE)</p> Signup and view all the answers

    Why are physical fitness programs emphasized for emergency responders according to the text?

    <p>To prevent incident fatalities</p> Signup and view all the answers

    What is a risk control measure mentioned in the text to enhance safety during emergency response?

    <p>Full-protective clothing</p> Signup and view all the answers

    Which country relies on WHSCC and CCOHS for injury and fatality information in emergency response?

    <p>Canada</p> Signup and view all the answers

    What is a key responsibility of company officers in emergency response, as outlined in the text?

    <p>Enforcing accountability systems</p> Signup and view all the answers

    What is the recommended method to clean the outer shell of the coat and trousers of Personal Protective Equipment (PPE)?

    <p>Use a mild detergent and water</p> Signup and view all the answers

    Why is it important to perform regular inspections on Personal Protective Equipment (PPE)?

    <p>To ensure the equipment continues to perform as intended</p> Signup and view all the answers

    What is a common misconception regarding cleaning PPE according to the text?

    <p>Using bleach is recommended for cleaning PPE</p> Signup and view all the answers

    Who is primarily responsible for conducting formal, annual, or preventive maintenance inspections on Personal Protective Equipment (PPE)?

    <p>Certified repair technicians</p> Signup and view all the answers

    Where should Personal Protective Equipment (PPE) be stored to ensure its longevity and effectiveness?

    <p>In or adjacent to the apparatus room in well-ventilated, secure lockers</p> Signup and view all the answers

    What is the consequence of washing Personal Protective Equipment (PPE) in a designated washer used for sheets and towels?

    <p>May degrade the fabric or reduce its effectiveness</p> Signup and view all the answers

    Who should handle advanced or special cleaning required to decontaminate Personal Protective Equipment (PPE) exposed to hazardous materials?

    <p>Certified or qualified repair technicians</p> Signup and view all the answers

    When should Personal Protective Equipment (PPE) be inspected after it has been delivered to the department?

    <p>Immediately upon delivery, before any use</p> Signup and view all the answers

    What is a key reason given in the text for conducting regular inspections on Personal Protective Equipment (PPE)?

    <p>To ensure that the PPE maintains its original cost/benefit ratio</p> Signup and view all the answers

    What is emphasized regarding the storage of Personal Protective Equipment (PPE) according to the text?

    <p>PPE should be stored away from diesel exhaust.</p> Signup and view all the answers

    Study Notes

    Inspections and Maintenance of PPE

    • Inspections should be conducted regularly, following a formal schedule, and when the PPE is first accepted by the department and after any repair.
    • New equipment is assigned an inspection label when it is delivered to the department.
    • Formal, annual, or preventive maintenance inspections are performed by trained mechanics, repair technicians, or the department Health and Safety Officer (HSO).
    • Inspections should take place in accordance with NFPA 1851 and AHJ policies and procedures at regularly scheduled intervals.

    Importance of Proper Care and Maintenance of PPE

    • Equipment that is clean and in serviceable condition continues to perform as it was intended.
    • Proper care and maintenance ensures that the original cost/benefit ratio used to select the equipment is met.

    Cleaning PPE

    • Clean PPE, following each exposure to smoke or contaminated atmospheres.
    • Use water and a mild detergent to clean the outer shell of the coat and trousers, including the cuffs and collar, boots, hood, gloves, helmet shell, and neck shroud.
    • Clean the helmet headband and chinstrap, as needed, in a similar fashion.
    • Advanced or special cleaning will be required to decontaminate PPE that has been exposed to hazardous materials.
    • General cleaning and care procedures include:
    • Never use bleach or a product containing bleach on PPE.
    • Clean PPE in the designated cleaning area.
    • Remove liners from shells and wash separately.
    • Clean contaminated PPE in a designated decon sink.
    • Keep PPE in the assigned storage area and away from diesel exhaust.
    • Wash PPE in a designated washer, not one used for sheets and towels.
    • Dry PPE in a designated dryer or by hanging it on a drying rack.
    • Do not hang PPE in direct sunlight to dry, as ultraviolet light will degrade the fabric.

    Storage of PPE

    • All PPE must be stored properly in well-ventilated, secure lockers in or adjacent to the apparatus room.
    • PPE should never be stored or taken into the living quarters of the station.

    Maintenance of PPE

    • Simple maintenance, such as the replacement of a helmet chin strap, can easily be performed by the wearer.
    • Most maintenance and repairs, however, must be performed by certified or qualified repair technicians with the proper tools and repair parts.
    • Never modify any piece of PPE.

    Resources for Fire and Emergency Services

    • Firefighter Life Safety Initiatives — A blueprint to reducing firefighter injuries and deaths.
    • FirefighterCloseCalls.com - An independent newsletter sharing information about “close call” incidents and those that resulted in firefighter injuries and fatalities.
    • EVENT (EMS Voluntary Event Notification Tool) - A tool designed to improve the safety, quality and consistent delivery of Emergency Medical Services (EMS) by collecting data from EMS practitioners to develop policies, procedures, and training programs.
    • EMS Safety Foundation - A not-for-profit think tank, consortium group with a mission to promote EMS safety innovation, collaboration, research, knowledge transfer, education, and safety information dissemination.
    • International Association of Fire Chiefs (IAFC) and the International Association of Fire Fighters (IAFF) - Sponsor the Fire/EMS Safety, Health, and Survival Week, encouraging fire departments to focus on safety, health, and wellness-related training and education.
    • National Firefighter Near-Miss Reporting System - A voluntary, confidential, non-punitive and secure reporting system to improve firefighter safety, a cooperative effort between the IAFC and the IAFF.

    Prevention of Chemical Exposures at Fires

    • Always wear SCBA when working in or around fire-damaged structures.
    • Remain upwind of fires and smoke plumes, wear SCBA if in the smoke plume or around diesel exhaust.
    • Doff contaminated gear before entering the rehab area.
    • Do not wear or store contaminated turnouts inside the apparatus cab, in personal vehicle compartments, or in station or home living areas.
    • Decontaminate and/or launder turnouts, fire hood, and other equipment that readily contacts the skin after each fire response.
    • Wash hands and neck skin immediately after the fire and shower as soon as possible.

    Investigation and Review Process

    • Accidents, injuries, occupational illnesses, exposures, and near misses must be investigated or reviewed according to NFPA 1500TM.
    • Company officers must follow their organizations’ prescribed policies and procedures and accurately complete the appropriate accident investigation forms.
    • Investigations should provide general information, employee characteristics, environmental information, and apparatus/equipment information.

    Rehabilitation

    • Physical stresses of fire fighting and extreme weather conditions can negatively impact the health and safety of emergency responders.
    • Company officers must emphasize the importance of rehab to their crews and follow rehab policies and procedures.
    • Rehab policies and procedures help establish a safety-oriented culture and ensure members are ready to be reassigned at the incident or returned to duty in a “ready state”.
    • NFPA 1584: Rehabilitation Process for Members During Emergency Operations and Training Exercises.
    • Company officers should comply with the rehab policies and procedures.
    • Company officers should monitor and evaluate environmental and work activities of their personnel.

    PPE Selection, Care, and Maintenance

    • PPE must be properly selected, cared for, and maintained to ensure personnel safety.
    • Equipment should be selected based on the hazard and the type of emergency response.
    • Company officers must understand the hazard, donning and doffing techniques, equipment distribution and load carrying, heat, hydration, and stress issues, and heat and moisture retention.
    • Determining when to wear PPE is based on a number of factors, including the hazard and education and experience with similar situations and training scenarios.
    • Doffing PPE must be done in such a way as to avoid contamination.
    • Washing and showering immediately after any fire fighting efforts is recommended.
    • Bag all contaminated PPE for transport back to the stations, then clean it as soon as possible, according to NFPA, organizational, and manufacturer standards.
    • When selecting the PPE, err on the side of safety.### Safe Driving Practices
    • Drive defensively and follow traffic laws
    • Use emergency lights and sirens appropriately
    • Communicate intentions to other drivers
    • Anticipate potential hazards and adjust driving accordingly
    • Ensure emergency vehicles are regularly inspected and maintained
    • Address any maintenance issues promptly
    • Ensure emergency vehicles are equipped with necessary safety equipment

    Risk Control Measures

    • Use of accountability systems
    • Full-protective clothing
    • Mandatory respiratory protection plans
    • Training and education sessions
    • Health and wellness SOPs or SOGs including rehab
    • Implementation of NIMS-ICS
    • Use of control zones
    • Implementation of a preincident planning program for high-hazard occupancies

    Importance of Physical Fitness

    • Physical fitness is a priority of safety, health, and wellness programs
    • IAFF/IAFC/NVFC wellness initiatives may be used for physical fitness guidelines

    Company Officer Responsibilities

    • Comply, enforce, and educate personnel regarding policies and procedures
    • Maintain accountability of personnel while on an emergency scene
    • Address both unsafe acts and unsafe conditions to ensure scene safety

    Apparatus Design and Maintenance

    • Company officers are responsible for reporting the need for repairs and ensuring they are completed
    • Company officers are responsible for the safe operation and maintenance of their facilities

    Facility Safety

    • Proper maintenance is crucial for a safe workplace
    • Company officers are responsible for reporting the need for repairs and ensuring they are completed
    • Facility inspections should be conducted in accordance with organizational policies
    • Ensure proper safety-related inspections occur in accordance with organizational policies
    • Inspections may include equipment, vehicles, and facilities

    Safety, Health, and Wellness Programs

    • Company officers are responsible for providing subordinates with information on the organization's safety, health, and wellness programs
    • Comprehensive safety, health, and wellness programs reduce accidents, injuries, illnesses, and exposures
    • Programs should include information on emergency and nonemergency safety practices, overall wellness and fitness, inspections, and accident investigations

    Risk Management

    • Risk management is the process of identifying and analyzing the exposure to hazards, selecting appropriate techniques to handle exposures, implementing chosen techniques, and monitoring the results of those techniques
    • The risk management plan should have three distinct sections: community risk management, organizational risk management, and operational risk management

    Accident, Injury, and Illness Prevention Program

    • Provide firefighters with information and training regarding the hazards that exist in their work environments
    • Hazards may occur at emergency incident scenes, during training, or while working in the organization's facilities

    Hazardous Materials Exposure Control

    • Exposure to hazardous materials during emergency operations is common
    • Hazmat Branch Safety Officer monitors potential hazards and advises the Incident Commander
    • OSHA's CFR 1910.120(c)(7) lists the risks to be considered during a hazardous materials incident### Inspections and Maintenance of PPE
    • Inspect PPE regularly, following a formal schedule, and when accepting new equipment or after any repair
    • Inspect PPE at the beginning of each work shift, following formal, annual, or preventive maintenance inspections
    • Inspect PPE according to NFPA 1851 or the appropriate NFPA standard for a specific type of PPE

    Care and Maintenance of PPE

    • Clean PPE after each exposure to smoke or contaminated atmospheres using water and mild detergent
    • Clean contaminated PPE in a designated decon sink and wash separately following special cleaning procedures
    • Keep PPE in a designated storage area, away from diesel exhaust, and dry PPE in a designated dryer or by hanging it on a drying rack
    • Never use bleach or products containing bleach on PPE
    • Never hang PPE in direct sunlight to dry, as ultraviolet light will degrade the fabric

    Storage of PPE

    • Store PPE in well-ventilated, secure lockers in or adjacent to the apparatus room
    • Never store PPE in living quarters of the station

    Maintenance of PPE

    • Simple maintenance, such as replacing a helmet chin strap, can be performed by the wearer
    • Most maintenance and repairs must be performed by certified or qualified repair technicians with the proper tools and repair parts
    • Never modify any piece of PPE

    Resources for Fire and Emergency Services

    • Firefighter Life Safety Initiatives: A blueprint to reducing firefighter injuries and deaths
    • FirefighterCloseCalls.com: Sharing information about close call incidents and those that resulted in firefighter injuries and fatalities
    • EVENT (EMS Voluntary Event Notification Tool): A tool designed to improve the safety, quality, and consistent delivery of Emergency Medical Services (EMS)

    Safety Regulations, Standards, Policies, and Procedures

    • Company officers must be knowledgeable of local, state/provincial, and federal laws and standards relating to firefighter safety and health
    • Establish a safety-oriented culture throughout the organization by implementing safety policies and procedures specific to the department's operation
    • Safety policies and procedures may reference NFPA 1500, 1521, 1561, 1581, 1582, 1584, 1852, and OSHA 29 CFR 1910.134

    Personnel Qualifications

    • Ensure personnel qualifications are appropriate and current for each individual's duty assignment
    • Examples of personnel qualifications include medical certifications, vehicle and apparatus operation certifications, and professional qualifications

    Basic Workplace Safety

    • Address safety issues with personnel during each shift
    • The workplace can be generally divided into the emergency scene, en route to and from the emergency scene, and facilities

    Emergency Operations Safety

    • Fire and EMS personnel frequently incur injuries while providing emergency services
    • Leading injuries among these responders are sprains and strains, resulting from the physical demands of emergency responses

    Safety to and from the Scene

    • Address safety issues with personnel during each shift
    • Ensure personnel follow safe driving practices and ensure emergency vehicles are properly maintained

    Facilities Safety

    • Implement policies and procedures and report the need for any maintenance or replacement of unsafe equipment
    • Company officers are responsible for implementing policies and procedures

    Recommendations for Preventing Chemical Exposures at Fires

    • Always wear SCBA when working in or around fire-damaged structures
    • Remain upwind of fires and smoke plumes, wear SCBA if in the smoke plume or around diesel exhaust
    • Doff contaminated gear before entering the rehab area

    Investigation and Review Process

    • Accidents, injuries, occupational illnesses, exposures, and near misses must be investigated or reviewed according to NFPA 1500
    • Follow the organization's prescribed policies and procedures and accurately complete the appropriate accident investigation forms

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