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Model Safety Program

STATE OF FLORIDAFIRE SERVICES

MODEL FIREFIGHTER EMPLOYERSAFETY PROGRAM

This is in the public domain and may be reproduced, fully or partially.

(Rev: October 2012 Page1)


How to use this program

The purpose of this manual is to provide a Florida Statutes 633.801-821 and Florida Administrative Code 69A-62 compliant safety program for firefighter employers (career and volunteer) to use as a basis for developing their own program.

1. Modify this program to make it employer specific and meet your needs. There are notations in red where information must be entered to make the program complete. If the information needed is in another document, SOP / SOG, rule or regulation, reference the document rather than copying it.

2. If you have an existing program, match it to this program and excerpt whatever is needed to make yours complete, if necessary.

3. If part(s) of the program do not apply because you do not have the equipment or conduct the operations referenced, delete it.

4. At the end of sentences, paragraphs etc there are italics alpha-numerics. They are references to adopted OSHA regulations, statute or rule.

5. Any changes to this program should meet or exceed the requirements of the original program in order to maintain a compliant program.

6. Should changes in statute, rule or adopted OSHA regulations occur, the program will be modified accordingly.

7. As you review, adopt or modify this program for your needs, we encourage and invite you to contribute to this program. With your input, this program will become a living document that evolves in the best interests of safety.



Safety Program Policy Statement .021(1)

As Chief, I am committed to providing a safe and healthful workplace. I expect all of us to be actively involved in maintaining and advancing an effective safety program. This safety program is a written expression of my commitment and is a standard of practice for this department. The compliance by all, regardless of rank, with safety procedures, rules and practices is expected. Willful or repeated violation of workplace safety rules will result in disciplinary action up to and including termination of employment. (FS 633.816).021(7)The reporting of unsafe conditions for correction is encouraged and required. Tasks considered unsafe, should not be performed and reported. Should an injury or damage to equipment occur, it is to be reported and investigated to establish causation. No such report will result in retaliation, penalty, or other disincentive.The correction of unsafe conditions will receive top priority and the financial resources for rectification. Employee recommendations to improve safety and health conditions will be researched and action taken as appropriate. The primary responsibility for the coordination, implementation, and maintenance of our workplace safety program has been assigned to: ADD – Who is responsible.

_______________________ _____________________Chief Date



General Safety Issues

Safety & Health Record Keeping Responsibilities The Department will insure the following records are completed and maintained as required:

Records indicating the date, time and location of fires, # of responding members, meetings, training sessions, and maintenance of apparatus and equipment. .007(f)

A roster of fire department members will be kept up-to-date. .007(f) utilizing the FCDICE system.

FD maintains a “Fire Service Log and Summary of Occupational Injuries, Diseases, and Illnesses” DFS-K4-1568, revised July, 2004 or equivalent. .033(1)

FD records injury, illness, occupational disease, and fatality in the log and summary within six working days. .033(1)

The person supervising the preparation of the log & summary signs the log & summary. .033(1)

The “First Report of Injury or Illness,” is submitted within 6 working days of occurrence. .033(2)(a)

NFIRS-5 is completed for each injury, illness, occupational disease, or fatality, within 6 days of occurrence. (NFIRS submission is voluntary, this is not mandatory)..033(2)(b)

FF accident investigation records .033(2)(c) Records are maintained on a calendar year basis. .033(3) FD has the phone number and address of the establishment where records are

maintained. .033(5)

The Department will maintain these records for a minimum of three years after completion and made available to the Bureau of Fire Standards and Training upon request. .033(4)

Mutual / Auto Aid Requests The minimum training requirements of FDs in mutual aid, automatic aid & other similar agreements are known and acceptable. .003(3)(b) FDs providing mutual / auto aid are responsible for the training & certification of their FFs. .003(3)(b) Requests for assistance are requests for FFs, who as a minimum, meet the training requirements of 69A-62 F.A.C. (3)(b)

Participation An individual is not allowed to participate on scene unless trained commensurate to duty and evidence of such training is maintained. .003(4)(a) No individual can operate in



the hot zone unless certified. .003(4)(a) No one can be in the hot zone or participate in 2-in-2 out operatioins unless at least certified as FF I in accordance with Part I of paragraph 69A-37.055(2)(a), F.A.C.

Hazard Identification System .021(3)(j) & (6) The Hazard Identification System SOP ADD IDENTIFIER has written procedures describing the actions to be taken in situations involving special hazards. It identifies known special hazards that might be encounter during fire and other emergencies such as storage / use of flammable liquids / gases, toxic chemicals, radioactive sources, & water reactive substances. It is updated to reflect any changes that occur in relation to the special hazards.

Presence of Toxic Substances in the Fire Station(s) .004 Under normal circumstances the Department will not apply, store or utilize any toxic substances that are known to cause damage to living tissue, impairment of the central nervous system, severe illness, or, in extreme cases, death, when ingested, inhaled or absorbed by the skin, during customary or reasonably foreseeable handling or use. Should non-exempt toxic substances be applied, stored or utilized in fire station(s), a list of work areas, identified by name and location shall be maintained along with the pertinent MSDS info. Whenever there is a change in the work areas where non-exempt toxic substances are stored, the department will update the list accordingly. The department will post a notice where such notices are normally posted informing their employees of their rights under the law..004(5)

An exempt toxic substance or mixture is acceptable for station storage providing it is:

Toxic only if chronically ingested. An alcoholic beverage as defined in the Beverage Law. Toxic but labeled pursuant to the Federal Insecticide, Fungicide, and Rodenticide

Act, as amended and the Federal Food, Drug and Cosmetic Act, as amended. A consumer product. A commercial product which is substantially equivalent in formulation to similar

consumer products where FF used for the same general purpose, when used in the workplace in such a manner that firefighter employee exposure is not significantly greater than exposures resulting from the principal consumer use of the similar consumer product.

A food stuff.



A fossil fuel in fuel tanks, engines, and other operating systems of vehicles where the substances are present only in amounts and forms substantially equivalent to the amounts and forms generally available to consumers.

A fossil fuel used for heating, or power generation purposes, such that firefighter employees are not exposed to fumes or combustion by-products.

Training

Training is a key element of a safe working envionrment. Training SOP ADD IDENTIFIER meets the following criteria and incorporates the training components below as a minumum.

A Training progam outline will be the basis for training delivered during the year. .021(i) The outline will include the topic and specific method of presentation for each class. .021(3)(g)

Training & education is provided before performing activities requiring such training. .021(3)(k)

Training & education is provided for all FFs and officers commensurate with their duties. .021(3)(k)

Training is given by Company officers or instructors, to new FFs and FFs transferring to new jobs regarding the operating procedures of vehicles and equipment to be utilized by the FF. .021(3)(a)

Specialized training is provided to those FFs & officers providing response, rescue and or mitigation of non-traditional fire suppression activities. .021(3)(c)

Officers are provided with more comprehensive training & education than FFs. .021(3)(k)

Officer training includes management, incident command, and control. .021(3)(b) Training / education for at least FILL IN hours per month or more as needed to

assure FFs and officers can perform assigned duties and functions satisfactorily and safely. .021(4)

The quality of training & education is similar to Florida State Fire College. .021(3)(5)

All training is documented with delivery date(s), topic, method of presentation, outline and a record of attendance. These records are maintained permanently. .021(4)

Safety Training Program



Specific safety training programs will be delivered throughout the year and incorporated into the Training Program Outline. The Goal(s) and objectives of the safety training being conducted, the person(s) responsible for the safety training program overall & the person(s) responsible for conducting each safety training class will be documented. .021(6).021(3)(e),(f),(i)

Hazard Identification System TrainingThe Hazard Identification System SOP ADD IDENTIFIER will be reviewed and incorporated into the training schedule at least annually and any time revisions are made. .021(6)

Emergency Vehicle Operator (EVO) Training Prior to driving and operating an emergency response vehicle, the successful completion of a 16 hour emergency vehicle driving course is required. .021(3)(d) Courses meeting Florida requirements can be found at http://www.myfloridacfo.com/sfm/bfst/SafetyHealth/SafetyForms.htm DECISION – If you have a compliant in-house program, reference it or include it. EVOs having successfully completed the 16 hour course must also undergo training and familiarization with any FD vehicles prior to operating the vehicle. .021(3)(d)

Respiratory Protection TrainingNew hire, Annual training and retraining is conducted in accordance with direction from the Respiratory Protection Program Administrator.

Injury / equipment damage analysisThe intent, process and participation in meeting the requirements of SOP ADD in the Name and identifier is made known through its inclusion in the training program. .021(7)(a)&(h)

Safety Committee or Safety CoordinatorDECISION – If you have 20 or more FFs, use the safety committee section.

If you have less than 20, use the safety coordinator section.

Safety CommitteeNOTE: You will have to fill this section out to complete it as each committee will be unique to its department. If there is a Government wide unit (municipality, county, or special district) safety committee, participation in it can be substituted for a department safety committee so


http://www.myfloridacfo.com/sfm/bfst/SafetyHealth/SafetyForms.htm


long as all the requirements of statute and rule are met. A department may want to have district committees or a committee at each location which they can do so long as all statute and rule requirements are met. .042(2) Recommendation - We highly recommend that a department safety committee be utilized with select members designated to represent the department committee on the government wide unit.

Regular hourly wage Firefighters are compensated at their regular wage while engaged in the safety committee or the safety coordinator training, meetings, or other duties prescribed under this section. FS 633.810(4)

Safety Committee CompositionDECISION - If your FFs are part of a collective bargaining unit, use the first bullet and delete the others. If you do not, delete the first bullet and keep the others.The department establishes the number of safety committee members and their tenure. Regardless of the number, those representing management cannot exceed those representing the rank and file. .042(1)(a) Members are aquired :

The composition, selection, and function of the safety committee is a mandatory topic of negotiations with firefighters that operate under a collective bargaining agreement. FSS (633.810)

By firefighters volunteering for committee assignment. 042(1)(b) From firefighters who are elected by their co-workers. 042(1)(b) Through appointment by the department as a last resort..042(1)(b)

Safety Committee meeting requirements The safety committee functions solely as a safety committee. Issues other than safety are not considered. A quorum is required before official business may be transacted at a meeting. An initial responsibility of the committee is to establish guidelines for the training of members regarding FAC 69A-62 and the safety committee process. .043(3),(2)

Frequency - The first committee meeting will be held no later than 45 days after the committee is initially established. From that point, meetings must occur at least quarterly during the calendar year. The scheduled date, time, and location of Committee meetings is posted and available to all firefigthers. .043(1)(e), .042(1)(c)



Minutes - The department ensures that accurate committee minutes are taken at all safety committee meetings and maintained. Minutes will be approved in a timely fashion by all attending members prior to distribution with the goal of having minutes electronically transmitted to all employees with copies available upon written request within 7 working days of the meeting date. The department will maintain committee records for a period of not less than three calendar years. Copies are available provided upon written request. and are available to the division for inspection. .043(1)(e),(f),(g) Such minutes will contain as a minimum:

Date, time, location and who prepared the minutes Committee members in attendance Old business Accident / injury review and recommendations for prevention since the previous

meeting New Business Comments from attending guests.

Safety Committee Written RecommendationsWritten recommendations from the safety committee made or presented at a safety committee meeting, approved and documented by the safety committee by majority vote will be presented to the Chief for review and action as needed. The chief will issue a written response to each written and presented recommendation within FILL IN days from receipt. .042(1)(d). All written communications between FD and committee is kept for at least 3 yrs. .042(1)(g)

Safety Committee Duties The summation of duties is to assess and make recommendations with regard to improving the safety of department firefighters. Specific duties are to:

Establish the procedures for conducting internal safety inspections. .043(1)(a) Assess the effectiveness of engineering, administrative, and personal protective

control measures to protect firefighter employees from recognized hazards. .043(1)(a)

Create procedures for investigating injuries, near misses, incidents, injuries, illnesses, diseases, and fatalities. .043(1)(b)

Evaluate / recommend improvements to injury and illness prevention programs. .043(1)(c)

Updating the program Ensure that written updates to safety programs are completed. .043(1)(c)



Conducting internal safety inspections. .043(1)(a) Assess the effectiveness of engineering, administrative, and personal protective

control measures..043(1)(a) An investigation of injuries, near misses, incidents, injuries, illnesses, diseases,

fatalities and or damage to vehicles / equipment will be conducted to identify causation and methods for future prevention. The analysis will be in accordance with SOP ADD THE SOP. The results are recorded and maintained. .043(1)(b)

Improving to injury and illness prevention programs. .043(c) Establish & communicate guidelines for training members on this rule chapter.

.043(1)(d) Other health & safety related duties and responsibilities as assigned by the Chief.

Safety Coordinator

With less than 20 firefighters in our department, a Safety Coordinator is utilized in lieu of a Safety Committee. The Safety Coordinator is FILL IN NAME OR POSITION .042(1)

Safety Coordinator Duties .043(4) Under the direction of the department, the safety coordinator will:

Establish procedures for conducting internal safety inspections. .043(4)(a) Establish procedures for investigating workplace accidents, safety-related

incidents, injuries, .043(4)(b) Recommend improvements to injury and illness prevention programs. .043(4)(c) Ensure that updates and changes to safety program rules, policies, & procedures

are completed. .043(4)(c) Seek the input of firefigthers in complying with the responsibilities of this

section. .043(4)(d) *Other health & safety related duties and responsibilities as assigned by the

Chief.

Respiratory Protection



Firefighters are exposed to respiratory hazards in a myriad of calls and operations. This written program was developed and will evolve to protect firefighters from exposure to respiratory hazards and reflect changes that affect respirator use. First and foremost is that should any doubt exist by anyone regarding the safety of the atmosphere, the atmosphere will be considered IDLH and SCBA shall be used. 134(c), (C)(1), (d)(1)(iii)Respirators were selected for the fit and acceptability to the firefighter and are IDLH rated NIOSH-certified 30 minute positive pressure self-contained breathing apparatus manufactured by enter the name of SCBA manufacture. (d)(1)(i), (ii),(iv), (d)(2), (2)(i)(A)DECISION - If the department uses only SCBA, delete the following. Other respirators in use and selected under the same criteria are:

Full facepiece pressure supplied-air respirator (SAR) with auxiliary self-contained air supply manufactured by enter the name of manufacture. (d)(2)(i)(B)

NIOSH-certified escape respirators for specific atmospheres manufactured by enter the name of manufacture. (d)(2)(2)(ii)

Note - This program does not cover EMS respiratory protection, however if a tight fit mask is required for EMS operations, the requirements of this program regarding medical evaluation and fit testing apply.

Responsibilities

Management - Supports this program and provides resources as necessary to make it viable in all aspects. This program is provided at no cost to the firefighters. (c)4

Administrator – Trained and responsible to management for the compliance, maintenance and update of this program. The administrator is assigned to enter the name here, 134(c)

Company Officers - Comply with, educate, train and re-enforce the requirements of this program so that it is understood, followed by the firefighters under their charge and specifically that those firefighters:

o Received appropriate medical evaluation, fit testing and training, prior to being assigned.

o Receive annual respiratory training, medical evaluation and fit testing.o Have appropriate respirators and accessories.o Are aware of when respiratory protection is required.



o Use respiratory protection when needed and if doubt exists, use it. (d)(1)(iii)

o Clean, maintain and store their respirators at least to the requirements of this program.

o Provide feedback to the Administrator regarding the effectiveness of the program.

Firefighters - Comply with this program, protect their respiratory systems and provide feedback on program effectiveness through their company officers.

Program Components (c)(1)

Medical evaluations of firefighters. (c)(1)(ii) Fit testing procedures for tight-fitting respirators (c)(1)(iii) Respirator (Self Contained Breathing Apparatus) use (c)(1)(iv) Maintenance and care (c)(1)(v) Compressed air qualities. (c)(1)(vii) Training(c)(1)(viii) Program evaluation. (c)(1)(ix). Records

Medical Evaluation for SCBA UseMedical evaluations are conducted prior to initial and annual fit testing (e)(1). Enter PHLCP name or facility here is the primary licensed health care professional (PLHCP) that will perform the medical evaluation using the medical questionnaire in accordance OSHA 1910.134 Appendix C or an exam that obtains the same information as the questionnaire as a minimum. (e)(2)(i) The process is as follows:

PLHCP – Is given the following information to be able to make informed decisions. It is the responsibility of the Administrator to update the information provided as needed. (e)(5)(ii)

The type and weight of the respirator to be used by the FF. (e)(5)(i)(A) The duration / frequency of SCBA use. (e)(5)(i)(B) The normal physical work effort during SCBA use. (e)(5)(i)(C) Personal Protective clothing and equipment that is worn with SCBA. (e)(5)(i)(D) Temperature and humidity extremes that may be encountered. (e)(5)(i)(E) A copy of this program (e)(5)(iii)



Questionnaire or examinations - The medical questionnaire and any examinations are given confidentially during shift or at a convenient time / place to the firefighter (FF). (e)(4)(i) Any FF with a positive response to any questions 1 through 8 in Section 2, Part A of OSHA 1910.134 Appendix C or whose initial medical exam indicates the need, is subject to a follow-up exam. The exam will include any medical tests, consultations, or diagnostic procedures deemed necessary. (e)(3)(i)& (ii)

Management - Management provides the FF the opportunity to discuss initial and follow up exam results with the PLHCP. (e)(2)(ii) (e)(4)(ii)

Results - The PLHCP provides individual written recommendations to the Administrator and the firefighter confirming or denying whether the FF is medically able to use an SCBA and if there is a need for any follow-up medical evaluations. (e)(6)(i)(A),(B)& (C)

Additional Medical Evaluations - Additional evaluations / exams are provided if:

A FF reports signs or symptoms related to the ability to use SCBA. (e)(7)(i) The PLHCP, supervisor, or Administrator believes a FF needs reevaluation. (e)

(7)(ii) Information from this program, including observations made during fit testing and

program evaluation, indicates a need for FF reevaluation. (e)(7)(iii) The work environment changes increase the physiological burden placed on a

FF. (e)(7)(iv)

Fit TestingFFs using SCBA must pass an appropriate qualitative fit test (QLFT) or quantitative fit test (QNFT) as stated in this paragraph. (f)(1) Testing is conducted prior to initial use, when masks are changed & at least annually after the medical evaluation confirms the FFs medical ability to wear a SCBA. (f)(2) FFs cannot be fit tested nor allowed to use / train with SCBA when facial hair is between the mask sealing surfaces or interferes with valve function and or any condition that interferes with the face-to-facepiece seal or valve including glasses, goggles or other PPC. (g)(i)(A), (B), (g)(1)(ii) Fit testing is conducted in the negative pressure mode. (f)(8) Masks used in fit testing are cleaned and disinfected after each use. (h)(1)(iv) Upon completion of fit testing and being returned to service, all masks used are returned to NIOSH-approved configuration. (f)(8)(iii)

Additional Fit Tests - Are conducted when the FF, PLHCP, or Administrator report or see changes in the FF's physical condition that could affect mask fit. (f)(3) In addition, if



a FF advises that the fit of the tested mask is unacceptable, the FF is given an opportunity to select & retest with a different mask. (f)(4)

Type Fit Testing Used (DECISION - Keep the one you are using and delete the other)

Qualitative (QLFT) in accordance with the protocols and procedures of CFR 1910.134 Appendix A (f)(5) QLFT fit testing is accomplished using appropriate filters, or by using an identical negative pressure air-purifying respirator facepiece with the same sealing surfaces. (f)(8)(i)

Quantitative (QNFT) in accordance with the protocols and procedures of CFR 1910.134 Appendix A (f)(5) QNFT is accomplished by sampling inside the facepiece in the breathing zone of the user, midway between the nose and mouth. This can be done by installing a probe onto a surrogate facepiece, or by using a temporary adapter. (8)(ii) A QNFT protocol fit factor equal to or greater than 500 is passing. (f)(7)

SCBA UsageEach FF is assigned his / her own mask based upon the results of fit testing. This is to ensure that the FF has the correct mask and to avoid cross contamination between Firefighters of such diseases as MRSA and other skin irritations.

Seal Check – FFs will perform a seal check when donning SCBA in accordance with either CFR 1910.134 Appendix B-1 or Manufacturers recommendation. (g)(1)(iii)

Non-structure fire IDLH atmospheres procedures - When FFs are engaged in IDLH operations other than confined space, hazmat and structure fires, the IC will ensure that:

At least one FF is located outside the IDLH atmosphere. (g)(3)(i) Visual, voice, or signal line communication is maintained between the FF(s) (g)

(3)(ii) FF(s) located outside are certified and equipped with SCBA or SAR with auxiliary

SCBA to provide effective emergency rescue. (g)(3)(iii) & (vi) IC is notified before the outside FF enters to provide emergency rescue and

provides the necessary assistance appropriate to the situation (g)(3)(iv)&(v) Retrieval equipment is available for rescue when or if it would contribute to the

rescue of the FF(s). If retrieval equipment is not warranted or functionally useful, equivalent means of rescue should be planned. (g)(3)(vi)(B) & (C)



Interior structural firefighting procedures, (2 in, 2 out) - When FFs are engaged in interior structural firefighting operations, the IC will ensure that:

All FFs engaged in interior structural firefighting operations will use SCBA until cleared through the IC with proper air monitoring,(g)(4)(iii). With the discovery of nano and ultrafine particulate, the use of SCBA will be required during post fire operations without exception.

At least 2 FFs enter the IDLH atmosphere and remain in visual or voice contact. (g)(4)(i)

At least 2 certified and equipped FFs are located outside the IDLH atmosphere to provide effective emergency rescue. (g)(4)(ii). The 2 FFs outside may have an additional role, such as IC or pumper operator, so long as the FFs are able to immediately perform rescue without jeopardizing the safety or health of any other firefighter working at an incident. 69A-62.003(3).

Non-certified FFs are not allowed to participate in 2 in-2 operations 69A-62.003 (3)(a)1

Note: FFs can perform emergency rescue activities before 2-in,2-out is in place the fire is in the incipient stage or provided the risk is low and potential gain is high.

SCBA Malfunctions - If a Firefighter detects a vapor or gas breakthrough or any other SCBA failure, the Firefighter is to declare a MAYDAY and immediately evacuate to a non-IDLH environment. (g)(2)(ii)(B). Any SCBA that malfunctions will be tagged and taken out of service for repairs or replacement as appropriate. (g)(2)(iii)

SCBA Maintenance and Care (h), (1)(v) SCBA are in-service and ready for use only if they are completely functional. Any condition less than completely functional is cause for the unit to be removed from service until repairs are made.

Cleaning and disinfecting - SCBA are stored clean and disinfected. Cleaning and disinfection is conducted as often as necessary (h)(1)(i) and after each use (h)(1)(iii) in accordance with either CFR 1910.134 Appendix B-2 or manufacturer’s instructions.(h)(1) The instructions will is posted in such fashion to be readily seen and followed. (h)(1)(ii)Such cleaning and disinfecting will be conducted in a “dirty room” with a sink, cleaning equipment and drying racks and not in crew quarters.



Storage - SCBA are stored in such fashion as to make them readily available, to protect them from damage and to keep them clean. Out of service SCBA will be prominently tagged and kept separate from in-service units. (h)(2)(i)&(ii)

Inspection - SCBA are inspected before use, during cleaning and at least monthly in accordance with manufacturer's instructions. (h)(3)(i)(A),(B) Special attention during the inspection is given to: (h)(3)(ii)

A check of function, connection tightness and condition of the various parts including, facepiece, head straps, valves, hoses, harnesses, etc. (h)(3)(ii)(A)

A check of elastomeric parts for pliability and signs of deterioration. (h)(3)(ii)(B) A check that the regulator and warning devices function properly. (h)(3)(iii) A check that SCBA cylinders are kept full and are within their hydro date.

Cylinders must be refilled if the pressure drops below 90% of full. (h)(3)(iii) *Inspection results are recorded on a daily or weekly and monthly checklist

based on specific manufacturer’s instruction and maintained with department records.

Repairs - SCBA that fail an inspection or are defective are removed from service, and are discarded or repaired in accordance with the following procedures: (h)(4)

Repairs are made by persons appropriately trained and shall use only manufacturer's NIOSH-approved parts designed for the respirator; (h)(4)(i)

Repairs are made according to the manufacturer's recommendations and specifications for the type and extent of repairs to be performed; (h)(4)(ii)

Reducing and admission valves, regulators, and alarms shall be adjusted or repaired only by the manufacturer or a technician trained by the manufacturer. (h)(4)(iii)

Survey and discard of SCBA and components (1)(v) - SCBA no longer fit for service will be disposed of in accordance with ADD IN THE APPLICABLE SOP(DECISION - If the department has emergency escape respirators the following two sections apply, otherwise delete them.)

Emergency Respirators - Are kept accessible to the work area, stored in accordance with any applicable manufacturer instructions and stored in compartments or covers marked “emergency respirators”. They are cleaned and disinfected after each use. (h)(1)(iii), (2)(ii),(A),(b),(c)



Emergency escape-only respirators - Are inspected before being carried for use. (h)(3)(i)(C) Documentation of inspection will include the date of inspection, the name and signature of who made the inspection, the findings, any required remedial action, & the identifier of the inspected respirator. (h)(3)(iv)(A) This certification is documented on a tag / label attached to storage compartment, with the respirator. (h)(3)(iv)(B)

Compressed air for SCBA SCBA compressed air will meet the requirements of Grade D breathing air. (i)(1)(ii)

Oxygen content (v/v) of 19.5-23.5%. (i)(1)(ii)(A) Hydrocarbon (condensed) content of 5 milligrams / cubic meter of air or less. (i)

(1)(ii)(B) Carbon monoxide (CO) content of 10 ppm or less. (i)(1)(ii)(C) Carbon dioxide content of 1,000 ppm or less. (i)(1)(ii)(D) Lack of noticeable odor. (i)(1)(ii)(E)

Cylinders - used to supply breathing air must meet the following requirements: (i)(4)

Cylinders are tested / maintained as prescribed in the Shipping Container Specification Regulations of the Department of Transportation (49 CFR part 173 and part 178); (i)(4)(i)

Purchased SCBA cylinders have a certificate of analysis from the supplier that the breathing air meets the requirements for Grade D breathing air. (i)(4)(ii)

Cylinder moisture content does not exceed a dew point of -50 deg. F at 1 atmosphere. (i)(4)(iii)

SCBA Compressor - The compressor and cascade system are constructed and situated so as to: (i)(5)(I)

Prevent entry of contaminated air into the air-supply system. (i)(5)(i) Dew point at 1 atmosphere is 10 degrees F (5.56 deg. C) below the ambient

temp. (i)(5)(ii) Have suitable in-line air-purifying sorbent beds and filters maintained and

replaced or refurbished periodically following the manufacturer's instructions. (i)(5)(iii)

A tag at the compressor notes the filter maintenance date & the signature of the individual who performed it. (i)(5)(iv)

CO Levels (DECISION - keep the type you have and delete the other.)



CO levels in non-oil lubricated compressors do not exceed 10 ppm. (i)(6) Oil-lubricated compressors have a high-temp & or CO alarm. If only high-temp

alarms are used, the air supply is monitored at intervals sufficient to prevent carbon monoxide in the breathing air from exceeding 10 ppm. (i)(7)

Breathing air couplings - are incompatible with non-respirable air or other gas systems. No asphyxiating substance shall be introduced into breathing air lines. (i)(8)

Breathing gas containers are marked per NIOSH 42 CFR part 84. (i)(9)

(DECISION - If the department uses only SCBA delete the following section.)Filters, cartridge, and canister identification - They are labeled & color coded with the NIOSH approval label. The label must be intact and legible. .134(j)

SCBA TrainingTraining is conducted for new hires, at least annually and as needed to maintain competency, knowledge and adjust to new technologies, hazards or procedures. Training is provided in a manner that is understandable to the FF. (k)(2)

New Hires - Training, similar in content to annual training is conducted after medical evaluation, fit testing and before the FF is required to use SCBA in the field. (k)(3) Annual - Training is conducted at such frequency and depth that each FF can demonstrate and or explain the following without prior preparation or coaching: (k)(1)

List and explain the medical signs & symptoms that limit / prevent respirator use. (k)(vi)

Describe what the limitations and capabilities of SCBA are. (k)(ii) Explain why respiratory protection is necessary and how improper fit, usage, or

maintenance can compromise the protective effect of SCBA. (k)(i) Demonstrate SCBA procedures in emergency situations and malfunctions. (k)(iii) Demonstrate proper donning, seal check, use and doffing SCBA. (k)(iv) Demonstrate how to inspect SCBA. (k)(iv) Demonstrate the procedures for maintenance and storage. (k)(v)

Retraining - is administered when the following situations occur: (k)(5)

Changes in the workplace or the make of SCBA render previous training obsolete. (k)(5)(i)

Inadequacies of knowledge or use indicate a lack of requisite understanding or skill. (k) (5)(ii)



Any other situation in which retraining appears necessary to ensure safe SCBA use. (k) (5)(iii)

Program evaluation - is conducted to ensure program compliance & effectiveness. .134(l) Evaluation is accomplished by receiving feedback, comments, suggestions and problems encountered from SCBA users and all others involved in the program. Through this process, problems are corrected and program effectiveness continues to improve. (l)(2) Specific factors to be assessed include, but are not limited to:

Mask fit and impact on effective job performance. (l)(2)(i) SCBA selection for the hazards to which FFs are exposed. (l)(2)(ii) Proper SCBA use under the conditions FFs encounter. (l)(2)(iii) Proper SCBA maintenance, inspection and cleaning. (l)(2)(iv)

Recommendation - Assign this duty to the safety committee

Records Records are maintained for medical evaluations, fit testing, individual SCBA components & the program. .134(m) Records are available to affected FFs for examination and copying. (m)(4)

Medical evaluations are retained & available for term of employment plus 30 years in accordance with 29 CFR 1910.1020. (m)(1)

Fit Testing records are maintained until the next fit test is conducted. (m)(2)(i) A fit test record consists of:

The Make, model, style and size SCBA mask being tested. (m)(2)(i)(C) The ID of the FF being tested, the type test conducted and the date. (m)(2)(i)(A),

(B)(D) The test results including any strip chart or other recordings. (m)(2)(i)(E)

SCBA records are maintained for each mask, cylinder, harness, regulator and PASS on the department supplied forms as follows:

Unit Record - Each SCBA is numbered as a unit and the model / serial number of the harness PASS and regulator is recorded. The record documents the date the unit is placed into service, when used (whether in training or response), any malfunctions and repairs and date retired from service.



Mask Record - Masks are numbered with the model and serial number recorded. The record documents the date the mask is placed into service, who or what it is assigned to, daily and monthly inspections, use whether training or response, any malfunctions and repairs and date retired from service.

Cylinder Record - Each cylinder is numbered with the model and serial number recorded and the hydrostatic test date.

This Program - A written copy of this program is maintained as a record. (m)(3)

Emergency Response Plan compliant to OSHA 1910.120(q)

Your governmental organization – County, city, municipal, district probably has an emergency response plan for the area it covers. Merge the existing plan with this program to be compliant with 1910.120(q). Modify it to meet your needs and add such details as noted in the document where you see “ADD DETAILS or Click here to enter text”. Then delete this paragraph.

Emergency Response Plan ComponentsThis plan was developed to handle anticipated emergencies. The plan is in writing and available for inspection and copying by employees and their representatives. (q)(2)

Pre-emergency planning and coordination with outside parties (2)(i)This plan predetermines, to the extent possible, actions to be taken for the prevention of disasters, reduction of vulnerability to disasters, and recovery from disasters. Flexibility of direction, coordination, and operating procedures is applied to: (1) Minimize the loss of life, suffering, and personal injury; (2) Minimize damage to property, material shortages, or adverse service systems disruptions. (3) Management of emergency operations and activities through the coordinated use of resources available. (4) Provide emergency relief and coordinate short/long-term recovery operations in affected areas.

Personnel Roles, lines of authority, training and communications This plan accurately reflects actions needed to handle anticipated emergencies. All organizations under this plan will ensure that their SOP's support this plan. (q)(2)(ii)This plan facilitates coordination between local and State agencies during times of emergency when our resources are insufficient to handle the situation. The specific line of authority lies with us. Regardless of the resources and external organizations that



respond, command and ultimate responsibility is ours. ADD DETAILS –Lay out your line of authorityTraining on this plan and its components is conducted locally and in conjunction with State and Federal emergency management training. Enter name of responsible party here plans and coordinates drills, tabletop, and functional exercises yearly to test and improve this plan.While face to face communication through regular meetings remains an integral part of our communications methodology, radio, web and its various aberrations are all open to our use. (q)(2)(i) ADD DETAILS – How will you communicate with employees and population.

Emergency recognition and prevention Through the processes of target hazard identification, pre-fire planning and inspections the department will identify those locations in our response area that have a higher than normally anticipated hazard level due to chemicals, radioactive materials or water reactive materials used, processed or stored on the premises. A response plan will be created for those identified hazards. The plans will be included in the regular training cycle. Outside resources and response will be identified and included in the process. (q)(2)(iii)Insert or reference your written target hazard ID or pre-fire plan OG or policy here.Insert or reference your written procedure for responding to each type hazard/facility identified.

Safe distances and places of refuge The plan for each facility or location identifies the minimum evacuation distances based upon the type and amount of hazardous materials on site. Any places of refuge on site provided by the owner/occupant should be identified. (q)(2)(iv)

Site security and controlEnter LEA name here Law enforcement agency is responsible for scene security, access and control under the direction of the IC. (q)(2)(v)

Evacuation routes and proceduresEvacuation of all or a portion of the site faIls to the appropriate emergency official at the scene. Mass evacuation can be ordered by enter name of responsible party here. Local evacuation routes and shelters should be identified to facilitate a wide scale evacuation requirement. (q)(2)(vi)



DecontaminationDecontamination is performed at all Hazardous Materials incidents. IC implements appropriate decontamination procedures with the prevention of contamination as the primary objective. This can be accomplished by: (q)(2)(vii) &(3)(ix)

Minimizing contact with hazardous substances. Using remote sampling and handling devices and techniques. Protecting instruments, radios, etc. by wrapping in plastic. Wearing disposable protective clothing where possible and permissible. (2)(vii)

The method and type of decontamination will depend upon severity, the contaminant and number of contaminated victims. Decontamination procedures, solutions, equipment and personnel must be in place prior to anyone entering the Hot Zone to conduct recon or mitigation actions. Proper decontamination of all victims shall take place prior to transport to the appropriate medical facility. For rescue situations, gross decon (i.e., hoseline) is acceptable.

Emergency medical treatment and first aid.The IC will insure adequate Emergency Medical Service assets are available on scene for triage, emergency care, transport and management of on scene ground and air assets prior to allowing operations in the hot zone. (q)(2)(viii)

Emergency alerting and response procedures.Emergency notification and response needs to be flexible as it is dependent upon the situation, the amount of warning received, manning, severity, and what, if any damage has already occurred to our facilities. (q)(2)(ix)ADD DETAILS SEE BELOW

WHO DETERMINES TO ALERT EMPLOYEES AND POPULATION? HOW IS IT DONE? WHAT SUBSEQUENT NOTIFICATIONS WILL BE MADE? LIST WHERE CURRENT INFO CAN BE FOUND FOR EXAMPLE

Phone #, website, cable, radio stations, social media sites.

PPE and emergency equipmentADD DETAILS of the specialized PPE and/or emergency equipment on each site, owned or utilized by your agency. (q)(2)(xi)



Procedures for handling emergency response.

The National Incident Management System (NIMS) is used for incident management at all scenes regardless of size or type.

The senior emergency response official is the Incident Commander (IC) (q)(3)(i) All responders & communications are coordinated and controlled through the IC.

(q)(3)(i) The IC is assisted by the senior official present (controls operations at the site).

(q)(3)(i) The IC and such staff as necessary identifies all hazards, does appropriate site

analysis, uses of engineering controls, maximum exposure limits, hazardous substance handling procedures, & new technologies. (q)(3)(ii)

The IC implements emergency operations & assures that PPE worn is appropriate for the hazards to be encountered. Minimum PPE is structural firefighting per 29 CFR 1910.156(e). (q)(3)(iii)

Operations conducted in hazardous areas utilize a buddy system in groups of 2 or more. (q)(3)(v)

SCBA.Due to the unknown respiratory hazards posed by firefighting and other operations where a potentially hostile atmosphere may be encountered, all members in the hot zone shall use SCBAs. *The SCBA shall remain in use until overhaul / operations are complete and the respiratory hazard has been eliminated and deemed safe by the IC and Safety Officer after proper monitoring. All re-entries and the PPE required for such entries after operations are concluded must be approved by the Safety Officer. (q)(3)(iv)

Access

IC limits access to the hot zone to those who are necessary and trained for the incident / situation. Accountability for all on the scene lies with IC or is delegated to the Safety Officer. (q)(3)(v)

Buddy SystemHazardous areas operations use the buddy system in groups of two or more.(3)(v)

Back-up personnel standby ready to provide assistance or rescue.Operations in the hot zone and specifically in a structure fire will comply with Florida’s “two in-two out” requirement. This requirement states that for entry to be made, it must



be made by at least two firefighter I or II certified firefighters with at least two firefighter I or II certified firefighters outside (in visual or voice contact ) ready and equipped to respond for aid / rescue should the need arise. The two outside may have other duties so long as their response is timely and no other issues are created by their response. (q)(3)(vi)

Safety OfficerIC designates a knowledgeable safety officer (SO) The SO develops and recommends measures to the IC for assuring personnel health and safety and to assess and/or anticipate hazardous and unsafe situations. The Safety Officer also develops the Site Safety Plan, reviews the Incident Action Plan for safety implications, and provides timely, complete, specific, and accurate assessment of hazards and required controls. The SO can alter, suspend, or terminate IDLH / imminent danger / condition activities. The SO immediately informs IC of any actions needed to be taken to correct these hazards. (q)(3)(vii)& (viii)

Utilization of skilled support personnelAt times, specific skill, trades (dozer, back-hoe, heavy machinery, etc) made be needed to perform work in cool, warm and even hot zones on a temporary basis under the protection of members trained to operate in that environment. Prior to entering into those zones, a skilled support worker must be briefed on:

How to wear the appropriate personal protective equipment. (q)(4) Have the necessary PPE and know how to use it. (q)(4) The chemical hazards involved. (q)(4) The duties are to be performed. (q)(4) The hazards present including the spilled product’s characteristics (if applicable).

(q)(4) The specific hazard, risks, chosen tactic for mitigation and plan for emergency

egress if required. (q)(4) The safety / health precautions that were provided to FFs. (q)(4)

TrainingSkill and knowledge is delivered prior to emergency operations. (Trained commensurate to duty). (q)(6)

All firefighters are trained to at least the First responder operations (OPS) level (q)(6)(i) & (ii).


http://www.osha.gov/pls/oshaweb/owalink.query_links?src_doc_type=STANDARDS&src_unique_file=1910_0120&src_anchor_name=1910.120(q)(3)(vi)


Those who potentially could be IC through the incident have at least OPS and: (q)(6)(v)

o Knows how to implement our IMS system. (q)(6)(v)(A)o Knows how to implement the FD emergency response plan. (q)(6)(v)

(B)o Knows how to implement the local emergency response plan. (q)(6)(v)

(D)o Know about the SERP and the Federal Regional Response Team. (q)

(6)(v)(E)o Understand the hazards / risks of working in chemical protective

clothing. (q)(6)(v)(C)o Know / understand the importance of decon procedures. (6)(v)(F

ANNUAL REFRESHER TRAININGThe content & duration of this training will be sufficient to maintain the competencies required. Demonstration of competencies can be utilized in lieu of or with training. (q)(8)(i)

Training RecordsRecords of training will be kept in accordance with the departments training SOP. In addition to the normal training record, if competency is utilized the methodology is to be specified (drill, event, regional exercise). (q)(8)(ii)

Post-emergency response operationsThis department does not participate in clean-up operations. (11)(i) or (ii)

Critique of response and follow-upAs soon as practical after an event, a formal critique is held to identify strengths and areas of improvement to be worked upon. Identified areas of weakness are assessed and the necessary changes made to the plan. (q)(2)(x)


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