& BURG CKLEN E M E LOTT CHAR E R FI E F LI L W O B Y T E SAF 1 Created by Charlotte Mecklenburg Fire & Life Safety Bowl Committee - 2014 Version L A U MAN Table of Contents Chapter 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Name Chemistry of Fire Classes of Fire Fire Extinguishers Identifying Common Fire Hazards Fire Escape Plans Heat and Smoke Alarms Burns Alternate Heat Sources Your Fire Department and You Outdoor Fire Safety Life Safety in Public Buildings Unicycles, Bicycles, Tricycles & More Carbon Monoxide Falls Prevention Motor Vehicle Safety Water Safety Emergency Preparedness Playground safety Patriot Day-- September 11th Fire Prevention Week History First Aid Earthquake Preparedness Seasonal & Holiday Safety Pedestrian Safety Vacation and Travel Safety Household Poison Prevention Tips NFPA Tip Sheets Page 2 3 4 7 12 15 18 24 27 30 35 39 41 44 46 47 48 52 58 59 61 63 66 68 70 73 75 Revised November 14, 2012 -1- Fire Prevention and Control Fire is a very helpful tool. It produces heat for cooking, warmth for comfort and light for eyesight. When fire is out of control, however, it is no longer a helpful tool; it becomes an object of pain, sorrow and death. Fire has power. You should know how to prevent fires and what to do if one should occur. This manual will help you learn how and why a fire starts, how it burns, how to put out a fire and how to make your own escape plan. 1 Chemistry of Fire To have a fire, you must have FUEL, HEAT, and OXYGEN. When these three elements are together in the correct amounts, a fire starts. A fuel is anything that can burn. Gases are all around us. Oxygen, hydrogen and carbon dioxide are examples of gases in the air we breathe. Carbon dioxide is a gas used to put out fires. Oxygen does not burn but is needed to support a fire. The natural gas used in kitchen stoves, water heaters and furnaces burns as does the butane in lighters and propane in torches. These gases can be very dangerous, and when heat and oxygen are added they burn – even explode. Flammable liquids will not burn until they are vaporized or changed into gas. Two flammable liquids that you often see are kerosene and gasoline. Kerosene does not turn into a gas at room temperature, but it does when heated. Gasoline gives off vapors/fumes at normal temperature and is hazardous when exposed to the open air and a source of heat. Always be very careful around gasoline. A block of wood does not burst into flames, but if it is ground into fine dust, it burns easily. Did you know solids turn to gases and then burn? When a piece of wood is heated, the wood cellulose (fiber) is turned from a solid into a gas which ignites and burns. A piece of steel is hard to burn, but when it is in the form of steel wool it will burn easily. When solids are cut into fine particles and enough oxygen (from the air) surrounds these particles to support combustion, then, with enough heat the solids will begin to burn. Heat of combustion is the amount of heat needed to cause a fuel to begin burning. Combustible solids not only burn more readily if finely divided, but their position also makes a difference. Wood that is in a vertical or upright position burns more rapidly than wood in a horizontal or flat position. Three elements –fuel, heat and oxygen – form the fire triangle. If one part of the fire triangle is removed, the fire will go out. -2- 2 Classes of Fire There are five classes of fires. Knowing the classes of fires will help you prevent or fight such a fire. Class A Fire Wood, paper, cloth, grass, plastic and trash are common fuels for Class A fires. A Class A fire involves ordinary combustibles. To prevent these fires, keep these materials from collecting and coming in contact with a source of heat. Neatness and cleanliness are good fire prevention practices. Get rid of waste paper, wood, grass and trash which can fuel a fire. Class B Fire Gasoline, kerosene, fuel oil, motor oil, grease, oil base paints, varnishes and stains, cleaning fluids, solvents and lighter fluids are the fuels for Class B fires. These are primarily petroleum products. Class B fire involve flammable and combustible liquids. Proper storage of these materials is the best method of preventing Class B fires. Keep products away from heat and provide good air circulation. You should never smoke around these products. These fuels float on water; therefore water is not effective in fighting Class B fires. Water will often cause these fires to spread. The result is a bigger and more dangerous fire. To fight these fires you must remove either the fuel from the fire or the source of oxygen. Foam and chemicals that remove the oxygen are used to fight these fires. Dirt and sand are two examples of how Class B fires can be smothered. Class C Fires Fires caused by electricity are Class C fires. Class C fires involve energized electrical equipment. Light switches, electric motors and other electrical equipment can ignite dust or flammable vapors. Light bulbs, electric motors, toasters, electrical stoves and other electrical appliances and equipment can cause fires if they are too hot and too close to material that will ignite. A gasoline fire started with an electrical spark is at first a Class C fire; then as the gasoline burns it is a Class B fire. Electrical fires are prevented by using appliances and equipment properly and by keeping combustible materials away from these appliances and equipment. Electrical fires are extinguished by turning off the electrical power and smothering the fire with carbon dioxide or dry chemicals. Never use water. Water will conduct electricity and you could easily be electrocuted. Class D Fires Metals that burn are Class D fires. This type of fire is uncommon around the home. Have you seen fireworks, the kind used on the Fourth of July? Fireworks are burning metal compounds. Careless use of fireworks causes many injuries and costly fires each year. Special chemicals that coat the burning metal are used to extinguish metal fires. Class K Fires These types of fires consume vegetable oils and animal fats. They generally happen in restaurants and commercial kitchens. -3- 3 Fire Extinguishers A portable fire extinguisher can save lives and property by putting out a small fire or containing it until the fire department arrives. The idea is to catch a fire when it first starts and is small. Portable fire extinguishers are not designed to fight a large or spreading fire. As a general rule, firefighting should be left to the fire department. Get everyone out of the home and have someone call the fire department. Most portable fire extinguishers sold for home use have a short range of 6 to 10 feet and discharge completely in a very short time. Fire extinguishers are all around your home. How many can you name? Examples are water hoses, pails or buckets for water, brooms, shovels and rakes, sand or dirt, blankets and baking soda. If you have a grease fire in a frying pan, a tight-fitting cover would be a good fire extinguisher. What other fire extinguishers can you think of and how could they be used to put out a fire? You need to be aware of these fire extinguishers that you have all around you and know when and how to use them. Can you think of a situation when a coat that you might be wearing could serve as a fire extinguisher? Types of Fire Extinguishers It is essential that the type of fire extinguisher you use is appropriate for the type of fire you are fighting. If, for example, you spray water on a grease fire, the water will cause the grease to splatter and the fire may spread. Similarly, if you spray energized or live electrical equipment with water, you are putting yourself in danger of electrical shock. There are many types of portable fire extinguishers for sale. Depending on their intended use, fire extinguishers use a variety of “extinguishing agents” such as water or dry chemicals that put out the fire. Quality fire extinguishers should be purchased from reputable dealers. Read the label before purchase. Is the extinguisher approved by the Underwriter’s Laboratories, Inc. or the Factory Mutual Engineering Corporation? If not, don’t buy it! Is it the right type for your needs? Which symbol does it carry A, B, C, D, or K or a combination? Is it the right size? Fire extinguishers are labeled for the class of fire they are suitable for extinguishing. Fire extinguishers are also rated numerically by the size of fire they can put out. The higher an extinguisher’s rating number, the larger the fire the extinguisher can put out. For example, a 4-A rated extinguisher can put out twice as much fire as a 2-A rated extinguisher. Pictorial fire classification symbols will appear on most fire extinguishers. If three fire class symbols (A, B and C) are shown, the model of extinguisher is rated for those three classes of fire. -4- The types of fire extinguishers and their fire classification are as follows: Water Water or an anti-freeze solution, is combined with compressed air or carbon dioxide gases to create a pressure, causing the water to spray out of the extinguisher. The most common size is 2 ½ gallons. This extinguisher is rated for Class A fires only. Carbon Dioxide Carbon dioxide is a gas and is compressed into the extinguisher. This extinguisher is rated for Class B and Class C fires. Carbon dioxide is discharged from the extinguisher as a gas and will travel only a short distance (3 to 8 feet). Carbon dioxide extinguishers put out fires by displacing oxygen and smothering the fire. Dry Chemical Dry chemical extinguishers use a chemical powder and compressed air or carbon dioxide gas to discharge the powder on a fire. This extinguisher is rated for Class B and Class C fires. Multipurpose Dry Chemical Multipurpose dry chemical extinguishers use a chemical powder and compressed air or carbon dioxide gas to discharge the powder on a fire. This multipurpose dry chemical powder is different from the regular dry chemical powder. This extinguisher is rated for Class A, Class B and Class C fires. This is why it is called multipurpose or an ABC type fire extinguisher. Halogenated Compounds Halogenated compound extinguishers use a special chemical gas that is compressed into the extinguisher. This extinguisher is rated for Class A, Class B and Class C fires. These types of extinguishers are no longer produced, but may still be in service. These may be found in computer server rooms, aircraft hangars, and race car shops. Selecting a Fire Extinguisher For Class A fires (ordinary combustible), use a Class A rated extinguisher like a pressurized water extinguisher, a multipurpose dry chemical ABC extinguisher, or a halogenated compound extinguisher. For Class B fires (flammable liquids), use a dry chemical BC extinguisher, a multipurpose dry chemical ABC extinguisher, a carbon dioxide extinguisher, or a halogenated compound extinguisher. Water should not be used. For Class C fires (energized electrical equipment), use a dry chemical BC extinguisher, a multipurpose dry chemical ABC extinguisher, a carbon dioxide extinguisher, or a halogenated compound extinguisher. Water should not be used. For Class D fires (combustible metals), which is usually only found in industrial plants, use a special Class D powder extinguisher. For Class K fires (vegetable oils and animal fats), which are usually found in commercial kitchens and restaurants, use a Class K extinguisher. Water should not be used. -5- Using Fire Extinguishers Only those who are trained should use fire extinguishers. They should learn to use them before a fire occurs. Fire extinguishers should be inspected monthly and serviced annually. Fire extinguishers are one element of a fire response plan, but the primary element is a safe escape. A simple acronym for using fire extinguishers is the word PASS: Pull the safety pin at the top of the extinguisher. Aim the nozzle, horn, or hose at the base of the flames. Squeeze or press the handle. Sweep from side to side at the base of the fire. ----------------------------------------------------------------------------------------------------------------------------Before using the PASS method, someone should call 9-1-1 and/ or activate the fire alarm system. Fire extinguishers should only be used while safe to do so. Stop using the extinguisher immediately, and evacuate to safety, if the fire increases or the extinguisher is no longer effective. Never let the fire get between you and an exit. Always have fire extinguishers recharged or replaced immediately after they have been used. Forgetting this could result in a costly fire the next time. Reliable fire extinguisher companies provide this service. Locating Fire Extinguishers Fire extinguishers should be located near an exit, but not in areas where the fire danger is high. Some of these places are the kitchen, furnace room, garages and fuel storage areas. Fire extinguishers should be located where they can be easily seen and reached, NOT in the back of the closet, behind the stove or in a locked cabinet. -6- 4 Identifying Common Fire Hazards Ben Franklin, the founder of the first organized fire brigade in the United States (Union Fire Company – Philadelphia, PA – 1736) once said “An ounce of prevention not only is worth a pound of cure, but it will help stave off tons of panic when disaster strikes.” Over time, this phrase has been shortened to “An ounce of prevention is worth a pound of cure.” What does this phrase mean to you? It is smarter to prevent a fire than to fight one. To prevent fires, identify and correct fire hazards. Don’t let family members or friends become one of the approximately 5,000 persons killed or approximately 30,000 persons injured each year because of fires. Common fire hazards in and around the home are: − cooking hazards in the kitchen − children playing with matches or lighters − improper use of fireplace − improper use of candles − improper use of holiday decorations like Christmas trees − roofing materials that burn − storage of papers and rubbish in attics, basements, halls, closets and stairwells or poor housekeeping − poor heating systems and chimneys − careless smoking; smoking in bed − improper use of flammable fabrics − overloaded electrical circuits; use of over-sized fuses − improper use or storage of gasoline and other flammable fluids − misuse of electrical appliances or unapproved appliances The secret to fire prevention is to keep combustible materials – things that burn easily – away from a source of heat, fire or sparks. Flammable Liquids Flammable liquids need only a spark to ignite. The ignition can be so fast that there is an explosion. What does this tell us about the use and storage of these materials? − Use flammable liquids far away from sources of flames, sparks or heat. − Use flammable liquids for their intended use only. Gasoline is intended for burning in engines, not for starting an open fire, or for cleaning purposes. − Use flammable liquids only in airy, open areas – outside is best. − Shut off equipment that has a gas engine and let it cool before refueling. Examples of equipment with gas engines are: lawn mowers, ATV’s and weed eaters. − Store flammable fluids in proper containers and in well-ventilated area away from any source of heat or sparks. − It is best to store flammable liquids outside the house. − Never smoke or use any kind of open flame while using a flammable liquid. − Many aerosol cans hold flammable liquids (paints, pesticides, lubricants) and should only be used in well ventilated areas away from any ignition sources. -7- Electricity Electricity is a major cause of fires. It is estimated that there are over 45,000 home fires each year started by faulty electrical wiring, appliances or incorrect use of wiring. It takes special knowledge to check many electrical installations around the home. If you have any questions about the safety of any electrical wiring or appliance, have it inspected by a qualified electrician. Lights that dim or flicker and motors that spark, overheat or start with difficulty are all clues to problems. Call a licensed electrician to correct the problem. You can spot many electrical problems and have them corrected. General Electrical Tips Fuses or circuit breakers should match the wiring size. There is a problem if fuses blow or circuit breakers trip. It disconnects the electrical power source. If you can’t find the problem, have an electrician locate and correct it. Replace a blown fuse with a fuse that has the same amperage rating. Never replace a fuse with a higher rated fuse. Overloaded circuits cause hot wires and fires. Check the light switches and wall outlets. Are the covers on? Are the covers cracked, broken or missing? Is there any evidence of overheating (discolored or warm)? If there are small children in the house, insert childproof plugs into unused outlets. Replace outlets if plugs do not fit snugly or the outlet does not accept plugs with one blade larger than the other. Extension cords are another source of danger. Check their condition and locations. Are they brittle, cracked, under rugs, in locations where they are stepped on, bent, pinched, or damaged in any way? Are cords on electrical appliances in good condition? Three-prong plugs must always be used in three-prong outlets. Never force it to fit into a two slot outlet or extension cord. All electrical appliances, devices and materials should be evaluated by a nationally recognized laboratory such as FM or UL. FM (Factory Mutual) or UL (Underwriters Laboratory) listed means the appliance has been tested and approved to be safe for use. Using unapproved electrical items is an invitation for fire because they have not been tested to the same high standards. Use waterproof of weatherproof electrical devices in all areas that are or may be wet. Water and electricity are a bad mixture. Use light bulbs that match the recommended wattage on the lamp or light fixture. General Electrical Hazards − Short circuits are usually caused by bare wires touching, due to breakdown of insulation. − Light bulbs in contact with paper, fabric or other combustibles may ignite the combustibles. -8- − All wiring installations should comply with the requirements in the National Electrical Code. − Wiring installations should always be made by a licensed electrician or other qualified person. − Most extension cords cannot carry as much electricity as permanent wiring, and are more easily overloaded than permanent wiring. It is especially important to avoid overloading an extension cord. If extension cords are used be sure they are sufficient to carry the electrical load placed upon them. − Never touch an electrical wire, cord, switch, or plug with wet hands or while your body is touching another metal object. − Keep cords away from infants and young children who might place a cord or plug in their mouth. − Never place foreign objects in electrical outlets. Did you know the most dangerous months for electrical fires are December and January? According to the USFA (United States Fire Administration) fire deaths are highest in winter months which call for more indoor activities and increases in lighting, heating, and appliance use. Most electrical fires result from problems with fixed wiring such as faulty electrical outlets, old wiring, extension cords, plugs and switches. Unscramble the following words: Answers: electricity Dangerous heating, lightning outlets wiring extension cords overloaded circuits lecitcetyri ardnogesu htnigae glghninit ulettos ngrwii texsonnei roscd edodoveral scricitu ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ -9- Appliances − Disconnect electrical appliances when they are not being used. − Never use an electrical appliance with a damaged, frayed or deteriorated cord. − Major appliances (refrigerators, stoves, washers, dryers) should be plugged directly into a wall outlet. Never use an extension cord. − An old house may need rewiring by a licensed electrician or other qualified person. Many old homes do not have enough electrical power for numerous modern appliances. − Never touch an electrical appliance with wet hands, or while standing on a wet surface. And, of course, never touch any electrical appliance while in the bathtub or shower. − Have a ground-fault circuit-interrupter-type receptacle installed in the bathroom. This device will offer protection from electrical shock. Ground fault circuit interrupters [GFCI] will trip the circuit breaker if the device detects an increase in voltage in the system and protect the person. − Every home should have special electrical circuits for heavy-duty appliances such as stoves, washers, dryers, or large air conditioners. − Always unplug an iron when not in use, even for just a few minutes. − Heaters and halogen lights should be used away from combustible materials where the possibility of starting a fire may exist from conducted or radiated heat exposure. − Never put kitchen utensils or other metal objects in a toaster to remove bread. − Keep electrical appliances away from bathtubs, sinks, pools, and other sources of water. − Replace any electrical tool or appliance if it causes even small electrical shocks, overheats, shorts out or gives off smoke or sparks. Outdoor Electrical Installations − Stay away from electrical substations. − Do not climb electrical towers or power poles. − Keep clear of overhead power lines. − Always fly kites and model airplanes away from electrical power lines. - 10 - Emergency Electrical Safety Procedures − Disconnect the electrical power source if it can be done safely. Turn off the appliance switch, and pull the plug. − Notify a responsible adult. − If arcing, burning, or smoking occurs, immediately call 9-1-1. − If outside electrical wires or poles are down, call 9-1-1. − Don’t touch downed wires; guard the area and warn others to keep away. Also, do not touch a vehicle, person or object that is in contact with downed wires. Call 9-1-1 to report downed wires. Cigarettes Careless smoking endangers the lives of others as well as themselves. Reported accidental home fires started by smoking materials are by far the leading cause of home fire deaths. Since anyone could become the innocent victim of a careless smoker, each person should recognize and watch out for fire dangers associated with smoking. Some of these dangers include cigarettes falling into upholstery or wastebaskets where they smolder until a fire starts. Non-smokers should remind smokers to follow these safety tips. − Make sure that smokers extinguish and discard cigarettes properly. − Check upholstery and wastebaskets in rooms where people have been smoking. − Discourage people from smoking in bed. − Install smoke alarms in rooms where people smoke. − Encourage the use of large, non-tip ashtrays. − Before an adult discards cigarette butts or ashes, make sure they are out. Put them out in water or sand. − Do not extinguish cigarettes in potted plants or landscaping, which often contain a mixture of peat moss, shredded wood, and bark, which can easily ignite. − Smoking materials should be kept up high out of the reach of children. Summary Fires find enough places to happen without our help. Survey your home. Locate the potential fire hazards and correct all problems. Fires in fireplaces, dinner by candlelight and July Fourth fireworks are enjoyable uses of fire, but there is nothing enjoyable about house fires. Do what you can to prevent them. - 11 - 5 Fire Escape Plans Fire drills in schools occur very often. North Carolina laws require fire drills at least once a month in schools. You probably know very well what to do in the event of an emergency while you are at your school. But how many of us have home fire drills each month? Do you realize that you spend most of your time at home sleeping? Since we are not computerized robots, we better have a plan made before a fire happens. Most fires each year happen at night in our homes. So doesn’t it make sense to have home fire drills? Despite all our efforts to prevent fires, they still happen. Would you know what to do if you awoke during the night and found your room full of smoke? Would you do the right things to help save your life? We must have a plan! All members of the family must help make the plan and practice it. If only half of the family knows how to escape, the plan will not work. The best plan in the world is no good if you practice it once and then never again! Important Parts of the Plan − Draw a map of each level of your home. Be sure to include the doors and windows on this map. Discuss the plan with everyone in your family. − Everyone should know two escape routes from each room. If you have only one and it is blocked, you are trapped. - 12 - − Have a way to alert everyone quickly such as a whistle or any other signal. − Have an outside meeting place (like a tree, light pole or mailbox) a safe distance from the home where everyone should meet and can be accounted for. − Make sure all doors and windows leading outside open easily. Make sure all windows and screens can be opened, removed or, if necessary, broken. If there are storm windows, know how to open them. Close all doors and windows you pass through. − PRACTICE your home fire drill at night and during the day with everyone in your home, twice a year. − PRACTICE using different ways out. − TEACH children how to escape on their own in case you can’t help them. − Are there bars over the windows or doors? How do you get through them? Are there dead bolt locks on the doors or any lock that requires a key? Answer all these questions and make plans prior to a fire. − If you sleep upstairs, have an escape ladder. If you have no ladder, stuff a towel, clothing or bedding materials underneath your door to keep the smoke and gases out, then crawl to the window and yell for help. As a last resource, climb through the window and hang by your hands and let your feet drop. Whatever your height, you will be that much closer to the ground and you will land on your feet. − Have an agreement with your neighbor so you can reach them and let them call the fire department. Call 911 or the local fire department. Have this number posted by all telephones. Other Precautions and Practices − Plans to control the seriousness of the fire are just as important as the escape plan. People have died in fires because they did not know simple precautions or life-saving practices. They didn’t break a window to escape. They opened the wrong door. They went back into a burning building. Never reenter a burning building for any reason. Once you get out, stay out! − If there is smoke in the room or if you know a fire is burning out in the hall or another room, crawl or creep out of the house. Stay low; the air supply will be better near the floor. Touch a closed door or doorknob with your hand. If it is warm, don’t open it, as the fire will rush into the room. - 13 - − Know where your firefighting tools are located so you can direct an adult to them in case of a fire. Types of materials are fire extinguishers, water hoses, buckets, fireproof rugs and water sources. − Stay calm. Think before you act. The best way to stay calm is to be informed. If you know what to do and have practiced home fire drills, your chances of staying calm and doing all the right things in case of a fire are greatly increased. − If you go to the door and feel it with your hand as high as you can (heat and smoke rise), and if it is hot what do you do? The window has to be your next option. We have covered this procedure already. Put something under the door if the smoke is coming in fast, before going to the window (a towel, bedding or clothing). FACTS − According to an NFPA survey, only one of every three American households have actually developed and practiced a home fire escape plan. − While 71% of Americans have an escape plan in case of a fire, only 45% of those have practiced it. − One-third of American households who made an estimate thought they would have at least 6 minutes before a fire in their home would become life-threatening. The time available is often less. And only 8% said their first thought on hearing a smoke alarm would be to get out! - 14 - 6 Heat and Smoke Alarms Smoke alarms are an important part of a home fire escape plan. Where there is fire; smoke spreads fast. − Is your family protected? Do you have smoke alarms? − Some people call these units smoke detectors and some people call them smoke alarms. For our purposes either term can be used. − These devices have a smoke sensor that will detect small traces of smoke and sound an evacuation alarm. − Families with smoke alarms are much more likely to survive a home fire. Your chances of surviving a home fire are 30 to 50 percent better if you have working smoke alarms in your home. − For smoke alarms to work best you must have the right type located in the right places and they must be in working condition. The home fire death rate has been reduced by half since battery operated smoke alarms became available in the 1970s. − Ninety-six percent of all homes have at least one smoke alarm, according to a 2010 telephone survey. Overall, three-quarters of all U.S. homes have at least one working smoke alarm. − Almost two-thirds of home fire deaths in 2005-2009 resulted from fires in homes with no smoke alarms or no working smoke alarms. − When smoke alarms fail to operate, it is usually because batteries are missing, disconnected or dead. Almost one-quarter of the smoke alarm failures was due to dead batteries. Types of Alarms There are many types of alarm devices. There are different types of heat, gas and smoke alarms. Some alarms operate on batteries; others are wired to the electrical circuits within the house. Each type of alarm device has its advantages and purposes. Smoke alarms with ionization or photoelectric detection devices are most effective because most home fires are of a smoldering type and in their early stages normally cause more smoke than heat and flames. Thus the devices provide an early warning alarm to a fire condition. It is important that quality smoke alarms be purchased. They need to have the Underwriter’s Laboratory (UL) or Factory Mutual (FM) label which means that the product has been tested and approved to be sensitive and reliable. It is also important that the alarm is easy to test and provides a loud warning - 15 - signal to awaken people. The alarm should not give false alarms. Smoke alarms are available for people with hearing impairment or loss. These alarms use strobe lights to wake the person and may include installed vibration equipment — such as a pillow or bed shaker. This equipment is activated by the sound of the smoke alarm. Recent research has shown that as people get older, their ability to hear high-pitched sounds decreases. People with mild to severe hearing loss can use equipment that emits a mixed, low-pitched sound. This device is activated by the sound of a traditional smoke alarm. The low-pitched sound is more effective than the sound of a smoke alarm for waking people up in all age groups. Number and Location of Smoke Alarms Locate your smoke alarm on the ceiling or high on the wall since smoke rises. The best location is the center of the ceiling at the top of the stairway or hallway entrance leading to the bedrooms. Ceiling-mounted smoke alarms should be at least 4 inches from the wall. Wallmounted smoke alarms should be installed between 4 to 12 inches below the ceiling. Smoke is slow going into corners. Smoke alarms normally come with installation instructions. Follow those directions. If you have other questions, your local fire department will be able to assist you. Keep Your Smoke Alarms Working! − Smoke alarms that don’t work give us a false feeling of safety. − Keep your smoke alarms working. − Read your owner’s manual to learn when and how to test your alarm and then test it on a regular basis! − Check the power source for your smoke alarm each month. − Battery operated smoke alarms produce a distinct warning when the batteries are getting weak. − Replace weak or dead batteries. − Smoke alarms with non-replaceable (long-life) batteries are designed to remain effective for up to 10 years. − If the alarm chirps, warning that the battery is low, replace the entire smoke alarm right away. − For smoke alarms with any other type of battery, replace batteries at least once a year or immediately if the alarm begins to chirp. - 16 - Helpful Hints − Install smoke alarms in every bedroom, outside each separate sleeping area and on every level of the home, including the basement. Interconnect all smoke alarms throughout the home. When one sounds, they all sound. − An ionization smoke alarm is generally more responsive to flaming fires, and a photoelectric smoke alarm is generally more responsive to smoldering fires. For the best protection, both types of alarms and a combination alarm (photoelectric and ionization) should be installed in homes. − Test alarms at least monthly by pushing the test button. − Smoke rises; install smoke alarms following manufacturer's instructions high on a wall or on a ceiling. Save manufacturer's instructions for testing and maintenance. − Replace batteries in all smoke alarms at least once a year. If an alarm “chirps,” that means the battery is low, replace the battery right away. − Replace all smoke alarms, including alarms that use 10-year batteries and hard-wired alarms, when they are 10 years old or sooner if they do not respond properly. − Be sure the smoke alarm has the label of a recognized testing laboratory. − Alarms that are hard-wired (and include battery backup) must be installed by a qualified electrician. − If cooking fumes or steam sets off nuisance alarms, replace the alarm with an alarm that has a "hush" button. A "hush" button will reduce the alarm’s sensitivity for a short period of time. − An ionization alarm with a hush button or a photoelectric alarm should be used if the alarm is within 20 feet of a cooking appliance. − Smoke alarms that include a recordable voice announcement in addition to the usual alarm sound, may be helpful in waking children through the use of a familiar voice. − Smoke alarms are available for people who are deaf or hard of hearing. These devices use strobe lights. Vibration devices can be added to these alarms − Smoke alarms are an important part of a home fire escape plan. − When the smoke alarm warns you of a fire, you have only a few seconds to escape. Those few seconds of warning might not be enough without a good family escape plan. - 17 - 7 Burns What Is A Burn And How Do I Treat It? A burn involves the destruction of skin cells, and sometimes the underlying structures of the skin which may include muscle, fascia and bone. A burn occurs when these structures absorbs more heat than they can dissipate. Some interesting facts about burns include: − Approximately 500,000 individuals receive treatment for their burns each year.1 − Approximately 4,000 individuals die from injuries suffered from fires or burns.2 − 25,000 individuals are treated at specialized burn care facilities each year for their burn injuries.3 − Most burn injuries occur in the home (43%), 17% street/highway and 32 % are associated with an occupation.4 Children and older adults, because they have thinner skin, receives more severe burns at lower temperatures and in less time that an adult. For example, exposure for just three seconds to water which is 140 °F (the temperature of the average home hot water heater as it comes from the tap) can result in a full thickness or third degree burn on a child or an older adult. Such an injury would require hospitalization and possibly skin grafts. An adult would have to be exposed to the same temperature for up to five seconds to get the same degree of burn. At a higher temperature, the time required to get a serious burn can be reduced to a fraction of a second. The Layers of the skin - 18 - Most people think of burns in terms of degrees: first, second and third degree burns. The medical profession often categorizes burns in terms of thickness – partial and full thickness and the layers of skin involved. Degree/ Thickness Cause Surface Appearance First (Superficial) Epidermis Layer sunburn, scald, flash/flame dry, no blisters Second (Partial) Superficial contact with hot liquids, moist/blisters solids, flash, flame or chemicals - Epidermis/Dermis Deep - Color Pain Level pink may discolor painful 2-5 days with peeling, no scarring. pink to cherry red very painful Superficial: 5-21 days No grafting required No infection, 21-35days - - - Dermis Layer - - Third (Full Thickness) contact with hot liquids, solids, dry and leathery until mixed white, no pain removed waxy, pearly Subcutaneous flame, chemical charred blood dark khaki electrical vessels visible under skin mahogany charred Tissue Healing Time If infected, converts to full thickness large areas may need nerve ending repair, months of skin grafting small areas may heal with grafting within weeks What are the appropriate First Aid Responses? What you do for a burn in the first few minutes after it has occurred CAN MAKE A DIFFERENCE in the severity of the injury! FOR MINOR BURN INJURY: (burn no larger than the size of a quarter or fifty cent piece) Keep the area clean. Gently wash with a mild soap such as Dial or Ivory. Use an antiseptic spray or cream to help relieve pain and prevent infection before covering with a clean (or sterile) dry dressing. If wounds are not healing, appear weepy, or smell bad, seek medical attention. - 19 - FOR MORE SERIOUS BURN INJURY: 1. STOP THE BURNING PROCESS Remove the source of the heat…if clothing catches fire, “STOP, DROP AND ROLL” to smother the flames. 2. REMOVE ALL BURNED CLOTHING Clothing and may keep in the heat and cause a deeper burn injury. If clothing sticks to the skin, cool the material or cut or tear around the area to preserve good skin tissue. 3. POUR COOL WATER OVER THE BURNED AREA Keep pouring cool water for at least 3-5 minutes (30-40 minutes for chemical injury). Never put ice or cold water on a burn as it lowers the body temperature and can make the burn worse. 4. REMOVE ALL JEWERLY, BELTS, TIGHT CLOTHING, METAL, ETC. from burned areas and around the victim’s neck – swelling of burn areas occurs immediately 5. DO NOT APPLY OINTMENTS, CREAMS OR SALVES, OR HOME REMEDIES TO WOUNDS as they may cause infection due to their oil based and can convert wounds to deeper injury; hold in heat and worsen the burn, and have to be washed off by a physician causing the patient additional discomfort. 6. COVER BURNS WITH A SOFT, CLEAN DRY DRESSING, BANDAGE OR SHEET 7. COVER THE VICTIM TO KEEP HIM/HER WARM 8. SEEK MEDICAL ATTENTION AS SOON AS POSSIBLE. Advise medical personnel of the victim’s pre-burned state of health. BURN PREVENTION TIPS Each home environment should be reviewed completely with a view toward discovering any hazards that may cause a fire or burn. That hazard should be eliminated immediately or, if necessary, behavior needs to be modified to prevent the hazard from causing a fire or burn. Home escape planning is essential to reduce the potential of a burn injury associated with a fire. Special efforts should be taken for Individuals who may have physical or mental impairments to evaluate their safety needs. Smoke alarms provide the best protection against injury if a fire should occur in the home or office. Everyone should make certain that a working smoke alarm is on each level of the home. The best alarm is one that is tamper resistant and contains a long-life lithium battery (also known as the ten-year battery). Other safety tips may include: - 20 - Cooking: − Everyone who is cooking should stay in the kitchen when food is being fired, grilled or broiled. − The stove top should be clean – no grease, no spills, no clutter − Pot handles are turned toward the back of the stove. Always cook on the back burners if children are in the home. Always wear tight-fitting clothing when cooking over an open flame, and keep towels and potholder away from the flame. If food or grease catches fire, smother the flames by sliding a lid over the pan and turning off the heat. Do not try to use water to extinguish a grease fire. Smoking: − Smokers should smoke outside. − Deep, sturdy ashtrays should be provided for smokers − Matches and lighters should be kept up high in a locked cabinet. − Never smoke in bed. If you do smoke, make sure that you are alert. Do not smoke if gas or oxygen is nearby. Be certain to check around furniture and carpeting before going to be if someone has been smoking in a room. Soak the ashes before discarding them. Special Treatment for Other Different Types of Burns Electrical Burns Do not touch the victim until you are certain that the current has been cut off and the scene is safe. Keep others away. In the home, turn off the current by: − − − − Removing the fuse Flipping off the main current (breaker) switch at the fuse box Unplugging the electrical cord to the appliance that may be causing the electrical shock Contacting the power company to have the power turned off Electricity from fallen power lines may travel through the ground for as much as 15 feet. Stay away from the victim until the power source has been turned off. Be especially careful if water is in the area (wet ground, near a pool, or the victim has been sweating) as the moisture may help conduct the electrical current. If the scene is safe, give the victim CPR if needed. If breathing is normal, treat the victim’s burns in the same way as for other burns, depending upon how bad they are. Activate the EMS system to get the victim medical help. - 21 - Chemical Burns A chemical burn is irritation and destruction of the skin caused by exposure to a chemical, usually by direct contact with the chemical or its fumes. Chemical burns can occur in the home, at work or school, or as a result of an accident or assault. Most chemicals that cause burns are either strong acids or bases. A variety of common household products that may cause chemical burns are as follows: − Bleach − Concrete mix − Drain or toilet bowl cleaners − Metal cleaners − Pool chlorinators All of these should only be stored in locked cabinets and in appropriate containers to prevent accidental ingestion. Begin basic first aid. − Immediately call 911 if a person has a severe injury. − Protect yourself and make certain that you are not exposed to the same chemical (wear gloves, goggles, etc) − Remove yourself or the injured person from the accident or exposure area, taking appropriate care not to cause further injury to the patient. − Remove any contaminated clothing. − Flush the injured area to dilute or remove the substance, using large volumes of water. − Flush with water for at least 20 minutes, taking care not to allow runoff to contact unaffected parts of anyone's body. If the chemical is a powder, gently brush away any solid materials, again avoiding unaffected body surfaces. − Especially wash away any chemical in the eyes. Scalding A scald injury can happen at any age. Children, older adults and people with disabilities are especially at risk. Hot liquids from bath water, hot coffee and even microwaved soup can cause devastating injuries. Scald burns are the second leading cause of all burn injuries. - 22 - − − − − − − − − − − − − Teach children that hot things can burn. Install anti-scald devices on tub faucets and shower heads. Always supervise a child in or near a bathtub. Test the water at the faucet. It should be less than 100° Fahrenheit (38° Celsius). Before placing a child in the bath or getting in the bath yourself, test the water. Test the water by moving your hand, wrist and forearm through the water. The water should feel warm, not hot, to the touch. Place hot liquids and food in the center of a table or toward the back of a counter. Have a “kid-free zone” of at least 3 feet around the stove and areas where hot food or drink is prepared or carried. Open microwaved food slowly, away from the face. Never hold a child while you are cooking, drinking a hot liquid, or carrying hot foods or liquids. Never heat a baby bottle in a microwave oven. Heat baby bottles in warm water from the faucet. Allow microwaved food to cool before eating. Choose prepackaged soups whose containers have a wide base or, to avoid the possibility of a spill, pour the soup into a traditional bowl after heating. Remember, a burn of any magnitude can be a serious injury. Everyone should know how to perform the initial treatment necessary to prevent the injury from becoming worse. However, the best way to treat a burn is to prevent it from occurring in the first place. Everyone should have and practice a home fire escape plan. There should also be a working smoke alarm on each level of the home and inside the sleeping areas. This will serve as an early warning in the event of a fire. References 1. National Hospital Ambulatory Medical Care Survey; CPSC/NEISS (national Electronic Injury Surveillance System), 2000-2004 data 2. National Fire Protection Association (2005); American Burn Association National Burn Repository (2005) 3. National Hospital discharge survey (2003); Agency for Healthcare Research and quality: Healthcare Cost and Utilization Project/National Impatient Sample (2003); Selected State Hospital data systems (2002-2004); American Burn Association Burn Repository (2005 report). 4. American Burn association National Burn Repository (2005 report), which data base includes information on more than 126,000 acute burn admissions form 70 burn centers in the US. 5. United States Fire Administration Fire Risks for the Mobility Impaired, (1999) Tridata Corp. - 23 - 8 Alternate Heat Sources During the cooler months of the year, people in the North Carolina area turn to alternate heating sources to offset heating costs. The primary hazards that heating sources present are that they have a potential for starting a hostile fire and possibility of contact burns with hot surfaces. Heating equipment is the number one cause of fatal fires in North Carolina. Of these, more than one-half were caused by alternate heating sources such as space heaters, wood burning stoves, and fireplaces. Half of home heating fires are reported during the months of December, January and February. Safety should be your first consideration when heating your home. Space Heaters Portable space heaters can be either electric or liquid fuel-powered such as kerosene. The use of electric and kerosene-fueled portable heaters has expanded significantly over the years. Both kinds of heaters are used during waking hours to supplement the central heating system, by heating small areas. They are used not only in living spaces of homes, but also in garages, basements, workshops, greenhouses, or as emergency heat under certain situations. Potential hazards associated with the use of portable kerosene heaters include uncontrolled fire caused by flare-up of the wick flame, indoor air pollution, production of harmful carbon monoxide gas, burns from hot surfaces and fires associated with the use and storage of fuels. Electric heaters are subject to overheating. Close attention must be paid to frayed or splitting wires on the unit. Avoid using electric space heaters in bathrooms or around water and do not touch when you are wet. Follow these safety practices when using both fuel burning or electric heaters: − Place heater at least 36 inches (3 feet) away from all combustible materials such as curtains, drapes, bedding, books, paper products, furniture or any fuel source. − Use only appliances with the label of a safety testing organization. − Use only the fuel recommended by the manufacturer. Never substitute gasoline or other fuels. − Never leave space heaters operating when you are not in the room or when you go to bed. − Do not leave children or pets unattended in rooms where space heaters are used. Serious burns may occur. − When refueling portable kerosene heaters, always turn off heater and wait until it cools down before adding fuel. Refuel outside and do not over fill. - 24 - − Follow instructions for care and maintenance of your space heaters as well as operating instructions found in your owner’s manual. − Store kerosene fuels in an approved container, clearly marked “kerosene”, away from living quarters. − Plug electric space heaters into wall receptacle. Do not use extension cords. Appliances that give off smoke of burning odors, cords that feel warm or hot to the touch, blown fuses or circuit breakers may indicate a problem with the unit. − Inspect for cracked or damaged cords, broken plugs, or loose connections. Replace before using the space heater. − Small appliances should be repaired only by a manufacturer trained or licensed electrician. − Drying clothes or other combustibles over heaters is a fire danger. − Use and purchase portable heaters with an automatic shut-off so if they’re tipped over they will shut off. − Place the space heater on a solid, flat surface. − All new unvented gas-fired space heaters have an oxygen depletion sensor that detects a reduced level of oxygen in the area where the heater is operating and shuts off the heater before a hazardous level of carbon monoxide accumulates. If you have an older heater without this feature, replace it. Wood Burning Stoves Wood-burning stoves have gained a great deal of popularity in many homes and businesses today as a method of saving fuel costs. Used properly, the wood stove provides cozy warmth for a fraction of the cost of other central heating systems. It also provides more heat than the less efficient fireplace. If you have a wood-burning stove in your home or place of business, use it with respect and follow the following safety tips: − Be sure your wood-burning stove contains the label of a recognized testing laboratory, such as UL. − Installation of your wood-burning stove shall meet local building, mechanical and fire codes. Also you need to follow the manufacturer’s instructions for care, use and maintenance of your wood-burning stove. − Inspect chimney connections and chimney flues on a regular basis and clean periodically to prevent creosote build-up. Have the chimney checked each year by a certified chimney sweep. − Never use gasoline or kerosene or other flammable liquids to light a fire in the stove. − Maintain adequate clearances 36 inches (3 feet) in all directions around stoves from combustible items and keep children and pets away. − Use leather gloves when putting in wood or removing the ash can to prevent burns. Do not wear loose fitting clothes, they may come in contact with sparks and open flames. − Burn only seasoned wood to prevent creosote build-up inside of pipes and flue. − Place ashes in a metal container and allow cooling the ashes to cool for at least a day before discarding. - 25 - − Avoid putting wet or water soaked wood in a hot wood stove in order to prevent steam burns or cracking of the sides and grate of the stove. − Be sure the stove is placed on an approved stove board (noncombustible materials like bricks) to protect the floor. Fireplaces Fires burning in a fireplace can be cozy and fun as well as providing us with another alternate heat source. Fireplaces can be used safely if you use common sense in its operation. Follow these safety tips to provide a fire safe environment: − Before starting a fire, make sure the flue is in the open position. − Utilize a fire screen in front of your fireplace to confine live ember, sparks and shifting wood. − Inspect your fireplace and chimney yearly and clean as needed by a certified chimney sweep. − Keep all combustible items 36 inches (3 feet) away from fireplace. − Use only seasoned wood and not paper products, which can float out the chimney and ignite a neighboring home. − Never start with flammable liquids. − Put ashes in a metal container and place them outside on a noncombustible surface. − A spark arrester on top of your chimney can provide an added safety measure. Central Heating − Furnaces need to be cleaned and inspected at least once a year by a qualified professional. − Do not store things that can burn near the furnace. Keep the furnace area clean and uncluttered. − If you smell gas, do not light the appliance. − Leave the building immediately and call 9-1-1. - 26 - 9 Your Fire Department and You This lesson is designated to help you increase your awareness of your local fire department and its basic operations. It is essential to understand the importance of being able to contact the fire department quickly in the event of an emergency and to give accurate directions to the fire department. Before You Need the Fire Department The previous chapters discussed an understanding of fire, the removal of fire hazards, inspections, use of smoke alarms, developing escape plans and availability of fire extinguishers. This information does not mean that someday you will not need the services of the fire department. When you need the fire department, you will need it right then and lost time is costly. There are things you should do before you need the fire department to respond to an emergency. What are some of these things? − Post the number 911 by all telephones. − Determine how you would call the fire department if you could not use the telephone. If your home is on fire, you should never use the phone inside your house. − Know where your fire station is located and be able to explain to the dispatcher how to reach your home. − Explain to the fire department the type and seriousness of the emergency. Use the five W’s and add an H….Who? What? When? Where? Why? and How? Try to answer as many of these questions as you can. − If your home is off of a main street or road, down a long driveway or not visible from the road, make plans to have someone go out to the main street or road to direct the fire trucks to the fire. - 27 - Learn to use your fire department to prevent fires, not just to fight fires. Call or visit your fire department if you have questions about ways to make your home more fire safe. Many fire departments provide a service of visiting homes and businesses to conduct inspections and give suggestions of how to improve fire safety. Many fire insurance companies provide these same services. Types of Fire Departments All fire departments are staffed with professional, well-trained and well-equipped firefighters. The staffing of fire departments can be broken into three categories: − paid, − volunteer or − combination. There are some fire departments which are staffed with full-time paid firefighters. If you live in a rural area, town, or small city, you might have a volunteer fire department with unpaid firemen. These firemen work at other jobs and are normally not paid as firefighters. The third type of fire department is a combination fire department. These departments have some fulltime staff and some volunteer firefighters. Which type does your community have? At a full-time fire department, when a fire call comes into the fire station, a firefighting unit is immediately sent to the fire. At a volunteer station, the fire call may come into a police station, home or some other location, and a siren, bell or horn is blown to inform firefighters of the fire. They then rush from their jobs within the community to the fire station to respond to the fire. In the better organized volunteer departments, the volunteers use radio monitors, pagers, and/ or text messaging on cell phones while they are at home and work. They can then go directly from home or work to the location of the fire. Naturally, there must be some organization so that some of the firefighters will first go to the fire station to get the firefighting equipment. Fire Department Operations Do fire departments only fight fires? NO. Fire departments respond to many kinds of emergencies other than fires. Fire departments assist in vehicle accidents, industrial accidents, and other situations involving medical aid. The fire departments are equipped with many special tools and equipment. There are saws and power tools to open up wrecked cars to free pinned passengers. There are chainsaws to open up roofs to vent out smoke. There are tools for forcible entry through locked doors. There are fans to vent out smoke through doors and windows. There are pumps to pump water out of basements. There are axes and pike poles to break windows and doors and open up ceiling to find hidden fires. Most fire departments will have several trucks at each fire station. The trucks each serve a special purpose. The pumper truck carries lots of hose and has a pump to draft water from hydrants or ponds to spray on a fire. A ladder truck carries various sizes of ladders including the mounted extension ladder, which may be extended up to 100 feet. The ladder truck also carries a lot of power tools and hand tools. Often ambulances and rescue trucks will be housed at the fire station. Some fire departments may have a tanker truck to carry water to a fire. At the airport, there will be several specialized fire trucks stationed in the event of an airplane crash. - 28 - Each fire truck will carry self-contained breathing apparatus (SCBA), which are air tanks connected to a mask. The firefighters have to wear this apparatus to protect them from the heat and smoke of the fire. Small children should be taught not to be afraid of firefighters dressed in their turnout gear so they won’t hide from the firefighters in the event of an emergency. A fire department is involved with fire prevention, fire suppression, fire and life safety education, code enforcement of fire safety laws, fire investigation, medical services and handling catastrophic events. Sometimes people call the fire department as a prank. This prank is called a false alarm and might prevent the fire department from being ready for real emergencies. Prank calls can be located. If a person makes many prank calls it can result in fines or other penalties and/or possible jail time. At the Fire The firefighter’s first job at any fire is the protection of human lives. This not only means people might be in the burned building, but also other people who are at the scene of the fire, including the firefighters themselves. Firefighting teams always have a Chief. It is his or her responsibility to assign specific jobs to the other firefighters. This may include rescuing people, pets and personal property, crowd control and protection of other buildings, in addition to fighting the fire. Firefighting teams must be well trained and disciplined to do the tasks assigned. Not everyone can drive the truck or man the water hose! Support Your Fire Department Your call to the local fire department puts into action an organization of trained firefighters who have the knowledge to prevent, control and fight fires. Their work is often dangerous. They must attend meetings, school, training sessions, and drills on a regular basis. They are always learning about new firefighting techniques and better ways to prevent fires. And, there never seems to be enough dollars for the amount and kind of equipment needed. While tax dollars fund all or part of most fire departments, volunteer departments often find it necessary to raise part or all of their necessary funds. Various fundraising activities are used, such as socials, suppers, carnivals, and card parties. Get to know your fire department. Find out what it needs. Support your fire department. Help them obtain the resources necessary to provide quality fire protection to your community. If you are really interested in supporting your local fire department, you might want to consider becoming a firefighter yourself in the years ahead. - 29 - 10 Outdoor Fire Safety Burning Trash, Rubbish, and Leaves Outside burning of trash, rubbish and leaves is prohibited in many communities. Local regulations should always be checked before any outdoor burning is initiated. Where outside burning is permitted, the following precautions should always be observed: − Call the local fire department and obtain the local regulations. − Children should never burn trash, rubbish and leaves outside unless a responsible adult is present throughout the burning process. − Never burn on a windy day. − Clear a large space where the fire will be. Permitted open fires need to be at least 50 feet from anything that can burn. Do not burn near trees or buildings. − Keep a charged (water-filled) hose, large bucket of water, or shovel and dirt or sand nearby to help extinguish the fire. − Never use a flammable liquid to start or rekindle an outside fire. Barbecues and Gas Grills Children should not be allowed to start barbecue or gas grill fires. Parents should start these fires using the following important safety rules: − Make sure the barbecue or gas grill is a safe distance, at least 10 feet, from anything that might catch fire. The barbecue or gas grill should not be used on combustible balconies such as the second floor of an apartment building; or inside garages. The grills should not be used in close proximity to combustible landscape materials like pine needles, wood bark, leaves or trees. Do not get too close to the flames. − Never pour charcoal lighter fluid on a burning fire. Use twigs to rekindle the fire. Consider purchase of an electrical charcoal lighter, but make sure it has a testing laboratory label. − Never get near a barbecue or gas grill if you are wearing clothing that is easily ignited (long-sleeved, loose-fitting garments made of loose-weave fabric). − Children should never be allowed to play near a barbecue or gas grill. There should be a 3 –foot “kid-free zone” around the grill. − Use long-handled grilling tools to give the chef plenty of clearance from the heat and flames. − Have a means of extinguishing the fire readily available. − Never take a barbecue or gas grill indoors. Indoor use can kill occupant by causing either a fire or carbon monoxide poisoning. − Never use gasoline or kerosene to start a charcoal fire. − Gas cylinders and grills should be stored outdoors. − Before lighting the grill, check all connections for leaks using a soap and water solution. - 30 - If bubbles appear at any connection, the connection is not gas tight and should be serviced by a qualified LP-gas supplier specialist. − Turn off burner valves and cylinder service valve when not in use. − Periodically remove grease or fat buildup in trays below the grill so it can’t be ignited by a hot grill. − Refer to manufacturer’s instruction for lighting gas grills. Campfires Campfires can cause wildland or forest fires. Children should never build a fire without adult supervision. When building a campfire, make sure it is a safe distance from tents, bedding, people and natural fuel, including subsurface fuel – clear the area well. Never use flammable liquids to start or fuel a fire. Never leave a campfire unattended. When you break camp, drench the fire thoroughly with water. Next stir the ashes or coals, and smother them with sand or dirt. Be sure every spark is completely out. Lanterns, stoves and portable heaters should be treated just like campfires. Each of these camping tools reaches and retains a high temperature, and usually has some type of fuel tank attached to it. Lightning Each year, lightning strikes approximately 550 Americans, with 55 of these persons suffering fatal injuries. Lightning also causes more than 7,100 fires in buildings every year and 9,570 forest fires. The following safety precautions are important during a thunderstorm: − Stay or move indoors. − Stay away from fireplaces, stoves and any grounded metal objects. − If you are outside, keep away from trees, small sheds and shelters located in exposed areas. Avoid wire fences and hilltops. Lightning takes the shortest route to earth and such areas may be more susceptible to lightning strikes. − For shelter, choose first a house or building with a lightning protection system. The next best choice is a large, unprotected building. If no building is near, enclosed automobiles with metal tops and bodies offer protection. − Do not fly a kite during a thunder or lightning storm. − If you are swimming or if you are in a boat, get to shore as quickly as possible and stay away from the water. Outdoor Electrical Installations − Stay away from electrical substations. − Do not climb electrical towers or power poles. − Do not throw rocks at insulators. − Keep clear of overhead power lines. − Always fly kites and model airplanes away from electric power lines. − Stay away from people and machines that are in contact with power lines. - 31 - Emergency Electrical Safety Procedures − Disconnect the electrical power source if it can be done safely. Turn off the appliance switch and pull the plug. − Notify a responsible adult. − If arcing, burning or smoking occurs, immediately call 911. − If outside electrical wires or poles are down, call 911 and the electric company. − Don’t touch downed wires; guard the area and warn others to keep away. Also, do not touch a vehicle that is in contact with downed wires. − If inside a vehicle in contact with downed wires, stay inside until the wires are removed by the fire department or electric company. − If you are in a building involved in a serious electrical malfunction, evacuate immediately. Wildlands Fire Hazards and Prevention At certain times and under carefully controlled conditions, fire is used in the forest to accomplish special results. Under controlled conditions, fire may be used to: − Control certain insects and diseases. − Eliminate scrubby, undesirable trees, from forest stands to allow the better quality trees to grow. − Prepare a seed bed by reducing the litter on the forest floor so the seed from desirable tree species like the Douglas fir in the west and pine in the south will germinate and grow, thus reproducing a forest naturally. − Reduce the amount of underbrush and dead limbs in the forest, which could cause a disastrous wildfire. − Open up small areas of the forest so new shrubs and plants will grow to provide needed food and shelter for wildlife. Fire Causes and Types Man and his activity are the major cause of uncontrolled forest fires in the United States. Whenever man’s outdoor activity increases, the potential for wildfires also increases. Wildland Fire Causes across the United States: Arson- Intentional Debris Burning Miscellaneous Smokers Equipment Use Railroads Children Lightning* Campfire *Lightning is a major cause of fires in the western United States where the climate is dry and the vegetation is dried and cured by the heat of the summer months. In the eastern United States, lightning is not a problem except during periods of extreme drought. - 32 - Forest fires destroy about three million acres of forest in the United States each year. Careless smokers cause many of these fires; another principal cause is unattended open or trash fires, which spread to nearby woods. Forest fires destroy not only trees and plants, but birds, animals and various other forms of wildlife. Without trees and vegetation, many forest areas suffer severe and irreparable damage from wind and water erosion. Outdoor fire danger is highest at different times of the year in different parts of the country. In the west, the fire season occurs during the hot, dry summer months. In the south and east, the major fire season occurs during the spring before the trees grow new leaves. The winds are usually dry and gusty and people begin to venture outside to camp or burn debris that has accumulated over the winter. Firefighters are usually the people who die in wildfires. However, the general public may sometimes die in wildfires when they become trapped by the fire. Many people suffer fatal heart attacks while trying to put out fires, which have escaped their control; or, they are injured when their clothes catch fire. Wildfires can occur at any time of the day or night, but are more frequent from noon to 5:00 p.m. This is primarily due to drying conditions of fuels and people getting home from work. Forest fuels react to changes in humidity and absorb moisture when humidity rises and conversely lose moisture when the humidity is low. Incendiary fires generally occur after dark. Miscellaneous Equipment Use – Any equipment utilizing an internal combustion engine (i.e., chain saw or motorcycle) should be equipped with some type of spark-arresting device on the exhaust system. Internal-combustion engines can produce white-hot carbon particles, which may be blown out of the engine. These hot particles can start a fire. Cars equipped with a catalytic converter should be kept away from dry grassy areas. The outside of a converter can reach temperatures hot enough to ignite any dry vegetation it may touch. Catalytic converters should be maintained at all times. A converter can spew out hot particles which can start a grass fire. Boats use gasoline for fuel and can be a fire hazard during refueling. Motors should be properly maintained. No smoking should be permitted around boats when refueling. All boats should be equipped with a fire extinguisher. Fireworks used unsafely causes many burn injuries and fires each year. Fireworks should only be used by professionals. Many states prohibit the use and sale of fireworks. When fireworks are permitted, they should be handled with extreme caution and the general area should be free of combustibles dry grass, leaves, pine needles, etc. General Outdoor Fire Safety We can use many fire safety practices outdoors: − Use an emergency preparedness plan, like a home escape plan, in any forested area, such as knowing two ways to escape or to leave your house. - 33 - − Reports fires and smoke immediately – people need to know how to report a fire to the proper authorities. In rural areas, everyone should be able to give directions to their home. − Perform the stop, drop and roll procedure – people’s clothing catches fire every year while they are burning trash, building campfires and cooking on the campfires. − Initiate first aid practices for burns – people are burned outdoors each year. Many are burned while trying to extinguish a fire that is out of control. − Use matches and lighters safely – most fires are started with matches or lighters. Matches are tools and there is a proper time and way to use them. − Practice kitchen safety – there is a proper way to cook outdoors no matter what type of equipment is being used. Putting a lid on a grease fire also applies to outdoor cooking. − Practice fire safety with flammable liquids – use the proper material to start outdoor fires, and never use a flammable liquid (gasoline, charcoal lighter) to rekindle a burning fire. − Practice fire safety with small electrical appliances – electric fences should be properly insulated and covered. All dry vegetation should be trimmed away from the wires. Electric lines should be cleared of all limbs that might fall and break the lines. − Participate in home hazard inspections – hunt for things that could cause your home to catch fire from a forest fire. Is your burning barrel safe? Is brush and dry grass growing right against the house? Are branches hanging over open chimneys? − Practice holiday fire safety – using fireworks in forested or grassy areas can cause fires. − Encourage fire safe smoking habits – when smoking outdoors, hold all matches until they are cool; crush all cigarettes; and smoke in an area that is free of flammable vegetation. − Recognize the fire department as a partner in community services – give well, clear directions to the fire, then stay out of the way when equipment arrives. − Recognize the dangers of false alarms – just as in city fire departments; equipment that has responded to a false alarm is not available to fight a real fire, should one occur at the same time. It is also important to notify a Forestry Agency before you set a controlled fire. Responding to an unreported controlled burn is the same as responding to a false alarm. - 34 - 11 Life Safety in Public Buildings Most of the previous chapters discussed fire safety at home and at school. We also spend a lot of time at other places and should be aware of fire safety when we visit these other buildings. Here are some common places you may visit: activities in school gym or auditorium office buildings restaurants hotels hospitals library apartment buildings movie theater stores or the mall airports daycare centers museums doctor’s office There are basic fire safety measures that can be used in whichever public building we visit. The most important measure is to identify exits and know two ways out of public buildings. Very often when you visit a public building you are not familiar with the building. You need to take and extra minute to look around and familiarize yourself with your surroundings (building layout, exits). Exits should be marked with lighted signs and the exit door should be unblocked and unlocked. All exit doors should open outward. Many buildings post a diagram of the building and the location of exits. You should review this diagram and be prepared to act correctly in a fire situation. Preparedness and planning are the keys to fire safety. Other fire safety measures to practice in public buildings include: Observing smoke alarms, which will sound an early warning sound in the event of a fire. Observing automatic sprinkler systems, this will detect a fire and discharge water on a fire. Automatic sprinklers quickly put out fires and sound an alarm. They are the best fire safety tools we have! Observe fire hazards and report them to an adult. Report a fire to an adult and contact the fire department immediately. Count the doors between your room and the exits so you’ll have a point of reference if its smoky and difficult to see. If you hear an alarm, act immediately. If the fire is in your room get out and close the door behind you. Then, report the fire. If the fire is not in your room, leave if you can. First, feel the doorknob to see if it is hot. If it’s cool, open it slowly and go to your nearest exit. Remember to crawl in smoke since fresher air is near the floor. Take your room key in the event you cannot exit and must return to your room. Use stairways, never elevators. The doors to the elevator could open on the fire floor. If a room door is hot, don’t open it. Sometimes staying in your room could be your safest procedure. Seal all cracks with wet towels or other materials. Shut off fans and air conditioners. Go to your window to signal. Call the fire department and wait to be rescued. - 35 - Exit from Theaters, Restaurants and other Public Buildings Most communities have laws governing fire safety features in public buildings. Some of these include restrictions on doors, corridors, building materials, and the number of exits. These laws are enforced by building and fire department inspectors. Fire is still always a possibility, and it is important to be prepared for a fire. The following procedures and suggestions may assist you in the creation of your mental evacuation plan. In every building, you should look for at least two exits other than the elevators. If you think there is a fire, report it to the nearest employee or other responsible adult so the fire department may be immediately notified and the occupants alerted. When alerted to a fire emergency, leave quietly as taught in school fire drills. Your composure sets an example for others. Do not try to fight a fire yourself! Once out of the building, immediately use the nearest fire alarm box or outside phone to notify the fire department. Hotels and Motels When your family travels out of town and you must stay at a hotel or motel, there are some important safety tips to remember: Choose a hotel or motel that is protected by both smoke alarms and fire sprinklers. Read the escape plan posted in your room. This should be posted on the back of the door. Keep your room key by your bed and take it with you if there’s a fire. If you cannot escape, you may have to return to your room. If you hear an alarm, leave immediately closing all doors behind you. Use the stairs. Never use elevators during a fire. If all escape routes are blocked, return to your room. Shut off fans and air conditioners. Stuff wet towels or bedding in the cracks around the doors and vents. Call the fire department to let them know your location. Wait at a window and signal for help with a flashlight or lightcolored cloth. School Fire Evacuation Drills When schools develop evacuation plans and conduct fire drills, the students have a chance to learn what the fire alarm sounds like and to practice the evacuation actions they must follow in case of fire. Fire evacuation drills should be held without prior notification to students, teachers, or staff. By law fire drills in schools are supposed to happen at least once a month during each month school is in session. At the sound of the fire alarm signal, everyone should rise and file out in a line, row by row, quickly and quietly. Silence is essential so instructions can be heard and understood. Walk, do not run. Running may cause confusion with persons falling down or blocking doorways, hampering the exit of others. Evacuation drills should be supplemented with a smoke drill at various intervals. To conduct a smoke drill, a sign reading “Smoke” is placed in the center of the corridor. When children reach the sign, they should turn around and use an alternate exit. If none exists or it is also blocked by smoke, the children should drop down and “crawl low” past the “smoke” sign. - 36 - The most successful school fire evacuation drill program is made up of random evacuation drills throughout the year without any prior notice to participants. Teachers should receive their fire drill instructions and the exit routes for their specific classrooms before students arrive for the first day of classes at the beginning of the academic year. Fire drills should begin during the first week of school, especially for the benefit of new students and for those students whose rooms have been changed since the previous year. Subsequent drills should take place at least once during each month throughout the entire school year. The element of surprise is always essential in any fire drill program. Teachers, students and staff will benefit from evacuation drills at various times during the school’s daily schedule. Only the principal should know in advance when the fire evacuation drill will be conducted. Another vital element of a fire evacuation drill program is developing efficiency in the use of alternate exits with the (simulated) blocking of the customary main exit. Simulate the condition when the flame or smoke could block an exit by placing a barrier and sign across the exit. This simulation can be accomplished by stationing a person in a doorway holding a sign indicating: “This Exit Blocked By Fire.” Some additional important procedures regarding fire drills are: − Follow the fire department and school system reporting guidelines to conduct evacuation drills. − Request fire department officials to evaluate and observe a fire evacuation drill. − Concentrate on getting everyone out of the building as promptly as possible, walking quickly and purposefully without running, pushing or talking. Students must be able to hear instructions. − Have someone to check to make sure that everyone is out of the nonclassroom areas, including restrooms, locker rooms, library, cafeteria and the extra-curricular activity areas. − Make sure that handicapped students are assisted in their evacuation of the building. − Have each class proceed to a separate, predetermined area outside the building. Call the roll, and remain there until recalled or dismissed by the proper school authority. Locate these class-meeting areas away from the school, and away from road and walkways, which might be used by the fire department. Try to avoid having evacuating students cross streets or access roads. − Schedule fire evacuation drills throughout the year. Conduct evaluation drills so they occur when students are in various areas of the school, including the gymnasium, auditorium, laboratories, library, cafeteria and classrooms. Occasionally, conduct the fire evacuation drill when the students are in motion – during recess or when classes are changing and there is intensive use of corridors and stairways. − The fire alarm signal and the signal for the return to the building should be absolutely distinct from each other and from the normal school class signals. Some schools have utilized distinctively colored flags in addition to audible signals, to prevent confusion. − No one should stop during the evacuation to obtain personal possessions or school equipment. - 37 - − No one should re-enter the building until authorized to do so by the proper authority. This authorization should come from the fire department during a fire situation and from the principal during the evacuation drill. The school fire evacuation plan must contain preplanned arrangements to notify the fire department at the same moment the fire alarm is sounded in the school. In some cities, the school fire alarm system is designed so activation of the school fire alarm system is designed so activation of the school fire alarm automatically and simultaneously transmits a signal to a telecommunications center. In most schools, while one person activates the school fire alarm another person should be immediately calling 911. These responsibilities should be permanently assigned to specific staff persons, with permanent alternates designed to assume the responsibilities of any absentees. Remember, the fire department would rather respond to a small fire than to a large one. Call the fire department at the first indication of a fire situation, including noises. Never investigate indications of smoke or fire before calling 911. In addition, make sure that for every school assembly a teacher or principal announces the location of fire exits and directions for their use. D E T E C T O R R S Y M O R Z O I C X J O S T L L A F Y L D P L L P L A N V Y I Z E A Z A J A C A S M O K E R S C G E X I T C P R X C F Z P O A A L A R M F B R W B K R G I H K L L P B U R N S S M O T H E R Z Alarm Burns Cool Crawl Detector Drill Escape Exit Fire Flame Plan Roll Smoke Smother Sparks - 38 - 12 Unicycles, Bicycles, Tricycles & More Bicycles are associated with more childhood injuries than any other consumer product other than automobiles. About 85% of bicycle related deaths are the result of collisions with motor vehicles. Safety Issues Use your brain and protect your head! Wearing a bike helmet every time you ride your unicycle, bicycle, scooter, skateboard, roller skates or in-line skates will help prevent head injuries. Head injuries are the most serious injury type and are the most common cause of death among bicyclist. Studies have proven that wearing your bicycle helmet can greatly reduce the chances of head injury. Learn and follow the rules of the road. Whether you are riding, walking, running or playing, be aware of your surroundings and look for potential hazards that could cause you injury! Safety tips − Always wear a bike helmet. − Stop and look before riding out into traffic from a driveway, sidewalk, alley or parking lot. − Look left, right and left before proceeding into traffic. − Ride on right side of road in the same direction as traffic and ride single file. − Obey all signs and traffic signals. − Walk your bike across busy intersections. − Use hand signals when you stop or make turns. − Equip your bike with reflectors and don’t ride after dark. − − − Keep your bike in good shape, check brakes, tires, handlebars and chain before cycling. Scan the road or path ahead to spot trouble such as potholes, glass, storm drains, moving cars, parked cars, or pedestrians. Cycle defensively! Keep a safe distance and be prepared for the unexpected. Avoid riding double since having a passenger aboard makes it hard to control your bike. Each year approximately 250 children ages 14 and under are killed in bicyclerelated incidents. 90% of bicycle related deaths (all ages) are the result of collisions with motor vehicles. Children between the ages of 5 and 14 have a death rate more than two times the death rate of all other bicycle riders. The fatality rate rises rapidly beginning at about age 4 and is the highest among 12 to 14-year olds. In 1994, almost 400,000 children ages 14 and under were treated in emergency rooms for bicycle related injuries. Approximately 10 percent of these injuries were related to collisions with motor vehicles. Children ages 14 and under are approximately six times more likely to be injured than children ages 15 and older from bicycle-related crashes. Children ages 4 and under are also at risk from bicycle related deaths and injuries. In 1993, six children were killed, more than 10,000 suffered from head injuries and more than 22,000 suffered from face injuries. − Protect your head and wear a good helmet. One that is approved by ANSI, ASTM or SNELL. − Wear your helmet properly over the forehead. Straps should be tight and helmet should be down over forehead. − Look cool, dress properly. Wear bright colored or fluorescent clothing to be seen by motorists. - 39 - − Stop and look before riding out into traffic from a driveway, sidewalk, alley or parking lot. − Look LEFT, RIGHT, and LEFT before proceeding into traffic. − Ride safely at night. Ride only with adult supervision. − Be alert and careful where you ride. Watch for objects where you are riding. − Ride with the flow of traffic, not against it. Ride on the right side of the street near the edge or curb…single file. − Be aware of your surroundings and watch traffic around you. Most car/bicycle crashes happen at driveways or intersections. Always obey traffic laws and LOOK LEFT, LOOK RIGHT and then LOOK LEFT again when crossing intersections. − Use arm signals and obey the traffic signs and lights. Be courteous to people walking, other drivers, and bike riders. − Walk your bike across busy intersections. − Adjust your bike to fit you. Make sure you can stand over the bar with both feet flat on the ground. The seat should allow your feet to just rest on the pedal in the down position. − Equip your bike with reflectors. − Scan the road or path ahead to spot trouble such as potholes, glass, storm drains, moving cars, parked cars, or pedestrians. − Cycle defensively! Keep a safe distance and be prepared for the unexpected. − Check your brakes often. Allow additional stopping distance when it is wet outside. Kansas Department of Transportation-- http://www.ink.org/public/kdot/safety/index.html Where Bicycle Deaths and Injuries Occur − Children are more likely to die from bicycle crashes at non-intersection locations (66 percent), during the months of May to August (55 percent), and between 3 p.m. and 6 p.m. (39 percent). − Nearly 60 percent of all childhood bicycle-related deaths occur on minor roads. The typical bicycle/motor vehicle crash occurs within one mile of the bicyclist’s home. − Children ages 4 and under are more likely to be injured in non-street locations around the home (driveway, garage, yard) than are children ages 5 to 14. − Among children ages 14 and under, more than 80 percent of bicycle-related fatalities are associated with the bicyclist’s behavior including, riding into a street without stopping; turning left or swerving into traffic that is coming from behind; running a stop sign; and riding against the flow of traffic. − Injuries related to the use of bicycle-mounted child seats typically occur when the bicycle crashes or tips over and when the child falls out of the seat. Falls account for 80 percent of these injuries. Share the Road Signing Program: To alert motorists to the presence of bicyclists in certain heavy traffic areas, the Division of Bicycle and Pedestrian Transportation worked with other divisions within the N.C. Department of Transportation (NCDOT) to create a “Share the Road” sign – first produced and erected along roadways in 1987. The sign was later adopted as part of the Manual on Uniform Traffic Control Devices that is used throughout the country. Installations of Share the Road signs are still an ongoing process. NCDOT's Division of Bicycle and Pedestrian Transportation is the oldest program of its kind in the nation, established in 1973. DBPT seeks to integrate bicycle and pedestrian safety, mobility and accessibility into the overall transportation program through engineering, planning, education & training. For more information, visit http://ncdot.gov/bikeped/ - 40 - 13 Carbon Monoxide Carbon Monoxide is the number one cause of poisoning deaths in the United States. Person’s most likely to sustain carbon monoxide (CO) poisoning include unborn babies, young children, pregnant women, senior citizens and people with heart or respiratory problems. In recent years, it is estimated 7000 to 15,000 people annually are treated in hospitals for CO poisoning and 170 people annually die from CO poisoning. What is Carbon Monoxide “CO?” Carbon Monoxide is a deadly gas that is colorless, odorless, tasteless, non-irritating, and you cannot see it. It has been called the “Silent Killer” because it can kill you without any warning. Carbon Monoxide can overcome an exposed person without warning. It produces weakness and confusion, headaches, and the person feels so tired they want to go to sleep. Carbon Monoxide is a major component of the products of combustion from a fire and is the main killer of people in house fires. Many people do not die from the flames or the smoke from a fire but from breathing in Carbon Monoxide. Where does Carbon Monoxide come from? Carbon Monoxide is a by-product of incomplete combustion and is present whenever fuel is burned. It is produced by common home appliances; such as gas or oil furnaces, gas clothes dryers, gas hot water heaters, gas or wood fired fireplaces, charcoal grills, gas ranges, wood burning stoves and gas or kerosene space heaters. Exhaust fumes from automobiles also contain carbon monoxide and can enter a home through walls or doorways if a car is left running in enclosed or attached garages. Automobile exhaust and faulty heating cause most of the injuries and fatalities attributed to carbon monoxide. Never leave a car running in the garage. Always install and operate fuel burning appliances properly and maintain them according to the manufacturer’s instructions. Never use charcoal or gas grills indoors. Why is Carbon Monoxide dangerous? When a person breathes in Carbon Monoxide through their lungs, this toxic gas enters the bloodstream and inhibits your blood’s capacity to carry oxygen molecules. CO poisoning deprives the heart and brain of the oxygen necessary to function properly. Continued exposure to CO may cause breathing difficulty, vomiting, cardiac trauma, loss of consciousness, brain damage and death. Studies suggest that health hazards may result from CO levels below 30 parts per million and those hazards mount as exposure to CO exists. One of the symptoms of carbon monoxide exposure is confusion which deprives the person the ability to seek safety. - 41 - Recognized symptoms of CO poisoning Everyone is at risk for Carbon Monoxide poisoning. Medical experts agree that some individuals are more vulnerable to poisoning; such as unborn babies, infants, children, senior citizens and people with heart or lung problems. CO poisoning may result in flu-like symptoms such as headaches, fatigue, weakness, nausea, vomiting, dizziness, confusion and breathing difficulties. − Mild exposure − Flu-like symptoms including slight headache, nausea, vomiting and fatigue. − Medium symptoms − Severe headache, drowsiness, confusion, and fast heart rate. Prolonged exposure to medium levels of CO can result in death. − Extreme exposure − Loss of consciousness, convulsions, heart and lung failure, possible brain damage and death. How can I avoid CO poisoning? − Be alert to danger signs of CO in your home. Remember the following safety tips: − Have your furnace and fuel burning appliances inspected yearly by a qualified service technician. − Check furnace connections to flue pipes and venting systems to outside of the home for signs of corrosion, rust, gaps or holes. − If a home has an attached garage; Carbon Monoxide can be produced by car exhaust and can leak into the house. This is especially a problem for home mechanics who may run the car engine frequently for periods of time – even if the garage door is left open. Never leave a car running in a garage. − Be sure space heaters are vented properly. Unvented space heaters that use a flammable/combustible fuel such as kerosene can release Carbon Monoxide into the home. Operate gas burning appliances in a well-ventilated room. − Barbecue grills [charcoal or gas] should never be operated indoors. Stovetops or ovens that operate on flammable fuels should not be used to heat a residence. − Check fireplaces for closed, blocked or bent flues, soot and debris and check the chimney for cracks, holes or blockages. Have a certified chimney sweep check the chimney annually. − Check the clothes dryer vent opening outside the house for lint or blockage. − In multiple family dwellings where living spaces share walls and pipes, Carbon Monoxide from one unit may spread into a neighboring space through floor boards, cracks or underneath doors. Be aware of your neighbors and their hazards. − Install and maintain carbon monoxide detectors. - 42 - Carbon Monoxide alarms are tools to protect your family CO alarms should be UL listed and are designed to detect elevated levels of CO. They also sound an audible alarm warning you and your family of the potential poisoning risk. Any alarm means to take immediate action to protect you and your family. You should leave the structure immediately and call 911. Do not re-enter the structure until authorities say it is safe to do so. Do not ignore the alarm. Some cities and towns have requirements for Carbon Monoxide alarms in dwellings [homes, apartments, condominiums, etc.] if there is a fossil fuel burning appliance or attached garage present in the structure. Where should I install my Carbon Monoxide alarm? If you have only one Carbon Monoxide detector, you should install it in the hallway near the sleeping area so it will awaken you if the alarm goes off while you are asleep. Additional detectors on each level of the home provide extra protection. Carbon Monoxide is roughly the same weight as air and distributes evenly throughout a room. A Carbon Monoxide detector will be effective whether it is placed at floor or ceiling level, or anywhere in between. It is recommended that a CO detector be installed on each level of your home including basement. Follow CO detector manufacturer’s recommendations for installation and maintenance of your detector. For further information or to ask questions, please contact your local fire department. - 43 - 14 Falls Prevention Injuries from Falls Unintentional falls are the leading cause of nonfatal injuries resulting in emergency room visits for people of all ages. Falls are a serious public health problem because they limit your ability to lead an active, independent life, and require billions of dollars each year in medical treatment costs. Sometimes falls can cause a serious injury, and may even lead to death. Common injuries from falls include fractures, head injuries and lacerations. Factors Responsible for Falls Falls are often due to poor supervision, hazards that are easy to overlook, and lack of use of safety products. Lack of supervision is associated with 40% of playground injuries. People using poor judgment and not being careful account for most of the injuries. Playgrounds − Most playground injuries occur when children jump or fall from equipment to hard surfaces. Following these basic safety rules can prevent many playground injuries. − Take turns on playground equipment. − Play gently – pushing and roughhousing can lead to falls. − Make sure that your shoelaces are tied. − Do not wear jackets with drawstrings, jewelry, or scarves around the neck – they can get caught on playground equipment. − Do not play on broken or unsafe equipment – Tell a grown-up. − Swing sitting down and only one person on a swing at a time. − Do not run on, or jump from equipment. − Play on soft surfaces – Playgrounds should be covered with at least 12 inches of shredded mulch, wood chips, pea gravel and fine sand, or covered with rubber or rubber-like material. − Dirt, grass and sand do not provide adequate cushioning in case of falls. - 44 - Home − Using hazard awareness, proper supervision, and safety products, you can create a “no falls zone” in your home to help prevent many fall injuries. − Kids should never play on or near stairs, high porches, balconies, fire escapes and open windows. − Use safety gates at the top and bottom of stairs. − Keep stairs and hallways clear of obstacles such as electrical cords, wires, furniture, and storage and use proper lighting. − Young children should not be left unattended when on changing tables, beds, furniture or high chairs. − Install and use handrails on stairs. − Use non-slip mats and grab bars in the bathtub and shower. − Make sure that throw rugs have non-skid backing. − Do not use chairs, furniture, boxes, tables or other items in place of ladders or step stools. Outside − Fall injuries are often related to seasonal and environmental factors such as weather. Careful attention to these factors can help reduce the likelihood of a falls injury. − Use ice melt, rock salt or sand on icy walkways − Rain creates wet surfaces that are slippery − Fallen leaves can cover sidewalks, driveways and road surfaces making footing difficult − Step ladders should be used according to the manufacturer’s directions − Provide lighting on outside stairs at night - 45 - 15 Motor Vehicle Safety Motor vehicle crashes are the leading cause of unintentional injury related deaths for children 18 and under. Even if you are a safe and careful driver you cannot control other driver’s behavior or eliminate the possibility of a crash. Safety belts and child safety seats or booster seats are extremely effective when installed and used correctly. Seat belts and car seats Seat belts are extremely effective when used correctly. If you are using a child passenger safety seat it must be installed and used according to the manufacturers’ instructions and your vehicle owner’s manual. According to NC law, children up to 8 years old and under 80 pounds, are required to be in an approved car seat. Children 12 and under should be properly restrained in the back seat of the vehicle. Adults and family members should act as positive role models and use safety belts at all times. You need to wear a seat belt even if your car is equipped with airbags. Airbags are designed to be used along with safety belts; and can cause serious injuries when used alone. School Bus Safety Rules A school bus has a danger zone of 10 feet on all sides. While waiting for the bus, stand back at least 10 feet from the curb until the bus has come to a complete stop. Once the bus has come to a complete stop, line up single file, remembering not to push or shove anyone in line. Get on bus quickly and find a seat. Listen to the bus driver and follow his/her directions. Stay in your seat at all times and keep aisles of the bus clear of book bags or other obstructions to prevent tripping and falls. Keep head, arms and hands inside bus and never throw objects out the windows. When exiting the bus use bus handrails to prevent falling. Never walk next to or behind bus. Watch for cars when crossing the street and walk-don’t run. If you cross in front of the bus make eye contact with bus driver and walk at least 10 feet beyond the front of the bus so the driver can see you. - 46 - 16 Water Safety Drowning is the second leading cause of death from unintentional injuries for person’s ages 5 to 24. Drowning can occur in many different settings such as at home, in bathrooms, swimming pool, around bodies of water [ponds, lakes, rivers, streams, ocean] and while boating. These general water safety tips will help you stay safe in, on, and around water. − Learn to swim! The best behavior that anyone can learn to stay safe in and around water is to learn to swim! − Always swim with a buddy; never leave a child unobserved around water. Keep your eyes on children at all times! − Swim in supervised areas. − Pay attention to local weather conditions and forecast, get out of the pool at first indication of bad weather. − Avoid storm drains, creeks, and any pools of storm water during stormy weather as the currents and depth of the water can change quickly and knock you down and carry you off. − Obey all rules and posted signs – No running or Horseplay around the pool. − Never dive into water unless you know how deep it is and can see the bottom. − Keep toilet lids down and never leave a child alone in the bathtub. − Always wear a personal flotation device (PFD) while in a boat, on a pier or around a body of water. − Don’t swim at night. − Never eat candy or chew gum when you are swimming – you could choke. − Know how to prevent, recognize and respond to water emergencies by learning CPR and following safety practices. - 47 - 17 Emergency Preparedness Disaster preparedness should be a part of each family’s emergency plan! Disasters can strike quickly and without warning. It can force you and your family to evacuate your neighborhood or confine you to your home. Families can and do cope with these disasters by preparing in advance and working as a team. Disasters can be natural or man-made. These disasters come in many forms: fire, floods, ice storms, hurricanes, tornadoes, earthquakes, lightning storms, terrorism, nuclear power plants accidents or hazardous material incidents. Planning and communication are required to protect yourself and your family when a disaster strikes. Here are some ideas to help you prepare for disaster! Flood Floods happen beside rivers and streams, on the coast, and on city streets. Whether you live near a river or stream or on the ocean’s shore, you should know the expected flooding level in your area. Consult your local building authority to determine flood exposures and flood history. Ask the neighbors about past flooding problems. If heavy rain causes streams and storm sewers to overflow into streets, yards, and houses, you will need to evacuate early enough to get out of danger. This means monitoring weather events on television and radio. Also you should never play in storm waters like a rain-swollen creek or stream. The rising waters can quickly knock you down and carry you off. Injuries, drowning, and death are possible in these instances. Take no chances. A flood watch means a flood is possible in your area. A flood warning means flooding is already occurring or will occur soon in your area. When a flood watch is announced, be ready to evacuate on a moment’s notice. When a flood warning is issued, move to higher ground if you are in a flood prone area and stay away from low points. Have a disaster plan. Hurricanes/Tornadoes/Thunderstorms North Carolina is located in a hurricane prone area though the coast is subject to more of the direct effects of a hurricane. Hurricanes not only pack high winds but also can spawn tornadoes and also generate torrential rains which lead to flooding. The force of the wind can topple trees, damage homes, and knock out power to a large region. Fortunately hurricanes take time to develop and reach landfall, so constant monitoring by television, newspaper, and radio can keep us informed on the hurricane’s path or storm track. A hurricane is a tropical weather system with winds that have reached a sustained speed of 74 miles per hour or more. August and September are peak months of the hurricane season, which lasts from June 1 to November 30. A hurricane watch indicates there is a threat or possibility of hurricane conditions within 24-36 hours in a certain area. A hurricane warning indicates a hurricane is expected to strike an area within 24 hours or less. Homeowners can prepare for high winds by having storm shutters or having plywood sheets to go over windows and doors. Homeowners can make trees more wind resistant by removing diseased and damaged limbs. When a hurricane watch is issued, you should prepare to bring inside any lawn furniture, outdoor decorations or ornaments, trash cans, hanging plants, and anything else that can be picked up or blown away - 48 - by strong winds. In some cases, local authorities may recommend evacuation from the area. Have a family disaster plan and check your emergency supplies. Severe thunderstorms and tornadoes can also happen in North Carolina and can occur without any advance warnings. Weather forecasters have developed new equipment that assists in predicting severe thunderstorms that may spawn tornadoes and they communicate with television and radio stations to issue tornado warnings. Tornadoes are unpredictable and dangerous storms with high winds that can touch ground here and there. A tornado is a violent rotating column of air extending from a thunderstorm to the ground. The peak tornado occurrence in southern states is March through May. During any severe windstorms, you should stay away from windows when indoors and find shelter in the basement or a bathroom in the center of the house or center hallway or closet with no windows on the lowest floor. If you are outside, hurry to the basement of a nearby sturdy building or lie flat in a ditch or low-lying area. If you are in a car or mobile home, get out immediately and head for safety as mentioned above. Tornadoes can produce wind speeds in excess of 250 mph and cause an average of 70 fatalities and 1500 injuries each year. Another product of thunderstorms is lightning and causes an average of 80 fatalities and 300 injuries a year. Lightning results from the buildup and discharge of electrical energy between positively and negatively charged areas. Most lightning fatalities and injuries occur when people are caught outdoors in the summer months during the afternoon and evening. Lightning starts many wild fires. When a lightning thunderstorm is forecasted or suddenly appears while you are outdoors, you should take shelter in a building, in a car, or in a low-lying area. Stay away from tall objects such as towers, fences, telephone poles, and trees. If you are in the woods, take shelter under shorter trees. If you are boating or swimming when a thunderstorm is threatening, get to land and find shelter immediately. Water can conduct electricity. Remember, if you can hear thunder, you are close enough to be struck by lightning. Winter Weather Preparedness A major winter storm can last for several days and be accompanied by high winds, freezing rain or sleet, heavy snowfall, and cold temperatures. Ice storms can coat trees and power lines and knocks out electricity for many days. People can be trapped at home without utilities or other services. Winter storms can make driving and walking extremely hazardous. Improper use of candles, fireplaces, and other heating appliances during extreme cold conditions and during power outages can cause injuries, fatalities, and damages to homes from fires. Television and radio stations forecast winter storms in advance so families should stay up to date on the news and are prepared for a winter emergency. Be aware of changing weather conditions. A winter storm watch means a winter storm is possible in your area. A winter storm warning means a winter storm is occurring or will soon occur in your area. The leading cause of death during winter storms is from automobile or other transportation accidents. Most people - 49 - don’t know how to drive in winter conditions so it is safer to stay home and not drive. If you do drive, drive slowly and carefully and anticipate problems. Make sure you have good visibility and scrape ice and frost from all windows of the car. Have supplies in your car such as ice scraper, boots, winter jacket, gloves, blanket, shovel, flashlight, and a cell phone if you are driving in wintry weather. Plan for a winter storm and develop a family disaster plan. Winterize your car and your home. Remember to fill your car’s fuel tank before any potential winter storms. Be prepared for possible power outages and cold temperatures. Create a family disaster plan Discuss with your family the need to prepare for a disaster. Develop a plan to share responsibilities and how to work together as a team. − Establish a meeting place inside and outside your home as well as outside the neighborhood. Make sure everyone knows when and how to contact each other if separated. Establish a family contact out of town (friend or relative). − Decide on the best escape routes out of your home. Identify two ways out of each room. − Plan on how to take care of your pets. One of the first steps toward preparedness is the creation of a family disaster supply kit. Store the kit in a convenient place known to all family members. Items should be stored in airtight bags or containers. Replenish the kit twice a year. Family Disaster Supply Kit Water − One gallon of water per day per family member (children, nursing mothers and ill people will need more). − A 3-day supply of water should be stored for every family member. Food − Store at least a 3-day supply of non-perishable food. − Select foods that require no refrigeration, preparation or cooking and little or no water. − Ready to eat canned meats, fruits and vegetables, canned juices, milk, and soup. − Staples such as sugar, salt and pepper. − High-energy foods such as peanut butter, jelly, crackers, granola bars and trail mix. − Specialty foods such as infant foods and special diet foods. − Comfort/stress foods such as cookies, hard candy, instant coffee and tea bags. First Aid kit − Assemble a first aid kit for the home and one for each vehicle. − Items in the kit should include: sterile and adhesive bandages in assorted sizes, sterile gauze pads, adhesive tape, triangular bandages, sterile roller bandages, scissors, tweezers, moistened towelettes, antiseptic, thermometer, soap and safety pins. - 50 - − Non-prescription drugs should include aspirin or non-aspirin pain reliever, antidiarrhea medication and antacids. Tools and supplies − Battery operated radio − Flashlight − Extra batteries − Non-electric can opener − Utility knife − Map of the area (for locating shelters) − Cash − Fire extinguisher − Pliers − Tape − Matches in a waterproof container − Aluminum foil − Plastic storage containers − Signal flare − Paper and pencil − Shut off wrench to turn off household gas and water − Plastic sheeting − Kit with plastic or paper cups, plates and utensils. − Whistle − Moist towelettes − Duct tape − Baby and/or pet supplies − Important papers in a sealed plastic bag − Rain gear Clothing and bedding Sturdy shoes, raingear, blankets, sleeping bags, hats, gloves, thermal underwear and sunglasses. Evacuation Tips Listen to the battery powered radio. Follow the instructions of local officials. Wear protective clothing and sturdy shoes. Take your disaster supply kit with you. Lock your home. Use known travel routes to evacuate your area; don’t rely on shortcuts. Practice and Maintain the plan Every month check the smoke and carbon monoxide alarms; change the batteries every 6 months. Replace stored water and food every 6 months. Test the families’ knowledge of the plan every 6 months so they remember what to do. Working with neighbors can save lives and property. Know your neighbors’ special skills (medical and technical) and consider how you can help neighbors who have special needs, such as disabled and elderly persons. Preparation and planning are the keys to successfully helping you and your family be ready for the next disaster. Take the time to sit down with your family and discuss your emergency disaster plan! - 51 - 18 Playground Safety Where, When, How From 2001 through 2008, a majority (57 percent) of estimated playground-related injuries treated in the emergency department occurred at schools or parks. Approximately 20 percent of playground-related injuries treated in emergency departments occur at home. About 45 percent of playground-related injuries are severe, which include fractures, internal injuries, concussions and dislocations. Among children ages 4 and under, most traumatic brain injuries occurred on the playground. It is estimated that more than one-third (36 percent) of playground-related injuries treated in emergency departments are fractures. It is estimated that one-third of playground deaths and 51 percent of playground injuries occur on public playgrounds. Nearly 40 percent of playground-related injuries occur during the months of May, June and September. Falls are the most common type of playground injury accounting for over 75 percent of all playground-related injuries. Each year, more than 200,000 kids are treated in hospital ERs for playground-related injuries. Many of these could have been prevented with the proper supervision. You can make the playground entertaining and safe by checking equipment for potential hazards and following some simple safety guidelines. Learning how to play safely is important: If you know the rules of the playground, you are less likely to get hurt. Adult Supervision Adult supervision can help prevent injuries by making sure you properly use playground equipment and don't engage in unsafe behavior around it. If an injury does occur, an adult can assist the child and administer any needed first aid right away. You should always have adult supervision on the playground. Young kids (and sometimes older ones) can't always tell distances properly and aren't capable of detecting dangerous situations by themselves. Before you visit a playground, check to make sure that play areas are designed to allow an adult to clearly see you while they're playing on all the equipment. Playground Design Safety The most important factors in evaluating the safety of any playground are proper surface; design and spacing; and equipment inspection and maintenance. Surfaces − A proper playground surface is one of the most important factors in reducing injuries — and the severity of injuries — that occur when you fall from equipment. The surface under the playground equipment should be soft enough and thick enough to soften the impact of a child's fall. − Here are some things to consider: − Concrete, asphalt, and blacktop are unsafe and unacceptable. Grass, soil, and packedearth surfaces are also unsafe because weather and wear can reduce their capacities to cushion a child's fall. The playground surface should be free of standing water and debris such as rocks, tree stumps, and tree roots that could cause you to trip and fall. − There should be no dangerous materials, like broken glass or twisted metal. − The surfaces may be loosely filled with materials like wood chips, mulch, sand, pea gravel, or shredded rubber. − Surfacing mats made of safety-tested rubber or rubber-like materials are also safe. - 52 - − Rubber mats and wood chips allow the best access for people in wheelchairs. − Loose-fill surface materials 12 inches deep should be used for equipment up to 8 feet high. The material should not be packed down because this will reduce any cushioning effect. − No surfacing materials are considered safe if the combined height of playground and the child (standing on the highest platform) is higher than 12 feet. − The cushioned surface should extend at least 6 feet past the equipment. Additional coverage may be needed, depending on how high a slide is or how long a swing is. − Keep in mind that even proper surfacing can't prevent all injuries. Also, the greater the height of the equipment, the more likely you are to get injured if you fall from it. Design and Spacing − Playground equipment should be designed for three different age groups: infants and toddlers under 2, 2- to 5-year-olds (preschoolers), and 5- to 12-year-olds (school-age kids). In the safest playgrounds, play areas for younger children are separated from those meant for older children and signs clearly designate each area to prevent confusion. Younger children should not play on equipment designed for older children because the equipment sizes and proportions won't be right for small children, and this can lead to injury. Likewise, older children shouldn't play on equipment designed for younger ones. Smaller equipment and spaces can cause problems for bigger children. − Here are some things to check for to ensure the equipment is designed and spaced to be safe: − Guardrails and protective barriers should be in place for elevated surfaces, including platforms and ramps. − Play structures more than 30 inches high should be spaced at least 9 feet apart. − Swings, seesaws, and other equipment with moving parts should be located in an area separate from the rest of the playground. − Swings should be limited to two per bay. − Tot swings with full bucket seats should have their own bay. − Swings should be spaced at least 24 inches apart and 30 inches between a swing and the support frame. − Be sure there are no spaces that could trap a child's head, arm, or any other body part. All openings on equipment (for example, rungs on a ladder or bars on a guardrail) should measure less than 3½ inches or they should be wider than 9 inches. − Climbing nets should have openings that are either too small to allow a child's body through or large enough to prevent entrapment of the head. Net perimeters which are 17-18 inches pose entrapment hazards. − Playground equipment with moving parts — like seesaws and merry-go-rounds — should be checked for pinch points that could pinch or crush a child's finger or hand. Maintenance and Inspection − Whether you play on a home or public playground, it's important for you to take a general look at the equipment to make sure that it is clean and well maintained. − There should be no broken equipment. − Wooden equipment should not be cracking or splintering. − Metal equipment should not be rusted. - 53 - − The fence surrounding a public playground should be in good condition to prevent children from running into surrounding traffic. − Surface materials on the playground should be maintained regularly so that the surfacing is loosely packed and covers all appropriate areas — especially the fall zones surrounding playground equipment. − Playground equipment should be made of durable materials that won't fall apart or worn down too much by the weather. − Check for objects (like hardware, S-shaped hooks, bolts, and sharp or unfinished edges) that stick out on equipment and could cut a child or cause clothing to become entangled. − All hardware on equipment should be secure, with no loose or broken parts. Plastic and wood should show no signs of weakening, and there should not be any splintered or rusted surfaces. − If the local playground has a sandbox, check for hazardous debris such as sharp sticks or broken glass, and be sure that the sand is free of bugs. Sandboxes should be covered overnight to prevent contamination from animals, such as cats. − Help keep your playground clean and safe by picking up trash, using the equipment properly, and reporting any problems to the city, town, or county parks department, school, or other organization that is responsible for the upkeep of the playground. − If a part seems broken, loose, or in need of other maintenance, designate it as offlimits immediately and report the problem to the appropriate authorities. Playground Safety − Safe playground equipment and adult supervision are extremely important, but it's only half of the solution. You must know how to be safe and act responsibly at the playground. − Never push or roughhouse while on jungle gyms, slides, seesaws, swings, and other equipment. − Use equipment properly — slide feet first, don't climb outside guardrails, no standing on swings, etc. − Always check to make sure no other kids are in the way if they're going to jump off equipment and land on both feet with their knees slightly bent. − Leave bikes, backpacks, and bags away from the equipment and the play area so that no one trips over them. − Always wear a helmet while bike riding, but take it off while on playground equipment. − Never use playground equipment that's wet because moisture makes the surfaces slippery. − Check playground equipment in the summertime. It can become uncomfortably or even dangerously hot, especially metal slides, handrails, and steps. So use good judgment — if the equipment feels hot to the touch, it's probably not safe or fun to play on. Contact burns can occur within seconds. − Wear clothes that do not have drawstrings or cords. Drawstrings, purses, and necklaces could get caught on equipment and accidentally strangle a child. − Wear sunscreen when playing outside even on cloudy days to protect against sunburn. Safe Equipment Guidelines - 54 - Because swings, slides, and climbing equipment are so different from one another, each requires a different set of safety considerations. And some kinds of equipment are not safe for playgrounds, no matter how careful you are. Swing Safety Swings are the most frequent source of childhood injuries from moving equipment on a playground. But a few simple precautions can help keep you safely swinging in the breeze. Swings should be made of soft material such as rubber or plastic, not wood or metal. You should always sit in the swing, not stand or kneel. They should hold on tightly with both hands while swinging, and when finished swinging, stop the swing completely before getting off. Children should stay a safe distance from other kids on swings, being careful not to run or walk in front of or in back of moving swings. You should never ride with more than one child to a swing. Swings are designed to safely hold only one person. Seesaw Safety Because seesaw use requires cooperation between kids, they're generally not recommended for preschoolers unless the seesaw has a spring-centering device to prevent sudden contact with the ground. Regardless of design, both seesaws and merry-go-rounds should be approached with caution. Other safety tips to keep in mind: − Seesaw seats are like swings: one child per seat. A child who is too light to seesaw with a partner should find a different partner — not add another child to his or her side of the seesaw. − You should always sit facing one another, not turned around. − Hold on tightly with both hands while on a seesaw, do not touch the ground or push off with your hands, and keep feet to the sides, out from underneath the seesaw. − You should stand back from a seesaw when it's in use. You should never stand beneath a raised seesaw, stand and rock in the middle, or try to climb onto it while it's in motion. Slide Safety − Slides are safe if you are careful when using them. Guidelines to keep in mind: − Children should take one step at a time and hold onto the handrail when climbing the ladder to the top of the slide. They should not climb up the slide itself to get to the top. − You should always slide down feet first and sitting up, never head first on their back or stomach. − Only one child should be on the slide platform at a time, and you shouldn't slide down in groups. − You should always check that the bottom of the slide is clear before sliding down. When they - 55 - reach the bottom, they should get off and move away from the end of the slide so it's clear for other you to slide down. Climbing Equipment Safety − Climbing equipment comes in many shapes and sizes — including rock climbing walls, arches, and vertical and horizontal ladders. It's generally more challenging for you than other kinds of playground equipment. − Be sure you are aware of a safe way down in case you can't complete the climb. The highest rates of injuries on public playgrounds are associated with climbing equipment, which is dangerous if not designed or used properly. Adult supervision is especially important for younger kids. − Climbing equipment can be used safely if you are taught to use both hands and to stay well behind the person in front of you and beware of swinging feet. When you drop from the bars, you should be able to jump down without hitting the equipment on the way down. Remember to have your knees bent and land on both feet. − Too many kids on the equipment at one time can be dangerous. Everyone should start on the same side of the equipment and move across it in the same direction. − When climbing down, you should watch for those climbing up; you should never race across or try to reach for bars that are too far ahead. − Children younger than age 5 may not have the upper-body strength necessary for climbing and should only be allowed to climb on age-appropriate equipment. Preschoolers should only climb 5 feet high and school-age kids should only climb 7 feet high. Track Ride Safety − Track rides are a form of upper-body equipment where you hold on to a handle that slides along a track once you lift your feet. These rides require significant upper-body strength and are recommended for school-age kids and above. − Track rides should not be included in play areas for toddlers and preschoolers. − There should be no obstacles along the track path, especially in take-off and landing areas. − If two track rides are next to each other, they should be spaced 4 feet apart, minimally. − The handle should be between 64 inches and 78 inches from the surfacing. − Nothing should be tied or attached to any part of the track ride. − Rolling parts should be enclosed to avoid crush injuries. Log Roll Safety − Log rolls require you to grasp handles, then balance on top of the log as they spin it with their feet. This helps older you to develop balance skills and increase strength. − Log rolls are recommended for school aged children and above. − All log rolls should have handholds to assist balance. − The highest point of the log roll should be 18 inches above the protective surface. Soft Contained Playgrounds There are specific recommended safety checks for soft contained playgrounds: − Make sure there are no tears or frays in the safety netting, cargo webbing, and ropes. - 56 - − The floor surface should be made of mats in good condition that are not torn and are placed tightly together. − Look for the posted safety rules and size recommendations for the activity. Keep older kids away from areas designated for smaller children and vice versa. − As in any other playground, you should not wear clothing with loose strings, necklaces, or earrings. − Many slides are contained in tubes, so a child going down will not see if there is anyone at the bottom of the slide. You should stay clear of the area at the bottom of slides and not climb up a slide. Sprayground More and more cities are opening spraygrounds, which are water playgrounds. At a sprayground, you can spray each other with water cannons and get sprayed by dozens of water jets that squirt from different colored nozzles and hoses. − Be sure to read posted signs for rules, age recommendations, and safety information. Often, no lifeguard is on duty. − Protective footwear like water shoes with non-skid soles are a good idea to help prevent falls and other injuries. − Remember to bring swimsuits, towels, sunscreen, and hats. − You should not drink or inhale aerosols of water to minimize risk of water-borne illnesses. Unsafe Playground Equipment These types of equipment are not safe for playgrounds: − animal figure swings − swinging ropes that can fray, unravel, or form a noose (any kind of rope attached to play equipment poses a strangulation hazard, so never let your child tie jump ropes or leashes onto the equipment) − exercise rings (as used in gymnastics) and trapeze bars − monkey bars − trampolines − glider swings that hold more than one child at a time Parents should not place plastic climbing equipment indoors. Even carpet does not give enough protection from falls. This type of equipment is intended for outdoor use on safe surfaces. Play is an important part of children’s physical, social, intellectual, and emotional development. Following these safety tips will help you play as safely as possible. - 57 - 19 Patriot Day- September 11th Patriot Day is observed on September 11th in memory of the 2,993 people who lost their lives in the September 11, 2001 attacks on the United States. On that day, two hijacked airplanes crashed into the twin towers of the World Trade Center in NYC. A third hijacked aircraft crashed into the Pentagon near Washington, DC. It is believed that a fourth airplane was to crash into the White House, however, passengers aboard that plane tried to take control over the hijackers to prevent the attack. The plane ended up crashing in Pennsylvania. Innocent people lost their lives during this tragedy - many of them through heroic efforts trying to help others. Most Americans refer to this day as 9/11 or September 11th. On December 18, 2001, President George W. Bush signed into law this discretionary day of remembrance. The American flag should be flown at half-staff at home and at all U.S. government buildings. Most Americans observe a moment of silence beginning at 8:46am EST - the time of the first plane crash in a tower on September 11, 2001. In 2009, President Barack Obama and the First Lady asked Americans to volunteer in their communities as a way to honor the heroes of September 11th and those who serve our military. They called it the “9/11 National Day of Service and Remembrance” hoping to reignite the spirit of unity and service that inspired Americans after the September 11th tragedy. In the days, weeks and months following 9/11, the U.S. was bathed in American flags as citizens mourned the incredible losses and stood shoulder-to-shoulder against terrorism. Sadly, some of those flags have disappeared. Our patriotism has pulled us through some tough times and it shouldn't take another attack to galvanize our solidarity. Our American flag is the fabric of our country and together we can prevail over terrorism of all kinds. - 58 - 20 History of Fire Prevention Week Commemorating a conflagration Fire Prevention Week was established to commemorate the Great Chicago Fire, the tragic 1871 conflagration that killed more than 250 people, left 100,000 homeless, destroyed more than 17,400 structures and burned more than 2,000 acres. The fire began on October 8, but continued into and did most of its damage on October 9, 1871. According to popular legend, the fire broke out after a cow - belonging to Mrs. Catherine O'Leary - kicked over a lamp, setting first the barn, then the whole city on fire. Chances are you've heard some version of this story yourself; people have been blaming the Great Chicago Fire on the cow and Mrs. O'Leary, for more than 130 years. But recent research by Chicago historian Robert Cromie has helped to debunk this version of events. The '”Moo” myth Like any good story, the 'case of the cow' has some truth to it. The great fire almost certainly started near the barn where Mrs. O'Leary kept her five milking cows. But there is no proof that O'Leary was in the barn when the fire broke out - or that a jumpy cow sparked the blaze. Mrs. O'Leary herself swore that she'd been in bed early that night, and that the cows were also tucked in for the evening. But if a cow wasn't to blame for the huge fire, what was? Over the years, journalists and historians have offered plenty of theories. Some blamed the blaze on a couple of neighborhood boys who were near the barn sneaking cigarettes. Others believed that a neighbor of the O'Leary's may have started the fire. Some people have speculated that a fiery meteorite may have fallen to earth on October 8, starting several fires that day - in Michigan and Wisconsin, as well as in Chicago. The biggest blaze that week While the Great Chicago Fire was the best-known blaze to start during this fiery two-day stretch, it wasn't the biggest. That distinction goes to the Peshtigo Fire, the most devastating forest fire in American history. The fire, which also occurred on October 8th, 1871, and roared through Northeast Wisconsin, burning down 16 towns, killing 1,152 people, and scorching 1.2 million acres before it ended. - 59 - Historical accounts of the fire say that the blaze began when several railroad workers clearing land for tracks unintentionally started a brush fire. Before long, the fast-moving flames were whipping through the area 'like a tornado,' some survivors said. It was the small town of Peshtigo, Wisconsin that suffered the worst damage. Within an hour, the entire town had been destroyed. Eight decades of fire prevention Those who survived the Chicago and Peshtigo fires never forgot what they'd been through; both blazes produced countless tales of bravery and heroism. But the fires also changed the way that firefighters and public officials thought about fire safety. On the 40th anniversary of the Great Chicago Fire, the Fire Marshals Association of North America (today known as the International Fire Marshals Association), decided that the anniversary of the Great Chicago Fire should henceforth be observed not with festivities, but in a way that would keep the public informed about the importance of fire prevention. The commemoration grew incrementally official over the years. In 1920, President Woodrow Wilson issued the first National Fire Prevention Day proclamation, and since 1922, Fire Prevention Week has been observed on the Sunday through Saturday period in which October 9 falls. According to the National Archives and Records Administration's Library Information Center, Fire Prevention Week is the longest running public health and safety observance on record. The President of the United States has signed a proclamation proclaiming a national observance during that week every year since 1925. NFPA.org - 60 - 21 First Aid It is important to learn about first aid skills when you are young. The most important skill is to know how and when to dial 911. When you get older, you can assist with more difficult injuries. A well-stocked first-aid kit, kept within easy reach, is a necessity in every home. Having supplies gathered ahead of time will help you handle an emergency at a moment's notice. You should keep one first-aid kit in your home and one in each car. Also be sure to bring a first-aid kit on family vacations. You can purchase a first aid kit at drugstores or a local Red Cross office, or make one of your own. If you decide to make one, choose containers for your kits that are roomy, durable, easy to carry, and simple to open. Plastic tackle boxes or containers for storing art supplies are ideal, since they're lightweight, have handles, and offer a lot of space. What You'll Need − − − − − − − − − − − − − − − − Include the following in each of your first-aid kits: first-aid manual − safety pins sterile gauze pads of different sizes − disposable instant cold packs adhesive tape − calamine lotion adhesive bandages in several sizes − alcohol wipes or ethyl alcohol elastic bandage − thermometer a splint − tooth preservation kit antiseptic wipes − plastic non-latex gloves (at least 2 pairs) soap − flashlight and extra batteries antibiotic ointment − a blanket antiseptic solution (like hydrogen peroxide) − mouthpiece for administering CPR (can be obtained from your local Red Cross) hydrocortisone cream (1%) − your list of emergency phone numbers acetaminophen and ibuprofen − blanket (stored nearby) extra prescription medications (if the family is going on vacation) tweezers sharp scissors After you've stocked your first-aid kits, be sure to check it often to keep your kit full. Check to see if any items are expired or need to be replaced. Remember to update your list of emergency numbers if there are any changes. - 61 - Stop, Drop and Roll What do you do if your clothing catches on fire? − STOP in your tracks at once. DO NOT RUN! Cover your eyes (if your hands are not on fire). − DROP to the ground and ROLL; and by doing this you remove oxygen from the fire. Remember the fire triangle and what happens to a fire when any one of the three sides of the triangle is removed. Rolling up in a carpet, heavy blanket or coat will also help put out the fire. - 62 - 22 Earthquake Preparedness An earthquake is a sudden, rapid shaking of the earth caused by the breaking and shifting of rock beneath the earth’s surface. Earthquakes strike suddenly, without warning, and they can occur at any time of the year, day or night. Forty-five states and territories in the United States are at moderate to very high risk of earthquakes, and they are located in every region of the country. Are You at Increased Risk from Earthquakes? − Contact your local emergency management office, local American Red Cross, state geological survey or department of natural resources for specific information about your community’s risk. However, bear in mind: − Mobile homes and homes not attached to their foundations are at particular risk during an earthquake. − Buildings with foundations resting on landfill and other unstable soils are at increased risk of damage. Did You Know? − Doorways are no stronger than any other part of a structure so don’t rely on them for protection! During an earthquake, get under a sturdy piece of furniture and hold on. It will help shelter you from falling objects that could injure you during an earthquake. Take the Appropriate Steps to be Safe − Become aware of fire evacuation and earthquake plans for all of the buildings you occupy regularly. − Pick safe places in each room of your home, workplace and/or school. A safe place could be under a piece of furniture or against an interior wall away from windows, bookcases or tall furniture that could fall on you. − Practice “drop, cover and hold on” in each safe place. If you do not have sturdy furniture to hold on to, sit on the floor next to an interior wall and cover your head and neck with your arms. − Keep a flashlight and sturdy shoes by each person’s bed in case the earthquake strikes in the middle of the night. − Make sure your home is securely anchored to its foundation. − Bolt and brace water heaters and gas appliances to wall studs. − Bolt bookcases, china cabinets and other tall furniture to wall studs. − Hang heavy items, such as pictures and mirrors, away from beds, couches and anywhere people sleep or sit. − Brace overhead light fixtures. − Install strong latches or bolts on cabinets. Large or heavy items should be closest to the floor. − Learn how to shut off the gas valves in your home and keep a wrench handy for that purpose. − Learn about your area’s seismic building standards and land use codes before you begin new construction. − Keep and maintain an emergency supplies kit in an easy-to-access location. - 63 - − Become aware of fire evacuation and earthquake plans for all of the buildings you occupy regularly. − Pick safe places in each room of your home, workplace and/or school. A safe place could be under a piece of furniture or against an interior wall away from windows, bookcases or tall furniture that could fall on you. − Practice drop, cover and hold on in each safe place. If you do not have sturdy furniture to hold on to, sit on the floor next to an interior wall and cover your head and neck with your arms. − Keep a flashlight and sturdy shoes by each person’s bed. − Make sure your home is securely anchored to its foundation. − Bolt and brace water heaters and gas appliances to wall studs. − Bolt bookcases, china cabinets and other tall furniture to wall studs. − Hang heavy items, such as pictures and mirrors, away from beds, couches and anywhere people sleep or sit. − Brace overhead light fixtures. − Install strong latches or bolts on cabinets. − Large or heavy items should be closest to the floor. − Learn how to shut off the gas valves in your home and keep a wrench handy for that purpose. − Learn about your area’s seismic building standards and land use codes before you begin new construction. − Keep and maintain an emergency supplies kit in an easy-to-access location. If you are inside when the shaking starts … − Drop, cover and hold on. Move as little as possible. − If you are in bed, stay there, curl up and hold on. Protect your head with a pillow. − Stay away from windows to avoid being injured by shattered glass. − Stay indoors until the shaking stops and you are sure it is safe to exit. If you must leave the building after the shaking stops, use stairs rather than an elevator in case there are aftershocks, power outages or other damage. − Be aware that fire alarms and sprinkler systems frequently go off in buildings during an earthquake, even if there is no fire. If you are outside when the shaking starts … − Find a clear spot and drop to the ground. - 64 - − Stay there until the shaking stops (away from buildings, power lines, trees, streetlights). − If you are in a vehicle, pull over to a clear location and stop. Avoid bridges, overpasses and power lines if possible. − Stay inside with your seatbelt fastened until the shaking stops. Then, drive carefully, avoiding bridges and ramps that may have been damaged. − If a power line falls on your vehicle, do not get out. Wait for assistance. − If you are in a mountainous area or near unstable slopes or cliffs, be alert for falling rocks and other debris. Landslides are often triggered by earthquakes. Let Your Family Know You’re Safe − If your community experiences an earthquake, or any disaster, register on the American Red Cross Safe and WellWeb site available through RedCross.org to let your family and friends know about your welfare. If you don’t have Internet access, call 1-866-GETINFO to register yourself and your family. Be Red Cross Ready − After an earthquake, the disaster may continue. Expect and prepare for potential aftershocks, landslides or even a tsunami. Tsunamis are often generated by earthquakes. − Each time you feel an aftershock, drop, cover and hold on. Aftershocks frequently occur minutes, days, weeks and even months following an earthquake. − Check yourself for injuries and get first aid, if necessary, before helping injured or trapped persons. − Put on long pants, a long-sleeved shirt, sturdy shoes and work gloves to protect against injury from broken objects. − Look quickly for damage in and around your home and get everyone out if your home is unsafe. − Listen to a portable, battery-operated or hand-crank radio for updated emergency information and instructions. − Check the telephones in your home or workplace to see if you can get a dial tone. Make brief calls to report life-threatening emergencies. − Look for and extinguish small fires. Fire is the most common hazard after an earthquake. − Clean up spilled medications, bleach, gasoline or other flammable liquids immediately. − Open closet and cabinet doors carefully as contents may have shifted. − Help people who require special assistance, such as infants, children and the elderly or disabled. − Watch out for fallen power lines or broken gas lines and stay out of damaged areas. − Keep animals under your direct control. − Stay out of damaged buildings. − If you were away from home, return only when authorities say it is safe to do so. Use extreme caution and examine walls, floors, doors, staircases and windows to check for damage. − Be careful when driving after an earthquake and anticipate traffic light outages. - 65 - 23 Seasonal & Holiday Safety Holidays are a great time to celebrate with decorations, costumes, and fireworks. Three major holidays create fire related hazards are the Fourth of July, Halloween, and the Christmas season. Each year, more and more people are injured during these holiday seasons because they do not exercise safe practices. Fourth Of July − This holiday traditionally creates the most substantial amount of fire injuries due to fireworks. − Fireworks cause millions of dollars in damages annually. − Fireworks are responsible for over 12,000 injuries annually with about 60% if those injuries happening around the Fourth of July. − Most firework burn injuries involve children. − Sparklers are the biggest danger to children as the tip temperature is about 1800 degrees. − Never place firework devices into bottles or cans. − It is best to leave fireworks to the professionals. − Follow outdoor grilling and other cooking safety techniques. − FIREWORKS REMINDER… − All fireworks are potential fire starters! − Leave fireworks to the professional. Halloween Think about fire safety when designing a costume! Costumes for Halloween should be fire retardant. The use of sheets and other linens is discouraged. Consider battery-powered candles for decorating. Battery-powered candles are safe, cool and flameless. Never use combustible materials in a haunted house and NEVER block exits. - 66 - Christmas Avoid fire hazards and burns during Christmas and other winter holidays. Christmas and winter holiday lighting and displays should be properly constructed or set up to ensure the safety of your home. Trees should be kept moist and treated with a fire retardant material. Better yet – use an artificial tree! Keep Menorahs and Kinaras on a stable base and three feet (36’) away from any combustibles. Use only FM or UL listed lights. Keep all children and pets away from all electrical decorations. Keep wrapped gifts and combustibles away from electrical wiring and supplemental heat sources. Make sure the stove or other cooking appliances are not left unattended during heavy cooking periods. TREE FLAME RETARDANT SUGGESTIONS – If you decorate during the winter holidays with a cut tree, treating your tree with a commercial product like Stop It Fire, Tree Safe, Tree Seal, Flame-No-More, No Burn, etc. flame retardant can help reduce the fire risk. Five Quick Holiday Safety Tips − Only use UL listed and approved lighting and fixtures. − Purchase only flame retardant costumes. − “Legal fireworks” does not mean “safe fireworks.” − Battery-powered candles are safe, cool and flameless. − Make sure that stoves and appliances are not left unattended during heavy cooking periods. Information taken from: Virginia State Fire and Emergency Medical Services Association www.vsfa.org - 67 - 24 Pedestrian Safety Pedestrian Safety It is estimated that over 1000 children are killed each year in pedestrian related incidents. It is estimated that 25,000 children ages 14 and under suffer motor vehicle related pedestrian injuries. You are considered a pedestrian when you walk, run or play on foot. Walking, playing or running can be fun, healthy and a safe activity if you remember to follow important safety rules while near roadways and around cars. Be Visible − Wear white or bright colored clothing, footwear and accessories when walking during the day. − You should carry a flashlight at night, low light levels, dawn, dusk or bad weather. − Wear reflective material, footwear or accessories so you can easily be seen in low light or bad weather conditions. Crossing the Street − Always walk on the side of the street facing traffic. − Use sidewalks whenever possible. − Always cross at the street corner and use cross walks looking left-right-left before and during crossing. Many incidents occur due to pedestrians attempting to cross the street in the middle of the block rather than at the corner. − You should continue to watch, look and listen for cars until you are safely on the curb. − Waving to a driver before you cross at the corner is a good way to make sure he/she has seen you. − Know and follow traffic signals. − Never cross the road at mid street or between parked cars. If playing a game, never chase a ball into the street or run into the street without carefully checking for cars. − Children under 10 years old should always cross the street with adult assistance. - 68 - Be a Safe Walker: Pedestrian Safety for Kids and Families Walking is an important part of physical activity for children. But learning about being a safe pedestrian is also important. Unfortunately, hundreds of kids die each year from pedestrian related injuries, and many could be prevented with pedestrian education, improvements to pedestrian routes, and increased law enforcement. A person is considered a pedestrian when walking, running or playing on foot. These activities can be fun, healthy and safety if one remembers to follow important safety rules while near roadways and around cars. Children under the age of 10 are most vulnerable to pedestrian injuries because they are exposed to traffic threats beyond their cognitive, developmental, behavioral, physical and sensory abilities. The traffic environment is often confusing to young children, especially in areas with high traffic volumes. Education brings safety to neighborhoods. Follow these simple rules to ensure that everyone, especially children reach their destinations safely: − Always walk on the side of the street facing oncoming traffic. − Always cross the street with an adult, never alone if you're younger than 10 years old. − Always stop at the curb before crossing the street. − Always walk; never run, across the street. − Always cross at corners, using traffic signals and crosswalks. − Always look left, right, and left again before crossing. − Always make sure drivers see you before crossing in front of them. − Always play in safe places, never play in driveways, streets, parking lots or unfenced yards by the street. − Always cross at least 10 feet in front of a school bus. Don’t forget to BE VISIBLE, too! − Wear white or brightly colored clothing, footwear, and accessories when walking during the day. − Carry a flashlight at night, low light levels, dawn, dusk or in bad weather. − Wear reflective material, footwear, or accessories so you can easily be seen in low light or bad weather conditions. Some information taken from: http://www.phoenixchildrens.com/community/injury-preventioncenter/be-a-safe-walker.html In the United States, pedestrian injury is a leading cause of injury and death for children ages 1 to 14. In 2009, an estimated 13,000 children were injured and a total of 244 child pedestrians lost their lives. - 69 - 25 Vacation and Travel Safety Vacation and Travel Safety We all get caught up in travel plans. However, take time and prepare for your safety before you leave home and while traveling. Here are a few simple tips to ensure you have a safe and fun vacation. Create a checklist to ensure you turn of all appliances, lock doors and windows, shut off the main water valve to the house, leave emergency contact information with a neighbor or relative, and address any other items that will give you peace of mind for a worry-free vacation. CHECKLIST − turned off all appliances − locked doors − locked windows − shut off main water valve − leave itinerary with emergency contact − leave contact information with emergency contact − Do I have my necessary prescriptions, passports, tickets, money, etc.? Always carry reliable flashlights and keep a flashlight in your carry-on bag when flying. Fire Safety Tips for Traveling: − When making reservations, ask if the hotel or motel has smoke alarms and fire sprinklers. − When checking in, ask the front desk attendant what the fire alarm sounds like. − Make sure there is a fire escape plan for your room location. Many plans are located on the back of the door. − Locate two exits from your room. − Count the number of doors between your room and the exits. This will assist you in the event of an emergency exit. − If a fire starts in a hotel room, leave the room, close the door behind you, and follow the hotel escape route. − If the fire alarm is going off, check the door with your hand. If the door is cool, leave the room and follow the hotel escape route out of the building. Don’t forget to take your room key with you. − Never use elevators during a fire. − If you must escape through smoke, get low and go under the smoke as you exit. If you can’t escape... − SHUT off fans and air conditioners. − STUFF wet towels in the crack around the doors. − CALL the fire department and let them know your location. − WAIT at the window and signal with a flashlight or light colored cloth. - 70 - An Example of a Hotel Escape Route U.S. Hotel and Motel Structure Fires provided by NFPA: U.S. fire departments responded to an estimated average of 3,700 structure fires per year at hotel or motel properties between 2006 and 2010. − These fires caused average annual losses of 12 civilian deaths, 143 civilian injuries, and $127 million in direct property damage each year. − Nearly half (45%) of these fires involved cooking equipment, 10% were caused by smoking materials, 9% were caused by heating equipment, and clothes dryers or washers were also involved in 9% of these fires. One hotel fire in 2008 caused $100 million in direct property damage. − Nearly three-quarters (73%) of fires in hotels and motels didn’t spread beyond the object of origin. − Cooking equipment was involved in nearly half (45%) of fires. − Twelve percent of fires in hotels and motels began in a bedroom/guest sleeping room, but these fires were responsible for 31% of civilian injuries and 72% of civilian deaths. − Smoking materials were the cause of the fire in 79% of civilian deaths . Facts − On average, one of every 12 hotels or motels reported a structure fire each year. − The majority of hotel fire deaths result from fires that started in the bedroom. − Cooking equipment is the leading cause of hotel/motel fires. - 71 - Recreational Vehicle (RV) Fire Safety: − Have a 5 lb. ABC fire extinguisher near each exit and one in an outside compartment. Know how to use them. − Make sure all escape exits are functioning and accessible. − If you smell gas, have a grown up cut off all tanks. − Motor home engine systems should be serviced regularly to prevent potential engine fires. − Ensure that the RV has a properly working smoke alarm. Information taken from: Virginia State Fire and Emergency Medical Services Association www.vsfa.org and the National Fire Protection Association (NFPA) www.nfpa.org/education. - 72 - 26 Household Poison Prevention Tips − Store potentially poisonous household products and medications locked out of a child’s sight and reach. − Read labels to find out what is poisonous. Unsafe household products include toilet cleaners, bleach, oven cleaners and dishwasher products. Other potential hazards include medicines, makeup, plants, toys, pesticides, art supplies and alcohol. − Never leave poisonous products unattended while in use. Many incidents happen when adults are distracted for a moment on the phone or at the door. − Adults should be aware of poisons that may be in their handbags. Store handbags out of the reach of young children. − Do not mix cleaning products. − Buy child-resistant packages when available. − Keep products in their original packages to avoid confusion. − Use child safety locks on cabinets where you have stored poisonous items. Learn the toll-free nationwide poison control center number (1-800-222-1222) or keep it near every phone. − If you suspect someone has been poisoned, take the product to the phone and call 1800-222-1222. If the person has collapsed or is not breathing, call 911. − Poison control centers offer fast, free, confidential help in English and Spanish. Most poisonings are resolved over the phone. The number works from anywhere in the United States 24 hours a day, 7 days a week. − Follow the operator’s instructions. − Do not make the person vomit or give him anything unless directed. − Store medications out of child’s sight and reach and be safe when administering medicines to children. - 73 - − Protect children from other poisons that may be present in your home such as lead or carbon monoxide. Lead: − Test homes built before 1978 for lead-based paint. If lead hazards are identified, children should be tested for lead exposure and hire a professional to control and remove lead sources safely. − Make sure children do not have access to peeling paint or chewable surfaces painted with lead-based paint. − Frequently wash children’s hands, face, toys and pacifiers to reduce the risk of coming into contact with lead or lead-contaminated dust. − Take the recommended steps to eliminate any sources of lead in recalled consumer products such as toys or cookware. Medication Safety Tips − Medications should be stored out of children’s sight and reach. − Do not leave medicines in your purse, an unlocked kitchen or bathroom cabinet or a kitchen or bedside table. − Read labels to find out what can be poisonous. Keep those things separate from toothpaste, soap and other things you use every day. − Never leave medicines or potentially poisonous household products unattended while you are using them. − Do not leave out loose pills. − Buy child-resistant packages when available. Be safe when taking medicine − Always read labels, follow directions and give medicines to children based on their weights and ages. − Avoid confusion by keeping all medicines and potentially poisonous household products in their original packages. − Do not take medicine or vitamins in front of kids, or involve children as helpers when taking medication. − Tell grandparents and friends about avoiding medication poisoning when your family visits their homes. - 74 - 27 NFPA Tip Sheets - 75 - - 76 - - 77 - - 78 - - 79 - - 80 - - 81 - - 82 - - 83 - - 84 - - 85 - - 86 - - 87 - - 88 - - 89 - - 90 - - 91 - - 92 - - 93 - - 94 - - 95 - - 96 -