Model Safety Program
STATE OF FLORIDA
FIRE SERVICES
MODEL FIREFIGHTER EMPLOYER
SAFETY PROGRAM
This is in the public domain and may be reproduced, fully or partially.
(Rev: October 2012 Page1)
Model Safety Program
How to use this program
The purpose of this manual is to provide a Florida Statutes 633.801-821 and Florida
Administrative Code 69A-62 compliant safety program for firefighter employers (career
and volunteer) to use as a basis for developing their own program.
1. Modify this program to make it employer specific and meet your needs. There are
notations in red where information must be entered to make the program complete. If the
information needed is in another document, SOP / SOG, rule or regulation, reference the
document rather than copying it.
2. If you have an existing program, match it to this program and excerpt whatever is
needed to make yours complete, if necessary.
3. If part(s) of the program do not apply because you do not have the equipment or
conduct the operations referenced, delete it.
4. At the end of sentences, paragraphs etc there are italics alpha-numerics. They are
references to adopted OSHA regulations, statute or rule.
5. Any changes to this program should meet or exceed the requirements of the original
program in order to maintain a compliant program.
6. Should changes in statute, rule or adopted OSHA regulations occur, the program will be
modified accordingly.
7. As you review, adopt or modify this program for your needs, we encourage and invite
you to contribute to this program. With your input, this program will become a living
document that evolves in the best interests of safety.
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Safety Program Policy Statement .021(1)
As Chief, I am committed to providing a safe and healthful workplace. I expect all of us to
be actively involved in maintaining and advancing an effective safety program. This safety
program is a written expression of my commitment and is a standard of practice for this
department. The compliance by all, regardless of rank, with safety procedures, rules and
practices is expected. Willful or repeated violation of workplace safety rules will result in
disciplinary action up to and including termination of employment. (FS 633.816).021(7)
The reporting of unsafe conditions for correction is encouraged and required. Tasks
considered unsafe, should not be performed and reported. Should an injury or damage to
equipment occur, it is to be reported and investigated to establish causation. No such
report will result in retaliation, penalty, or other disincentive.
The correction of unsafe conditions will receive top priority and the financial resources for
rectification. Employee recommendations to improve safety and health conditions will be
researched and action taken as appropriate.
The primary responsibility for the coordination, implementation, and maintenance of our
workplace safety program has been assigned to: ADD – Who is responsible.
_______________________
Chief
_____________________
Date
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General Safety Issues
Safety & Health Record Keeping Responsibilities
The Department will insure the following records are completed and maintained as
required:
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Records indicating the date, time and location of fires, # of responding members,
meetings, training sessions, and maintenance of apparatus and
equipment. .007(f)
A roster of fire department members will be kept up-to-date. .007(f) utilizing the
FCDICE system.
FD maintains a “Fire Service Log and Summary of Occupational Injuries,
Diseases, and Illnesses” DFS-K4-1568, revised July, 2004 or equivalent. .033(1)
FD records injury, illness, occupational disease, and fatality in the log and
summary within six working days. .033(1)
The person supervising the preparation of the log & summary signs the log &
summary. .033(1)
The “First Report of Injury or Illness,” is submitted within 6 working days of
occurrence. .033(2)(a)
NFIRS-5 is completed for each injury, illness, occupational disease, or fatality,
within 6 days of occurrence. (NFIRS submission is voluntary, this is not
mandatory)..033(2)(b)
FF accident investigation records .033(2)(c)
Records are maintained on a calendar year basis. .033(3)
FD has the phone number and address of the establishment where records are
maintained. .033(5)
The Department will maintain these records for a minimum of three years after
completion and made available to the Bureau of Fire Standards and Training upon
request. .033(4)
Mutual / Auto Aid Requests
The minimum training requirements of FDs in mutual aid, automatic aid & other similar
agreements are known and acceptable. .003(3)(b) FDs providing mutual / auto aid are
responsible for the training & certification of their FFs. .003(3)(b) Requests for
assistance are requests for FFs, who as a minimum, meet the training requirements of
69A-62 F.A.C. (3)(b)
Participation
An individual is not allowed to participate on scene unless trained commensurate to
duty and evidence of such training is maintained. .003(4)(a) No individual can operate in
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the hot zone unless certified. .003(4)(a) No one can be in the hot zone or participate in
2-in-2 out operatioins unless at least certified as FF I in accordance with Part I of
paragraph 69A-37.055(2)(a), F.A.C.
Hazard Identification System .021(3)(j) & (6)
The Hazard Identification System SOP ADD IDENTIFIER has written procedures
describing the actions to be taken in situations involving special hazards. It identifies
known special hazards that might be encounter during fire and other emergencies such
as storage / use of flammable liquids / gases, toxic chemicals, radioactive sources, &
water reactive substances. It is updated to reflect any changes that occur in relation to
the special hazards.
Presence of Toxic Substances in the Fire Station(s) .004
Under normal circumstances the Department will not apply, store or utilize any toxic
substances that are known to cause damage to living tissue, impairment of the central
nervous system, severe illness, or, in extreme cases, death, when ingested, inhaled or
absorbed by the skin, during customary or reasonably foreseeable handling or use.
Should non-exempt toxic substances be applied, stored or utilized in fire station(s), a list
of work areas, identified by name and location shall be maintained along with the
pertinent MSDS info. Whenever there is a change in the work areas where non-exempt
toxic substances are stored, the department will update the list accordingly. The
department will post a notice where such notices are normally posted informing their
employees of their rights under the law..004(5)
An exempt toxic substance or mixture is acceptable for station storage providing it is:
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Toxic only if chronically ingested.
An alcoholic beverage as defined in the Beverage Law.
Toxic but labeled pursuant to the Federal Insecticide, Fungicide, and Rodenticide
Act, as amended and the Federal Food, Drug and Cosmetic Act, as amended.
A consumer product.
A commercial product which is substantially equivalent in formulation to similar
consumer products where FF used for the same general purpose, when used in
the workplace in such a manner that firefighter employee exposure is not
significantly greater than exposures resulting from the principal consumer use of
the similar consumer product.
A food stuff.
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A fossil fuel in fuel tanks, engines, and other operating systems of vehicles where
the substances are present only in amounts and forms substantially equivalent to
the amounts and forms generally available to consumers.
A fossil fuel used for heating, or power generation purposes, such that firefighter
employees are not exposed to fumes or combustion by-products.
Training
Training is a key element of a safe working envionrment. Training SOP ADD
IDENTIFIER meets the following criteria and incorporates the training components
below as a minumum.
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A Training progam outline will be the basis for training delivered during the
year. .021(i) The outline will include the topic and specific method of presentation
for each class. .021(3)(g)
Training & education is provided before performing activities requiring such
training. .021(3)(k)
Training & education is provided for all FFs and officers commensurate with their
duties. .021(3)(k)
Training is given by Company officers or instructors, to new FFs and FFs
transferring to new jobs regarding the operating procedures of vehicles and
equipment to be utilized by the FF. .021(3)(a)
Specialized training is provided to those FFs & officers providing response,
rescue and or mitigation of non-traditional fire suppression activities. .021(3)(c)
Officers are provided with more comprehensive training & education than
FFs. .021(3)(k)
Officer training includes management, incident command, and control. .021(3)(b)
Training / education for at least FILL IN hours per month or more as needed to
assure FFs and officers can perform assigned duties and functions satisfactorily
and safely. .021(4)
The quality of training & education is similar to Florida State Fire
College. .021(3)(5)
All training is documented with delivery date(s), topic, method of presentation,
outline and a record of attendance. These records are maintained
permanently. .021(4)
Safety Training Program
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Specific safety training programs will be delivered throughout the year and
incorporated into the Training Program Outline. The Goal(s) and objectives of the
safety training being conducted, the person(s) responsible for the safety training
program overall & the person(s) responsible for conducting each safety training
class will be documented. .021(6).021(3)(e),(f),(i)
Hazard Identification System Training
The Hazard Identification System SOP ADD IDENTIFIER will be reviewed and
incorporated into the training schedule at least annually and any time revisions are
made. .021(6)
Emergency Vehicle Operator (EVO) Training
Prior to driving and operating an emergency response vehicle, the successful
completion of a 16 hour emergency vehicle driving course is required. .021(3)(d)
Courses meeting Florida requirements can be found at
http://www.myfloridacfo.com/sfm/bfst/SafetyHealth/SafetyForms.htm
DECISION – If you have a compliant in-house program, reference it or include it.
EVOs having successfully completed the 16 hour course must also undergo training
and familiarization with any FD vehicles prior to operating the vehicle. .021(3)(d)
Respiratory Protection Training
New hire, Annual training and retraining is conducted in accordance with direction from
the Respiratory Protection Program Administrator.
Injury / equipment damage analysis
The intent, process and participation in meeting the requirements of SOP ADD in the
Name and identifier is made known through its inclusion in the training
program. .021(7)(a)&(h)
Safety Committee or Safety Coordinator
DECISION – If you have 20 or more FFs, use the safety committee section.
If you have less than 20, use the safety coordinator section.
Safety Committee
NOTE: You will have to fill this section out to complete it as each committee will
be unique to its department.
If there is a Government wide unit (municipality, county, or special district) safety
committee, participation in it can be substituted for a department safety committee so
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long as all the requirements of statute and rule are met. A department may want to have
district committees or a committee at each location which they can do so long as all
statute and rule requirements are met. .042(2)
Recommendation - We highly recommend that a department safety committee be utilized with
select members designated to represent the department committee on the government wide
unit.
Regular hourly wage
Firefighters are compensated at their regular wage while engaged in the safety
committee or the safety coordinator training, meetings, or other duties prescribed under
this section. FS 633.810(4)
Safety Committee Composition
DECISION - If your FFs are part of a collective bargaining unit, use the first bullet
and delete the others. If you do not, delete the first bullet and keep the others.
The department establishes the number of safety committee members and their tenure.
Regardless of the number, those representing management cannot exceed those
representing the rank and file. .042(1)(a) Members are aquired :
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The composition, selection, and function of the safety committee is a mandatory
topic of negotiations with firefighters that operate under a collective bargaining
agreement. FSS (633.810)
By firefighters volunteering for committee assignment. 042(1)(b)
From firefighters who are elected by their co-workers. 042(1)(b)
Through appointment by the department as a last resort..042(1)(b)
Safety Committee meeting requirements
The safety committee functions solely as a safety committee. Issues other than safety
are not considered. A quorum is required before official business may be transacted at
a meeting. An initial responsibility of the committee is to establish guidelines for the
training of members regarding FAC 69A-62 and the safety committee process.
.043(3),(2)
Frequency - The first committee meeting will be held no later than 45 days after the
committee is initially established. From that point, meetings must occur at least quarterly
during the calendar year. The scheduled date, time, and location of Committee
meetings is posted and available to all firefigthers. .043(1)(e), .042(1)(c)
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Minutes - The department ensures that accurate committee minutes are taken at all
safety committee meetings and maintained. Minutes will be approved in a timely fashion
by all attending members prior to distribution with the goal of having minutes electronically
transmitted to all employees with copies available upon written request within 7 working
days of the meeting date. The department will maintain committee records for a period of
not less than three calendar years. Copies are available provided upon written request.
and are available to the division for inspection. .043(1)(e),(f),(g) Such minutes will
contain as a minimum:
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Date, time, location and who prepared the minutes
Committee members in attendance
Old business
Accident / injury review and recommendations for prevention since the previous
meeting
New Business
Comments from attending guests.
Safety Committee Written Recommendations
Written recommendations from the safety committee made or presented at a safety
committee meeting, approved and documented by the safety committee by majority vote
will be presented to the Chief for review and action as needed. The chief will issue a
written response to each written and presented recommendation within FILL IN days from
receipt. .042(1)(d). All written communications between FD and committee is kept for at
least 3 yrs. .042(1)(g)
Safety Committee Duties
The summation of duties is to assess and make recommendations with regard to
improving the safety of department firefighters. Specific duties are to:
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Establish the procedures for conducting internal safety inspections. .043(1)(a)
Assess the effectiveness of engineering, administrative, and personal protective
control measures to protect firefighter employees from recognized
hazards. .043(1)(a)
Create procedures for investigating injuries, near misses, incidents, injuries,
illnesses, diseases, and fatalities. .043(1)(b)
Evaluate / recommend improvements to injury and illness prevention
programs. .043(1)(c)
Updating the program Ensure that written updates to safety programs are
completed. .043(1)(c)
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Conducting internal safety inspections. .043(1)(a)
Assess the effectiveness of engineering, administrative, and personal protective
control measures..043(1)(a)
An investigation of injuries, near misses, incidents, injuries, illnesses, diseases,
fatalities and or damage to vehicles / equipment will be conducted to identify
causation and methods for future prevention. The analysis will be in accordance
with SOP ADD THE SOP. The results are recorded and maintained. .043(1)(b)
Improving to injury and illness prevention programs. .043(c)
Establish & communicate guidelines for training members on this rule
chapter. .043(1)(d)
Other health & safety related duties and responsibilities as assigned by the Chief.
Safety Coordinator
With less than 20 firefighters in our department, a Safety Coordinator is utilized in lieu of
a Safety Committee. The Safety Coordinator is FILL IN NAME OR POSITION .042(1)
Safety Coordinator Duties .043(4)
Under the direction of the department, the safety coordinator will:
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Establish procedures for conducting internal safety inspections. .043(4)(a)
Establish procedures for investigating workplace accidents, safety-related
incidents, injuries, .043(4)(b)
Recommend improvements to injury and illness prevention programs. .043(4)(c)
Ensure that updates and changes to safety program rules, policies, & procedures
are completed. .043(4)(c)
Seek the input of firefigthers in complying with the responsibilities of this
section. .043(4)(d)
*Other health & safety related duties and responsibilities as assigned by the
Chief.
Respiratory Protection
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Firefighters are exposed to respiratory hazards in a myriad of calls and operations. This
written program was developed and will evolve to protect firefighters from exposure to
respiratory hazards and reflect changes that affect respirator use. First and foremost is
that should any doubt exist by anyone regarding the safety of the atmosphere, the
atmosphere will be considered IDLH and SCBA shall be used. 134(c), (C)(1), (d)(1)(iii)
Respirators were selected for the fit and acceptability to the firefighter and are IDLH
rated NIOSH-certified 30 minute positive pressure self-contained breathing apparatus
manufactured by enter the name of SCBA manufactureenter the name of SCBA
manufacture. (d)(1)(i), (ii),(iv), (d)(2), (2)(i)(A)
DECISION - If the department uses only SCBA, delete the following.
Other respirators in use and selected under the same criteria are:
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Full facepiece pressure supplied-air respirator (SAR) with auxiliary self-contained
air supply manufactured by enter the name of manufactureenter the name of
manufacture. (d)(2)(i)(B)
NIOSH-certified escape respirators for specific atmospheres manufactured by
enter the name of manufactureenter the name of manufacture. (d)(2)(2)(ii)
Note - This program does not cover EMS respiratory protection, however if a tight fit
mask is required for EMS operations, the requirements of this program regarding
medical evaluation and fit testing apply.
Responsibilities
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Management - Supports this program and provides resources as necessary to
make it viable in all aspects. This program is provided at no cost to the
firefighters. (c)4
Administrator – Trained and responsible to management for the compliance,
maintenance and update of this program. The administrator is assigned to enter
the name hereenter the name here, 134(c)
Company Officers - Comply with, educate, train and re-enforce the
requirements of this program so that it is understood, followed by the firefighters
under their charge and specifically that those firefighters:
o Received appropriate medical evaluation, fit testing and training, prior to
being assigned.
o Receive annual respiratory training, medical evaluation and fit testing.
o Have appropriate respirators and accessories.
o Are aware of when respiratory protection is required.
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o Use respiratory protection when needed and if doubt exists, use it.
(d)(1)(iii)
o Clean, maintain and store their respirators at least to the requirements of
this program.
o Provide feedback to the Administrator regarding the effectiveness of the
program.
 Firefighters - Comply with this program, protect their respiratory systems and
provide feedback on program effectiveness through their company officers.
Program Components (c)(1)
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Medical evaluations of firefighters. (c)(1)(ii)
Fit testing procedures for tight-fitting respirators (c)(1)(iii)
Respirator (Self Contained Breathing Apparatus) use (c)(1)(iv)
Maintenance and care (c)(1)(v)
Compressed air qualities. (c)(1)(vii)
Training(c)(1)(viii)
Program evaluation. (c)(1)(ix).
Records
Medical Evaluation for SCBA Use
Medical evaluations are conducted prior to initial and annual fit testing (e)(1). Enter
PHLCP name or facility hereEnter PHLCP name or facility here is the primary
licensed health care professional (PLHCP) that will perform the medical evaluation
using the medical questionnaire in accordance OSHA 1910.134 Appendix C or an exam
that obtains the same information as the questionnaire as a minimum. (e)(2)(i) The
process is as follows:
PLHCP – Is given the following information to be able to make informed decisions. It is
the responsibility of the Administrator to update the information provided as needed.
(e)(5)(ii)
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The type and weight of the respirator to be used by the FF. (e)(5)(i)(A)
The duration / frequency of SCBA use. (e)(5)(i)(B)
The normal physical work effort during SCBA use. (e)(5)(i)(C)
Personal Protective clothing and equipment that is worn with SCBA. (e)(5)(i)(D)
Temperature and humidity extremes that may be encountered. (e)(5)(i)(E)
A copy of this program (e)(5)(iii)
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Questionnaire or examinations - The medical questionnaire and any examinations
are given confidentially during shift or at a convenient time / place to the firefighter (FF).
(e)(4)(i) Any FF with a positive response to any questions 1 through 8 in Section 2,
Part A of OSHA 1910.134 Appendix C or whose initial medical exam indicates the need,
is subject to a follow-up exam. The exam will include any medical tests, consultations,
or diagnostic procedures deemed necessary. (e)(3)(i)& (ii)
Management - Management provides the FF the opportunity to discuss initial and
follow up exam results with the PLHCP. (e)(2)(ii) (e)(4)(ii)
Results - The PLHCP provides individual written recommendations to the Administrator
and the firefighter confirming or denying whether the FF is medically able to use an
SCBA and if there is a need for any follow-up medical evaluations. (e)(6)(i)(A),(B)& (C)
Additional Medical Evaluations - Additional evaluations / exams are provided if:
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A FF reports signs or symptoms related to the ability to use SCBA. (e)(7)(i)
The PLHCP, supervisor, or Administrator believes a FF needs reevaluation.
(e)(7)(ii)
Information from this program, including observations made during fit testing and
program evaluation, indicates a need for FF reevaluation. (e)(7)(iii)
The work environment changes increase the physiological burden placed on a
FF. (e)(7)(iv)
Fit Testing
FFs using SCBA must pass an appropriate qualitative fit test (QLFT) or quantitative fit
test (QNFT) as stated in this paragraph. (f)(1) Testing is conducted prior to initial use,
when masks are changed & at least annually after the medical evaluation confirms the
FFs medical ability to wear a SCBA. (f)(2) FFs cannot be fit tested nor allowed to use /
train with SCBA when facial hair is between the mask sealing surfaces or interferes
with valve function and or any condition that interferes with the face-to-facepiece
seal or valve including glasses, goggles or other PPC. (g)(i)(A), (B), (g)(1)(ii) Fit testing
is conducted in the negative pressure mode. (f)(8) Masks used in fit testing are cleaned
and disinfected after each use. (h)(1)(iv) Upon completion of fit testing and being
returned to service, all masks used are returned to NIOSH-approved configuration.
(f)(8)(iii)
Additional Fit Tests - Are conducted when the FF, PLHCP, or Administrator report or
see changes in the FF's physical condition that could affect mask fit. (f)(3) In addition, if
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a FF advises that the fit of the tested mask is unacceptable, the FF is given an
opportunity to select & retest with a different mask. (f)(4)
Type Fit Testing Used (DECISION - Keep the one you are using and delete the other)
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Qualitative (QLFT) in accordance with the protocols and procedures of CFR
1910.134 Appendix A (f)(5) QLFT fit testing is accomplished using appropriate
filters, or by using an identical negative pressure air-purifying respirator facepiece
with the same sealing surfaces. (f)(8)(i)
Quantitative (QNFT) in accordance with the protocols and procedures of CFR
1910.134 Appendix A (f)(5) QNFT is accomplished by sampling inside the
facepiece in the breathing zone of the user, midway between the nose and
mouth. This can be done by installing a probe onto a surrogate facepiece, or by
using a temporary adapter. (8)(ii) A QNFT protocol fit factor equal to or greater
than 500 is passing. (f)(7)
SCBA Usage
Each FF is assigned his / her own mask based upon the results of fit testing. This is to
ensure that the FF has the correct mask and to avoid cross contamination between
Firefighters of such diseases as MRSA and other skin irritations.
Seal Check – FFs will perform a seal check when donning SCBA in accordance with
either CFR 1910.134 Appendix B-1 or Manufacturers recommendation. (g)(1)(iii)
Non-structure fire IDLH atmospheres procedures - When FFs are engaged in IDLH
operations other than confined space, hazmat and structure fires, the IC will ensure
that:
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At least one FF is located outside the IDLH atmosphere. (g)(3)(i)
Visual, voice, or signal line communication is maintained between the FF(s)
(g)(3)(ii)
FF(s) located outside are certified and equipped with SCBA or SAR with auxiliary
SCBA to provide effective emergency rescue. (g)(3)(iii) & (vi)
IC is notified before the outside FF enters to provide emergency rescue and
provides the necessary assistance appropriate to the situation (g)(3)(iv)&(v)
Retrieval equipment is available for rescue when or if it would contribute to the
rescue of the FF(s). If retrieval equipment is not warranted or functionally useful,
equivalent means of rescue should be planned. (g)(3)(vi)(B) & (C)
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Interior structural firefighting procedures, (2 in, 2 out) - When FFs are engaged in
interior structural firefighting operations, the IC will ensure that:
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All FFs engaged in interior structural firefighting operations will use SCBA until
cleared through the IC with proper air monitoring,(g)(4)(iii). With the discovery of
nano and ultrafine particulate, the use of SCBA will be required during post fire
operations without exception.
At least 2 FFs enter the IDLH atmosphere and remain in visual or voice contact.
(g)(4)(i)
At least 2 certified and equipped FFs are located outside the IDLH atmosphere to
provide effective emergency rescue. (g)(4)(ii). The 2 FFs outside may have an
additional role, such as IC or pumper operator, so long as the FFs are able to
immediately perform rescue without jeopardizing the safety or health of any other
firefighter working at an incident. 69A-62.003(3).
Non-certified FFs are not allowed to participate in 2 in-2 operations 69A-62.003
(3)(a)1
Note: FFs can perform emergency rescue activities before 2-in,2-out is in place the fire
is in the incipient stage or provided the risk is low and potential gain is high.
SCBA Malfunctions - If a Firefighter detects a vapor or gas breakthrough or any other
SCBA failure, the Firefighter is to declare a MAYDAY and immediately evacuate to a
non-IDLH environment. (g)(2)(ii)(B). Any SCBA that malfunctions will be tagged and
taken out of service for repairs or replacement as appropriate. (g)(2)(iii)
SCBA Maintenance and Care (h), (1)(v)
SCBA are in-service and ready for use only if they are completely functional. Any
condition less than completely functional is cause for the unit to be removed from
service until repairs are made.
Cleaning and disinfecting - SCBA are stored clean and disinfected. Cleaning and
disinfection is conducted as often as necessary (h)(1)(i) and after each use (h)(1)(iii) in
accordance with either CFR 1910.134 Appendix B-2 or manufacturer’s
instructions.(h)(1) The instructions will is posted in such fashion to be readily seen and
followed. (h)(1)(ii)Such cleaning and disinfecting will be conducted in a “dirty room” with
a sink, cleaning equipment and drying racks and not in crew quarters.
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Storage - SCBA are stored in such fashion as to make them readily available, to protect
them from damage and to keep them clean. Out of service SCBA will be prominently
tagged and kept separate from in-service units. (h)(2)(i)&(ii)
Inspection - SCBA are inspected before use, during cleaning and at least monthly in
accordance with manufacturer's instructions. (h)(3)(i)(A),(B) Special attention during the
inspection is given to: (h)(3)(ii)
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A check of function, connection tightness and condition of the various parts
including, facepiece, head straps, valves, hoses, harnesses, etc. (h)(3)(ii)(A)
A check of elastomeric parts for pliability and signs of deterioration. (h)(3)(ii)(B)
A check that the regulator and warning devices function properly. (h)(3)(iii)
A check that SCBA cylinders are kept full and are within their hydro date.
Cylinders must be refilled if the pressure drops below 90% of full. (h)(3)(iii)
*Inspection results are recorded on a daily or weekly and monthly checklist
based on specific manufacturer’s instruction and maintained with department
records.
Repairs - SCBA that fail an inspection or are defective are removed from service, and
are discarded or repaired in accordance with the following procedures: (h)(4)
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Repairs are made by persons appropriately trained and shall use only
manufacturer's NIOSH-approved parts designed for the respirator; (h)(4)(i)
Repairs are made according to the manufacturer's recommendations and
specifications for the type and extent of repairs to be performed; (h)(4)(ii)
Reducing and admission valves, regulators, and alarms shall be adjusted or
repaired only by the manufacturer or a technician trained by the manufacturer.
(h)(4)(iii)
Survey and discard of SCBA and components (1)(v) - SCBA no longer fit for service
will be disposed of in accordance with ADD IN THE APPLICABLE SOP
(DECISION - If the department has emergency escape respirators the following
two sections apply, otherwise delete them.)
Emergency Respirators - Are kept accessible to the work area, stored in accordance
with any applicable manufacturer instructions and stored in compartments or covers
marked “emergency respirators”. They are cleaned and disinfected after each use.
(h)(1)(iii), (2)(ii),(A),(b),(c)
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Emergency escape-only respirators - Are inspected before being carried for
use. (h)(3)(i)(C) Documentation of inspection will include the date of inspection,
the name and signature of who made the inspection, the findings, any required
remedial action, & the identifier of the inspected respirator. (h)(3)(iv)(A) This
certification is documented on a tag / label attached to storage compartment, with
the respirator. (h)(3)(iv)(B)
Compressed air for SCBA
SCBA compressed air will meet the requirements of Grade D breathing air. (i)(1)(ii)
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Oxygen content (v/v) of 19.5-23.5%. (i)(1)(ii)(A)
Hydrocarbon (condensed) content of 5 milligrams / cubic meter of air or less.
(i)(1)(ii)(B)
Carbon monoxide (CO) content of 10 ppm or less. (i)(1)(ii)(C)
Carbon dioxide content of 1,000 ppm or less. (i)(1)(ii)(D)
Lack of noticeable odor. (i)(1)(ii)(E)
Cylinders - used to supply breathing air must meet the following requirements: (i)(4)
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Cylinders are tested / maintained as prescribed in the Shipping Container
Specification Regulations of the Department of Transportation (49 CFR part 173
and part 178); (i)(4)(i)
Purchased SCBA cylinders have a certificate of analysis from the supplier that
the breathing air meets the requirements for Grade D breathing air. (i)(4)(ii)
Cylinder moisture content does not exceed a dew point of -50 deg. F at 1
atmosphere. (i)(4)(iii)
SCBA Compressor - The compressor and cascade system are constructed and
situated so as to: (i)(5)(I)
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Prevent entry of contaminated air into the air-supply system. (i)(5)(i)
Dew point at 1 atmosphere is 10 degrees F (5.56 deg. C) below the ambient
temp. (i)(5)(ii)
Have suitable in-line air-purifying sorbent beds and filters maintained and
replaced or refurbished periodically following the manufacturer's instructions.
(i)(5)(iii)
A tag at the compressor notes the filter maintenance date & the signature of the
individual who performed it. (i)(5)(iv)
CO Levels (DECISION - keep the type you have and delete the other.)
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CO levels in non-oil lubricated compressors do not exceed 10 ppm. (i)(6)
Oil-lubricated compressors have a high-temp & or CO alarm. If only high-temp
alarms are used, the air supply is monitored at intervals sufficient to prevent
carbon monoxide in the breathing air from exceeding 10 ppm. (i)(7)
Breathing air couplings - are incompatible with non-respirable air or other gas
systems. No asphyxiating substance shall be introduced into breathing air lines. (i)(8)
Breathing gas containers are marked per NIOSH 42 CFR part 84. (i)(9)
(DECISION - If the department uses only SCBA delete the following section.)
Filters, cartridge, and canister identification - They are labeled & color coded with
the NIOSH approval label. The label must be intact and legible. .134(j)
SCBA Training
Training is conducted for new hires, at least annually and as needed to maintain
competency, knowledge and adjust to new technologies, hazards or procedures.
Training is provided in a manner that is understandable to the FF. (k)(2)
New Hires - Training, similar in content to annual training is conducted after medical
evaluation, fit testing and before the FF is required to use SCBA in the field. (k)(3)
Annual - Training is conducted at such frequency and depth that each FF can
demonstrate and or explain the following without prior preparation or coaching: (k)(1)
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List and explain the medical signs & symptoms that limit / prevent respirator use.
(k)(vi)
Describe what the limitations and capabilities of SCBA are. (k)(ii)
Explain why respiratory protection is necessary and how improper fit, usage, or
maintenance can compromise the protective effect of SCBA. (k)(i)
Demonstrate SCBA procedures in emergency situations and malfunctions. (k)(iii)
Demonstrate proper donning, seal check, use and doffing SCBA. (k)(iv)
Demonstrate how to inspect SCBA. (k)(iv)
Demonstrate the procedures for maintenance and storage. (k)(v)
Retraining - is administered when the following situations occur: (k)(5)
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Changes in the workplace or the make of SCBA render previous training
obsolete. (k)(5)(i)
Inadequacies of knowledge or use indicate a lack of requisite understanding or
skill. (k) (5)(ii)
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Any other situation in which retraining appears necessary to ensure safe SCBA
use. (k) (5)(iii)
Program evaluation - is conducted to ensure program compliance & effectiveness.
.134(l) Evaluation is accomplished by receiving feedback, comments, suggestions and
problems encountered from SCBA users and all others involved in the program.
Through this process, problems are corrected and program effectiveness continues to
improve. (l)(2) Specific factors to be assessed include, but are not limited to:
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Mask fit and impact on effective job performance. (l)(2)(i)
SCBA selection for the hazards to which FFs are exposed. (l)(2)(ii)
Proper SCBA use under the conditions FFs encounter. (l)(2)(iii)
Proper SCBA maintenance, inspection and cleaning. (l)(2)(iv)
Recommendation - Assign this duty to the safety committee
Records
Records are maintained for medical evaluations, fit testing, individual SCBA
components & the program. .134(m) Records are available to affected FFs for
examination and copying. (m)(4)
Medical evaluations are retained & available for term of employment plus 30 years in
accordance with 29 CFR 1910.1020. (m)(1)
Fit Testing records are maintained until the next fit test is conducted. (m)(2)(i) A fit
test record consists of:
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The Make, model, style and size SCBA mask being tested. (m)(2)(i)(C)
The ID of the FF being tested, the type test conducted and the date.
(m)(2)(i)(A),(B)(D)
The test results including any strip chart or other recordings. (m)(2)(i)(E)
SCBA records are maintained for each mask, cylinder, harness, regulator and PASS
on the department supplied forms as follows:
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Unit Record - Each SCBA is numbered as a unit and the model / serial number of
the harness PASS and regulator is recorded. The record documents the date the
unit is placed into service, when used (whether in training or response), any
malfunctions and repairs and date retired from service.
(Rev: October 2012 Page19)
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Mask Record - Masks are numbered with the model and serial number recorded.
The record documents the date the mask is placed into service, who or what it is
assigned to, daily and monthly inspections, use whether training or response,
any malfunctions and repairs and date retired from service.
Cylinder Record - Each cylinder is numbered with the model and serial number
recorded and the hydrostatic test date.
This Program - A written copy of this program is maintained as a record. (m)(3)
Emergency Response Plan compliant to OSHA 1910.120(q)
Your governmental organization – County, city, municipal, district probably has
an emergency response plan for the area it covers. Merge the existing plan with
this program to be compliant with 1910.120(q). Modify it to meet your needs and
add such details as noted in the document where you see “ADD DETAILS or Click
here to enter text”. Then delete this paragraph.
Emergency Response Plan Components
This plan was developed to handle anticipated emergencies. The plan is in writing and
available for inspection and copying by employees and their representatives. (q)(2)
Pre-emergency planning and coordination with outside parties (2)(i)
This plan predetermines, to the extent possible, actions to be taken for the prevention of
disasters, reduction of vulnerability to disasters, and recovery from disasters. Flexibility
of direction, coordination, and operating procedures is applied to:
(1) Minimize the loss of life, suffering, and personal injury;
(2) Minimize damage to property, material shortages, or adverse service systems
disruptions.
(3) Management of emergency operations and activities through the coordinated use of
resources available.
(4) Provide emergency relief and coordinate short/long-term recovery operations in
affected areas.
Personnel Roles, lines of authority, training and communications
This plan accurately reflects actions needed to handle anticipated emergencies. All
organizations under this plan will ensure that their SOP's support this plan. (q)(2)(ii)
This plan facilitates coordination between local and State agencies during times of
emergency when our resources are insufficient to handle the situation. The specific line
of authority lies with us. Regardless of the resources and external organizations that
(Rev: October 2012 Page20)
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respond, command and ultimate responsibility is ours. ADD DETAILS –Lay out your
line of authority
Training on this plan and its components is conducted locally and in conjunction with
State and Federal emergency management training. Enter name of responsible party
hereEnter name of responsible party here plans and coordinates drills, tabletop,
and functional exercises yearly to test and improve this plan.
While face to face communication through regular meetings remains an integral part of
our communications methodology, radio, web and its various aberrations are all open to
our use. (q)(2)(i)
ADD DETAILS – How will you communicate with employees and population.
Emergency recognition and prevention
Through the processes of target hazard identification, pre-fire planning and inspections
the department will identify those locations in our response area that have a higher than
normally anticipated hazard level due to chemicals, radioactive materials or water
reactive materials used, processed or stored on the premises. A response plan will be
created for those identified hazards. The plans will be included in the regular training
cycle. Outside resources and response will be identified and included in the process.
(q)(2)(iii)
Insert or reference your written target hazard ID or pre-fire plan OG or policy here.
Insert or reference your written procedure for responding to each type
hazard/facility identified.
Safe distances and places of refuge
The plan for each facility or location identifies the minimum evacuation distances based
upon the type and amount of hazardous materials on site. Any places of refuge on site
provided by the owner/occupant should be identified. (q)(2)(iv)
Site security and control
Enter LEA name hereEnter LEA name here Law enforcement agency is responsible
for scene security, access and control under the direction of the IC. (q)(2)(v)
Evacuation routes and procedures
Evacuation of all or a portion of the site faIls to the appropriate emergency official at the
scene. Mass evacuation can be ordered by enter name of responsible party
hereenter name of responsible party here. Local evacuation routes and shelters
should be identified to facilitate a wide scale evacuation requirement. (q)(2)(vi)
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Decontamination
Decontamination is performed at all Hazardous Materials incidents. IC implements
appropriate decontamination procedures with the prevention of contamination as the
primary objective. This can be accomplished by: (q)(2)(vii) &(3)(ix)
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Minimizing contact with hazardous substances.
Using remote sampling and handling devices and techniques.
Protecting instruments, radios, etc. by wrapping in plastic.
Wearing disposable protective clothing where possible and permissible. (2)(vii)
The method and type of decontamination will depend upon severity, the contaminant
and number of contaminated victims. Decontamination procedures, solutions,
equipment and personnel must be in place prior to anyone entering the Hot Zone to
conduct recon or mitigation actions. Proper decontamination of all victims shall take
place prior to transport to the appropriate medical facility. For rescue situations, gross
decon (i.e., hoseline) is acceptable.
Emergency medical treatment and first aid.
The IC will insure adequate Emergency Medical Service assets are available on scene
for triage, emergency care, transport and management of on scene ground and air
assets prior to allowing operations in the hot zone. (q)(2)(viii)
Emergency alerting and response procedures.
Emergency notification and response needs to be flexible as it is dependent upon the
situation, the amount of warning received, manning, severity, and what, if any damage
has already occurred to our facilities. (q)(2)(ix)
ADD DETAILS SEE BELOW
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WHO DETERMINES TO ALERT EMPLOYEES AND POPULATION?
HOW IS IT DONE?
WHAT SUBSEQUENT NOTIFICATIONS WILL BE MADE?
LIST WHERE CURRENT INFO CAN BE FOUND FOR EXAMPLE
Phone #, website, cable, radio stations, social media sites.
PPE and emergency equipment
ADD DETAILS of the specialized PPE and/or emergency equipment on each site,
owned or utilized by your agency. (q)(2)(xi)
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Procedures for handling emergency response.
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The National Incident Management System (NIMS) is used for incident
management at all scenes regardless of size or type.
The senior emergency response official is the Incident Commander (IC) (q)(3)(i)
All responders & communications are coordinated and controlled through the IC.
(q)(3)(i)
The IC is assisted by the senior official present (controls operations at the site).
(q)(3)(i)
The IC and such staff as necessary identifies all hazards, does appropriate site
analysis, uses of engineering controls, maximum exposure limits, hazardous
substance handling procedures, & new technologies. (q)(3)(ii)
The IC implements emergency operations & assures that PPE worn is
appropriate for the hazards to be encountered. Minimum PPE is structural
firefighting per 29 CFR 1910.156(e). (q)(3)(iii)
Operations conducted in hazardous areas utilize a buddy system in groups of 2
or more. (q)(3)(v)
SCBA.
Due to the unknown respiratory hazards posed by firefighting and other operations
where a potentially hostile atmosphere may be encountered, all members in the hot
zone shall use SCBAs. *The SCBA shall remain in use until overhaul / operations are
complete and the respiratory hazard has been eliminated and deemed safe by the IC
and Safety Officer after proper monitoring. All re-entries and the PPE required for such
entries after operations are concluded must be approved by the Safety Officer. (q)(3)(iv)
Access
IC limits access to the hot zone to those who are necessary and trained for the incident
/ situation. Accountability for all on the scene lies with IC or is delegated to the Safety
Officer. (q)(3)(v)
Buddy System
Hazardous areas operations use the buddy system in groups of two or more.(3)(v)
Back-up personnel standby ready to provide assistance or rescue.
Operations in the hot zone and specifically in a structure fire will comply with Florida’s
“two in-two out” requirement. This requirement states that for entry to be made, it must
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be made by at least two firefighter I or II certified firefighters with at least two firefighter I
or II certified firefighters outside (in visual or voice contact ) ready and equipped to
respond for aid / rescue should the need arise. The two outside may have other duties
so long as their response is timely and no other issues are created by their response.
(q)(3)(vi)
Safety Officer
IC designates a knowledgeable safety officer (SO)
The SO develops and recommends measures to the IC for assuring personnel health
and safety and to assess and/or anticipate hazardous and unsafe situations. The Safety
Officer also develops the Site Safety Plan, reviews the Incident Action Plan for safety
implications, and provides timely, complete, specific, and accurate assessment of
hazards and required controls. The SO can alter, suspend, or terminate IDLH /
imminent danger / condition activities. The SO immediately informs IC of any actions
needed to be taken to correct these hazards. (q)(3)(vii)& (viii)
Utilization of skilled support personnel
At times, specific skill, trades (dozer, back-hoe, heavy machinery, etc) made be needed
to perform work in cool, warm and even hot zones on a temporary basis under the
protection of members trained to operate in that environment. Prior to entering into
those zones, a skilled support worker must be briefed on:
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How to wear the appropriate personal protective equipment. (q)(4)
Have the necessary PPE and know how to use it. (q)(4)
The chemical hazards involved. (q)(4)
The duties are to be performed. (q)(4)
The hazards present including the spilled product’s characteristics (if applicable).
(q)(4)
The specific hazard, risks, chosen tactic for mitigation and plan for emergency
egress if required. (q)(4)
The safety / health precautions that were provided to FFs. (q)(4)
Training
Skill and knowledge is delivered prior to emergency operations. (Trained commensurate
to duty). (q)(6)
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All firefighters are trained to at least the First responder operations (OPS)
level (q)(6)(i) & (ii).
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Those who potentially could be IC through the incident have at least OPS
and: (q)(6)(v)
o Knows how to implement our IMS system. (q)(6)(v)(A)
o Knows how to implement the FD emergency response plan.
(q)(6)(v)(B)
o Knows how to implement the local emergency response plan.
(q)(6)(v)(D)
o Know about the SERP and the Federal Regional Response Team.
(q)(6)(v)(E)
o Understand the hazards / risks of working in chemical protective
clothing. (q)(6)(v)(C)
o Know / understand the importance of decon procedures. (6)(v)(F
Annual refresher training
The content & duration of this training will be sufficient to maintain the competencies
required. Demonstration of competencies can be utilized in lieu of or with training.
(q)(8)(i)
Training Records
Records of training will be kept in accordance with the departments training SOP. In
addition to the normal training record, if competency is utilized the methodology is to be
specified (drill, event, regional exercise). (q)(8)(ii)
Post-emergency response operations
This department does not participate in clean-up operations. (11)(i) or (ii)
Critique of response and follow-up
As soon as practical after an event, a formal critique is held to identify strengths and
areas of improvement to be worked upon. Identified areas of weakness are assessed
and the necessary changes made to the plan. (q)(2)(x)
(Rev: October 2012 Page25)