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Fire Fighters Denied On-Duty Death Benefits

More than three years after the enactment of a law granting federal benefits to families of fire fighters, police officers, and EMT's who die of heart attacks and strokes on the job, not a dollar has been paid. The U.S. Justice Department has denied all 34 claims that have been decided, and has yet to act on more than 200 others.

The Hometown Heroes Act of 2003 stated that heart attacks and strokes on the job should be presumed to be line-of-duty deaths, making survivors eligible for federal benefits. A spokeswoman for the Department of Justice said the delays are caused by the complexity of the cases, not by any disagreement with the intent of the law.

The denials come to light as a new study published in the New England Journal of Medicine found that fire fighters are at much higher risk of heart attacks when fighting fires or responding to alarms. They face up to 100 times their normal risk of heart attack while working at a fire.

At least some of the denials were based on the Justice Department judgment that some of the duties the fire fighters were performing at the time of their deaths did not meet the law's requirement of "non-routine strenuous activity." Examples are a fire fighter who returned home after carrying fire hose at a training session who collapsed and died that afternoon, and a fire chief that died at home after directing traffic for more than an hour at a major intersection in the Texas heat.

The Justice Department rules for the program say that the program requires the fire fighter to be involved in a situation that would:




Pose, or appear to pose, "significant dangers, threats or hazards (or reasonable
foreseeable risks thereof), not faced by similarly situated members of the public
in the ordinary course, and;
"provoke, cause, or occasion an unusually high level of alarm, fear, or anxiety.

The Harvard study of 449 heart attack deaths among fire fighters nationwide found that 32 percent died when they were involved in fire suppression or other activity at a fire. But less stressful duties were associated with higher than expected risk of heart attack as well: 13 percent occurred while responding to an alarm; 17 percent in returning from an alarm; 13 percent in physical training; 9 percent in emergency medical services and other non-fire emergencies; and 15 percent in a fire station or while performing non-emergency duties.

Flashpoint
Summer/Fall 2007





NIOSH Recommendations in the Wake of Junior Volunteer
Firefighter Death

A tragic accident, which claimed the life of a 17-year-old female volunteer junior firefighter after the tanker truck she was riding in went off a narrow one-lane bridge in Alabama has resulted in a number of recommendations by NIOSH investigators:



Ensure that fire fighters are always seated in an approved riding position any time the fire apparatus is in motion
 


Ensure that all fire apparatus are equipped with seat belts and that fire fighters always wear seatbelts
     
Ensure that tankers are operated at a safe and reasonable speed
     


Provide initial and refresher training (at least twice annually) to driver/operators as often as necessary for the safe operation of fire tankers
     


Develop and enforce written policies, procedures, and/or guidelines that identify the permissible and non-permissible tasks and activities of junior fire fighters
     
Establish an effective preventive maintenance program for all fire apparatus
     
Establish and develop written standard operating procedures for all fire fighting operations
     
Avoid using former fuel trucks as water tankers, if at all possible
     


Consider developing a State-endorsed junior fire fighter program that addresses the tasks that minors are permitted to perform in the fire service
     
Consider requiring vehicle safety inspections for fire apparatus

The tanker was enroute to a structure fire and failed to negotiate a sharp curve at the approach to the bridge. The tanker crashed through the bridge's guardrail and landed upside down below the bridge. The driver and two other fire fighters riding in the tanker were injured in the incident. The victim was extricated by emergency personnel and pronounced dead at the scene.

Source: NIOSH Newsletter April 11, 2007

Flashpoint
Summer/Fall 2007


Troy Michigan Based Developer Working on Incident Command
Computer Tracking

A researcher affiliated with the Troy Michigan based Empco, Inc. has recently put into service a prototype of a computer based tracking system for use by Fire Departments using the Incident Command system at emergency scenes. A major Oakland County Fire Department, which is field testing the system, tracks the whereabouts of firefighters at work on the fireground, as well as those during search and rescue operations, making it much easier to account for them. It not only is an accountability system, but it also stores building plans and information on hazardous items that may be stored in commercial buildings. The hope is that one day the system will also be available to police departments for dangerous operations such as hostage rescues, surveillance and narcotics operations, and high-risk search warrant and arrest scenarios.

Flashpoint
Spring 2006



Guidelines can help communities prepare for terrorism

As the Homeland Security Office builds a national plan to protect the American public from terrorism, here are some ideas that you can pass along to businesses, agriculture and infrastructure organizations in your community to help them take steps now to prepare for terrorism and other disasters.

Any organization or business can become more secure by implementing measures on this list.

First, do the Hazard Assessment, at least a draft of an organizational emergency plan and a determination of what equipment and facilities will be used in emergencies. These products
will guide your deliberations on what training is needed by your personnel
e-mail - http://riskcenter.doe.gov/whatisrisk/index.cfm.

Encourage employees to enroll in FEMA and other emergency management courses
http://www.fema.gov/emi/index.htm.

Determine what elements of your situation are unique and/or not covered in the already available courses.

Conduct the Community Emergency Response Teams (CERT) Course at your site (see the CERT material listed on the emergency management courses page at http://www.fema.gov/emi/index.htm).

Key steps/considerations include:

1.


Discuss an overview of the hazards that may threaten your facility. Neighboring businesses should also be considered in case a disaster spreads from your facility to theirs or from their facility to yours.
   
2.

Protective action decisions for each hazard and the method of implementing these decisions - to include assembly points and in-place protection procedures.
   
3.

Alert and notification procedures - to include the meaning of various warning signals, fan out charts, and mobilization procedures.
   
4. Concept of operations to include:
a. Organization structure
b. assignment of responsibilities
c. how to deal with specific emergencies
d. what to report and to whom
e.

sequence of "first response" actions, such as what to do in case of fire - sound alarm, use an extinguisher, leave the vicinity, etc.
   
5.

Identification, location and use of emergency equipment such as showers, eyewashes, portable fire extinguisher, and respirators.
   
6. Shutdown routines and emergency shutdown procedures.
   
7.


Demonstrations of emergency equipment with hands-on experience - how to use and how not to use eyewashes, safety masks (for example, check filter inserts before using), portable extinguishers, etc.
   
8.



If your organization has limited or no medical capability, encourage your employees, especially those with emergency response assignments, to take courses in emergency health care and first-aid. Many hospitals, volunteer ambulance corps, the American Red Cross, and various community organizations teach first-aid skills.
   
9. Conduct sessions at least annually or when:
  a. Employees are hired
  b.

Evacuation wardens, shelter managers and others with special assignments
are designated
  c. New equipment, materials or procedures are introduced
  d. Procedures are updated or revised
  e. Exercises show that employee performance must be improved
   
10.



In the process of planning and developing the emergency plan, you have identified the
hazards and the actions that need to be taken during an emergency. Cross-check the
hazard assessment and written procedures with your course of instruction to make
certain nothing has been overlooked.
   
11.


The general training should be provided on a recurring basis and should cover all
possible circumstances that may affect life safety as well as the aspects critical
to property and production protection.

Design your training so that: 1). every employee will react automatically in an emergency;
and 2). all employees assigned emergency response tasks know their responsibilities and
have the skills to do the job.

Personnel should also have a thorough understanding of the entire emergency plan and how they fit into it. To accomplish this, the training program should integrate each segment of training with the overall plan.