Table 2 Identified control strategies from participatory scoping and risk assessment phases
From: Establishing a proactive safety and health risk management system in the fire service
Control strategy | Priority rating |
|---|---|
Patient Transport | |
Patient transport module for probationary firefighters | 112 ‼ |
Apparatus placement for all scenes | 109 |
Review police request protocol | 106 |
Standardized in-station call review among crew | 103 |
Continuing education for patient packaging and lifting | 100 |
Establish chest compression rotation procedure during CPR | 100 ‼ |
Improved communication for patient lifting assistance | 100 |
Review Clawson questions and format | 97.5 |
Emphasizing and improving fitness training | 96.5 |
Distribution of techniques for heaving patient lifting | 96 |
Station checklist and inventory for all equipment | 94.5 |
Testing patient transfer devices | 91 ‼ |
Heart Saver and zone dispatching systems | 88 |
Continuing education for airbag deployment | 87.5 |
Combative Patients Training | 84 |
Investigate gurney design options | 82 |
Physical Exercise | |
Update and revise exercise SOP | 105 ‼ |
Better defined fitness standards and levels | 104 |
Mandatory workouts each workday | 103 |
Improved access to exercise information | 101 |
Improve structure and monitoring of 8-hour employees | 101 |
Explore new cadet point system for physical fitness | 100 |
Improve station exercise equipment and facilities | 97 ‼ |
Increased role of Peer Fitness Trainers | 96 ‼ |
Top-down advocacy of priorities | 95 |
Periodic “fitness checks” during the year | 95 |
Reinforce fitness progress and achievements | 94 |
Incentives for exercise adherence | 91 |
Structured exercise sessions | 89 |
Fireground Operations | |
On-shift safety critiques about selected calls | 71 |
Enforce PPE use during demobilization and cleanup | 70 ‼* |
Enforcement through disciplinary matrix | 69 |
Improve rehab adherence | 67 ‼† |
Improve rehab protocols and details | 67 ‼† |
Peer safety check before post-suppression activities | 67 ‼* |
Visual reminders for health and safety | 66 ‼ |
Prohibit cell phone use while in-transit to call | 66 |
Increase emphasis on maintaining fitness | 65 |
Improve access to health and safety information | 64 |
Increased CEs and trainings for Captains | 64 |
Rewards and incentives to improve compliance | 63 |
Communicate individual health status during lineup | 60 |
Improved utilization of 0700 “Wake up” call | 56 |
Collaborate with industry partners | 54 |
Improved communication and personnel tracking tech | 51 |