Highway Safety for Emergency Service Personnel

1. Highway Safety for Emergency Service Personnel

2. Program Overview

3. Program Overview Cont�d

4. Program Objectives Understand the Overall Goal of this Highway Safety Program Recognize the Importance of this Highway Safety Program Identify the Elements of this Highway Safety Program

5. Definition of Highway Any roadway on which a Vehicle-Related Incident could occur This could include interstate, suburban, rural, dirt and other roadways Anywhere a vehicle could travel

6. Comprehensive Highway Safety Program Classroom Instruction Initial Training, Orientation & Drills Testing and Evaluation

7. Listen to This Audio Midwest City, Oklahoma

8. Chapter 1 Extent of the Problem

9. Extent of the Problem Objectives Describe the Roles and Responsibilities Related to Personal Safety at Highway Incident Scenes. Recognize the factors that contribute to the incidence of highway emergency worker injury and death. Discuss the Impact of Injuries and Deaths to Emergency Service Workers. Explain the rationale for changing the attitude of emergency workers at highway incidents.

10. Perspective Reflect on Your First FF or EMS class What Do You Remember about Highway Safety? Potential for Personal Injury Changes in Vehicles Increased Traffic Volume

11. Highway Injury/Accident Data FIRE/EMS Fatalities

12. 2000 Fire & EMS Incidents

13. 2001 Fire & EMS Incidents

14. 2001 Fire & EMS Incidents 19 Incidents while operating at MVA scenes 9 Incidents while personnel �directing traffic� 9 Incidents while operating at fire scenes 4 Incidents while backing units into stations 4 Incidents involving fire apparatus that �moved� while parked at incidents

15. Extent of the Problem What They Didn�t Teach You in FF1 or EMT class���

16. �It Was Just A Routine Call� LIONVILLE , PA March 9, 1998 � Raining with wet roadways Initial alarm was at 14:10 for a car in a ditch on the PA. Turnpike. Uwchlan Ambulance and Lionville Fire / Rescue responded with an Ambulance, Engine, Rescue, the Chief & an Assistant Chief.

17. �It Was Just A Routine Call� Tractor Trailer driver loses control and crashes into scene. Mass confusion at the scene. Many assist companies self-dispatched. Heavy radio traffic due to weather related calls Weather grounded Medivac right after crash.

18. �It Was Just A Routine Call� Aftermath of the crash. 8 firefighters and 2 EMT�s involved in the crash 1 fatality and 9 serious injuries. Assistant Chief was disabled for several months � Eventually resigned from the department. Physical therapy and numerous surgeries for one firefighter.

19. Firefighter Killed

20. Firefighter Killed

24. 01-01-02: Madras, OR � Paramedic struck & killed. Placing flares out to protect the scene of an MVA when he was struck by tractor trailer. 01-02-02: Tampa, FL � Fire Engine struck on scene of a shopping center building fire. Engine was in parking lot, and was struck by a stolen car driven by a teenager. 01-06-02: Goochland, VA � Firefighter struck & leg amputated. Car skidded on ice and struck firefighter who was pinned between two vehicles.  2002 Fire & EMS Incidents

25. 03-13-02: Norfolk, VA � 2 Firefighters struck & injured. Fighting a car fire in HOV lanes in dense fog. Struck by civilian who could not see the scene. 03-20-02: Gluckstadt , MS � Firefighter struck & killed. Working an MVA on an Interstate, struck by motorist while crossing the road. 03-25-02: Long Island, NY � 2 Firefighters struck. One killed and one seriously injured. Driver under the influence ran through road barricades and struck them at the scene of a training exercise.  2002 Incidents Cont�d.

26. 6-8-02: Wildwood, FL � Off-duty FF and physician were killed assisting at rescue 7-1-02: Esko, MN � FF killed and other injured after chain reaction plows into their work area 8-19-02: Richmond County, NC � Chief struck by vehicle assisting at accident 10-6-02: Jefferson County, OK � Two Paramedics killed 11-30-02: Valence, France � Five FF killed � two of which are thrown into Drome River 2002 Incidents Cont�d

27. Contributing Factors Ineffective Notice to Civilian Drivers Weather and Roadway Conditions Lack of Visibility and Lighting Emergency Worker Physical Movement Private Vehicles Protection of the Scene

28. Impacts of ESO Injuries & Deaths Death of ESO Personnel Death Caused by ESO Personnel Long Term Impact Psychological Impact

29. Loss of Experienced Personnel Stress of Criminal or Civil Litigation Financial Impact to ESO Failure to Deliver Service Poor Public Image Related to Safety Other Concerns

30. �Firefighters responding to calls need to operate as if someone is trying to run them over.� �James Joyce Fire Commissioner Chicago Fire Department Words to Live By Just after having two struck-by highway incidents within days of one another.Just after having two struck-by highway incidents within days of one another.

31. Planning, Multi-Agency Coordination & Communication

32. Discuss How Planning Reduces the Amount of On-Scene Time Discuss the Unified Command Process Related to Highway Incidents List Exercises to Utilize to Improve Communication & Coordination Identify Highway Safety Threat Areas Communication & Coordination Objectives

33. Planning Training with Other Agencies Tabletop Exercises Simulations Post-Incident Analysis Communication & Coordination

34. Assure first arriving emergency vehicle establish an initial block to create a safe work area Assess the parking needs of EMS, later arriving apparatus and other highway responders Assure that all ambulances on-scene are placed within the protected work area Incident & Unified Command

35. Instruct the driver of the ambulance to �block to the right� or �block to the left� to position the rear patient loading area away from the closest lane of moving traffic. Assure that all patient loading into transporting EMS vehicles is done within a protected work zone. Incident & Unified Command Cont�d.

36. Accountability on the Scene

37. Identifying Target Locations Highway Construction Projects Special Events Planned Detours Planning, Communication & Coordination

38. SOPs/SOGs

39. Differentiate Between SOGs and SOPs related to Highway Safety Better Understand the Benefits of SOGs related to Highway Safety List Highway Safety Subject Areas for Consideration in SOPs/SOGs SOPs/SOGs Objectives

40. Defines how ESO will Operate Don�t Confuse with Pre-Plans Not Intended to Duplicate Technical Information What are SOPs/SOGs?

41. All Personnel Understand What is Expected or Required Intended Compliance with all Necessary Requirements is Identified Planned Agreed Upon Actions Resource Document upon which to Base Training Required Actions Have Been Anticipated General Provisions

42. Laws, Regulations and Standards Interface with Other Documents Administrative Requirements Operational Reasons Legal & Regulatory Implications

43. Highway Safety Awareness Incorporate highway safety awareness into Firefighter 1 or EMT classes Include in Station or Company Orientation Include in Annual Service Training Bulletins, SOGs, Lessons for Losses Evaluate apparatus placement and safety procedures during all drills and training sessions

44. On Scene Operations:The First 60 Minutes

45. Describe the Effects of SOPs/SOGs on Emergency Response to Various Highway Incidents Describe the Actions that Must be Fulfilled at a Highway Emergency Scene to Ensure Safe Operation List and Describe Personal Safety Measures to be used by Emergency Responders while working in or Near Moving Traffic On Scene Operation Objectives

46. Describe the Roles and Responsibilities of the Emergency Service Worker Related to Personal Safety at Highway Incidents Recognize and Respond to the Emotional and Psychological affects Emergency Workers Experience at Highway Incidents On Scene Operation Objectives Cont�d.

47. Response Positioning of Emergency Vehicles On Scene Operations

48. The First 60 Minutes Safety Officer

49. Don appropriate reflective vest and clothing Look before exiting the vehicle Exit and Enter the Vehicle on the Downstream Side Look Before You Step Personal Safety Measures

50. Keep Your Eyes on the Traffic Limit Your Exposure Reduce Your Profile Safety Measures Cont�d.

51. The First 60 Minutes

52. Look Before Exiting the Vehicle

53. MUTCD Summary Components Parts of a Traffic Control Zone - Advance Warning - Transition Area - Activity Area (Buffer & Work Space) - Termination Area Temporary Traffic Control Zone

54. Advance Warning

55. Controlling Traffic

56. Establish a Flagger Using Warning Devices

58. Scene Lighting Closing Down Traffic Flow Is All Responding Equipment Really Needed Limit Time on Scene Restoring Traffic Flow The First 60 Minutes

59. Scene Lighting

60. Scene Lighting

61. Closing Down the Roadway

62. Staging of Other & Personal Vehicles

63. Incident Termination

64. Chapter 5

65. Describe apparatus features that should be considered for increasing the degree of safety at highway incident scenes List and describe safety-related equipment to be included on apparatus for use at highway incidents by personnel when working in or near moving traffic Apparatus Design & Equipment Objectives

66. Apparatus Design

67. Apparatus Design

68. Apparatus Design

69. Apparatus Design

70. Apparatus Design

71. Traffic Cones Portable Signs Flares Flashlights Handheld Signs Radios Portable Air Horns Scene Tape Vests Equipment to be Carried

72. Orange 28 Inches High Two Reflective Stripes Traffic Safety Cones

73. Standard Symbols Reflective Material (Coral) One per Direction of Travel Portable Signs

74. Lighted Basic Message Handheld Signs

75. Class III Vests

76. Class II Vest

77. Personal Protective Equipment

78. Personal Protective Equipment

79. Personal Protective Equipment

80. Chapter 6 Scenarios & Best Practices

81. Demonstrate the ability to establish a safe, temporary work zone given various roadway types and scene conditions Identify safety concerns given various roadway types and scene conditions Critique the temporary work zones created in the given scenarios for operability and safety Develop an attitude to accept, use and enforce highway workplace safety Scenarios & Best Practice Objectives

82. Four Lane Divided Highway Multi-Lane Highway w/Grass Median Intersection Urban Street with Center Turn Two Lane Rural Curved Two-Lane Road Scenarios

83. Chapter 7 Highway Safety in Review

84. Explain the Rationale for Serving as an Advocate for Highway Safety Develop an action plan for you and your ESO to increase the awareness of highway safety List the Minimum Equipment Necessary to Establish a Safe Work Zone Create attitude of advocacy for highway safety Highway Safety in Review Objectives

85. Create Awareness Improve Safety Reduce Your Risk Highway Safety Advocacy

86. Create an Awareness at your ESO Identify and Acquire Equipment Review SOPs/SOGs Identify Areas for Improvement Revise SOPs/SOGs Incorporate into Training and Operation Highway Safety Action Plan

87. There is No Substitute for Training Multi-Agency Coordination and Communication Are a Must Limit Your Time, Limit Your Exposure Give Traffic Plenty of Warning Protect the Scene With Apparatus Ten Cones of Safety

88. Always Work Away from the Traffic Be Prepared to Shut Down the Roadway Be Seen and Not Hurt Dress for the Occasion Accountability Matters Ten Cones of Safety Cont�d.

89. Comments or Questions? Highway Safety for Emergency Service Personnel

90. Thank you for your attention! VFIS ESECG 1-800-233-1957 www.vfis.com Highway Safety for Emergency Service Personnel