COMMAND 1. Develop comprehensive accident, injury, illness and exposure policies and procedures 2. The Safety Committee can identify root cause and suggest changes to prevent future occurrences. FINANCE 1. Budget for two sets of turnouts for all emergency response personnel. 2.Budget for PPE cleaning by an ISP or by purchasing the necessary equipment to clean PPE in an area designated as safe and appropriate to do so. 3. Consider grants, including AFG, for alternative funding for major/capital purchases. 4. Provide engineering controls and associated equipment to reduce or eliminate exhaust from internal combustion equipment in living and work areas. 5. Budget for annual physicals, other wellness programs and equipment. PLANNING 1. Develop an exposure control plan to include green zones in stations and apparatus. 2. Use an apparatus design that reduces exposures and prevents cross-contamination by using solid, cleanable surfaces whenever possible. 3. Provide a hand washing station on every fire apparatus. 4. Design fire station to address exposure reduction and cross-contamination prevention. 5. Conduct testing to ensure a hazard-free work environment: MRSA, radon, asbestos, diesel exhaust, etc. OPERATIONS: Emergency 1. Ensure that all personnel are wearing full PPE and SCBA on all fire calls. 2. Establish hot, warm and cold hazard zones at the scene. Limit entry to necessary personnel only, and limit time in hot zone. 3. Limit the time support personnel (including driver/engineer, rehab, incident commander and other support staff) are in potentially contaminated areas. 4. Establish Gross Decontamination for every entry into a toxic smoke environment (including car fires and dumpster fires). 5. Provide warm water and soap, or if unavailable, use disposable wipes to clean hands, face and neck. 6. Establish Rehabilitation with medical surveillance when work event exceeds 2/30s or 1/45 cylinder or 45 minutes of strenuous labor, or as needed. 7. Release most contaminated personnel first to reduce continued exposures to toxic products of combustion. First in, first home. 8. Transport contaminated PPE in encapsulated bag to prevent further exposure to apparatus and personnel. 9. Allow personnel to return to fire station out of service to shower and change into clean PPE. Monitor dispatch frequency and do not pass a critical call returning to quarters. OPERATIONS: Routine Activities 1. Ensure diesel exhaust capture systems or similar engineering controls are used every time the apparatus enters and/or exits the fire station. 2. To further reduce contamination that may be brought into the stations by response footwear, it is encouraged a station shoe be worn inside the living quarters of the fire stations. 3. Practice wellness in general. Conduct annual physicals including cancer screenings. Use sunscreen when outdoors, don’t use tobacco and participate in daily exercise. 4. Document exposures, injuries and illness throughout career. 5. Conduct initial recruit and annual refresher training to include cancer awareness, wellness and fitness. 6. The Safety Committee will review occupational exposures in order to identify root causes and/or necessary mitigation efforts. LOGISTICS 1. Establish PPE and uniform cleaning program for all entries into contaminated environments. 2. Provide a second set of turnouts for all emergency response personnel. 3. Institute an on-scene hood exchange program. 4. Maintain the exposure control plan to include cleaning, disinfecting and maintenance programs to reduce exposures in the fire station. 2 9