Rescuer Physical Fitness: Making It Happen

Wednesday, January 09, 2019
by Pat Furr, Safety Officer & VPP Coordinator 

In Part I of this article, you heard my point of view on a rescuer’s obligation to be physically fit. In this follow-up piece, I outline concrete ideas to help you reach your fitness goals, broken into three components of wellness: exercise, diet, and lifestyle.

First Responder Fitness
Before you do anything else you should assess your own fitness level. Those of you that think that you could be a bit, or maybe a lot, fitter, I have some basic suggestions to offer you. Those of you who are fit and plan on maintaining that fitness, great! Keep up the good work!

Rescuer Physical Fitness: Making It Happen
For those of you who are not in good shape and, perhaps, feel there isn’t enough time in the day to do anything about it, I sincerely hope you’ll reconsider and keep reading to see that it really doesn’t take much at all to make a positive change. And this change can be like a railroad locomotive; it may start slowly, but as momentum increases, so does the rate of positive change.

Here are my favorite tips that are simple to incorporate right now into your routine so you can start to look, feel, and perform better.

Exercise Tip #1: Set your alarm and stretch.
If you are like many people, you probably set your alarm to give you just enough time to get up, get dressed, eat, and head out the door, sometimes finishing that last bite of breakfast as you are driving to work. Here’s a little tip: Set the alarm fifteen minutes earlier.
This accomplishes several things:

• Getting up fifteen minutes earlier gives you time to do some slow, easy stretching.
• If you start your day with a morning stretch, that is a good base to build on. As you gain strength, you can eventually work in some pushups and crunches.
• Getting up earlier gives you a buffer before you start your work day, eliminating that stressful feeling of cutting your timing too close. Wouldn’t it be nice to start the day with less stress and that certain physical feeling of already having accomplished something before the workday even begins?

Give this a try for one week. What do you have to lose, other than some stress and maybe a few pounds?

Exercise Tip #2: Take the stairs.
Do you use the elevator to go up one, two, or three floors? My bet is that in the time you wait for the elevator and all the stops you make, it would be nearly as fast to take the stairs. After getting into the stairs-over-elevator habit, you may find yourself going for five, then six, seven, or even ten stories.

If we are talking 20 stories or more, then yeah, I’ll give you a pass.

Exercise Tip #3: Build in some cardio.
You don’t need to hire a personal trainer or even join a gym to get into really good shape. Look no further than the oldest cardio option known to man: running. For those of us with bad knees or other ailments that prevent running, other options include brisk walking, rollerblading, swimming, biking, and even dancing will burn off some of that extra weight.

Try a variety of activities that get your blood pumping! Maybe you’ll find there’s one thing you really get into, or maybe you prefer to mix it up. Point is, make a commitment to do something. It will be uncomfortable and there will be days when you want to skip your exercise time, so consider these two things that might help you out… accountability and distraction.

Accountability might mean you publicly declare your fitness goals to friends, family, and Facebook if that’s what it takes to keep you on track. A training partner can also provide accountability as you won’t want to let your partner down by skipping your workout. A training partner can also provide a distraction – it always helps to have someone running alongside you to talk with. Or maybe listening to music or podcasts help distract you; whatever might help you focus on something other than that voice in your head asking you to stop.

I am fortunate to live near several lakes and I have taken up rowing for my no-impact aerobic workout. Talk about involving nearly every muscle group along with the heart and lungs! This is one of the best calorie burners I have ever known, and the beauty is I am out on the lake at sunrise with the loons, ospreys, and eagles, the odd deer, turkey, fox, or mink on the shoreline, just enjoying the view of the mountains.

Exercise Tip #4: Seek out resources.
There are many resources available to us first responders, especially firefighters, who are looking to get fit. The 555 Fitness website has great lists of workouts, and if you follow them on Instagram you’ll get a new workout idea every day. The Firefighter Fitness Page offers a treasure trove of fitness tips and simple workout ideas that will fit right into your busy schedule.

Healthy Diet Tips for First Responders
Getting and staying fit isn’t just about working out, but also what we put in our mouths every single day. There is a lot of truth to the old saying “you are what you eat.” I’ll be the first to admit I love a chili cheeseburger and fries (chased with a big bowl of ice cream, of course), but I am fortunate to have an amateur nutritionist in the house who mandates adherence to a grocery list full of heart-healthy items.

Changing what we choose to eat is just a matter of education and some simple strategies, but don’t try to make wholesale changes overnight. It is best to develop habits that you can build slowly over time.

Food Tip #1: Make a grocery list.
Radical diet changes almost always fail. Instead of jumping on the next bandwagon diet, resolve to make – and stick to – grocery lists full of items that are good for you, rather than “winging it” and running to McDonald's on your way home from work every day. When it comes to eating well, the old adage holds true: failing to plan means planning to fail.

The key to keeping a healthy diet is to do just a bit of research on the sort of foods that should go onto your list. The good news is there are plenty of resources to help guide you, like this list of healthy food options to help first responders perform better.

The next time you visit the grocery store, pay attention to the layout. I’ll bet you will notice that the healthy items tend to be on the outer perimeter of the store and the less healthy items are in the middle aisles. For example, if you are looking for nuts, see if there are choices near, or in, the produce section on the edge of the store. Then compare the nuts in the bins or light packaging to the choice of nuts on the snack aisle. The nuts from the produce section will likely have few or no additives, whereas the nuts from the snack aisle will be loaded with oils and all sorts of hard-to-pronounce ingredients.

Food Tip #2: Read labels.
Always assess your food for its nutritional quality. Limit, or better yet, flat-out avoid processed foods and packaged items with long lists of ingredients on the label. The fewer the ingredients on the label, generally the healthier the item will be. Also, go easy on the carbs. Most of us love pasta in all its forms, but there are alternatives to pasta that taste great using the same marinara sauce or whatever your favorite topping may be. Consider couscous or quinoa as a pasta alternative.

Don’t worry too much about the few fun and tasty items that still manage to make it onto your list. Even some junk-food snacks are acceptable from time to time. We are human, after all, right? Just be sure that they are special treats and not a daily indulgence!

Food Tip #3: Commit to the long haul.
This is where the rubber meets the road. Stick to your list! Go shopping after you’ve eaten, not when you are starving and craving processed snacks like cookies or chips. Shopping on an empty stomach spells trouble for most of us.

Remember that the best “diet” is the one that fits your lifestyle. Focus on eating meals loaded with nutrients, and don’t stress if you deviate from time to time. If you set an unattainable standard at the outset, you are less likely to stick with it.

Cultivating Healthy Lifestyle Habits
Committing to getting and staying fit so that you can perform well and live long is about a comprehensive lifestyle change. This means not only that we have to shop smarter and build in more time to move our bodies, but also that we need to stave off stress by sleeping enough, planning ahead, and not using travel as an excuse to deviate from our goals.

Lifestyle Tip #1: Get enough sleep.
First of all, we need to get enough sleep. A report from the International Association of Fire Chiefs (IAFC) called The Effects of Sleep Deprivation on Fire Fighters and EMS Responders found that sleep deprivation affects our attentiveness levels, our mental functioning, and our energy, and it can lead to health issues like obesity and cardiovascular disease.

With our long and strenuous work hours and the stress involved in our jobs, this can be extremely dangerous to our health. It is critical to sleep enough in addition to eating right and exercising to protect ourselves from life-threatening health problems.

Ok, but how? Try setting an alarm for your bedtime. If you’re the sort of person that puts off bedtime because you’re trying to finish up a few things you’ve been working on, try putting those things on a list. That way you won’t worry about forgetting them, and you can tackle them fresh the next day.

Lifestyle Tip #2: Stick to healthy travel habits.
Traveling disrupts our routines, and unless you stay in a suite with a well-equipped kitchen, the meal choices are limited to restaurant offerings and complimentary hotel breakfasts.

It is tough to resist the fancy menu photos and the aroma of restaurants but make a promise to yourself that you will follow the guidelines for the vast majority of your meals out. It isn’t the end of the world if you slip now and then, especially if you are traveling with a group. It is nice to get together socially and have a nice meal, but make that the exception, not the norm.

Most hotel rooms are equipped with a drip coffee maker and a microwave oven. For a healthy breakfast, scoop some servings of oatmeal into Ziploc bags before leaving home. Mix in some cinnamon and chopped nuts, or grab an apple once you arrive at your destination and chop it up for some added flavor and vitamins. Consider making a quick stop at the grocery store to buy some Greek yogurt and fruit like strawberries, blueberries or bananas. Mix them together for a high protein breakfast loaded with vitamins. If your work frequently has you dining on the road, here is a resource to help you make healthier choices.

As far as your workout routine is concerned, remember that the time before work starts is yours. If you get into the habit when you’re at home of doing some stretching and basic calisthenics first thing in the morning, it will be much easier to do the same thing before showering and heading out of your hotel room. If you have a say in your lodging arrangements, try to find a hotel with either a well-equipped fitness center or one that has an arrangement with a local gym. If you travel to the same locations repeatedly, find the lodging that best fits your needs.

I hope you feel, as I do, that we all benefit from being fit. We feel better about ourselves. We are less prone to injury. We are less stressed. And most importantly of all, we are able to perform better and serve our rescue subjects well. I hope that in reading this you can take some or all of these tips, or even expand upon them, and start heading in a direction of improved fitness in the new year and beyond.
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Pat Furr

Pat Furr is a chief instructor, technical consultant, VPP Coordinator and Corporate Safety Officer for Roco Rescue, Inc. As a chief instructor, he teaches a wide variety of technical rescue classes including Fall Protection, Rope Access, Tower Work/Rescue and Suspended Worker Rescue. In his role as technical consultant, he is involved in research and development, writing articles, and presenting at national conferences. He is also a member of the NFPA 1006 Technical Rescue Personnel Professional Qualifications Standard. Prior to joining Roco in 2000, he served 20 years in the US Air Force as a Pararescueman (PJ).

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Your Physical Fitness As A Rescuer: Why It Matters

Wednesday, January 02, 2019
by Pat Furr, Safety Officer & VPP Coordinator 

In January of last year, I wrote a piece called The Fit Rescuer & Why It's Important, and it was one of my most widely-read articles, so I thought I would tackle the topic again this year. The information in this article applies to all rescuers; whether you're a member of an emergency response team at your plant, a paramedic or a firefighter, you can benefit from learning more about fitness.

I’ve taught a lot of students and worked alongside many rescue professionals over the years. Each and every one wants to do the very best for the patients or victims they serve... Clearly, learning rescue skills and practicing them is a critical part of this, but so is maintaining a reasonable level of physical fitness. In fact, a standard for rescuer physical fitness is directly addressed in NFPA 1006, Section 4.2. So not only do we have an obligation due to our role as rescuers, but we also owe it to ourselves to be in good shape.
Your Physical Fitness As A Rescuer: Why It Matters If that’s not motivation enough, its January resolution time! That said, remember that this is a journey… you probably aren’t going to see radical changes right away, so don’t get discouraged. Take pride in every day you work toward your fitness goals, and if you fall off the horse and into a hot fudge sundae one weekend, don’t despair – just get back on track and stay with it!

Why Staying in Shape is Working for Me
I will be the first to admit that I go through periods (some of them extended) where I allow myself to get a tad soft. Well, okay, maybe more than just a tad soft. And when I do, I feel certain limitations that I know hinder my ability to do right by my rescue subjects. If I am winded and drenched in sweat after climbing a few flights of stairs, that is going to ultimately count against my rescue victims. And if I need to go in “on air” and my mask is fogged from perspiration, I will need to run a constant purge just to keep my mask clear – and that may deplete our air supply prematurely.

I remember all too well how heavy my gear and tripod felt during one of my “Jabba the Hutt” periods a few years back. It was discouraging! But after a few months of working out and eating well, I remember how great it felt to grab that same tripod and sling it up onto my shoulder as if it was filled with helium.

Physical Fitness as a Matter of Life and Death
I think we can all agree that physical fitness can enhance our performance as rescuers. But there are so many other benefits to improving our individual physical fitness, for instance:

reduction in soft tissue injuries like pulled muscles and ligament strains
• increased resistance to illnesses
• better mood and higher energy-level
reduced stress levels
• greater stamina and strength
• higher tolerance for heat and cold
• increased situational awareness and ability to formulate and understand rescue plans (this one is key!)

But there is so much more to the job performance and health benefits of working out, eating well, and staying in shape. Frankly, we can’t afford NOT to make our health a priority. A study from the First Responder Health and Safety Lab at Skidmore College in Saratoga Springs, New York, affirmed: “Firefighters face many dangers, but the greatest risk is from underlying cardiovascular disease in combination with the physiological strain that the work places on the firefighter.” And further, the American Heart Association recently named cardiac arrest the leading cause of firefighter deaths. There are many, many more sources just like these, and it’s time we take them seriously.

It doesn’t help that we are more overweight than ever before. According to the report Addressing the Epidemic of Obesity in the United States Fire Service, the rates of overweight and obese firefighters are higher than those of the public at large. The study claims that 88 percent of firefighters are obese compared to 73 percent of the general population. This is a huge problem since obesity contributes to health issues like diabetes, hypertension, and cardiovascular disease. While many of the stats pertain to municipal firefighters, there’s no reason to believe that emergency responders in industry are not facing the same issues.

Staying in shape is about more than just being able to effortlessly lift a tripod. It’s a matter of life and death. Hopefully, you are convinced that fitness is a rescuer's duty just as much as knowing what to do in a given emergency situation. So what to do? How about stop reading right here and bang out 20 push-ups? Or stand up and stretch. Worried that your co-workers will think you’ve lost your mind? Focus on what they’ll think about you in a few months when you are crushing your fitness goals. Maybe you’ll see a few more people taking periodic breaks from sitting at their computer to do push-ups or stretch! If you’ve chosen to do something now, you have taken the first baby-step!

There are numerous resources out there, from website articles to official publications, that provide guidance for first responders and firefighters in particular when it comes to getting – and staying – healthy. One example is the U.S. Fire Administration’s Guide to Fitness and Wellness.

In Part II of this article, I will offer specific tips for fitness, diet, and lifestyle. But for now, I encourage you to take a look at these resources and consider how they apply to you. How can you commit to being healthier in the long term? How can you optimize your health and fitness to be the very best first responder you can be? I invite all of you – every single person reading this article – to join me in the quest to continually get healthier, fitter, and happier.

Continue to Part II, Rescuer Physical Fitness: Making It Happen

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Pat Furr

Pat Furr is a chief instructor, technical consultant, VPP Coordinator and Corporate Safety Officer for Roco Rescue, Inc. As a chief instructor, he teaches a wide variety of technical rescue classes including Fall Protection, Rope Access, Tower Work/Rescue and Suspended Worker Rescue. In his role as technical consultant, he is involved in research and development, writing articles, and presenting at national conferences. He is also a member of the NFPA 1006 Technical Rescue Personnel Professional Qualifications Standard. Prior to joining Roco in 2000, he served 20 years in the US Air Force as a Pararescueman (PJ).

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You Get What You Pay For

Saturday, December 15, 2018
by Pat Furr, Safety Officer & VPP Coordinator 

You Get What You Pay ForIntroduction: According to the Chemical Safety Board “Contractor Safety Digest,” the agency has conducted several fatal investigations where insufficient safety requirements for contractor selection and oversight were found to be causal to the incidents.

The incident that caught our attention in particular was one involving confined spaces that occurred in Georgetown, CO, in 2007, in which five contract workers were killed. The company later adopted the CSB’s recommendations to include:

• Prequalifying or disqualifying contractors based on specific safety performance measures; and,
• Requiring a comprehensive review and evaluation of contractor safety policies and safety performance of contractors working in confined spaces.


The CSB also emphasized that a strong contractor selection process and contractor oversight policy helps to ensure quality work and that worker safety is maintained. Because of this, various industry organizations have developed recommended practices and safety criteria for selecting and prequalifying contractors. For example, the Construction Users Roundtable (CURT) lists staff qualifications, accident history, a contractor’s safety program, and an owner’s previous experience as potential criteria for safety prequalification of a contractor. 
 
Roco Comments: We couldn’t agree more. Safety performance must always be at the forefront. With more and more companies coming to rely on contractors to deliver both goods and services, this critical factor cannot be underestimated. Every situation differs, but the trend is undeniable, contractors are taking a bigger and bigger bite of the pie.

Many times, there are sound reasons for contracting out some of the work at a facility. It may be a reduction in costs such as employee benefits and workman’s compensation, a unique service or product that the host company just cannot deliver in-house, or it may be that the service or product is only needed for a short period of time. No matter what your reasons for considering a contractor, there are many factors to consider in addition to the lowest price bid.

You Get What You Pay ForThat old adage “You get what you pay for,” holds a lot of truth in so many instances, and especially so with contractors. Now I am not saying that you will never get high quality at a low price, but it is rare. When you put a job out for bid, it is important to list the specifications for the work or product that you need the bidders to meet, but equally as important is to list other specifications besides the job or product scope, and one of these specifications is safety.

As bids come in, don’t settle for the lowest bid until you have compared the bids to ensure all the specifications you have laid out are met. This is called “down select.” Cull out all the bidders that fail to meet your critical specifications, and one of the most critical is proven safety. If a bidding contractor refuses to submit their safety information as requested, then my recommendation is to cull them out of the running. Additionally, if a contractor has a safety record that falls short of your stated specifications, they should also be culled out unless they are able to satisfy your follow up questions to show extenuating circumstances.

So how do we determine if a bidding contractor is performing safely or not? Well, one measure is to request their OSHA recordable rates along with their NAICS or SIC codes. Then look up their Bureau of Labor Statistics (BLS) NAICS code rates to see if they are above or below their industry average. But that is just the tip of the iceberg. Several hiring clients require potential contactors to complete prequalification questionnaires that will dig deeper into that contractor’s performance record and current operations and programs.

Another option is to subscribe to one of the online contractor management and compliance database sites. These sites act as clearinghouses that collect contractor compliance, safety programs, insurance, and other valuable information in a one-stop shopping format. 
 
You Get What You Pay ForA hiring client can rely on the various sites to set default requirements for the type of work they need and the associated criteria that must be met, or the hiring client can modify or specify custom needs that must be met. The scoring for potential contractors typically is graded on some sort of easy to view scale such as green-meets all requirements, yellow-meets most requirements but falls short on one or more non-critical criteria, or red-fails to meet basic or critical criteria. Some score it like school grades A, B, C, D, F.

The advantage of these types of contractor management compliance vetting sites is they have access to a huge database of potential contractors and provide a quick and easy platform for narrowing the field. Of course, once a hiring client has narrowed the field down to a manageable level, it is always prudent to perform a more targeted interview of a potential contractor – and, focusing on safety, is one of the most important considerations! 
 
By taking the steps to evaluate potential contractors not only for their ability to deliver the goods or services you require, but also learning about their past and current safety record and programs just makes good sense. It is also an excellent means of demonstration not only due diligence, but ultimately settling on a contractor that will most likely perform safely at your facility.

You Get What You Pay ForWell, there is another old adage that goes like this “Who pays the piper, calls the tune.” Once you have engaged with a contractor, it is imperative that they understand your expectations regarding safety and accept that as part of the job performance. This is the time to ensure that not only legislated safety requirements are met, but also any hiring client safety policies that may exceed OSHA are also explained and understood.

So, you have settled on the contractor and are ready for them to begin work at your facility, or to deliver product. For the product, it is a matter of quality control and ensuring any certifications that you require are met. But when a contractor comes to your facility to begin work, it is important to provide adequate monitoring of the contractor to ensure they are meeting all of your requirements, especially when it comes to safety. Don’t forget that as a hiring client you have responsibilities not only for your employees’ safety, but to a certain degree the safety of the contractor’s employees. If the contractor employees are exposed to a hazard that you as the host employer created or control, then there are certainly liabilities that you must consider. Because of this, it is very important to develop and follow a program for monitoring the work activities and safety performance of ALL employees on your site, both your employees and any contractor employees.

 
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Pat Furr

Pat Furr is a chief instructor, technical consultant, VPP Coordinator and Corporate Safety Officer for Roco Rescue, Inc. As a chief instructor, he teaches a wide variety of technical rescue classes including Fall Protection, Rope Access, Tower Work/Rescue and Suspended Worker Rescue. In his role as technical consultant, he is involved in research and development, writing articles, and presenting at national conferences. He is also a member of the NFPA 1006 Technical Rescue Personnel Professional Qualifications Standard. Prior to joining Roco in 2000, he served 20 years in the US Air Force as a Pararescueman (PJ).

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Using a Crane in Rescue Operations

Sunday, September 30, 2018
 
Using a Crane in Rescue Operations
We’re often asked, “Can I use a crane as part of my rescue plan?”

If you’re referring to using a crane as part of moving personnel or victims, the answer is “No, except in very rare and unique circumstances.” The justification for using a crane to move personnel, even for the purposes of rescue, is extremely limited. Therefore, it is very important to understand the do’s and don’ts for using a heavy piece of equipment in a rescue operation.

On the practical side, the use of a crane as a “stationary, temporary high-point anchor” can be a tremendous asset to rescuers. It may also be part of a rescue plan for a confined space; for example, a top entry fan plenum. The use of a stationary high-point pulley can allow rescue systems to be operated from the ground. It can also provide the headroom to clear rescuers and packaged patients from the space or an elevated edge.

Using a Crane in Rescue OperationsOf course, the security of the system's attachment to the crane and the ability to “lock-out” any potential movement are a critical part of the planning process. If powered industrial equipment is to be used as a high-point, it must be treated like any other energized equipment with regard to safety. Personnel would need to follow the Control of Hazardous Energy [Lockout/Tagout 1910.147]. The equipment would need to be properly locked out – (i.e., keys removed, power switch disabled, etc.). You would also need to check the manufacturer’s limitations for use to ensure you are not going outside the approved use of the equipment.

Back to using a crane for moving personnel – because of the dangers involved, OSHA severely limits its use. In order to utilize a crane, properly rated “personnel platforms or baskets” must be used. Personnel platforms that are suspended from the load line and used in construction are covered by 29 CFR 1926.1501(g). There is no specific provision in the General Industry standards, so the applicable standard is 1910.180(h)(3)(v).

This provision specifically prohibits hoisting, lowering, swinging, or traveling while anyone is on the load or hook.
OSHA prohibits hoisting personnel by crane or derrick except when no safe alternative is possible. The use of a crane for rescue does not provide an exception to these requirements unless very specific criteria are met. OSHA has determined, however, that when the use of a conventional means of access to any elevated worksite would be impossible or more hazardous, a violation of 1910.180(h)(3)(v) will be treated as “de minimis” if the employer complies with the personnel platform provisions set forth in 1926.1501(g)(3), (4), (5), (6), (7), and (8).

Note: De minimis violations are violations of standards which have no direct or immediate relationship to safety or health. Whenever de minimis conditions are found during an inspection, they are documented in the same way as any other violation, but are not included on the citation.

Therefore, the hoisting of personnel is not permitted unless conventional means of transporting employees is not feasible. Or, unless conventional means present even greater hazards (regardless if the operation is for planned work activities or for rescue). Where conventional means would not be considered safe, personnel hoisting operations meeting the terms of this standard would be authorized.

OSHA stresses that employee safety, not practicality or convenience, must be the basis for the employer's choice of this method.
However, it’s also important to consider that OSHA specifically requires rescue capabilities in certain instances, such as when entering permit-required confined spaces [1910.146]; or when an employer authorizes personnel to use personal fall arrest systems [1910.140(c)(21) and 1926.502(d)(20)]. In other cases, the general duty to protect an employee from workplace hazards would require rescue capabilities.

Consequently, being “unprepared for rescue” would not be considered a legitimate basis to claim that moving a victim by crane was the only feasible or safe means of rescue.

Using a Crane in Rescue OperationsThis is where the employer must complete written rescue plans for permit-required confined spaces and for workers-at-height using personal fall arrest systems – or they must ensure that the designated rescue service has done so. When developing rescue plans, it may be determined that there is no other feasible means to provide rescue without increasing the risk to the rescuer(s) and victim(s) other than using a crane to move the human load. These situations would be very rare and would require very thorough documentation. Such documentation may include written descriptions and photos of the area as part of the justification for using a crane in rescue operations.

Here’s the key… simply relying on using a crane to move rescuers and victims without completing a rescue plan and very clear justification would not be in compliance with OSHA regulations.
It must be demonstrated that the use of a crane was the only feasible means to complete the rescue while not increasing the risk as compared to other means. Even then, there is the potential for an OSHA Compliance Officer to determine that there were indeed other feasible and safer means.

WARNING: Taking it a step further, if some movement of the crane (or fire department aerial ladder, for example) is required, extreme caution must be taken! Advanced rigging techniques may be required to prevent movement of the crane from putting undo stress on the rescue system and its components. Rescuers must also evaluate if the movement would unintentionally “take-in” or “add” slack to the rescue system, which could place the patient in harm’s way. Movement of a crane can take place on multiple planes – left-right, boom up-down, boom in-out and cable up-down. If movement must take place, rescuers must evaluate how it might affect the operation of the rescue system.

Using a Crane in Rescue OperationsOf course, one of the most important considerations in using any type of mechanical device is its strength and ability (or inability) to “feel the load.” If the load becomes hung up on an obstacle while movement is underway, serious injury to the victim or an overpowering of system components can happen almost instantly. No matter how much experience a crane operator has, when dealing with human loads, there is no way he can feel if the load becomes entangled. And, most likely, he will not be able to stop before injury or damage occurs.

Think of it this way, just as rescuers limit the number of haul team members so they can feel the load, that ability is completely lost when energized devices are used to do the work.
For rescuers, a crane is just another tool in the toolbox – one that can serve as temporary, stationary high-point making the rescue operation an easier task. However, using a crane that will require some movement while the rescue load is suspended should be a last resort! There are simply too many potential downfalls in using cranes. This also applies to fire department aerial ladders. Rescuers must consider the manufacturer’s recommendations for use. What does the manufacturer say about hoisting human loads? And, what about the attachment of human loads to different parts of the crane or aerial?

There may be cases in which a crane is the only option. For example, if outside municipal responders have not had the opportunity to complete a rescue plan ahead of time, they will have to do a “real time” size-up once on scene. Due to difficult access, victim condition, and/or available equipment and personnel resources, it may be determined that using a crane to move rescuers and victims is the best course of action.

Using a crane as part of a rescue plan must have rock-solid, written justification as demonstration that it is the safest and most feasible means to provide rescue capability. Planning before the emergency will go a long way in providing options that may provide fewer risks to all involved.

So, to answer the question, “Can I include the use of a crane as part of my written rescue plan?” Well, yes and no. Yes, as a high-point anchor. And, no, the use of any powered load movement will most likely be an OSHA violation without rock-solid justification. The question is, will it be considered a “de minimis" violation if used during a rescue? Most likely it will depend on the specifics of the incident. However, you can be sure that OSHA will be looking for justification as to why using a crane in motion was considered to be the least hazardous choice.

NOTE: Revised 9/2018. Originally published 10/2014.

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Safe Confined Space Entry - A Team Approach

Wednesday, September 26, 2018

by Dennis O'Connell, Director of Training/Chief Instructor

Having been involved in training for 30 years, I have had the opportunity to observe how various organizations in many different fields approach confined space entry and rescue. And, when it comes to training for Entrants, Attendants and Entry Supervisors, the amount of time and content varies greatly.

Roco Rescue CS EntryMost often, training programs treat the three functions as separate, independent roles locked into a hierarchy based on the amount of information to be provided. However, it’s critical to note, if any one of these individuals fails to perform his or her function safely or appropriately, the entire system can fail – resulting in property damage, serious injury or even death in a confined space emergency.

Before I go any further, I have also seen tremendous programs that foster cooperation between the three functions and use more of a confined space “entry team” approach. This helps to ensure that the entry is performed safely and efficiently.

It also allows all parties to see the overall big picture of a safe entry operation.
In this model, all personnel are trained to the same level with each position understanding the other roles as well. This approach serves as “checks and balances” for confirming that:

• The permit program works and is properly followed;
• The permit is accurate for the entry being performed;
• All parties are familiar with the various actions that need to occur; and,
• The team knows what is expected of each other to ensure a SAFE ENTRY!

However, I am often surprised to find that Entrant and Attendant personnel have little information about the entry and the precautions that have been taken. They are relying solely on the Entry Supervisor (or their foreman) to ensure that all safety procedures are in place. If you have a well-tuned permit system and a knowledgeable Entry Supervisor, this may be acceptable, but is it wise? As the quality of the permit program decreases, or the knowledge and experience of the Entry Supervisor is diminished, so is the level of safety.


Roco CS Entry Supervisor & AttendantIn my opinion, depending exclusively on the Entry Supervisor is faulty on a couple of levels. First of all, the amount of blind trust that is required of that one person. From the viewpoint of an Entrant, do they really have your best interest in mind? And, we all know what happens when we “ass-u-me” anything! Plus, it puts the Entry Supervisor out there on their own with no feedback or support for ensuring that all the bases are covered correctly. There are no checks and balances, and no team approach to ensuring safety.

Looking at how 1910.146 describes the duties of Entrant, Attendant and Entry Supervisor tends to indicate that each role requires a diminishing amount of information. However, we believe these roles are interrelated, and that a team approach is far safer and more effective. To illustrate this, we often pose various questions to Entrants and Attendants out in the field. Here is a sample of some of the feedback we get.

We may ask Entrants…Who is going to rescue you if something goes wrong? Has the LOTO been properly checked? At what point do you make an emergency exit from the space? What are the acceptable entry conditions, and have these conditions been met? How often should the space be monitored? Typically, the answer is, “I guess when the alarm goes off, or when somebody tells me to get out!”

When we talk to Attendants about their duties, we often find they only know to “blow a horn” or “call the supervisor” if something happens, or if the alarm on the air monitor goes off. We also ask…What about when the Attendant has an air monitor with a 30 ft. hose, and there is no pump? Or, if you have three workers in a vertical space and the entire rescue plan consists of one Attendant, a tripod and a winch, plus no one in the space is attached to the cable – what happens then?
  
These are very real scenarios. Scary, but true. It often shows a lack of knowledge and cooperation between the three functions involved in an entry. And, that’s not even considering compliance!
We ask, would it not be better to train your confined space entry team to the Entry Supervisor level? Wouldn’t you, as an Entrant, want to know the appropriate testing, procedures and equipment required for the entry and specified on the permit? Would it not make sense to walk down LOTO with the Attendant and Entrant? This would better train these individuals to understand non-atmospheric hazards and controls; potential changes in atmosphere; or, how to employ better air monitoring techniques. All crucial information.

More in-depth training allows the entry team to take personal responsibility for their individual safety as well as that of their fellow team members. It also provides multiple views of the hazards and controls including how it will affect each team member’s role. Having an extra set of eyes is always a good thing – especially when dealing with the hazards of permit spaces. Let’s face it, we’re human and can miss something. Having a better-trained workforce, who is acting as a team, greatly reduces this possibility.

Roco Rescue Remote MonitoringMany times, we find that the role of Attendant is looked upon as simply a mandated position with few responsibilities. They normally receive the least amount of training and information about the entry. However, the Attendant often serves as the “safety eyes and ears” for the Entry Supervisor, who may have multiple entries occurring at the same time. In reality, the Attendant becomes the “safety monitor” once the Entry Supervisor okays the entry and leaves for other duties. So, there’s no doubt, the better the Attendant understands the hazards, controls, testing and rescue procedures – the safer that entry is going to be!

As previously mentioned, training requirements for Entrant, Attendant and Supervisor are all over the board with little guidance as to how much training or how in-depth that training should be. Common sense tells us that it makes better sense to train entry personnel for their jobs while raising expectations of their knowledge base.

OSHA begins to address some base qualifications in the new Confined Spaces in Construction standard (1926 Subpart AA) by requiring that all confined spaces be identified and evaluated by a “competent person.” It also requires the Entry Supervisor to be a “qualified person.” Does the regulation go far enough? We don’t think so, nor do some of the facilities who require formal, in-depth training courses for their Entrant, Attendant and Entry Supervisor personnel.
 
OSHA 1926.32 DEFINITIONS:
• Competent person: “One who is capable of identifying existing and predictable hazards in the surroundings or working conditions which are unsanitary, hazardous, or dangerous to employees, and who has the authorization to take prompt corrective measures to eliminate them.” 
• Qualified person: “One who, by possession of a recognized degree, certificate, or professional standing, or who by extensive knowledge, training, and experience, has successfully demonstrated his ability to solve or resolve problems relating to the subject matter, the work, or the project.” 

So, do yourself a favor…go out and interview your Entrants and Attendants on a job.
Find out how much they do (or don’t) understand about the entry and its safety requirements. Do not reprimand them for not knowing, as it may not be their fault. It may be a systemic deficiency and the training mentality of distributing a hierarchy of knowledge based on job assignment.

Simply put, we believe that arming the entry team with additional information results in safer, more effective confined space operations. After all, isn’t that what it’s all about? GO TEAM!

Additional Resources:
• Download our Confined Space Entry Quick Reference Checklist. This checklist reiterates the value of approaching permit-required confined space entries as a team. In addition to OSHA-required duties and responsibilities for the three primary roles, we have included our recommendations as well. These are duties that we feel are important for the individual(s) fulfilling that role to be knowledgeable and prepared to perform if need be.

Safe Entry Workshop: Entrant, Attendant & Entry Supervisor is now available. See the full course description for details.

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Dennis O'Connell

Author's Bio: Dennis O'Connell has been a technical rescue consultant and professional instructor for Roco Rescue since 1989. He joined the company full-time in 2002 and is now the Director of Training and a Chief Instructor. He currently is responsible for Roco's training curriculum to include Confined Space & High Angle, Trench Rescue, Structural Collapse and Instructor Development. Dennis has played a key role in the development of Roco's Rescue Technician certification programs to NFPA 1006. Prior to joining Roco, he served on the NYPD Emergency Services Unit (ESU) for 17 years. He was a member of NY's Task Force 1 and has responded to numerous national disasters such as the World Trade Center and the Oklahoma City bombing.

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