www.firefighternearmiss.com the national fire fighter near-miss reporting system presentation...
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www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Presentation Prepared for
2008 Fire/EMS
Safety, Health, and
Survival Week
June 22nd – June 28th
Saving Lives Through Lessons Learned
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Why Study Near Misses?
1 SeriousAccident
15 Major Accidents
300 Near Misses
15,000 Observed Worker Errors
11
TragicTragic
Opportunity Opportunity to learnto learn
300300
Survival Survival StoriesStories
Opportunities Opportunities to learnto learn
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Program Overview
- Voluntary
- Confidential
- Non-punitive
- Secure
- Web based
- Free
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
All Hazards Reporting System
No statute of limitations on
reporting.
Reports reviewed and coded by fire service
professionals.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Definition of a Near Miss
• unintentional, unsafe occurrence.
• could have resulted in an injury, fatality or property damage.
• Only a fortunate break in the chain of events prevented an injury, fatality or property damage.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Near Miss; Sometimes spectacular…
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
…sometimes mundane
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Program Goals
• Prevent injuries and protect the lives of other firefighters by providing a central repository for lessons learned.
• Collect information which can assist in formulating strategies to reducethe number of firefighter injuriesand fatalities.
• Foster a safety-focused culture that recognizes errors as aninherent part of human behavior.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Why Share Near-Miss Experiences?
• To share lessons learned with firefighters on a national scale.
• To prevent another firefighterfrom getting injured or killed.
• To identify patterns ininjury-producing behaviors.
• Aviation industry found that sharing near-misses improved overall safety.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
What is being done with the collected information?
• Members of the fire service community are learning from other firefighters.
• Officers are using reports in training drills.
• Fire service community will receive bulletins, program reports and alerts depending on the urgency of the information collected.
• Training academies are incorporating near-miss reports in building curriculum.
• Fire service associations are using reports as part of an improved emphasis on safety to their members.
• Manufacturers will be notified when reports are received regarding performance issueswith equipment.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Program Development
• Focus groups helped develop the reporting form and the Web site.
• 38 departments beta tested the Web site from May thru August 2005.
• Web site launched nationally at Fire-Rescue International in August 2005.
• Averaging 40 reports submitted per month.
• Multiple confirmed changes of practice recorded.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Home Page Screen
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Resources Page
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Demographics Questions
Seven questions about the reporter (title, years of fire service experience, department type, etc.)
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Event Questions
Eight questions about the event (type, cause, etc.)
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Event Description
Describe the event in your own words.
Use the memory joggers for help
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Lessons Learned
Describe the lessons learned.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Spell Check
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Optional Contact Information
Providing your name and contact information is optional. Reports can be submitted anonymously without contact information.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Post Submission Screen
Once a report is submitted, the reporter can view a list of reports similar to his/her report.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Search Reports Screen
Search reports submitted from others.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Sub-Event Type & Keyword Search
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Keyword Search
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Near-Miss Report Trail
Step 1: Firefighter submits report
Step 2:Reviewer # 1•Reads report •De-identifies report •Codes report Sends to Reviewer # 2
Step 3:Reviewer # 2•Reads report •Returns for posting
Step 4:Report is posted(Original report destroyed)
Step 5:Fire service reads and learns from near-miss experiences
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Department Type
2006
Other 2%
Paid 34%
Volunteer 22%
Combination 42%
2007
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Event Type
On-Duty4%
Other4%
Fire48%
Vehicle16%
Training11%
Non-Fire17%
2006
2007
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Contributing Factors
August 2007
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Job or Rank
Paid, Municipal Volunteer
Firefighters 32% 35%
Company Officers 43% 24%
Chief Officers 25% 41%
August 2007
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Age at Time of Event
0
50
100
150
200
250
300
350
400
450
500
14 102
349
456
342
1146
Unknown 16 - 24 25 - 33 34 - 42 43 - 51 52 - 60 61+
August 2007
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Experience at Time of Event
0
40
80
120
160
200
240
12101
147177
207
111 121
75114
137
181
Unknown
0 - 3 11 - 13 14 - 16 17 - 20 21 - 23 24 - 26 27 - 30 30+ 4 - 6 7 - 10
August 2007
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Reflex Time-Event to Report
August 05 to July 06 August 06 to July 07
Within 24 Hours 14% 14%
1 day to 1 month 60% 55%
2-6 months 20% 19%
7 months to 1 year+ 6% 12%
August 2007
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Get involved
• Encourage your members to file reports. Even if the event occurred in the past, a firefighter can benefit.
• Add www.firefighternearmiss.com to your organization’s website.
• Promote use of the system through communications to your members.
• Contact [email protected] for materials and strategies to get your members interested in near-miss reporting.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
For more information
• Visit www.firefighternearmiss.com.– Read the FAQ section.– Use the “Contact Us” on the Home Page
• Call the Near-Miss Office Project Managers– Amy Hultman, 703-273-9815, x364– John Tippett, 703-273-9815, x367
• To receive a “Report of the Week” via e-mail, please e-mail [email protected] with the word “Subscribe” in the subject line.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
This project is funded by a grant from the Department of
Homeland Security’s Assistance to Firefighters Grant
Program.
The Fireman’s Fund Insurance Company provided
matching funds for 2004 and 2005.
The project is supported by Chief Billy Goldfeder of
FirefighterCloseCalls.com in mutual dedication for
firefighter safety and survival.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
The project is administered by the International Association of Fire Chiefs (IAFC) in consultation with the National Fire Fighter Near-Miss Reporting System Task Force. The project is endorsed by IAFC, International Association of Fire Fighters and the Volunteer & Combination Officers Section of the IAFC.
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
If we continue on the current LODD/injury path, the fire service will
experience 1000 fatalities and 1,000,000 injuries in the next ten
years.
“If not now, when?
If not us, who?”
www.firefighternearmiss.com The National Fire Fighter Near-Miss Reporting System
Questions?