Presentation Prepared for Date Saving Lives Through Lessons Learned.
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Transcript of Presentation Prepared for Date Saving Lives Through Lessons Learned.
Presentation Prepared for
Date
Saving Lives Through Lessons Learned
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
Program Overview
Voluntary Confidential Non-punitive Secure Web based Free
All Hazards Reporting System
No statute of limitations on
reporting.
Reports reviewed and coded by fire service
professionals.
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.
Near Miss; Sometimes spectacular…
…sometimes mundane
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 reduce the number of firefighter injuries and fatalities.
Foster a safety-focused culture that recognizes errors as aninherent part of human behavior.
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.
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.
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.
Home Page Screen
Resources Page
Demographics Questions
Seven questions about the reporter (title, years of fire service experience, department type, etc.)
Event Questions
Eight questions about the event (type, cause, etc.)
Event Description
Describe the event in your own words.
Use the memory joggers for help
Lessons Learned
Describe the lessons learned.
Spell Check
Optional Contact Information
Providing your name and contact information is optional. Reports can be submitted anonymously without contact information.
Post Submission Screen
Once a report is submitted, the reporter can view a list of reports similar to his/her report.
Search Reports Screen
Search reports submitted from others.
Sub-Event Type & Keyword Search
Keyword Search
Near-Miss Report TrailStep 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
Department Type
2006
Other 2%
Paid 34%
Volunteer 22%
Combination 42%
2007
Event Type
On-Duty4%
Other4%
Fire48%
Vehicle16%
Training11%
Non-Fire17%
2006
2007
Contributing Factors
August 2007
Job or Rank
Paid, Municipal
Volunteer
Firefighters 32% 35%
Company Officers
43% 24%
Chief Officers 25% 41%
August 2007
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
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
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
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.
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.
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.
Program Support
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.
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?”
Questions?