DEVELOPING AND CONDUCTING RESCUE PLANS
LJB University™ has been approved as an Authorized Provider by the International Association forContinuing Education and Training (IACET), 1760 Old Meadow Road, Suite 500, McLean, VA 22102. .
Moderator: Speaker:KIM MESSER THOMAS E. KRAMER, P.E., C.S.P.
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BOTTOM LINE UP FRONT
Rescue is often THE most overlooked aspect of fall protection.
“911” is not the only answer to your fall protection rescue.
Suspension time:> How long do you think someone can safely suspend in a full body
harness?
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BOTTOM LINE UP FRONT
Rescue is often THE most overlooked aspect of fall protection.
“911” is not the only answer to your fall protection rescue.
Suspension time:> How long do you think someone can safely suspend in a full body
harness?
> How long do you want to suspend?
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LEARNING OBJECTIVES
Discuss regulations and standards relevant in rescue
Assist in analyzing a facility’s capabilities to perform “prompt” rescue
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AGENDA
Regulatory requirements
Prompt rescue
Preparing for a prompt rescue
Closing
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OSHA REQUIREMENTS
29 CFR 1926 (Construction)> 29 CFR 1926.502(d)(20)
“The employer shall provide for prompt rescue of employees in the event of a fall or shall assure that employees are able to rescue themselves.”
Proposed 29 CFR 1910 (General Industry)> 29 CFR 1910.140(c)(21)
“The employer must provide for prompt rescue of employees in the event of a fall.”
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ADDITIONAL OSHA REFERENCES
Safety and Health Information Bulletin (2004)> Prolonged suspension … can result in serious physical injury, or potentially,
death.
> Research indicates that suspension … can result in unconsciousness, followed by death, in less than 30 minutes.
Letters of Interpretations> August 14, 2000
• “While an employee may be safely suspended in a body harness for a longer period than from a body belt, the word “prompt” requires that rescue be performed quickly -- in time to prevent serious injury to the worker.”
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OSHRC vs. East Texas Coating
> Compliance officer sequenced the events subsequent to a confined space incident to determine whether the employer had acted appropriately
ADDITIONAL OSHA REFERENCES
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ANSI Z359
Prompt rescue (Z359.2 §6.1)
Written rescue procedures (Z359.2 §6.2)
Summoning rescue services
> Professional (Z359.2 §6.3.1)
> In-house (Z359.2 §6.3.2)
ANSI Z359.4
> Components and systems
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ANSI A10.32
6.2.1 Employees shall be trained in self-rescue or alternate means shall be provided for prompt rescue in the event of a fall.
6.2.2 A project-specific rescue plan shall be developed which will provide for a form of rescue for employees.
6.2.3 All rescuers shall be provided with adequate training, equipment and personal protective equipment where needed.
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ADDITIONAL INFORMATION
USAF> 1987 research at Wright-Patterson AFB, OH
NIOSH> International fall protection symposium, 2008> Research report> FACE reports
HSE> Contract research report 451/2002> HSL/2003/09
Articles
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AGENDA
Regulatory requirements
Prompt rescue
Preparing for a prompt rescue
Closing
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PROMPT RESCUE
Factors to consider in planning for response
> Hanging vertically in a harness can cause loss of consciousness even in the absence of trauma or blood loss
> The body’s tolerance to suspension trauma varies from person to person
> Rescuing a worker quickly post fall is at least as critical as protecting the worker from a fall
From “Does 911 Work for Rescue?” by Robert N. Aguiluz (September 2003)
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POST-FALL SUSPENSION
Wright-Patterson AFB study
AP Photo by Janet B. CampbellErie Times-News, 5/25/2004
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HARNESS SUSPENSION – MOTIONLESS
1987 Study - Wright Patterson Air Force Base > Phase 1 - Body belt, chest harness and full body harness
> Phase 2 - Four types of full body harnesses
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Phase 1, termination time (in minutes)
> Body belt: 0.35 – 4.76
> Chest harness: 0.62 – 13.13
> Full body harness: 5.08 – 30.12
> Mean averages: 1.63, 6.08, 14.38
HARNESS SUSPENSION – MOTIONLESS
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The primary causes of termination of the tests were:
Body belt: difficulty in breathing and pressure
Chest harness: cardiovascular symptoms and pressure
Full body harness: cardiovascular symptoms and nausea
HARNESS SUSPENSION – MOTIONLESS
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Phase 2
Four types of full body harnesses, termination time (in minutes):> A: 3.47 – 32.00> B: 5.50 – 37.5> C: 10.20 – 49.80> D: 4.33 – 60.00> Mean: 17.05, 18.36, 28.36, 26.66
HARNESS SUSPENSION – MOTIONLESS
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AGENDA
Regulatory requirements
Prompt rescue
Preparing for a prompt rescue
Closing
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PROMPT RESCUE
Pre-work> Internal and external capabilities
> Types of hazards
> Types of systems used
> Rescue options
Procedures
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WHO DOES THE WORK?
External capabilities> Local emergency response
> Meeting to discuss response
> Availability
Internal capabilities> Volunteer emergency response
> Other rescue needs at site
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HOW ARE THEY EXPOSED?
Types of hazards> Confined space
> Construction
> Elevator
> Institutional
> Manufacturing
> Office buildings
> Petrochemical
> Utilities
> Vehicle and aircraft maintenance
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WHAT ARE THEY USING?
Types of systems that include:> Fall restraint
> Self-retracting devices
> Vertical systems
• Lifelines
• Ladder climbing systems
• Window cleaning
> Horizontal lifelines
> Confined space retrieval
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HOW DO I GET THE VICTIM DOWN?
Rescue options> Elimination
> Self rescue
> Assisted rescue
• Ladder or aerial lift
• Personal protection equipment
> Response rescue
• Fire department
• High angle rope access
> Special case: evacuation
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NEW PRODUCT
U-RES-Q LADDER: “The Cure for Suspension Trauma”
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PROMPT RESCUE
Pre-work
Procedures> Pre-use
> During use
> Post fall
> Incident investigation
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HOW SHOULD I PLAN THE RESCUE?
Pre-use> Type of system
> Ability/need to raise/lower
> Anchorages identified
> D-rings on harness
> Training
> Procedure prepared
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HOW SHOULD I PLAN THE RESCUE?
During use> Procedure reviewed
> Training
> Changes
> Buddy system
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HOW SHOULD I PLAN THE RESCUE?
Post fall> Status
> Contact emergency services
• State: “I require a rescue from heights at the lower roof of the main building. The worker is suspended above the ground 30 feet and is conscious.”
> First, do no harm
> Orthostatic intolerance
> Rescue worker and provide medical assistance
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WHAT SHOULD I DO AFTER THE RESCUE?
Incident investigation> Authorized person
> Competent person
> Qualified person
> Program administrator
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AGENDA
Regulatory requirements
Prompt rescue
Preparing for a prompt rescue
Closing
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LEARNING OBJECTIVES
Discuss regulations and standards relevant in rescue
Assist in analyzing a facility’s capabilities to perform “prompt” rescue
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THANK YOU FOR JOINING US
To learn more about fall protection from LJB Inc.
Blog> http://www.ljbfallprotectionblog.com
Podcasts – 60 Seconds for Safety> http://www.ljbinc.com/safetybydesign
YouTube video> http://www.youtube.com/watch?v=Dk7F8UJxnLU
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