Fire Station Health Risk Assessment

Please Choose One

Fire Station Health Risk Assessment

Please Choose One

Fire Station Health Risk Assessment

Enter zip/postal code for your station

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Select Location:

Please enter your department name

Country

Station Number

Year Built

Shift

Full Name

Email Address

Verify Email Address

ASSESSMENT INSTRUCTIONS

The Fire Station Health Risk Assessment consists of four sections: Incident, Apparatus, Station and Team.

NOTE: This assessment should be completed for a single fire station.

Please answer all questions and submit.

1 of 36

Mold at station?

No

Possibly

Known mold issues

Not Applicable

2 of 36

Exhaust removal system?

Automated

Manual

No

Not Applicable

3 of 36

Air quality test?

Within last 6 months

Within last 12 months

No

Not Applicable

4 of 36

Air decon in station?

Particulate and VOC removal

Only particulate removal

No

Not Applicable

5 of 36

PPE cleaning?

3rd party

3rd party & station

At station

Not Applicable

6 of 36

PPE storage at station?

Ventilated gear room

Unventilated gear room

In vehicles or common space

Not Applicable

7 of 36

Sleeping quarters?

Individual rooms

Mix of individual and shared

Bunk rooms

Not Applicable

8 of 36

Clean & contaminated areas?

Clear visual indicators

Some visual indicators

Not well defined

Not Applicable

9 of 36

Kitchen seperate from R&R area?

Yes

Partially

No

Not Applicable

10 of 36

Frontline fire apparatus at station?

1-3

4-6

6+

Not Applicable

11 of 36

EMS vehicles at station?

Never

Sometimes

Always

Not Applicable

12 of 36

# of other vehicles?

0

1-2

3+

Not Applicable

13 of 36

Air decon in vehicles?

Yes, supplemental system

Standard cabin filters

No/ Unknown

Not Applicable

14 of 36

Vehicle interior cleaned after fire?

Always

Sometimes

Never/Rarely

Not Applicable

15 of 36

Soft surface seating in vehicles?

No

A mix

Mostly yes

Not Applicable

16 of 36

Turnout gear in cab after fire?

Never

Sometimes

Always

Not Applicable

17 of 36

Command vehicle equipment storage?

Sealed compartment

Open compartment

Anywhere

Not Applicable

18 of 36

Fire hose cleaning?

Usually

Sometimes

Never

Not Applicable

19 of 36

Vehicle doors and windows closed on scene?

Always

Sometimes

Never/Rarely

Not Applicable

20 of 36

Windows closed while driving?

Always

Sometimes

Never/Rarely

Not Applicable

21 of 36

On scene rehab?

Outside vehicle

Inside and outside

Inside a vehicle

Not Applicable

22 of 36

SCBA is used?

Arrival through gross decon

Intermitently outside of active fire

Only during active fire

Not Applicable

23 of 36

Fire hood swapped?

After every fire call

Cleaned regularly

Not cleaned regularly

Not Applicable

24 of 36

PPE bagged after fire?

Always

Sometimes

Never

Not Applicable

25 of 36

Gear decon at scene?

Flowing H2O with detergent

Bucket and brush

No standard

Not Applicable

26 of 36

Skin decon performed on scene?

Mostly

Sometimes/ Optional

Never/ Rarely

Not Applicable

27 of 36

Seasonality of gross decon?

Year round

Seasonal

Inconsistent

Not Applicable

28 of 36

“SHOWER WITHIN 1 HOUR” PROTOCOL?

Required

Encouraged

No guidance

Not Applicable

29 of 36

Awareness of common cancer symptoms?

All staff

Some staff

Room for improvement

Not Applicable

30 of 36

NFPA physicals for team?

Required

Encouraged

No

Not Applicable

31 of 36

Respond in personal vehicles?

Never

Sometimes / Some Staff

Always

Not Applicable

32 of 36

Fire exposure log?

Required

Encouraged

Up to team

Not Applicable

33 of 36

Fire incident calls?

Less than 20% fire

20-80% fire

80%+ fire

Not Applicable

34 of 36

Sets of PPE per person?

2

1-2

1

Not Applicable

35 of 36

Garments worn under PPE?

Washed at station

No guidance

Taken home

Not Applicable

36 of 36

Gear stored in personal vehicle?

Never

Sometimes

Always

Not Applicable

Assessment Complete!

Please confirm your details and submit.

Name:
Email:
Department:
Station Number:
Shift:

Fire Station Health Risk Assessment Tagging

Full Name

Email

Company

Country

Home State

Fire Station Health Risk Assessment Tagging

Recipient Name

Recipient Email

Fire Station Health Risk Assessment

Please Choose One

Fire Station Health Risk Assessment

Please Choose One

Fire Station Health Risk Assessment

Enter zip/postal code for your station

Select Location:

Please enter your department name

ASSESSMENT INSTRUCTIONS

Mold at station?

Exhaust removal system?

Air quality test?

Air decon in station?

PPE cleaning?

PPE storage at station?

Sleeping quarters?

Clean & contaminated areas?

Kitchen seperate from R&R area?

Frontline fire apparatus at station?

EMS vehicles at station?

# of other vehicles?

Air decon in vehicles?

Vehicle interior cleaned after fire?

Soft surface seating in vehicles?

Turnout gear in cab after fire?

Command vehicle equipment storage?

Fire hose cleaning?

Vehicle doors and windows closed on scene?

Windows closed while driving?

On scene rehab?

SCBA is used?

Fire hood swapped?

PPE bagged after fire?

Gear decon at scene?

Skin decon performed on scene?

Seasonality of gross decon?

“SHOWER WITHIN 1 HOUR” PROTOCOL?

Awareness of common cancer symptoms?

NFPA physicals for team?

Respond in personal vehicles?

Fire exposure log?

Fire incident calls?

Sets of PPE per person?

Garments worn under PPE?

Gear stored in personal vehicle?

Assessment Complete!

Fire Station Health Risk Assessment Tagging

Fire Station Health Risk Assessment Tagging

Submitting data

Thank You!

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Your assessment is complete!