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Crew Resource Management Presentation Prepared for: Date: 2009

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1 Crew Resource Management Presentation Prepared for: Date: 2009

2 What is Crew Resource Management Crew Resource Management (CRM) is an effective us of all resources to minimize errors and improve safety and performance. 1 Fatality 10 lost time injuries 1000 No Loss Accidents 10,000 UNSAFE ACTS! 1000 No Loss Accidents 10,000 UNSAFE ACTS!

3 Crew Resource Management Crew Resource Management evolved from what was initially, Cockpit Resource Management.

4 Crew Resource Management A landmark event was United Airlines flight 173, which occurred in 1978. Flight 173 crashed in a wooded area outside of Portland. The problem which occurred involved an indicator light for the landing gear. It indicated that the landing gear was not completely down. The pilot was informed of a low fuel by his crew after he decided to fly around trying to figure out the light. He either disregarded them or misunderstood them and crashed killing 8 passengers and two crew members. Twenty three other people were seriously injured. Why were so few killed?

5 Lack of Crew Resource Management July 1, 1988, Hackensack, N.J., - Catastrophic collapse of bowstring trusses. The I.C. was scene with portable over shoulder participating in firefighting. Three (3) firefighters killed in initial collapse, two entombed that ran out of air. After 27 calls for help radio goes silent. October 27, 1997, Washington D.C., - Fire in a corner grocery store. Crews initiated an aggressive interior attack. Crews evacuated after rapid heat build up and floor shift. Engine 14 exits crew cant find officer. Crew reports their officer missing on two separate occasions to other officers. Dead officer of Engine14 found in basement.

6 Crew Resource Management From 1997 to 2001 – 500 firefighters died in structure fires and fire fighting operations. Worcester, Mass. Keokuk, Iowa Louisville, Ky. New York City

7 Crew Resource Management Factors that contributed to these and other fire service tragedies are remarkably similar to factors identified by an industry that began adopting CRM as a mantra more than 25 years ago. The nations aviation industry recognized that human error was the prevailing cause in aviation disasters. The lessons learned by this industry are worth study by the fire service because of common contributing factors to the deaths in both industries.

8 Crew Resource Management CRM exists when all members of the team actively seek to prevent adverse effects on the current situations.

9 Does the Fire Service Promote a Risk Culture? Managing risk is our business, we do a great job taking care of Mr. & Mrs. Smiths risk, but how about our own? Human behavior patterns suggest that the well intentioned, best trained, consistently performing individuals and groups commit errors. (Titanic) Accidents are not random occurrences – People cause accidents and make errors. CRM has a proven history in reduction of errors. Aviations, Military, and Medical.

10 Crew Resource Management Adrenaline and testosterone contribute to more injuries than structural failure. A key factor in firefighter injury or death is the risk a firefighter will take and their supervisors ability to control it.

11 How Does It Work? Six Principles Communication Decision-Making Task Allocation Teamwork S/A Debrief*

12 Communication Barriers and bias block effective communication Standard language benefits all Practice active listening Divide duties to prevent overload Minimize distractions Establish Inquiry/Advocacy patterns Clear, Concise Respectful Bishops Assertive Statement

13 Communication

14 Decision Making Axioms Recognize problems Fight the fire Treat the patient Maintain SA Accept input Make a decision

15 Task Allocations Know your limits Know your crews limits Capitalize on strengths Seek out experts Eat the elephant one bite at a time

16 Teamwork Leadership Followership Photo by Bob Bartosz, Camden Fire Department

17 Situational Awareness Point where reality and perception collide Reality always wins Beware of loss factors Ambiguity Distraction Fixation Overload Complacency Unresolved discrepancy

18 Debrief Pre-Brief Topic Decorum Facilitate Analyze Operations Human Behaviors

19 For More Information 4685/files/CRM%20Manual.pdf (downloadable manual) Okray and Lubnau, Crew Resource Management for the Fire Service. Penwell Publishing

20 Crew Resource Management The National Fire Fighter Near-Miss Reporting System 4025 Fair Ridge Drive Fairfax, Virginia 22033 Tel: 703 537 4848 Fax: 703 273 0920

21 Crew Resource Management 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.

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