11 In Partnership with:

2 Program Overview l Extent of the Problem l Planning, Multi Agency Communication, Coordination & Response l Legal & Regulatory Requirements l Vehicle Design & Equipment l Review

3 l 2005 Strategic Highway Research Program l National TIM Responder Training

4 Program Objectives l Identify the hazards responders encounter on or near the roadway. l Summarize the actions necessary to improve responder safety at roadway incidents. l Recommend appropriate PPE. l Facilitate the implementation of best practices for roadway incidents within the participant’s agency or jurisdiction.

5 Extent of the Problem

6 l National Work Zone Safety Statistics l _stats/injuries_fatalities.htm _stats/injuries_fatalities.htm

7 l Video & Audio of Incidents… l Contributing factors l Other potential factors l NIOSH recommendations

8 Agency & Multi-Agency Planning, Training, Communication, Coordination & Response

9 l Assure the first emergency vehicle that arrives establishes an initial block to create a safe work area, establishes command and deploys traffic control devices if safe. l Assess the parking needs of EMS, later-arriving fire apparatus, and other highway responders. l Assure high visibility reflective vest or appropriate PPE is worn. Incident Command Benchmarks

10 l Assure that the ambulance is in a “block to the right” or “block to the left” at the scene in order to position the rear patient-loading area away from the closest lane of moving traffic. l Assure that all patient loading into transporting EMS vehicles is done within a protected work space. l Assure deployed traffic control devices are removed safely. Incident Command Benchmarks

11 l If available, position appropriate apparatus to block (tanker, aerial, pumper) and establish a sufficient size work zone. l Assure that all equipment, personnel and patients are kept within the protected work area (shadow) of the larger apparatus. l Assure blocking apparatus and wheel angles are positioned correctly. Incident Command Benchmarks

12 l Maintain situational awareness. l Don appropriate reflective vest and clothing. l Look before exiting the vehicle. l Exit & enter the vehicle on the downstream side. l Look before you step. l Keep your eyes on traffic. l Limit your exposure. l Reduce your profile. Personal Safety Measures

13 l Planning l Training with Other Agencies l Tabletop Exercises l Simulations l Post-Incident Analysis l National Incident Management System (NIMS) Communication & Coordination

14 l Responsibilities of 1 st arriving vehicle l Common terminology l To close or not to close the road l Blocking Communication & Coordination

15 EMS ONLY Response l Assure the ambulance establishes an initial block to create a safe work area, establishes command & deploys traffic control devices, if safe. l Assess the scene and consider requesting additional apparatus or law enforcement for blocking and/or traffic control. l Assure ambulance blocking and wheel angles are positioned correctly. Incident Command Benchmarks

16 EMS ONLY Response l Assure high visibility vest or appropriate PPE is worn. l Assure EMS providers assess and treat patient in protected shadow of ambulance. l When the patient is prepared for transport, ambulance is repositioned so the patient’s vehicle is used as a blocking vehicle. Incident Command Benchmarks

17 EMS ONLY Response l Assure the ambulance is in a “block to the right” or “block to the left” as the emergency vehicle is parked at the scene in order to position the rear patient-loading area away from the closest lane of moving traffic. Incident Command Benchmarks

18 EMS ONLY Response l Assure that all patient loading into transporting EMS vehicles is done within a protected work space. l Assure deployed traffic control devices are removed safely. Incident Command Benchmarks

19 Legal and Regulatory Implications

20 MUTCD Part 6 Temporary Traffic Control

21 MUTCD Section 6C.02 l Component Parts of a Traffic Control Zone - Advance Warning - Transition Area - Activity Area (Buffer Space & Work Space) - Termination Area Temporary Traffic Control Zone

22 Case Studies Planning for a Good Outcome

23 What Responsibility Does the Public Have?

24 Vehicle Design and Equipment Considerations

25 l Traffic Cones l Portable Signs l Flares l Flashlights l Handheld Signs l Radios l Portable Air Horns l Scene Tape l Compliant Vests Recommended Traffic Safety Equipment

26 Roadway Safety in Review

27 l Create an awareness at your ESO l Identify and acquire equipment l Review SOPs/SOGs l Identify target hazards l Incorporate into training and operations Roadway Action Plan

28 l Create Awareness With the Public l Improve Safety l Reduce Your Risk Roadway Safety Advocacy

29 Thank You! Dave Bradley VFIS, Director of EMS Programs