1. 31 Hazardous Materials: Personal Protective Equipment, Scene Safety, and Scene Control

2. 31 Objectives (1 of 5) Describe personal protective equipment (PPE) used for hazardous materials incidents.

3. 31 Objectives (2 of 5) Identify the purpose, advantages, and limitations of the following items: –Structural firefighting protective clothing –High-temperature-protective clothing –Chemical-protective clothing –Liquid splash-protective clothing –Vapor-protective clothing.

4. 31 Objectives (3 of 5) Discuss respiratory protection in a hazardous material incident. Describe the levels of hazardous materials personal protective equipment.

5. 31 Objectives (4 of 5) Identify skin-contact hazards encountered at hazardous materials incidents. Describe the safety precautions to be observed, including those for heat and cold stress, when approaching and working at hazardous materials incidents.

6. 31 Objectives (5 of 5) Describe the physical capabilities required and limitations of personnel working in PPE. Describe techniques used to isolate hazard areas and deny entry. Describe the importance of the buddy system and backup personnel.

7. 31 Introduction At a hazardous materials incident, PPE, scene control, site management, and personal accountability are critical issues. Safe handling of hazardous materials incident is often determined in the first 5 to 15 minutes

8. 31 Levels of Damage TLV-STEL TLV-TWA TLV-C Threshold limit value/skin PEL IDLH

9. 31 Threshold Limit Value The point at which the material begins to affect a person Various definitions indicate the levels of protection that are required

10. 31 TLV-STEL Maximum concentration a person can be exposed to in 15-minute intervals, up to four times a day without damage. Minimum 1 hour rest between exposures Lower the TLV-STEL, the more toxic the substance.

11. 31 TLV-TWA Maximum concentration a person can be exposed to 8 hours a day, 40 hours a week without damage The lower the TLV-TWA, the more toxic the substance.

12. 31 TLV-C Maximum concentration a person can be exposed to, even for an instant. The lower the TLV-C, the more toxic the substance.

13. 31 Threshold Limit Value/Skin Indicates the concentration at which direct exposure or airborne contact with a material could result in possible and significant exposure by absorption through the skin, mucous membranes, and eyes. Take appropriate measures to minimize contact with the skin.

14. 31 PEL Also called the Recommended Exposure Level (REL) Comparable to the TLV-TWA Maximum, time-weighted concentration to which 95% of healthy adults can be exposed over a 40-hour workweek without damage

15. 31 IDLH (1 of 2) An atmospheric concentration of any toxic, corrosive, or asphyxiant that poses an immediate threat to life or could cause irreversible or delayed adverse health effects

16. 31 IDLH (2 of 2) Three types of IDLH atmospheres: –Toxic –Flammable –Oxygen deficient IDLH atmospheres require the use of SCBA or equivalent protection.

17. 31 Determining Atmospheric Safety Atmospheric monitoring requires specific training and equipment. Three types of atmospheres at a hazardous materials incident: –Safe –Unsafe –Dangerous

18. 31 Selection of Proper PPE Potentially life-saving decision The IC should approve the level of PPE to be used on an incident. Fire fighters should not use PPE they have not been trained to use.

19. 31 Types of PPE Street clothing and work uniforms Structural firefighting protective clothing High-temperature-protective clothing Chemical-protective clothing and equipment

20. 31 Hazardous Materials Protection (1 of 2) Street clothing and work uniforms –Offers no protection from hazardous materials Structural firefighting protective clothing –Offers almost no chemical protection

21. 31 Hazardous Materials Protection (2 of 2) High-temperature- protective clothing –Offers protection from high temperatures only

22. 31 Chemical Protective Clothing and Equipment Designed to prevent chemicals from coming in contact with the body –Have varying degrees of resistance Chemical-resistant materials –Designed to inhibit or resist the passage of chemicals into and through the material by penetration, permeation, degradation.

23. 31 Penetration Flow or movement of a hazardous chemical through closures, seams, porous materials, pinholes, or other imperfections Liquids and solids can penetrate.

24. 31 Permeation Process by which a hazardous chemical moves through a material at the molecular level Occurs through the material itself, rather than through an opening in the material

25. 31 Degradation Physical destruction or decomposition of a material due to chemical exposure, general use, or ambient conditions Usually evidenced by signs such as charring, shrinking, swelling, color changes, or dissolving

26. 31 Garment Construction Single piece –Completely encloses wearer –Known as an encapsulated suit or acid suit Multipiece –Works with the wearer’s respiratory protection, an attached or detachable hood, gloves, and boots

27. 31 Material Used In Construction Butyl rubber Tyvek® Saranex PVC Vitron

28. 31 Liquid Splash-Protective Clothing Protects skin and eyes Does not provide total body protection from gases or vapors

29. 31 Vapor-Protective Clothing Must be used when hazardous vapors are present Traps heat and perspiration SCBA or air-line hoses must be used

30. 31 Respiratory Protection Devices Self-contained breathing apparatus (SCBA) Supplied air respirator (SAR) Air-purifying respirator (APR)

31. 31 SCBA Prevents exposure through inhalation or ingestion Should be mandatory for fire service personnel Fire fighters must know the limitations of SCBA

32. 31 SAR A hose connects the user to the air source and provides air to the face piece. Useful during extended operations Length of hose line may restrict movement.

33. 31 APRs (1 of 2) Removes particulates and contaminants from the air Should only be used when: –Type and amount of contaminants known –Atmosphere is not oxygen deficient.

34. 31 APRs (2 of 2) Do not have a separate source of air Ambient atmosphere must contain a minimum of 19.5% oxygen. Filtering cartridges are contaminant specific. Atmosphere must be continuously monitored.

35. 31 Level A Protection Heavy encapsulating suit –Highest level of protection –Effective against vapors, gases, mists, dusts Requires SCBA or SAR

36. 31 Level B Protection Chemical-protective clothing, boots, gloves, and SCBA High respiratory protection but less skin protection required

37. 31 Level C Protection Standard work clothing plus chemical-protective clothing, chemical- resistant gloves, and a form of respiratory protection

38. 31 Level D Protection Lowest level of protection Should be used for nuisance contamination only

39. 31 Skin Contact Hazards (1 of 4) Principal dangers of hazardous materials are toxicity, flammability, and reactivity. Hazardous materials can harm the inadequately protected body. Assume the worst, and leave the largest possible safety margin.

40. 31 Skin Contact Hazards (2 of 4) Skin can absorb harmful toxins without any sensation to the skin itself. –Do not rely on pain or irritation as a warning of absorption. –Some substances are lethal if only a few drops contact the skin.

41. 31 Skin Contact Hazards (3 of 4) Skin absorption is enhanced by abrasions, cuts, heat, and moisture. Absorption rate depends on body part. –Chemicals are absorbed through the skin on the scalp much faster than through the forearm. –Eyes have one of the fastest means of exposure.

42. 31 Skin Contact Hazards (4 of 4) Corrosives will immediately damage skin or body tissues upon contact. –Acids Have a strong affinity for moisture Create a clot-like barrier that blocks deep skin penetration –Alkalis Turns tissue to soapy liquid

43. 31 Safety Precautions Standard safety precautions for firefighting apply to hazardous materials incidents. In addition, special attention must be paid to temperature and stress.

44. 31 Excessive Heat Disorders Fire fighters operating in protective clothing should be aware of the signs and symptoms of heat exhaustion, heat stress, heat stroke and dehydration.

45. 31 Heat Exhaustion (1 of 2) Mild form of shock caused by overheating when the body cannot dissipate heat Body’s core temperature rises causing weakness and profuse sweating followed by dizziness or blurred vision

46. 31 Heat Exhaustion (2 of 2) Emergency action: –Remove victim from the source of heat. –Rehydrate –Provide cooling

47. 31 Heat Stroke (1 of 2) Life-threatening condition resulting from the total failure of the body’s temperature- regulation capacity Signs and symptoms include: –Reduction or cessation of sweating –Body temperature at or above 105 ºF –Rapid pulse

48. 31 Heat Stroke (2 of 2) Signs and symptoms (continued) –Hot skin –Headache –Confusion –Unconsciousness This is a true medical emergency requiring immediate transport to a medical facility.

49. 31 Dehydration Prehydrate with 8 to16 oz. of water before donning PPE. Rehydrate with 16 oz. of water for each SCBA tank used.

50. 31 Cooling Technologies (1 of 3) Many response agencies employ some form of cooling technology under the garment –Air, ice, and water cooled vests –Phase change cooling technology –Each is designed to reduce the impact of heat stress on the body

51. 31 Cooling Technologies (2 of 3) Forced air-cooling systems –Operate by forcing pre-chilled air through a system of hoses worn close to the body. Fluid-chilled systems –Operate by pumping ice-chilled liquids from a reservoir through a series of tubes held within a vest-like garment.

52. 31 Cooling Technologies (3 of 3) Passive systems (ice or gel packed vests) –Commonly used due to low cost –Designed to be worn around the torso Phase change cooling technology –Similar to passive systems –Chilled to 60 °F –Fabric of the vest is designed to wick perspiration away from the body.

53. 31 Cold-Temperature Exposures (1 of 3) Two types of cold exposure: –Materials related Liquefied gases and cryogenic materials expose fire fighters to the same low-temperature hazards as those created by cold-weather environments –Weather related Temperature and wind speed Still air is a poor conductor

54. 31 Cold-Temperature Exposures (2 of 3) Despite temperature, fire fighters will sweat. –Wet clothing extracts heat from the body up to 240 times faster than dry clothing. –May lead to hypothermia

55. 31 Cold-Temperature Exposures (3 of 3) Prevention –Wear appropriate, layered clothing. –Keep layers next to skin dry. –Warm shelters should be available.

56. 31 Physical Capability Requirements Hazardous materials response operations put a great deal of both physiological and psychological stress on responders. Every emergency response organization should have a health and safety management program.

57. 31 Medical Surveillance Program (1 of 2) Cornerstone of the health and safety management system Two primary objectives: –Determine fitness for duty –Detect changes in body system functions

58. 31 Medical Surveillance Program (2 of 2) Ongoing, systematic evaluation of response personnel Fire fighters should be examined by a physician at least once a year.

59. 31 Medical Monitoring (1 of 3) Pre-entry –Vital signs –Skin inspection (rashes or open sores) –Should be completed within the hour before the fire fighter enters the hazardous environment

60. 31 Medical Monitoring (2 of 3) During the incident –Team member exhibits changes in gait, speech, or behavior –Anyone complaining of chest pain, dizziness, shortness of breath, weakness, nausea, or headache

61. 31 Medical Monitoring (3 of 3) After decontamination –Normal baseline values should be attained within 15 to 20 minutes –Anyone who does not return to baseline levels should be treated and transported to a definitive care facility –Vital signs should be checked every 5 to 10 minutes

62. 31 Response Safety Procedures Isolate and deny entry. Eliminate ignition sources. Operations cannot begin until the area is identified and the perimeter is secured

63. 31 Control Zones (1 of 2) Designated areas at a hazardous materials incident based upon safety and the degree of hazard Labels: –Hot zone –Warm zone –Cold zone

64. 31 Control Zones (2 of 2)

65. 31 Hot Zone Area immediately around the incident site Contains personnel and equipment needed to control the release Access is limited. Entries and exits are logged. Technicians only

66. 31 Warm Zone Staging area for entering and leaving the hot zone Contains an access corridor and a decontamination corridor Only essential personnel allowed. Generally one level below what is used in the hot zone

67. 31 Cold Zone “Safe area” where special protective clothing is not needed Cold zone operations include: –Personnel staging –Incident Command Post –EMS providers –Area for medical treatment

68. 31 Isolation Techniques (1 of 2) Approach from upwind and uphill. –Resist the urge to rush in. –Keep people away from the scene and outside the safety perimeter. –Identify the area verbally over the radio –Cordon off the area –Police officers should assist fire fighters

69. 31 Isolation Techniques (2 of 2)

70. 31 Buddy System and Backup Personnel Backup personnel are used to ensure the safety of emergency crews. The decontamination team must be in place before anyone enters the hot zone. No one should enter the hot zone alone. Team members should always remain within sight, sound, or touch of each other.

71. 31 Summary (1 of 3) PPE must be chosen specifically for the hazardous materials involved in an incident. Four recognized levels of protective clothing Use of respiratory protection is essential on most hazardous materials incidents.

72. 31 Summary (2 of 3) Be aware of and know how to handle both heat- and cold-related emergencies. Monitor responder vital signs before, during, and after a hazardous materials incident. Resist the urge to rush in.

73. 31 Summary (3 of 3) Only fire fighters trained to the technician or specialist levels should enter the hot zone. Work in teams of two in the hot zone. Ensure a backup team is prepared to enter the hot zone to effect a rescue.