"#07-777 Perseverance Payoff Equipment Reports Near Miss"
National Fire Fighter Near-Miss Reporting System Contributing Factors Fire Fighter Near-Miss Reporting System www.firefighternearmiss.com Near-Miss by the Numbers since August 2005 Reports: Web site visitors: Report of the Week: Pass along for ROTW: AR/Calendar distribution: Conferences/Presentations: 2,775 1,000,000 10, 800 100,000 100,000 each 250,000 (apx) www.firefighternearmiss.com Contributing Factors 700 Situational Awareness Decision Making Human Error 600 Individual Action Training Issue 500 Equipment Communication 400 Procedure Command Other 300 SOP/SOG Weather 200 Accountability Teamwork 100 Staffing Fatigue 0 Aug 05- Jul 06 Aug 06- Jul 07 Aug 07- Jul 08 Protocal Task Allocation Unknown Horseplay www.firefighternearmiss.com Contributing Factors A circumstance, fact, or influence that brings about a result or outcome. They affect firefighter health and safety either positively or negatively. Based on terms that continually show up in death and injury reporting systems such as NIOSH www.firefighternearmiss.com Contributing Factors Accountability Communication Horseplay Teamwork Training Weather Command Decision Equipment Individual Action Fatigue Human Error Procedure Staffing Protocol Situational Awareness Making Task Allocation www.firefighternearmiss.com Contributing Factors Situational Awareness – Attentiveness and relationship to the event. The relationship between perception of the individual and the reality of the situation. Leading contributing factor of Near-Miss Reporting. Decision Making – Poor decisions made based on info provided or lack of info provided. No decision made when a decision was required. Second leading contributing factor. Command – Absence, inadequate, lack of command presence. Lack of leadership or direction on part of OIC or IC. Task Allocation – Work assignments exceed assignee’s physical /or mental capabilities. Weather – Ambient conditions occurring during time of incident. Fatigue – Tired, lack of sleep, inadequate sleep, poor sleep, overwork, lack of rehab, and mentally tired. www.firefighternearmiss.com Contributing Factors Human Error – An unintentional mistake made by an individual or group. Staffing – Not having enough or having too many people. Horseplay – Unauthorized activity, practical jokes, pranks, wrestling, etc. Teamwork – A cohesive function of an individual as part of a crew, or the function of the crew as a unit to complete a task or goal. Communication – Poor communication, misunderstood direction, language barrier, and / or inadequate instruction. Accountability – Awareness of location, number and function of all individuals or personnel on an incident. www.firefighternearmiss.com Contact Information The National Fire Fighter Near-Miss Reporting System 4025 Fair Ridge Drive Fairfax, Virginia 22033 Tel: 703 537 4832 Fax: 703 273 0920 www.firefighternearmiss.com