Location Fairfax, Virginia
U.S. | Area served Worldwide | |
Founded August 12, 2005 (2005-08-12) Focus To enhance the safety culture of the fire and emergency service. Website www.firefighternearmiss.com | ||
The National Fire Fighter Near-Miss Reporting System was launched on August 12, 2005 by the International Association of Fire Chiefs. It was announced at a press conference in Denver, Colorado, after having completed a pilot program involving 38 fire departments across the country. The Near-Miss Reporting System aims to prevent injuries and save lives of other fire fighters by collecting, sharing and analyzing near-miss experiences. The near-miss experiences are collected by fire fighters who voluntarily submit them; the reports are confidential, non-punitive, and secure. After the reports are compiled, they are posted to the website where firefighters can access them and learn from each other's real life experiences. Overall these reports help to formulate strategies, reduce firefighter injuries and fatalities, and enhance the safety culture of the fire service. The program is based on the Aviation Safety Reporting System (ASRS), which has been gathering reports of close calls from pilots, flight attendants, air traffic controllers since 1976. The reporting system is funded by the U.S. Department of Homeland Security's Assistance to Firefighters Grant Program. The program was originally funded by DHS and Fireman's Fund Insurance Company.
Contents
Near-miss event
A near-miss event is defined as an unintentional unsafe occurrence that could have resulted in an injury, fatality, or property damage.
Near-miss report
A near-miss report consists of five sections:
Report of the Week
Every Wednesday there is a new Report of the Week. These reports are available online and can be emailed for free with a Report of the Week subscription. They are ideal tools used for training and for informational purposes.
The reports chosen are recent and contain discussion questions for further thought. They are also matched with 5 similar reports from previous years. These reports give readers insight to what is currently going on, and how people are dealing with their near-misses. The discussion questions help readers understand what actions need to be taken in order to prevent further near-misses. Many subscribers use the reports for informal training drills, forward the reports to other fire departments, or use them for their own informational needs.
Human Factors Analysis and Classification System (HFACS)
The U.S. Navy's Human Factors Analysis and Classification System (HFACS) was selected as the first tool for analyzing firefighter near-miss reports. HFACS takes four levels of individual and institutional performance into consideration.
- Unsafe acts
- Preconditions to unsafe acts
- Unsafe supervision
- Organizational influences
HFACS level 1 - Unsafe acts
The "unsafe acts" level contains two categories: errors and violations. The determination that an unsafe act has occurred is not an indictment of an individual firefighter or firefighters. So far, statistics have shown that 80% of reported near misses have occurred when firefighters were following established procedures. Errors are classified as resulting from lack of skill, education or training, poor decision making, or misperception. Each in turn can be broken down into omissions, failure to prioritize, poor technique, misinterpretation of conditions, wrong response to conditions, and decision errors.
HFACS level 2 - Preconditions to unsafe acts
The "preconditions to unsafe acts" level focuses on the individuals involved. Was the individual focused or distracted? Was the individual hurried? Was the individual physically ill or otherwise unfit for duty? Was the individual somehow incompatible with the assigned task? The team is also analyzed. For example, are the team members familiar with, and do they practice crew resource management and personal readiness?
HFACS level 3 - Unsafe supervision
The "unsafe supervision" level mirrors the military's emphasis on the officer's role in all aspects of operations. Specifically it looks at factors like inadequate supervision, poor planning, failure to correct problems, and other supervisory problems.
HFACS level 4 - Organizational influences
The "organizational influences" level is the final level of evaluation. It acknowledges that a fire departments top management is ultimately responsible for organizational culture, and may have contributed to some degree to a firefighter's actions that led to a near-miss event.
Error management
Based on the first year of data, the various working groups of the National Fire Fighter Near-Miss Reporting System have offered the following recommendations for error-management and to improve firefighter performance and safety.