1、NFPA1582 Standard on Comprehensive Occupational Medical Program for Fire Departments 2013 Edition NFPA, 1 Batterymarch Park, Quincy, MA 02169-7471 An International Codes and Standards Organization Become a MemberSubscribeto theRegister forSeminars, Webinars, and Online CoursesVisit theNFPA CatalogNO
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25、12/11Copyright 2012 National Fire Protection Association. All Rights Reserved.NFPA1582Standard onComprehensive Occupational Medical Programfor Fire Departments2013 EditionThis edition of NFPA 1582, Standard on Comprehensive Occupational Medical Program for FireDepartments, was prepared by the Techni
26、cal Committee on Fire Service Occupational Safetyand Health and acted on by NFPA at its June Association Technical Meeting held June 1114,2012, in Las Vegas, NV. It was issued by the Standards Council on August 9, 2012, with aneffective date of August 29, 2012, and supersedes all previous editions.T
27、his edition of NFPA 1582 was approved as an American National Standard on August 29,2012.Origin and Development of NFPA 1582The initial mandatory medical requirements for candidates for fire fighter were in the1974 edition of NFPA 1001, Standard on Professional Qualifications for Fire Fighter. When
28、the firstedition of NFPA 1500, Standard on Fire Department Occupational Safety and Health Program, wasissued in 1987, it required all members engaged in emergency operation to be examined by aphysician at least annually and suggested the medical examination be developed and admin-istered by the fire
29、 department physician in recognition of the specific requirements of themembers activities.In the late 1980s, members of the Technical Committee on Fire Fighter Professional Quali-fications (responsible for NFPA 1001) and members of the Technical Committee on FireService Occupational Safety and Heal
30、th (responsible for NFPA 1500) formed a workinggroup to develop a new standard on medical requirements for fire fighters.The first edition of NFPA 1582 was titled Standard on Medical Requirements forFire Fighters andwas issued in 1992 under the responsibility of the Fire Service Occupational Safety
31、and HealthCommittee. A subsequent edition was issued in 1997. The 2000 edition was titled Standard onMedical Requirements for Fire Fighters and Information for Fire Department Physicians, in recognitionof the increasing amount of guidance being provided in the document to persons serving asfire depa
32、rtment physicians.The title of the 2003 edition was changed to Standard on Comprehensive Occupational MedicalProgram for Fire Departments, to reflect a comprehensive occupational medical program. Thedocument included references to the IAFC-IAFF Fire Service Joint Labor-ManagementWellness-Fitness Ini
33、tiative, and to NFPA 1583, Standard on Health-Related Fitness Programs for FireFighters. These two documents outline a health-related fitness program that is medically vali-dated against NFPA 1582. The 2003 edition delineated between medical issues of a candidateseeking to become a fire fighter, and
34、 those of incumbents currently performing the tasks offire fighting. The intent with incumbents with a medical condition is to rehabilitate them andonly restrict them from performing those essential job tasks where their injury or illnesswould affect the safety of themselves or others on their crew.
35、In the 2007 edition, new requirements were added to both the chapter on medical evalu-ation for candidates and the chapter on specific evaluation of medical conditions in incum-bents to allow persons with diabetes to enter the fire service or continue performing essentialjob tasks associated with fi
36、re fighting if they meet defined criteria. All the medical conditionsthat govern whether a person can become a fire fighter and the specific medical conditions ofincumbents that affect their ability to perform certain essential job tasks were reviewed andupdated, if appropriate, based on current med
37、ical research and knowledge.15821NFPA and National Fire Protection Association are registered trademarks of the National Fire Protection Association, Quincy, Massachusetts 02169.For the 2013 edition, the committee, with the assistance of several task groups and subject matter experts in specialityar
38、eas with regard to medical conditions, has updated many of the medical requirements to reflect current practices. Someof the areas that were addressed were that of diabetes, metabolic syndrome, prosthetic adjuncts, hearing aids, and cochlearimplants, as well as pregnancy and reproductive system conc
39、erns. Also developed for the 2013 edition is a new annexdesigned to assist the end user with the subject of pregnancy. The committee, with the assistance of the InternationalAssociation of Fire Fighters, has provided an updated Annex C, which contains the protocols for the evaluation of fitness form
40、embers. The committee also updated some of the medical requirements relating to hypertension, anticoagulants, TBtesting, and screening for cancer.15822 COMPREHENSIVE OCCUPATIONAL MEDICAL PROGRAM FOR FIRE DEPARTMENTS2013 EditionTechnical Committee on Fire Service Occupational Safety and HealthGlenn P
41、. Benarick, ChairAiken, SC URep. NFPA Fire Service SectionDonald Aldridge, Lion Apparel, Inc., OH MDavid J. Barillo, University of Florida College of Medicine,FL SELawrence T. Bennett, University of Cincinnati, OH SEDavid T. Bernzweig, Columbus (OH) Division of Fire, OH LRep. Columbus Firefighters U
42、nionPaul Blake, City of Baytown Fire NFPA 1002, Standard for Fire ApparatusDriver/Operator Professional Qualifications; NFPA 1003, StandardforAirport Fire FighterProfessional Qualifications; NFPA 1006, Stan-dard for Technical Rescuer Professional Qualifications; NFPA 1021,Standard for Fire Officer P
43、rofessional Qualifications; andNFPA 1051, Standard forWildland Fire Fighter Professional Qualifi-cations.1.1.2 This standard provides information for physicians andother health care providers responsible for fire departmentoccupational medical programs.1.1.3 These requirements are applicable to publ
44、ic, governmen-tal, military, private, and industrial fire department organizationsproviding rescue, fire suppression, emergency medical services,hazardous materials mitigation, special operations, and otheremergency services.1.1.4 This standard shall not apply to industrial fire brigadesthat also ca
45、n be known as emergency brigades, emergency re-sponse teams, fire teams, plant emergency organizations, ormine emergency response teams.1.2 Purpose. The purpose of this standard is to outline anoccupational medical program that, when implemented in afire department, will reduce the risk and burden o
46、f fire serviceoccupational morbidity and mortality while improving thehealth, and thus the safety and effectiveness, of fire fightersoperating to protect civilian life and property.1.2.1 Accordingly, the standard specifies the following infor-mation:(1) Minimal medical requirements for candidates as
47、 delin-eated in Chapter 6(2) Occupational medical and fitness evaluations for mem-bers as delineated in Chapters 7 and 8(3) Information regarding fire department activities and es-sential job tasks that assist the department physician inproviding proper medical support for members(4) Methods and typ
48、es of data that must be collected to sus-tain comprehensive occupational medical programs forfire departments1.2.2* The implementation of the medical requirements out-lined in this standard ensures that candidates and currentmembers are medically capable of performing their requiredduties and will r
49、educe the risk of occupational injuries andillnesses.1.2.3 Nothing herein is intended to restrict any jurisdictionfrom exceeding these minimum requirements.1.3 Implementation.1.3.1 For candidates, the medical requirements of this stan-dard shall be implemented when this standard is adopted byan AHJ on an effective date specified by the AHJ.1.3.2* When this standard is adopted by a jurisdiction, date(s)shall be set for members to achieve compliance by establishing aphase-in schedule for compliance with specific
