Skip to main content

Incident information

  • Control measure - Guidance
    Confirm and communicate the involvement, num​ber and severity of any casualties (persons or animals)
  • Control measure - Guidance Question the casualty, other responders and witnesses to understand incident factors and history
  • Control measure - Guidance Anticipate casualty condition and potential survivability given the environmental situation
  • Control measure - Guidance Establish the last known position (LKP) or place last seen (PLS) of casualties, including times
  • Control measure - Guidance Identify the casualty's level of consciousness and offer reassurance where possible
  • Further resource information

    • Control measure - Guidance

      Consider requesting hazardous area response teams (HART), Special Operations Response Team (SORT) or equivalent for bariatric rescue bariatric rescue

    • Control measure - Guidance Consider requesting specialist fire and rescue service technical rescue teams for bariatric rescues
    • Control measure - Guidance Request the attendance of specialist bariatric medical support teams and ambulances
    • Control measure - Guidance

      Consider requesting specialist resources for detection, identification and monitoring (DIM)

Resource information

  • Control measure - Guidance

    Request adequate resources to enable effective search and timely extrication of casualties

  • Control measure - Guidance

    Consider requesting specialist appliances and resources to reduce risk and demand on deployed resources

  • Control measure - Guidance

    Request medical support at rescue incidents as soon as a need is identified

  • Control measure - Guidance

    Confirm that required agencies have been requested or notified (e.g. Police, Ambulance, environmental agencies)

  • Control measure - Guidance

    Request attendance of heavy or specialist rescue equipment (consider other agencies and USAR)

  • Further resource information

    • Control measure - Guidance

      Consider requesting hazardous area response teams (HART), Special Operations Response Team (SORT) or equivalent for bariatric rescue bariatric rescue

    • Control measure - Guidance Consider requesting specialist fire and rescue service technical rescue teams for bariatric rescues
    • Control measure - Guidance Request the attendance of specialist bariatric medical support teams and ambulances
    • Control measure - Guidance

      Consider requesting specialist resources for detection, identification and monitoring (DIM)

Risk information

  • Working environment

    • Control measure - Guidance

      Consider isolating sources of noise

    • Control measure - Guidance Identify and isolate personal medical equipment that presents a risk to responders
    • Control measure - Guidance Avoid handling sharps if possible and take precautions when it is necessary to handle sharps
    • Control measure - Guidance Consider the risk from oxygen enrichment when using tools, equipment or defibrillators
    • Control measure - Guidance

      Provide lighting to illuminate hazards to personnel in poorly lit environments

    • Control measure - Guidance

      Consider establishing an equipment, tool, debris or personnel areas

    • Control measure - Guidance Evaluate a range of options that avoid committing personnel to work in a confined space
  • Restricted access and egress

    • Control measure - Guidance Establish safe access and egress routes to machine rooms and shafts
    • Control measure - Guidance

      Establish, identify and communicate safe traffic routes, establish clear zones and equipment points

    • Control measure - Guidance Define routes using physical barriers and clearly illuminate where there is reduced visibility
    • Control measure - Guidance

      Consider the effects of geography on equipment logistics, casualties and crew welfare

    • Control measure - Guidance

      Be aware of security systems and devices which could potentially isolate personnel in risk areas

  • Unstable structure

    • Control measure - Guidance

      Assess and continuously monitor the structure for signs of collapse

    • Control measure - Guidance Consider the risk of structural failure at bariatric rescues and request specialist advice or USAR team
    • Control measure - Guidance Request specialist advice prior to creating new or wider openings in existing structural elements
    • Control measure - Guidance

      Consider requesting advice on structural integrity from local authority building control teams or USAR Tac Ad

    • Control measure - Guidance

      Consider requesting specialist tactical advice and resources for shoring

  • Confined space

    • Control measure - Guidance

      Ensure that no person shall enter a confined space unless it is not reasonably practicable to achieve without such entry

    • Control measure - Guidance

      Identify the location of suitable access and egress routes before committing crews to a confined space

    • Control measure - Guidance

      Consider implementing a tag line system to assist in tracing and locating personnel working in confined spaces

    • Control measure - Guidance Establish a recovery system for personnel deployed into confined space environments and ensure it is in place at all times
    • Control measure - Guidance Ensure that emergency arrangements are maintained and resourced for the duration of the incident
  • Electricity

    • Control measure - Guidance

      Isolate any utilities that may affect the incident or crew safety, and secure against reconnection

    • Control measure - Guidance

      Implement high-voltage safe system of work if a yellow 'danger of death' sign present

    • Control measure - Guidance

      Consider isolating the power supplies, considering the impact on any critical systems

    • Control measure - Guidance Request and record permission from the designated competent person (authorised person or senior authorised person) before commencing fire and rescue service activities near high-voltage equipment
    • Control measure - Guidance Identify, implement and manage safety distances for power sources that cannot be isolated
    • Control measure - Guidance

      Take precautions when carrying metal ladders or other operational equipment; these should be carried horizontally and as low to the ground as possible

    • Control measure - GuidanceControl measure - GuidanceControl measure - GuidanceControl measure - GuidanceControl measure - Guidance Consider the appropriate use of electrical gloves, in line with service procedures
  • Machinery

    • Control measure - Guidance

      Liaise with the responsible person or process expert to obtain specialist advice on machinery involved

    • Control measure - Guidance Liaise with the owner or occupier, on-site engineers or maintenance engineers regarding power systems
    • Control measure - Guidance

      Consider Isolating power supplies to on-site machinery

    • Control measure - Guidance Prevent the uncontrolled movement of machinery through shoring, chocking or similar means
    • Control measure - Guidance

      Only competent persons should be used to operate site machinery

  • Unguarded edges

    • Control measure - Guidance

      Use any work equipment or safety device provided in accordance with training and instructions

    • Control measure - Guidance Select the most appropriate work at height equipment for the activities and hazards identified
    • Control measure - Guidance Ensure that work at height operating systems include an appropriate degree of redundancy
    • Control measure - Guidance

      Ensure that competent personnel assess and monitor the suitability of the structure for working in the hazard area

    • Control measure - Guidance

      Monitor personnel for signs of stress, anxiety, vertigo or dizziness while working at height

    • Control measure - Guidance

      Use ladders for short duration tasks and request other equipment (e.g. aerial appliance) for other activities

  • Rescue tools

    • Control measure - Guidance

      Consider extrication methods which do not require the use of tools or equipment

    • Control measure - Guidance Select the appropriate rescue tool considering the condition of the casualty, extrication plan and materials
    • Control measure - Guidance Provide hard and soft protection between the tool and the casualties, operators and other responders
    • Control measure - Guidance Consider positioning a safety officer to monitor rescue tool operation
    • Control measure - Guidance Monitor rescue tool performance for indicators of unidentified materials
    • Control measure - Guidance Consider rotating crews involved in the use of rescue tools to reduce fatigue, exposure to noise and vibration
    • Control measure - Guidance

      Ensure all personnel wear PPE according to service risk assessment and procedures for rescue incidents

  • Heavy and bulky objects

    • Control measure - Guidance

      Consider using machinery or other equipment to assist with manual handling risk

    • Control measure - Guidance

      Request additional or specialist resources to assist with manual handling tasks

    • Control measure - Guidance

      Consider the task, individual capabilities, load and environment (TILE) when carrying out risk assessments for manual handling

    • Control measure - Guidance

      Ensure personnel adopt the provided safe system of manual handling

    • Control measure - Guidance

      Consider task rotation when  personnel are carrying out  manual handling tasks

  • Animals

    • Control measure - Guidance

      Identify and communicate the presence of animals, and any associated hazards, to emergency responders and the public

    • Control measure - Guidance

      Avoid, contain or control animals if neccessary

    • Control measure - Guidance

      Request support with managing animals from owners, keepers, police, vets or welfare organisations

  • Bodily fluids

    • Control measure - Guidance Avoid contact with body fluids where possible
    • Control measure - Guidance Wear body fluid gloves and cover broken skin with waterproof dressing
    • Control measure - Guidance

      Isolate or cover body fluids following casualty removal

    • Control measure - Guidance

      Instigate decontamination procedures following exposure of personnel and equipment to body fluids

  • Hazardous materials

    • Control measure - Guidance

      Identify and contact the responsible person to understand incident factors and history

    • Control measure - Guidance

      Identify any hazardous materials signage and other indicators as part of scene survey

    • Control measure - Guidance Identify whether the incident should be reclassified as a hazardous materials response
    • Control measure - Guidance Consider the risk from oxygen enrichment when using tools, equipment or defibrillators
    • Control measure - Guidance

      Carry out testing and monitoring of the atmosphere and use the results to inform the incident plan

    • Control measure - Guidance

      Comply with hygiene arrangements and don't eat, drink or smoke

Powers, policies and procedures

  • Restrict the access of persons to premises or a place if they reasonably believe an emergency to have occurred

  • Further powers, policies and procedures

    • Control measure - Guidance
      Enter premises or a place, by force if necessary, without the consent of the owner or occupier of the premises: 
      • if they reasonably believe an emergency to have occurred
      • if they reasonably believe a fire to have broken out or to be about to break out
      • for the purpose of extinguishing or preventing the fire or protecting life or property
      • NB Does not apply to Crown property (including ministry of defence) and diplomatic or consular premises
      • NB The Master of the ship (or delegated officer) of a merchant vessel must give permission to board
Why? Expectations? Benefit vs Risk?

Objectives

  • Control measure - Guidance

    Maintain the safety of all personnel, other responders and the public

  • Control measure - Guidance

    Save life and reduce harm

  • Control measure - Guidance

    Provide medical care and release trapped casualties

  • Further objectives

    • Control measure - Guidance
      Promote community recovery and restore normal operations
    • Control measure - Guidance

      Minimise the impact of the incident and fire service actions on any identified environmental risk

Tactical priorities

  • Control measure - Guidance
    Establish a safe working environment for fire crews and other responders
  • Control measure - Guidance Identify the number of casualties requiring medical attention and instigate a triage process
  • Control measure - Guidance Anticipate casualty condition and potential survivability given the environmental situation
  • Control measure - Guidance

    Develop a plan based on Locate, Access, Stabilise, Transport (LAST) principles

  • Control measure - Guidance

    Develop and communicate immediate release, emergency and full extrication plans

  • Further operational tactics

    • Control measure - Guidance Check casualty for presence of medical ID, jewellery and other indicators of pre-existing conditions
    • Control measure - Guidance Protect casualties from environmental exposure to reduce risk of hypothermia or hyperthermia
    • Control measure - Guidance

      Establish emergency arrangements appropriate to the size and complexity of the incident

    • Control measure - Guidance

      Stay 1 metre from live parts of the system when performing a rescue of person in contact with live electricity

    • Control measure - Guidance Stabilise an impaled casualty by immobilising injured area and stemming any blood loss

Operational tactics

  • Control measure - Guidance Make a safe approach to the casualty and maintain a safe environment for all involved
  • Control measure - Guidance Identify the casualty's level of consciousness and offer reassurance where possible
  • Control measure - Guidance Protect casualties by physically isolating them from immediate harm where possible
  • Control measure - Guidance Request specialist medical advice prior to attempting to move casualty unless injuries are immediately life threatening
  • Control measure - Guidance

    Consider benefits to casualty of immediate extrication or medical attention in-situ

  • Control measure - Guidance

    Stabilise life threatening injuries or conditions and maintain casualty care throughout incident

  • Control measure - Guidance Select the appropriate rescue tool considering the condition of the casualty, extrication plan and materials
  • Control measure - Guidance Implement appropriate space creation techniques in line with the casualty extrication plan
  • Control measure - Guidance

    Extricate the casualty considering their injuries and overall threat to life

  • Further operational tactics

    • Control measure - Guidance Check casualty for presence of medical ID, jewellery and other indicators of pre-existing conditions
    • Control measure - Guidance Protect casualties from environmental exposure to reduce risk of hypothermia or hyperthermia
    • Control measure - Guidance

      Establish emergency arrangements appropriate to the size and complexity of the incident

    • Control measure - Guidance

      Stay 1 metre from live parts of the system when performing a rescue of person in contact with live electricity

    • Control measure - Guidance Stabilise an impaled casualty by immobilising injured area and stemming any blood loss

Communication

  • Control measure - Guidance

    Ensure that everyone on the incident ground is fully briefed on the current hazards, specific risks and control measures including other agencies and organisations

  • Control measure - GuidanceControl measure - Guidance

    Share situational awareness and establish a joint understanding of risk with other agencies

  • Control measure - Guidance Provide a structured handover when transferring casualty to medical responders
  • Further communication

    • Control measure - Guidance

      Establish effective communications with other emergency services and relevant people as soon as possible

    • Control measure - Guidance Use intrinsically safe radio equipment in atmospheres where there is a risk of fire or explosion

Control

  • Control measure - Guidance Co-ordinate the simultaneous activities of extrication teams and tool operators
  • Control measure - Guidance

    Appoint competent safety officers to monitor specific hazards or activities

  • Further control information

    • Control measure - Guidance

      Commit only minimum number of essential personnel to hazard area

    • Control measure - Guidance

      Consider task rotation when  personnel are carrying out  manual handling tasks

    • Control measure - Guidance

      Instigate the completion of an analytical risk assessment and record significant findings

    • Control measure - Guidance

      Communicate findings of analytical risk assessment to all personnel and other agencies

Incident closure and handover

  • Control measure - Guidance

    Ensure that hazards and risk controls are identified when handing over safety to the responsible person

  • Control measure - Guidance

    Secure the scene to ensure evidence is preserved for internal and external investigations

  • Further incident and closure information

    • Control measure - Guidance

      Conduct a debrief at a level appropriate to the size and/or complexity of the incident  

    • Control measure - Guidance

      Record and share significant findings from incidents and investigations to inform future practice

Additional information