1992 Instructor Outline: NYS DOH EMS Hazardous Materials Awareness For Emergency Medical Services Personnel

·.
Hazardous Materials Awareness

For
Emergency Medical Services Personnel
Instructor Outline
State of New York

Mario M. Cuomo
Governor
NYS Emergency Medical Services Program

Michael Gilbertson
Director
State Emergency Management Office

Donald A. De Vito
Director
.
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New York State SECTION A
Department of Health
Emergency Special Thanks
Table of Contents
Introduction to Course Guide
Medical Course Design & Goals

Class Size
Services Pre-Course Planning
Sponsorship
Program Facillty
Equipment
Audio Visuals
Student Workbook
Who May Teach Course
Estimating Cost
Sample Schedule
Administration Procedures:
Application
Course Approval
HAZMAT AWARENESS
"A Continuing Education Course for EMS Providers"
Page1
NYS EMS-HAZMAT AWARENESSCOURSE
course Guide & Content outline
The NYS EMS-Hazmat Awareness Course Guide k Instructor

outline. as well as the accompanying student Workbook. was
developed by Robert Blling, Senior EMS Representative with
the state EMS Program and William Campbell, Training Officer,
with the State Emergency Management Office.
special Thanks
No single educational offering is developed by one
author. Rather, quality educational programs are a blend or
composite of the best parts of numerous programs focused at
the group for which the course was designed. This course was
designed to meet the needs of the over 46,000 certified EMS
providers who serve the citizens of the State of New York.
We would like to thank the following people who have
taken the time to share their resources and/or time in
contributing to this course:
1. David I. Ruppert, Assistant Program Manager, Public
Employee Safety and Health Bureau, State of NY Department
of Labor for review of the instructor's manual.
2. Harvey Shapiro, Assistant Regional Administrator,
OSHA Federal Region Two, for review of the instructor.'s
manual.
3. John Bintz, Bureau of Occupational Health, NYS
Department of Health, for review of the instructor's
manual.
4. Linnea Sidi, Educational Consultant for assistance in
developing the quiz.
5. Ellen Lockart, Executive Producer, Emergency Medical
Update for production of the main videotape.
6. NYS Association of Fire Chiefs for material taken
from a previous course outline developed for NYS EMS
Program.
7. Jonathan Politis, EMT-P, Director Colonie EMS
Department, for reviewing the course manuals and
materials.
s. James Soto, EMT-D, Associate EMS Representative, NYS EMS
Program, for review of the instructor's manual.
9. NJ/NY Hazardous Materials Worker Training Center for
permission to use previously developed materials.
10. Kevin Kraus, EMT-P, SEMO: Associate Planner, for
review of the instructor's manual.
11. John Gibb, EMT/FF, SEMO: Planning supervisor, for
review of the instructor's manual.
12. Joseph Paz, EMT-P, Paramedic Program Coordinator NYC
EMS Academy, for review of the instructor's manual.
13. Walter Nelson, EMT-P, Lt. Program Coordinator NYC EMS
Academy, for review of the instructor's manual.
14. NYS Department of Corrections for assistance on the
Hazardous Materials Classification videotape.
15. Nancy Sweetland, MBA, for proofreading the instructor
& student manuals.
Page 2
NYS EMS-HAZMAT AWARENESS COURSE
course Guide & content outline
Table of contents
Topic
Section A
special Thanks . ................................... . 2
Table of Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Course Design & Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Class Size . ....................................... . 8
Pre-Course Planning:
Sponsorship, Facility .•..•.•••••.••••••••........ 8-9
Equipment, AV, Student Workbooks .••.••.•.•••....• 9-10
Who May Teach This Course •.••..•..••••.••........ 10
Estimating Costs ••..•..•.••••••••••••••••........ 10-11
sample Schedule ..••••..••.••.•..•...•............ 12
Pre-Course Administrative Procedures:
Application, Course Schedule, Approval •••.•..... 13-19
Specialty Course Material Order Form •.•....•..... 20-21
course Cancellation Notification ••••••.••........ 22-23
Section B
During-course Administrative Procedures:
student Registration ••.•..•..••••.••••..•........ 25-27
Student Quizzes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28-29
Student Course Evaluations •.•..•.••.•............ 30-31
Post-course Administrative Procedures:
Successful Completion ••••••••••••••.•............ 32
Issuing Certificates & Sample Certificate ....... . 32-33
Ma int a 1.ning Records . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
End of Course Procedures •••.••.•.••.•..•.•..•.... 34-39
Section c
How to Use This outline •..•..•..••••.•.•..•........ 43
Objectives for Session One •.••••.•••••••.••........ 45
Introduction . ..................................... . 46
PreQuiz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Hazmat Readiness . . . . . . • . . • . . . . • • . . • . • • . . . . . . . . . . . . . 47-48
OSHA/NFPA competencies •.•••••••.••.•..•..•......... 48-55
HAZMAT Classification & Identification •..•.•......• 56-61
Guidebook Exercise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61-62
Review of Incident command system •..•.••.•......... 62-64
The EMS Role in ICS •..•.••••••••..••..•..•.•....... 64-66
Objectives for Session Two ..•..••...•••.••......... 68
The Ri9ht to Know Law ••••.••••••••••••.•.•••••..... 69-71
Herbicide case study .•..•..••.•.•..•.••.•..•.•..••. 71
Field Stabilization & Treatment of Decontaminated
Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71-73
The stages of Decontamination .•.•..•.•••.••........ 73-74
Page 3
NYS EMS-HAZMATAWARENESSCOURSE
course Guide, content outline
Table of Contents (continued)

Topic Page #
Medical Monitoring & Documentation ••••••••••••••.•• 74-76
Post Incident Considerations ............•.......... 76-77
Annual Refresher Requirements & Course Summary ••••• 77-78
PostQuiz & Course Evaluation ...................... . 78
section D
Appendix:
Hazmat Glossary of Terms . . . . . . . . . . . . . . . . . . . . . . . . . 80-92
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93-94
Quiz . ........................................... . 95-98
Quiz Answers . .•••...••••.......•..•..••••••.••..• 99-100
BLS Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101-102
Agencies For Special Assistance •••••••••••.•••••• 103-104
NYS OFPC Emergency Notification Form •••••••••••.. 105
section B
overhead Transparencies . . . . . . . . . . . . . . . . . . . . . . . . . . 107-153
Index to overheads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154-156
Page 4
course Design, Goals

This course has been designed to meet and/or exceed the
OSHA Requirements for hazardous materials training at the
first responder awareness level. In New York State the EMS
Program certifies EMS providers at the following levels:
Certified First Responder (CFR), Emergency Medical Technician
(EMT), EMT-Defibrillation (EMT-D), EMT-Intermediate level
(EMT-I), EMT-Critical Care Technician (EMT-CC), and
EMT-Paramedic (EMT-P). The introduction of the levels of
hazardous material training, by OSHA, have absolutely no
correlation to the State levels of EMS training. That is to
say that any level of State certified CFR/EMT or Advanced EMT
could be trained at the "First Responder Bazmat Awareness
Level." Each ambulance service employer is responsible for
participating in the community emergency response plan. The
plan and the roles described for each of the players will
dictate exactly which level of OSHA hazardous materials
training is needed for_the personnel involved.
This course has been designed for ambulance personnel
whose community emergency response plan clearly does not put
them in the warm or hot zone of the hazmat incident. To be
very specific if you will be called to treat and transport
"decontaminated" patients the first responder awareness level
will suffice. However if your role is to assist in
decontamination it will be absolutely necessary for you to
take additional training above and beyond the scope of this
course!
The following is a brief overview of the goal for each
segment of this course:
1. Introduction, PreQuiz - (time 20 min.) during this time
the course is very briefly introduced and the
registration of students occurs. Each student will take
a prequiz to help assess their baseline knowledge of
hazardous material awareness.
2. Hazmat Readiness - (time 20 min.) during this time the
students watch a video which shows very graphically
incidents of hazardous material accidents across the
nation. Then the instructor will lead a brief discussion
about the preparedness of the local community to deal
with a hazmat incident.
3. OSHA/NFPA Competencies - (time 20 min.) during this time
the instructor reviews the pertinent regulations and
standards which apply to emergency responders. An
emphasis is placed on the community emergency response
plan as the document which will determine the actual
training that will be needed for each type of responder
(i.e., CFR, EMT, EMT-P, firefighter, police officer).
Pages
Course Guide & Content Outline
4. HAZMAT Classification & Identification - (time 50 min.)

during this _time.the students will watch a video which
describes the United Nations (UN) Classifications of
hazardous materials and then the instructor will discuss
methods of identification using overhead tranparencies.
An emphasis will be placed on use of the DOT Guidebook,
binoculars, and requesting the appropriate resources in
your community that are designated to mitigate the
incident.
5. Guidebook Exercise - (time 15 min.) during this time the
student will work in small groups sharing copies of the
DOT Guidebook preparing their approach to a series of UN
numbers or chemical names given to them by the
instructor.
6. Review of Incident command System & The EMS Role - (time
35 min.) during this time the instructor will review the
incident command system with an emphasis on the
functions, components, terminology and the specific roles
that EMS responders will need to play at an incident
which has a medical component. Treatment will be
centered around decontaminated patients.
7. The Right to Know Law - (time 30 min.) during this time
the instructor will review the provisions of the OSHA
hazard communication standard in which employers, such as
ambulance services, must develop a comprehensive program
to inform workers of hazards they may encounter in the
workplace and provide them with the training in the safe
use and handling of products containing hazardous
chemicals. The Material Safety Data Sheet (MSDS) for
commonly used chemicals around an ambulance service will
be discussed. Overhead transparencies will be used for
this section.
8. Herbicide case study - (time 25 min.) during this time
the students will view a video case study reenactment of
a small scale hazardous materials incident that could
commonly occur in any community that has a nursery supply
store. The response is probably not a common response as
this community is clearly prepared to deal with the
incident in a textbook manner. A brief discussion will
take place after viewing the video on how this incident
would be handled in the student's community and what
might happen if the material was more toxic than it
turned out to be?
9. Field Stabilization & Treatment of Decontaminated
Patients - (time 40 min.) during this time the students
·will view a video tape which has an interview with a
national expert and author Jonathan Borak, MD. Doctor
Borak discusses his view of the field stabilization and
Page 6
treatment that needs to commonly occur in a hazmat

incident. The treatment is specifically focused at the
patient who has already been decontaminated. The video
does show examples of how a hazmat team would have
decontaminated the patient.
10. The Stages of Decontamination - (time 15 min.) during
this time the instructor will briefly review what to
expect a hazmat team to do to decontaminate the
patients. Overhead transparencies will be used to stress
the perimeters that need to be established, the
decontamination corridor and the hot, warm and cold
zones.
11. Medical Monitoring & Documentation - (time 10 min.)
during this time the students will view a video which
shows the role of the ambulance standing by at an
incident. Emphasis will be placed upon taking a full set
of vitals before hazmat team members suit up and after
they have been fully decontaminated. Documentation is
important due to the potential longterm effects of
exposure to many chemicals that may occur with the hazmat
team members.
12. Post Incident considerations - (time 10 min.) during this
time the instructor will discuss the need for critique of
incidents so that future incidents will run better.
13. Annual Refresher Requirements & summary - (time 15 min.)
during this time the instructor will remind the students
of the OSHA mandate for annual demonstrated competency in
the hazmat awareness objectives and discuss method to
achieve this at the agency level. The course will be
summarized in a discussion format.
14. PostQuiz & course Evaluation - (time 15 min.) during this
time the students will each take a quiz that tests the
competencies of the course and be asked to complete a
course evaluation that can be used to improve future
courses.
Since this is a "canned" program, strict adherence to
the curriculum is required by the EMS Program. The student
evaluations are an important part of the end of course
paperwork. They are used for both the instructor to know
where he/she did well and where improvement is needed. The
EMS Program also uses student evaluations for analysis prior
to development of an update version of this curriculum.
Page 7
course Guide &Content outline
Class Size
The intent of this course is to expose as many students
as possible to this material. Since there are no skill labs
in the course, it can easily be taught to large groups in an
auditorium style setting. There are two limiting factors to
consider when planning the size of the group. First, the
brief discussions scattered throughout the course work better
with a smaller group. That is not to say that an experienced
instructor would not do a fine job working a larger crowd!
This just takes more experience and preparation.
The other factor is the use of videotape. As a result
of the course being.video intensive we must consider the
resources available to each instructor and the limitations
that their equipment may pose. It is for this reason that we
are offering the following guideline for student equipment
ratios. We recommend one 25 inch television monitor for
every 16 students and a maximum class size of 48 students.
It must be stressed that this guideline is designed to assist
you, the instructor, and the sponsor in determining the best
possible environment in which you can promote learning. With
this in mind, if you have the resources available, such as a
video projector for a wide screen in an auditorium, we will
allow larger class sizes.
Pre-course Planning: Sponsorship

The EMS Hazmat Awareness Course can only be sponsored by
a course sponsor that has been approved by the NYS EMS
Program to offer basic or advanced life support courses who
has the appropriately trained Certified Instructor
coordinator on their faculty. The responsibilities of the
sponsoring agencies include the following:
1. Field requests from EMS providers and agencies for EMS
Hazmat Awareness and plan for courses in their area.
2. Handle all course administration as explained in this
manual and the Educational Services Administrative
Manual.
3. Arrange for the equipment, supplies, student
workbook, facility, audio visuals and refreshments.
4. Hire the course faculty (they are NOT expected to
donate their services).
5. Handle all course promotion activities.
6. Handle student course registration.
7. Maintain records of all course financial transactions.
8. Handle all tuition funds and instructor payments as
promptly as practical.
Pages
Pre-Course Planning: Facility
The easiest facility arrangement for the EMS Hazmat

Awareness Course would include one large lecture style
classroom. This arrangement will allow for appropriate setup
prior to the actual class time.
The room that is to be used for the presentation should
be of sufficient size to comfortably accommodate the entire
class of students with a writing area for each student to
take notes. The lighting should be such that the lights can
be dimmed or partial lights turned off to both allow the use
of video and allow for note taking. A projection screen is
needed that is large enough for all students to see the
overhead transparencies.
Pre-course Planning: Equipment
The typical equipment used in this course is available

from the typical EMT course sponsoring agency or the course
sponsor. Because this course is new there are a few items
that may need to be purchased by the course sponsor prior to
the first course. The following table is a list of equipment
needed to conduct the course:
1 - overhead projector.
1 - screen.
1 - video cassette player (1/2 inch VHS).
1 - large television per 16 students.
2 - extension cords.
1 - overhead projector stand.
Complete set of videotapes and overhead transparencies.
Optional equipment for larger groups:
Sound system with amplifier for video component for
instructor microphone.
Video projector for wide screen projection.
Pre-course Planning: Audio Visuals
A considerable amount of time has been spent developing

the overheads and selecting the videotapes for this course.
The EMS Hazmat Awareness Course student Workbook and the
Instructor Manual both follow the audio visual package very
closely. For this reason it is essential that the entire set
Page 9
of overhead transparencies and video be used to give this

course. Absolutely no changes in the material or the
curriculum for .. the course may be made without the prior
express written permission of the NYS EMS Program. Changing
this course could alter its applicability to meet the
standards.
In addition, the complete set of audio visuals for this
course are expensive, so the NYS EMS Program will be
supplying a complete set of materials to each of the
sponsoring agencies approved to offer this course.
Pre-course Planning: student workbooks
The NYS EMS-Hazmat Awareness Course Student Workbook.is

a required textbook for this course and must be issued to
each student. The material in the Student Workbook has been
written to follow along with the course material in the
Instructor Manual. In addition there are a number of
resource materials that have been added to the student
Workbook. The student Workbooks should be ordered by the
sponsor from Health Education Services (HES) at least six
weeks prior to the start of the course.
Pre-Course Planning: Who May Teach This course
According to OSHA'S final rule (3/6/89) [29 CFR Part

1910.120 Q (7) Trainers], the instructors who teach any of
the levels of Hazmat training shall have satisfactorily
completed the training course for teaching the subjects they
are expected to teach or shall have the training an/or
academic credentials and instructional experience necessary
to demonstrate competent instructional skills and a good
command of the subject matter of the course they are to
teach. The NYS EMS Program requiresthat the instructor for
EMS Hazmat Awareness be a Certified Instructor Coordinator
(CIC) who has previously taken the course and/or can
demonstrate having taken an equivalent course. This CIC must
have a certificate of completion for attending the EMS Hazmat
Awareness Instructor Workshop provided by NYS EMS Program
which will prepare him/her to conduct this course.
Pre-course Planning: Estimating costs
The State EMS Program fully recognizes that the

instructors should be paid for their time teaching these
courses and the administrative expenses should be kept to a
minimum. The sponsoring agency should set a tuition fee
Page 10
which will cover the costs of the course and at the same time
be reasonable to the students. For larger classes you may
want to use a sliding fee schedule that will allow you to
encourage larger classes and reduced tuition for the
students. The following budget is based upon an average
class size of 30 students with a tuition of$ 17.00 per
student. Please note that at the time this manual was being
written, Health Educational Services (HES) had not yet priced
the NYS EMS-Hazmat Awareness course student Workbook. We
estimate that the book will cost approximately $5.00. These
books need to be purchased by the sponsor at least six weeks
prior to the course so they will arrive in time to be given
to the students.
Budget for Course
Faculty: $ 105.00
(if more than 1 instructor pay for actual
teaching hours - 6 hours @ $17.50)
Facilities/Supplies:
Room rental (donated space will be adequate) $ 0
Coffee breaks $ 30.00
Administrative:
Sponsor coordination activities: i.e., $ 75.00
promotion, registration, mailing,
copying; etc ...
Course certificates, evaluation, quizzes, $ O
answer sheets, registration cards (available
from NYS EMS for no cost)
Student Workbooks from HES $ 150.00
(estimated at$ 5.00 per book)
Equipment Purchases:
(based upon spreading the costs over
10 courses) $ 150.00
----------------------------------------------
Video player with pause & $ 300.
wireless remote
2 video monitors (televisions) $ 800.
overhead projector $ 250.
Projector stand $ 100.
Cables, etc .•• $ so.
TOTAL EQUIPMENT PURCHASES $ 1,soo.
----------------------------------------------
TOTAL $ 510.00
Page 11
Pre-course Planning: sample Schedule: Two Day Format

session # 1
7:00pm to 7:20pm Introduction & PreQuiz
7:20pm to 7:40pm Hazmat Readiness
7:40pm to 8:00pm OSHA/NFPA Competencies
8:00pm to 8:10pm Break
8:10pm to 9:00pm HAZMAT Classification & Identification
9:00pm to 9:15pm Guidebook Exercise
9:25pm to 10:00pm Review of Incident command System &
The EMS Role in ICS
session # 2
7:00pm to 7:30pm The Right to Know Law
7:30pm to 7:55pm Herbicide Case Study
8:05pm to 8:45pm Field Stabilization & Treatment of
Decontaminated Patients
8:55pm to 9:10pm The stages of Decontamination
9:10pm to 9:20pm Medical Monitoring & Documentation
9:20pm to 9:30pm Post Incident Considerations
9:30pm to 9:45pm Annual Refresher Requirements & Summary
9:45pm to 10:00pm PostQuiz & Course Evaluation
-------------------------------------------------------------
Pre-course Planning: sample Schedule: one Day Format
9:00am to 9:20am Introduction & PreQuiz
9:20am to 9:40am Hazmat Readiness
9:40am to 10:00am OSHA/NFPA Competencies
10:00am to 10:10am Break
10:10am to 11:00am HAZMAT Classification & Identification
11:00am to 11:15am Guidebook Exercise
11:15am to 11:25am Break
11:25am to 12:00pm Review of Incident Command system &
The EMS Role in ICS
12:00pm to 1:00pm Lunch Break
1:00pm to 1:30pm The Right to Know Law
1:30pm to 1:55pm Herbicide Case study
2:05pm to 2:45pm Field stabilization & Treatment of
Decontaminated Patients
2:55pm to 3:10pm The stages of Decontamination
3:10pm to 3:20pm Medical Monitoring & Documentation
3:20pm to 3:30pm Post Incident Considerations
3:30pm to 3:45pm Annual Refresher Requirements & Summary
3:45pm to 4:00pm PostQuiz & Course Evaluation
Page 12
-------------------------------------------------------------
Pre-course Administrative Procedures: Application
Applying to the NYS EMS Program to conduct an EMS Hazmat

Awareness Course is the same as the procedure for other EMS
non-certifying courses:
1) The appropriate forms and supplies can be ordered from
the EMS Program by making a copy of the supply order in
this manual. Books must be purchased at least six weeks
prior to the course through Health Education Services
(HES) using the order form in this manual.
2) The sponsoring agency must be one of the agencies
approved by NYS EMS Program to conduct this course. For
a list of approved sponsors contact the Continuing
Education Course Coordinator at NYS EMS Program (518)
474-2219.
3) The course must be conducted in strict accordance with
the current New York State course guidelines and
outlines. Any deviation from the course outline requires
prior written approval by the Emergency Medical services
Program Educational Services Unit.
4) For each course, the appropriate copy of the course
application (DOH-782) and course schedule (DOH-744) must
be sent to the following places at least 30 days prior to
the first course session:
A. EMS Program Central Office via certified mail.
B. Regional EMS Representative: and
c. Regional EMS Council.
5) Incomplete course applications or those submitted late
will be returned to the Course Sponsor for appropriate
corrections of changes.
The specific instructions for completion of the course
application and course schedule appear on the next few pages.
Page 13
Course Guide & content outline
Pre-course Administrative Procedures: course Approval

.. •.
All courses must have written approval from the NYS EMS
Program PRIOR to the start of the course. The course
approval notification is mailed to the course sponsor. This
very important form contains the official New York State EMS
course number which must be referred to on all correspondence
for the course. It is important that the EMS Hazmat
Awareness instructors work closely with the course
administrator to verify that enough student registration
forms, Student Workbooks and the appropriate supplies have
been ordered at least six weeks in advance!
Directions for completing the course Application
If you are running a continuing education course as an

add on to a certification course, then two separate course
applications and course schedules are required for
submission. These instructions correspond with the sample
form (DOH-782) in this manual.
1,2,3. Do not write in these sections. All of the shaded
areas are for NYS EMS staff use only.
4. Type of course: Put an "x" in the box that indicates
the course type you are intending to offer. You may
choose only one box.
5. Instructor coordinator (CIC) Number: Write the number
of the certified instructor in these boxes. If no
number is placed in this section, the application will
be returned to the sponsor. Please make sure the CIC
number is accurate. If an incorrect number is used
the computer will notice the error and the application
will be returned to the sponsor.
I/C EMT Number: The EMT certification number of the
instructor must be entered here.
6. CIC Name: Enter the instructor's last name, then
their first name.
7. street Address: Fill in the street address, post
office box or the rural route that the instructor
wishes to use when doing business with NYS EMS. The
home address is preferable for ease of contact.
s. city: Enter the city, town or village that
corresponds with the street address entered.
Page 14
9. State: Enter the state that corresponds with the

address above.
10. Zip Code: Enter the zip code that corresponds to the
address provided.
11. County: Enter the first four letters of the county
name that corresponds to the address provided.
Example: st. Lawrence is "STLA", New York is "NEWY",
etc.
12. starting Date: Enter the date of the first class
session.
13. Practical Examination Date: Leave this blank for the
EMS Hazmat Awareness Course.
14. Written Examination Date: Leave this blank for the
EMS Hazmat Awareness Course since there is no State
certifying examination.
15. Written Examination Time: Leave this blank for the
EMS Hazmat Awareness Course.
16. Sponsoring Agency Number: Each sponsoring agency is
assigned a reference number. Be sure to enter the
correct number for your agency.
Name of Sponsoring Agency: Write the name of the
sponsoring agency.
Name of Sponsor•s Administrator: Write the designated
contact person for the sponsoring agency. This should
be the same person that was noted on the Sponsor's
Agreement. If there is a change in personnel, please
notify NYS EMS in a letter prior to submitting a
course application with new names on it.
Day Telephone Number: Write in the daytime telephone
number where NYS EMS staff can contact the sponsor's
administrator if the need arises.
17. Request for Funding: Check no since there is no State
funding for the EMS Hazmat Awareness Course.
18. Class Location: Where is the course being held?
19. Street Location: What is the address of the facility?
20. City: What is the name of the town, city or village?
21.· State: The state where the course is being held is
New York State (NY).
Page 15
22. Zip: The zip code of the address where the course is
being held.
23. county:·. The name of the county where the course is
being held.
Please read the paragraph above the signature lines very
carefully. Be sure that all three lines are signed by the
appropriate person. All certification courses require a
Course Medical Director's signature and he/she must be the
same physician who is listed on the Sponsor's Agreement. The
EMS Hazmat Awareness Course is considered a continuing
education course and not a certification course. Understand
that forgery is a criminal offense and can be prosecuted to
the full extent under the law.
All signatures must be original signatures. NYS EMS
staff will not accept an application where someone has signed
for another person or an ink stamp has been used. The date
should be entered after each signature is placed on the form.
Under the last signature line is the distribution list
for the different colored pages of the application. Please
send the copies to the designated agencies. If the course
sponsoring agency does not send the Regional council their
copy of this application NYS EMS will not, so please follow
the directions on the form.
The bottom section of the application is a tear away
that is returned to the sponsor by NYS EMS staff notifying
them of the course approval and the assigned course number.
In the space provided please write the address of the
sponsoring agency so that this approval can be promptly
returned. Also write in the CIC's name and the course type
in the space provided. If the Certification Unit personnel
have to hand write your address on these forms it will be
delayed. On both the application and the approval ticket
there is an inventory control number. Please use that number
to match the approval notification and your copy of the
application so that you know which one of your course
applications was approved.
Page 16
4. lYPE OF COURSE
D- EMT Refresher Cricital

Clinical Care
D Basic EMT Intermediate

Critical Care
=. i II
1. , , , - III II
IIllII I IIIl I II l l !II IIII II
111111 IIIII II I II! II I IIII II
8.
II I I llI II iI IIIII
11.
I I I I H I HI I ! I I I I HI I I I !
12. 13. Examination Written Date 15. Written Examination
111 III II I II I II II
Nonnal Day(s) ol
Nameol
III
_______ _ _ _ _ _ _ _ _ _ _ _ __
Day (
IIIII IIIIIIIII IIIIIIIIIIIIIIIII

I
111 1 11 1111111 111 111 1
23. County
1 I
Pn:lpml
lignlllnSnraqi,nd.
(1) Signed
FIELD REP. PINK-REGIONAL

---------------------------------------------------------
COURSEAPPROVALNOTIRCATION
I
IS
NEW STATE
Name
Course
TD IE OF
Page 17
Directions for completing the Course Schedule
The Course Schedule (DOH-744) is used by the sponsor to

detail the course that is described on the corresponding
Course Application. The distribution is as follows:
A. White copy - NYS EMS Central Office by Certified Mail.
B. Yellow copy - NYS EMS Field Rep.
c. Pink copy - Regional EMS Council.
D. Gold copy - Sponsor's course file.
This actual form is optional. The sponsor must include
a schedule however, it may be submitted on the form that best
suits the sponsor's needs. For example, many sponsors use a
computer to generate these forms. When they plan a new
course they simply plug in the times, dates and faculty. If
you do not use the form (DOH-744) supplied by NYS EMS you
must include the exact same information on your version of
this form. If you are running a continuing education course
as an add-on to a certification course two separate course
applications and schedules are required.
1. course Type: Fill in EMS Hazmat Awareness.
2. Name of Medical Director: Since EMS Hazmat Awareness
is a continuing education course a Medical Director is
not required.
3. Practical Skill Exam Location and Date: Leave blank.
4. State certifying Written Exam: Leave this blank.
5. Textbook Used: Please write the EMS Hazmat Awareness
student Workbook and any supplemental required books.
6. Date & Day: The dates and days of the course.
7. Time am/pm: The time that the classes will meet. For
example "7:00pm to 10:00pm."
a. NYS session Number: The session number in this
curriculum.
9. Your session Number: sometimes an instructor may
choose to expand upon the curriculum. This is the
sequence of classes.
10. contact/Topic: The title of the class being presented
for each specific session. It should correspond with
the course outline.
11. Primary Instructor: This should be the name of the
Page 18
New York State Department of Health
EMERGENCY MEDICAL SERVICES PROGRAM
I
COURSE N U M B E R : - - - - - - - - - - - -
COURSE SCHEDULE
COURSE T Y P E : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NAME OF MEDICAL DIRECTOR: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

PRACTICAL SKILLS EXAM LOCATION: - - - - - - - - - - - - - - - - - - DATE:
STATE CERTIFYING EXAMINATION LOCATION: - - - - - - - - - - - - - - - DATE:
THIS SCHEDULE MUST BE IN ACCORDANCE WITH CURRENT NYS CURRICULUM
ANY DEVIATION REQUIRES WRITTEN APPROVAL FROM EMSP.
Please Type or Print Course Schedule

TEXTBOOKS USED:
DATE TIIIE NYS YOUR PRIMARY

&DAY AM/PM SESSION SESSION CONTENT/TOPIC INSTRUCTOR In
NUMBER NUMBER ATTENDANCE
page 19
NOTE: The full name of each faculty member for the course schedule must be listed at the end of this form .
Page of
DOH-744 (6/86) White-EMSP
(Central) Yellow-Regional
Rep. Pink-EMS Council Gold-I/C
Emergency Medical Services Program
74 State Street, 4th Floor, Albany, New York 12207-2512
EMS Instructor Certification Program - Brochure 200

ONLY SPONSORS APPROVED TO CONDUCT SPECIALTYCOURSES MAY ORDER THESE COURSE MATERIALS
LJLJ-LJLJLJ Allow 6-8 weeks for delivery

This retum address label will be used by UPS to deliver your materials. UPS does not deliver to P. 0. Boxes.
Please make sure your address Is complete and legible.
••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
NYS Department of Heallh
SHIP TO:
74 State Street, 4th Floor
Albany, New York 12207-2512
Page 20
PLEASE PRINT
DOH-2719 (7/91)
Health Education Services
A Division of Health Research Incorporated
P.O. Box 7126, Albany, New York 12224
(518) 439-7286
Quantity Publication Unit Price Amount
CFR/EMTIAEMT Student Manual 1.50

CONTINUING EDUCATION & INSTRUCTOR .COURSE.WORKBOOKS):\
7.00
6 nn
• • Care C ou ·--- -
• • -• I ab InstructorC - St udent • ••
4 25
1
Certified Instructor Coordinator Course - Student Workbook 5.25
Certified Instructor I Update
Workbook 3.nn
Protecting Yoursett From AIDS .
and Other Infectious Diseases - Instructor Guide 3.75
Certified First Resoonder Course - Curriculum 3.50

Certified First Resoonder Refresher Course - Curriculum 3.75
Basic - Curriculum 8.nn
EMT Course - Curriculum
EMT- Defbrillation
... Course - Curriculum
EMT-Intermediate Course - Curriculum 15.00

EMT-Intermediate Refresher Course - Curriculum
EMT-Critical Care Course - Curriculum lunder revisionl NIA
EMT-Critical Care Refresher Course tunder revision\
EMT-Paramedic Course - Curriculum /available Fall '911 N/A
EMT-Paramedic Refresher Course - Curriculum 17.75
EMS-Disoatcher Course - Curriculum (available Fall '91I NIA
Crash Victim Extrication Course {under revision) .NIA
ALL ORDERS MUST BE PREPAID
Checks or money orders should be made payable to: Subtotal
Health Education Services
Shipping & Handling
Total Order $
SHIP TO:
PLEASE PRINT
HES Is not obligated to accept returns on any publication or Issue refunds. Page21
course Cancellation Notification
sometimes it becomes necessary for the sponsor to cancel

a course. Please notify the EMS Program using the Course
Cancellation Notification so that we can close the file on
the course. Your course appears on a course calendar which
is used to channel requests for locations of training
programs by potential students. We would like this calendar
to be as accurate as possible so we appreciate your notifying
us of any changes in the course or its cancellation. The
directions for the Course Cancellation Notification appear
below:
1. Name of Sponsoring Agency: Write the name of the
sponsoring organization.
2. Sponsor's Code: Write in the identification number
assigned to the sponsor by NYS EMS Program.
3. Course Title: Write in EMS Hazmat Awareness.
4. Location: Where the course was scheduled to take
place.
5. Cancellation Date: When the decision was made to
cancel this course.
6. Certified Instructor Coordinator: The name of0 the CIC
that was going to teach the course.
7. Start Date: When the application said the course was
planned to begin.
8. Exam Date: Leave this blank.
9. Reason for cancellation: Please tell us briefly, why
the course was cancelled.
Page 22
Course Number
Notice of Course Cancellation
I understand that it is the responsibility of the Course Administrator to return this form immediately
upon determination that a class will be cancelled. This form is due at the EMS Certification Unit
within five days of the course cancellation.
Name of Sponsoring Agency: _ _ _ _ _ _ _ _ _ Sponsors Code:
Course Type: Location: _ _ _ _ _ _ _ _ _ _ _ __
Cancellation Date: _ _ _ _ _ _ _ Instructor/Coordinator: _ _ _ _ _ _ _ _ _ __

(print name)
Date Course was Scheduled to Start: _ _ _ _ Date Examine was Scheduled: _ _ __
This is to notify the EMS Program Certification Unit that the above referenced EMS Training/EMT
Certification course has been cancelled. The reason for cancellation is as follows: _ _ __
Course Administrator: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
(signature)
Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
DOH 80(5/86)
Page23
New York State SECTION B
Emergency During Course

Administrative Procedures:
Medical Student Registration

Student Quizzes
Student Course Evaluations
Services Post Course

Administrative Procedures:
Program Successful Completion

Issuing Certificates
Maintaining Records
End-of-Course Procedures
HAZMAT AWARENESS
Page24

student Registration
Each student who attends the EMS Hazmat Awareness Course

must complete a student registration card. It is the
responsibility of the CIC to review the student registration
cards for completeness and legibly Continuing education
courses do not use a student application like the
certification courses. Instead the EMS Program has developed
a student registration card which is used for taking
attendance in the course and maintaining mailing information
on the student. These cards can be ordered from NYS EMS and
a sample appears on later in this manual.
Instructions for completion of the registration cards
are below:
1. course Type: Check Other and write in EMS Hazmat
Awareness.
2. Name: Enter complete name of the student.
3. street Address: Enter mailing address of the student.
4. City: Enter the city of mailing address.
5. state: Enter N.Y.
6. Zip: Enter the standard 5 digit zip code.
7. EMS Agency: Enter the primary agency the student is
an employee/volunteer for.
8. Level of Training: Check highest level of training.
9. EMT Number: Enter student's certification number.
10. Expires: This is a good opportunity for the student's
to pull out their cards. Enter the expiration on
their latest certification card.
11. course Sponsor: Enter the name of the sponsor. Do
not enter the name of a sponsor that is not approved
to conduct the EMS Hazmat Awareness course.
12. Course Location: Enter the NYS EMS course number.
13.' Attendance: Write the date and initial that the
student was present for the entire session.
Page 25
Emergency Medical Services
NEW YORK STATE DEPARTMENT OF HEALTH
Emergency Medical Services Program Continuing Education Course
Please Print Clearly Student Registration Card
Course Type (check one only) 0 CTC O AAPS O PPCC O HAZMAT Awareness O Other
Name
Street Address;
City State
Zip D D
EMS Agency Sludenl WorksNolunteers lor
Levelol
Training:
D CFR EMT EMT-D D EMT-I EMT-CC EMT-P O (explain)
______
EMT Number 0 Expires
Course Sponsor · Course Number

Course Location
Attendance: Sessions 1. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 4
( Date/
Instructor Initials) 2. ________________ 5. __________________
3. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 6. - - - - - - - - - - - - - - - - -
DOH-792 (5/92)
Page
26

student Quizzes
It is the responsibility of the CIC to see that each

student completes both a prequiz and a postquiz. The prequiz
may be taken without the student writing in their name on the
answer sheet. If they are taking the course as a refresher
course, they must put their name on the prequiz answer sheet
as the grade of 80% or greater will be used to waive
attendance at segments of the course.
Have the students write in their answers on the Quiz.
Answer Sheet, available from NYS EMS Program. Do not allow
the students to write on the actual quiz question sheet as
these must be collected and used over with each new course.
A sample of the Quiz Answer Sheet appears on the next page.
The actual quiz c;ruestion sheets are available from NYS EMS
Program. There is a copy of this quiz along with the answers
to the questions in "Section D: Appendix" of this manual.
All students must take the postquiz to receive a
certificate. As with all state courses 70% is the passing
grade. If the student does not pass the quiz, they will get
one opportunity to retake the quiz and pass it after they
have had the time to reread over the Student Workbook.
Should they fail again, they must take the entire course over
and pass to be eligible for a certificate.
The quiz has been designed to test the OSHA competencies
and not test every section of the course. Do not go over the
quiz during the class or allow the students to keep the
answer sheet or quiz. If students have questions after the
prequiz, explain that all material will be covered in the
course and have them re-ask their question during the session
in which the material is covered if they still have the
question. Some students might feel put off with this kind of
response. In this case explain that the course is very
structured for time and that you will speak with them during
the break to try to answer their questions.
As part of the post course administrative procedures the
CIC will need to supply the NYS EMS Program with a Quiz
Summary Sheet. A sample of this form can be found later in
this manual.
Page 27
Quiz Answer Sheet
Place an X in the box corresponding to the correct response.
1) AO BO CD DO
2) AO BO CO DO
3) AO BO CO DD Name
4) A BO CO DD
5) AD BO CD DD
6) AD BO CD DD Date
7) AD BO CD DD
8) AD BO CD DD
9) AO BO CO DD
10) AD BO CD DD
11) AD BO CD DD
12) AO BO CD DD
13) AD BO CD DO
14) AD BO CD DD
15) AD BO CD DD
16) AD BO CO DD
17) AD BO CD DD
18) AO BO CD DD
19) AO BO CD DD
20) AD BO CD DD
21) AO BO CO DD
22) AD BO CD DD
23) AO BO CD DD
24) AO BO CD DD
25) AO BO CO DD
Page28
DOH-2720 (4/92)
During-Course Administrative Procedures:

student course Evaluations
The CIC will need to have each student complete a

Student course Evaluation for the following reasons:
1. In order to help the sponsor get a handle on the strong
and weak points of the course.
2. To give the CIC feedback on their presentation skills.
3. To help the NYS EMS Program review the effectiveness
of this course.
4. For the NYS EMS Program to use in analysis of the
needed changes .for the next version of this curriculum.
The Student course Evaluation should be completed during
the last class session by each student. The evaluation form
is the last page of the Student Workbook. Have the student
write in the CIC's name on the lines provided. The student
need not fill in his/her name if they do not want to. Please
encourage the students to comment candidly as their input
will be read and it will be useful for future course
development.
As a part of the post course administrative procedures
the CIC will need to supply the NYS EMS Program with a
Student course Evaluation for each student that attended the
course ... A sample of this form appears on the next page of
this manual.
Page 29
NEW YORK STATE DEPARTMENT OF HEALTH
Evaluation
Name Course number/type
I
Course Sponsor Date (From) (To)
Very Very
Satisfied Dissatisfied
10 9 8 7 6 5 4 3 2 1
1. Preprogram information & registration procedure
DODODODODO
2. How would you rate the lectures?
ODODDDODOD
3. How would you rate the discussions?
DDDDDODODO
4. How would you rate the audiovisuals?
ODODODODDD
5. How would you rate the student workbook?
DDDODODODO
6. Were your objectives for attending met?
ODODODODOD
7. Were course objectives met?
DODODODODO
8. Overall rating of the program
DODODODODO
Instructors
9.Name _ _ _ _ _ _ _ _ _ _ _ _ _ _
a. Overall rating
ODODODODDD
b. Effectiveness of presentation
DODDDODDDO
c. Degree of preparedness/organization
DDODODODOD
10. Name _ _ _ _ _ _ _ _ _ _ _ _ _ _
a. Overall rating
DODODODODO
b. Effectiveness of presentation OOOOOOODOO
c. Degree of preparedness/organization
DOOODODODD
11. What was your general impression of this program?
12. What changes would you suggest in this program?
13. Would you recommend this to other EMTs in your agency? Yes No
Other comments: _
DOH-2718 (5/90)
Page30

successful completion
In order to be eligible for the NYS EMS Program course

completion certificate for the EMS Hazmat Awareness Course,
the student must have completed the entire 6 hour course.
Should a student miss a session, the session can be made up
by attending the session in either the next course the
sponsor is running or by attending another sponsor's course.
If a student is sent to makeup a session with another
sponsor, be sure to instruct him/her to return with a brief
note signed by the CIC who ran that session attesting to the
fact that the student (name) attended session number (1 or
2), topic covered (explain) and on this (date).

Issuing certificates
Students like to receive their certificates during the

last course session rather than hear that it will be sent to
them "someday." We strongly suggest that the sponsor have
the certificates typed for all students you expect to
complete the course so they may be issued at the last
session. This will also avoid the extra cost of having to
mail the certificates to each student, after the course is
over.
Finally, students should be told to give a copy of the
certificate to their employer, since their employer is
responsible for maintaining records that show the appropriate
level of Hazmat training has been (conducted) for all
employees.
A sample of the EMS Hazmat Awareness Course certificate
appears on the next page.
Page 31
DOH New York State Department of Health
NEW YORK STATE'S
*
EMERGENCY
MEDICAL
SERVICES
PEOPLE WHO CARE
Certificate of Completion
SAM PLE
Page Has attended and completed a New York State Emergency Medical Services
i Continuing Education Course sponsored by the
ij New York State Department of Health entitled:
EMS-HAZMAT AWARENESS COURSE

Date completed SAMPLE
• Ill SAMPLE
Certified Instructor Director, Emergency Medical Services Program

Maintaining Records
It is the responsibility of the sponsoring agency to see

to it that a course file is maintained for each EMS Hazmat
Awareness Course. The course file must contain the following
documents:
1. Copy of the Course Application (DOH-782).
2. Copy of the course Schedule (DOH-744).
3. Copy of the Course Approval Notification.
4. All student pre and post quizzes.
5. Copy of the Quiz Summary Sheet.
6. Copy of the Certified Class List (DOH-89).
7. Student Registration Cards.
8. Financial records for the course, i.e., funds taken
in and funds dispersed to whom, etc.

End of course Procedures
The end of course paperwork for an EMS Hazmat Awareness

course is very important to the NYS EMS Program. If it is
not properly completed, the records will not reflect the fact
that your students successfully completed the course
requirements. Please pay careful attention when filing the
end of course paperwork. Within ten days of the last session
of the continuing education course the sponsoring agency's
course administrator must meet with the CIC for the program
to assure the NYS EMS Program Central Office is sent the
following items in a packet by certified mail:
1. The Certified Class List For EMS Training Courses.
2. The Quiz Summary Sheet.
3. All of the original Student Course Evaluations.
We strongly suggest that the CIC who conducted the
course meet with the sponsoring agency to critique the course
that was just completed. In addition, before sending in the
Student Course Evaluations they should be reviewed by the
course instructor to help improve future courses.
Directions for the Certified Class List
The certified class list (DOH-89) is used to report the

student's results for continuing education courses. This
. Page 33
form is used for the following courses:

1. crash Victim Extrication (CVE).
2. critical Trauma care (CTC).
3. Infection Control Workshop (ICW).
4. Ambulance Accident Prevention seminar (AAPS).
5. Certified Instructor Coordinator (CIC).
6. Certified Lab Instructor (CLI).
7. Emergency Vehicle Operator Course (EVOC).
8. Certified Instructor Update (CI Update).
9. EMS Dispatcher Course (EMO).
10. Prehospital Pediatric Care Course (PPCC).
11. Other: Fill in EMS Hazmat Awareness Course.
This form must be turned in with the end of course
paperwork for any of the above courses. The directions are
as follows:
1. Course Type: Fill in EMS Hazmat Awareness in the other
box.
2. course Number: Place the course number that was
assigned by NYS EMS Program here.
3. Class Dates: List the date that the course began and
the date of the last session.
4• Class List: List the names of the students who
successfully completed all the course requirements in
alphabetical order with their last name, then first
name.
5. Instructor coordinator signature: The NYS EMS approved
CIC for the course must certify that the listed
students completed all of the course requirements
successfully. List the location of the course and the
date of the signature.
6. Students Who Failed or Did Not complete the Course:
List all the names of the students who did not complete
the course. In the boxes next to the name, place the
code for the reason that the course was not completed
(ie: 1 Missed Sessions, 2 Failed Practical, 3 Withdrew,
4 Failed Course, 9 Other).
Page 34
NEW YORK STATE DEPARTMENT OF HEALTH Certified Class List
Development Program For Ancillary EMS Training Courses
Course Type:
D Crash Victim Extrication O Instructor Coordinator Course 0 EMS Dispatcher Course
D Other _ _ _ _ _ _ __
D Critical Trauma care 0 Lab Instructor Course
D Amb. Accident Prevention Seminar 0 EVOC
....
Course No. _ _ _ _ _ _ _ __ Class Dates _ _ _ _ _ _ __ To _ _ _ _ _ _ _
Please type or print In alphabetical order, last name first,

all students completing this EMS course.
1. 21.
2. 22.
3. 23.
4. 24.
5. 25.
6. 26.
7. 27.
8. 28.
9. 29.
10. 30.
11. 31.
12. 32.
13. 33.
14. 34.
15. 35.
16. 36.
17. 37.
18. 38.
19. 39.
20. 40.
NOTE:
See Special lnstructions on reverae side to 11st all students I hereby certify that the above listed students have completed
who failed or did not complete this courae. all course requirements for this EMS program located ·
_________________
DOH-89 (6188) Page 1 of 2

Instructor/Coordinator Signature bate
(Formerly EMS-114) Page35
SPECIAL INSTRUCTIONS
(to be completed by Instructor/Coordinator)
List all students who faffed or did not complete this course.
In the boxes below, indicate the code number that best describes the reason students failed or did not complete this course.
Codes
1 = MISSED SESSIONS
2 = FAILED PRACTICAL
3 = WITHDREW
4 = FAILED COURSE
9 = OTHER (PLEASE EXPLAIN IN THE COMMENT SECTION)
Name of Student Code Comments
1. - - - - - - - - - - - - - - D
2. - - - - - - - - - - - - - - D
3. D
4. - - - - - - - - - - - - - - D
5. D
6. - - - - - - - - - - - - - - D
7. - - - - - - - - - - - - - - D
8. - - - - - - - - - - - - - - D
9. - - - - - - - - - - - - - -
D
10. - - - - - - - - - - - - - - D
11. - - - - - - - - - - - - - -
D
12. - - - - - - - - - - - - - -
D
13. - - - - - - - - - - - - - -
D
14. - - - - - - - - - - - - - -
D
15. - - - - - - - - - - - - - -
D
16. - - - - - - - - - - - - - -
D
17. - - - - - - - - - - - - - -
D
18. - - - - - - - - - - - - - -
D
19.
D
20. - - - - - - - - - - - - - - D
DOH-89 (6188) Page 2 of 2
(Formerly EMS-114)
Page36
Quiz summary Sheet
Since the student names are optional on the prequiz, it

is not necessary to try to match up the names of pre-quiz and
post-quiz. Enter the list of grades and compute a pre and
post average. A sample of this form appears on the next
page.
....·.
. .. .... . . ... . . ....
BLASTING
·: ·.AGENTS
•
. .... ..
• • •
·. ·"
• • • • • ,,,/J
......
.....
I •
. • • .
Page 37
NEW YORK STATEDEPARTMENT OF HEALTH
Quiz Summary Sheet
Course Sponsor
Course Number From To
Pre-Quiz
u1z. ra es. Grades
1 1
2 2
3 3
4 4
5 5
6 PRE 6 POST
7 QUIZ 7 QUIZ
8 AVERAGE 8 AVERAGE
9 GRADE 9
GRADE
10 10
11 11
12 12
13 13
14 14
15 Comments: _ _ __
15 Comments:
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
DOH-2721 (6/89) p 1 of 2
Page38
Regional EMS Councils: EMS
Nassau-Suffolk Regional EMS Council
For further infornation
contact:
HAZMAT
Nassau County Health Department
240 Old Country Road, Room 613 AWARENESS
Mineola, NY 11564 New York State Department of Health
74 State Street, 4th Floor
COURSE
New York City Regional EMS Council Albany, New York 12237-0616
475 Riverside Drive, Suite 1370
New York, NY 10116
(518) 474-2219
North Country Regional EMS Council

c/oMercy Hospital 39
218 Stone Street
Watertown, NY 13601
Pag
Southern Tier Regional EMS Council NEW YORK STATE'S

425 Pennsylvania Avenue, Room 324
Elmira, NY 14904 EMERGENCY
MEDICAL
Southwestern Regional EMS Council
1701 Lincoln Avenue, Suite 1410
Olean, NY 14760
Susquehanna RegionalEMS Council

* SERVICES
PEOPLE WHO CARE A Continuing Education Course

for EMS Providers
Broome County EMS

BCC-Upper Front Street
Binghamtom, NY 13906
Wyoming-Erie Regional EMS Council
Erie County Health Department
3369 Broadway State Emergency Management Organization
Cheektowanga, NY 14227 State of New York
Mario M. Cuomo, Governor and your
Local EMS Course Sponsor
Who is the What does the Regional EMS Councils:
EMSHAZMAT EMSHAZMAT
AWARENESS COURSE AWARENESS COURSE Adirondack-Appalachian Regional EMS Council
designed for ? consist of ? P.O. Box202
Cooperstown, NY 13326
The EMS HAZMAT Awareness course is an This course was designed to cover the following
entry level training program for all levels of topics with a combination of video, overheads and Big Lakes Regional EMS Council
EMS providers, upon which other hazardous class discussion: Office of Civil Defense
materials training courses will expand upon. Council House Road
The course is designed to meet and/or exceed the • HAZMAT Readiness Albion, NY 14411
OSHA requirements for hazardous materials * Overview to the OSHA & NFPA
training at the first responder level. (29 CFR Competencies Centre) New York Regional EMS Council
Part 1910.120) The introduction of the different • HAZMAT Classification & Identification CNY Hospital Association
levels of training required by OSHA have • Using the DOT Guidebook 5740 Commons Park, Box 160
absolutely no correlation to the State certification • Review the Incident Command System East Syracuse, NY 13057
levels of EMS providers. That is to say that any (JCS)
level of State certified CFR/EMT/AEMT could * The EMS Role in JCS Finger Lakes Regional EMS Council
be trained at the "First Responder HAZMAT • The Right To Know Law and Material CCFL-Extention Center
Awareness Level." Safety Data Sheets Main & Seneca Street
• Herbicide Case Study Geneva, NY 14456
40
Each ambulance service is responsible for • Field Stabilization & Treatment of
participating in the community emergency Decontaminated Patients Hudson-Mohawk Regional EMS Council
response plan. The plan and the roles described • The Stages of Decontamination 22 Warehouse Row Page
for each of the "players" will dictate exactly • Medical Monitoring Albany, NY 12205
which level of OSHA hazardous materials • Poat Incident Considerations
training is required for the personnel involved. • Annual Refresher Requirements Hudson Valley Regional EMS Council
Thia course is designed for ambulance personnel c/o Nyack Hospital
whose community emergency response plan North Midland Avenue
clearly does not put them in the "warm" or ''hot Nyack, NY 10960
zone" of a HAZMAT incident. To be specific, if Where will the
you are called to. treat and transport EMSHAZMAT Mid-State Regional EMS Council
"decontaminated patients, the EMS HAZMAT 404 Arthur Street
Awareness course will suffice. However, if your
AWARENESS COURSE Herkimer, NY 13339
role is to assist in the decontamination, it is be offered ?
absolutely necessary for you to take additional Monroe-Livingston Regional EMS Council
training above and beyond the scope of this Monroe County Health Department
course. Most local EMS course sponsors who oft'er 111 Westfall Road
EMT or Advanced EMT courses will be authorized Rochester, NY 14692
The course can also be used to document to give the EMS HAZMAT AwarenessCourse, with
employee (including volunteers) knowledge in qualified instructors. For more information on Mountain Lakes Regional EMS Council
the HAZMAT awarenesscompetencies for the which sponsors have scheduled courses in your SEMO, Field Office
annual OSHA refresher training requirement. area, contact your Regional EMS Council. Fox Farm Road
Queensbury, NY 12804
ST ATE OF NEW YORK
DEPARTMENT OF LABOR
DIVISION OF SAFETY AND HEALTH
. • GOV. W, AVERELL HARRIMAN
STATE OFFICE BUILDING CAMPUS
ALBANY, N.Y. 12240
May l, 1992
Mr. Robert Elling

Senior EMS Representative
NYS Department of Health
74 State Street
Albany, New York 12237
Re: Hazmat Awareness course
Dear Mr. Elling:
I have reviewed the course outline you provided and
find that it addresses all the requirements of 29CFR1910.120
(q)(6)(i) for awareness level first responders. It also
addresses Items (A), (C) and (E) of 29CFR1910.120 (q)(6)(ii)
for operations level responders.
At this point I can't think of anything I could
recommend you add to the course itself. It appears to be well
thought out.
I would suggest you add a few more questions on
recognizing the presence of hazardous materials to the quiz if done
you are planning to use it to document competency in lieu of -
refresher training.
If I may be of further assistance, please feel free to
contact me.
Sincerely,
David Ruppert
Assistant Program Manager
PESH
DR:cer
Page41
New York State SECTION C
Emergency How to Use This Outline
Medical Session one:
Session Two:
Services
Program
HAZMAT AWARENESS
''A Continuing Education Course for EMS Providers"
Page42
Bow to Use This outline
This content outline has been prepared to closely follow

the course schedule and the audiovisuals that are used in the
EMS Hazmat Awareness Course. The CIC who presents this
program should "dry run" the course with this outline to
prepare to conduct the course. It is strongly advised that
the outline be with the CIC when running this course as the
time schedule is very tight and does not allow for
digressions or lengthy "war stories". There are also
specific opening questions that are raised to prompt
_discussion during certain sections of the course.
The videotapes will be available from the course sponsor
as well as the overhead transparencies, which are also
printed in the appendix of this instructor's manual. The
Student Workbook has been developed as an expansion of this
manual in a text format rather than outline format. Review
the Student Workbook prior to teaching this course to refresh
your memory of what the students have available to them. It
is very important that each student be issued a NYS EMS-
Hazmat Awareness Student Workbook and that DOT Guidebooks be
available to the students during session one of the course.
At the beginning of each session of the course are the
objectives for the session. Be sure to emphasize the
material in these objectives as they are the key points in
the course. In addition, the OSHA competencies have been
noted as they are the objectives that must be attained by the
students to meet the standards in the regulations. The quiz
has beeri developed to test many of the objectives in the
course but not all of them. The OSHA competencies are all
tested on the quiz so be sure to emphasize them.
Your students may bring alot of experience on the
subject matter to the course. Don't be afraid to utilize
their knowledge to make the discussion more informative,
interesting and relevant to your community. At the same
time your challenge as the instructor is to control the
discussion so that it is kept on the topic and within the
time frames for the course.
Page 43
-----------------------------------------------------------
SESSION # 1
------------------------------------------------------------
Introduction & PreQuiz 20 min.
Hazmat Readiness 20 min.
OSHA/NFPA Competencies 20 min.
Break 10 min.
HAZMAT Classification & Identification 50 min.
Guidebook Exercise 15 min.
Break 10 min.
Review of Incident Command System &
The EMS Role in res 35 min.
------------------------------------------------------------
Faculty
certified Instructor Coordinator
Other Faculty: Approved Hazmat Instructor
Page 44
Objectives
Upon completioij _of this session, the student will be able to:
1.* Define "hazardous materials".
2.* Describe the risks associated when hazardous materials
are involved in an incident.
3.* Describe the potential outcomes associated with an
emergency created when hazardous materials are present.
4.* Describe the content of the 1989 OSHA Final Rule 29 CFR
Part 1910.120.
5. Discuss NFPA 472 Standard Professional Competence of
Responders to Hazardous Materials Incident and its
similarities to the OSHA regulations.
6. Discuss NFPA 473 (proposed) standard for Competencies
for EMS Personnel Responding to Hazardous Materials
Incidents.
7. List methods of acquiring information about local hazmat
risks.
8.* Identify six sensory clues that might help the EMS
provider to recognize the presence of hazardous
materials in an incident.
9.* Describe methods of identifying hazardous materials.
10. Identify the function of a Material Safety Data Sheet.
11. State the function of CHEMTREC and CANUTEC.
12. List the components of pre-planning for hazmat
incidents.
13.* Describe the role of the first responder awareness
individual in the employer's (ambulance service)
emergency response plan including site security and
control and the U.S. D.O.T. Emergency Response
Guidebook.
14.* Describe when additional resources are needed at a
hazmat incident and how to make the appropriate
notifications to the communications center.
15. Describe the priorities of care during hazmat incidents.
16. Describe the function of the U.S. D.O.T. Emergency
Response Guidebook.
17. Name the primary components of the Incident Command
system.
18. Identify the importance of a unified command structure.
19. Explain the importance of comprehensive resource
management.
20. Explain the functions of the triage sector/division
officer.
21. List the communications needs of the hospital(s).
22. Describe the role of the triage, treatment and
transportation officers.
*=OSHA competency
Page 45
TOPIC CONTENT OUTLINE

-------------------------------------------------------------
Xntroduction
A. Introduce instructor.
B. Student registration cards.
C. Introduce the course.
[Overhead #1]
1. Format.
a. Review course schedule.
b. Use of short video segments.
c. Conducting brief discussions.
2. Student Workbook.
a. Will be used in course, so bring
it.
b. Reference materials as well·
as text.
3. Why the concern?
a. Hazmat is everywhere!
[Overhead# 2]
i. According to U.S. DOT
during period 1990 there
were 8,687 incidents
resulting in 4 deaths and
390 injuries and more than
$33,473,980 in damages.
ii. In NYS in 1990 there
were 344 incidents which
resulted in 12 injuries and
1 death and $860,893 in
damages.
b. OSHA (Occupational Safety &
Health Administration) & PESH
(Public Employees Safety &
Health) require emergency
responders to be trained.
i. Do not elaborate on this
point as 25 minutes are
spent on the subject later
in the course.
D. Session Objectives.
Review the objectives for session one.
Page 46
PreQuiz A. The quiz is an assessment of the students

hazmat awareness knowledge base as they
enter your course.
B. Hand out the quiz and answer sheet to
each student.
1. student names are not required on the
preguiz answer sheets unless they are
challenging the course as a refresher
of EMS Hazmat Awareness.
2. If students are taking this
course as a refresher of EMS Hazmat
Awareness, they must:
a. Document original course training
or refresher training (course
completion certificate).
b. Complete the student
registration card and prequiz.
c. Obtain 80% on the prequiz for
the instructor to waive
attendance in the course.
d. If new material has been
integrated into the course since
it was last taken by the student,
they should be required to attend
at least that section.
c. Students are given a maximum of 15
minutes to complete the prequiz.
D. All topics on the quiz are covered in the
course. Since the same quiz is used as
the postquiz, do not:
1. Go over the quiz with the students.
2. Allow the students to take a copy
of the quiz.
Hazmat
Readiness A. Show the video segment on "Hazmat
Readiness".
B. Brief discussion:
1. could it happen here?
2. would we be prepared?
3. How can we become prepared?
a. It's not just a matter of buying
protective equipment and being
ready to go.
Page 47
b. Training is required.
c. Analyzing risks point out the
sample Hazardous Materials Pre-
Planning Survey Form in Student
Workbook (also on the next two
pages).
d. Becoming physically and mentally
prepared for a call that could
easily make you a victim.
c. Definitions: [OVerhead #3]
1. Hazardous Material - "Any substance
or material in a quantity or form
which poses an unreasonable risk to
health, safety and property when
transported in commerce." [U.S. Dept.
of Transportation]
2. Hazardous Substance - "Any
substance designated under the Clean
Water Act and the Comprehensive
Environmental Response compensation
and Liability Act (CERCLA) as posing
a threat to waterways and the .
environment when released." [·EPA]
3. Hazardous Waste - "Any waste or
combination of wastes which pose a
substantial present or potential
hazard to human health or living
organisms because such wastes are
nondegradable or persistent in
nature, or becuase they can
biologically magnify or because they
may otherwise cause or tend to cause
detrimental cumulative effects."
[EPA]
4. Hazardous Material
(Substance/Waste! Any substance that
causes or may cause adverse affects
on the health or safety of employees,
the general public, or the
environment; any biological agent and
other disease-causing agent, or a
waste or combination of wastes."
[NFPA 472]
Page 48
Hazardous Materials Pre-Planning
Survey Form
Firm Name: _____________ Phone #: _ _ _ _ __

Address: __
Last Update of Information: ______________
Brand Name: ________Chemical Name: ________
Type of Material: ___________________
CLASSIFICATION
[Check correct information]
Explosives [ ] Gases
I!Flammable Liguids [ ]Flammable Solids

Oxidizers & rganic Peroxides
Poisonous & Etiologic [ ]Radioactive Material
Corrosives [ ] Mi see 11 aneous
STORAGE
Amount (Liters, Gallons, Barrels):
Location and Storage: _________________
Segregated By: ____________________
Protected By: --------------------
REACTIVITY
[How will this material react when ... ]
In Contact With: Explode Burn Give Off Toxic
Rapidly Heat Vapors
Water:
Heat:
Air: I
Ordinary Material: I l
Oxidizing Material:
Page 1 of 2
Page49
Hazardous Materials Pre-Planning
Survey Form
TOXICITY
[Effect of material or vapors on the human body?]
Toxic Nausea
Irritation of Skin Asphyxiation
Choking Headache
Irritation of Eyes and Nose
Tear Production [ ]Chemical Burn on Skin
Other:
---------------------
PROTECTIVE CLOTHING REQUIREMENTS
[ ] SCBA [ ]Skin or Eye Protection [ ]Special Clothing
CONTROL INSTRUCTIONS
Fire:
-----------------------
Sp i 11 or Leak:
-------------------
Cle an up: ______________________
Evacuation:
---------------------
D. O. T. EMERGENCY RESPONSE GUIDEBOOK INFORMATION
Chemical Name:
-------------------
Chemical Number:
------------------
Chemic a1 GUIDE Number:
----------------
Isolation/Ev a cu at ion Distance:
-------------
Chemical Placard ID:
-----------------
CHEMTREC [ 1-800-424-9300 l
24 Hour Hotline for Leak, Spill, Fire Exposure or
Accident
Be prepared to give the following information:
Name of Caller
• Call Back Number
• Carri er Name
Location of Problem
Loca1 Weather Conditions
Consignee
Shipper or Manufacturer
Rail Car or Truck Number
Container Type
Page 2 of 2
Page SO
Ur
STATE NEW YORK
DEPARTMENT OF LABOR
DIVISION OF SAFETY AND HEAL TH
GOV. W AVERELL HARRIMAN
STATE OFFICE BUILDING CAMPUS
ALBANY. N.Y 12240
February 25, 1992
Lt. Walter Nelson

Program Coordinator
Emergency Medical Service
Academy
Building 325
Fort Totten
Bayside, New York 11359
Re: Volunteer EMS
Dear Lt. Nelson:
The PUblic Employee Safety and Health Act, Section 27a
of the New York State Labor Law, defines employees as anyone
permitted to work, for an employer.
Employer is defined as the State or any of its
political sub-divisions or instrumentality thereof.
In determining our jurisdiction we must first determine
that the EMS service is provided by a governmental agency.
If so, then the volunteers would meet the definition of
employee under section 27a.
Generally, we use the following:
1. Private-for-profit ambulance service with paid
employees are covered by Federal OSHA;
2. EMS, provided as a department of a city, town or
village, are covered under Section 27a;
3. EMS provided by a volunteer fire department are
cover.ed by Section 27a since they are fire fighters
and all fire fighters are covered under Section
27a;
4. Volunteer EMS provided under the auspices of an
•ambulance district" are covered under section 27a;
and
5. Those Not-For-Profit volunteer Ambulance Corps,
Inc., which are not part of or controlled by a
governmental agency do not come under the
provisions of Section 27a.
Page 50.1
I am also aware that OSHA has stated that they don't
cover these organizations, however, I can speak only for my
agency. In answer· to your primary question, all EMS
providers who fall under the definition of public employee
under Section 27a must receive training under 29 CFR
1910.120. The requirements for the trainers are outlined in
29 CFR 1910.120(q)(7).
Prior to training responders, each agency must prepare
an Emergency Response Plan which conforms to 29CFR
1910.120(q) and responders should be trained to perform at
the level of response in the employer's plan.
I have attached a copy of 29 CFR 1910.120 for your
reference, as well as a copy of Section 27a.
David
David Ruppert
Asst. Program Manager
PESH Bureau
DR:jmp
attachs.
cc: R. Friedman
A. Deutsch
PageS0.2
- -
OSHA/NFPA
competencies
A. The instructor should review the
following areas of OSHA 29 CFR Part
1910.120 with the students (This appears
verbatim below and in the Student
Workbook.) (OVerhead #4]
------------------------------------------------------------
Paragraph Q - EMERGENCY RESPONSE TO HAZARDOUS SUBSTANCE
RELEASES
This paragraph covers employers whose employees are engaged
in emergency response no matter where it occurs.
(6) Training. Training shall be based on the duties and
functions to be performed by each responder of an
emergency response organization. The skill and knowledge
levels required for all new responders, those hired after
the effective date of this standard, shall be conveyed to
them through training before they are permitted to take
part in actual emergency operations on an incident.
Employees who participate, or are expected to
participate, in emergency response, shall be given
training in accordance with the following paragraphs:
(i) First responder awareness level. First responder
awareness level are individuals who are likely to
witness or discover a hazardous substance release and
who have been trained to initiate an emergency
response sequence by notifying the proper authorities
of the release. First responders at the awareness
level shall have sufficient experience to objectively
demonstrate competency in the following areas:
(A) An understanding of what hazardous materials
are, and the risks associated with them in an
incident.
(B) An understanding of the potential outcomes
associated with an emergency created when
hazardous materials are present.
(C) The ability to recognize the presence of
hazardous materials, in an emergency.
(D) The ability to identify the hazardous
materials, if possible.
(E) An understanding of the role of the first
responder awareness individual in the employer's
emergency response plan including site security
and control and the U.S. Department of
Transportation's Emergency Response Guidebook.
(F) The ability to realize the need for
additional resources, and to make appropriate
Page 51
notifications to the communications center.

( ii) First .. responder operations level. First responders
at the ·operations level are individuals who respond
to releases or potential releases of hazardous
substances as part of the initial response to the
site for the purpose of protecting nearby persons,
property, or the environment from the effects of the
release. Their function is to contain the release
from a safe distance, keep it from spreading, and
prevent exposures. First responders at the
operational level shall have received at least eight
(8) hours of training or have had sufficient
experience to objectively demonstrate competency in
the following areas in addition to those listed for
the awareness level and the employer shall so
certify:
(A) Knowledge of the basic hazard and risk
assessment techniques.
(B) Know how to select and use proper personal
protective equipment provided to the first
responder operational level.
(C) An understanding of basic hazardous
materials terms.
( D) Know how to perform basic control,
containment, and/or confinement operations
within the capabilities of the resources and
personal protective equipment available to
their unit.
(E) Know how to implement basic
decontamination procedures.
(F) An understanding of the relevant standard
operating procedures and termination
procedures.
(iii) Hazardous materials technician. Hazardous materials
technicians are individuals who respond to releases
or potential releases for the purpose of stopping
the release. They assume a more aggressive role
than a first responder at the operational level in
that they will approach the point of release in
order to plug, patch, or otherwise stop the release
of hazardous substance. Hazardous materials
technicians shall have received at least twenty-four
(24) hours of training equal to the first responders
operations level and in addition have competency in
the following areas and the employer shall so
certify:
(A) Know how to implement the employer's emergency
response plan.
(B) Know the classification, identification,
and verification of known and unknown materials
Page 52
by using field survey, instruments and

equipment.
(C) Be able to function within an assigned
role in the Incident Command System.
(D) Know how to select and use proper
specialized chemical personal protective
equipment provided to the hazardous materials
technician.
(E) Understand hazard and risk assessment
techniques.
(F) Be able to perform advance control,
personal protective equipment available with
the unit.
(G) Understand and implement decontamination
procedures.
(H) Understand termination procedures.
(I) Understand basic chemical and
toxicological terminology and behavior.
(iv) Hazardous materials specialist. Hazardous materials
specialists are individuals who respond with and
provide support to hazardous material technicians.
Their duties parallel those of the hazardous
materials technician, however, those duties require
a more directed or specific knowledge of the various
substances they may be called upon to contain. The
hazardous materials specialist would also act as the
site liaison with Federal, state and local
government authorities in regards to site
activities. Hazardous materials specialists shall
have received at least twenty four (24) hours of
training equal to the technician level and in
addition have competency in the following areas and
the employer shall so certify:
(A) Know how to implement the local emergency
response plan.
(B) Understand classification, identification,
and verification of known materials by using
advanced survey instruments and equipment.
(C) Know of the state emergency response plan.
(D) - Be able to select and use proper
specialized chemical personal protective
equipment provided to the hazardous materials
specialist.
(E) Understand in-depth hazard and risk techniques.
(F) Be able to perform specialized control,
personal protective equipment available.
(G) Be able to determine and implement
Page 53
{H) Have the ability to.develop a site safety

and control plan.
{I) Understand chemical, radiological and
toxicology terminology and behavior.
{v) on scene incident commander. {Discussed later in
course).
(7) Trainers. Trainers who teach any of the above training
subjects shall have satisfactorily completed a training
course for teaching the subjects they are expected to
teach, such as the courses offered by the U.S. Fire
Academy, or they shall have the training and/or academic
credentials and instructional experience necessary to
demonstrate competent instructional skills and a good
command of the subject matter of the courses they are to
teach.
(8) Refresher training. (Discussed later in course).
(9) Medical surveillance and consultation. (Discussed later
in course).
(10) Chemical protective clothing. (Discussed later in
course).
(11) Post-emergency response operations. (Discussed later in
course).
------------------------------------------------------------
B. The instructor should review the goals of
the levels of training in NFPA Standard
472 (This appears verbatim below and in
the Student Workbook.)
[overhead #5]
From NFPA Standard 472

Professional competence of Responders to Hazardous Materials
Incidents
Chapter 2 - First Responder
2-1 General. First responders are divided into two levels of
competency: first responder awareness and first responder
operational. First responders at the awareness level shall
be trained to meet all of the requirements of section 2-2 of
this chapter and first responders at the operational level
shall be trained to meet all of the requirements of Section
2-2 and Section 2-3 of this chapter. All first responders
shall receive training to meet federal OSHA or EPA
requirements, whichever is appropriate for their
Page 54
NYS EMS-RAZMAT AWARENESS COURSE
jurisdiction.
2-2 First Responder Awareness Level.
2-2.1 Goal. The goal at the first responder awareness level
shall be to provide those persons, who in the course of their
normal duties may be the first on the scene of a hazardous
materials incident, with the following competencies to
respond in a safe manner when confronted with a hazardous
materials incident. These personnel are not expected to take
any actions other than to recognize that a hazard exists,
call for trained personnel, and secure the area.
a. An understanding of what hazardous materials are, and the
risks associated with them in an incident;
b. An understanding of the potential outcomes associated
with an emergency created when hazardous materials are
present;
c. The ability to recognize the presence of hazardous
materials in an emergency;
d. The ability to identify the hazardous materials and
determine basic hazard and response information;
e. An understanding of the role of the first responder
on the scene of a hazardous materials incident or
identified in the local contingency plan for hazardous
materials incidents;
f. The ability to recognize the need for additional
resources and make appropriate notifications; and
g. The ability to initiate scene management (i.e.,
implement the Incident Command System, isolate the
immediate site, deny entry to unauthorized persons and
evacuate).
2-3 First Responder Operational Level.
2-3.1 Goal. The goal at the first responder operational level
shall be to provide those persons, whose duries include
responding to the scene of emergencies that may involve
hazardous materials, with the following competencies to
responds safely to hazardous materials incidents. The first
responder at the operational level is not expected to use
specialized chemical protective clothing or special control
equipment.
a. The ability to make initial basic hazard and risk
assessments;
b. The ability to determine when the personal protective
equipment provided to the first responders by the
authority having jurisdiction for use in their normal
response activities is adequate for a particular
hazardous materials incident, and the ability to use that
equipment properly;
c. An understanding of basic hazardous materials terms;
d. The ability to perform basic hazardous materials
Page 55
control operations within the capabilities of the

resources and personal protective equipment available;
e. An understanding of decontamination procedures;
f. The ability to perform basic record keeping tasks; and
g. The ability to expand the Incident Command system.
Chapter 3-Bazardous Materials Technician
3-1 General
3-1.1 The hazardous materials technician shall meet all of
the objectives indicated for the first responder in Chapter
2. In addition, that person shall meet the training and
medical surveillance program requirements in accordance with
federal OSHA or EPA regulations.
3-1.2 Goal. The goal at the hazardous materials technician
level shall be to provide the responders with the following
competencies to respond safely to hazardous materials
incidents:
a. The ability to implement a safety plan;
b. The ability to classify, identify and verify known
and unknown materials by using basic monitoring
equipment. .
c. The ability to function within an assigned role in
the Incident Command system;
d. The ability to select and use at least Level B
protection in addition to any other specialized personal
protective equipment provided to the hazardous materials
technician by the authority having jurisdiction;
e. The ability to make hazard and risk assessment;
f. The ability to perform advanced hazardous materials
control operations within the capabilities of the
resources and personal protective equipment available;
g. The ability to select and implement appropriate
decontamination procedures;
h. The ability to complete record keeping procedures; and
i. The ability to understand basic chemical, biological,
and radiological terms and their behavior.
Chapter 4-Bazardous Materials Specialist
4-1 General ·
4-1.1 The hazardous materials specialist shall meet all of
the objectives indicated for the first responder and
hazardous materials technician. In addition, that person
shall meet the training and medical surveillance program
requirements in accordance with federal OSHA or EPA
regulations.
4-1.2 Goal. The goal at the hazardous materials specialist
level shall be to provide those persons, whose duties involve
Page 56
Course Guide & Content outline
response to specialized hazardous materials problems, with

the following competencies to respond safely to hazardous
materials incidents:
a. The ability to develop a site safety plan;
b. The ability to classify, identify, and verify known
and unknown materials by using advanced monitoring
equipment provided by the authority having jurisdiction;
c. The ability to function within an assigned role in
the Incident Command System;
d. The ability to select and use Level A protection in
addition to any other specialized personal protective
equipment provided to the hazardous materials specialist
by the authority having jurisdiction;
e. The ability to perform hazard and risk assessments
involving multiple hazards;
f. The ability to perform specialized hazardous
materials control operations within the capabilities of
the resources and personal protective equipment
available;
g. The ability to develop and implement specialized
decontamination procedures;
h. The ability to implement record keeping and perform
termination procedures; and
i. An understanding of the chemical, toxicological,
biological and radiological terms and their behavior.
------------------------------------------------------------
C. The instructor should review the goals of
NFPA Standard 473
(Overhead #6]
------------------------------------------------------------
NFPA 473 competencies for EMS Personnel Responding to
Hazardous Materials Incidents
Due to the length of the standard only the key areas appear
below:
Chapter One
Scope & Purpose - to set a minimum requirement for competency
to enhance the safety and protection of ALS and BLS personnel
in the prehospital setting.
Chapter Two
"Introduction - all personnel at EMS/Hazmat Level I, in
addition to their BLS and ALS certification, shall be trained
to meet at least the First Responder Awareness level as
defined by NFPA 472, and all competencies of this chapter"
"Definition - EMS personnel at EMS/HM Level I are those
persons who, in the course of their normal duties, may be
Page 57
called on to perform patient care activities in the cold zone

The BLS & ALS Providers shall provide care Level I Responders
shall provide care only to those individual who no longer
pose a significant risk of secondary contamination."
"Goal - the goal of the competencies at EMS/HM Level I, shall
be to provide the individual with the knowledge and skills
necessary to safely deliver emergency medical care in the
cold zone. Therefore the EMS/HM Level I Responder shall be
able to:
(a) Analyze a hazardous materials emergency to determine
what risks are present to the provider and the patient
by completing the following task:
1. Determine the hazards present to the Level I
Responder and the patient in a hazardous materials
incident, and
2. Assess the patient to determine the risk of
secondary contamination.
(b) Plan a response to provide the appropriate level of
emergency medical care to persons involved in hazardous
materials incidents by completing the following tasks:
1. Describe the role of the Level I Responder in a
hazardous materials incident.
2. Plan a response to provide the appropriate level
of emergency medical care in a hazardous materials
incident,
3. Determine if the personal protective equipment
provided is appropriate, and
4. Determine if the equipment and supplies provided
are adequate.
(c) Implement the planned response by completing the
following:
1. Perform the necessary preparations for receiving the
hazardous materials patient and preventing secondary
contamination.
2. Treat the hazardous materials patient, and
3. Transport the patient as sppropriate.
(d) Terminate the incident."
Chapter Three
Describes the specific competencies of a EMS HAZMAT Level II.
"Introduction - all personnel at EMS/HM Level II shall be
certified to the EMT level or higher and shall meet all
compenticies for EMS/HM Level I in addition to all the
competencies of this chapter."
Page 58
"Definition - personnel at EMS/HM Levle II are those persons

who, in the course of their normal activities, may be called
upon to perform patient care activities in the warm zone at
hazardous materials incidents. EMS/HM Level II Responder
personnel may provide care to those individuals who still
pose a significant risk of secondary contamination. In
addition, personnel at this level shall be able to coordinate
EMS activities at a hazardous materials incident and provide
medical support for hazardous materials response personnel."
"Goal - the goal of the competencies at EMS/HM Level II shall
be to provide the Level II Responder with the knowledge and
skills necessary to perform and/or coordinate patient care
activities and medical support of hazardous materials
response personnel in the warm zone. Therefore the Level II
Responder shall be able to:
(a) Analyze a hazardous materials incident to determine the
magnitude of problem in terms of outcomes by completing
the following tasks:
1. Determine the hazardous present to the Level II
Responder and the patient in a hazardous materials
incident, and
2. Assess the patient to determine the patient care
needs and the risk of secondary contamination.
(b) Plan a response to provide the appropriate level of
emergency medical care to persons involved in hazardous
materials incidents and to provide medical support to
hazardous materials response personnel by completing the
following tasks:
1. Describe the role of the Level II Responder in a
hazardous materials incident.
2. Plan a response to provide the appropriate level
of emergency medical care in a hazardous materials
incident, and
3. Determine if the personal protective equipment
provided EMS personnel is appropriate.
(c) Implement the planned response by completing the
following:
1. Perform the necessary preparations for receiving the
patient.
2. Perform necessary treatment to the hazardous
materials patient,
3. Coordinate and manage the EMS component of the
hazardous materials incident, and
4. Perform medical support of hazardous materials
incident response personnel.
Page 59
Course Guide, content outline
(d) Terminate the incident."
------------------------------------------------------------
D. Ask the students the question, "Who in
your EMS agencr is prepared to take
additional training (as it becomes
available) to be an EMS HAZMAT Level I
and Level II Responder?"
HAZMAT
Classification,
Identification
A. Show the video segment on 11 Hazmat
Classification, Identification"
B. There are five clues to detecting
hazardous materials and identifying the
hazardous materials involved. [Overhead
#7]
1. Occupancy and/or location.
Be familiar with the various
locations in your community where
hazardous materials are used, stored,
transported, or produced.
2. Container shapes.
Specialized containment with a
specific shape often gives a clue to
the identity of the contents.
a. Cylindrical or eliptical
containers with flat ends contain
liquid at atmospheric pressure.
b. Cylindrical or eliptical
containers with rounded ends
contain gases under very high
pressure.
c. Rail tank cars with dome
fittings totally enclosed with a
large cap contain liquid under
very high pressure.
3. Markings and colors.
There are many unique general
markings associated with hazardous
materials. Examples of non-system
markings are:
Page 60
NYS BMS-HAZMAT AWARENESS COURSE
a. Fourty-four commodities stenciled

by name on the side in 4-inch-
. .. high letters •
b. Telephone numbers on the side
of the railcar.
c. Name of the chemical company
owner.
d. Identification numbers.
[Refer to charts in Student
Workbooks)
i. U.N. numbers required since
11/1/81 on portable tanks,
cargo tanks and tank cars.
ii. May be displayed on
other conveyances.
iii. Methods of display:
- Orange panel adjacent to
the placards. (Panel is 5-
7/8 by 15-3/4 inches with
4-inch high letters.)
- Center of appropriate
placard. Combustable.
placards which display the
number will have a white
area under the number
display to differentiate
them from flammable
liquids.
- Center of placard sized
white panel for hazardous
substances and wastes not
requiring a placard.
iv. The NFPA 704 system.
[Refer to Student Workbook)
[overhead #8]
This system used at fixed
industrial facility sites
uses a diamond shaped
diagram divided into four
quadrants to identiff the
"health", "flammability" and
"reactivity" of a chemical.
severity is indicated by
numbers o to 4 with 4 being
the most severe.
How would the NFPA 704
designation for "Sodium"
[OVerhead #9] differ from
"Dibenzoyl Peroxide"?
Page 61
[overhead #10]
4. Placards and Labels.
[Refer to examples in student
workbook of colors and symbols]
a. Placards are diamond shaped,
10-3/4 inch square. It provides
recognition by the colored
background, the symbol on the
top, and the UN class number on
the bottom. The 4 digit UN
number in the center will not be
found on all placards ie:
Explosives.
b. Review the nine classes in
the United Nations classification
system of hazardous materials:
[OVerhead #11]
CLASS 1: Explosives.
A, B, C,
Blasting Agents
CLASS 2: Gases.
Poison A
Flammable Gas
Nonflammable Gas
Corrosive Gas
[OVerhead #12]
CLASS 3: Flammable Liquids.
Flammable Liquid
Combustible Liquid
CLASS 4: Flammable Solids.
(Dangerous when wet
label only)
CLASS 5: oxidizers
organic Peroxides
[OVerhead #13]
CLASS 6: Poisons.
Poison B
Irritant
Etiologic (infectious &
biological)
CLASS 7: Radioactive Materials.
Class I
Class II
Class III
CLASS 8: Corrosives.
Page 62
TYPES OF PLACARDS
..
* WARNING
* CLASSIFICATIONS
* UNITED NATIONS (UN)
* EUROPEAN
33
1088
* NATIONAL FIRE PROTECTION ASSOCIATION (NFPA)
* ORANGEPANEL
11541 I
Page 62.1
STRAIGHT BILL OF LADING-SHOAT FOAM ORIGINAL
- Shipper's No. 13- 2 514 6 -
Carrier Lucky Louie's Trucking Outfit Agent's No. JP-7751
TRUCK
aT Cleveland, OH 1/ 1 TOXICO, Inc. _ _ _ _ _ _ FREIGHT o
RECEIVED. Subfecl to ltw dn...cahons and ,arr.. lf'I eftecl on lhe dale ol lhe issue ol th11 IWI al IX'st11..rt0n and as to each pa11y a1 .Jny 1,me ,n1e,esled ,n all o, an°' sa,d propef1y lhat everi serv,ce 10 be
I ading. lhe property dnclered below in apparent good order. eacepl u noled Cconlenl$ and condilion perlcwmed hereunder shall be sulJ,ecl lo ail lhe b,11 ol lacJing 1e,ms •nd condlhons ,n the gove,;1,ng
nt conlenls ol packages unllnalllrn,. mwked cons.gned. and dnlined as lf'ldlca1eo blkM- which sa.d classihcahon on the dale ol sh,pmen1
ran• c.-.eword earner belr1,g undetslOod lhraughOul nus con1,aci as meaning 1ny person or corpora
110n ,n possession of lhe ~ l.Wldef lhe con1,aicl) ao•ees 10 carry 10 ,ts usuat place ol delivery al sad Shippe, he,~y cerM,es lhal he ,,;, lamiliai w•lh illl the bill ol lading 1e,ms and concti11ons ,n !he
,JpshnaltOn. If on 11s •OUN . ...,,_. lo detlver 10 anothe, came, on lhe rou1e 10 said des1,na1ton II ,s governing class1lica1ion and lhe !I.aid 1euTls and condlhons are hereby agreed 10 by ine shipper and
•nulually agreed n IO each carr• of .ii or any o'- sa,d property over all Of any po,IIOO o1 said roule lo accepled for hll'n5ell and his ass1Qns
ConlignedlD Zippy' s Varie~ ~~Ot:EL __ ------ ----- ------------, ..,...s..:·:.~:.;~~~;.:.:

Dnlinalion Souther!}_ __ B! vci_/fo~:dhci!ll __Rei_ ___ Stale o1~. Y. County o1 Bronx :,:•,:,:".;:,"",.:: :,~;:ir;:::
Route I-80 East to I-95 North_ to_ Webster A"!:!_ North to Fordhqm Rd ,._,....,,.,gn.,..,_ong,,.,.,,_
p-
--
No
k LOUJ.e
Oelvering Ca~UC Y
· ,S
. T.
HM I
DESCRIPTION ANO,.-.1.a.ec-1c-1r.a.T1r.t
~LJ"O~.- ""'", rV'I'"
rr 25291
Vehicle or Car Initial -
- ~ UN#
IJN•
·- __ No.
1
•watgt11
1
Clas,
___ __
I
Q,eca
.., "'""'*"
lhecam.. shallnot_e_,.. , ..
•ll>Oul pa,men1"' ....gr,,
I SlU•iiUP..,.;..;~,;;.;-,i,iv,ri
--------.
Proper Shipping Name, Class and or
ldenllficahon Number per 172 101, 172.202. 172.203 (Sub IOC.. I Of Rale Column
--- I - -+-·· ~.!:.. ""'----------
60
-
Pencils, Yellow
- - - - - - - -- -· ...... -------- ------
+------l---3_o o~~i I I ,5,gna1ur... eo,_.,.,
II chArget a,a 10 ba prapaid . .,.,,e o,
(If
~
18 Bananas 3,0001b
siamp tw"e. '"To ba PtapMI ··
a,,
a,
-----tc----------
60 Cushions, Whoopie
------- -------- --··--
640lb! ____ ,________ :.
--- ---- ------- --- -- -··- - --· - ---· ·------ - -----· ----- ·--·- · --·--· --+-- 1Dappty1nprepaymenlolfhech•ges,on
hi praperty descnbed h•eon
5 X I Ethyl Isocyanate 2481 9, 6701b,
- ----- --------10---------------- Aganl o, Cash•
18 v Light Bulbs 38lbf

- ---1----.----------------------+---+-------l--------1---l
""'----------
(The..,,....ehereadmowlodgelonly
.,_ """""'' p,epaid I
60 Balloons 750lbf c..,ges _ __,
-
•----------
--o
129 Pistacios 145lbf
- C.O.D. SHIPMENT
12 X Trinitrotoluene 11356 11.0,245lbf Callecl O · - - - - - -

tfhe hbfe boxes used to, this shipmen! conlo,m 10 lhe tSh,ppe, 5 impnnt ,n lieu o1 stamp no1 a part Coliecmn FN - - - - - - - -
HIS SHIPMENT IS CORRECTLY DESCRIBED spec,licahons se1 lorlh +n the bo• make, s ce,1,r,cale e,
of 11 of Lading approved by lhe 1n1ers1aie
!hereon. and all other reqUlfements ol lhe ConsOhelaled Commerce COOWT11ss,on T01a Ol11r9N
rORRECT WEIGHT IS 34 I 788 LBS Fre,ohl Class,l,cahon
If lhe st.pm.,, moves.,......, lwo ports by a earner by wale.-, the law requres lhal the btll at lading shall slale whether 11 is ca,rier"s or shippef 's wetght This ,s 10 certi~ lhal lhe lbave-named
NOTE - Wh.-e Ile rel• ;a depandwnl oo value. shippers are required to slale specifically ,n wriling lhe agreed o, declared value of lhe propeny
The ag,Nd Of declared vlllue ol l'te property is hereby
c;pdc::aNy slatad by Ile !hipper ID ba not eaoeedtng
--------------------- -----
- Per
~-···,n_conc,_ .
sc, _ _
ma1eual5
. _.
areagod _c1as1ehed.
prope.-ly _ _ de
-
IMion according IO I'll. 441t ctrb ,...,_
Shipps.Per ____ - - - - - - - - - - - - - - - · ___ '°'"""°'"'"-°'''-•·
Pe,manenl Poll·alke ...,._al~ ~--------------
Agn, Per ___ _______ .. _________ .
OfflR RBGULATED MATERIALS !ORMsl
Applies to materials that may pose an unreasonable risk to
health and safety or property, and i• not covered under the
hazardous materials warning label requirement•.
QBK-A
Material with anesthetic, irritating, noxious, toxic or
other propenies that can cause discomfort to persons in the
event of leakage.
E:DHPLBS:
Trichloroethylene
1, 1, 1, Trichloroethane Dry Cleaners
Dry Ice Ice cream Trucks
Chloroform
carbon Tetrachloride
ORJl-B .
Material specifically named or capable of causing
significant corrosion damage from leakage.
E:DHPLBSt
Lead Chloride
Quicklime Fertilizers
Metallic Mercury Thermometers
Barium Oxide Fertilizers
OBI-C
Material specifically named and with characteristictl which
make it unsuitable for shipment unless properly packaged.
B:DHPLBSt
Bleaching Powder» Home Use

Lithium Batteries Hearing Aids
Magnetized Materials Electromagnets
Sawdust
Asbestos
og-p
Material such as consumer commodities which present a
limited hazard due to form, quantity and packaging. They
must be materials for which exceptions are provided.
B:DHPLBSt
Chemical Consumer Commodities Hair Spray,

Shaving Lotions
OM-I
Material that is not included in any other hazard class, but
is regulated as an ORM.
B:DHPLBSt
Hazardous wastes and Substances.
Page62.3
NYS EMS-RAZMAT AWARENESS COURSE
[overhead 114]
CLASS 9: Other Regulated
Materials.
A, B, C, D, E.
c. Labels are small versions of
placards. Since federal laws
require only one label on the
outside of shipping containers,
labels may not be visible due to
the way they are loaded. (U.P.S.
& Federal Express)
5. Shipping papers and other documents.

Located in the cab of a truck, in the
possession of a train crew member, in
the bridge of a vessel or in the
pilot's possession on an aircraft.
If they are not given to you a first
responder should not "go afer" them.
All shipping papers will have the
following information:
a. Proper shippin~ number.
b. Hazard classification.
c. Identification number.
d. Number of packages.
e. Type of packages.
f. Correct weight.
g. Emergency response telephone
#.
D. Properties of Hazardous Materials.
[overhead 115]
From the standpoint of how hazardous
materials can hurt you, they are
characterized in three ways.
1. Flammability. (65% of all hazmats)
a. Exposure to flammability is
measured by burns.
b. Protection against
flammability is achieved by:
i. Distance.
ii. Shielding.
2. Health (Toxicity) - exposure to toxic
materials can occur by:
a. Inhalation - breathing chemical.
Page 63
NYS EMS-BAZMAT AWARENESS COURSE
Course Guide 6 content outline
b. Ingestion - digesting chemical.

c. Absorption - through the
skin, eyes, or hair.
Bo eating, drinking or smoking at scene!
3. Reactivity.
a. E~losives.
b. Oxidizers - release oxygen
when combined with other
material.
c. Corrosives - may release
explosive hydrogen ~as when
combined with certain metals e.g.
hydrochloric and sulfuric acids.
E. Using t h e ~ p.o.T. Emergency Response
Guidebook. (handout books k gQ over them
with class!) [overhead f16]
The guidebook will assist EMS personnel
in protecting themselves and advising
others on the scene until more qualified
~ersonnel arrive. There are three steps
in using the Guidebook.
1. Identify the material by one of the
following ways:
a. Four digit identification number
on a placard or orange panel on
the vehicle or the shipping
papers.
b. The material name from the
shipping paper, placard, label or
packa~e.
c. Identify the placard and
compare it with those printed in
the back of the Guidebook and
turn to the appropriate guide
number.
2. Look up the material's two digit
guide number in either: (highlighted
= retreat to safe position right
away) [overhead 117] ·
a. The identification number index
(yellow pages in the first
section of the book).
b. The material name index (blue
pages in the second section).
Special Note: Explosives will be
handled in these ways:
Page 64
NYS EMS-HAZMAT AWARERBSS COURSE
course Guide, Content outline
Explosive A and B - Guide 46

Explosive C - Guide 50
Blasting Agents - Guide 46
Materials listed which are
highlighted in either index are
generally more hazardous and have
recommended evacuation distances
listed in the green bordered pages at
the end of the Guidebook.
3. Turn to the appropriate guide
number (white pages, orange tops):
[overhead 118]
a. Read the page carefully before
taking action or giving advice.
b. Since the book is primarily
for emergency responders, most of
the response activities listed
are more appropriate for
firefighters than for EMS
personnel. The Hazmat Team may
deviate from the book based upon
additional resources. [overhead
119]
Guidebook
Exercise A. Sample: Drugs n.o.s. # 1851 - Guide #11
[overheads 120 to 125]
B. Break the students into 3 groups and
distribute Guidebooks to each group.
Assign each group an exercise and have
them report to the entire group their
answers.
c. Exercises.
1. EMS personnel spot a disabled vehicle
with a placard containing the number
1090.
a. What is the material?
b. What Guide number in the
Guidebook should be used in
response?
2. A man runs into your station saying
that his truck is in the parking lot
leaking a large quantity of chlorine.
a. What color index would you look
the material name up in?
Page 65
b. What Guide number would be

used as a basis of response?
....
J. A truck involved in an accident has
the I.D. number 1972 on orange panels
on four sides of the vehicle.
a. What is the material?
b. What would be the appropriate
Guide number?
D. Exercise answers:
1. Acetone, Guide 26.
2. Blue, Guide 20.
J. Four possibilities listed in
yellow pages of the Guidebook, Guide
22.
Review of The
Incident command
system, The
EMS Role
A. The instructor should review the
verbatim below and in the student
Workbook.) [OVerhead # 26)
------------------------------------------------------------
Paragraph Q - EMERGENCY RESPONSE TO HAZARDOUS SUBSTANCE
RELEASES
(6) (v) On scene incident commander. Incident commanders,
who will assume control of the incident scene
beyond the first responder awareness level, shall
receive at least 24 hours of training equal to the
first responder operations level and in addition
have competency in the following areas and the
employer shall so certify:
(A) Know and be able to implement the employer's
incident command system.
(B) Know how to implement the employer's
emergency response plan.
(C) Know and understand the hazards and risks
associated with employees working in chemical
protective clothing.
(D) Know how to implement the local emergency
response plan.
(E) Know of the state emergency response plan
and of the Federal Regional Response Team.
Page 66
(F) Know and understand the importance of

B. Key Components of ICS.

[OVerheads t 27]
1. Strong visible command.
2. Common terminolo9r.
3. Modular organization based on
incident needs.
4. Comprehensive resource management.
5. Mana~eable span of control (3 to 7).
6. Provide personnel safety and
accountability.
7. Inte~rated communications.
8. Unified command NOT singular command.
9. consolidated action plans using
goals and objectives.
C. Major components and related terminology.
[overhead 128 and Overhead #29]
1. Command - The NYS PUblic Safety
critical Incident Management course
developed by SEMO, DSP, NYSEMS, OFPC,
and BMP emphasizes unified command
NOT singular command.
a. Safety.
b. Liaison.
c. Information.
d. Technical specialists.
2. Operations.
a. Branches.
b. Divisions, Groups, Sectors.
c. Single resources.
d. Task forces.
e. Strike teams.
f. staging.
3. Planning.
a. Resource status.
b. Situation status.
c. Documentation.
d. Demobilization.
4. Logistics.
a. Service Branch.
Page 67
NYS BMS-HAZMAT AWJ\RBNBSS COURSE
course Guide, Content outline
i. Communications.
ii. Medical.
iii. Food.
b. support Branch.
i. Supply.
ii. Facilities ie: Command
Post.
iii. Ground support.
5. Finance.
a. Time.
b. Procurement.
c. Compensation or claims.
d. Cost.
D. Responsibilities of the EMS Command
Officer - Operations Chief at a major
motor vehicle MCI. [OVerhead f 30]
1. First crew chief assumes command.
2. Confirms incident(# casualties,.
exte~t and t:v?es of injuries and
potential additional injuries).
3. Sizes up resource needs and
manages EMS res~onse.
4. Coordinates activities of all EMS
personnel at incident.
5. If necessary, establishes and
remains at the Command Post.
6. If CP is already established, EMS
crew chief becomes EMS Rep. at CP.
Provides timely progress reports to
dispatch.
7. Works in cooperation with FD, PD
and other agencies at CP.
8. Ensures safety of all EMS
personnel through ap~ointment of a
Safety Officer who will have the
authority to "STOP" any action that
may be unsafe.
9. Establishes communication
contacts and notification of
hospitals.
10. Designates division/sector
command officers.
E. EMS Safety Officer. [OVerhead f 31]
1. Appointed by EMS command.
2. Ensures scene safety for EMS
personnel.
Page 68
NYS BMS-BAZMAT AWllBRESS COURSE
course Guide• content outline
a. can ther be seen?

b. Protective gear?
c. Do you know where they are?
d. Can they get out safely?
e. Infection control follow-up.
3. Authority to "STOP" actions that are
unsafe even to extent of overruling
Command.
4. Should be positioned in an area
that has a good view of all sectors
if possible.
F. EMS staging division/sector officer.
(overhead t 32)
2. Establishes safe assembly point
for EMS personnel, equipment and
vehicles. Some agencies actual·ly
remove the keys from the vehicles and
give them to the officer to prevent
"freelancing."
3. Makes sure that physiological
needs of personnel are provided for.
4. Releases resources to incident
based on needs requested by sector
officers.
G. Triage division/sector officer.
(overhead t 33)
2. Establishes triage procedures as
dictated by incident type.
3. Appoints triage support personnel.
4. coordinates personnel and
equipment usage.
5. coordinates actions with fire
officers ie: extrication and rescue.
6. Coordinates patient movement
through division to treatment and
transportation divisions.
H. Treatment division/sector officer.
(overhead f 34)
1. Appointed by EMS command officer.
2. Sets up treatment area as
requested by EMS command and as
warranted by site and transportation
considerations.
3. Supervises treatment area and any
Page 6!1
area set up to hold patients prior to

trans~ort from the scene.
4. Coordinates activities of all EMS
personnel assigned to the division.
5. Appoints treatment personnel.
6. oversees patient care provided
and assures appropriate medical care
is provided.
7. Determines need and requests
personnel and equipment as needed.
8. Coordinates with transportation
division officer movement of patients
to ambulances.
I. Transportation division/sector officer.
(overhead f 35)
1. Appointed by EMS command officer.
2. Establishes and maintains ambulance
loadin<1 area.
3. Supervises patient movement in
conjunction with treatment division
officer.
4. Assess and monitors local/area
hospital capabilities.
5. Determines patient destinations.
6. Coordinates helicopter
evacuations as needed and establishes
landin<1 site (zone) if required.
7. Maintains documentation of
patient destinations.
a. Patient log.
b. Triage tag copies.
8. Supervises hospital communications
network.
9. May appoint hospital communicator:
a. operates hospital communications
network.
b. Maintains hospital status and
capability.
c. Provides patient information
to hospitals via radio.
10. May a~point vehicle loaders to
facilitate patient loading and
ambulance movement from scene.
J. Discussion: What other sectors might be
needed? (ie: Morgue, PIO, logistics,
planning, finance).
Page 70
------------------------------------------------------------
SESSION f 2
------------------------------------------------------------
The Right to Know Law 30 min.
Herbicide Case Study 25 min.
Break 10 min.
Field Stabilization & Treatment of
Decontaminated Patients 40 min.
Break 10 min.
The Stages of Decontamination 15 min.
Medical Monitoring & Documentation 10 min.
Post Incident Considerations 10 min.
Annual Refresher Requirements & Summary 15 min.
PostQuiz & Course Evaluation 15 min.
------------------------------------------------------------
Faculty
Certified Instructor Coordinator
Other Faculty: Approved Hazmat Instructor
Page 71
Objectives
Upon completion pf this session, the student will be able to:
23. Discuss the OSHA Hazardous Communication Standard
requirements and the steps your employer has taken to
comply with the right to know provisions.
24. Explain how to read and interpret the information
provided on container labels and MSDSs.
25. List operations in the ambulance service work area where
hazardous chemicals are used, stored or produced.
26. Discuss the MSDS for each product identified in
objective 25.
27. Explain the proper use of protective equipment for the
daily contact with materials identified in objective 25
and explain when it is appropriate to call other
resources to manage a hazardous substance.
28. List steps in the general approach for the care of
hazmat victims.
29. Cite chemicals that require special handling.
30. Identif~ personnel that need to be medically assessed at
hazmat incidents.
31. Describe on-scene treatment of hazmat patients.
32. Explain the reason for designating receiving facilities
in hazmat situations.
33. Describe the components of a medical surveillance
program.
34. Describe the medical monitorin~ of hazmat personnel.
35. Name complications from being in an encapsulated suit.
36. Describe the importance of communication and observation
of team members.
37. Define the rescuer's role as related to documentation.
38. Describe the refresher requirements of the OSHA
training.
Page 72
BYS BMS-BAZMAT AWARBHBSS COURSE
Course Guide i Content outline
TOPIC COHTBHT OUTLINE

-------------------------------------------------------------
Introduction
A. Introduce Instructor.
B. Review session two objectives.
The Right to
ltDOW Law
A. The Law - OSHA Hazard Communication
standard 29 CFR Part 1910.1200 requires
that employers develop a comprehensive
program to inform em~loyees of the
hazards encountered in the workplace and
provide training in the safe use and
handling of products containing hazardous
chemicals. (PBSB sec. 27A BYS Labor Law)
1. It has been determined by the courts
that volunteers are employees who are
not compensated and volunteer fire
departments and ambulance services
are employers, (NYS OSHA/PESH vs
Ballston Lake FD in Appelate Court)
2. Discussion:
a. Does your service meet the intent
of this law?
b. Does your service document
having provided the training to
all employees?
c. Does your employer post MSDS
sheets?
d. What are the potential
hazardous materials we work with
in and around the ambulance
business?
B. Material Safety Data Sheets:
Point out that there is an excellent
description of the MSDS by the Department
of Health in the student Workbook.
1. Copies of the MSDSs must be present
in the workplace and consulted
whenever there is a question about a
product.
2. Manufacturers and importers of
hazardous chemicals are required to
evaluate their ~roducts and ~repare
MSDSs and container labels with
hazard warning. These are required
Page 73
NYS EMS-BAZMAT AWARBRESS COURSB
course Guide 6 content outline
to be made available to employers who

use the products.
3. A MSDS contains a variety of
information about a product
including:
a. Product and chemical names of
hazardous ingredients.
b. Name, address and telephone
number of the manufacturer.
c. Physical and chemical properties
and hazards.
d. Routes of exposure.
e. Established exposure limits.
f. Any product ingredients
linked to cancer.
g. Precautions for safe handling
and use.
h. Recommended engineering
controls and protective
equipment.
i. Emergency and first aid
procedures.
4. Sample MSDSs.
[overheads f 36, 37, 38]
a. Oxygen.
b. Ammonia inhalent.
c. Clorox bleach finfection control)
d. Hydrogen peroxide.
e. Mannequin cleaner.
f. Electrode gel.
g. Questions students, "Anything
else?"
C. Information and training programs for
employees. Programs can vary greatly in
content depending on your job, but must
include:
1. A discussion of the requirements of
the HCS and the steps your employer
has taken to comply.
2. Instruction in how to read and
inter)?ret the information provided on
container labels and MSDSs.
3. Identification of operations in
the work area where hazardous
chemicals are used, stored or
produced.
4. Information on how to detect the
presence or release of hazardous
chemicals.
Page 74
NYS EMS-JIAZMAT AWARENESS COURSE
5. Detailed discussion of the MSDS

for each product you use.
6. Instruction on the selection and
proper use of respirators and other
protective equipment, if required due
to the chemicals used in the work
environment.
Herbicide
case study
A. Show the video segment on "Herbicide
Poisoning case study. 11
1. Was this response overkill?
2. What would happen in your district?
3. Has your employer developed an
Emergency Response Plan?
4. What is your agencies' role in the
plan?
5. Was this patient "exposed and not
contaminated" or "exposed and
contaminated?" What's the
difference?
Field
stabilization
• Treatment of
Decontaminated
Patients A. Show the video segment on "Field
Stabilization & Treatment"
NOTE: THZS COURSE ZS DESIGNED FOR
11 DECOMTAKZNATED11 PATZBNTS ONLY.
B. Brief discussion: How is hazardous

material harmful to people?
1. Absorption - through the skin or open
cuts or abrasions.
2. Inhalation - the most rapid route
introducing toxic chemicals to
respiratory tissues and bloodstream.
In the blood, chemicals are
transported throughout the body and
accumulate in target organs.
3. Ingestion - get into mouth
throu~h hand to mouth contact or
coughing up inhaled particulate
material and then swallowing the
material.
4. Injection - this usually occurs
by a ~uncture wound from stepping or
brushing up against a sharp object.
C. Brief discussion: (This material was
Page 75
covered in the video. The discussion is

to make sure the student picked up the
key points.)
1. How might the assessment of Hazmat
victims be different than non-exposed
patients?
a. Exposure to solvents may cause
patient to act intoxicated.
2. How might the management of Hazmat
victims be different than non-exposed
patients?
a. Water soluble chemicals can cause
rapid swelling of upper airways.
Endotracheal intubation may be
needed so advise ALS unit.
b. H~drocarbons may alter the v
Fib threshold of the heart making
it very sensitive to medications
used to treat hypertension,
bradycardia, and bronchospasm.
3. Why should there be early physician
contact with either medical control
or poison center?
a. Hazmat cases are often
unfamiliar.
b. Medications we use need to
have altered doses.
c. Triage criteria may be different.
d. Poison control will have more
information on the appropriate
treatment of an exposed patient
to assist the EMTs and Medics on
the scene.
4. Since we are never really sure if
100% decon has occurred what does
Doctor Borak suggest EMTs wear?
a. Tyvek jumpsuit.
b. Double vinyl or latex gloves.
c. Respiratory protection is
not needed for treating
decontaminated patients.
5. What antidotes do we carry?
a. Oxygen.
b. Water.
Page 76
RYS BMS-HAZKAT AWARERESS COORSB
c. Atropine for insecticides (ALS).

d. Some are too dangerous to
carry ie: cyanide antidote
causes hemoglobin that can't
carry oxygen.
e. When planning for a Hazmat
in your communitf, evaluate the
substances used in fixed
facilities and the need to carry
antidotes.
The stages of·
Decontamination
A. The decontamination corridor is a sample
only and there are different wars to
accomplish this principle. (Point out
the separations between the hot, warm and
cold zones and discuss).
B. The nine stations of a decon corridor:
[OVerhead 1311)
1. Single entry/exit point to the hot
zone. Tools are dropped here. As
much contaminants as can possibly-be
removed mechanically is done.
2. Gross decontamination is done by
showering and scrubbing team members.
The scrubbers are always in the
appro~riate personal protective
clothini for the chemicals involved.
3. Protective clothing is removed
and bagged.
4. SCBA removal.
5. Personal clothing is removed and
bagged.
6. Body washing with a mild soap.
7. Dry off team members and issue
hos~ital gowns or scrubs.
8. Medical monitoring and assessment
of all team members and patients.
consult with Medical Control and
Poison Control as needed.
9. Transport of patients and team
members for definitive care as is
necessary.
C. Stress the role of the EMT with EMS
Hazmat Awareness training is in the cold
zone only. EMTs in the warm zone will
require additional training above the
awareness level.
D. There are at least four levels of
Page 77
NYS BMS-BAZMAT AlmRBIIBSS COURSB
Since this course is focused at the
awareness level we do not discuss the
specific types of suits used by Hazmat
Teams. It is useful to note that all
levels of protection are evaluated in
terms of three forms of chemical
intrusion: [overhead 140]
1. Degradation - the loss in beneficial
properties caused by exposing gloves,
protective clothing, and other
elastomeric samples to various liquid
chemicals.
2. Penetration - is the flow of
hazardous materials through zippers,
stitched seams, and pores or other
imperfections in clothing material.
3. Permeation - process of chemicals
moving through protective clothing at
the molecular level. The process
consists of:
a. Absorption of molecules of liquid
into the outside surface of the
material.
b. Diffusion of absorbed
molecules through the material.
c. Desorption of the molecules
of liquid out of the inside
surface of the material.
Medical
Monitoring,
Documentation
A. Show the video segment on "Medical
Monitoring."
1. What activities can be done by EMTs
and advanced EMTs in the cold zone?
In an ideal situation the EMS
personnel doing medical monitoring
and documentation would have received
additional training above and beyond
the awareness level course.
[overhead 141]
a. Advise the Hazmat Team members of
the specific dangers of exposure
Page 78
NYS BMS-BAZMAT ADRBIIBSS COURSE
to the chemical they are planning

to contain.
b. Advise the Hazmat Team of any
early signs and symptoms of
exposure to the chemical they are
planning to contain.
c. Advise the Hazmat Team of the
signs and symptoms of dehydration
and heat exhaustion from wearing
the encapsulated suit.
d. Pre-suit medical exam
including: respiration, pulse,
BP, mental status, ECG, motor
skills, hydration status, and
weigh the Team member.
e. Encourage Team members to
drink plenty of water prior to
suiting up.
f. Assist the Safety Officer
with monitoring the Team members
via binoculars and/or radio for
central nervous system symptoms
from exposure such as clumsiness,
disorientation or slurred speech
and dizziness or fatigue from
overheating.
g. Post-suit medical exam
including: respiration, pulse,
BP, mental status, ECG, motor
skills, hydration status, and
weiih the Team member.
h. Advise the Team members to
seek followup examination with
the Medical Director.
i. Conduct a Medical Assessment
(Station# 8) of the
Decontamination corridor (located
in the cold zone).
j. Consult with Medical Control
or Poison Control as needed on
treatment of decontaminated
pateints.
k. Documentation of all exams
for potential future compensation
cases/lawsuits.
C. Requirements of OSHA.
The instructor should review the
Workbook.) [overhead f 42)
Page 79
------------------------------------------------------------
Paragraph Q - E:Jq;:RGENCY RESPONSE TO HAZARDOUS SUBSTANCE
RELEASES
(9) Medical surveillance and consultation.
(i) Members of an organized and designated HAZMAT team
and hazardous materials specialists shall receive a
baseline physical examination and be provided with
medical surveillance as required in paragraph (f) of
this section.
(ii) Any emergency response employees who exhibit
signs or symptoms which may have resulted from
exposure to hazardous substances durin~ the course
of an emergency incident, either immediately or
subsequently, shall be provided with medical
consultation as required in paragraph (f) (3)(ii) of
this section.
------------------------------------------------------------
D. Other Considerations:
1. Team members are encouraged to keep a
log of all calls where exposure has
occurred and the follow-up that was
taken.
2. The best programs provide for
pre- employment, post-exposure and
termination of employment physical
exams that include extensive blood
analysis, urinalysis, chest x-rays,
and cardiopulmonary testing.
Post Incident
Considerations
A. Requirements of OSHA.
verbatim below and in the Student
Workbook.)
------------------------------------------------------------
Paragraph Q - BMBRGBNCY RESPONSE TO HAZARDOUS SUBSTANCE
RELEASES
(11) Post-emergency response operations. Upon completion of
the emergency response, it is determined that it is
necessary to remove hazardous substances, health
Page 80
RYS BMS-BAZMAT ADRBRBSS COURSB
hazards, and materials contaminated with them from the

site of the incident, the employer conductin~ the
clean-up..spall comply with one of the following:
(i) Where the clean-up is done on plant property using
plant or workplace emplorees, such employees shall
have completed the training requirements of the
following: 29 CFR 1910.38(a): 1910.134: 1910.1200,
and other appropriate safety and health training
made necessary by the tasks that they are expected
to perform such as personal protective e9Uipment
and decontamination procedures. All equipment to
be used in the performance of the clean-up work
shall be in serviceable condition and shall have
been inspected prior to use.
B. Ask the students what would be important

issues for a post-incident review
session.
1. Areas of strongest performance.
2. Areas needing additional work.
3. Additional personnel and
equipment needed next time.
4. Items transported which were
unnecessary.
5. Restocking requirements.
6. Assess need for a Critical
Incident Stress Debriefing.
Annual Refresher
Requir-ents,
summary
A. Requirements of OSHA.
Workbook.) (overhead t 43)
------------------------------------------------------------
OSHA 29 CPR Part 1910.120 Paragraph Q
(8) Refresher training.
(i) Those employees who are trained in accordance with
paragraph (q)(6) of this section shall receive
annual refresher trainin~ of sufficient content and
duration to maintain their competencies, or shall
Page 81
RYS BMS-HAZMAT AWARENESS COURSE
demonstrate competency in those areas at least

yearly.
(ii) A statement shall be made of the training or
competency, and if a statement of competency is
made, the employer shall keep a record of the
methodology used to demonstrate competency.
------------------------------------------------------------
B. Summarize the course and emphasize that
EMS personnel should be careful out
there!
PostQuiz &
course Evaluation
A. All students must take the post-quiz and
put their name on the answer sheet.
B. All students must complete a course
evaluation. Name is optional.
C. If certificates are prepared, issue them
to the graduates.
Page 82
New York State SECTION D
Emergency Appendix:
Hazmat Glossary of Terms
Medical References
Quiz
Quiz Answers
Services
Program
HAZMAT AWARENESS
''.A Continuing Education Course for EMS Providers"
Page83
Appendix: Glossary of Terms
Absorption - to take up or soak up a liquid and retain it.

Absorption names the taking up of liquids into the body.
Absorption also also names the process b¥ which liquid
hazardous materials are soaked up to limit the spread of
contamination.
Accident - an unexpected event generally resulting in injury,
loss of property, or disruption of service.
Acute exposure - a dose that is delivered to the body in a
single event or in a short period of time.
Air purification devices - respirators or filtration devices
which remove particulate matter, gases, or vapors from the
atmosphere. These devices range from full face piece, dual
cartridge masks with eye protection, to half-mask, face piece
mounted cartridges with no eye protection.
Air reactive materials - substances with very low
autoignition temperatures.
Air supply devices - respirators that provide compressed air
at pressures that are greater than atmospheric pressure to a
face mask which is worn by a rescuer.
Allocated Resources - resources dispatched to an incident
that have not yet checked in with the Incident Communications
Center.
Alkali - a substance that is basic and has the ability to
neutralize an acid and form a salt.
Assigned Resources - resources checked in and assigned work
tasks on an incident.
Autoignition temperature - the lowest temperature at which a
flammable gas or vapor air mixture will ignite from its own
heat source or a contacted heated surface without necessity
of spark or flame..
Available Resources - resources assigned to an incident and
available for an assignment.
Base - that location at which the primary logistics functions
are coordinated and administered (Incident name or other
designator will be added to the term base). The Incident
Command Post may be co-located with the base. There is only
one base per incident.
Boiling point - the temperature at which liquid changes its
phase to a vapor or gas, the temperature where the pressure
Page 84
of the liquid equals atmospheric pressure.

Branch - that Q~ganizational level having functional/
geogra~hical responsibility for major segments of incident
operations. The Branch level is organizational between
section and division/groups.
Breach - an opening in a hazardous materials container
through which hazardous material matter can escape.
caustic - substance that strongly irritates, burns, corrodes,
or destroys living tissues.
CERCLA - the Comprehensive Environmental Response
Compensation and Liability Act of 1980, also known as the
Superfund.
Chemical degradation - the altering of the chemical structure
of a hazardous material during the process of
decontamination.
Chemical protective clothing - clothing specifically designed
to protect the skin and eyes from direct chemical contact.
The two types are nonencapsulating and encapsulating.
Chemical resistance - the ability of chemical protective
clothing to maintain its integrity and protection qualities
when it comes into contact with a hazardous material.
Chief - ICS title for individuals responsible for command of
the functional sections i.e. operations, planning, logistics,
and finance.
Chronic exposure - low doses repeatedly received by the body
over a long period of time.
Cold zone - the uncontaminated area surrounding a hazardous
materials incident location, where personnel should not be
exposed to hazardous conditions.
Colorimetric tubes - devices that are used to determine the
presence and ap~roximate concentration of chemicals that
might be found in the atmosphere to be tested.
Combustible gas indicators - devices that measure the air
concentration of a flammable gas or vapor for which the
indicator has been specifically calibrated.
combustible liquid - any liquid that has a flash point at or
above 100 degrees F (37.7 degrees C) and below 200 degrees F
(93:3 degrees C).
command Officer - an officer who is not a part of the
staffing of a single resource.
Page es
command Post (CP)- that location at which primary command

functions are executed, usually co-located within the
incident base. , ..
command Staff - the command staff consists of the safety
officer, liaison officer and information officer who report
directly to the Incident Commander.
command - the act of directin~, ordering, and/or controlling
resources by virtue of explicit legal, agency or delegated
authority.
_communications Officer - the communications officer is
responsible to establish and maintain contact with the
E.o.c., ~rovide communications needs of all sectors and relay
information between the E.O.C. and the operations officers.
company commander - the individual responsible for command of
a company. This designation is not specific to any
particular fire department rank (may be firefighter,
lieutenant, captain or chief officer, if responsible for
command of a single company).
Company - a ground vehicle providing specified equipment
capability and personnel (engine company, truck company,
rescue company, etc.).
compatability chart - a chart that rates the strengths of a
protective clothing material against exposure to specified
chemicals.
confinement - those procedures taken to keep a material in a
defined or local area.
Contamination - the presence of hazardous material in an
unwanted location.
coordination - the process of systematically analyzing a
situation, developing relevant information, and informing
appropriate command authority (for its decision) of viable
alternatives for selection of the most effective combination
of available resources to meet specific objectives. The
coordination process (which can be intra- or interagency)
does not, in and of itself, involve command dispatch actions.
However, personnel responsible for coordination may perform
command or dispatch functions within limits as established by
specific agency delegations, procedures, legal authority,
etc.
corrosives - Substances which destroy the texture or
substance of tissues.
Debriefing - a post incident review that primarily focuses on
the adequacy of response plans and needs for systematic
Page 86
changes.
Decontam.inatio~ - the process of removing or neutralizing
contaminants from personnel or equipment.
Degradation - the loss in beneficial properties caused by
exposing gloves, protective clothing, and other elastomeric
samples to various liquid chemicals.
Diking - application of a barrier which prevents passage of a
hazardous material to an area where it will produce more
harm.
Dilution - the use of water to flush a hazardous material
from protective clothing and equipment.
Direct acting chemicals - chemicals that are able to cause
harm without first being transformed or changed.
Direct readin~ instruments - a portable device that measures
and displays in a short time period, the concentration of a
contaminant in the environment.
Director - res title for individuals responsible for command
of a branch.
Dispatch Center - a facilit¥ from which resources are
directly assigned to an incident.
Dispatch - the implementation of a command decision to move a
resource or resources from one place to another.
Diversion - controlled movement of a hazardous material to an
area where it will produce less harm.
Division - that organizational level having responsibility
for operations within a defined geographical area. The
division level is organizational between the single resource,
task force or strike team and the branch.
DOT - the Department of Transportation, the federal agency
which regulates the transportation of hazardous materials
also publishes aids for emergency response.
DOT Hazard Classification - the hazard class designations for
specific hazardous materials as found in DOT regulation.
DOT Emergency Response Guidebook - Department of
Transportation reference book which lists hazardous materials
and indicates health hazards and emergency actions.
Downwind - in the direction in which the wind is blowing,
unsafe in a hazardous materials incident.
Page 87
Durability - the ability of chemical protective clothing to

restrict tearing and punctures.
Emergency Medica1 services coordinator - a ~erson delegated
by the County Health Department who is to aid and assist the
Medical o~erations Officer in promulgating his duties. May
also provide an additional command vehicle (not an
ambulance), act as a liaison between agencies, keep records,
coordinate multi-agency activities and evaluate operations at
each situation.
Engulfment - occurs when the hazardous material is released
and spreads out and disperses.
Environmental hazard - a condition capable of posing an
unreasonable risk to air, water, or soil quality, and to
plants and wildlife.
Enzyme poisons - chemicals that inhibit specific cellular
reactions by competing with or altering the enzymes necessary
to catalyze those reactions.
Evacuation - a prolonged precautionary stay away from an area
affected by a hazardous material.
Exothermic reactions - chemical reactions that produce heat.
Explosive - an¥ material that may suddenly and violently
release mechanical, chemical or nuclear energy.
Exposure - in the vicinity of, without making contact with, a
specific product. Personnel may be exposed to a radioactive
substance by standing near an unshielded ~ile of radium dust.
They become contaminated when a gust of wind covers them with
the radium dust.
Extrication Unit Leader - a person responsible for the
supervision of the removal of entrapped victims.
Finance Section - responsible for all costs and financial
considerations of the incident. Includes the Time Unit,
Procurement Unit, Compensation/Claims Unit and the cost Unit.
Flammable - easily ignited and capable of burning with great
rapidity.
Flammable (explosive) range - the range of gas or vapor
concentration (percentage by volume in air) that will burn or
explode if an ignition source is present. Limiting
concentrations are commonly called the "lower explosive
limit" and the "up~er explosive limit". Below the flammable
limit the mixture is too lean to burn; above the upper
flammable limit the mixture is too rich to burn.
Page 88
Course Guide & Content outline
Flash point - the minimum temperature at which a liquid gives

off enough vapors to ignite and flash over, but not continue
to burn without ~he addition of more heat.
Fumes - fine particles of dust dispersed in air.
Gas - a state of matter distinguished by very low density,
the ability to diffuse rapidly, and a tendency to distribute
evenly throughout the container.
Grou~ - that or~anizational level having responsibility for a
specified functional assignment at an incident (triage,
treatment transportation).
Hazard Area - a geographically identifiable area in which a
specific hazard presents a potential threat to life and
property (inner perimeter).
Hazard communication standard - 29 CFR Part 1910.1200 the
OSHA right to know standard which requires that employers
must develop a comprehensive program to inform employees of
the hazards encountered in the workplace and provide training
in the safe use and handling of products containing hazardous
chemicals.
Hazardous Material Incident~ an occurrence which causes the
release or potential release of a hazardous material into the
environment.
Hazardous Materials Response Unit - a team consisting of a
minimum _of two members trained and equipped in the
identification, handling and transportation of hazardous
material.
Hazardous Material - any substance or material in a quantity
or form which poses an unreasonable risk to health, safety
and property when transported in commerce. [U.S. DOT)
Hazardous Material (Substance/Waste) - any substance that
causes or may cause adverse affects on the health or safety
of employees, the general public, or the environment; any
biological agent and other disease-causing agent, or a waste
or combination of wastes. [NFPA 472]
Hazardous Substance - any substance designated under the
Clean Water Act and the Comprehensive Environmental Response
Compensation and Liability Act (CERCLA) as posing a threat to
waterways and the environment when released. [EPA]
Hazardous Waste - any waste or combination of wastes which
pose a substantial present or potential hazard to human
health or living organisms because such wastes are
nondegradable or persistent in nature, or because they can
biologically magnify or because they may otherwise cause or
Page 89
RYS EMS-HAZMAT AWARENESS COURSE
tend to cause detrimental cumulative effects. [EPA]

Hot Zone - the .. a~ea at a hazardous materials incident within
which contamination exists or could occur.
Hypergolic materials - materials that i~nite spontaneously on
contact with one another without requiring a source of
ignition.
rDLH - immediate danger to life and health.
rgnition (autoiinition) t-perature - the minimum temperature
re9Uired to ignite gas or vapor without a spark or flame
being present.
rmpingement - occurs when the released hazardous materials
actually makes contact with people, objects, and things.
rncident Action Plan - the strategic goals, tactical
objectives and support requirements for the incident. All
incidents re9Uire an action plan. For simple incidents the
action plan is not usually in written form. Large or complex
incidents will require that the action plan be documented in
writing.
rncident Command system - a system developed in California,
in response to the wildfires of the 1970s, to manage
~ersonnel and equipment resources at a hazardous materials
incident.
rnciden~ Command Post - that location at which the primary
command functions of all executed and usually co-located with
the operations post.
rncident commander - the individual responsible for the
overall management of all incident operations.
rndirect acting ch-icals - chemicals that must be
transformed before they can provoke injury.
rnformation Officer - responsible for interface with the
media or other a~propriate agencies requiring information
direct from the incident scene. Member of the command staff.
rnner Perimeter - see hazard area.
rrritatini Material - a liquid or solid substance which upon
contact with fire or when exposed to air gives off dangerous
or intensely irritating fumes, but not including any
poisonous material, Class A.
Jurisdictional Agency - the agency having jurisdiction and
responsibility for a specific geographic area.
Page 90
Leader - ICS title for individuals responsible for command of

a crew, task force, strike team, or functional unit.
LEL - Lower explosive limit. Below the lower explosive limit
there is not enough vapor for a chemical to burn.
Liquid - a state of matter in which a product exhibits a
readiness to flow and little tendency to disperse.
Level A, B, C and D Personal Protection - the four categories
of personal protective clothing established by EPA which
provide different degrees of respiratory and body protection.
Liaison Officer - the point of contact for assisting or
coordinating agencies. Member of the command staff.
Local Emergency (State definition) - in the event of
disaster, rioting, catastrophe, or similar public emergency
within the territorial limits of any county, city, town or
villa9e, or in the event of reasonable ap~rehension of
immediate danger thereof, and u~on a finding by the chief
executive thereof that the public safety is imperiled
thereby, such chief executive may proclaim a local state of
emergency within any part or all of the territorial limits of
such local government.
Logistics Section - Responsible for providing facilities,
services, and materials for the incident. Includes the
communications unit, medical unit and food units, within the
service.branch and the sup~ly unit, facilities unit and
ground support units, within the support branch.
Major Disaster (Federal definition) - any hurricane, tornado,
storm, ·flood, high-water, wind-driven water, tidal wave,
tsunami, earthquake, volcanic eruption, landslide, mudslide,
snowstorm, drought, fire, explosions, or other catastrophe in
any part of the United States which, in the determination of
the President, causes damage of sufficient severity and
magnitude to warrant major disaster assistance under the
Federal Disaster Relief Act, above and beyond emergency
services by the Federal Government, to supplement the efforts
and available resources of states, local 9overnments and
disaster relief organizations in alleviating the damage,
loss, hardship or suffering caused thereby.
Mists - liquid droplets dispersed in air.
Mitigation - actions taken to prevent or reduce the severity
of harm.
MSDS - Material Safety Data Sheet - a sheet required to be
furnished by every manufacturer of hazardous materials.
NFPA 472 - National Fire Protection Association standard for
Page 91
~rofessional competence of responders to hazardous materials

incidents.
NFPA 473 - Natic°nal Fire Protection Association standard for
competencies for EMS personnel responding to hazardous
materials incidents which specifies EMS Hazmat Level I and
Level II personnel.
NFPA 704 - National Fire Protection Association
identification system for categorizing health, flammability
and reactivity hazard levels.
NIOSH - National Institute for Occupational Safety and
Health.
Officer - ICS title for the command staff positions of
safety, liaison, and information. Also used when a single
individual performs a unit function within planning, ·
logistics or finance.
Operations section - responsible for all operations at the
incident. Includes up to 5 branches, 25 divisions or groups,
and 125 single resources, task forces, or strike teams.
organic Peroxide - an organic compound containing the
bivalent -o-o structure and which may be considered a
derivative of hydrogen peroxide where one or more of the
hydrogen atoms have been re~laced by organic radicals must be
classed as an organic peroxide.
OSHA - Occupational Safety and Health Administration.
Oxidizer - a highly reactive substance that may react with
other materials to generate heat or ignition. Oxidizers may
also accelerate fires to the point of explosion.
out-of-Service Resources - resources assigned to an incident
but unable to respond for mechanical, rest, or personnel
reasons.
Outer Perimeter - traffic control points designated to limit
and control access to the incident area.
PCBs - Polychlorinated biphenyls. A carcino9enic substance
commonly found in underground wiring insulation and in
viscous cooling fluid used in older electrical transformers.
These transformers are frequently found on overhead
electrical poles, in underground vaults and in high rise
buildings.
PEL - permissible exposure limit: the maximum average
concentration averaged over 8 continuous hours to which 95%
of otherwise healthy adults can be repeatedly and safely
exposed for periods of 8 hours per day, 40 hours per week.
Page 92
NYS EHS-HAZMA'l' AWARENESS COURSE
Penetration - is the flow of hazardous materials through

zippers, stitcqed seams, and pores or other imperfections in
clothing materia~.
Permeation - process of chemicals moving through protective
clothin~ at the molecular level. The process consists of:
absorption of molecules of liquid into the outside surface of
the material, diffusion of absorbed molecules through the
material, and desorption of the molecules of liquid out of
the inside surface of the material.
pH - a measure of a substances' ability to react as an acid
· (low pH) or as an alkali (high pH).
Plannin~ section - responsible for the collection,
evaluation, dissemination, and use of information about the
development of the incident and the status of resources.
Includes the situation status, resource status, documentation
and demobilization units as well as technical specialists.
Poison - any substance that causes injury, illness or death,
usually by chemical means.
PPM - parts per million. The unit of measurement for
particles of a contaminate within the ambient air.
Radiation meter - devices that detect the presence and
measure the·quantity of radiation emitted by the decay of
radioactive substances.
Radioactive - any substance that emits potentially harmful
atomic energy. Atomic radiation is known to cause cancer,
birth defects and cell destruction.
Release - once a breach has occurred and the hazardous
materials enter the atmosphere and/or environment.
Resources - all personnel and major items of equipment
available, or potentially available, for assignment to
incident tasks on which status is maintained.
Right to Know - 29 CFR Part 1910.1200 the OSHA standard which
requires that employers must develop a comprehensive program
to inform employees of the hazards encountered in the
workplace and provide training in the safe use and handling
of products containing hazardous chemicals.
Route of Entry - one of four pathways for hazardous materials
to enter the body, i.e. inhalation, absorption, ingestion or
injection.
Safety Officer - responsible for monitoring and assessing
safety hazards or unsafe situations and developing measures
Page 93
for ensuring personnel safety. Member of the command staff.

SARA Title III.- Superfund Amendment and Reauthorization Act
requires health ·and safety regulations to be established for
hazardous waste site operations.
SCBA - self contained breathing apparatus, consisting of a
compressed air tank, regulator, connector hoses and mask.
Section - that organizational level having functional
responsibility for primary segments of incident operations,
such as: operations, planning, logistics, and finance. The
_section level is organizational between branch and incident
commander.
Single Resource - an individual company or crew.
Sloughing - the ~recess by which necrotic cells separate from
the tissue to which they have been attached.
Solid - a product of greater density than liquids or gases.
Solids readily disperse in powdered form, otherwise solids
display a minimal tendency to disperse.
Solubilitr - the ability of a solid, liquid, gas or vapor to
dissolve in a solvent; the ability of one material to blend
uniformly with another.
Solvent - a liquid substance capable of dissolving another
substance.
Spontaneous Combustible Material - a material that is likely
to heat spontaneously under conditions normally incident to
transport or to heat up in contact with air and then is
likely to catch fire.
Sta~ing Area - that location where incident ~ersonnel and
equipment are assigned on an immediately available status.
State Disaster Emergency - means a period beginning with a
declaration b¥ the Governor that a disaster exists and ending
upon the termination thereof. Once a State Disaster
declaration is made, the State assumes direction of the
incident response.
strategic Goals - the overall plan that will be used to
control the incident. Strategic goals are broad in nature
and are achieved by the completion of tactical objectives.
strike Team - five of the same kind and type of resources,
with common communications and a leader.
supervisor - ICS title for individuals responsible for
command of a division or a group.
Page 94
Support Branch - a branch within the logistics section.

Responsible for providing the personal, equipment and
supplies to SUP.port incident o~erations. Components include
the supply unit, .. facilities unit and ground support units.
Tactical Objectives - the specific operations that must be
accomplished to achieve strategic goals. Tactical objectives
must be both specific and measurable.
Tactical Unit - specified combination of the same kind and
type of resource, with a common communications and leader.
Task Force - a group of any type and kind of resources, with
common communications and a leader, temporarily assembled for
a specific mission, not to exceed five resources.
TLV/C - threshold limit value ceiling. The maximum
concentration to which a healthy adult can be exposed without
risk of injury.
Toxic - harmful, destructive or deadly.
Transportation Division - the organizational level having
responsibility, within a defined geographic area, for the
transport of patients to the hospital. This division level
is organizational between hospital communications, vehicle
loaders and the EMS branch.
Transportation Group - the organizational level having
responsibility for the specific assignment of patient
transportation.
Transportation Officer - the person responsible for the
transportation group activities.
Treatment Division - the organizational level having
responsibility for the treatment of patients within a defined
geographic area. This division level is organizational
between the patient care providers and the EMS branch.
Treatment Group - the organizational level having
responsibility for the specific assignment of patient
treatment.
Treatment Officer - the person responsible for the treatment
group activities.
Triage - the process of sorting sick or injured on the basis
of urgency and type of condition present, so that they can be
properly treated, stabilized and routed to medical facilities
appropriately situated and equipped for their care.
Triage Area - located near the incident site where injured
persons are removed from the hazardous incident site for
Page 95
medical priority sorting and life threatening conditions are

stabilized prior to removal to the treatment area.
Triage Division-~ the organizational level having
responsibility for sorting of patients within a defined
geographic area. This division level is organizational
between the triage team and the EMS branch.
Triage Group - the organizational level having responsibility
for the specific assignment of patient triage.
Triage Officer - the person responsible for the triage group
activities.
Triage Team - up to five members who have the same kind and
type of resources, with common communications and a leader.
They will evaluate the condition of the patients.
Triage Unit Leader - that person who has been duly trained in
the procedures and techniques of evaluating for treatment the
victims involved in an emergency situation (usually the
attendant of the primary ambulance).
UEL - upper explosive limit. Above the upper explosive.limit
the mixture of air and vapor_ is rich for a chemical to burn.
UN Number - United Nations Number which identifies and is
used to mark hazardous substances during transportation.
Upwind - away from the direction in which the wind is
blowing, the safe area in a hazardous materials incident.
Vapor density - the weight of a given volume of va~or or gas
compared to the weight of an equal volume of dry air, both
measured at the same temperature and pressure.
Vapor pressure - a measure of the tendency of a liquid to
vaporize into a gas.
Vapors - the gaseous form of substances which are normally in
the solid or liquid state at room temperature and pressure.
Warm zone - the transition area between contaminated and
clean areas at a hazardous materials incident, where
decontamination takes place.
water reactive materials - any substance that readily reacts
with or decomposes in the presence of water with substantial
energy release.
water solubility - the quantity of chemical that will mix or
dissolve in water.
29 CFR 1910.120 - The OSHA regulation which establishes
Page 96
training requirements and procedures to be followed during

hazardous waste site operations including emergency response
activities. - ..
Appendix: References
The following sources provide information on the topics in

this course:
American Academy of orthopedic Surgeons, 1991, Emergency Care
and Transportation of the Sick and Injured. Fifth Edition,
Park Ridge, Illinois, AAOS.
American Academy of Orthopedic Surgeons, 1990, Basic Rescue
and Emergency Care •. First Edition, Park Ridge, IL, AAOS.
Borak, J., et al., 1991, Hazardous Materials Exposure
Emergency Response and Patient Care, Englewood Cliffs, NJ,
Prentice Hall, Inc.--
Bronstein, A., Currance, P., 1988, Emergency Care for
Hazardous Materials Exposure. st. Louis, MI, c.v. Mosby co.
Caroline, N., 1991, Emergency Care in the Streets. Fourth
Edition, Boston, MA, Little, Brown and Co.
Emergency Handling of Hazardous Materials in Surface
Transportation. Washington, DC, Association of American
Railroa9-s, 1981.
Emergency Response Guidebook. Washington, DC, US Department
of Transportation.
Grant, H., Murray, R., Bergeron, J., 1990, Emergency care.
Fifth Edition, Englewood Cliffs, NJ, Prentice Hall, Inc.
Hafen, B., Karren, K., 1992, Prehospital Emergency Care and
Crisis Intervention, Fourth Edition, Englewood, co, Morton
Publishing Co.
Lefevre, M.J., First Aid Manual for Chemical Accidents. Van
Nostrand Reinhold, New York, NY 1980.
Lockert, E., et al, 1991, Emergency Medical Update. Volume 4,
Number 9, & Volume 5, Number 2, Lockert-Jackson Associates,
Winslow, WA.
Martin, H.F., ed., 1989, Hazardous Materials Response
Handbook, First Edition, Quincy, MA, National Fire Protection
Association.
Meyer, E., Chemistry Qf. Hazardous Materials, Bradv Books,
Page 97
Englewood Cliffs, NJ, 1989.

Morgan, D.P., Recognition and Mana~ement of Pesticide
Poisonings. Washington, DC, US Environmental Protection
Agency, 1989.
National Fire Protection Association Standards: 472, 473,
1500, 704., Quincy, MA.
New Jersey Hazmat Emergency Response Course Level i
Awareness. New Jersey Hazardous Material Training Committee,
a program of the New Jersey/New York Hazardous Materials
Worker Training Center, 1991, Piscataway, NJ.
NIOSH Pocket Guide 12 Chemical Hazards. Washington, DC, US
Department of Health and Human Services, 1985.
Proctor, N.H., Hughes, J.P., Fischman, M.L., Chemical
Hazardous of the Workplace. J.B. Lippincott, Philadelphia,
PA, 1988.
Public Safety Critical Incident Management. Instructor's
Guide. NYS Disaster Preparedness Commission, 1991, Albany,
NY.
Sax, N.I., Lewis, R.J., Dangerous Properties of Industrial
Materials. Van Nostrand Reinhold, New York, NY, 1989.
Stutz, D.R., et al, 1982, Hazardous Materials Injuries: A
Handbook for Prehos~ital Care. First Edition, Greenbelt, MD,
Bradford_Communications Corp.
Page 98
lllYS BMS-BAZMAT A'lfllBNESS COURSE
course Guide• Content outline
guiz
1. Hazardous m~terials are:

A. Chemicals.
B. Substances that harm what they touch.
c. Substances that cannot be identified.
D. Materials that cannot be easily identified.
2. According to the 1989 OSHA mandate concerning minimum
training for hazmat, all of the following are true
except:
A. First responders must understand what hazardous
materials are, and their associated risks.
B. First responders must understand potential
outcomes associated with hazmat incidents.
c. First responders must provide medical care
immediately.
D. First responders must be able to recognize the
presence of hazardous materials.
3. Methods for identifying local hazmat risks include:
A. Obtaining lists of chemicals used at local
facilities.
B. Touring local facilities.
c. Knowing the transportation routes in your area.
D. All of the above.
4. You are called for a person down at an industrial site.
You should be alert to sensory clues such as odor, upper
airway irritation and
A. Loud noises. ------
B. Vapors.
c. Changes in wind direction.
D. None of the above.
5. Hazardous materials can be identified by:
A. Shipping papers,
B. The United Nations placard system.
c. The National Fire Protection Association label.
6. The Material Safetr Data Sheet (MSDS) serves to:
A. Give accurate information on first aid procedures
o~ly. accura t e in
B. Give · f orma t"ion on in
· d us t ria
· 1 c h emica
· 1 s.
c. Give multi-lingual first aid information.
D. Give home remedies for hazmat contamination.
Page 99
NYS BMS-RAZMAT AWARENESS COURSE
7. CANUTEC and --~-~~_.provide 24 hour emergenc::t

information service for responders to hazmat incidents.
A. CHEMTREjC.
B. CHEMEX • .
C. CHAMTRAC.
D. CHEMTREX.
a. Preplanning for hazmat includes:
A. Buyin9 protective equipment.
B. Training.
c. Analyzing local risks.
9. The highest priorities in hazmat incidents include all of
the following except:
A. Limit contact with the substance.
B. Identify the chemical.
c. Sniff the chemical to see if you can identify it.
D. Identify the protective gear required.
10. A resource that can help you identify the number on a
placard is:
A. The D.O.T. Paramedic Manual.
B. The D.O.T. Emergency Response Guidebook.
c. The D.O.T. Hazmat Bible.
D. The U.S.D.A. Guidebook for Chemicals.
11. Your patient has just been removed from the site of the
chemical hazard. Your approach will include:
A. Removing chemicals from the skin as soon as possible.
B. Removing contaminated clothing.
c. Washing the skin for at least 15 minutes.
12. What is not one of the five clues for detecting the
presence of Hazardous Materials?
A. Placards.
B. Shipping papers.
c. The wind direction.
D. The occupancy.
13. A tank truck carrying gasoline will, when viewed from the
rear, look:
A. Round.
B. Rectangular.
C. Square.
D. oval.
14. Chemicals that require special handling include:
A. Phosphorus.
B. Hydrogen fluoride.
·c. Phenol.
Page 100
NYS BMS-HAZMAT AWARBNBSS COURSE
15. All patients who have been decontaminated, or _____

need to be seen by EMS personnel.
A. Cold pat!ents.
B. cool patients.
C. Warm patients.
D. Hot patients.
16. On-scene treatment should include:
A. No ALS treatment.
B. IVs only.
C. Treatment of presenting symptoms.
D. Treatment of cardiac problems only.
17. The reason for carefully selecting receiving facilities
for hazmat victims is to:
A. Ease the workload.
B. Contaminate all of the hospitals equally.
c. Minimize secondary contamination.
D. Ensure prompt payment.
18. The com~onents of a medical surveillance program include:
A. Medical monitoring before suiting up.
B. Yearly medical examinations.
c. Documentation of exposures.
19. Medical monitoring for hazmat personnel should include:
A. Blood pressure.
B. Pulse.
C. Temperature.
20. You are monitoring personnel wearing encapsulated suits.
You should watch for heat exhaustion and
A. overhydration.
B. Dehfdration.
c. Fluid overload.
D. None of the above.
21. In addition to# 18, you should monitor for:
A. Clumsiness.
B. Dizziness.
c. Slurred speech.
22. Your role in regard to documentation includes:
A. Documenting immediate effects of hazmat materials.
B. Documenting all non-relevant materials.
c. Documenting all non-relevant details.
Page 101
23. The term "unified command" structure includes:

A. Joint planning.
B. Determining goals.
c. Maximizing resources.
24. You were the first EMT on scene and now are told to
report to the medical command and to direct a team who
will be sorting patients into ~riorities. Your title is:
A. Triage sector/division officer.
B. Transportation sector/division officer.
c. Treatment sector/division officer.
D. Safety officer.
25. You realize that you need to convey certain information
to the hospital. This includes:
A. Types of injuries.
B. Numbers of injuries.
c. Nature of the incident.
Page 102
NYS BMB-BAZMAT AWARBIIIBSS COURSB
course Guide• Content outline
Quiz Answers
1. (B) Hazardous materials are substances that harm what

they touch.
2. (C) Training must provide an understanding of hazardous
materials and their associated risks, potential outcomes
associated with hazmat incidents, and methods of
identification of hazardous materials.
3. (D) Methods to identify local hazardous materials include
obtaining lists, touring local facilities and knowing
transportation routes.
4. (B) Vapors, odors and upper airway irritation are all
sensory clues for a hazmat incident.
5. (D) Hazardous materials can be identified by shipping
papers, the United Nations placard system and the
National Fire Protection Association label.
6. (B) The MSDS serves to give accurate information of
industrial chemicals.
7. (A) CANUTEC and CHEMTREC are agencies that provide 24
hour emergency information on hazardous materials.
8. (D) Preplannin~ for hazmat includes buyin~ protective
equipment, training and analyzing local risks.
9. (C) Priorities include limiting contact with the
substance, identifying the chemical and identifying the
protective gear needed.
10. (B) The o.o,T. Emergency Response Guidebook can help
identify the number on a placard.
11. (D) The general approach includes removing chemicals from
the skin, removing contaminated clothing, and washing the
skin.
12. (C) The five clues include occupancy and/or location,
container shapes, markings and colors, placards and
labels,shipping papers and other documents.
13. (D) An oval tank truck with flat ends (DOT-406) usually
carries nonpressurized liquid such as gasoline or fuel
oil.
14. (D) Phosphorus, hydrogen flouride and phenol all require
·special handling.
Page 103
NYS BMS-BAZMAT AWARBRBSS COURSB
course Guida, content outline
15. (A) All patients that have been decontaminated, or cold

patients, need to be seen by EMS personnel.
16. (C) On scerie .. treatment should include treatment of the
presenting symptoms.
17. (C) One reason to carefully select receiving facilities
is to help minimize secondary contamination.
18. (D) A medical surveillance program should include medical
monitoring before suiting up, yearly medical exams, and
documentation of exposures.
i9. (D) Medical monitoring should include BP, pu1se and
temperature.
20. (B) You should monitor for exhaustion and dehydration.
21. (D) You should also monitor for clumsiness, dizziness and
slurred speech.
22. (A) Your role includes documentation of immediate effects
of the hazardous material.
23. (D) Unified Command structure includes joint planning,
determining goals and maximizing resources.
24. (A) The triage sector/division officer is charged with
reporting to medical command and may be asked to direct a
smaller triage group.
25. (D) The hospital needs to know the nature of the incident
and the number and types of injuries.
Paga 104
BASIC LIFE SUPPORT PROTOCOL:
Section #1 - Tl,f. IiMT Responders Initial Situation Assessment

NEVER ENTER A HAZARDOUS MATERIALS CHEMICAL RELEASE AREA WITHOUT
PROPER PROTECTIVE CLOTHING. Elllcrgcncy Medical Service providers responding to
accidenis or known Haunlous Malerials areas mast adhere to their individual depanment's Srandan!
Operating Procedures/Pre-Plans.
I IESTABLJSH A-SAFE ZONE ~
•1~:i~~lif~ll";!~~t~~li1i'~ii!1t~ll~1·1J:~~~~tli:,~~~~:.r~~i~ ;.t
:~;~~,~~~~~~i~~~i~~~~:~~~,~~~J~ftit~J£<
Jpillfrcim ···concallier or vehicle ls one.block or!OO f~The *eofthe.cbemical·release·will · .
·····•s4icbl~4irSllredisiatfi;r~~~j,t~~~'.:t;!:tL.• {a ··· · · · · · ·-· · -·. ·-
I !OBTAIN ASSISTANCE ~
Notify your dispatcher to contact all Pre-Planned appropriate emergency agencies of the chemical
release. Local Fire Depanmtnt, Haz-Mat Team. Police Department, and Local Hospilal Triage Teams.
I RECOGNITION OF CHEMICAL SPILLED ~
SECTION #2 - PATIENT CARE FOR DECONTAMINATED VICTIMS
CAUTION!
TAKE PRECAtmONS NOT TO CONTAMINATE SELF OR OTHERS
USE MINIMUM EMS PERSONNEL TO HANDLE TIIE TASK OF PATIENT CARE AT A

HAZARDOUS MATERIALS INCIDENT.
Page 105
BASIC LIFE SUPPORT PROTOCOL:
I, AIRWAY MANAGEMENT
0
Adminis1er high flow oxygen to all patients who present signs of breathing difliculties (even patients
with known C.O.P.J>.), especially those victims involved in a fire ielalM incident (respiratory bwns).
I ,·J.F CHEMICAL IS A LIQUID ~

The palient you receive in your SAFE ZONE should be DECONTAMINATED. Always check to make
sure. There should be no contaminated clothing or jewelry on the victim. Flush the decontaminated areas
with copious amounts of water.
Ii J.F THE CHEMICAL IS A DRY POWDER ~ .
Any patient you receive should again be DECONTAMINATED. If small amounts of a powdery substance
arc sdll present, BE CAREFUL not to spread it over unaffected areas. Flush skin with copious amounts of
water.
Ii J.F THE EYE(S) ARE CONTAMINATED ~
Irrigate the eye(s) with copius amounts of water or saline solution continuously. Make sure the patient
blinks during inigation.
CAUTION:
DO NOT CONTAMINATE THE UNINJURED EYE WITH THE
RUN OFF IRRIGATION FLUIDS FROM THE CONTAMINATED EYE.
' ' "" ~~Oifi~tiiii·b~~OUS

~-
MATERIALS•VICTIMS••··. . ·
/ "';:' ,,
{<L Tl'aDSJ)ir(patlmfin a warm imviromnmt; lliisJ(lmpcrtant sintt. b11r11 patients tend to lose body
i· ;11~:!i~~,~~;;~~!h~~! :11r•:l)::1:;1~i1 .i ;l!!Wsie ·}< ··. . · · ·.· ·. . ·· . ·
New Yori: s~ Basic Lif• Support Proiocol
Page 106
RYS EMS-HAZMAT AWARENESS COURSE
Agencies For Special Assistance
CHEMTREC (Chemical Transportation Emergency Center)

1-800-424-9300
54th Explosive Ordinance Disposal

Ft. Monmouth, N.J.
(disposal of military explosives)
908-532-7055
143rd Explosive Ordinance Disposal - Seneca Army Depot

Romulus, N.Y.
607-869-0363
146th Explosive Ordinance Disposal - Stuart Army Annex

West Point, N.Y.
914-563-3232 or 3233
55th Ordinance Detachment - Explosive Ordnance Disposal

Fort Drum, N.Y.
315-773-4044
For commercial explosives and im~rovised explosive devices,

you should contact the local police department bomb squad or
the local station of the Division of the State Police.
New York State Department of Environmental Conservation
(emergencies involvin~ hazardous wastes and hazardous
materials spills or releases)
1-800-457-7362 (24 hour hotline)
(emergencies involvin~ radioactive substances and/or
infectious substances)
(DOH Duty Officer answering service 1-518-465-9720)
New York State Department of state

Office of Fire Prevention & Control
(Hazmat technical assistance 24 hour hotline 1-518-474-6746)
Review the Notification Form on page 105
Page 107
NYS EMS-KAZMAT AWARENESS COURSE
New York State Warning Point

(all emerg~ncies which rec;illire any State emergency
response or involvement)
1-518-457-2200 (24 hour hotline)
Nuclear Regulatory Commission (NRC) 1-301-951-0550
National Pesticide Telecommunications Network (NPTN)

1-800-858-7378
Centers for Disease Control (CDC) 1-404-633-5313
Agency for Toxic Substance and Disease Registry (ATSDR)

1-404-488-4100
National Response Center

1-800-424-8802
Association of American Railroads (AAR)

1-202-639-2222
Note:
Most State agencies have field offices in various areas
throughout the State. The telephone numbers of those offices
should be included in the local Hazardous Materials Emergency
Plan.
,. A
~
,.........
,.·.·.~
. . .....
. ..,,_,
,.,, .·.·.·.·.·.·.·.·.
.......
~
~
~~
<·.:: ~~:~~~:~~~:: -~~

~-...·:' ·.:AGE·NT-S: ·: ·.'/
.,. .... .. .. .. ...... .,,'~
.,.. .._.._......
...."'I • I
. . . . . .,,.
I o I I I f'"JI,
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V
Page 108
N.Y.S. DEPT. OF STATE - OFFICE OF FIRE PREVENTION & CONTROL
HAZARDOUS MATERIALS TECHNICAL ASSISTANCE
24 HR. HOTLINE -1-518-474-6746
EMERGENCY NOTIFICATION INFORMATION
* Tell the operator you are requesting Hazardous' Materia.ls assistance. Be prepared before you call
to give the following information:
Name of caller
------------Phone# - - - - - -
1dent if i cation· - - - - - - - - - - - - - - - - - - - - - -
Brief description of incident
---------------
Location of incident (town, county, street) ________
Time &time
Date & date call
of incident
receiv_e________________
Material(s) involved & amoun_~-------------
Status (leaking, burning, etc., ______________
Container type(s)
Placard/Label i nf_o_________________
Shipper identifica ,on
------------------
Transportation vehicle or storage information- - - - - - -
Fatalities_ _ _ Injuries~__ Population endangered

Water/environmental hazards ---
Weather conditions (rain, snow, wind)
Personnel at scene (Fire, Haz-Mat Tea_m_,~E~M~S~)-------
Actions initiated
---------------------
The following have been notified (name, title)
Local Emergency Agencies ______________
Other County/Regional Agencies ____________
CHEMTREC [1-800-424-9300] _ _ _ _ _ _ _ _ _ __
Shippers or owner__________________
* All requests will be evaluated to determine the most appropriate level of _assistance. Should on
scene technical assistance be deemed appropriate, two OFPC staff members will be dispatched
illlllediately to assist. Assistance can be requested whenever:
- NYS Fire Mobilization and Mutual Aid Plan is activated,
- County Fire Coordinator determines that assistance is required,
- the Hazardous Materials Emergency Contingency Plan is activated,
- another agency requests assistance, and
- a request from a municipality is determined to require specialized assistance and activation
of the State Fire Mobilization and Mutual Aid Plan is not needed.
Page 109
New York State SECTION E
Emergency Overhead Transparencies
Medical
Services
Program
6
~ .•:•.~
"'.-:-:-:-:-.~
•• • • • • • • !It.
~~ ···•····•········ ~~.~,_,
.............
.-:-:-:-:-:-:-:-:-:-:-.
~ -···························· ~
,, l\.
(DANGEROUS S>
~ V
~~- ............... V
..•........................
I I O o O I O O O O O I O • 0
.........
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.. ~
. ..···•···
0 0 0 o O O O O I I
~·-···········,..
~~:::::?"' .
•
HAZMAT AWARENESS
Page 110
Hazardous Materials Awareness
, .• For
Emergency Medical Services Personnel
State of New York
Mario M. Cuomo
Governor
NYS Emergency Medical Services Program
Michael Gilbertson
Director
Donald A. DeVito
Director
June - 1992
OVERHEAD #1 - PAGE 111

Hazardous
Materials
Hazmat is Everywhere!
According to U.S. DOT in 1990,

nationally there were:
* 8,687 Incidents
* 4 Deaths and 390 Injuries
* More than $ 33,473,980 I in

damages
According to New York State DOT in

1990, in NVS there were:
* 344 Incidents
* 1 Death
* 12 Injuries
* More than $860,893 in damages

Definitions:
Hazardous Material
"Any substance .. or material In a quantity or form

which poses an unreasonable risk to health, safety
and property when transported in commerce."
[U.S. Dept. of Transportation]
Hazardous Substance
"Any substance designated under the Clean Water

Act and the Comprehensive Environmental
Response Compensation and Liability Act (CERCLA)
as posing a threat to waterways and the
environment when released." [Environmental
Protection Administration]
Hazardous Waste
"Any waste or combination of wastes which poses

a substantial present or potential hazard to human
health or living organisms because such wastes are
nondegradable or persistent In nature, or because
they can biologically magnify or because they may
otherwise cause or tend to cause detrimental
cumulative effects." [Environmental Protection
Administration]
Hazardous Material (Substance/Waste}
"Any substance that causes or may cause adverse

affects on the health or safety of employees, the
general public, or the environment; any biological
agent and other disease-causing agent, or a waste
or combination of wastes." [National Fire
Protection Association 472)
OSHA 29 CFR Part 1910.120 Paragraph Q
Training shall be based on the duties and functions

to be performed by each responder of an emergency
response orga·ri.izatlon.
First responder awareness level

".... individuals who are likely to witness or discover a
hazardous _substance release and who have been trained to
initiate an emergency response sequence by notifying the
proper authorities of the release."
First responder operations level

" ... individuals who respond to releases or potential
releases of hazardous substances as part of the initial
response to the site for the purpose of protecting nearby
persons, property, or the environment from the effects of
the release."
Hazardous materials technician

" ... individuals who respond to releases or potential
releases for the purpose of stopping the release. They
assume a more aggressive role than a first responder at
the operational level in that they will approach the point
of release in order to plug, patch, or otherwise stop the
release of hazardous substance."
Hazardous materials specialist

" .•. individuals who respond with and provide support to
hazardous material technicians. Their duties parallel
those of the hazardous materials technician, however,
those duties require a more directed or specific knowledge
of the various substances they may be called upon to
contain."

N"FPA 472 Standard
Professional Competence for
Responders
to Hazardous Materials Incidents
This standard specifies the competencies

for the following levels of responders:
1. First Responder Awareness Level

2. First Responder Operational Level
3. Hazardous Materials Technician
4. Hazardous Materials Specialist
The standard is not specific to

Emergency Medical Services!

NFPA 473 Standard Competencies for
EMS Personnel Responding to Hazardous
Materials Incidents
Chapter One
Scope and Purpose - To set a minimum requirement for
competency to enhance the safety and protection of ALS
and BLS personnel in the prehospltal setting.
Chapter Two
"Introduction - all personnel at EMS/Hazmat Level I,. In

addition to their BLS and ALS certification, shall be
trained to meet at least the First Responder Awareness
level defined by NFPA 472, and all competencies of this
chapter"
"Goal - the goal of the competencies at EMS/HM Level I,

shall be to provide the Individual with the knowledge
and skills necessary to safely deliver emergency
medical care In the cold zone."
Chapter Three
"Introduction - all personnel at EMS/HM Level II shall be

certified to the EMT level or higher and shall meet all
competencies for EMS HM Level I In addition to all the
competencies of this chapter."
"Goal - the goal of the competencies at EMS/HM Level II

shall be to provide the Level II responder with the know-
ledge and skills necessary to perform and/or coordinate
patient care activities and medical support of hazmat
response personnel In the warm zone."
Hazardous
Materials
Clues to Detecting Hazardous

Materials
1 . Occupancy and/or
Location
2. Container Shapes
3. Markings & Colors
4. Placards & Labels
5. Shipping Papers & Other

Documents

. Hazardous
Materials
HEALTH

SODIUM

... DIBENZOYL
PEROXIDE
OXY

.. Hazardous
Materials
Explosives
• Explosives A
• Explosives B
• Explosives C
• Blasting Agent
Gas
• Poison A
• Flammable Gas
• Nonflammable Gas
• Corrosive Gas

__ Hazardous
Materials
Flammable Liquid
Flammable Liquid
Combustible Liquid
Flammable Solid
Flammable Solid
Flammable Solid
{Dangerous when wet
label only)
Oxidizer
Oxidizer
Organic Peroxide

.. Hazardous
Materials
Poison
Poison B
Irritant
Etiologic
Radioactive
Class I
Class II
Class Ill
Corrosives

__ Hazardous
Materials
Other Regulated Materials

ORM-A
ORM-8
ORM-C
ORM-D
ORM-E

. . Hazardous
Materials
Properties of Hazardous Materials:
• Flammability
• Health
• Reactivity

. . DOT Emergency
Response
Guidebook
APPROACH INCIDENT FROM UPWIND,
IF POSSIBLE STAY CLEAR OF ALL SPILLS,
VAPORS, FUMES AND SMOKE
HOW TO USE THIS GUIDEBOOK DURING AN

INCIDENT INVOLVING HAZARDOUS MATERIALS
~ IDENTIFY THE MATERIAL BY FINDING

~ ANY ONE OF THE FOLLOWING:
THE 4-DIGIT ID No. ON A PLACARD OR

ORANGE PANEL
or
THE 4-DIGIT ID No. (after UN/NA) ON A
SHIPPING PAPER OR PACKAGE
or
THE NAME OF THE MATERIAL ON A
SHIPPING PAPER, PLACARD OR PACKAGE
IF YOU DO NOT FIND an ID No. or Name of

Material, skip to the NOTE below:

.. DOT Emergency
Response
Guidebook
LOOK UP THE MATERIAL'S 2-DIGIT

GUIDE NUMBER IN EITHER:
THE ID No. INDEX... {The YELLOW-BORDER
Pages of the Guidebook)
or
THE Name of Material INDEX .••. {The BLUE
BORDER Pages of the Guidebook)
or--------------~
THIS Explosives A - Use GUIDE PAGE 46
LIST Explosives B - Use GUIDE PAGE 46
FOR Explosives C - Use GUIDE PAGE 50
ALL Blasting Agents - Use GUIDE PAGE 46
EXPLOSIVES

DOT Emergency
Response
Guidebook
ITHREEI TURN TO THE NUMBERED GUIDE, (the

Orange-border pages) AND READ THAT
GUIDE.
If the Index Entry is highlighted, LOOK

FOR THE ID NUMBER AND NAME OF THE
MATERIAL IN THE TABLE OF INITIAL
ISOLATION AND PROTECTIVE ACTION
DISTANCES (the Green-border pages). You
may need to BEGIN PROTECTIVE
ACTIONS. (See the section on Protective
Actions)

DOT Emergency
Response
Guidebook
I NOTE! IF YOU DO NOT GET TO A NUMBERED

GUIDE PAGE IN THE STEPS ABOVE, AND
YOU CAN SEE A PLACARD- FIND ONE
LIKE IT IN THE TABLE OF PLACARDS,
THEN GO TO THE 2-DIGIT GUIDE NUMBER
YOU CAN FIND NEXT TO THE SAMPLE
PLACARD.
IF YOU DO NOT FIND ANY REFERENCE

TO A GUIDE AND YOU BELIEVE THIS
INCIDENT INVOLVES A HAZARDOUS
MATERIAL:
TURN TO GUIDE PAGE 11 NOW, AND USE IT UNTIL

ADDITIONAL INFORMATION BECOMES AVAILABLE
TO YOU. CALL CHEMTREC AT 1-800-424-9300 (in
U.S. --including Alaska, Hawaii, Puerto Rico, the Virgin
Islands or in Canada; in the District of Columbia calling
area dial 483-7616.) Tell the CHEMTREC
communicator whatever information you have
gathered, such as the name of the carrier (trucking
company or railroad) and vehicle number.

. . Hazardous
Materials - GUIDE 11
Potential Hazards
Fire or Explosion
• Flammable/combustible material;
may be ignited by heat, sparks or
flames.
• May ignite other combustible

materials (wood, paper, oil, etc.).
• Container may explode in heat

of fire.
• Reaction with fuels may be

violent.
• Runoff to sewer may create fire

or explosion hazard .
•
Potential Hazards
(contd.) - GUIDE 11
Health Hazards
• May be fatal if inhaled,
swallowed or absorbed through
skin.
• Contact may cause burns to

skin and eyes.
• Fire may produce irritating or

poisonous gases.
• Runoff from fire control or

dilution water may cause
pollution.

. . Emergency Action
GUIDE 11
Keep unnecessary people away;

isolate hazard area and deny entry.
Stay upwind; keep out of low areas.
Positive pressure self-contained

breathing apparatus (SCBA) and
structural firefighter's protective
clothing will provide limited
protection.
CALL CHEMTREC AT 1-800-424-9300

FOR EMERGENCY ASSISTANCE.
If water pollution occurs, notify the
appropriate authorities.

. Emergency Action
(contd.) - GUIDE 11
FIRE
Small Fires: Dry chemical, CO2,
water spray or regular foam.
Large Fires: Water spray, fog or

regular foam. Move container from
fire area if you can do it without
risk. Apply cooling water to sides
of containers that are exposed to
flames until well after fire is out.
Stay away from ends of tanks.
For massive fire in cargo area, use
unmanned hose holder or monitor
nozzles; if this is impossible,
withdraw from area and let fire
burn.

.. Emergency Action
(contd.) - GUIDE 11
Spill or Leak
Shut off ignition sources;
no flares, smoking or flames in
hazard area. Keep combustibles
(wood, paper, oil, etc.) away from
spilled material. DO NOT TOUCH
OR WALK THROUGH SPILLED
. MATERIAL.
Small Spills: Take up with sand

or other non-combustible
absorbent material and place into
containers for later disposal.
Large Spills: Dike far ahead of

liquid spill for later disposal.

. . Emergency Action
(contd.) - GUIDE 11
First Aid
Move victim to fresh air and call·
emergency medical care; if not
breathing, give artificial
respiration; if breathing is
difficult, give oxygen.
In case of contact with material,

immediately flush skin or eyes
with running water for at least
15 minutes.
Remove and isolate contaminated

clothing and shoes at the site.
Keep victim quiet and maintain

normal body temperature.

Paragraph Q - EMERGENCY RESPONSE
TO HAZARDOUS SUBSTANCE RELEASES
On Scene Incident Commander

Incident commanders, who will assume control of the
incident beyond the first responder awareness level,
shall receive at least 24 hours of training equal to
the first responder operations level and in addition
have competency in. the following areas and the
employer shall so certify:
(A) Know and be able to implement the employer's

incident command system.
(B) Know and be able to implement the employer's

emergency response plan.
(C) Know and understand the hazards and risks

associated with employees working in chemical
(D) Know how to implement the local emergency

response plan.
(E) Know of the state emergency response plan and

of the Federal Regional Response Team.
(F) Know and understand the importance of

lncidentCommand
System
' '
Key Components of The

Incident Command System:
1. Strong visible command.

2. Common terminology.
3. Modular organization based on
incident needs. ·
4. Comprehensive Resource Management.
5. Manageable span of control (3-7).
6. Provide personnel safety and account-
ability.
7. Integrated communications
8. Unified command NOT Singular Command.
9. Consolidated incident action plans using
strategic goals and tactical objectives.

HOW·CAN WHAT
IT BE APPLIED? IS IT?
WHEN CAN WE WHY DOWE

USEIT? NEED IT?
WHO CAN WHERE CAN WE

USEIT? USEIT?
A SYSTEM
INCIDENT
COMMAND
I
I I . I I
OPERATIONS PLANNING LOGISTICS FINANCE

IC
1---- Safety
1----- Liaison
1----- Information
I I I I
Operations I I Planning I j Logistics j Finance I 0\
M
.-t
I
•
w
C,
Hstaging :.
..
I I
Branch Branch Service Support I- Time Unit 0\

N
I Branch Branch I- Procurement Unit
Division/ Division/
LI I I
Divllionl I I Divi,lon/
.... CostUnlt
!
Gftlap ~ Groap I I Gftlap ~
w
~
I- Sbike Team SbikeTeam - I- Communications Unit I - Supply Unit
t- Task Force TaskForce - t Medical Unit

Food Unit
I - Facilit_ies Unit
._ Ground Support Unit
.... Single Resource; Single Resource •
1 - Resource Unit Incident

1 - Situation Unit Command
~ Documentation Unit System
I - Demobilization Unit
L....- Technical Specialist
EMS Command
Officer
• 1st Crew Chief Assumes

Command
• Confirms the Incident
• · Manages EMS Response
• Establishes Command Post

{if needed)
• Remains at CP until ...
• Designates EMS Division Officers
• Works cooperatively with other

agencies

EMS Safety Officer
A.ppointed by EMS Command
Ensure scene safety for EMS

personnel:
• Can they be seen?
• Protective gear?
• Do you know where they are?
• Can they get out?
• Infection control follow up?

EMS Staging
Division/Sector
Officer
• Appointed by EMS Command
• Establish Assembly Point and

Mobilization Area for personnel
and vehicles
• Release resources as requested
• Ensure physiological needs of

personnel are met
.____ _ _ _ OVERHEAD #32 - PAGE 142 _ _ ___,

Triage
Division/Sector
Officer
• Establish triage procedures and

location
• Appoint triage support personnel
• Coordinate triage activities,

equipment and personnel
• Move patients to treatment

division/sector

Treatment
Division/Sector
Officer
• Establish treatment area
• Appoint treatment support

personnel
• Coordinate treatment activities,

equipment and personnel
• Coordinate patient evacuation

with Transportation
Division/Sector

Transportation
Division/Sector
Officer
• Establish and maintain

ambulance loading area
• Determine and monitor hospital

capabilities
• Determine patient destinations
• Maintain patient log
• Coordinate helicopter evacuation
• Hospital notification

!"¾22~ Weldin~ Products
575 Mountain Avenue
Health
Flammability
Murray Hill
New Jersey 07974 Material Safety Reactivity
Telephone: (201)464-8100 Data Sheets Personal Protection
. .
Name Oxygen CASNo.
Description RTECs No.
Other Designations Manufacturer Emergency Procedure

AIRCO Welding Products
575 Mountain Ave.
Murray Hill
New Jersey, 07974
None. Nontoxic gas. Hyperbaric applications can cause Weight TLV

respiratory Irritants and pneumonia. Contact with liquid can Oxygen 100% None
cause bums, frostbite or blindness.
Recommendation: First aid t1t1atment; treat a1t1as exposed to

liquid as frostbite.
Lise Insulated gloves, face shields and eye protection Do not drop cylinders. Keep valve protection caps In place except
when handling liquid. when using. Do not sto1t1 with flammable liquids or gases. Keep
away from all hydro carbons (oil, g1t1ase).
Refer to CGA-P1 , "Safe Handling of Comp1t1ssed Gases,• OSHA

1910.104 Subpart Hand Subpart a, or HFPA #51-1983.
Slaps to be taken In case material Is release or spilled: Unstable D

Ordinary leaks will 1t1lease harmlessly to atmosphe1t1. For large Stable 181
leaks In confined a1t1as, clear personnel and remove all Conditions to avoid: None
sources of ignition. Materials to avoid: Keep away from all hydrocarbons. Do not use
with equipment contaminated with oil or grease.
Waste Disposal Method:
Vent to atmosphe1t1 in open a1t1a. Remove all valves.
Extinguishing Media: Nonflammable gas Bolllng point: -297"F

Liquid de!l9lty at bolllng pt: 0.08
Special Fire Fighting Procedures: None Vapor pressure: NIA
Gas density: 0.26
,emove from direct heat or open flame, or keep cool with Solubility In water: .43%
water fog. Oxygen, ltseH, will not bum, but vigorously supports SpecHlc gravity: 1.105
the combustion of other materials. Appearance and odor: Coloness & odoness gas or liquid

Heatth
PHARMACEUTICAL
Flammability
AND SURGICAL
PRODUCTS Material Safety Reactivtty
Data Sheets Personal Protection
•"•"• .w.~·. ······· ....... ........................... .....

. . . .. ....
Name Ammonia inhalant
.. .. NIA
CASNo.
0.33 cc Solution Ammonia, Alcohol 35% In frangible glass ampoule suttably
Description RTECs No. NIA
wrapped In absorbent material.
James Alexander Corp.

RD 3, Route 94
Blairstown, NJ
Exposure: Crush Inhalant between thumb and forefinger. Assay: t 5-22% w/V Ammonia (TP #111 )
The covering will tum pink. Hold the inhalant lour or live
inches under victim's nose. As ammonia evaporates, hold H Hazards: None
closer. Test strength often by holding near your own nose.
Approved Uses: Helps revive individuals from unconsciousness,
due to fainting, Injuries or snake bites.
Avoid contact with eyes. • Stora within normal temperature range, away from heat sources.
• Keep this and all other medicines out of the reach of children.
The crushed ammonia Inhalant from which the ammonia has Personnel ExpoBUra: Crush Inhalant only once. AddHional
evaporated may be thrown In any sultable trash container. crushing may Injure fingers and will not add to quanttty of
ammonia.
Flash Point Temp: NIA Bolling Point: NIA
Fire Extlngulahlng Medium: NIA - Small amount of Melting Point: NIA

ammonia in an inhalant evaporates quickly.
Normal Appearance: Clear, pink to light red liquid, slightly turbid.
Strong pungent ammonia odor with hint of lavender.
OVERHEAD #37 PAGE 147

Health
<E~
THE Clorox Company 2+
7200 Johnson Drive Flammability 0
Pleasanton, Calttomla 94566
Tel. (415) 847-6100
Material Safety Reactivity 1
Data Sheets Personal Protection B
............ . '• ,--.w.·.··,

..
.w. w.,' ..... ,.... ,. ,...,_.,..._.,,... ',N,"MN ·-·--·-·-·.,....... ,. . .... ·-······ ..•.· ..,.,,.. •"-•N•"• .... , .. ,.-.,. .-.-.......
Name regular Clorox Bleach CASNo. NIA
Description clear, light yellow liquid with chlorine odor RTECs No. NIA
EPA Reg. No. 5813-1 The Clorox Company • Nottty your supervisor
Sodium hypochlorlte solution 1221 Broadway • Call your local poison control center OR
Liquid chlorine bleach Oakland, CA 94612 • Rocky Mountain Poison Center
Clorox Liquid Bleach (303)573-1014
• Causes 88Y8re but 111mporary eye Injury. May irrl- skin. May IDAtftdieOJ& COOCiftOtratiPO Worker Exoosuce I imit
cause nausea and vomiting It Ingested. Exposure to vapor or mist Sodium hypochlorile 5.25% not established
may irritate nose, throat and lungs. The following medical conditions CAS# 7681-52-9
may be aggrcivated by exposure to high concentrations of vapor or
mist: heart conditions or chronic respiratory problems such as None of the Ingredients in this product are on the IARC, NTP or OSHA
asthma. chronic bronchitis or obstructive lung disease. Under normal carcinogen lisl Occasional clinical reports suggest a low potential for
consumer use conditions the likelihood of any adverse r-Jth effects sensitization upon exaggerated exposure to sodium hypochlorile if skin
are low. EIB$I AIQ· EYE CONTACT· ln,mec:tiately flush eyes with damage (e.g., Irritation) occurs during exposure. Routine clinical 111Sts
plenty of water. If irritation persists, see a doctor. SKIN CONTACT· conducted on lntad skln with Clorox Liquid Bleach found no sensitization In
Remove contaminated clothing. Wash area with water INGESTION: the 111St subjects.
Drink a glassful of water and call a physician INHAI ATION· If
breathing problems develop remove to fresh air.
t:~:iffllEQ111¥es.tftl~DllllBmRArtlli~t{Wffe:f~~ill1 t~111a~•1tesgQ.1QDgf!~:ffiUlttifHIHf:tw~ufftt~1nm~@~1t1i:fili~ItfI:
Hygjenjc practices: Wear safety glasses. With repea111d or prolonged Keep out of reach of children. Do not get In eyes or on skin. Wash
use, wear gkNes. thoroughly with soap and water after handling. Do not mix with other
household chemicals such as toilet bowl cleaners, rust removers, vinegar,
EDAIOftftciDP Cootrols· Use general ventilation to minimize exposure to acid or ammonia containing products. Store In a cool, dry plaoe. Do not
vapor or mist reuse empty container; rinse container and put tn b'ash container.
Work P@ctiGft& · Avoid eye and skin contact and inhalation of vapor or
mist
Small quantities of less than 5 gallons may be flushed down drain. For Stable under normal use and storage conditions. Strong oxidizing agent.
larger quantities wipe up with an absorbent material or mop and Reacts with other household chemicals such as toilet bowl cleaners, rust
dispose of In aocordance with local, state and - a l regulations. removers, vinegar, acids or amonia containing products to produce
Dilute 'Mth water to minimize oxidizing effect on spilled surface. hazardous gases, such as c:Norine and other chlorinated species.
Prolonged contact with n,elal may cause pilling or discoloration.
iYIJl:~j)\f:IRElBBimtll§f0RlDA11It11*tfil@1W~~+l1f@fftl JtX.r1mvs1mbATli:::.:.:::~:.:;.~:;:;;;:.~~;:s·;:·:.'.~:.~.:.~:.:~:. .::.:c.:~x::.:.;.~;::.?.:

Not flammable or e"Ploslve. In a fire, cool containers to prevent rupture Bolling point ............................................. 212·F 11ocrc (decomposes)
and release of sodium chlorale. Specific Gravlty(H:i()-1) ....................... 1.085
Solubiity In Water ..................................... complete
pH ............................................................. 11.4
I
SAMPLE
DECONTAMINATION CORRIDOR
Equipment Drop
Hot Zone Gross Decontamination
Warm Zone
~-J
Protective Clothing
Removal
4 SCBA Removal
*Medical Monitoring
of vital signs Personal Clothing
by EMT In protective Removal
clothing.
6 Body Washing
7 Dry Off & Dress in Scrubs

Warm Zone
Cold Zone 8 Medical Monitoring:

Assessment of Patients &
*Note: Additional Post-Suit Exam
training beyond the
First Responder ® Transport for Definitive
Awareness Level Is Care {as needed)
required for an EMT In
the Warm Zone.
Protective vs. Ordinary Clothing
Forms of Chemical Intrusion
Degradation
The loss in beneficial properties caused by

. exposing gloves, protective clothing, and other
elastromic examples to various liquid chemicals.
Penetration
The flow of hazardous materials through

zippers, stitched seams, and pores or other
imperfections in clothing material.
Permeation
Process of chemicals moving through protective

clothing at the molecular level. The process
consists of:
1. Absorption of molecules of liquid into the

outside surface of the material.
2. Diffusion of absorbed molecules through the

material.
3. Desorption of the molecules of liquid out of

the inside surface of the material.

What activities can be done by EMS
Personnel in the Cold Zone?
1. Advise the Hazmat Team:
* Dangers of exposure to the chemicals
involved.
* Early signs and symptoms of exposure.
* Signs and symptoms of dehydration & heat
exhaustion.
2. Pre-suit medical exam:

* Respiration, Pulse, BP, Mental Status.
* ECG, Assess Motor Skills.
* Hydration Status & Weigh Team Member.
3. Encourage Team to drink water prior to suiting up.
4. Assist the Safety Officer with monitoring the .

Team via binoculars and/or radio for:
* Central nervous system symptoms from

exposure:
-Clumsiness, Disorientation, Slurred speech.
* Symptoms of overheating: Dizziness &
Fatigue
5. Advise Team to seek follow-up exam with a

Physician.
6. Conduct a Medical Assessment (Station #8) of the

Deconatamlnatlon corridor (located in the cold
zone).
7. Consult with Medical Control or Poison Control as

needed on treatment of decontaminated patients.
8. Documentation of all exams for future

compensation cases or lawsuits.
Paragraph Q - EMERGENCY RESPONSE
. . TO
HAZARDOUS SUBSTANCE RELEASES
MEDICAL SURVEILLANCE AND

CONSULTATION
"Members of an organized and designated

HAZMAT Team and hazardous materials
specialists shall receive a baseline
physical examination and be provided with
medical surveillance as required in
paragraph (f) of this section."
"Any emergency response employees who

exhibits signs or symptoms which may
have resulted from exposure to hazardous
substances during the course of an
emergency incident, either immediately or
subsequently, shall be provided with
medical consultation as required in
paragraph (f) (3) (ii) of this section."

OSHA 29 CFR Part 1910.120
Paragraph Q Refresher Training
"Those employees who are trained in

accordance with paragraph (q) (6) of
this section shall receive annual
refresher training of sufficient content
and duration to maintain their
competencies, or shall demonstrate
competency in those areas at least
yearly."
"A statement shall be made of the

training or competency, and if a
statement of competency is made, the
employer shall keep a record of the
methodology used to demonstrate
competency."
INDEX To OVERHEADS
OVERHEAD #1 ~- PAGE 111 - COVERSHEET OF COURSE
OVERHEAD #2 - PAGE 112 - HAZMAT IS EVERYWHERE!
OVERHEAD #3 - PAGE 113 - DEFINITIONS

OVERHEAD #4 - PAGE 114 - OSHA 29 CFR PART 1910.10 (Q}
OVERHEAD #5 - PAGE 115 - NFPA 472
OVERHEAD #6 - PAGE 116 - NFPA 473
OVERHEAD #7 - PAGE 117 - CLUES TO DETECTING HAZMAT
OVERHEAD #8 - PAGE 118 - NFPA 704 CHART
OVERHEAD #9 - PAGE 119 - NFPA 704 SODIUM
OVERHEAD #10 - PAGE 120 - NFPA 704 DIBENZOYL PEROXIDE
OVERHEAD #11 - PAGE 121 - EXPLOSIVES & GASES
OVERHEAD #12 - PAGE 122 - FLAMMABLES & OXIDIZERS
OVERHEAD #13 - PAGE 123 - POISON, RADIOACTIVE & CORROSIVES.
OVERHEAD #14 - PAGE 124 - OTHER REGULATED MATERIALS
OVERHEAD #15 - PAGE 125 - PROPERTIES OF HAZMAT
OVERHEAD #16 - PAGE 126 - DOT GUIDEBOOK STEP ONE

OVERHEAD #17 - PAGE 127 - DOT GUIDEBOOK STEP Two
OVERHEAD #18 - PAGE 128 - DOT GUIDEBOOK STEP THREE
Page154
OVERHEAD #1~ ~ PAGE 129 - DOT GUIDEBOOK NOTES
OVERHEAD #20 - PAGE 130 - GUIDE 11 SAMPLE
OVERHEAD #21 - PAGE 131 - GUIDE 11 POTENTIAL HAZARDS
OVERHEAD #22 - PAGE 132 - GUIDE 11 EMERGENCY ACTION
OVERHEAD #23 - PAGE 133 - GUIDE 11 EMERGENCY ACTION FIRE
OVERHEAD #24 - PAGE 134 - GUIDE 11 EMERGENCY ACTION SPILLS
OVERHEAD #25 - PAGE 135 - GUIDE 11 EMERGENCY ACTION FIRST
OVERHEAD #26 - PAGE 136 - ON SCENE INCIDENT COMMANDER
OVERHEAD #27 - PAGE 137 - INCIDENT COMMAND SYSTEM
OVERHEAD #28 - PAGE 138 - ICS SIMPLE CHART

OVERHEAD #29 - PAGE 139 - ICS EXPANDED CHART
OVERHEAD #30 - PAGE 140 - EMS COMMAND OFFICER
OVERHEAD #31 - PAGE 141 - EMS SAFETY OFFICER
OVERHEAD #32 - PAGE 142 - EMS STAGING OFFICER
OVERHEAD #33 - PAGE 143 - TRIAGE OFFICER
OVERHEAD #34 - PAGE 144 - TREATMENT OFFICER
OVERHEAD #35 - PAGE 145 - TRANSPORTATION OFFICER
OVERHEAD #36 - PAGE 146 - MSDS OXYGEN
Page155
OVERHEAD 1137...-:- PAGE 147 - MSDS AMMONIA INHALENT
OVERHEAD 1138 - PAGE 148 - MSDS CLOROX BLEACH
OVERHEAD 1139 - PAGE 149 - DECONTAMINATION CORRIDOR
OVERHEAD 1140 - PAGE 150 - FORMS OF CHEMICAL INTRUSION
OVERHEAD 1141 - PAGE 151 - ACTIVITIES IN THE COLD ZONE
OVERHEAD 1142 - PAGE 152 - MEDICAL SURVEILLANCE
OVERHEAD 1143 - PAGE 153 - REFRESHER TRAINING
..
Page156

1992 Instructor Outline: NYS DOH EMS Hazardous Materials Awareness For Emergency Medical Services Personnel

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1992 Instructor Outline: NYS DOH EMS Hazardous Materials Awareness For Emergency Medical Services Personnel

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·.

Hazardous Materials Awareness

State of New York

NYS Emergency Medical Services Program

State Emergency Management Office

Medical Course Design & Goals

Services Pre-Course Planning

The NYS EMS-Hazmat Awareness Course Guide k Instructor

Table of Contents (continued)

course Design, Goals

4. HAZMAT Classification & Identification - (time 50 min.)

treatment that needs to commonly occur in a hazmat

Pre-course Planning: Sponsorship

Pre-Course Planning: Facility

The easiest facility arrangement for the EMS Hazmat

Pre-course Planning: Equipment

The typical equipment used in this course is available

Pre-course Planning: Audio Visuals

A considerable amount of time has been spent developing

of overhead transparencies and video be used to give this

Pre-course Planning: student workbooks

The NYS EMS-Hazmat Awareness Course Student Workbook.is

Pre-Course Planning: Who May Teach This course

According to OSHA'S final rule (3/6/89) [29 CFR Part

Pre-course Planning: Estimating costs

The State EMS Program fully recognizes that the

Pre-course Planning: sample Schedule: Two Day Format

Applying to the NYS EMS Program to conduct an EMS Hazmat

Pre-course Administrative Procedures: course Approval

Directions for completing the course Application

If you are running a continuing education course as an

9. State: Enter the state that corresponds with the

D- EMT Refresher Cricital

D Basic EMT Intermediate

IIIII IIIIIIIII IIIIIIIIIIIIIIIII

FIELD REP. PINK-REGIONAL

Directions for completing the Course Schedule

The Course Schedule (DOH-744) is used by the sponsor to

NAME OF MEDICAL DIRECTOR: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Please Type or Print Course Schedule

DATE TIIIE NYS YOUR PRIMARY

EMS Instructor Certification Program - Brochure 200

LJLJ-LJLJLJ Allow 6-8 weeks for delivery

Quantity Publication Unit Price Amount

CFR/EMTIAEMT Student Manual 1.50

Certified First Resoonder Course - Curriculum 3.50

EMT-Intermediate Course - Curriculum 15.00

course Cancellation Notification

sometimes it becomes necessary for the sponsor to cancel

Notice of Course Cancellation

Name of Sponsoring Agency: _ _ _ _ _ _ _ _ _ Sponsors Code:

Course Type: Location: _ _ _ _ _ _ _ _ _ _ _ __

Cancellation Date: _ _ _ _ _ _ _ Instructor/Coordinator: _ _ _ _ _ _ _ _ _ __

Date Course was Scheduled to Start: _ _ _ _ Date Examine was Scheduled: _ _ __

Emergency During Course

Medical Student Registration

Services Post Course

Program Successful Completion

During-course Administrative Procedures:

Each student who attends the EMS Hazmat Awareness Course

EMT Number 0 Expires

Course Sponsor · Course Number

During-course Administrative Procedures:

It is the responsibility of the CIC to see that each