Confined Space Rescue
Awareness
An Overview of Confined Space Rescue
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                     Course Objectives
 Provide the attendee with the basic understanding of the requirements of Confined Space
    Rescue so that the attendee can go to the next step of becoming fully trained in Confined
    Space Rescue.
   Review of why Confined Spaces can be dangerous.
   Review of the 3 rescue techniques
      1. Non-entry
      2. Entry by Others
      3. Entry by Trained employees from the company
   Review the PPE – Personal Protective Equipment that may be required for Confined Space
    Entry.
   Look at Response Time and importance of Response time.
   Become familiar with some of the Rescue Equipment that may be required in a CS Rescue.
   Review the importance of Lockout Tagout or elimination and removal of potential hazards.
   Review key points associated with a Confined Space Rescue Plan.
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Disclaimer
  “This material was produced under Grant
 SH-21000-10-60-F-29 from the Occupational
    Safety and Health Administration, U.S.
       Department of Labor. It does not
   necessarily reflect the views or policies of
    the U.S. Department of Labor, nor does
     mention of trade names, commercial
       products, or organizations imply
    endorsement by the U.S. Government.”
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You have the right to a safe workplace
 You have the right to a safe workplace. The Occupational Safety and
  Health Act of 1970 (OSHAct) was passed to prevent workers from being
  killed or seriously harmed at work.
 The law requires that employers provide their employees with working
  conditions that are free of known dangers. The Act created the
  Occupational Safety and Health Administration (OSHA), which sets
  and enforces protective workplace safety and health standards. OSHA
  also provides information, training and assistance to workers and
  employers.
 Workers may file a complaint to have OSHA inspect their workplace if
  they believe that their employer is not following OSHA standards or
  there are serious hazards.
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  Workers' rights under the OSH Act
Workers are entitled to working conditions that do not pose a risk of serious
 harm. To help assure a safe and healthful workplace, OSHA also provides
 workers with the right to:
   Receive information and training about hazards, methods to prevent harm, and
    the OSHA standards that apply to their workplace. The training must be in a
    language you can understand;
   Observe testing that is done to find hazards in the workplace and get test results;
   Review records of work-related injuries and illnesses;
   Get copies of their medical records;
   Request OSHA to inspect their workplace; and
   Use their rights under the law free from retaliation and discrimination.
                          http://www.osha.gov/workers.html
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This Presentation
This presentation is not designed to certify or train
 you on Confined Space Rescue.
Confined Space Rescue training and certification
 should only be completed by the authorization of your
 company.
This program is designed as an Awareness Training
 session.
                                                         6
Technical Rescue Awareness
The difference between a
    hero and a fool is
         training.
City of Anderson, SC - Fire Department
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Let’s Review for a
     Moment
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Are Confined Spaces Dangerous?
• According to a report from the Canadian Centre for
 Occupational Health and Safety (www.ccohs.ca):
  • Many workers are injured and killed each year while working in
    confined spaces. An estimated 60% of the fatalities have been
    among the would-be rescuers.
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                  Emergency Rescue
   Emergency rescue teams must be
    available while authorized
    entrants are in the confined
    space.
   Deaths often occur during
    rescue. Employees attempt to
    rescue an entrant without the
    proper training and then get
    caught themselves in the
    confined space.
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Rescue Techniques
There are 3 types of rescue techniques:
     1. Non-entry
     2. Entry by others
     3. Entry by Trained employees from the
         company
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 Rescue Techniques
1. Non-entry – Rescue
  that is conducted
  without entry into
  the confined space.
  This can be
  conducted by such
  means as a rope or
  winch.
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  Rescue Techniques
2. Entry by others –
some companies do not
have trained personnel
for emergency rescue.
They depend on others to
conduct emergency
rescues such as the Fire
Department.
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     Rescue Techniques
2. Entry by others
     continued – in this case
     the Fire Department
     would need:
 •   To be familiar with the types of confined spaces located in the
     facility,
 •   the hazards they may encounter,
 •   the entry means into the confined spaces,
 •   the types of rescue equipment to effect a rescue and
 •   the types of PPE required for any potential rescue.
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 Rescue Techniques
3. Entry by Trained employees from the company – some
   companies have trained personnel within the company
   to conduct rescues. In this case:
   •   All members of the team must be specially trained in
       confined space rescue work,
   • The team must have at least
     one member certified in CPR
     and first aid,
   • All members of the team must
     be trained in the techniques
     and equipment for specific
     confined spaces.
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    Emergency Rescue
   If a rescue is required, the rescue service must close off the area, get
    authorized entrants out of the space and perform first aid when needed.
   It is best to use a retrieval system to bring the employee out of the space.
    Never enter the space without proper training and unless it is necessary.
   Authorized entrants should wear harnesses connected to the retrieval line.
    The retrieval equipment must be in place before employees enter the
    permit space.
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   Personal Protective Equipment
 One of the most important components of PPE in a confined
  space is a respirator.
 All respirators must be fit tested prior to use.
 Cleaning the respirator after each use will help disinfect it.
 Before each use of the
  respirator, it must be
  inspected to make sure
  that there are no
  cracks, holes, signs of
  wear or loose
  connections.
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Personal Protective Equipment
•   Other forms of PPE
    can include hard
    hats, safety glasses,
    clothing that
    protects the torso
    against chemicals,
    fires and other
    hazards, as well as
    gloves and safety
    shoes that protect
    the hands and feet
    from various hazards.
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Let’s Take a Look at Response
             Time
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Defining Response Time
Reaction Time
Contact Time
Response Time
Assessment Time
Preparation Time
Rescue Time
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Defining Response Time
Reaction Time
  Time between the entrant having a problem requiring
   rescue and the safety attendant’s recognition that the
   entrant has problem
Contact Time
  The time taken by the attendant to contact the rescue
   team.
Response Time
  The time taken by the rescuers to arrive at the scene of
   the rescue after contact.
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Defining Response Time
Assessment Time
  The time taken by a rescue team to size up the problem
   and determine the strategy to perform a safe, efficient
   rescue.
Preparation Time
  The time taken by a rescue team to set up for the rescue.
Rescue Time
  The time taken for the team to reach, treat, package, and
   evacuate the victim from the confined space.
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           Rescue Equipment
 Confined Space Rescue can require a number of types of
 equipment to effectively and safely perform a rescue.
 Let’s take a look at some of the equipment that can be
 used in confined space rescues.
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   Ropes
Used for
   Primary tool in technical
    rescue
Vary in construction,
 material and size
Most common in C.S.
   ½ inch, strength 9,000 lbs.
   Static kernmantle (low
    stretch)
   Dynamic kernmantle (high
    stretch)
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 Harness
Used for
   Fall protection
   Confined space rescue
Most common in C.S.
   Flat nylon webbing
   Full body
   Point of attachment in the
    center of the back at
    shoulder level
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 Tripods
Used for
   Access to vertical entry
Most common in C.S.
   9-foot height or greater
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  Winches
Used for
   Assist with tripods
Most common in C.S.
   Retractable designated
    for non-entry rescue
   Certified as a primary
    lowering device
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Ventilation Systems
Ventilate, eliminate, or
 control the space’s
 atmospheric hazards
Blind or disconnect and
 cap all input lines so that
 no hazardous materials
 can enter the space
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Lockout Tagout
When entrance covers
 are removed, guard the
 opening immediately
Remember, you may
 have to be authorized to
 perform lockout tagout,
 depending on company
 policy.
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SCBA Units
SCBA (Self Contained
 Breathing Apparatus)
 – may be required to
 enter some confined
 spaces or to perform a
 rescue.
There are special
 guidelines that must
 be followed prior to
 wearing an SCBA.
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SCBA Wearer Requirements
In order to wear a SCBA a
 rescuer would have to
 provide a Respirator
 Clearance or Physician
 Approval prior to wearing
 a SCBA.
After the Respirator
 Clearance the Rescuer
 would have to be Fit
 Tested for the SCBA Unit.
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Rescue Equipment
As you can see, there are numerous types of rescue
 equipment that is available to assist with rescues.
Each confined space must be evaluated to determine what
 type of equipment is required to perform a rescue should
 it become necessary.
If outside resources, such as the Fire Department, are
 utilized to perform confined space rescues, the agency
 should be given access to your facility to enable them to:
  Be aware of the types of confined spaces you have
  Determine the types of equipment and rescue techniques
    they will need to perform a rescue
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   Commanding the Confined
       Space Rescue
 If you are part of a rescue team at your facility,
  you must be familiar with your rescue plan. Let’s
  discuss some key points associated with a rescue
  plan and points that need to be considered to
  keep rescuers safe.
 A confined space rescue will still have roles that
  must be filled during the rescue.
 A Rescue Team will have an Incident Command
  Supervisor.
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Roles
Remember that the same roles apply in a confined
 space rescue that apply to a normal confined space
 entry.
   Entry Supervisor
   Attendant
   Entrant, Primary
   Entrant, Standby
With a confined space rescue, there is an additional
 role that is assigned -
   Incident Commander
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(Incident Commander)
IC Priorities
A Confined Space Rescue Scene will have a Incident Commander. The
  priorities of the IC are mainly:
  1. Responder safety
  2. Safety of the victim
  3. Assessment of the situation
  4. Type of Rescue
  5. Development of the rescue plan
  6. General public control and safety
  Must keep in mind that 60% of fatalities
          are would be rescuers
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1. Responder Safety
Assessment of the situation and confined space
  What PPE will be required
  Obtain air monitoring samples
  Assess hazards
  Characteristics of space
Hazard Mitigation
 • Avoid the hazard
 • Remove the hazard
 • Control the hazard
 • Use personal protective equipment
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2. Safety of the Victim
Is the victim conscious?
Is the Victim unconscious?
Will medical attention be required?
Will medical personnel need to be notified?
What type of rescue equipment will be required to
 safely remove the victim?
Is there a timeline associated with the rescue because
 of the condition of the victim?
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3. Assessment of the Situation
• Hazards Present
  • Atmospheric
  • Energy Sources
  • Entrapment
  • Fall
  • Fire / Explosion
  • Hazardous Material
• Hazard Mitigation
  • Risks associated with the rescue
  • Length of time to implement any hazard controls
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3. Assessment of the Situation
Distance required for rescue
Rescue Problem within Capabilities of the
 Department / Team
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4. Type of Rescue
Offensive ( rescue)
  1. Are lives at risk
  2. Complexity of the rescue
  3. Hazards are known and controllable
  4. Resources are available for the rescue
  5. Incident stabilization prompt and
     probable
Defensive ( body recovery )
  1. No life probability of victim
  2. Complexity of the rescue
  3. Hazardous conditions still exist
  4. Resources available or unavailable
  5. Stabilization unlikely
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5. Development of the Rescue Plan
  Survival time of the victim
  Confined Space Characteristics
    Type
    Function
    Configuration
    Construction
    Size
    Entry Points (size, number, location)
  Assignment of roles
  Sufficient Personnel (numbers, experience, training)
  Appropriate equipment, Apparatus, Material
  Communication & Communication Equipment
  Interagency Coordination
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5. Development of the Rescue Plan
 Ventilation of space
 Monitoring of space
 Air supply for
  rescuer’s if required
 Control of all
  sources of energy
  and engulfment
  hazards - Including
  LOTO, Blocking, etc.
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5. Development of the Rescue Plan
 Rigging - will need to
   determine the types
   of rescue equipment
   needed.
    Slings
    Rescue Basket
    Ropes
    Victim Stabilizers
    Winche/s
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 6. General Public Control and Safety
Perimeter Control – Depending on type of situation:
 • May need police
 • Barrier tape, ropes, barricades
 • Controlling traffic
 • Limiting access to the rescue area to assigned personnel
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Rapid Intervention Team
Provides safety backup
Dressed in same PPE as
 entry, ready to go
Cannot be assigned to
 another task during the
 rescue
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                After the Rescue
•   Debrief
•   Re-supply
•   Documentation
•   Post incident analysis
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F-A-I-L-U-R-E
Failure to understand the environment
Additional medical issues not considered
Inadequate rescue skills
Lack of teamwork or training and experience
Underestimating the logistics of the incident
Rescue verse recovery mode not considered
Equipment not mastered
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      What’s Next?
 What do you need to do
once you get back to your
        facility?
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  Next Steps
• If you are part of a rescue Team:
  •   Obtain a physician’s approval or clearance to wear a SCBA.
  •   Get fit tested.
  •   Know your rescue plan.
  •   Become familiar with the confined spaces that you have in your
      facility.
  •   Know what equipment will be necessary for each Confined
      Space, should a rescue be necessary.
  •   Know the hazards associated with each confined space.
  •   Know how to eliminate the hazards associated with the confined
      spaces.
  •   Practice, practice, practice
  •   Retrain when new confined spaces are added or when
      something regarding an existing confined space changes.
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                        Conclusion
 The entry supervisor needs to ensure that the confined space
  operations conform to the permit. They should remove unauthorized
  personnel from the area and keep them from entering the space. The
  entry supervisor terminates and cancels the permit at the right time.
 Make sure each hazard is identified and controlled before entering a
  confined space.
 Fully understand the requirements of a confined space rescue:,
  including commanding the confined space rescue and control of the
  area.
 Always report any concerns you may have regarding confined
  spaces.
 Emergency rescues should only be made by trained personnel
  or a rescue service.
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