Table 3 Selected Controls and Summary of Perceived Risk Management Implementation Benefits and Challenges by Department

• Side and rear view cameras on ambulances*

• Modified Code 3 dispatch SOP and policies*

• New Backing SOP

• Telematics monitoring

• Train the trainer driving course*

• Increased driving simulator use

• Increased remedial driver training frequency*

• Daily safety simulcast messages*

• Removed garage door clickers from stations*

• RM allowed for proactive and focused review of crashes, safe driving and associated risks and hazards

• Facilitated adoption of controls and change in policies based on data

• Disagreements between union and administration on adopting potentially punitive control measures (monitoring driver telematics data).

• Back up cameras and proximity sensors

• In-cab headsets for driver-to-spotter communication

• Modified Code 3 dispatch SOP and policies

• Telematics monitoring*

• Increased simulator use

• Targeted quarterly training based on crash data priorities*

• Mapping locations of prior deer collisions to identify hotspots*

• Enjoyed RM process and discovery of risks and hazards for crashes

• Found RM useful for brainstorming and identifying needed controls not considered previously

• Found it difficult to evaluate large amounts of driving/crash data

• Lack of county support to purchase new interventions and safety equipment

• Limited involvement of volunteer firefighters

• Telematics monitoring*

• Back up cameras and proximity sensors*

• Modified Code 3 dispatch SOP and policies*

• RM was useful for reviewing current controls and gaps

• Enhanced conversation about driving behavior and crashes

• Provided formalized framework for managing risks

• Difficult to show changes/effectiveness because already had few crashes

• Limited resources and personnel to review data