NFPA 1582 PDF

Highlights

The 2022 edition of this NFPA safety standard incorporates current research and knowledge to present the latest provisions for a comprehensive occupational medical program and outlines occupational medical and fitness evaluations for fire department members.
Updates to this NFPA standard keep pace with current developments in medical technologies and treatments to help keep fire personnel safe.
The latest edition of NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments, includes several significant changes:
Expanded and revised material on psychiatric, psychological, and behavioral health was added; essential job tasks were updated in Sections 5.1 and 9.1.
In Chapters 6 and 9, the alignment of medical evaluation criteria was improved.
Updated guidance on cancer screening was added.
The annex on “Protocols for Evaluation of Fitness of Members” was replaced with a reference to the Fire Service Joint Labor Management Wellness-Fitness Initiative (WFI) in Chapter 8.
The annex on “Maternal and Child Health Considerations” was updated in accordance with the latest research and information.

Table of Contents

NFPA® 1582 Standard on Comprehensive Occupational Medical Program for Fire Departments 2022 Edition
Chapter 1 Administration
1.1 Scope.
1.2 Purpose.
1.3 Implementation.
Chapter 2 Referenced Publications
2.1 General.
2.2 NFPA Publications.
2.3 Other Publications.
2.4 References for Extracts in Mandatory Sections.
Chapter 3 Definitions
3.1 General.
3.2 NFPA Official Definitions.
3.3 General Definitions.
Chapter 4 Roles and Responsibilities
4.1 Fire Department Responsibilities.
4.2 Fire Department Physician Responsibilities.
4.3 Candidate and Member Responsibilities.
4.4 Confidentiality of Medical Information.
Chapter 5 Essential Job Tasks
5.1 Essential Job Tasks and Descriptions.
5.2 Essential Job Tasks for Specialized Teams.
Chapter 6 Medical Evaluations of Candidates
6.1 Medical Evaluation.
6.2 Medical Conditions Affecting Ability to Perform Essential Job Tasks.
6.3 Head and Neck.
6.4 Lungs and Chest Wall.
6.5 Heart and Vascular System.
6.6 Endocrine and Metabolic Disorders.
6.7 Abdominal Organs and Gastrointestinal System.
6.8 Spine and Axial Skeleton.
6.9 Extremities.
6.10 Neurological Disorders.
6.11 Chemicals, Drugs, and Medications.
6.12 Reproductive System.
6.13 Systemic Diseases and Miscellaneous Conditions.
6.14 Urinary System.
6.15 Infectious Diseases.
6.16 Skin.
6.17 Blood and Blood-Forming Organs.
6.18 Heat Stress and Illness.
6.19 Tumors and Malignant Diseases.
6.20 Psychiatric Conditions and Psychological Disorders.
Chapter 7 Occupational Medical Evaluation of Members
7.1 General.
7.2 Member Education Regarding Occupational Medical Evaluation Program.
7.3 Timing of the Annual Occupational Medical Evaluation of Members.
7.4 Components of the Annual Occupational Medical Evaluation of Members.
7.5 Medical History.
7.6 Physical Examination.
7.7 Ancillary Tests.
Chapter 8 Annual Occupational Fitness Evaluation of Members
8.1 Weight and Body Composition.
8.2 Annual Fitness Evaluation.
Chapter 9 Essential Job Tasks — Specific Evaluation of Medical Conditions in Members
9.1 Essential Job Tasks.
9.2 Fire Department Physician Roles.
9.3 Medical Conditions Involving Head, Eyes, Ears, Nose, Neck, or Throat.
9.4 Lung, Chest Wall, and Respiratory Disorders.
9.5 Cardiovascular Disorders.
9.6 Endocrine and Metabolic Disorders.
9.7 Disorders Involving the Gastrointestinal Tract and Abdominal Viscera.
9.8 Spine Disorders.
9.9 Orthopedic Disorders.
9.10 Neurologic Disorders.
9.11 Medications.
9.12 Pregnancy and Reproductive Health.
9.13 Chronic Systemic Diseases and Miscellaneous Conditions.
9.14 Urinary Disease. (Reserved)
9.15 Infectious Diseases.
9.16 Chronic Skin Conditions.
9.17 Hematologic Disorders.
9.18 Heat and Stress Illness.
9.19 Tumors — Malignant or Benign.
9.20 Psychiatric Conditions and Psychological Disorders.
Annex A Explanatory Material
Annex B Guide for Fire Department Administrators
Annex C Maternal and Child Health Considerations
Annex D Sample Physician Evaluation Form for Firefighters with Diabetes
Annex E Behavioral Health
Annex F Informational References