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eLibrary > NFPA 1580: Standard for Emergency Responder Occupational Health and Wellness >

NFPA 1580: Standard for Emergency Responder Occupational Health and Wellness, 2025

NFPA Standards are copyright of National Fire Protection Association (NFPA). NFPA Standards are reproduced with NFPA's permission by MADCAD.com. NFPA and the NFPA logos are trademarks and service marks of NFPA. All rights reserved.

NFPA 1580: Standard for Emergency Responder Occupational Health and Wellness, 2025

Important Notices and Disclaimers
Additional Important Notices and Disclaimers
Chapter 1 Administration [Go to Page]
1.1 Scope.
1.2 Purpose.
1.3 Application.
1.4 Units.
Chapter 2 Referenced Publications [Go to Page]
2.1 General.
2.2 NFPA Publications.
2.3 Other Publications.
2.4 References for Extracts in Mandatory Sections.
Chapter 3 Definitions [Go to Page]
3.1 General.
3.2 NFPA Official Definitions.
3.3 General Definitions.
Chapter 4 Infection Control Program Components (NFPA 1581) [Go to Page]
4.1 Administration.
4.2 Policy.
4.3 Risk Management.
4.4 Training and Education.
4.5 Infection Control Officer.
4.6 Health Maintenance.
4.7 Infectious Exposures.
Chapter 5 Infection Control for Fire Department Facilities (NFPA 1581) [Go to Page]
5.1 General.
5.2 Kitchen Areas.
5.3 Sleeping Areas.
5.4 Bathrooms.
5.5 Equipment Storage Areas.
5.6 Cleaning Areas.
5.7 Disinfecting Facilities.
5.8 Disposal Areas.
Chapter 6 Infection Control for Fire Department Emergency Vehicles (NFPA 1581) [Go to Page]
6.1 General.
6.2 Vehicles Used to Transport Patients.
Chapter 7 Infection Control Protection for Emergency Medical Service Operations (NFPA 1581) [Go to Page]
7.1 Personnel.
7.2 Personal Protective Equipment.
7.3 Handling of Sharp Objects.
Chapter 8 Infection Control Cleaning, Disinfecting, and Disposal (1581) [Go to Page]
8.1 Skin Washing.
8.2 Disinfectants.
8.3 Emergency Medical Equipment and Environmental Surfaces.
8.4 Clothing and Personal Protective Equipment.
8.5 Disposal of Materials.
8.6 Linen.
8.7 Housekeeping.
8.8 Labeling.
Chapter 9 Occupational Medical: Roles and Responsibilities (NFPA 1582) [Go to Page]
9.1 Administration.
9.2 Fire Department Responsibilities.
9.3 Fire Department Physician Responsibilities.
9.4 Individual Responsibilities.
9.5 Confidentiality of Medical Information.
Chapter 10 Occupational Medical: Essential Job Tasks (NFPA 1582) [Go to Page]
10.1 Essential Job Tasks and Descriptions.
10.2 Essential Job Tasks for Specialized Teams.
Chapter 11 Occupational Medical: Evaluation of Members (NFPA 1582) [Go to Page]
11.1 General.
11.2 Member Education Regarding Occupational Medical Evaluation Program.
11.3 Timing of the Annual Occupational Medical Evaluation of Members.
11.4 Components of the Annual Occupational Medical Evaluation of Members.
11.5 Medical History.
11.6 Physical Examination.
11.7 Ancillary Tests.
Chapter 12 Occupational Medical: Annual Fitness Evaluation of Members (NFPA 1582) [Go to Page]
12.1 Weight and Body Composition.
12.2 Annual Fitness Evaluation.
Chapter 13 Occupational Medical: Evaluations (NFPA 1582) [Go to Page]
13.1 Medical Evaluation.
13.2 Medical Conditions Affecting Ability to Perform Essential Job Tasks.
13.3 Essential Job Tasks of a Firefighter.
13.4 Fire Department Physician Role.
13.5 Medical Conditions Involving the Eyes, Ears, Nose, Mouth, or Throat.
13.6 Medical Conditions Involving the Lungs, Chest, and Respiratory System.
13.7 Medical Conditions Involving the Cardiovascular System.
13.8 Medical Conditions Involving the Endocrine System and Metabolic Function.
13.9 Medical Conditions Involving the Gastrointestinal Tract and Abdominal Viscera.
13.10 Medical Conditions Involving the Spine.
13.11 Medical Conditions Involving Orthopedics.
13.12 Medical Conditions Involving Neurologic Functions.
13.13 Medications and Their Side Effects.
13.14 Pregnancy and Reproductive Health.
13.15 Chronic Systemic Diseases and Miscellaneous Conditions.
13.16 Infectious Diseases.
13.17 Chronic Skin Conditions.
13.18 Hematologic Disorders and Their Treatment.
13.19 Heat Stress and Heat-Related Illness.
13.20 Tumors — Malignant or Benign.
13.21 Psychiatric Conditions and Psychological Disorders.
Chapter 14 Fitness: Organization (NFPA 1583) [Go to Page]
14.1 Administration.
14.2 Program Overview.
14.3 Program Components.
14.4 Roles and Responsibilities.
14.5 Logistics.
14.6 Program Referrals.
Chapter 15 Fitness: Health and Fitness Coordinator and Peer Fitness Trainers (NFPA 1583) [Go to Page]
15.1 Assignment.
15.2 Qualifications for Health and Fitness Coordinator.
15.3 Peer Fitness Trainers.
Chapter 16 Fitness: Assessment (NFPA 1583) [Go to Page]
16.1 General.
16.2 Fitness Assessment.
16.3 Preassessment Questionnaire.
16.4 Fitness Assessment Components.
Chapter 17 Fitness: Exercise Training Program (NFPA 1583) [Go to Page]
17.1 Program Components.
17.2 Program Participation.
17.3 Program Implementation.
Chapter 18 Fitness: Health and Wellness Education (NFPA 1583) [Go to Page]
18.1 General Requirements.
Chapter 19 Fitness: Data Collection (NFPA 1583) [Go to Page]
19.1 General.
19.2 Implementation Outcomes.
19.3 Service Outcomes.
19.4 Health Outcomes.
Chapter 20 Rehabilitation: Preparedness (NFPA 1584) [Go to Page]
20.1 Administration.
20.2 Preparedness.
20.3 Recognition of Heat/Cold Stress.
20.4 Member Prehabilitation.
Chapter 21 Rehabilitation: Preliminary Exposure Reduction (NFPA 1584) [Go to Page]
21.1 Implementation.
21.2 Hazard Control Zones.
21.3 Contamination Reduction.
21.4 On-Scene Personal Hygiene.
Chapter 22 Rehabilitation: Incident Scene and Training (NFPA 1584) [Go to Page]
22.1 Criteria for Implementation.
22.2 Responsibilities of the Incident Commander.
22.3 Responsibilities of the Supervisor.
22.4 Responsibilities of the Rehabilitation Manager.
22.5 Responsibilities of the Member.
22.6 Formal Rehabilitation Location Characteristics.
22.7 Rehabilitation Efforts.
22.8 Cooling and Warming.
22.9 Emergency Medical Care.
22.10 Rehabilitation Disposition.
22.11 Documentation.
Chapter 23 Rehabilitation: Post-Incident Recovery (NFPA 1584) [Go to Page]
23.1 Demobilization.
23.2 Post-Incident Status.
23.3 Post-Incident Personal Hygiene.
23.4 Station, Apparatus, Protective Clothing, and Equipment Decontamination.
23.5 Potentially Traumatic Events.
23.6 Exposure Reporting.
23.7 Exposure Report Retention and Access.
Annex A Explanatory Material
Annex B Sample Policy Statements (NFPA 1581)
Annex C Disinfection and Sterilization Methods (NFPA 1581)
Annex D Guide for Fire Department Administrators (NFPA 1582)
Annex E Maternal and Child Health Considerations (NFPA 1582)
Annex F Sample Physician Evaluation Form for Firefighters with Diabetes (NFPA 1582)
Annex G Behavioral Health (NFPA 1582)
Annex H Sample Fitness Plan (NFPA 1583)
Annex I Self-Assessment Tool (NFPA 1583)
Annex J Managing Heat Stress, Cold Stress, and Heat -Related Illness (NFPA 1584)
Annex K Informational References [Go to Page]

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NFPA 1580: Standard for Emergency Responder Occupational Health and Wellness, 2025

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