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High-speed road safety: Protecting first responders 

Originally published by the Australian Institute of Health & Safety

Emergency service personnel and other professionals who are responsible for responding to incidents on high-speed roads experience higher fatality and incident rates, and also suffer from higher rates of post-traumatic stress disorder compared to the general population.

“High-speed roads are complex and dynamic environments long recognised as posing a significant safety risk for workers, largely due to factors such as fast-moving vehicles, traffic volume, attitudes of motorists (unsafe driving behaviours), roadworks, existing crashes, and back of queue incidents,” Professor Sharon Newnam, Head of the QUT School of Psychology and Counselling in the Faculty of Health.

SafeWork Australia data has found the fatality rate (2.1 per 100,000 workers) for emergency services was higher than the national rate of 1.5, while the serious injury claim rate was four times higher than for all occupations (at 37.9 claims per 1000 employees)."

The prevalence of post-traumatic stress disorder in first responder populations is estimated to be six to seven times that of the wider community, Newnam added.

In a recently published paper, Safety in the Grey Zone: Evaluation of a training program to improve the safety of incident responders on high-speed roads, Newnam observed that incidents and emergencies can occur in various environments, and it is common for first responders to attend incidents on high-speed roads, such as freeways, highways, or multi-lane arterial roads.

“High-speed roads (broadly defined as those with speeds of 70 km/h or higher) have long been recognised as posing a significant safety risk for workers,” said Newnam, who explained that employees working in high-speed road environments, including construction and maintenance workers, as well as first responders and other emergency services, face an increased risk of injury or fatality.

In response, Newnam created a program called ‘Safety in the Grey Zone’ which has been trialled in Victoria, resulting in a recommendation for similar programs to be rolled out Australia-wide.

The program, conducted with participants from six Victorian incident response agencies, was created to optimise the skills of incident responders in communicating and coordinating safety practices at the scene of an incident on a high-speed road.

“The concept of the grey zone originated during a stakeholder focus group discussion where it was mentioned that ‘things are never black and white during an incident on a high-speed road’,” she said.

The program differentiates between competencies like skills required to manage safety in high-risk traffic environments, which are role-specific and process-driven tasks, and capability, including skills in collaboration, engagement and teamwork requiring personal, interpersonal and cognitive ability.

Representatives from a Victorian government transport agency, the police service, ambulance service, rural fire brigade, a private transport agency, and a state emergency service took part in online sessions using real-life scenarios, including a multi-car fatality and a break down, to help them understand the impact of their actions on their own and others’ safety practices. Most participants had at least 10 years’ experience in their roles.

“The majority reported they encountered an average of three secondary incidents each month at the scenes of the incidents they respond to, so they have acquired substantial exposure and experience in managing safety on high-speed roads,” Newnam said.

The roles and responsibilities of workers within each agency is important to consider in understanding the management of safety, according to Newnam, who added that, in Victoria, each emergency service, such as ambulance services and fire brigades, is allocated distinct responsibilities – but there are instances where certain responsibilities are shared depending on the availability of resources.

Participants reported positively on their experience and satisfaction with the program, especially in relation to it helping them think outside the square on how other agencies view a scene, Newnam said.

“Feedback included how the training highlighted the need for interagency collaboration, the value of debriefing and having the confidence to approach other agencies to get an understanding of scene safety issues,” she said.

“We also found that the greater the number of attendees at a training session, along with representation of a variety of agencies, the greater the engagement of participants.

“Our findings provide recommendations to consider in the program’s future roll-out in Victoria and Australia-wide, as well as suggestions for future evaluations to assess the program’s effectiveness in improving the safety of incident responders operating on high-speed roads.

“Also, while most participants had many years of experience this is not always an advantage because they are not hearing about the challenges faced by people newer to the job. Further implementation of the program should take that into account.”

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