Org Safety Culture of CCFD1 - Ken Horn Capstone

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    CCFD1 Safety Culture 1

    Assessment of the Organization Safety Culture

    Of

    Clackamas County Fire District #1

    Kenneth Horn

    Portland State University

    Submitted to:

    Masami Nishishiba, PhD

    Matthew Jones, PhD

    June 8, 2010

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    CCFD1 Safety Culture 2

    Abstract

    The research problem was the Clackamas County Fire District # 1 had taken

    significant actions to address the reduction of firefighter injuries. This effort has

    included the creation of a wellness and fitness group and a full time Safety Officer;

    however, there has never been an assessment of the organizational safety culture

    within the Clackamas County Fire District #1 (CCFD1). Safety Culture is considered

    fundamental within the fire community in regards to firefighter safety. This concept

    is reflective in the 16 Firefighter Life Safety Initiatives. The Purpose of this study is

    to reduce the injury rate within the Fire District. Three hypotheses were tested to

    help identify safety culture related concepts. The three hypotheses included: (1) In

    ClackamasFire,therearedistinct,identifiablesub-culturesthatarerelatedtosafety.

    (2) FirefightersatClackamasFiretendtovalueefficiencyandeffectivenessover

    safety.(3)FirefightersatClackamasFirewilltendtovalueindividualaccountability

    oversafety.Descriptive research methods included a survey made available to all

    members of Clackamas County Fire District #1. The results indicated a positive

    safety culture within CCFD1. The results suggested there are identifiable subgroups

    related to safety within the organization, firefighters, under varying situations will

    tend to value efficiency and effectiveness over safety and lastly, the results did not

    support that firefighters will value individual accountability over safety.

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    Table 6 (48 Years of Service scores by Dimension).....36

    Table 7 (915 Years of Service scores by Dimension)...36

    Table 8 (16+ Years of Service scores by Dimension)....37

    Table 9 (Comparison of Responses to Mean Scores, North Battalion)...39

    Table 10 (Comparison of Responses to Mean Scores, South Battalion)....40

    Table 11 (Total Mean Score of all Stations).41

    Table 12 (Station 1 Dimension Scores)..41

    Table 13 (Station 2 Dimension Scores)..41

    Table 14 (Station 3 Dimension Scores)..42

    Table 15 (Station 4 Dimension Score)42

    Table 16 (Station 5 Dimension Scores)..42

    Table 17 (Station 6 Dimension Scores)..42

    Table 18 (Station 8 Dimension Scores)..43

    Table 19 (Station 9 Dimension Scores)..43

    Table 20 (Station 10 Dimension Scores)...43

    Table 21 (Station 11 Dimension Scores)...43

    Table 22 (Station 15 Dimension Scores)...44

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    CCFD1 Safety Culture 5

    Table 23 (Station 16 Dimension Scores)...44

    Table 24 (Station 17 Dimension Scores)...44

    Table 25 (Volunteer Stations 12 & 13 Dimension Scores).44

    Table 26 (Hypotheses 2 Scores).49

    Table 27 (Hypotheses 3 Scores).50

    Table 28 (Results of Openended Questions).....52

    Table 29 (Comparison of Study Results)...56

    Table 30 (H3 Mean Score Comparison).60

    Figures

    Figure 1 (Model of Reciprocal Determinism).16

    Figure 2 (Mean Scores by Station)38

    Figure 3 (Mean Scores by Division)..46

    Appendixes

    Appendix A (Survey Questions)..72

    Appendix B (Interview Questions)...75

    Appendix C (Radar Graphs of Mean Score by Division)...76

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    CCFD1 Safety Culture 7

    Introduction

    Clackamas County Fire District (CCFD) #1 has been making efforts to

    constantly identify problems and develop solutions through organizational policy

    formation to assure safety. Understanding the organizational culture and employee

    responses to safety policy changes is critical for effective implementation of such

    policies and procedures. It is imperative to understand how safety is valued within

    the organization and how individual behavior influences the adherence to safety

    policies and procedures.

    The purpose of this study is to identify and define the organizational safety

    culture in CCFD#1 and understand how it influences the implementation of safety

    policies and procedures throughout the organization. Furthermore, the study

    intends to identify the degree in which firefighters value safety while performing

    their duties. The responses from a cultural safety survey administered to all Fire

    District employees were used to address three research questions related to safety.

    In addition, a series of interviews with employees representing a cross section of the

    organization was conducted to obtain additional qualitative information to help

    interpret the results of the survey. By examining both quantitative and qualitative

    data, this study attempted to explicate the intricacies of the organizational culture

    related to the implementation of safety policies, procedures, and practices.

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    BackgroundandSignificanceoftheStudy

    Each year in the United States, approximately 100 firefighters die in the line

    of duty and thousands more are injured. This trend has declined since the 1970s,

    yet firefighter fatalities per 100,000 fire incidents have actually been on the

    increase. Since 2005, the number of firefighter fatalities has risen from 2.81 to 3.86

    per 100,000 incidents in 2008, a 37% increase (U.S. Fire Administration, 2009). In

    2008, the rate of injuries per 1000 fires is 25.2, up from 23.3 in 1981. (Karter, Molis,

    2009) This increase is despite many advances in firefighting safety equipment,

    training and early detection.

    Firefighter injuries and deaths have a significant impact on organizations,

    families, and the community. The price is paid with the lives of the firefighters, their

    families, and the dollars and resources of the taxpayers. The actual cost is difficult to

    determine since there are many variables, however the National Institute of

    Standards and Technology (NIST) produced a report in 2005 attempting to put a

    cost to firefighter deaths and injuries. Data for this 2005 study was not

    comprehensive and many of the sources were unqualified, however the estimates

    are still considered credible by the authors. The estimates were based on: costs

    associated with overtime, investigations, physical fitness programs, lost time from

    work, prevention related costs (NIST, 2005). According to the 2001 data, in Oregon,

    the average claim for an on the job injury was $8,389.00. During the year 2009,

    Clackamas County Fire District #1 had 16 cases involving firefighter injuries that

    resulted in days away from work. This resulted in approximately 114 shifts

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    CCFD1 Safety Culture 9

    (24hourshifts) missed from work, which also resulted in approximately

    $114,000.00 in overtime, not including rollups, rehab time, investigations, and

    administrative time (OSHA 300 records from CCFD1 2009).

    In March of 2004, the leadership of the American Fire Service assembled in

    Tampa, Florida and discussed the issue of firefighter safety, specifically, how to

    prevent lineofduty deaths. As a result of this meeting, the 16 Firefighter Safety

    Initiatives were developed. The goal of these initiatives was to reduce the number of

    firefighter deaths by 25% within the first five years and 50% within 10 years. These

    16 safety initiatives provided the fire service a blueprint for change in safety culture

    and practices. The first of these initiatives was to: Define and advocate the need for

    a cultural change within the fire service relating to safety; incorporating leadership,

    management, supervision, accountability, and personal responsibility (Everyone

    Goes Home Initiative Program, 2004).

    Since the introduction of the Firefighter Safety Initiatives in 2004, Clackamas

    County Fire District #1 has implemented several safety related actions that have had

    significant, positive impacts on safety within the organization. In 1998, the fire

    district contracted through Oregon Health & Science University for a Wellness

    Coordinator. In 2005, the district budgeted for a full time Wellness Coordinator. In

    2005, a temporary labor assistant was hired and in 2008, that position was made

    full time. Lastly, in 2007, a full time safety officer for the district was hired. The

    Safety Officer position is one of the first in the area and was considered a significant

    commitment towards safety. Despite all the efforts to create safety related positions

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    CCFD1 Safety Culture 10

    within the organization and introducing improvements in fire safety equipment, the

    injury rate at CCFD#1s is still comparable to the national average of 25 injuries per

    1000 fires. The literature emphasizes the need for organizations to assess their

    culture in terms of safety and CCFD#1 has not done this. There are some anecdotes

    that seem to suggest that there is a disassociation between safety related

    policies/procedures and the actual practice. As the literature on organizational

    culture suggest, the resistance to adopt or closely follow safety policies and

    procedures may be due to how an organization and its subgroups value safety. On

    the surface, CCFD#1 appears to be moving towards enhancing safety, however, at

    the deeper level, CCFD#1 may need to further understand and define its culture and

    how it relates to safety. Much of the reviewed literature suggests the fire service

    must address the organizational culture if they are to be successful in implementing

    new safety related policies and procedures. Industries such as Nuclear Power,

    Chemical, and Oil and Gas operate in a highrisk environment, and they have made

    some significant improvements in safety performance by utilizing the concept of

    organizational culture (Pessemier, 2008). The Fire Service must look to these

    industries and the science of safety in order to address safety culture and cultural

    change within our own highrisk organization. Much of the research associated with

    highrisk industries shows a positive relationship between the safety performance

    and the safety culture of an organization.

    Jones (2000) suggests that it is our deep connection to our history as a

    profession that makes safety culture within the fire service so difficult to change. We

    have benefited from the prestige that is closely related to the sacrifices of our fellow

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    The need for the understanding and measuring of organizational safety

    culture is illustrated well by the work of Williams (2007). In it, he describes the

    efforts made by the University of Maryland, Center for Firefighter Safety Research

    and Development to implement vigorous safety standards, policies and practices

    and yet, a rise in injury rates continued. What the literature suggests is that the

    University may not have had an understanding of the safety culture and therefore

    may have implemented the above safety standards, polices, and practices in a way

    that was not effectively accepted by the members. This may help explain why their

    efforts had little impact on injury rates.

    The problem of an inadequate understanding of the Safety Culture within

    Clackamas County Fire District #1 may have an affect on how the organization is

    able to meet the three operational objectives established by the United States Fire

    Administration (U.S. Fire Administration, 2009). Those objectives include: 1)

    enhancing firefighter safety and reducing the loss of life from fire by firefighters, 2)

    Promote within the fire service community a comprehensive, multihazard risk

    reduction plan to reduce the number of injuries and deaths to firefighters and; 3) to

    address the emerging issue as identified by the Firefighter Life Safety Summit to

    reduce the number of firefighter deaths by establishing a mechanism to measure

    and act upon fire department safety culture.

    The mission statement of Clackamas County Fire District #1 states: Tosafely

    protectandpreservelifeandproperty(CCFD1, 2009). It is possible that this mission

    puts firefighters at odds with two competing values, getting the job done as a

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    CCFD1 Safety Culture 16

    Figure1

    The psychological variables are considered the basis of culture (values,

    beliefs, and attitudes towards safety). The behavioral variables are the

    competencies of the individual and the patterns of action and behaviors. Situational

    variables include the organizational structure, processes and systems, as well as

    external variables such as the complexity, context, and nature of the work

    performed. Tools, Equipment, and machines used in the task should also be included

    since employees may consider them directly related to safety. (Pessemier W. ,

    Developing a Safety Culture in the Fire Service, 2008). These three factors the

    psychological, behavioral, and situational factors are the independent variables

    that influence the dependant variable, which is safety performance.

    What the theory of Reciprocal Determinism suggests is that all three factors

    have an equal impact on the person and their safety performance. A person can have

    an impact on their safety environment by how they implement safety practices; in

    turn, the environment can have an impact on their behavior related to safety

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    CCFD1 Safety Culture 20

    (IAEA) for example, defines the safety culture of an organization as the product of

    individual and group values, attitudes, competencies, and patterns of behavior.

    Another closely related definition is: the set of values, beliefs, traditions, norms,

    attitudes and social practice set out to reduce or minimize the exposure to injuries

    or dangerous conditions(Ahmad & Alistair, 2003). Lastly, Mearn, Flin, Gordon, &

    Fleming (1998) define safety culture as entrenched attitudes and opinions that a

    group of people share with respect to safety.

    What factors constitute a highquality safety culture is up for debate. Many

    organizations have attempted to define the factors that make up an excellent safety

    culture. These include the Advisory Committee for Safety of Nuclear Installations

    (ACSNI) and the Institution for Occupational Safety and Health (IOSH) and they both

    imply that the safety depends as much on the general organizational culture as it

    does specifically to safety practices. A considerable amount of the research has been

    focused on overall organizational culture and the factors that contribute to it, such

    as: job satisfaction, individual responsibility, management responsibility, leadership

    style, communication, commitment, risk awareness, and risk taking (Cameron &

    Quinn, 2006). These studies also have pertinence to the exploration of

    organizational safety culture.

    Some literature is careful to point out the difference between culture and

    climate. Often the two are used interchangeably, yet they are by definition, different.

    Climate should be thought of as reflecting attitudes, perceptions, and beliefs

    whereas culture involves values, traditions, and norms (Harvey, Bolem, Cox, &

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    CCFD1 Safety Culture 21

    Gregory, 2002). An organizations climate may change depending on events or

    changes within the organization. For example, during union contract negotiations

    the climate may modify depending on how well the process is advancing. A

    significant injury to a member may also have a detectable effect on the climate of the

    organization, yet neither of these events would likely have an immediate effect on

    the safety culture. It is possible that over time climate will have an influence over

    cultural change.

    Safety Culture is more stable than safety climate and is resistant to change.

    (Cooper 2001) points out that safety is a value and that values are considered as a

    constant set of core beliefs held by an individual concerning how s/he should

    behave over a broad range of situations (p.17). This is particularly important since

    it is in the stations where many of these values are developed and passed on. Jones

    (2000), suggests that the attitudes towards safety may be related to our past and the

    prestige we as firefighters experience due to the sacrifices of our bothers and

    sisters. The persona that this is a risky business and that injury and death are part

    of the job may be considered an underlining value upheld by firefighters today. The

    focus of this study is safety culture based on the measurement of the attitude and

    perception of the members of Clackamas County Fire District #1.

    Sub-

    culture

    Important to the study is the reference to groups, since the author expects to

    identify subcultures within the organization. My contention is that groups within

    the organization will share values of the overall organization as well as have their

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    definitions related to safety culture, groups are often highlighted and the evidence

    suggests that it may be more accurate to talk in terms of group culture vs.

    organizational culture. Many have suggested that it is within these identified groups

    that the culture related to safety is passed on and it is the attitude towards danger,

    safety compliance, and proper conduct of hazardous operations that makes up that

    culture (Beck, 1999;Chute, 1995;Clark, 1999;Wong, 2005). At Clackamas County

    Fire District #1, the corresponding categories that form the basis of culture are:

    rank, station assignment, or division. Subculture formed based on these categories

    could explain differences in safety related behavior at different stations and

    divisions and at different ranks within the department. Therefore, it is hypothesized

    that the Clackamas Fire also has identifiable subculture that affects safety.

    H1: InClackamasFire,therearedistinct,identifiablesub-culturesthatare

    relatedtosafety.

    Valueonefficiencyandeffectivenessoversafety

    In research by Omodei, Mclennan, and Reynolds (2005,) they found that

    [d]espite the general awareness of, and concern with, the effects of fatigue and

    dehydration in summer fires in difficult terrain, the primary focus on getting the job

    done appears to override any such concerns (p10) among the firefighters. This is

    congruent with the general observation that firefighters tend to value efficiency and

    effectiveness over safety. According to Cooper (2001), if safety is not clearly valued

    among the firefighters, they will likely struggle with what they value more. This

    dichotomy is accentuated when other behaviors are valued equally. Firefighters may

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    Therefore, the third hypothesis tested in this study addresses the

    relationship between individual accountability and safety.

    H3: Firefighterswilltendtovalueindividualaccountabilityoversafety.

    Reportedpromisingpracticesinpromotingsafetyculture

    The results of similar safety promotion studies were reviewed for their

    recommendations. Since none of the related studies looked specifically at the same

    research questions, it is likely the recommendations might not match directly with

    my conclusions. However, it is likely that there will be similarities sufficient for this

    project. In two of the studies reviewed, the overall Organizational Safety Culture

    was assessed and this was considered a core dimension of the study. Williams

    (2006) concluded the following in his assessment of the safety culture of the Anne

    Arundel County Fire Department, Maryland.

    1. The leadership must send a clear message regarding the importance ofsafety.

    2. Clear communication is needed to instill and enhance trust within theorganization.

    3. A safety code of conduct must me established giving all the right andobligation to report safety problems and to contribute ideas related to safety

    to their supervisors.

    4. Enhance leadership and followership skills in all personnel.5. Enhance the marketing of Health/ Safety division of an organization.

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    CCFD1 Safety Culture 26

    6. Complete an analysis of knowledge, skills, and abilities to ensure thatappropriate training is being conducted for all personnel.

    7. Regular followup and the development of surveys to use on a regular basisto assess the impact of any improvement plans.

    Windham (2005) had the following recommendations after studying the

    organizational safety culture of the Woodlands Fire Department, Woodlands, Texas:

    (a) exceptions should be communicated with regard to safety and all personnel

    should be held accountable, (b) policies and practices should be examined, (c) risk

    management should be examined and all personnel be held accountable to the

    specifics of the risk management process, (d) the peer fitness trainer program

    should continue, (e) union officials should be consulted to implement a fitness

    evaluation process and, (f) work should continue to make a cultural change within

    the fire department. It is important to point out that CCFD1 currently has a peer

    fitness trainer program and the organization does include the union when setting

    fitness standards. The above recommendations however, help validate the relevance

    of the current programs. Pendergast (2007) provides twelve recommendations to

    improve safety after completing a safety culture survey of the Laconia Fire

    Department, Laconia, New Hampshire. These twelve recommendations included: (a)

    identify problems that exist, (b) gain leadership support, (c) treat safety as a mission

    and establish resources needed, (d) create ownership of health and safety

    throughout all levels of the organization, (e) create control measures and establish

    safety standards, (f) measure safety related performance, (g) ensure all accidents

    and nearmisses are thoroughly investigated, (h) ensure attendance at safety

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    Key question items that were pertinent to the presented hypothesis were

    identified. This breakdown shown in Table 1 above. The study was distributed to

    the population via email using an online survey tool SurveyMonkey, in which the

    fire district has an account. The first email related to the study was sent out to the

    study population consisting of all members of the organization. The message

    explained the purpose of the survey, the anonymity of the results, and who was

    performing it. Instructions were given on how to complete the survey, who should

    participate in the study, and a link attached to the body of the message. Lastly, two

    additional reminders were sent out.

    Three dimensions were identified to help better understand and categorize

    the safety culture of the organization. These three dimensions are: Organizational

    Policy, Organizational leadership, and Safety Procedures. These were labeled I, II, III

    on the survey form. The purpose of the three dimensions is to help understand the

    overall safety culture of the organization. If there are identified areas of safety

    related weaknesses within the organization, it is important to know where those

    weaknesses are. Furthermore, the dimensions of Leadership and Procedure directly

    relate to question used to defend the second and third hypothesis. Additionally, the

    survey is broken down into the following categories: Administration, Operations,

    Training, Fire Prevention, and Volunteers. The Operations group was further broken

    down into seventeen stations, two of which were removed since they are volunteer

    stations and not staffed full time. The last category in this section is years of service;

    Safety Culture, 2002)(Jones, 2000)

    H3: Fire fighters will tend to valueindividual accountability over safety

    9, 13, 14, 17, 19, 21, 27, 35,40, 42, 43, 44, 45, 47, 48

    (Pessemier B. , 2007)(Cooper, Surfacing YourSafety Culture, 2002)

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    settings. The interviews were conducted by the author, and due to the sensitivity of

    issues, were not audio recorded. The questions can be found in Appendix B.

    Results

    The results of survey data were analyzed using descriptive statistics 1such as

    mean, median, and standard deviation. Data was filtered using the Survey Monkey

    filtering tool to assist in aggregating the results. This was organized into the

    following variables: Organizational Divisions including: (a) Operations, (b)

    Administration (Logistics and Information Technology), (c) Training (wellness),

    (d) Fire Prevention, and (e) the Volunteer group (Table 1).

    Respondentsprofile

    The Operations Division made up 75% of the responses or 119 out of 159

    organizational personnel surveyed. This represents approximately 79% of the

    personnel assigned to the Operations division. There are some small variations in

    the number assigned to operations due to Temporary Duty Assignments (TDY).

    1 It is recognized by the author, that the research could benefit from more advanceanalytical methods needed to determine significance of the results and to validatethe survey questions for reliability.

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    CCFD1 Safety Culture 33

    These are generally assignments outside of the normal operations assignments such

    as training officers, Public Information Officers, or EMS Officer positions.

    Administration represented 10% of the respondents or 84% (16 of 19) of the

    personnel assigned to Administration. The Training division represented 5% of the

    respondents or 89% (8/9) of the assigned personnel, prevention represented 4.4 %

    of respondents or 58% (7/12) of assigned personnel, and the volunteer rank had a

    response rate of 5.7%. It should be noted that during this survey, the volunteer

    program was in the middle of substantial changes and the largest volunteer recruit

    academy was nearly completed. This may have lead to the limited response to the

    survey by the volunteer group.

    Table2ResponsesbyDivision

    Division ResponsePercent ResponseCount/total

    numberofpersonnelin

    thedivision

    Operations 74.8% 119/ 150

    Administration 10.1% 16/ 19

    Training 5% 8/ 9

    Prevention 4.4% 7/ 12

    Volunteer 5.7% 9/ 59

    The following scores represent the degree of positive or negative response to

    the survey questions. A score greater than 2.50 represents a positive response to

    the safety related question. A score below 2.50 represents a negative response to

    the safety related question. For the purpose of this study, Dimension I Safety Policy

    refers to organizational polices pertaining to safety related to practices. Policies are

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    CCFD1 Safety Culture 34

    generally found in the form of Standard Operating Guidelines (SOGs).

    Organizational Leadership refers to the decision makers of the organization; this

    would include Company Officers, Chief Officers, and Program Managers. Examples of

    Safety Procedures would include the use of safety equipment or practices detailed in

    the Fire Rescue Protocols, a guide that describes how to mitigate incidents. The total

    mean, median, and standard deviation scores representing all three surveyed

    dimensions for the Divisions and are as follows: Operations had a mean score of

    3.66, median score of 3.49 and standard deviation of .318. The Training division had

    a mean score of 3.59, median score of 3.62 and standard deviation of .232. The Fire

    Prevention Division had a mean score 3.82, median score of 3.62 and a standard

    deviation of .246. Administration had a score of 3.64, median score of 3.62 and

    standard deviation of .186. The volunteer group had a mean score of 3.92, median

    score of 3.83 and standard deviation of .354. The volunteer rank represents the

    highest combined mean score with the largest standard deviation score. (Table 3)

    Table3ComparisonofscoresbyDivision(AllDimensions)

    Division Mean Median StandardDeviation

    Operations 3.66 3.49 .318

    Training 3.59 3.62 .232

    Prevention 3.82 3.79 .246

    Administration 3.64 3.62 .186

    Volunteers 3.92 3.83 .354

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    The volunteer group had the highest combined (Organizational Policy,

    Organizational Leadership, and Safety Procedures) mean score of 3.92. The Training

    division scored lowest in dimension I and III with 3.8 and 3.34 respectively. The

    Operations Division scored lowest in dimension II (Leadership) with a score of 3.49.

    If the volunteer group is backed out, the Fire Prevention Division has the next

    highest mean score of 3.82.

    The years of service group is divided into the following categories: (a) zero to

    three years, (b) four to eight years, (c) nine to fifteen years, and (d) 16 years or

    more. For each of the year categories, the combined Dimensions score was

    calculated in order to compare the safety attitudes of the years of service groups.

    (Table 3). The table below shows that the 48 year group had the highest safety

    perception/attitude and the 915 group had the lowest. The 915 year group also

    had the highest standard deviation.

    Table4ScoresbyYearsofService

    Years ofService

    Number ofrespondents

    Mean Median StandardDeviation

    03 Years 31 3.63 3.56 .127

    48 Years 29 3.70 3.58 .262

    915 Years 41 3.51 3.40 .291

    16 +years 58 3.68 3.54 .299

    The following tables show the breakdown of scores by years of service and by

    dimension. This allows the reader to compare responses by dimension and shows

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    CCFD1 Safety Culture 36

    how years of service changes perception within those dimensions. The zero to

    threeyear group had 31 respondents and represented 20% of the total surveyed.

    Table50-3YearsofServicescoresbydimension

    Dimension Mean Median StandardDeviation

    Policy I 3.56 3.58 .436

    Leadership II 3.78 3.87 .347

    Safety Procedures III 3.56 3.58 .436

    The 48 year group had 29 responses or 18%, 915 years had 41 respondents or

    26%, and the largest group was the 16+ years with 56 respondents or 36% of the

    total group.

    Table64-8YearsofService

    Dimension Mean Median StandardDeviation

    Policy I 4.00 3.96 .198

    Leadership II 3.58 3.66 .379

    Safety Procedures III 3.52 3.50 .472

    The 16 + years had the highest Dimension I (Policy) score of 4.02 which shows that

    those with the most experience within the organization and those that are likely to

    be in leadership roles, feel strongly that our safety related policies are appropriate.

    The 03 year group had the lowest dimension I score of 3.56, however this group

    also had the highest scores in dimension II and III of 3.78 and 3.56 respectively. The

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    915 year group had the lowest scores in dimension II and III of 3.29 and 3.40

    respectively.

    Table79-15YearsofService

    Dimension Mean Median StandardDeviation

    Policy I 3.84 3.78 .219

    Leadership II 3.29 3.41 .318

    Safety Procedures III 3.40 3.26 .452

    The 915 year group also had the lowest total mean score of 3.51. The 48 year

    group had the highest total mean score of 3.70 with the 16+ years group scoring a

    3.68.

    Table816+YearsofService

    Dimension Mean Median StandardDeviation

    Policy I 4.02 3.99 .233

    Leadership II 3.54 3.66 .337

    Safety Procedures III 3.47 3.38 .591

    The reviewed literature suggests that the more years of service an employees

    has or the greater their position is within the organization the greater their

    perception or attitude towards safety within that organization. In this study, a

    higher or more positive score would represent the elevated perception/ attitude of

    safety. The results in this study show that there is not a linear progression of the

    scores instead, it shows that the 48 year and 16+ groups share nearly the same

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    CCFD1 Safety Culture 39

    Station 17 had the highest total mean score of 3.86 with a standard deviation of

    .396. Station 15 had the lowest total mean score of 3.41 with a standard deviation of

    .391. The South Battalion had the highest total mean score of 3.71; this is despite the

    lowest station score from Station 15. The North Battalion had a total mean score of

    3.69. Though it is difficult to determine the significance, it is noted that the North

    Battalion has a significantly higher call volume. In this case, call volume was

    compared to help determine if risk exposure had an effect on safety

    perception/attitudes. In this case, it appears the greater the exposure to risk

    (represented as call volume), the lower the safety perception/attitude score. This

    suggests that subgroups may be identified by station as it relates to call volume,

    risk exposure, and risk tolerance. Table 8 shows a comparison of combined mean

    safety scores with call volume between stations in the North Battalion while table 9

    shows the comparison in the South Battalion.

    Table9ComparisonsofResponsestoMeanScores,NorthBattalion

    Station NumberofAlarm MeanScore

    Engine 1 2,252 3.59

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    CCFD1 Safety Culture 40

    Engine 2 1,800 3.77

    Engine 3/ Rescue 3 3,194 3.64

    Truck 4 1,586 3.64

    Engine 5 1,693 3.70

    Engine 6 1,011 3.77

    Engine 8 1,358 3.67

    Table10ComparisonsofResponsestoMeanScores,SouthBattalion

    Station NumberofAlarms MeanScore

    Engine 9 889 3.75

    Engine 10 625 3.83

    Engine 11 488 3.69

    Truck 15 1,486 3.41

    Engine 16 1,811 3.70

    Squad 17 816 3.86

    A break down of the dimension scores shows station 6 and 2 (North

    Battalion) with the highest combined score of 3.77. Station 6 also has the high score

    of 4.31 in dimension I (Policy) while Station 15 has the lowest combined score of

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    CCFD1 Safety Culture 41

    3,41 and the lowest Policy score of 3.81. Station 17 had the highest score in

    dimension II and station 15 had the lowest score of 3.03. Station 10 had the highest

    score in dimension III with 3.59 and stations 15 and 16 had the lowest scores of

    3.38. The following table (Table 11) shows the total mean scores of the combined

    stations for each dimension. The high score in the policy dimension shows that the

    employees in the fire stations perceive Organizational Safety Policy to be at an

    appropriate level. In comparison, the Safety Procedure dimension has the lowest

    score. In this study, the lower the Dimension III scores suggests a higher the

    tolerance for risk is accepted by the group.

    Table11TotalMeanScoresofallStations

    Dimension Score

    Dimension I Policy 4.08

    Dimension II Leadership 3.54

    Dimension III Safety Procedures 3.46

    The next series of tables show the breakdown of scores for each dimension in

    each of the career stations. The purpose of this comparison is to show how each

    station differs in their perception/ attitude towards safety as it relates to the three

    dimensions. This understanding of attitudes and perceptions is important when

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    Table16Station5DimensionScores

    Dimension Mean Median StandardDeviation

    Policy I 4.06 4.00 .372

    Leadership II 3.64 3.80 .455

    Safety Procedures III 3.56 3.70 .731

    Table17Station6Dimensionscores

    Dimension Mean Median StandardDeviation

    Policy I 4.31 4.33 .372

    Leadership II 3.56 3.67 .349

    Safety Procedures III 3.44 3.50 .547

    Table18Station8DimensionScores

    Dimension Mean Median StandardDeviation

    Policy I 4.07 4.05 .270

    Leadership II 3.45 3.55 .450

    Safety Procedures III 3.49 3.32 .510

    Table

    19

    Station

    9

    Dimension

    Scores

    Dimension Mean Median StandardDeviation

    Policy I 4.11 4.06 .323

    Leadership II 3.61 3.67 .450

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    CCFD1 Safety Culture 44

    Safety Procedures III 3.54 3.44 .617

    Table20Station10DimensionScores

    Dimension

    Mean

    Median

    StandardDeviation

    Policy I 4.21 4.13 .247

    Leadership II 3.69 3.88 .395

    Safety Procedures III 3.59 3.69 .555

    Table21Station11DimensionScores

    Dimension Mean Median StandardDeviation

    Policy I 3.97 4.00 .341

    Leadership II 3.59 3.60 .342

    Safety Procedures III 3.50 3.60 .709

    Table22Station15DimensionScores

    Dimension Mean Median StandardDeviation

    Policy I 3.81 3.82 .353

    Leadership II 3.03 3.10 .411

    Safety Procedures III 3.38 3.40 .431

    Table23Station16DimensionScores

    Dimension Mean Median StandardDeviation

    Policy I 4.09 4.06 .348

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    CCFD1 Safety Culture 45

    Leadership II 3.63 3.75 .317

    Safety Procedures III 3.38 3.40 .431

    Table24

    Station

    17

    Dimension

    Scores

    Dimension Mean Median StandardDeviation

    Policy I 4.30 4.25 .328

    Leadership II 3.73 4.00 .059

    Safety Procedures III 3.54 3.63 .630

    Table25Volunteers(stations12&13)DimensionScores

    Dimension Mean Median StandardDeviation

    Policy I 4.31 4.22 .276

    Leadership II 3.83 4.00 .498

    Safety Procedures III 3.62 3.44 .472

    Further analysis of the data can be found in appendix D through F. Each

    station is represented in a radar graph showing the stations score in each of the

    three dimensions. Clearly all of the stations in the Operations Division score higher

    in the Policy Dimension, followed by Leadership, with the lowest scores being in the

    Safety Procedural Dimension. All scores however, are well above the 2.50 mean

    score for a scale of 15. This suggests that Clackamas Fire District #1 has the

    perception/ attitude of a positive, overall safety culture. The above results are the

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    CCFD1 Safety Culture 46

    first step in understanding the safety culture of the organization and suggest that

    subgroups may be identified by Division, Battalion, and Station assignment.

    Next, the questions related to the hypotheses were analyzed. The first

    hypothesis stated that there would be identifiablesub-groupsrelatedtosafety

    culture. Comparisons of mean combined scores to years of service shows a range

    from 3.51 (915 years) to 3.70 (48 years). The 915 year range represents a

    combination of Company officers, Firefighters, and Apparatus Operators assigned to

    Operations division. This would also tend to exclude many of the chief officers and

    current administrative staff that would tend to be represented in the 16 + year

    group. The 48 year group represents mostly Firefighters and Apparatus Operators,

    personnel not usually considered in leadership positions. Since rank was not

    identified in this study, it would be difficult to determine if the difference in scores is

    due to years of service, experience, or position within the organization. The

    literature would suggest it has to do with experience (years of service) rather than

    position, though some literature suggests there may be a connection between

    position in an organization and safety perception. Kao, Lai, and Lee (2008)

    A review of the combined mean scores by Divisions shows a notable

    difference between the Volunteer group and the Operations, Training, and

    Administration groups. (Figure 3)

    Figure3MeanScoresbyDivision

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    CCFD1 Safety Culture 47

    The Training Division has the lowest combined (all three dimensions) score of 3.59

    and the Volunteer group has the highest at 3.92. A possible explanation for this

    variance may lie in the relationship between personnel with a significant exposure

    to the fire service culture and those operating on the fringes. Volunteers are

    generally made up of those either looking for employment in the fire service or

    those wanting to give back to the community. Volunteer firefighters usually have

    employment outside of the fire service and have limited exposure to career

    employees and their culture, and the risk associated with increased call volume.

    Many of the fire Prevention personnel have some firefighting (Operational)

    experience, but have not had significant exposure to the firefighter and station

    culture. This also seems to be congruent with the relationship between slower

    stations with higher combined mean safety perception/attitude scores, a concept to

    be explored further in this paper. Regardless, there does seem to be an identifiable

    difference between the Volunteer/ Prevention groups and the remaining three

    divisions as identified by their higher safety perception/attitude scores. An analysis

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    CCFD1 Safety Culture 48

    of the Operational scores shows notable differences related to call volume (Table 9).

    Stations with higher call volumes appear to trend towards lower, combined mean

    survey scores than stations with lower call volumes. In the North Battalion, Station 6

    shares the highest mean score of 3.77 with station 2. The South Battalion has similar

    results with its lower call volume and higher combined mean safety

    perception/attitude score.

    Station 15 has the second highest call volume in the South Battalion, yet it

    has a significantly lower score than station 16 which has the highest call volume in

    the South Battalion. Station 16 does share the lowest score in Dimension III with

    station 15 however. The types of calls station 15 responds to verses station 16 and

    that station 15 is a specialty rescue station could explain this discrepancy, but

    further research would be required to make this determination. With this said, there

    still appears to be a direct correlation between call volume and safety perception

    scores.

    The results suggest that safety perception/attitude is related to call volume,

    which in turn is related to increased risk exposure and this exposure leads to

    greater tolerance of risk. This is specifically notable in Dimension III, Safety

    procedures where mean score are consistently lower. The results also show that

    busier stations in the North and South Battalions have combined scores consistently

    lower than slower stations in the respective Battalions. This relationship between

    call volume and lower safety perception/attitude supports that the first hypothesis

    holds true, that there are identifiable subgroups within the organization. The

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    CCFD1 Safety Culture 49

    research also suggests that these subgroups are related to risk exposure as

    demonstrated by the difference in scores by Station and Battalion. The results also

    suggest that there are subgroups identified by Division. This is supported by the

    significant differences in safety perception scores by Division.

    The second hypothesis states thatfirefighterswillvalueefficiencyoversafety.

    The first step was to review the data comparing the overall Organization to the

    Operations group using the questions specific to H2 of the study (Table 2, Table 25).

    A higher, more positive score shows that employees values safety more than

    efficiency, whereas a lower score shows the employee values efficiency over safety.

    In this study, the questions pertaining to the hypothesis were compared to one

    another in order to determine what was valued more positively. The Operations

    group was compared to the overall organization since it is there we find the

    majority of the on line2 firefighters and where the greatest exposure to risk is

    found. In question 1., we see a significant difference in scores between the overall

    organization and the operations group. In question four and six, we see a similar

    score difference at a lesser degree. Each indicating a value shift towards efficiency

    over safety.

    Table26Hypotheses2

    Question Organization Operations

    1.Safety equipment has the potentialto adversely affect efficiency.

    3.41 2.58

    2 OnLine describes career firefighters regularly assigned to fire stationsthroughout the district.

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    CCFD1 Safety Culture 50

    2.Minor safety violations areacceptable if the risk is minimal.

    3.05 2.90

    3.Supervisors permit cutting cornersto get the job done.

    3.79 3.78

    4.Getting the job done efficiently ismost important.

    3.14 3.19

    5.The department provides adequatesafety equipment for my assignedduties.

    4.09 4.06

    6.Sometimes I am not given enoughtime to get my job done safely.

    3.21 3.17

    Meanscore 3.45 3.28

    Again, we see a lower combined mean score in the group with the most

    exposure to risk. The operations group is also the group most effective by safety

    related policies and procedures. This along with data obtained by the interviews

    suggests that firefighters do or at least sometimes do value efficiency over safety.

    This concept is discussed further in the Discussion section of the report.

    The third hypothesis states firefighterswillvalueindividualaccountability

    oversafety. Here again, the more positive a score is, the greater the value is towards

    safety, whereas lesser scores indicates a value towards individual accountability.

    The results however, show similar scores between the overall organization and the

    Operations group (Table 27). Several of the scores are identical and the majority are

    within a few hundredths of a point. The scores show that there is a relatively high

    perception of safety over individual accountability across the organization and that

    the exposure to risk does not appear to have a direct impact on the perception of

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    CCFD1 Safety Culture 51

    safety vs. individual accountability. This does not explain the witnessed reluctance

    to intervene when safety polices and procedures are ignored, but the interview

    results suggest it could be that the activity is not perceived as risky therefore, there

    is little need for intervention.

    Table27Hypotheses3

    Question Organization Operations

    I rely on my supervisor to keep me safe. 2.75 2.83

    Coworkers are wiling to report safety violations,unsafe behaviors, or hazardous conditions.

    3.45 3.41

    Peer influences are effective at discouragingviolations of standard operating procedures or safetyrules.

    3.75 3.76

    I am more responsible when it comes to followingsafety procedures than my coworkers.

    3.10 3.09

    My supervisors closely monitor safety proceduresand correct any deviations from established safetystandards.

    3.74 3.71

    I can safely determine the proper level of safetyequipment needed to perform my assigned duties. 4.21 4.26

    Coworkers will remind me to use proper safetyequipment.

    3.33 3.32

    I am adequately trained to safely conduct all myassigned duties.

    4.07 4.09

    I utilize my safety equipment more often than mycoworkers do.

    3.02 2.98

    Using proper safety equipment is primarily theindividuals' responsibility.

    3.99 3.99

    I am comfortable with reminding my coworkers touse safety equipment.

    4.12 4.19

    I am sure it is a matter of time before I am involvedin an accident.

    3.39 3.35

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    CCFD1 Safety Culture 52

    I understand the safety rules for my job. 4.14 4.18

    The Safety of my coworkers is my responsibility. 3.97 4.09

    MeanScore 3.65 3.66

    The survey data collected does not appear to supportH3 in terms of

    Firefighters valuing individual accountability over safety. However, the information

    collected during the interviews does suggest there are some incidents where this

    might hold true. For example, 23% of the interviewees stated they would violate a

    safety policy or procedure in order to get the job done sooner. Furthermore, 18%

    stated they would not remind a coworker for concern of being labeled a micro

    manager. 14% stated they would not remind someone if the safety equipment were

    considered inefficient or ineffective. Lastly, 36% stated they would feel

    uncomfortable reminding a more experienced firefighter or one of higher rank to

    use safety equipment. Again, most stated they would first perform a risk/benefit

    analysis before making the decision and would intervene if they deemed the

    circumstance highly dangerous. Further investigation into this behavior is

    warranted since the willingness to intervene in a safety related incident is

    paramount if a safety culture is to be positively changed.

    The next results to be reviewed are the two openended questions as shown

    in Table 28 below.

    Table28ResultsofOpen-endedquestions.

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    CCFD1 Safety Culture 53

    1.How could you improve safety within the organization?

    2. How do you feel the organization could improve safety?

    Section Percentage of responses

    Question 1 Question 2

    Improve Communications 12% 19%

    Safety Culture Change 9% 10%

    Improve Safety Procedures 18% 15%

    Increase Training 16% 18%

    Improve Safety Policies 7% 16%

    Improve Safety Equipment 10% 9%Increase Enforcement 4% 2%

    Improve Leadership 22% 2%

    When the question is focused towards the individual, leadership is identified

    as the leading response for improving safety within the organization. A closer look

    at the responses shows thatleadingbyexample and taking personal ownership by

    way ofSafetyprocedures is the most suggested method to improve safety. When the

    focus of the questions is turned toward the organization, the shift leans to

    Communicationsas the primary method to improve safety. This is generally in the

    form of communicating lessons learned from past incidents and nearmiss incidents.

    This transcends to the Training component since many answers made references to

    both training and communication and the need to address both simultaneously. A

    change in Policywas another frequent answer, either alone or with other

    suggestions. The author attempted to differentiate between howfirefighters do

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    CCFD1 Safety Culture 54

    something (Procedure) and what isrequired(Policy). For example, a person might

    suggest changing uniform color to avoid resembling a law enforcement officer; this

    would be considered a Policy change, whereas wearing safety goggles would be a

    safety procedure. Some suggestions might be considered both, such as changing the

    location in which equipment is carried on fire and rescue apparatus. The open

    ended questions no not specifically address the research questions per se; however,

    they do help to better understand why and how firefighters make safety related

    decisions and what influences those decisions.

    Interviewresults

    To further understand and interpret the results of the survey, the author

    interviewed Department personnel in small group settings. The interviews were

    accomplished using four questions related to the safety culture survey and can be

    found in Appendix B. The findings from the interviews help illuminate, to some

    extent the whyand howemployees make safety related decisions and how

    employees perceive how the organization values safety vs. performance.

    Universally, employees throughout the Divisions feel the Organization places value

    on both safety andperformance. That is to say, employees do not believe the

    Organization considers the two mutually exclusive. When asked what conditions

    would lead to a safety issue going unreported or under what conditions would an

    individual violate a safety procedure or policy, the following two responses were in

    the majority (23%): Risk/ Benefit analysis and perception of risk were used to

    defend the omissions. That is to say, if the witness or individual felt the risk was

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    CCFD1 Safety Culture 55

    small enough or the benefit great enough, the violations will likely occur. In terms of

    efficiency or getting the job done in a timely manner, only 10% of the respondents

    felt that a safety violation would be ignored or go unreported just to get the job

    faster. However, when asked when they would violate a safety policy or procedure,

    23% of the respondents said they would do so to get the job done sooner. This

    appears to support the concept of individual accountability having an influence on

    safety related decisionmaking, though the results are not significant to verify the

    conclusion. Lastly, when asked why an individual would not remind a coworker

    about using a piece of safety equipment or about a safety procedure, 36% stated

    that the experience level or rank of the offender would be a significant factor. Other

    responses included not wanting to nag someone over a perceived minor issue or

    they thought the person knew what they were doing.

    Summaryofresults

    It is apparent from the results of this study that the organization has a highly

    positive perception/attitude towards safety and that no dimension had a score

    below the 2.50 midpoint. This is also verified by the higher scores in the

    dimensions related to both organizational policy and leadership. The theory of sub

    groups related to organizational safety culture appears to be valid when comparing

    Divisions, Battalions, and stations. The exposure to risk appears to have a significant

    impact on safety attitudes throughout the organization. The results also suggest that

    employees with higher exposures to risk (higher call volumes) tend have higher

    tolerances for risk or a diminished risk perception. This, then influences the

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    CCFD1 Safety Culture 56

    risk/benefit analysis used by the employees to make safety related decisions. Next,

    the combined data supports the theory that firefighters tend to value efficiency over

    safety, at least in qualified circumstances. Lastly, the survey results did not support

    the third hypothesis well enough to defend that firefighters value individual

    accountability over safety, however the interview results did suggest this could be

    held true when hierarchal influences are in place.

    Discussion

    The concept of Safety Culture is widely debated in the Safety community. The

    literature, though plentiful, is fractured and somewhat controversial. There is little

    agreement on the definition of Safety Culture and the concepts contained therein. In

    addition, the concept of Safety Culture refers to what the literature calls a

    perception of safety related dimensions. An employees perception does not mean

    an organization is unsafe or that policies and procedures are not followed, it is a

    reflection of the employees attitude towards the issues. For example, in the issue

    related to accountability over safety, individuals may simply view the activity as

    safe therefore there is no need to follow any given policy or procedure.

    Alternatively, in some cases it may be how the individual views themselves and

    their experience level in regards to safety. With that said, the literature is clear

    about the relationship between safety culture and accident rates. The industries

    researched for this study are related to the fire service as they are all considered

    highrisk industries and that safety related errors have significant impacts on the

    organization. Literature specific to the Fire Service is limited and what is found is

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    related to safety. The results suggest that there are at least two identifiable groups,

    which can be further divided into subgroups. These groups include Organizational

    Divisions, Battalions, and Fire stations. Years of service did not show enough

    variance in scores to warrant the conclusion that Years of Service groups are

    identified as subgroups. In addition to the score similarities, the variance in score

    by Years of Service appear to contradict findings from Williams (2007), Lee and

    Harrison (2000), and Ciavarelli and Crowson (2004) which have findings that

    suggest more experienced members of an organization tend to be more safety

    conscious and have a higher perception of safety within an organization. The

    Clackamas study shows more of a relationship between ranks than simple years of

    service. Though the study did not specifically break down rank, the majority of

    officers and chief officers within our organization have more than 15 years of

    experience and the 16 plus year group did score second to the 48 year group. The

    results do show a tread towards higher scores as years of experience increase, with

    the exception of the 915 year group which had the lowest score. . It also has one of

    the greatest standard deviation scores of .291, second to the 16+ group.

    The Risk Exposure Group (Divisions & Stations) has the most notable

    differences in scores. Slower stations have a tendency towards higher combined

    mean scores then busier stations and the South Battalion (slower) have a higher

    combined mean score than the North Battalion (busier). The Fire Prevention

    Division and the Volunteer group have the highest mean scores while Operations,

    Administration, and the Training Division have lower combined mean scores. One

    might expect the Administration Division to have the highest score since they have

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    CCFD1 Safety Culture 59

    more years of service and are further removed from the risk; however, a significant

    number of administrative personnel advanced through the ranks and may still be

    influenced by the Operational Culture. Volunteers and the Prevention Staff tend to

    have a lesser degree of risk exposure, which might explain their higher combined

    mean scores. In addition, many Volunteers have recently finished the recruit

    academy and may be influenced by job related safety training. These results are

    comparable with the study by Williams (2007), where the Volunteer group scored

    higher than the Career group. Here again, the literature supports this, Pessemier

    (2008) suggests that personnel exposed to risk on a regular basis tend to have a

    higher tolerance to risk. Several answers from the openended questions show that

    some firefighters feel safety can be over done and that injuries are inevitable. This

    attitude might explain why groups with greater exposure to risk, tend to have lower

    scores.

    Next, is the discussion of the second hypothesis: firefighterswill

    tend

    to

    value

    efficiencyoversafety. Here, again we see a lower combined mean score from the

    Operations group in comparison to the overall Organization (Table 26), specifically

    in the dimension where safety may have an impact on the required tasks. For

    example, there is a notable lower score for the question: Safetyequipmenthasthe

    potentialtoadverselyaffectefficiency. Here, responses from the openended

    questions help explain why this might occur. Several answers suggest that

    firefighters feel they can be too safe, or that safety can get in the way of getting the

    job done efficiently. This also may allude to the practice of omitting the use of

    certain safety equipment in order to perform more efficiently. The impact or

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    The results of this study have helped to identify areas for improvement

    within the organization. Further, the results suggest that additional research is

    needed to help comprehend the association between Risk Perception, Risk

    Tolerance, and Accountability in terms of safety related decisionmaking. The

    results of the study suggest that there is a relationship between risk exposure and

    risk tolerance and an understanding of this relationship will be beneficial in further

    improving the organizational safety culture. From the results of this study, the

    author recommends that the following areas be addressed through the efforts of the

    Safety Committee and subcommittees under the direction of the Safety Officer: (a)

    Additional research in safety behavior, (b) Improved record keeping detailing injury

    rates and subsequent costs associated with those injuries, (c) Sustainability of safety

    related programs, (d) Wellness and Fitness, (f) and a Stake holder analysis related to

    safety issue. In addition to these general areas, the following specific topics need to

    be addressed: (a) The16 Fire Fighter Life Safety Initiatives, (b) Communications, (c)

    Safety Culture Change, (d) Safety Procedures, (e) Training, Safety related Policies, (f)

    Safety Related Equipment, (g) Enforcement, and (h) Leadership.

    The first four recommendations transcend the organization and should not

    be the sole responsibility of the district Safety Committee or its subcommittees.

    However, the author believes these items must be addressed to ensure

    sustainability of the safety program and to further change and improve the

    organizational safety culture. In addition, there must be a nexus created between

    the groups with the abovementioned areas of responsibility to prevent the

    individual groups from working in an uncoordinated effort. For example, the Fitness

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    & Wellness committee should work closely with the Safety committee and the

    Equipment committee should be involved as well. All are interrelated and should

    not function separate from one another in order to prevent the silo effect common

    in organizations.

    The first of these topics and the foundation of this study begins with the first

    of the 16 Fire Fighter Life Initiatives. It is also the starting point for addressing the

    remaining 15 initiatives. The first recommendation is that Clackamas Fire District

    #1 formally adapt the 16 Life Safety Initiatives and through the Safety Committee

    form subcommittees to specifically concentrate on all of the Life Safety Initiatives in

    an inclusive, sustainable method. Secondly, Communications in regards to safety

    must be enhanced. The results of the openended questions show that lessons

    learned from other events need to be disseminated throughout the department.

    The reviewed literature recommends that lesson Learned information be shared

    throughout an organization in a formalized manner. At CCFD1, this could be

    accomplished through several methods of currently established forms of

    communication. These methods included using the district intranet as a method to

    distribute timely information and to add links to other safety related sights such as

    Billy Goldfeders [email protected] and

    www.Everyonegoeshome.com web site, both dedicated to bringing close call/ near

    miss stories to the forefront. Secondly, this information should be formally

    communicated to company officers during drills and mandatory training events.

    Informal, nonscheduled training through Battalion Chiefs would also be an effective

    method to pass on information and incorporate it into the normal operating

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    procedures. Lastly, regular communications from the district Safety Officer

    regarding findings from injuries and nearmiss incidents within the department

    must be communicated through formal channels such a training and informal

    forums such as the HotSheet or the D1net.

    The next recommendation presented specifically addressees the

    Organizational Safety Culture of CCFD1. This study is the first step in addressing the

    16 Firefighter Life Safety Initiatives and started with a general, Organizational

    Cultural Survey in 2008, and now the current Organizational Safety Culture survey.

    Understanding the organizational culture in terms of safety is paramount before any

    discussion of change can occur. The results of the survey suggest that Clackamas

    County Fire District #1 has a highly positive attitude in terms of safety and is

    comparative to the studies by Williams (2007) and Pessemier (2008). It is

    recommended that further research be completed on firefighter safety related

    behavior and an indepth study on the overall safety culture of the organization

    completed. This is suggested since the focus of the current study attempted to elicit

    specific safety related perceptions and attitudes and did not address other safety

    related dimensions pertinent to fully understanding the overall organizational

    culture.

    Addressing Safety Procedures is the next proposal. It is recommended that

    the Safety Committee form a subcommittee to specifically address safety related

    procedures within the organization. A web portal should be created to allow

    suggestions and recommendations to be collected and reviewed by the committee

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    throughout the meeting cycle. Feed back during this process is import and should be

    considered as part of the process. Since Safety related Policy is closely related to this

    subject, the portal should have a section for both. Committee members may then

    need to filter submitted suggestions to and forward them to the appropriate sub

    committee or Division.

    Training related responses accounted for one of the highest response rates of

    the openended questions at 18% for the organization and 16% for the individual

    response. Often, these responses were correlated with communications in terms of

    lessons learned. It is important to note that research by Lehmann, Haight, and

    Michael (2009) suggest that on the job safety training may not be adequate enough

    to change safety related behaviors, especially in regards to risk perception and

    tolerance. Additional psychological and behavioral training may be required to

    change safety related attitudes within the organization. It is also important to note,

    that the Training Division had one of the lowest scores in safety perception when

    compared to other divisions within the organization. Further understanding of this

    response is necessary to help make needed changes when appropriate. Lastly, the

    way we are trained should be reviewed. For example, time requirements are often

    placed on training competencies. The literature suggests that this could possibly put

    firefighters at odds with what is most important, time or safety. If time is perceived

    to be valued over safety, it could have a negative affect on safety.

    Safety related equipment did not have as many responses as the above

    sections, however it still requires a closer look as to how the organization can

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    improve the process in which safety equipment is researched and implemented

    within the department. The research and literature review suggests a correlation

    between safety and efficiency and should be considered when introducing new

    safety equipment. For example, if safety equipment reduces the efficiency of a

    procedure, it is less likely to be utilized during said procedure, particularly if the

    action is of low perceived risk and consequence. Again, a common method to collect

    suggestions related to safety equipment should be in place. The district intranet is

    again a good avenue to collect recommendations and suggestions related to safety

    equipment.

    Enforcement of safety related practices had the fewest response of the open

    ended questions. It is unknown if this is related to the lack of perceived need to

    enforce safety polices and practices or if it related to the organizational culture.

    What is suggested is the employees of the fire district believe further enforcement

    methods are not required to improve safety within the organization. It should be

    noted however, that one response called for greater enforcement of onscene

    safety practices. Lastly, enforcement tends to have a greater impact on newer, less

    senior employees and a reduced impact on more experienced employees.

    Enforcement works well to initially establish the safety behavior, but it is the

    organizational culture that sustains it.

    Safety related to Leadership is the last of the nine identified discussion

    topics. From an organizational perspective, it invoked one of the lowest responses

    yet it has one of the greatest impacts on the organizational culture. However,

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    employees did not feel addressing leadership issues from an organizational

    perspective was necessary to directly improve safety. Additionally, the individual

    perspective invoked the highest response rate of 22% of the answers. From the

    responses, it was apparent that employees felt that taking individual accountability

    towards safety was the most effective approach. In most cases, it was suggested that

    leadingbyexamplewould be most effective and the majority of the respondents

    stated they needed to do so. It is unclear if this specifically relates to the third

    hypothesis in terms of individual accountability over safety, but it does show a

    willingness to be responsible for the safety of others.

    It is recommended that accountability for others in the organization be

    instilled in all employees from initial training and throughout subsequent training

    sessions. It is also a recommendation that supervisors and company officer be held

    accountable for injuries that take place on their watch. It is not suggested that this

    be done through the disciplinary process, but through measured performance

    standards related to safety violations and accident rates. Information related to

    safety would be shared throughout the district through the currently established

    communication methods.

    Lastly, it is recommended that the Fire District improve tracking of injuries

    and the associated costs. As mentioned, the district has been proactive and

    progressive in its pursuit of a safer organization and it has had a positive impact on

    the organization. However, without adequate measurement tools, we have no way

    of determining our effectiveness of our actions.

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    In summary, I believe the presented research has offered some insight of the

    overall safety culture within Clackamas Fire District #1. This project is a significant

    step towards defining and advocating the need for cultural change within the

    organization related to safety. The author believes that a more thorough

    understanding of how firefighters value safety will allow for improved effectiveness

    when introducing and implementing new safety related polices and procedures. It

    also offers recommendations for improving and maintaining safety related practices

    within the organization.

    Further, the author encourages additional research in organization safety

    culture, particularly using a survey that address not only the Organizational Culture,

    but Safety Related Behaviors and Safety Management Systems. In all, Clackamas Fire

    District #1 scored positive in all dimensions surveyed, Organizational Policy,

    Organizational Leadership, and Safety Procedures and the author feels this is a

    refection of an organization committed to the safety of its employees. This does not

    mean we can neglect the future efforts to improve upon our organization. Each

    injury has a related cost associated with it, both financially and emotionally and we

    cannot accept injuries as part of the cost of doing business. Firefighters are heroes,

    not because of their sacrifices, but because of their commitment to help and save

    others in need. The purpose of this research is to better understand our

    organizational safety culture and to help save the lives of those who save others.

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    AppendixA

    Which one of the following best describes your position?

    1 Operations 2 Administration 3 Training 4 Prevention 5 Volunteer

    Years of Service1 03 years

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    Strongly Strongly

    Disagree Agree

    1.The department is genuinely concerned about safety cdefg

    2. Leadership provides a positive climate that promotes safe Fire/EMS

    operations cdefg

    3. The accident and injury rate in our department is within industry

    standards.... cdefg

    4. Firefighting activities are made as safe as they can be cdefg

    5. The department does enough to promote safety cdefg

    6. Leadership conducts adequate reviews and updates of safety standards and

    operating procedures...cdefg

    7. The department has a welldefined safety programcdefg

    8. Leadership closely monitors proficiency standards to ensure firefighters are

    qualified to function safelycdefg

    9. I rely on my supervisor to keep my coworkers and me safe.................cdefg

    10. Our Health/Safety Policies and Procedures are adequate to provide a safe

    working environment...cdefg

    11. Supervisors encourage reporting safety discrepancies without fear of negative

    repercussions....cdefg

    12. Safety equipment has the potential to adversely affect efficiencycdefg

    13. Coworkers are willing to report safety violations, unsafe behaviors, or hazardous

    conditions......cdefg

    14. Peer influences are effective at discouraging violations of standard operating

    procedures or safety rules...cdefg

    15. Violations of safety rules are rare..cdefg

    16. Minor safety violations are acceptable if the risk is minimal.cdefg

    2 48 years

    3 915 years

    4 16 years or more

    Rank1 Fire Fighter

    2 Company Officer

    3 Chief Officer

    4 Administrative

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    17. I am more responsible when it comes to following safety procedures than my

    coworkers..cdefg

    18. My department has a reputation for safety..cdefg

    19. My supervisors closely monitor safety procedures and correct any deviations

    from established safety standards. cdefg

    20. Supervisors permit cutting corners to get the job done...cdefg

    21. I can safely determine the proper level of safety equipment needed to perform

    my assigned duties...cdefg

    22. I have sometimes felt too fatigued to do my job safely..cdefg

    23. Getting the job done efficiently is important....cdefg

    24. The lack of experienced personnel has adversely affected the safety of myjob...cdefg

    25. Safety decisions are made at the proper levels, by the most qualified people in

    the organization.....cdefg

    26. Leadership takes the time to identify and assess risks associated with its

    Fire/EMS operations...cdefg

    27. Coworkers will remind me to use proper safety equipment.....cdefg

    28. Operational Risk Management processes are incorporated into the decisionmaking at all levels...cdefg

    29. My department would rather lose a building than unnecessarily risk my

    personal safetycdefg

    30. Leadership is successful in communicating its safety goals to

    personne