Download the National Fire Operations Reporting System (NFORS) Exposure Tracker App. Go to your app store and search for “NFORS Exposure.” The app works on iOS and Android. Enter the incident number and address or the deployment location where you are working. Floodwater and similar exposures encountered during a disaster are recorded in the HazMat module.

More about NFORS Exposure Tracker App

New NFORS Mobile App Helps Fire Fighters Document Work-Related Exposures

Fire fighters on the frontlines protecting their communities now have a valuable tool for recording and providing evidence of work-related exposures to help protect them against deadly cancers and other occupational hazards in the fire service.

The new National Fire Operations Reporting System (NFORS) Exposure Tracker is now available as an app for fire fighters, paramedics or officers to create a personal diary for logging exposure and incident details in a private, encrypted and secure online environment.

General President Harold Schaitberger says, “This valuable tool will help provide fire fighters with the documentation they need to show on-the-job exposure to a toxic soup of carcinogens and ensure they have the resources to get healthy and return to work.”

The NFORS Fire Fighter Exposure Tracker was developed through a partnership with the IAFF, the International Associations of Fire Chiefs (IAFC), Metropolitan Fire Chiefs Association, International Public Safety Data Institute (IPSDI) and other fire service experts and is funded by the U.S. Federal Emergency Management Agency’s (FEMA) Assistance to Firefighters grant program and the Ramsey Social Justice Foundation.

The information gathered in the NFORS Exposure Tracker will provide essential data to help researchers better understand toxic exposures on the fire scene and develop new treatments and prevention protocols for occupational diseases, including cancer – now the leading cause of death among fire fighters.

As more governments enact legislation providing workers’ compensation coverage for fire fighters who contract cancer or develop post-traumatic stress disorder (PTSD), the NFORS Exposure Tracker record provides detailed data on personal work-related exposures, which can be accessed anytime, even in retirement.

Routine Post-Exposure Medical Exam

You can find response-related information here.

  • Type of work performed as response or recovery worker and circumstances under which that work was performed, with special attention to documentation of the geographic location of the work and when the work was performed. Protective measures (e.g., personal protective equipment) used
  • Injuries sustained or symptoms experience during response work: description of injury and circumstances; treatment received; whether injury resolved or still present
  • Signs and Symptoms of potential illness: description of signs and symptoms, discuss new onset or exacerbation of preexisting condition, treatment, if any; symptom still present after return or new symptoms developed after return
  • It may be appropriate to include specific screening for stress-related or emotional symptoms

Specific exposures and symptoms

Exposure to contaminated water:

  • Concern if open sores, wounds, cuts, abrasion, or rashes were present before the exposure
  • Concern if open sores, wounds, cuts, abrasion, rashes, swelling, or limitations with mobility are present post-exposure
  • Concern if exposure involved contact with mucous membranes (eyes, nose, mouth)

Determine if any of the following symptoms is present:

  • Eye infection
  • Nausea, vomiting, stomach cramping and or diarrhea
  • Fevers, upper respiratory illness
  • Allergy symptoms – sneezing, nasal congestion, asthma exacerbation
  • Weakness, fatigue, and loss of appetite
  • Mental-psychologic issues (sleep patterns prior to, during and after response).

The Physical Exam Should Include:

  • Vital Signs – including temperature
  • Assessment of skin integrity
  • Head/neck: conjunctiva, nose, mouth
  • Lungs
  • Heart
  • Abdomen
  • Extremities
  • Mental state/depression evaluation

The Following Lab Tests Should be Performed:

  • CBC with differential
  • Serum chemistry – liver function tests, renal
  • Hepatitis profile – A, B, C IgG/IgG
  • Other labs that may be indicated based on the environment of operations and known public health threats in the region before, after, or as a result of the disaster

DOL/Occupational Safety and Health Administration

Hurricane Preparedness and Response
This DOL-OSHA website contains links to information and fact sheets on disaster recovery hazards to workers.

Keeping Workers Safe During Hurricane Clean Up and Recovery
DOL-OSHA fact sheet on hurricane disaster recovery hazards to workers.

National Institute of Environmental Health Sciences (NIEHS)

NIEHS National Clearinghouse
Funded by the NIEHS Worker Education and Training Program and is the primary national source for hazardous waste worker curricula, technical reports, and weekly news.

NIEHS Hurricanes and Floods
NIEHS efforts taken in response to Hurricane Katrina and worker education resources.

Centers for Disease Control and Prevention

NIOSH Storm, Flood and Hurricane Response
This CDC-NIOSH website contains links to information about hazards associated with storm, flood and hurricane response.

NIOSH Guidance on Person Protective Equipment and Clothing for Flood Response Workers

Morbidity and Mortality Weekly Report – September 22, 2017
Hurricane Season Public Health Preparedness, Response, and Recovery Guidance for Health Care Providers, Response and Recovery Workers, and Affected Communities — CDC, 2017.

Morbidity and Mortality Weekly Report – July 24, 1992
Famine-Affected, Refugee, and Displaced Populations: Recommendations for Public Health Issues.

Office of the Assistant Secretary for Preparedness and Response

Public Health Emergency
Hurricane Specifics and Resources.

Disaster Mental Health Resources
Information regarding mental health issues related to disasters, with specific information for responders, emergency personnel and clinicians.

Health Care Professionals and Relief Personnel Workers
The Emergency System for Advance Registration of Volunteer Health Professionals is continuously identifying healthcare professionals and relief personnel who would be willing to volunteer their services in times of National Crisis such as Hurricane Harvey. If you are interested in volunteering your time, energy and unique skill set, there are a number of organizations, both governmental and non-profit, who are always looking for skilled professionals.

Department of Homeland Security/FEMA

EPA: Hurricanes Website
This site includes EPA’s information on preparing for and recovering from a hurricane.

U.S. Department of Health and Human Services
Disaster Information Management Research Center – Links to health information, including toxicology and environmental health.

National Oceanic and Atmospheric Administration
National Hurricane Center

National Weather Service

United States Postal Service
National Mail Service Disruption Alerts