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October 20, 2008    DOL Home > ODEP > Publications > Emergency Preparedness for People with Disabilities

PART III: BREAKOUT SESSIONS

B. Equipment Decisions

One of the most critical aspects of implementing and maintaining an effective plan is determining the type of equipment necessary to keep employees safe, whether it be during a shelter-in-place or an evacuation. Equipment Decisions provided an overview of emergency preparedness equipment and the various resources available to assist agencies during the selection and procurement decision-making process. Employee needs, architectural realities, budgetary constraints, and agency characteristics undoubtedly impact such decisions. The goal of this session, therefore, was not simply to supply attendees with an equipment checklist or identify the “best” products, but rather address the following issues:

  • The various types of disability-specific equipment
  • The resources available to make equipment decisions; and
  • Ways to promote appropriate equipment use in the event of an emergency
Dr. Beth Loy

Beth Loy, JAN Human Factors Consultant, provided practical steps in making equipment decisions.

Dr. Beth Loy and Linda Batiste, the presenters for this breakout session, work as Human Factor Consultants at the Job Accommodation Network (JAN). As they explained to Seminar participants, the mission of JAN is to provide information to employers and employees with disabilities regarding job accommodations, the 1990 Americans with Disabilities Act (ADA), and the employability of people with disabilities.

Although JAN staff responds to a variety of questions, Loy said the number of inquiries related to workplace safety and emergency preparedness issues have certainly increased since the events of September 11, 2001. The year prior to September 11th, JAN received approximately 35 calls regarding accommodations in the event of an emergency. The following year, the organization received nearly 2.5 times (94) the number of inquiries on the topic. That number has remained consistently high in successive years, with the majority of calls originating from the East Coast.

JAN developed the Employer’s Guide to Including Employees with Disabilities in Emergency Evacuation Plans in response to the most commonly asked questions, and it served as the basis for the breakout session presentation and discussion. Topics addressed in the guide include the legal requirements for developing plans that include people with disabilities; guidelines for implementing and maintaining such plans; and accommodation considerations for individuals with different types of disabilities.

Legal Requirements

Two laws prohibit employers from discriminating against people with disabilities in regard to any employment practices, conditions, and privileges: the ADA and the Rehabilitation Act of 1973, as amended. Private employers with 15 or more employees are subject to the ADA, while federal agencies and contractors must comply with the Rehabilitation Act. The ADA does not require an employer to develop an emergency preparedness plan, but if one is implemented, it must include people with disabilities. Employers who do not have emergency evacuation plans may still have to address emergency evacuation for employees with disabilities under Title 1 of the ADA, which requires employers provide ‘reasonable accommodations.’ Specific industry employers may also be obligated to develop emergency plans based on the Occupational Safety and Health Act (OSH Act), state, or local law.

Whether the development of such a plan is mandatory or voluntary, Loy and Batiste offered practical advice for involving employees with disabilities in the process. They said the key is communication, along with the following practices:

Identify the needs of employees and visitors. This can be done by directly requesting information from employees, in accordance with Equal Employment Opportunity Commission (EEOC) guidelines. It may also be helpful to conduct evacuation and hazard drills, as well as to develop a means of identifying visitors requiring accommodations in emergency situations.

Choose effective accommodations. Often employees with disabilities are a good resource for accommodation ideas. Remember to consider temporary impairments and hidden disabilities. Employers may also contact local first responders and community organizations (e.g., fire and police departments, Centers for Independent Living (CILs)). JAN also provides specific accommodation ideas on a case-by-case basis.

Distribute the plan to all employees, staff, and key personnel. This should include writing the plan, familiarizing staff with it through practice drills, and integrating the plan into the agency operating procedures.

Maintain the plan. Practice the plan regularly and update the accommodations from time to time. It is often beneficial to maintain a relationship with local fire, police, and other emergency response personnel. Equipment should be inspected periodically to make sure it is in proper working order.

Evaluating Equipment Options

Participants wondered how they could best evaluate equipment options. While the U.S. Army has done an evaluation of masks, there have been few, studies of evacuation chairs and other types of equipment. One consideration with evacuation chairs, for example, is that they have weight limits. The LifesSlider®, on the other hand, does not have a weight limit, according to their sales representatives. Loy and Batiste encouraged talking with other federal agencies, and working with local emergency response personnel and community organizations to determine the most appropriate solutions. It is also imperative to communicate with these entities in order to educate new emergency response personnel and to keep abreast of new technology or procedures. The following accommodations are simply suggestions; Loy and Batiste reiterated that talking directly to employees is of the utmost importance when selecting accommodations. There is no “one-size-fits-all” when it comes to making equipment decisions, and as illustrated below, participants offered differing perspectives on some of the accommodations discussed.

Accommodation Suggestions:

General

  • Install emergency alarms and signs showing the emergency exit routes. These alarms and signs should be accessible and in proper working order.
  • Implement a “buddy system” for all employees. A buddy system involves employees working in teams, so they can locate and assist each other in emergencies. There was some discussion regarding the effectiveness of buddy systems. For example, a buddy may not be available at the time of an emergency. Having back-ups or cross training staff was offered as an alternative.
  • Designate “areas of rescue assistance..” Loy and Batiste admit this is also a somewhat controversial accommodation, but as participants themselves pointed out, not everyone may feel comfortable being assisted by co-workers. Whatever the decision, Loy said the important thing is that a plan is in place, and that all personnel are aware of the plan. This topic is specifically addressed in the Access Board’s ADA Accessibility Guidelines (ADAAG).

If these areas do not have escape routes, they should have the following:

  • An operating phone, cell-phone, TTY (teletypewriter), and two-way radio so that emergency services can be contacted;
  • A closing door;
  • Supplies that enable individuals to block smoke from entering the room from under the door; and
  • A window and something to write with (e.g., lipstick, marker) or a “help” sign to alert rescuers that people are in this location, and respirator masks.

Motor Impairments:

Evacuation devices help move people with motor impairments down the stairs or across rough terrain. If evacuation devices are used, both co-workers and response personnel should be trained to operate and maintain them. Manufacturer representatives may be willing to assist with training. Make sure to develop barrier-free paths out of buildings by removing any physical barriers (e.g., boxes, supplies, and furniture) from exit routes. Consider keeping heavy gloves, tire repair kits, and extra batteries on hand for those who use manual or battery-powered wheelchairs. Gloves may protect individuals’ hands from debris when pushing manual wheelchairs. Arrangements should also be made to have wheelchairs available after an evacuation.

Attendees discussed the issue of evacuating an employee and his or her power wheelchair. Most believed that evacuating the person should be the first priority, although plans should be made to get the chair out if at all possible. Concern centered on the cost and weight of such a wheelchair, and an individual’s ability to maintain his or her balance in the evacuation chair.

One participant recommended that manufacturers put better straps on evacuation chairs. Using freight elevators to evacuate the building, rather than the standard passenger elevators, was offered as another solution. Wheelchair users often want to remain with their chair or obtain it as soon as possible after evacuating, since it is their main means of mobility. While power wheelchairs are often costly, Loy and Batiste reminded participants that they can be replaced; getting out of the building safely is more important. Leaving manual wheelchairs stationed in various stairwells and in the main lobby ensures that individuals have at least a temporary means of getting around in the event of an evacuation in which they cannot take their own wheelchairs.

Sensory Impairments:

  • Lighted fire strobes and other alerting devices to supplement audible alarms. Lighted strobes should not exceed five flashes per second due to risk of triggering seizures in some individuals.
  • For a participant who asked about alternatives to strobe lights, vibrating pagers were recommended. There was concern that such devices do not work, because individuals may not carry their pagers or receive the message in time. Other participants stressed the value of having multiple means to communicate with all employees.
  • Alerting devices, vibrating paging devices, wireless communicators, or two-way paging systems to alert individuals who are deaf or hard of hearing.
  • Braille signage, audible directional signage, and pedestrian systems for employees who are blind or have low vision. These products may also benefit others in navigating smoke-filled corridors and hallways.
  • Alphanumeric pagers or other communication devices may assist individuals with speech impairments in communicating with emergency management personnel.

Cognitive/Psychiatric Impairments:

Find ways of communicating with people who have cognitive impairments. Some individuals may benefit from pictures of buddies, color-coding of escape doors and areas of rescue assistance, or listening to the information on tape or CD-ROM.

Keep in mind that some employees with psychiatric disabilities may benefit from frequent emergency drills, while others may find them anxiety-producing. In any event, give employees the option of participating. Not taking part in such drills may be seen as a ‘reasonable accommodation,’ in which case an alternative method of practicing emergency evacuation procedures may be required (i.e., providing detailed written instructions).

Respiratory Impairments:

Employees with respiratory impairments may have difficulty breathing when walking distances or descending stairs. Smoke, dust, fumes, chemicals, and other odors often exacerbate such limitations. Consider purchasing products such as emergency evacuation hoods, masks, and respirators. Keep in mind that some individuals may have difficulty putting on or taking off a hood or mask. In such situations, practice and/or assistance are helpful. Using areas of rescue assistance until emergency personnel arrive was also suggested as an option.

Whatever the disability, Loy said it is important for employees, managers, and emergency response personnel to work together in implementing the evacuation plan and prioritizing evacuation options.


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