NFPA updates fire department medical program standards
Iain Hoey
Share this content
New NFPA 1582 standard for fire departments
The National Fire Protection Association (NFPA) has updated its guidelines for physicians and healthcare providers involved in fire department medical programs.
As reported by The International Association of Fire Fighters (IAFF), NFPA 1582, also known as the Standard on Comprehensive Occupational Medical Program for Fire Departments, now provides a single standard for both candidates and current fire fighters.
This update includes considerations of age and biological sex in the benchmarks for cardiorespiratory fitness.
The previous standard differentiated between medical requirements for candidates and incumbent fire fighters, relying solely on test results without accounting for individual factors.
NFPA collaborated with IAFF officials, FEMA representatives, attorneys, and medical experts over two years to finalise the new standard.
Grading and fitness programs
The revised NFPA 1582 standard now assesses fire fighter cardiorespiratory fitness using a percentile system.
Fire fighters who score in the 35th percentile or higher will be considered to have a passing test score.
Those scoring below this benchmark, with age and biological sex considerations, may be assigned a fitness program aimed at improving their cardiopulmonary health.
Once the decision to amend the standards was made, the IAFF and other task group members pushed for the inclusion of metrics related to age and biological sex.
Ensuring accurate and complete results
IAFF Chief Medical Officer Dan Whu emphasised the importance of these considerations: “Cardiopulmonary fitness levels are often not uniform across genders and ages, so it was important for the IAFF to ensure the new standard gave accurate and complete results.”
Whu added: “Considering these factors does not mean fire departments would have to lower expectations, it just means that appropriate fitness levels have been now adopted to reflect the cardiopulmonary differences that may be found within genders and different ages.”
Collaborative effort
The development of the new standard involved extensive collaboration.
NFPA, working with various stakeholders, ensured that the revised guidelines would provide a more accurate and fair assessment of fire fighter fitness levels.
This approach aims to create a healthier and more capable fire fighting workforce by recognising and addressing individual differences in fitness and health.

