초록
Objectives: This study was conducted to determine firefighters' work-related accident rate and investigate the factors affecting their on-site safety. Methods: We developed a web-based self-reported questionnaire designed to inquire into firefighters' work-related accident experience and the factors (4M; Man, Machine, Media, Management) affecting firefighters' on-site safety. We distributed questionnaires to all members of firefighting organizations in South Korea by e-mail and 9,149 were returned, resulting in a response rate of 23.1%. Results: Fifteen point seven percent of the respondents reported work-related injuries within the past one year, and 35.1% answered that current accident investigation reports are not helpful for preventing the same accident from recurring. Among the 4M factors, the one most affecting firefighters' on-site safety in the order of priority is the Man factor, followed by Machine, Media, and Management. However, the results from detailed sub-categorical factors showed some differences. 'Lack of human resources', one of the Management factors, was the most influential (70.3%), followed by 'worn-out equipment' under the Machine factor (67.2%). The viewpoint of elements of the Man factor including 'forgetting instructions' and 'fatigue and illness' were significantly different according to firefighters' rank. The higher the firefighter's rank, the more they answered 'forgetting instructions,' while the opposite was the case for 'fatigue and disease'. Conclusions: The present firefighters' accident investigation report needs to be improved, and the 4M method could prove very useful. In addition, it is necessary to set up a proper firefighters' accident investigation and prevention system.