Six breakout groups at the National Line-of-Duty Death Prevention Summit drew up a series of recommendations and actions for their specific areas, which come under at least one of the 16 Firefighter Life Safety Initiatives. A draft version will be produced in the coming months for comments, before a final version is decided upon. 

HEALTH AND WELLNESS

• Develop and implement a policy that eliminates the use of all tobacco products.
• Obtain vital signs (pulse, blood pressure, respirations) from firefighters at the fire department facility on a regular basis, but not less than once a month.
• Each department should develop and publish a health and wellness accountability policy that holds ALL members accountable, as it relates to health maintenance.
• All fire districts/departments must have a mandatory medical screening and fitness program in place, in accordance with NFPA 1500 and the IAFC/IAFF Joint Wellness and Fitness Initiative (WFI).
• NFFF must develop a comprehensive training program for implementation of health and wellness programs throughout the fire service.
• Develop an accessible, usable resource for mental health providers serving fire service members and families to ensure capacity to deliver competent evidence based treatment for major conditions.
   

PREVENTION

• Include fire prevention and public education in the mission statement for the department. It should be included first, not as an "afterthought."
• The establishment of a data collection system that will enable prevention efforts to be effective.
• Recommend that the personnel who are involved in code enforcement are properly trained and certified by a recognized industry organization. This involves every step of the development, design, review, and inspection process.
• A recommendation that the insurance industry be educated as to the benefits of having a proactive fire prevention standard with rates adjusted accordingly.

STRUCTURAL

• Reward and recognize safe behavior practices and stop rewarding unsafe/inappropriate behaviors.
• Challenge the cultural definition of "hero."
• Define safety/culture roles, responsibilities, and expectations of each position in the organization.
• Develop a system to provide appropriate incentives and dis-incentives to produce positive results including investigation and corrective actions for serious injuries and fatalities.
   

WILDLAND

• The local fire service administrator will partner with the organizational stakeholders to agree upon a wellness program.
• Implement the nationally recognized "Staff Ride" program at the local organizational level.
• Participate in the recognized Near Miss Reporting System.
• The local fire service administrator shall be informed and educated about the issues, concerns, and advocacies of recognized state and federal groups.
• The local fire service administrator will partner with the organizational stakeholders to agree upon a wellness program.   

TRAINING AND RESEARCH

• All  firefighters, in order to be eligible for duty, must be qualified to the appropriate NFPA standard for the job assigned and have the required medical physical, no exceptions. The fire chief shall ensure that this is accomplished. 
• Provide to fire departments a database of training plans which incorporate standard operating procedures that are based on the community's profile. The plans shall use a standardized format in which the risk analysis determines equipment necessary and actions firefighters need to complete in order to control the incident. 
• Educating the fire chief to be able to effectively communicate to the governing body that firefighter safety and training is necessary and cost effective, resulting in a significant saving for the community.  Provide convenient courses to the fire chief in order to enable them to communicate effectively with governing bodies.
• Safety and risk management should be integrated into every activity of the department. They should be the main focus on all training activities from recruit to veteran.
• Mandate chief officers/chiefs of department be certified and re-certified so that the top person in the department has the knowledge, skills, abilities and competency to lead their departments in all aspects of FD operations using safety as a cornerstone and making safety in training of paramount importance.

VEHICLES

• The NFFF should sponsor an effort to develop a consensus-approved, national best practices document for emergency and non-emergency response procedures in emergency vehicles and personal vehicles.
• Build a bridge between end-users and apparatus manufacturers/dealers for new apparatus delivery training.
• Champion the national effort to gain 100 percent compliance with seatbelt use requirements when riding in fire apparatus and POVs.
• Develop a universal guidance document for end-users to assist in the safe design of emergency vehicles.
• Develop and implement national standards for training, qualifications, and certification (including regular recertification) that are equally applicable to all firefighters based on the duties they are expected to perform.