Occupational stress and strain in relation to personal protective equipment of Japanese firefighters assessed by a questionnaire.

The purpose of the present study was to elucidate differences in actual work environments, mobility and satisfaction between firefighters wearing aluminized and non-aluminized personal protective equipment (PPE), and to suggest a proper standard test method for Japanese firefighters' PPE. A survey from two cities in Japan (City A: aluminized PPE; City B: non aluminized PPE) was undertaken. A total of 525 firefighters from City A and 757 from City B participated. Firefighters spent 22.5 min (City A) and 27.3 min (City B) on average firefighting with the full set of PPE in one incident, but the heat strain experienced among firefighters from City A was twice that of firefighters from City B (57.5% and 28.4%). Firefighters spent 65.9 min on one incident and 24.2 min for suppression of fire with the full set of PPE on average. The toughest task that caused physical strain in City A was 'stair climbing' and in City B was 'drawing up a hose filled with water'. The most restricted body region due to PPE was the knee for both groups. Evaluations revealed that the aluminized fire jacket had worse ventilation and mobility than the non-aluminized, while the non-aluminized one received with more unfavorable evaluations for water resistance and maintainability.