Firefighter Medical Exams & NFPA 1582 Evaluations

Exams built around fireground demands

Firefighting is one of the most physiologically demanding jobs there is — heat stress, heavy PPE, SCBA and unpredictable exertion. We evaluate candidates and incumbents against those actual demands using the NFPA 1582 essential job tasks, not a generic physical.

• Candidate and academy entry physicals
• Annual and periodic incumbent evaluations
• Essential job task (Category A/B condition) review
• Vision, hearing and musculoskeletal assessment

Respiratory and cardiac fitness

SCBA use requires OSHA 1910.134 medical clearance, and cardiac events remain the leading cause of firefighter line-of-duty death. We handle both in one visit.

• Respirator medical evaluation and written clearance
• Quantitative fit testing for SCBA facepieces
• Spirometry and pulmonary function testing
• Resting EKG and exercise stress (GXT) testing
• Cardiovascular risk-factor counseling

Exposure surveillance and cancer screening support

Products of combustion, diesel exhaust and hazardous materials responses all carry long-term risk. We build surveillance around your department's exposure history and maintain the records that support presumptive claims later.

• Baseline and periodic exposure documentation
• Bloodborne pathogen and post-exposure management
• Heavy metal, HAZMAT and laboratory panels
• Immunization and titer tracking

Return to duty and fitness for duty

After injury, illness, surgery or a critical incident, we determine whether a member can safely resume full fireground duty — with clear restrictions and a reassessment plan when they cannot.