Examination of current U.S. female firefighting personal protective equipment (PPE) sizing and fitting process challenges: an opportunity to improve safety

Between 2010 and 2014, the National Fire Protection Association (NFPA) estimated that female firefighters experienced 1260 injuries on the fireground each year. Previous research attributed some of these injuries to ill-fitting fire personal protective equipment (PPE). Therefore, in this mixed-method paper, the authors explored the relationship between fire PPE and injuries, and how they related to sizing and fit. To achieve this aim, data were collected from manufacturer-provided web communications regarding sizing and fit, user surveys (n = 74), and 1:1 interviews (n = 31) with U.S. female firefighters. The data considered how the size and fit standards established by the NFPA and how leading fire PPE manufacturers’ interpretation of standards impacted fit for female firefighters. Interview and survey data pinpointed experiences with the PPE sizing processes that led to poor fit. The data also identified previously undocumented knowledge gaps between NFPA size standards, commercialized products, and processes used by manufacturers and firehouses to fit female practitioners. The study discovered several opportunities to improve the size and fitting process women experienced when acquiring new turnout gear. With effective fire industry partnerships and future research, women can experience fewer injuries, improved comfort, and work performance with their PPE while establishing equality with their male counterparts.