On August 29, 2001, a 36-year-old male career Captain was walking around a parking lot as part of his exercise routine. He heard his station being dispatched to a call and proceeded to run toward his station. After taking a few steps, he had a witnessed collapse. Approximately 63 minutes later, despite cardiopulmonary resuscitation (CPR) and advanced life support (ALS) administered on the scene and at the hospital, the victim died. An autopsy, conducted by the Associate Medical Examiner, listed "arteriosclerotic and hypertensive heart disease" as the cause of death. The following recommendations address some general health and safety issues. This list inlcudes some preventive measures that have been recommended by other agencies to reduce the risk of on-the-job heart attacks and sudden cardiac arrest among fire fighters. These selected recommendations have not been evaluated by NIOSH, but they represent published research or consensus votes of technical committees of the National Fire Protection Association (NFPA) or fire service labor/management groups. 1. Provide mandatory annual medical evaluations to all fire fighters to determine their medical ability to perform duties without presenting a significant risk to the safety and health of themselves or others. 2. Provide fire fighters with medical evaluations and clearance to wear SCBA. 3. Implement or mandatory wellness/fitness program. 4. Provide exercise equipment in all fire stations.