Specifications include, but are not limited to: The BFD will offer the below referenced physical exam to all 307 members as an initial baseline evaluation. Each firefighter physical shall consist of the following components: a) Components of the Occupational Medical Evaluation of Members (NFPA 1582-18, 7.4) 1. Public Safety Exam (NFPA 1582 compliant) • Hands-On Physical Exam • Vision Exam (Titmus) • Occupational Hearing Exam • Skin cancer assessment • Behavioral Health and Sleep Assessment Screenings • Personal Consultation with review of testing results 2. Cardiopulmonary Assessment • Echocardiogram (Heart Ultrasound) • Resting EKG • Treadmill Stress Test with EKG • Carotid Arteries Ultrasound • Aortic Aneurysm Ultrasound • Pulmonary Function Test 3. Cancer and Disease Assessment • Thyroid Ultrasound • Liver, Gall Bladder, Spleen, & Kidney Ultrasounds • Bladder Ultrasound • Pelvic Ultrasound for Women (external) • Prostate and Testicular Ultrasound for Men 4. Blood and Laboratory Tests • Hemoccult Test • Urinalysis • Lipid Panel • Diabetes Tests (Hemoglobin A1C and Glucose) • Complete Blood Count • Comprehensive Metabolic Panel • Thyroid Panel • PSA (men) • CA-125 (women) 5. Fitness Evaluation (NFPA 1583 ~WFI Guidelines) • Muscular Strength and Endurance Evaluation • Aerobic Endurance Evaluation (VO2 Max Calc) • Flexibility Evaluation • Nutrition and Diet Recommendations • Personal Fitness Recommendations • Body Weight and Composition 6. Medical Clearances • OSHA Respirator Medical Clearance • Firefighter Medical Clearance NFPA 1582