This document discusses safe driving practices for operating emergency vehicles. It notes that 15-20% of firefighter injuries and deaths are from vehicle collisions while responding to or returning from calls. The main causes of fire apparatus collisions are identified as improper backing, reckless public driving, excessive apparatus speed, lack of driver skill/experience, and poor vehicle design/maintenance. The document provides guidance on starting, driving, and operating emergency vehicles, with the overarching goals of safety and efficiency while responding to emergencies.