Background: Fire fighting is a physically demanding hazardous occupation. Fires are fought in a dynamic, changing, uncontrolled environment exposing workers to potentially toxic agents. The hazards of firefighting are classified as chemical, biological, physical, psychological and ergonomical. Objective: The aim of the present study was: (1) To investigate some of the health hazards among fire fighters with special emphasis on cytogenetic study and ventilatory functions. (2) To monitor the biological, psychological, reproductive and musculo-skeletal hazards. Subjects and methodology: This study was conducted in a fire fighting station in El Omrania El Sharkia in Giza. The study was accomplished during the month of March 2007. The studied group comprised 24 workers in the fire fighting station. They were adult men aged between 18-33 years (23.20 ± 4.09), working on the basis of 12 hours/day with no day off. None of the workers used any protective equipment during working hours. They worked according to the need for help, and not all the time, bearing in mind that the worker may be exposed to frequent shifts or may be not exposed for several days. A referent group of 20 males matched for age [that ranged from 21-35 yrs., (23.40 ± 4.05) ] , sex, socioeconomic status and smoking habit , selected from relatives of the Kasr El Eini hospital patients, were also enrolled in our study. The following investigations were performed after taking individual consent: (A) All workers were interviewed using a special questionnaire including occupational history; and full clinical examination was performed. (B) Ventilatory function tests were evaluated using a portable spirometer connected to a portable computer using the soft ware ZAN program, measuring FVC (Forced vital capacity), SVC (Slow vital capacity), FEV1%