ROFR Section: TFCA Best Practices: Post Incident Review. Effective: 9/2013
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1 ROFR Section: 3500 Effective: 9/2013 Revision: TFCA Best Practices: 6.06 Fire Chief: Post Incident Review Purpose Red Oak Fire Rescue responds to a vast array of emergency incidents. In order to improve the services provided, incidents may be reviewed. It is the intent of the Post Incident Review to create a positive learning experience for all personnel. It is not the intent of the Post Incident Review to criticize actions taken on an individual level. It is important that, during the Post Incident Review, positive learning strategies and outcomes are acknowledged. As well, exceptional performance should be acknowledged. BP 6.06 Policy Although it is imperative that a Post Incident Review should be performed for every major incident, a Post Incident review may be used for any incident, regardless of the magnitude of the incident. A Post Incident review may be formal or informal. A formal review shall be documented, using the Post Incident Review Form. Conversely, an informal review may be as simple as a discussion between the companies following an incident. It is the belief of Red Oak Fire Rescue that everyone s input in a Post Incident Review is valuable in the quest for advancing the safety and effectiveness of operations. Guidelines It is essential that a Post Incident Review should be accomplished as soon as possible, following an incident. Timeliness insures that the exchange of information is fresh and accurate. All personnel that were present at the incident should attend the Post Incident review. Prior to assembling personnel for a Post Incident review, it is preferable that incident information such as sketches are prepared. However, it may be of greater value to prepare the sketch as a group. As well, all Post Incident Review questionnaires should be completed prior to the group meeting for review. The Post Incident Review shall be an organized meeting that reviews the incident in an objective manner. The focal point of the review should be a positive and reinforcing attitude of making Red Oak Fire Rescue a progressive entity of the Emergency Services arena. During the review, challenging discoveries can present opportunities for increased levels of training. This opportunity should be met by the Training Division as key topics for future training. As well, Post Incident Reviews may create the need for the adoption of revised or new operating guidelines. Post Incident Review for Communications Division Questionnaire
2 Dispatch/Fireground Communications Your input is vital information that can lead to improvements in safety and operations as we deliver services to our customers. The Post Incident Review is a team effort and your part of the team is important in our quest of forward progress. Please answer all questions in honesty and to the best of your ability. 1. Provide audio tapes of phone reports, dispatch, and tactical communications. 2. Did Incident Command make routine incident updates and at what intervals? 3. Provide computer-aided design (CAD) printout of the incident timeline. 4. Identify any communication problems encountered during the incident and the steps taken to resolve them. 5. Do you have any suggestions that would make our incident response more effective? Post Incident Review Questionnaire for Suppression Personnel
3 1. What conditions confronted personnel upon their arrival? 2. Describe apparatus deployment. 3. Provide division assignments and assigned objectives. 4. Was initial water supply adequate? If not, what was done to provide adequate supply? 5. What size supply lines were deployed and where? 6. Describe the position and size of attack line(s). 7. Was the initial attack line adequate? 8. Was primary and secondary search completed in a timely manner? If not, explain the delay. 9. Was ventilation established? If so, was it effective? 10. Were any operational problems encountered during the incident? 11. Describe the events/actions the crew initiated to obtain assigned objectives.
4 12. Describe all events/actions that hindered accomplishing assigned objectives. 13. Were any safety problems encountered during the incident? If so, explain. 14. Did the crew experience any equipment failures during operations? Explain. 15. What could be done differently to improve operations? 16. What changes are recommended to existing plans and procedures, or training as a result of the incident?
5 Post Incident review Questionnaire for Fire Marshal 1. Provide a description of the structure, including the number of floors, basements, type of construction, roof type, mechanical systems, number and location of exits. 2. Describe the type of fire detection and suppression systems in the building, and whether they functioned properly. 3. Were the building fire suppression systems effective in containing and/or extinguishing the fire? 4. Describe the effects the fire had on the structure. 5. Provide a historical overview of all building fire inspectionas, code violations, certificate of occupancy, and a description of all modifications made to the building. 6. Does the building meet current building and fire codes? 7. Did the structure suffer partial or toatal collapse? 8. Provide a description of the origin and cause, including ignition factor> 9. Describe factors that influenced fire spread (i.e., accelerants, improper placement of attack lines, improper ventilation techniques).
6 10. Did fire suppression actions compromise the building s structural integrity? 11. At any point during the fire did the structure pose hazards to firefighters? Explain. 12. Provide a value and loss assessment of the structure. 13. Provide a list of all structural design features, protective systems, and other building components that were not provided, that would have reduced the spread of fire, fatalities, and injuries, or would have reduced property loss. 14. Is there a link between this fire and other fires in the area? 15. If possible, obtain photographs or video taken by investigators that may be helpful to the critique process.
7 Post Incident Review Questionnaire for Incident Command 1. Date and time of the incident. Address 2. Weather conditions at the time of the incident. 3. Type of occupancy. 4. Topography of the incident. 5. Describe conditions upon your arrival; specifically, did the conditions warrant an offensive or defensive tactics? 6. Describe all problems encountered and the actions initiated to overcome them. 7. Was a transfer of command? Did the transfer go smoothly? To whom did you transfer command? 8. Describe actions initiated by first arriving units. 9. Provide site drawings of incident layout, apparatus positioning, attack line placement, RIT, accountability, staging, rehab, etc. 10. Provide staffing structure. 11. Describe rescue problems encountered, and actions taken to overcome.
8 12. Describe ventilation problems encountered, and actions to overcome them. 13. Was the initial assignment adequate to handle the incident, and if not, what additional units were requested and why? 14. Describe how many and where RIT were deployed. 15. Describe exposure problems, and the steps taken to protect them. 16. Describe all safety-related concerns. 17. Develop a sequential incident organizational chart detailing Command and Group/Division assignments. 18. List mutual aid companies and number of personnel on all units.
9 19. What could have been done differently to change the outcome of the incident?
10 Post Incident Review Questionnaire for safety Officer 1. Were the utilities secured? If so, by whom and approximate time. 2. Was a 360 walk-around performed? 3. Were any collapse indicators present at any time in the operation? 4. What were the smoke conditions? 5. List any scene hazards. 6. List any building hazards. 7. Were any unsafe acts observed? 8. Was appropriate PPE utilized? 9. List any injuries and detail how they occurred. 10. Was crew integrity compromised? 11. Was a secondary means of egress maintained?
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