After Action Report Operational Guideline 5-002

CRD Emergency Hazmat Team PURPOSE:

To provide after action reporting procedures for the CRD Emergency Hazmat Team.

SCOPE:

CRD EHT.

REFERENCES: CRD Emergency Hazmat Team Operational Guidelines and Policy. GENERAL After action reporting is primarily for the purpose of assembling incident reports. In addition to incident reports, after action reporting is a critical component to conducting an effective post incident analysis for the purpose of identifying learning opportunities and for continuous quality improvement. There are two levels of after action reporting: • Level 1 - Assembly of after action report forms • Level 2 - Post Incident Analysis

PROCEDURE Level 1 - After Action Reporting: After action reporting includes the completion of after action reports by the responsible group/division supervisors and leaders. After action reports are completed on the forms in the CRD EHT Response Manual for the following positions: 1. Hazmat Team Leader 2. Hazmat Resource Leader 3. Hazmat Safety Officer Ideally, the forms should be started in hard copy by the responsible member during the actual incident where pertinent notes can be taken for information that will be compiled after the incident response. The forms are to be completed in

electronic format and emailed to the Team Leader within 48 hours of termination of the incident. Alternatively, access to the reports is available on the computer within Hazmat 1, and may be filed electronically there. After Action reports will be available to all members of the CRD EHT, and all incidents will generally be reviewed at the next CRD EHT training session. Level 2 - Post Incident Analysis: Post incident analysis (PIA) is a formal review session conducted by the actual responders for the purpose of learning and improving knowledge, skills, and abilities of CRD EHT members. PIAs are not intended to lay blame or to criticise the actions of individual members. Lessons learned can assist in long range planning and training goals for the CRD EHT and may lead to changes in policies and procedures. PIA is an optional procedure and must be approved in advance by the CRD Administrator. The Policy Group will be included in communication regarding a PIA, and if applicable, may be included within the process. Additionally, Fire Chiefs of member’s taking part in a PIA will be made aware of the process. In addition, a PIA can guide the employer(s) through the incident/injury investigation procedures in accordance with Worksafe BC Regulations which may include the investigation of a "near miss". PIAs are generally only conducted on large-scale, long-duration, complex incidents where responders may not have witnessed all of the events taking place at the scene and are likely to learn from the process. Some criteria that may cause the CRD EHT to conduct a PIA include: • • •

Entry into the hot zone by responders in level 'A' or 'B' PPE Incidents where civilians or responders become contaminated Incidents where serious injuries occur

PIAs may be closed (limited to CRD EHT only) or open to additional invited agencies. Ideally, the Incident Safety Officer should facilitate the PIA process given that the position is lends itself to observing operations in a limited response capacity and tends to focus on responder issues. The Team Leader may assist in the facilitation process. The PIA should be limited to a maximum of 1 to 1 ½ hours in duration if possible. Conflict should be moderated by the facilitator so that the critique remains a productive learning experience.

CRD Emergency Hazmat Team Operational Guideline, 5-002 Post Incident Analysis, 10-Apr-12

Page 2 of 5

Documenting the PIA is optional and in many cases the experience of the PIA session will achieve the stated objectives. In situations where a PIA may assist in risk management, the PIA may be documented and included as part of the CRD Incident Report. The decision to document a PIA is the responsibility of the Policy Group. Appendix 'A' outlines a template for conducting a PIA. The facilitator has the authority to determine which portions of the template apply to the incident and is responsible to implement only the sections of the template he deems necessary to achieve the objectives.

Date Approved by Committee: Authorized Signature: CRD Emergency Hazmat Team Operational Guideline, 5-002 Post Incident Analysis, 10-Apr-12

Page 3 of 5

APPENDIX A - POST INCIDENT ANALYSIS TEMPLATE Introduction (a) General introduction on incident (b) Unique circumstances/problems, etc. (c) Review preplan information Site Review (a) Review type of structure and post incident structure analysis as appropriate, or site layout review (b) Review storage/interior – exterior (c) Review type of container/transport involved (d) Review roadway location, access, drainage (e) Review storm drains and sewer systems (f) Review weather conditions Code History (a) Review code, laws, regulations and deficiencies (b) Review file history on building alternatives, inspections, citations, etc. (c) Review file on spill history Dispatch and Response (a) Plays tapes of reporting, dispatch, on scene reports (b) Analyze dispatch, on scene reports (c) Dispatch adequate for nature of reports? Site Operations (a) Analyze structural/container integrity, based on arrival conditions, at 10 minutes, at 20 minutes, at 30 minutes, etc. (b) Analyze the spill/release conditions at 10 minutes, 20 minutes, 30 minutes, etc. (c) Review/analyze size-up decisions by command (d) Review/analyze strategy/plan (e) Review/analyze offensive/defensive decisions by command (f) Discuss risk analysis (g) Review/analyze sector operations (h) Review apparatus positioning (i) Review ventilation operations (j) Initial action by First Responder (k) Did HAZMAT sector establish all necessary sub-sectors? (l) Review/analyze evacuation process Staging (a) Location adequacy (b) Communications (c) Site Access

CRD Emergency Hazmat Team Operational Guideline, 5-002 Post Incident Analysis, 10-Apr-12

Page 4 of 5

HazMat Operations (a) Review product identity process (b) Review product fire, explosive, and health risk (c) Review product containment and control measures (d) Review entry and hazard zone operations (e) Review clean-up process (f) Review weather monitoring (g) Review decontamination measures/practices (h) Review research data used (i) Review instrumentation measures/practices Agency Coordination (a) Review outside agency response (b) Review agency coordination and usage at incident Communications (a) Review/analyze the communication process (b) Did command receive adequate, accurate and timely information? (c) Did command effectively communicate his/her plan, objectives and other information to sectors/companies? (d) Did sectors effectively communicate plans, objectives and other information to companies? (e) Did command request appropriate information from HazMat sector to develop a plan of action? Support Functions (a) Review dispatch and deployment functions during incident (b) Rehab operations (c) Equipment/apparatus failures, repairs (d) Water supply Safety (a) (b) (c) (d)

Discuss safety aspects of incident Review injuries, causes, etc. Review corrective actions HazMat sector officer function

Investigations (a) Review cause, point of origin, fire spread (b) Update on investigation

CRD Emergency Hazmat Team Operational Guideline, 5-002 Post Incident Analysis, 10-Apr-12

Page 5 of 5