NFPA Implementation Guide
NFPA Implementation Guide
NFPA Implementation Guide
NFPA 1710
NFPA 1710 Implementation Guide
Second Printing
Copyright © 2002 by the International Association of Fire Fighters.® This publication is protected by copyright. No part of it
may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical,
photocopying, recording, or otherwise without written permission from the International Association of Fire Fighters.
GANIZED
OR
1918
FEB
28
Over the coming months, fire chiefs and fire fighters—and the government officials who oversee local
fire and EMS departments—have an unprecedented opportunity to implement meaningful changes to
improve the efficiency, effectiveness, and delivery of emergency services to the citizens they serve.
The new NFPA 1710 Standard on Fire Department Deployment and Operations, passed last year after
years of research and deliberations, was a watershed event for the fire service and for citizens across
North America. NFPA 1710 is the result of the same time-proven consensus process used to develop
other NFPA fire safety standards and the National Electrical Code, the National Sprinkler Code, and
the National Building Code.
The International Association of Fire Fighters and the International Association of Fire Chiefs jointly
developed this NFPA 1710 Implementation Guide to assist labor and management in working together
to take fire and emergency services to a higher level in their communities.
NFPA 1710 establishes a quantifiable method of measuring the quality of your fire department—and
in our business quality is defined by our ability to save lives and property. It sets adequate and
appropriate guidelines for staffing, response times, and other factors vital to the performance of a fire
and EMS department’s duties. And in those communities that implement this new international
standard, NFPA 1710 will surely save lives of citizens and fire fighters.
There are fire departments across our two nations that already meet or exceed the performance
requirements set by NFPA 1710, but many fall short. For many departments, the road to compliance
will be a long one. In some cases, it will require increases in budget over time; in others, it will require
a change in philosophy. Nonetheless, it is the responsibility of every career fire department to strive
to reach the goals outlined in NFPA 1710.
Every fire service leader and every local government official should enthusiastically support
implementation of NFPA 1710. The benefits of NFPA 1710 compliance, including reduced property
loss, far outweigh the arguments of those critics who suggest that the benchmarks in NFPA 1710 are
unattainable or too costly for their community.
The goal of this implementation guide is to give fire chiefs, fire fighter locals, and city officials the
knowledge, the data, the tools, and a step-by-step process to evaluate their fire and EMS departments
and work toward compliance with NFPA 1710.
It is our hope that this guide will help fire departments, large and small, across North America to grow
with their communities and provide the level of fire and EMS protection that our citizens expect and
deserve.
TABLE OF CONTENTS
Section 1. Defining the NFPA 1710 Standard . . . . .1-1 Section 2 Tables and Figures
Standards and the NFPA . . . . . . . . . . . . . . . . . . .1-1 Figure 2-1. System Safeguard Cycle . . . . . . . . . .2-2
The Difference between a Standard and a Code . . . 1-1 Table 2-1. Sample Fire Department Data Collection
How Standards Are Established . . . . . . . . . . . . . . . . 1-1 Form Completion Key . . . . . . . . . . . . . . . . . . . . .2-4
Who Is Involved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 Table 2-2. Criteria for Emergency Response
Why We Need Standards . . . . . . . . . . . . . . . . . . . . . . 1-2 System Performance Measures . . . . . . . . . . . . .2-15
Why NFPA Created 1710 . . . . . . . . . . . . . . . . . . . . . . 1-2
Standard 1720 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Section 3. Analyzing Staffing, Deployment
What the Standard Says . . . . . . . . . . . . . . . . . . . . . . . 1-3 and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
Fire Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
EMS Operations . . . . . . . . . . . . . . . . . . . . . . . . . . .1-6 Task: Analyze Staffing . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Special Operations . . . . . . . . . . . . . . . . . . . . . . . . 1-8 On-Duty Staffing . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Wildland Operations . . . . . . . . . . . . . . . . . . . . . . . 1-8 Staffing: Company Units and Supervision . . . . .3-4
Airport Operations . . . . . . . . . . . . . . . . . . . . . . . . 1-9 Staffing: Supervisory Chief Officers . . . . . . . . . .3-4
Marine Operations . . . . . . . . . . . . . . . . . . . . . . . . 1-9 Staffing: Engine Companies . . . . . . . . . . . . . . . . . 3-5
Liability Associated with Failing Staffing: Ladder Companies . . . . . . . . . . . . . . . . .3-5
to Meet a Standard . . . . . . . . . . . . . . . . . . . . . . . . 1-9
Staffing: Other Companies . . . . . . . . . . . . . . . . . .3-6
Section 1 Tables and Figures
Staffing: Quint Apparatus Companies . . . . . . . .3-7
Figure 1-1. Initial Full-alarm assignment Capability
Staffing: EMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7
Deployed within Eight Minutes (480 seconds) . . . . 1-6
Staffing: EMS (ALS Deployment) . . . . . . . . . . . .3-8
Staffing: Airport Rescue and
Section 2. Understanding the Process: From
Fire-Fighting Services . . . . . . . . . . . . . . . . . . . .3-11
Organizational Statements to Reports . . . . . . . . . .2-1
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1 Staffing: Marine Rescue and
Fire-Fighting (MRFF) Services . . . . . . . . . . . . .3-11
Developing the Organizational Statement . . . . .2-1
Staffing: Wildland Fire
Collecting Data . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1
Suppression Services . . . . . . . . . . . . . . . . . . . . .3-12
Measuring Performance . . . . . . . . . . . . . . . . . . . .2-2
Task: Analyzing Deployment . . . . . . . . . . . . . . . . . .3-13
Evaluating and Submitting Reports . . . . . . . . . .2-2
Deployment: Initial Arriving Company . . . . . . . . . .3-13
Managing the System . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Deployment: Initial Full-Alarm
Task: Developing an Organizational Statement . . . .2-2 Assignment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14
Traditional Mission Statements . . . . . . . . . . . . . .2-3 Deployment: Additional
Organizational Statement Objectives . . . . . . . . .2-3 Alarm Assignments . . . . . . . . . . . . . . . . . . . . . . 3-16
Task: Collecting Data . . . . . . . . . . . . . . . . . . . . . . . . .2-3 Deployment: BLS EMS Service Delivery . . . . . .3-18
Task: Measuring Performance . . . . . . . . . . . . . . . . .2-7 Deployment: ALS EMS Service Delivery . . . . . .3-20
Meeting Service Delivery Objectives . . . . . . . . .2-7 Special Operations: Organization
Support Systems . . . . . . . . . . . . . . . . . . . . . . . . . .2-7 and Resources . . . . . . . . . . . . . . . . . . . . . . . . . . .3-22
Task: Evaluating and Submitting Reports . . . . . . . .2-8 Airport Rescue and Fire-Fighting
Services: Organization and Resources . . . . . . .3-24
Task: Managing the System . . . . . . . . . . . . . . . . . . . .2-8
Marine Rescue and Fire-Fighting (MRFF)
Expanded Information . . . . . . . . . . . . . . . . . . . . . . .2-10
Services: Organization and Resources . . . . . . . .3-26
Organizational Statement Outline . . . . . . . . . . .2-10
Wildland Fire Suppression Services:
Collecting Data . . . . . . . . . . . . . . . . . . . . . . . . . .2-10 Organization, Resources, and Deployment . . . .3-27
Measuring Performance . . . . . . . . . . . . . . . . . . .2-12 Task: Analyzing Times . . . . . . . . . . . . . . . . . . . . . . .3-29
Evaluating and Reporting . . . . . . . . . . . . . . . . .2-15 Defining Response Time . . . . . . . . . . . . . . . . . . 3-29
Expanded Information . . . . . . . . . . . . . . . . . . . . . . .3-30
Cardiac Arrest Survival Model . . . . . . . . . . . . . .3-30 Results of a Systematic Evaluation of City B
Section 3 Tables and Figures Scenario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17
Figure 3-1. Company Definition . . . . . . . . . . . . . .3-5 Using the Accreditation Process . . . . . . . . . . . . . . .4-17
Figure 3-2. ALS Response Coverage: Based on Section 4 Tables and Figures
Response Time . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10 Table 4-1. City A Operational Resources . . . . . . .4-7
Figure 3-3.Cardiac Arrest Survival Rate . . . . . .3-10 Table 4-2. City B Operational Resources . . . . . 4-12
Figure 3-4. Initial Arriving Company . . . . . . . . . 3-14 Figure 4-1. City A Staffing Factor Worksheet . .4-19
Figure 3-5. Fireground Staffing Compliance . . 3-17 Figure 4-2. City A Marginal Personnel
Figure 3-6. EMS Service Delivery Compliance 3-22 Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-21
Figure 3-7. ALS Response Assignment . . . . . . . 3-23 Figure 4-3. City A Wages Worksheet . . . . . . . . .4-23
Figure 3-8. Hazardous Materials Response . . . .3-24 Figure 4-4. City A Training and Protective Gear
Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-25
Figure 3-9. Emergency Response
Time Intervals: Fire Suppression . . . . . . . . . . . 3-29 Figure 4-5. City A Summary Worksheet . . . . . .4-27
Figure 3-10. Emergency Response Figure 4-6. City B Staffing Factor Worksheet . .4-29
Time Intervals: Emergency Medical . . . . . . . . .3-30 Figure 4-7. City B Marginal Personnel
Figure 3-11. Cardiac Arrest Survival Requirements Worksheet . . . . . . . . . . . . . . . . . .4-31
Calculator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-31 Figure 4-8. City B Wages Worksheet . . . . . . . . .4-33
Figure 4-9. City B Vehicle and Equipment Cost
Section 4. Strategic Planning and Proposing Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-35
Strategic Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1 Figure 4-10. Revenue Projection Based on Total
Payor Mix for Ambulance Services
Proposing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
(including Medicare data from
The Proposal Process . . . . . . . . . . . . . . . . . . . . . . 4-1 Figures 4-12, 4-13 and 4-14) . . . . . . . . . . . . . . . .4-37
Writing the Document . . . . . . . . . . . . . . . . . . . . .4-1 Figure 4-11. City B Revenue Projection
The Presentation . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2 Total Payor Mix Notes . . . . . . . . . . . . . . . . . . . . .4-39
Task: Developing Models for Your Proposal . . . . . . 4-4 Figure 4-12. City B Revenue Projection
City A Scenario . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4 Variables Based on the Medicare Fee
Schedule for Ambulance Services . . . . . . . . . . .4-41
A Six-Step Process . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Figure 4-13. City B Revenue Calculations
Step 1. Collect Data . . . . . . . . . . . . . . . . . . . . . . . 4-5
Based on the Medicare Fee Schedule for
Step 2. Calculate the Staffing Factor . . . . . . . . . 4-6 Ambulance Services . . . . . . . . . . . . . . . . . . . . . .4-43
Step 3. Calculate the Marginal Personnel Figure 4-14, City B Revenue Projection
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8 Calculations Based on the Medicare
Step 4. Assess Wage and Benefit Costs . . . . . . . 4-8 Fee Schedule for Ambulance
Step 5. Assess Equipment Costs . . . . . . . . . . . . . 4-9 Services, Continued . . . . . . . . . . . . . . . . . . . . . . .4-45
Step 6. Summarize the Results . . . . . . . . . . . . . . 4-9 Figure 4-15, City B Revenue Projection
Medicare Fee Schedule Notes for
Results of a Systematic Evaluation of the
Figures 4-13 and 4-14 . . . . . . . . . . . . . . . . . . . . . .4-47
City A Scenario . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Figure 4-16, City B Budgetary Impact Summary
City B Scenario . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Based on Cost Sheets and Revenue Projections
A Seven-Step Process . . . . . . . . . . . . . . . . . . . . .4-10 Included in Figures 4-7 through 4-13 . . . . . . . . .4-49
Step 1. Collect Data . . . . . . . . . . . . . . . . . . . . . . .4-11
Step 2. Calculate the Staffing Factor . . . . . . . . 4-11
Step 3. Calculate the Marginal Personnel
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Step 4. Assess Wage and Benefit Costs . . . . . . 4-14
Step 5. Assess Vehicle and Equipment Costs . . 4-15
Step 6. Determine Revenue for Transport . . . . 4-15
Step 7. Summarize the Results . . . . . . . . . . . . . 4-16
Section 5. Resources . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1 Section 5 Tables and Figures
Endorsements by Stakeholder . . . . . . . . . . . . . . . . . .5-1 Figure 5-1. City C Fire Incidents Four-Minute
Responding to Questions . . . . . . . . . . . . . . . . . . . . . .5-9 Coverage Area: First Due Company . . . . . . . . . .5-25
1710 Undermines Local Democracy . . . . . . . . . .5-9 Figure 5-2. City C Fire Incidents Deployment
Assessment Eight-Minute Coverage Area: Full-
1710 Has No Scientific Basis . . . . . . . . . . . . . . . .5-9
Alarm Assignment . . . . . . . . . . . . . . . . . . . . . . . .5-26
1710 Undermines Public Safety . . . . . . . . . . . . . .5-9
Figure 5-3. City C Staffing Assessment
1710 Jeopardizes Public Safety . . . . . . . . . . . . .5-10 Eight-Minute Coverage Area: 15 Fire
1710 Is Too Costly . . . . . . . . . . . . . . . . . . . . . . . .5-10 Fighters on Scene . . . . . . . . . . . . . . . . . . . . . . . .5-27
Current Staffing and Equipment Figure 5-4. City C EMS Response Assessment
Are Adequate . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-10 Four-Minute Coverage Area: EMS Incidents . . .5-28
1710 Is Unnecessary Because of Modern Figure 5-5. City C ALS Response Assessment
Building and Fire Codes . . . . . . . . . . . . . . . . . . .5-10 Eight-Minute Coverage Area: EMS Incidents . .5-29
1710 Unnecessarily Duplicates Other Fire
Department Standards . . . . . . . . . . . . . . . . . . . .5-11 Glossary of Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-1
Current Standards are Adequate . . . . . . . . . . . .5-11
‘Equivalent’ Standards Are Adequate . . . . . . . . .5-11 Glossary of Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . .B-1
Sample Fact Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12
Background . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12
Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12
Benefits of Compliance . . . . . . . . . . . . . . . . . . . .5-12
Organizational Statement Example, City C Fire
Department . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-15
Model Quadrennial Report, Example of City C
Fire Department . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-23
I. Services Provided . . . . . . . . . . . . . . . . . . . . . . .5-23
II. Fire Department Accomplishments . . . . . . .5-23
III. Incident Response Statistics for
Fiscal Years _____: . . . . . . . . . . . . . . . . . . . . . . . .5-24
IV. Incident Response Data By Company . . . . .5-31
V. Training Reports . . . . . . . . . . . . . . . . . . . . . . .5-31
VI. Future Department Goals . . . . . . . . . . . . . . .5-32
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-33
DEFINING THE NFPA 1710 STANDARD
In this section we explain details about the standards-setting process, and
offer details about the 1710 standard.
NFPA codes and standards, developed under the approved process of the
American National Standards Institute (ANSI), are widely used as a basis
of legislation and regulation at all levels of government. In some way,
virtually every building, process, service, design and installation is
affected by codes and standards developed through NFPA’s process.
1-1
duplication of effort, a single interest may not be • Research/Testing, 1, 3%
represented by more than one-third of the committee.
• Special Experts, 4, 13%
Next, the committee develops a draft document that is
distributed for comment through NFPA News, the U.S. • Users, 5, 16%
Federal Register, ANSI and relevant national and
international trade journals—asking interested persons to
Why We Need Standards
submit specific proposals to be included in the document. Fire growth and behavior are scientifically measurable, as
Interested parties have approximately 24 weeks to respond are the expected outcomes associated with untreated
to this Call for Proposals. cardiac arrest, and the specific resource requirements to
control fires and to prevent deaths. Despite these facts,
After reviewing and acting on all comments, the committee
many communities approach fire/rescue organization and
issues a Report on Proposals (ROP), which is published
deployment as if it were all art and no science—and
only if two-thirds of all committee members approve the
abstract art, at that.
report for publication. Interested parties have 60 days to
comment on it. The committee considers and acts on these
comments and produces its next document, a Report on
Why NFPA Created 1710
Comments (ROC), if it receives the same two-thirds vote by NFPA members encouraged passage of 1710 to improve
committee members. public safety. More specifically, this standard responds to
NFPA’s goal of improving the methods of fire protection
At the next NFPA meeting, the proposal is debated. In the
and prevention and establishing “proper safeguards against
meeting the amendment process has strict limitations. The
loss of life and property due to fire.”
membership may vote to recommend approval,
amendment, return a portion of the report to the Although the organization and deployment of fire and
committee or return the entire report to the committee. rescue services are potentially the most important factors
Appeals may be considered on any unresolved issues (a in safeguarding against the loss of life and property due to
process that may take two years). If there are no appeals, fire, this is the first time that NFPA has issued a standard
the final code or standard may be issued within 20 days of establishing comprehensive minimum criteria to ensure
the meeting at which the membership votes to approve the safe and effective fire and emergency medical response by
proposal. career fire departments. It represents the culmination of
more than a decade of work by the NFPA Standards
Who Is Involved Council, its technical committees and its membership. The
result is a comprehensive, uniform and practical standard
At the time of the final vote on NFPA 1710, the Technical
governing fire and rescue service deployment by career fire
Committee contained representatives from seven different
departments throughout North America.
classes of NFPA members, including Consumers,
Enforcers, Labor, Manufacturers, Research/Testing, Special NFPA 1710 Standard is important because it applies the
Experts and Users. No more than one-third of the voting documented and proven science of fire behavior and
members of the Committee represented one of these emergency medicine to the basic resource requirements for
interests, as explicitly required by NFPA rules. The effective fire and emergency service deployment. This
following is a breakdown of the membership: application allows a community to determine if the
resources allocated for the different types of fires,
• Consumers (City Managers), 2, 6% emergencies, medical calls and other incidents are
• Enforcers (Fire Chiefs, including 3 representatives from sufficient to effectively control the incident and protect
the International Association of Fire Chiefs, or IAFC), lives and property.
10, 32%
NFPA 1710 Standard sets forth in concise terms the
• Labor (Union representatives, including 3 from the recommended resource requirements for fires, emergencies
IAFF), 7, 23% and other incidents. It requires the emergency response
organization to evaluate its performance and report it to
• Manufacturers (Trade Group organizations), 2, 6%
the authority having jurisdiction. This common sense,
science-based formula categorically disproves the fallacy of
1-2
the “something is better than objectives. In addition, volunteer fire
nothing” model, which results in departments traditionally rely on
Unfortunately, many emergency
unnecessary risk for the public and substantively different methods of
response organizations assume
for responders. The approach deployment from career
responsibility to provide additional
embodied in NFPA 1710 will make departments—namely, volunteer fire
services without ensuring that they
communities and fire fighters safer departments often rely on their
have the resources to accomplish
and responders more effective and members to deploy from home while
the additional objectives. The
efficient. career departments deploy from
chapter in the standard that covers
station houses.
The standard defines the minimum this topic requires the authority
acceptable requirements for how having jurisdiction to specify the Unlike NFPA 1710, NFPA 1720
fire, EMS and special operations are level of service, the number of recognizes the differences in
organized and deployed in personnel required to provide that expected delivery of services
departments that are substantially level of service and the duties these between career and volunteer fire
career. If there are no volunteers, the members are expected to perform in departments. Accordingly, the nature
organization is obviously career. order to succeed. of volunteer fire services and of the
Even if there are volunteers present different services they provide make
Service delivery objectives found in
to supplement the career staff, the the deployment and response a
the standard are specific
department is still substantially community decision. The differences
requirements for deployment,
career. between NFPA 1710 & 1720 are
staffing, response times and
detailed in a comparison chart
The minimum requirements address necessary support systems. These
contained on the CD that you
these organizations’ objectives as support systems include safety and
received with this guidebook.
well as their functions. Not health, communications, incident
surprisingly, the standard command, pre-incident planning and
emphasizes three key areas of a training. What the Standard Says
successful operation: The standard addresses fire
Standard 1720
operations in these six specific
• Service delivery The organization, operations,
areas:
communications, dispatch,
• Capabilities
deployment, response time and • Fire operations
• Resources training of career fire fighters are • EMS operations
The standard sets forth the minimum substantively and substantially
criteria related to the effectiveness different from those of volunteer fire • Special operations
and the efficiency of public entities fighters. Not only are the frequency • Wildland operations
that provide fire suppression, and severity of fire incidents higher
in career fire departments, but the
• Airport operations
emergency medical service and
special operations. Both efficiency majority of career fire departments • Marine operations
and effectiveness are specifically are involved with emergency
Fire Operations
related to protecting two groups: the medical response as well as
Fire departments must be capable of
public and fire department specialized operations, including
establishing the following functions
employees. hazardous material and special
at each structural fire:
operations responses. The
NFPA 1710 Standard creates a
expectations of performance for • Incident command
common template for evaluating
career fire departments differ from
performance. The Organizational • Water supply
volunteer fire departments, and the
Statement of the Standard specifies • Attack lines
evaluation of that performance also
the minimum information required
differs. More is expected of the • Backup lines
concerning what the organization
career fire department today and the
does, how it is structured and what • Search and rescue teams
standards of performance are higher.
staffing is required to achieve its
1-3
• Ventilation teams supervision of an officer who operates and arrives on the
emergency scene with one piece of fire apparatus. The
• Rapid intervention crews standard allows for an exception in those instances when
These benchmark requirements are based on a fire multiple apparatus are used to make up a company.
involving a 2,000-square-foot detached single-family However, such exceptions require that these multi-piece
occupancy. Fire departments should deploy additional companies always be dispatched and arrive together, be
resources according to the occupancies and hazards in continuously operated together and are managed by a
their jurisdiction. single company officer. The standard recognizes and
clarifies the limited use of such multi-piece companies
The Fire Protection Services Task Analysis (see Section 3).
The total number of on-duty personnel is established by
Examples include the following:
means of a task analysis that evaluates expected fire
fighting deployment, using the following factors: • The use of a fire department personnel vehicle if the
apparatus lacks adequate seating.
• Life hazards in the jurisdiction
• An engine and a water tanker, such as those used in
• Safety and efficiency of fire fighters some suburban and rural response where a water
• Potential property loss supply (hydrant or natural water body) is not available.
• Nature, configuration, hazards and internal protection • An engine and an EMS unit (ambulance or rescue).
of properties in the response area
• Multiple-piece company assignment, specified in a fire
• The department’s standard tactics and evolutions, department’s response SOPs, such as an engine
apparatus deployed and expected results company response with a pumper and a hose wagon.
For example, a jurisdiction would need to evaluate all
The Basis for a Four-Person Minimum
locations within its response area to determine those that
The NFPA Technical Committee reviewed numerous
have tactical hazards such as concentrated fire potential;
studies, evaluations and stakeholder reports containing
high frequency incidents; high hazard occupancies such
empirical data on departmental response and mitigation
as schools, hospitals, nursing homes, manufacturing
of fire. These studies clearly demonstrate that for safe,
complexes, refineries or high-rise buildings; geographical
effective and efficient fire suppression, each responding
restrictions that could result in a delayed response
company needs a minimum of four fire fighters.
affecting the severity and spread of fire occurrence; or
other factors that would necessitate additional staffing Numerous studies support the four-person minimum. See
per company and additional companies for the initial Section 5 for a detailed bibliography.
alarm assignment, additional alarm assignments and
simultaneous emergencies. By collecting, analyzing and Turnout Time
evaluating this information and data, a department can NFPA 1710 Standard says, “The turnout time begins when
then establish total on-duty staffing. units acknowledge notification of the emergency to the
beginning point of response time.” It further states that,
Defining Fire Suppression Company Units “The fire department shall establish a time objective of
Companies are defined as either engine or truck (ladder) one minute (60 seconds) for turnout time.”
companies or specialized apparatus—such as rescue or
squad companies—depending on the type of apparatus Response Times
and the fire suppression functions performed staffed with The NFPA 1710 standard says, “the fire department shall
four personnel. Quints must be deployed as either an establish a time objective of four minutes (240 seconds)
engine or a truck company or be staffed with additional or less for the arrival of the first arriving engine company
personnel to perform multiple engine/truck company at a fire suppression incident and/or eight minutes (480
tasks. seconds) or less for the deployment of the full first alarm
assignment at a fire suppression incident.”
Regardless of the type of company, each must consist of a
group of trained and equipped fire fighters under the
1-4
Can the first unit arrive later than emergency incidents. • A minimum of one ventilation
four minutes if the entire assignment team shall be part of an initial full-
• A safety officer shall be dispatched
is on the scene within eight minutes? alarm assignment. Each ventilation
to an initial full-alarm assignment
Technically, the answer is yes; team shall consist of a minimum of
when significant risks to fire
however, the standard’s intent for two personnel .
fighters are present and shall be
fire suppression is to have the first-
deployed to all emergencies that • If an aerial device is used in
due engine capable of arriving within
go beyond an initial full-alarm operations, one person shall
its response area consistently within
assignment to ensure that the function as an aerial operator who
four minutes, 90 percent of the time.
health and safety system is shall remain at the primary control
The “and/or” criterion is intended to
established at the emergency of the aerial device at all times.
recognize the effects of
incident. A minimum of one
simultaneous emergencies, training
individual shall be dedicated to • An IRIC (Initial Rapid Intervention
or other occurrences that take one Crew) shall be established that
this task.
or more companies out of service, shall consist of a minimum of two
and not to relieve a department of its • An uninterrupted water supply of a properly-equipped and trained
responsibility to plan for overall minimum 400 gpm for 30 minutes personnel. When an incident
deployment of resources by location shall be established. Supply line(s) escalates beyond the initial full-
to satisfy the four-minute criteria. shall be maintained by an operator alarm assignment, or when there is
who shall remain with each fire significant risk to fire fighters due
Initial Full Alarm Minimum apparatus supplying the water to the magnitude of the incident,
Requirements flow to ensure uninterrupted water the Incident Commander shall
The standard indicates that a fire flow application. upgrade the IRIC to a full Rapid
department shall have the capability Intervention Crew (RIC) that
• An effective water flow application
to deploy an initial full-alarm rate shall be established: 300 gpm consists of four dedicated, fully
assignment within the eight-minute from two handlines, one of which equipped and trained fire fighters.
(480 seconds) response time. The shall be an attack line with a • The fire department shall have the
number of people required falls minimum of 100 gpm and one of capability for additional alarm
between 15 and 17, depending on if which shall be a back-up line with assignments that can provide for
an aerial is used, and/or if two a minimum of 100 gpm. Attack and more personnel and services
pumpers are being used to provide backup lines shall be operated by a including the application of water
for a continuous water supply. minimum of two personnel each to to the fire; engagement in search
The following is a list of required effectively and safely maintain the and rescue, forcible entry,
functions for the benchmark fire line. ventilation and preservation of
defined in the standard and the property; accountability for
• One support person shall be
number of personnel required to be provided for each attack and personnel; and provision of
deployed to perform these functions: backup line deployed to support activities for those
accomplish hydrant hookup and situations that are beyond the
• Incident command shall be capability of the initial full-alarm
established outside of the hazard assist in line lays, utility control
and forcible entry. assignment.
area for the overall coordination
and direction of the initial full-
• A minimum of one search-and-
alarm assignment. A minimum of rescue team shall be part of an
one individual shall be dedicated initial full-alarm assignment. Each
to this task. search-and-rescue team shall
• The supervisory chief officer shall consist of a minimum of two
have a staff aide deployed to them personnel.
for purposes of incident
management and accountability at
1-5
15 Personnel
Ventilation
Team Required
17 Personnel Required If
Aerial Device And Supply
Pump Are In Operation
Victim Search
100 GPM Aerial & Rescue
Back Up Team
Hose Crew Operator
100 GPM
Attack
Hose Crew
Engine
FIGURE 1-1. INITIAL FULL-ALARM ASSIGNMENT CAPABILITY DEPLOYED WITHIN EIGHT MINUTES (480 SECONDS)
Figure 1-1 illustrates an example of the above Fire departments that provide EMS at any level must
requirements for the response to a fire in which a single establish in their organizational statements the criteria for
room and its furnishings and other contents are involved, the types of incidents to which they will respond. The
located in a 2,000-square-foot single-family occupancy, established level of EMS provision must be recognized,
without a basement and without exposures (adjacent and the department must allocate the necessary resources
buildings). In an urban environment, with high population to adequately provide the services required by the local
density dwellings in close proximity, multifamily jurisdiction and expected by the citizens. Necessary
occupancies, industrial areas and high occupancy resources include trained personnel, equipment and other
institutions—including hospitals and schools—the fire supporting elements.
department’s response capability must be enhanced with
When EMS beyond the first responder level is provided by
additional apparatus, personnel and resources for the
an entity other than the fire department, the provider must
initial alarm assignment.
adhere to minimum staffing, deployment and response
EMS Operations criteria recommended by the fire department according to
The NFPA 1710 Standard requires all fire departments to the requirements in the NFPA 1710 Standard. These
have a basic level of EMS. The standard calls for the operational requirements must be described in both the
department to be capable of responding to emergency fire department’s organizational statement and any
medical incidents at the First Responder Level with contract or other agreement between the jurisdictional
Automatic External Defibrillator (AED). If the department authority and the EMS agency or private company. The
chooses to provide EMS at a higher level, the standard EMS agency or private ambulance company must adhere
sets operational requirements for that service as well. to the same performance objectives for staffing,
deployment, and response time that a fire department
1-6
would if providing the service capability and personnel must arrive the ALS level (EMT-Paramedic).
directly. This standard criterion is within a four-minute (240-second) Additionally, the standard requires
part of the overall emergency response time to 90 percent of all that ALS responses include a
response system concept. emergency medical incidents. The minimum of two BLS trained
Regardless of the provider, the number of personnel must be providers. All response personnel
performance objectives are the same sufficient to ensure adequate care must arrive within the response time
and must be met. capability and member safety. established for ALS delivery.
Fire departments are permitted to b) BLS—A fire department that The different staffing requirement
establish automatic and mutual aid provides BLS beyond the first for ALS responses is based on
agreements to comply with responder level must adhere to scientific research, experience and
emergency medical response staffing and training requirements as expert consensus that time-critical
requirements. specified by the state or provincial ALS calls require more personnel
licensing agency. The department resources on scene for assessment
The standard does not establish
must also deploy sufficient and initiation of care than those
patient care or EMS protocol
resources to arrive within a four- required for BLS level incidents and
requirements. Specific patient care
minute (240 second) response time for all transport. Additionally, the
capabilities associated with each
to 90 percent of all emergency American Heart Association (AHA)
EMS service level are to be
medical incidents. has long-established guidelines for
determined by the authority having
response to the most time-critical
jurisdiction to approve and license c) ALS—A fire department that
incident—cardiac arrest. The AHA
EMS providers. This is typically the provides ALS beyond the first
recommendations, which were
state, provincial or local EMS agency responder and BLS level must
reviewed by the NFPA 1710
in conjunction with physician adhere to staffing and training
Technical Committee, are contained
medical direction/oversight. requirements as specified by the
in several AHA publications. See
state or provincial licensing agency.
There are three levels of EMS Section 5 for a complete
The department must also deploy
provision recognized in the NFPA bibliography.
sufficient resources to arrive within
1710 Standard:
an eight-minute (480-second) Following scientific research
• First Responder with AED response time to 90 percent of all conducted by cardiologists and
emergency medical incidents. universities throughout the United
• Basic Life Support (BLS)
States, AHA guidelines note that, “in
• Advanced Life Support (ALS) Minimum Staffing for BLS and systems that have attained survival
The standard also recognizes EMS ALS Emergency Transport Units rates higher than 20 percent for
transport as a service that the fire The NFPA 1710 standard states that patients with ventricular fibrillation
department may provide. staffing and training requirements (cardiac arrest), the response teams
for both BLS and ALS transport units have a minimum of two Advanced
It is not a requirement that a fire
are to be determined by the state or Cardiac Life Support (ACLS)
department provide all levels of EMS
provincial agency responsible for providers plus a minimum of two
service beyond First Responder
providing EMS licensing. BLS personnel at the scene.” Experts
(AED). However, the standard
agree that four responders (at least
establishes operational requirements Minimum Staffing for ALS two ALS and two BLS) are the
for each level that is provided by a Emergency Responses minimum required to provide ACLS
department. For each level,
The NFPA 1710 standard designates to cardiac arrest victims.
operational requirements are
a staffing level for ALS response that
specified as follows: The requirement that first
is different from the requirement for
responder/AED units arrive within
a) First Responder (AED)—A fire ALS transport. The standard requires
four minutes (240 seconds) to 90
department must appropriately train that staffing for ALS emergency
percent of emergency medical
all response personnel at the First medical responses include a
incidents, and the requirement that
Responder Level with AED minimum of two members trained at
1-7
an ALS company arrive within eight minutes (480 The fire department must also determine the availability
seconds) to 90 percent of the incidents to which they are of exterior resources—through federal, state, provincial,
dispatched, are based on experience, expert consensus or local assistance or private contractors—that are
and science. Many studies note the role of time and the deployed to emergencies and other incidents and the
delivery of early defibrillation in patient survival due to procedures for initiating such outside response.
heart attacks and cardiac arrest, which are the most time-
The fire department must also limit the level of response
critical, resource-intensive medical emergency events to
to special operation emergencies to the level for which
which fire departments respond.
they have staffed, trained and equipped their personnel.
Various study findings and national EMS stakeholder Additionally, they must have the capacity to initiate a
organization guidelines exist concerning these minimum rapid intervention crew during all special operations
requirements. See Section 5 for a complete bibliography. responses.
Wildland Operations
Quality Management for EMS System Evaluations
The NFPA 1710 standard recognizes that many, if not
The NFPA 1710 standard requires the fire department to
most, fire departments must respond to either wildland or
establish a quality management program as a basic
wildland/urban interface fires. Accordingly, the fire
function of EMS provision. The purpose of the quality
department must address the service delivery for such
management program is to ensure adequate response
occurrences. The standard specifies the minimum
capability and quality patient care. All quality review of
wildland staffing for defined wildland companies, as well
both BLS and ALS services must be documented.
as engine and truck companies that respond to wildland
Additionally, the department must create a mechanism for
or urban interface/wildland emergencies. Likewise, the
immediate communication with the EMS system
standard specifies deployment requirements for a
supervisor and the person responsible for physician
wildland Initial Direct Attack.
oversight (medical director).
Much of the basis for such requirements was validated
Special Operations
through a scientific and medical study conducted by the
The fire department must formally define the types of
Los Angeles County California Fire Department. The
special operations that it is required or expected to
study’s purpose was to establish benchmarks for
perform in an emergency or other incident. These types of
necessary staffing requirements, wildland tasks and
special operations include, but are not limited to,
deployment times for wildland response.
hazardous materials response, confined space response,
technical rescue, high-angle rescue and water rescue.
Regardless of the fire department’s defined special
operation capability, all fire fighters who provide
emergency response must be trained to the first responder
operations level for both hazardous materials response
and confined space response. Likewise, all fire
departments must define their response capability to
natural disasters, terrorism incidents, and other mass
casualty and large-scale emergency events.
1-8
Airport Operations Marine Operations The NFPA 1710 standard could be
The NFPA 1710 standard requires The standard recognizes marine fire found highly relevant to the question
that airport fire departments be fighting as a specialized fire of whether a jurisdiction has
organized to ensure that their suppression support function, with negligently failed to provide adequate
response capabilities to nonaircraft the initial response to an incident fire or emergency medical protection
incidents (nonairframe structural involving a vessel in port provided to an individual harmed in a fire or
fires and EMS emergencies) within by land-based fire suppression medical emergency. To prevail in
the department’s response forces as well as shipboard crews such a claim, the individual would
jurisdiction be identical to non- and sea-based response provided have to show that the jurisdiction
Airport Rescue and Fire Fighting initially by the shipboard crew. Land- failed to provide the level of service
(ARFF) fire department capabilities. based forces’ staffing and required by the standard, and that
deployment criteria are recognized this failure was a cause of his or
During the development of 1710, the
by the standard and require the her injury.
Technical Committee merged the
jurisdiction that responds to such
standards addressing ARFF activities
emergencies to address the resource
developed by the NFPA, the FAA and
allocation to such events; the U.S.
the U.S. Department of Defense, so
Coast Guard or Canadian Guard or
for the first time the deployment and
other legal authority regulates sea-
staffing of ARFF capabilities would
based crew staffing and deployment
be addressed. During the public
capability with jurisdiction over
review, the NFPA committee
navigable waterways.
responsible for developing NFPA
403, Standard for Aircraft Rescue Liability Associated with Failing
and Firefighting Services at Airports, To Meet a Standard
claimed jurisdiction over the Many NFPA standards have been
deployment and staffing of ARFF enacted into law at the federal, state,
services. This claim occurred even provincial and local levels. Some
though the NFPA 1710 Technical have argued that, because
Committee and others in the fire jurisdictions having authority are not
service, including the IAFF, the required to automatically enact a
International Association of Fire particular NFPA standard, violation
Chiefs, and the NFPA, recognized of an NFPA standard does not
that NFPA 403 was deficient in automatically give rise to a finding of
these areas. liability against a jurisdiction that
has not adopted the standard.
Having said that, however, we
recognize that courts frequently rely
upon NFPA standards to determine
the “industry standard” for fire
protection and safety measures.
Judicial reliance on NFPA doctrines
is most frequently found in common
law negligence claims. To prevail in
a common law negligence claim, the
plaintiff must show that the
defendant owed a duty of care to the
plaintiff, that the defendant breached
this duty of care and that this breach
was the cause of the plaintiff’s injury.
1-9
1-10
UNDERSTANDING THE PROCESS: FROM
ORGANIZATIONAL STATEMENTS TO REPORTS
In this section we begin presenting information that is more detailed and
that will require you to complete specific tasks before and after your local
government commits to implement 1710. We present the information first
in an overview, then with additional details to explain the tasks involved.
Overview
To determine how your existing services compare with those required by
1710, you must first review your mission (what the jurisdiction’s leaders
and citizens have been told that the fire department will provide). Many
emergency response organizations in the United States and Canada
assume responsibility to provide services without ensuring that they have
the resources required. NFPA 1710 requires the authority having
jurisdiction to specifically enumerate the level of service, the number of
personnel required to provide that service and the duties they are
expected to perform to be successful.
Collecting Data
Writing an organizational statement will reveal the type of data you need
to collect in order to evaluate the department for compliance with 1710
performance objectives. For a valid comparison of existing and needed
resources, you’ll need to collect data, and then compare the data
concerning your performance with the objectives in 1710. Such
performance measures are essential to the credibility of any evaluation
activity for emergency response organizations.
2-1
Measuring Performance
Performance measurement, then, is an evaluation and
FIGURE 2-1. SYSTEM SAFEGUARD CYCLE
planning tool leading to improvement and quality. It
allows the organization to reinforce and improve what is Gather Data
working and repair or replace what is not. Performance
measures quantify in a logical manner the performance
of the organization according to the objectives in the Implement Evaluate
standard (e.g., initial response in less than 4 minutes 90% System
of the time). Safeguard
Cycle
Data analysis in performance measurement is the
process of converting raw data into information and
knowledge. This process makes it easier to compare the Propose Analyze
department’s actual performance with the objectives in Plan
the standard. Once we compare the objectives with the
actual performance, we consider the differences and
determine the predictable consequences of the Task: Developing an Organizational
differences and steps necessary to achieve compliance. Statement
Evaluating and Submitting Reports An Organizational Statement differs from a Mission or
The results of the analysis of your department’s Vision Statement in several ways. To better understand
performance are then evaluated and reported as required the differences between the two, let’s first define the
by 1710. According to the standard, a department must terms used when discussing an Organizational
perform an annual evaluation of service, based on actual Statement:
response data. Using this data, the department prepares • Compliance with the Standard—The department has
a quadrennial report (every four years) to the authority established an organizational statement, collects data
having jurisdiction regarding department operations, on an annual basis, evaluates the departments
noting compliance or noncompliance with the standard. operational performance based on the data and in light
Managing the System of the performance requirements in the 1710 standard,
With a general understanding of how to comply with and reports on a quadrennial basis whether the
1710, the next step is to identify a process for using the department meets the performance objectives in the
data collected to ensure operational performance in all standard. If deficiencies exist, the department reports
components of the system. The task of ensuring quality the potential consequences and provides a plan for
operations is easier when you follow this three-phase changes to move toward a goal of meeting the
process for building, enhancing and protecting system performance objectives in the future.
quality: • Meeting the Standard Objectives—The department
achieves the individual performance objectives
• Phase 1. Evaluation and Analysis
regarding staffing, and response times contained in the
• Phase 2. Strategic Planning and Proposing standard in line with the department’s responsibilities
• Phase 3. Implementation as specified in the organizational statement.
The Evaluation and Analysis phase, as well as the • Performance Evaluation—The department
Strategic Planning and Proposing phase are repeated systematically assesses resources used in achieving
annually, using data continually collected, with predetermined goals, in keeping with service level
necessary system changes proposed and implemented as provision described in the organizational statement.
needed. Figure 2-1 illustrates the three phases. • Measurement—The act of quantifying department
performance according to established performance
objectives in the standard.
2-2
• Report—The act of giving an • This mission is accomplished Task: Collecting Data
account to others every four years through the efforts of dedicated
Writing an organizational statement
regarding the department’s professional fire fighters.
will reveal the type of data you need
performance according to the
to identify the resources required for
performance objectives Organizational Statement
compliance.
established in the standard. Objectives
When complying with 1710, the Methods of data collection in
Traditional Mission Statements
department must develop a new type emergency response systems are as
To illustrate why mission statements unique as the systems themselves.
of statement detailing the services
are inadequate for departments Most fire departments collect data
provided and addressing resources
implementing 1710, consider these regarding the number and type of
allocated—both capital (such as
two sample missions statements. emergency responses as well as
buildings, apparatus and equipment)
These simple yet global statements response times. Some collect more
and personnel—to provide the
would be inadequate if used as performance-based information such
services it outlines.
organizational statements required as dispatch time, time to
by Standard 1710. The organizational statement is
defibrillation for cardiac calls and
intended to accomplish the following
employee injury. In many systems,
Mission Statement 1 objectives:
however, performance relevant data
We the __________Fire Department are either not collected at all or are
• Describe information about what
are an organization of dedicated services the department provides poor. Though attempts have been
professionals who are committed to made at both state and federal
serving the community by protecting • Denote structure and resources
levels, standardized data collecting
life, property, and the environment necessary to complete service
and reporting in emergency response
through prevention, education, objectives
systems have failed to occur.
emergency medical, and fire service. • Create the template for evaluation
Examples of organizations that have
We will provide fire protection and After establishing its organizational created lists of suggested data
emergency service throughout the statement, each department must elements appear later in this section.
city of __________ by adequately consider how it meets the service Table 2-1 lists essential data
staffing and training and equipping delivery objectives the standard elements a fire department must
fire fighters at specific locations with requires in relation to the collect in order to measure and
in the city. organizational statement of services report on performance objectives
to be provided. Service delivery contained in NFPA 1710. See the CD
Mission Statement 2 objectives in the standard are that accompanies this guide for a
The mission of the __________ specific requirements for these four copy of the dataset form.
Division of Fire is to serve our components of fire fighting and
community by emergency services:
• Preventing emergencies through • Staffing
education and inspection
• Deployment
• Minimizing injury, death and
property destruction due to fire, • Time indicators
natural disaster and other • Support systems
emergencies
See Section 5 for an example of an
• Minimizing injury, death and organizational statement.
suffering by providing timely and
effective emergency medical
services
2-3
TABLE 2-1. SAMPLE FIRE DEPARTMENT DATA COLLECTION FORM COMPLETION KEY
1. ALARM TIME The exact time of day (hour and minute) 10. NATURE OF CALL A statement of the observed condition(s)
when the alarm was received by the when the first emergency unit arrived on
dispatch facility. The 24-hour clock is used scene. An investigation may reveal that
here (0001-2400). This is not an elapsed the situation at the scene changed from
time. the time the alarm was given to the time
the first emergency unit arrived on scene.
2. DISPATCH TIME Enter the time (24-hour format) companies
a. Fire
were notified of the alarm.
b. Emergency medical
3. TIME EN ROUTE Enter the time (24-hour format) the first c. Rescue
company departed the station or other d. HazMat
point of origin. e. Other
4. TIME ON-SCENE Enter the time (24-hour format) the first 11. TYPE OF ACTION TAKEN Record the duties performed at the
company arrived on the scene. emergency scene by the responding fire
department personnel to handle the
5. TIME IN-SERVICE Enter the time (24-hour format) the last incident.
company returned to service for this a. Fire Extinguishment
incident. If one company is left behind for b. Medical Aid/Patient transport
“fire watch” for a considerable amount of c. Rescue
time beyond the “in-service” time of other d. Remove Hazard
companies, record the activities of this e. Investigation
company separately in the remarks f. Standby/No service
section. The 24-hour clock is also used g. Other
here. This is not elapsed time.
12. CORRECT STREET The exact location of the incident, which
6. MUTUAL AID Was mutual aid utilized for this incident? ADDRESS may be a street address or directions
Mutual aid is the reciprocal assistance by from a recognized landmark, or an
emergency services under a prearranged intersection of two roadways. Do not
plan. enter the dispatched address unless the
7. AUTOMATIC AID Was automatic aid utilized for this alarm was unfounded and no location
incident? Automatic aid is a plan could be confirmed.
developed between two or more fire
departments for immediate joint response 13. ZIP CODE OR POSTAL Enter the assigned numerical code
on first alarms. CODE assigned by the U.S. Postal Service to all
8. FIXED PROPERTY USE Enter the use of the fixed property where jurisdictions within the United States, or in
the incident occurred. Canada, the Postal Code assigned by
a. Residential Canada Post. If a patient transport, enter
b. Educational zip code corresponding to the patient
c. Commercial pick-up point.
2-4
17. METHOD OF ALARM Enter the method by which the fire 28. METHOD OF Indicate water, chemical, product removal, or
department or alarm center first became EXTINGUISHMENT other means.
aware of the incident.
a. Telephone
29. NUMBER OF STRUCTURE Enter the number of fixed property use stories
b. Automatic alarm
STORIES for the property principally involved in the
c. Radio
incident.
d. Other
18. NUMBER OF ALARMS Enter the number of alarm assignments
30. CONSTRUCTION TYPE Enter the fixed property use construction
DISPATCHED dispatched to the incident. (e.g., 1 alarm EMS
type. (e.g., wood-frame, fire-resistive)
response, 5 alarm fire) The definition of alarm
is determined at the local level. 31. EXT. OF FLAME DAMAGE None, Minimal, Some, Significant, Extreme
2-5
41. NUMBER OF PERSONNEL Enter the number of personnel that arrived 54. CAUSE OF INJURY This is otherwise known as “mechanism
RESPONDING ON on Ladders. of injury.”
LADDERS a. Bite m. Pedestrian
b. Chemical n. Physical Assault
42. NUMBER OF PERSONNEL Enter the number of personnel that arrived Exposure o. Poison, not drugs
RESPONDING ON OTHER on apparatus other than Engines and c. Drowning p. Radiation
APPARATUS Ladders. d. Drug ingestion q. Sexual Assault
e. Electrocution r. Smoke Inhalation
f. Excessive Cold s. Stabbing
g. Excessive Heat t. Sting
43. FIRST ARRIVING ENG. Enter the time the first Engine (Pumper) h. Fall (Plant/Animal)
TIME arrived on scene. Include Quints as i. Fire/Flames u. Water
Engines if dispatched as first due Engine. j. Firearm v. Unknown
k. Machinery w. Other
l. Motor Vehicle
44. FIRST ARRIVING LAD. Enter the time the first Ladder (Truck)
TIME arrived on the scene. Include Quints as 55. HYDRAULIC TOOL USED? Check yes or no.
Ladders if dispatched as the first due
Ladder. 56. HYDRAULIC TOOL Time from alarm time to arrival of
ARRIVAL TIME emergency vehicle with hydraulic tool
capabilities.
45. COMPLETE FULL-ALARM Enter the time when all required full-alarm
ARRIVE TIME resources arrived on the scene.
57. TIME EN-ROUTE TO Time from departing incident scene to
TRANSPORT arrival at the appropriate medical facility.
46. FIRE CONTAINED TIME Enter the time the fire was contained, DESTINATION
“loss stop.”
47. FIRE UNDER CONTROL Enter the time the fire was declared under 58. TIME ARRIVED AT Time patient transporting unit arrived at
TIME control. TRANSPORT appropriate medical facility.
DESTINATION
48. DISPATCHED AS Was the EMS incident dispatched as BLS
or ALS? If non-EMS incident leave blank. 59. FIRST RESPONDER (FR) Indicate the name of the department or
49. EMS REQUIREMENT Did the EMS incident require BLS or ALS COMPANY company responding.
care to be rendered?
50. EMS UNITS RESPONDING List all units responding to the incident. 60. FR ARRIVAL TIME Time First Responder(s) arrive on scene.
(e.g., E1, E2, L1, R1, B/C1) 61. NUMBER OF FR EMT-B Number of personnel on scene trained to
51. FIRE REPORT DATE Enter the date the incident report was EMT-Basic level.
completed. 62. NUMBER OF FR EMT-I Number of personnel on scene trained to
52. MVA TYPE Enter the type of motorized vehicle EMT-Intermediate level.
involved. 63. NUMBER OF FR EMT-P Number of personnel on scene trained to
a. Passenger car EMT-Paramedic level.
b. Truck
c. Other 64. TRANSPORT COMPANY Indicate the name of the department or
company providing transport services.
53. INJURY TYPE List all conditions that apply to the patient
as a result of the incident. 65. TRANSPORT ARRIVAL
a. Pain (no trauma) TIME Indicate the time (24-hour format) when
b. Blunt the transport unit arrives at the
c. Disfigured/Fracture appropriate medical facility.
d. Gunshot
66. NUMBER OF TRANSPORT Number of personnel on transport unit
e. Laceration/Abrasion
EMT-B trained to the EMT-Basic level.
f. Puncture/Stab
g. Soft Tissue Swelling
h. Burn 67. NUMBER OF TRANSPORT Number of personnel on transport unit
EMT-I trained to the EMT-Intermediate level.
2-6
Task: Measuring Measurable Indicators • Deployment (EMS)
Performance • Staffing ➤ Turnout of personnel for
➤ Four fire fighters per engine response within one minute
Meeting Service Delivery
company (60 seconds)
Objectives
➤ Four fire fighters per truck ➤ First responder/AED level,
The organizational statement
company within four-minute (240-
addresses each component and
➤ Quints staffed as an engine second) response on 90% of
performance objective. Here you will
or truck all emergency medical
find just a preview of the
➤ Chief officer aides incidents
information involved. Section 3
➤ All units staffed with ➤ ALS response within eight
offers detailed information on
personnel trained to first minutes (480 seconds) on
these issues.
responder/AED level 90% of all ALS calls
Standard 1710 indicates the ➤ BLS transport unit staffed ➤ ALS response, two members
resources necessary to meet the and trained at the level at EMT-P level and two
performance objectives. The goal is required by the members at EMT-B level
to fulfill the department’s state/provincial licensing arriving on scene within the
commitment to the community. That agency established response time
may include goals such as providing ➤ ALS transport unit staffed • Time Indicators
efficient and effective emergency and trained at the level ➤ Call receipt and processing
response, controlling fires before required by the time
they become too large, rescuing state/provincial licensing ➤ Turnout time
trapped persons and facilitating agency ➤ Response time
timely intervention to the ill and • Deployment (Fire) • Support systems
injured. ➤ Turnout of personnel for
Support Systems
To achieve these goals requires a response within one minute
A support system is a functionally
quick initial response, backed by (60 seconds)
related group of programs within the
multiple units with necessary ➤ Arrival of engine company
overall emergency response system.
resources. Standard 1710 defines the in four minutes (240
The programs are interrelated to
resources in terms of measurable seconds) and/or the full
achieve key results. Standard 1710
indicators, identified for each initial alarm assignment
addresses five support systems and
component of fire fighting and within eight minutes (480
their performance objectives in an
emergency service offered. seconds)
overall emergency response system:
➤ Initial full alarm assignment
meeting eight-minute (480- • Safety and health
second) response time
• Communications
objective on 90% of all
emergency incidents • Incident management
➤ Initial arriving company
• Pre-incident planning
capability to implement an
Initial Rapid Intervention • Training
Crew (IRIC) Taken together, these five systems
ensure that emergency responders
have the essential tools, information,
standard operating procedures and
safeguards to operate effectively and
efficiently.
2-7
Safety and Health Task: Evaluating and Submitting Reports
Each organization must have an occupational safety and
The purpose of department evaluation and reporting is
health program meeting the requirements of NFPA 1500,
to measure and document compliance with the NFPA
Standard on Fire Department Occupational Safety and
1710 standard. According to the standard, a department
Health Program.
must perform an annual evaluation of service, based on
actual response data. Using this data, the department
Communications
must prepare and submit a written report every four
Each organization must have a communications program
years to the authority having jurisdiction regarding
characterized by
department operations. The report must note
• Reliability compliance or noncompliance with the standard. If a
department is noncompliant with the standard or fails to
• Promptness meet its performance objectives, this report must
• Standard operating procedures, terminology and explain the deficiencies and their potential
protocols consequences, and offer suggestions on how it plans to
Departments must also comply with the requirements in become compliant.
NFPA 1221, Standard for the Installation, Maintenance See Section 5 for an example of a quadrennial report.
and Use of Emergency Services Communications
Systems. Task: Managing the System
The three-phase process for using the data collected
Incident Management
ensures operational performance in all components of
Each organization must have in place an incident
the system:
management system designed to handle expected
incidents. That system must be in accordance with NFPA • Phase 1. Evaluation and Analysis
1561, Standard on Emergency Services Incident
• Phase 2. Strategic Planning and Proposing
Management System.
• Phase 3. Implementation
Pre-Incident Planning The phases help answer these questions:
Safe and effective operations are grounded in identifying
key and high hazard targets. The standard requires that • Where are we now?
departments develop operational requirements to gather • Where should we be?
information regarding these locations.
• How do we get there?
Training • How do we ensure we remain where we should be?
Each organization must ensure its members are trained
to execute all responsibilities consistent with its Phase 1. Evaluation and Analysis
organizational statement. This training must be In this phase you determine the value of the system.
accomplished using a programmatic approach that Begin by asking general questions about the system’s
includes a policy. value, including perceptions of the system by the public
served:
2-8
• How many of these calls require Staffing • Turnout Time—The interval
special operations? The staffing component is defined as between acknowledgement of
both the number of trained notification of the emergency by
• How do citizens perceive the
personnel and their level of training. the responding unit personnel, and
system? Are there frequent
For a system to be effective and the beginning point of response
complaints or compliments by
efficient, a sufficient number of time.
citizens or media?
appropriately trained individuals
Next, consider the system’s current • Response Time—The time that
must respond to calls for assistance.
begins when responding units are
and future capabilities: Standard 1710 stipulates the required
en route to the emergency incident
number of trained personnel and
• Can we respond to unanticipated (wheels rolling), and ends when
demand? their level of training—for both fire
responding units arrive on scene
and EMS response—based on
(wheels stopped at the address).
• Do we meet response time scientific data and expert consensus.
criteria? Previously these three time
Deployment
components were collectively
• Do we have the proper number of The deployment component involves
appropriately trained personnel to known as “response time.” Each
the sufficient response of staffed must be measured and documented
mitigate and control the
resources—vehicles and equipment. by a department in the quadrennial
emergency?
Standard 1710 details the industry report. (Section 5 explains the
• Can we increase the number of standard for adequate deployment. reporting process.)
positive outcomes for fire fighters
Time
and citizens? Phase 2. Strategic Planning and
Standard 1710 defines time segments
Proposing
• Do we collect data and report and sets goals for each. There are
compliance with industry three time components defined in After evaluating the overall system,
standards? Standard 1710 relating to emergency assessing each vital component and
response system performance: revealing any deficiencies, the next
• Do we meet performance step is to move the system toward
objectives? • Call Receipt and Processing Standard 1710’s performance
Next you divide the system into its Time—The interval between objectives through strategic
individual parts for study. In every receipt of the emergency alarm at planning. This phase involves
emergency response system there the public safety answering point, identifying necessary system
are various components, some of and the moment when the component improvements,
which are critical to the system’s dispatcher knows sufficient calculating their costs and
success. You examine three critical information and applicable units determining the time required for
components throughout the next are notified of the emergency, implementation.
phase, in light of the department’s defined in NFPA 1221. NFPA 1221
organizational statement and specifies that 95% of alarms shall
industry standards: be answered within 30 seconds,
and in no case shall the initial call
• Staffing taker’s response to an alarm
• Deployment exceed 60 seconds. It goes on to
say that the dispatch of the
• Time emergency response agency shall
be made within 60 seconds of the
completed receipt of an
emergency alarm.
2-9
Planning for the critical components (staffing, IV. Detailed List and Description of Services Provided
deployment and time) involves reviewing what was
a. Fire suppression
discovered in the analysis phase and determining how to
b. Rescue
improve conditions. Any improvements are intended to
c. EMS
help the department meet the performance objectives
d. Hazardous materials response
set forth in the industry standard for those services the
e. Fire prevention
department has said it will offer according to its
f. Arson investigation
organizational statement.
g. Public education
The next step is proposing the necessary changes. A h. Other
proposal details necessary changes in each of the system V. Service Delivery Objectives (for those services
components, a timeline for implementation, and a cost identified in the Organizational Statement)
assessment. (Section 4 explains how to prepare and
a. Service Delivery Objectives (for those
submit a formal proposal.)
services identified in Organizational
Statement)Fire suppression
Phase 3. Implementation
b. EMS
This phase can be a multi-year process. Implementation
c. Dispatch
depends on getting the community’s agreement for
d. Hazardous materials response
compliance with Standard 1710. Therefore, determining
e. Technical rescue (high-rise, water, confined
the implementation method is the same as determining
space)
which strategy you will pursue.
f. Aircraft
In Section 3 we examine in more detail the evaluation g. Wildland
and analysis phase. h. Special Operations
i. Disaster
Expanded Information
Collecting Data
Organizational Statement Outline
Following is an outline of a typical organizational The National Fire Information Registry System
statement, which you can use as a guide to develop your (NFIRS)
department’s own statement. NFIRS is a national database housed at the United States
National Fire Academy. The Federal Prevention and
I. Mission Statement
Control Act of 1974 (PL 93-498) created the database and
II. Geographical Boundaries authorized the National Fire Data Center in the United
III. Description of Department Structure States Fire Administration to gather and analyze
information on the magnitude of the nation’s fire
a. Station locations problem, as well as its detailed characteristics and
b. Equipment deployed from each station trends. The current version, NFIRS 5.0, expands the
c. Minimal staffing per company collection of data beyond fires to include a full range of
i. Fire suppression fire department activity on a national scale. NFIRS data
ii. Rescue elements may be viewed at
iii. EMS www.nfirs.fema.gov/rules.htm.
iv. Other
d. Support systems Though these data points are most useful in collecting
i. Health and safety system information, low fire department participation
ii. Incident management rates for data entry stymies any attempt to establish
iii. Training national baselines or benchmarks based on the data.
iv. Communications Consequently, the database contains EMS related
v. Pre-planning elements but is limited to surveillance data about
individual incidents.
2-10
Data points include the following: International City/County 2. Percentage of cardiac arrest
Management Association (ICMA) patients with a pulse delivered to
• Identification
ICMA established its Center for a medical center
• Number of patients Performance Measurement (CPM) to These efforts are inadequate for
• Date and time of arrival at a help cities and counties obtain assessing EMS system performance
patient accurate, fair and comparable data because insufficient numbers of
about the quality and efficiency of representative communities report
• Provider assessment information service delivery to their citizens. The data, and the measures reported fail
• Patient demographics CPM began in 1994 as a consortium to adequately describe EMS services.
of large cities and urban counties
• Patient state of consciousness
having a population of at least Local Fire Departments
• Injury or illness type 200,000. The CPM collects, analyzes Various innovative departments have
and interprets data from local
• Treatment procedures used developed customized data sets for
governments in four major service collecting and reporting on their
• Safety equipment used areas: specific system. They include these
• Training level of initial provider • Police services four:
• Highest training level of providers • Fire services • Columbus, Ohio
on scene
• Neighborhood services • Miami Dade, Fla.
• Final disposition of the patient
• Support services • Phoenix, Ariz.
• Patient status following EMS
treatment Participating governments • Fairfax County, Va.
voluntarily provide information As previously noted, data collection
In Canada, the offices of the fire according to the measures. ICMA is and reporting in emergency response
marshal or fire commissioner still working to reach agreement on systems have been primarily for
compile fire data. a common set of data elements and surveillance purposes. The data
definitions. Total comparability of collected have little use beyond
National Highway Traffic and
the data elements remains reporting demographics, number and
Safety Administration (NHTSA)
unrealized; therefore, the measures types of calls handled within the
In 1993 NHTSA funded an effort to are considered neither valid nor system and time to mitigate those
create an EMS Uniform Data Set. reliable. The data are reported by the calls. Aside from determining system
The purpose of the data set participating organizations because response time adequacy, the ability
development was to reach national of a belief that such information will to use available data to gain detailed
consensus in the United States help improve services among like knowledge about the system is
regarding EMS data elements and jurisdictions and accountability lacking in most jurisdictions. In
definitions within the prehospital when better service delivery other systems, an abundance of data
environment, so data could be linked practices are identified. is a problem.
and analyzed with other data
elements obtained from dispatch For FY 1998, 90 jurisdictions
centers and emergency departments. submitted data for at least one of the
It was assumed that in the context of service areas (58 with populations
fully-linked data files an effective greater than 100,000 and 32 less than
EMS information management 100,000). Included in the fire service
system could be devised. Uniform component are two measures
data elements may be found at considered to address EMS systems:
www.dot.gov/nhtsa. 1. Percentage of calls with a
response time under five minutes
from dispatch to arrival
2-11
Emergency response agencies requiring numerous Performance measures are essential to the credibility of
answers on voluminous forms create a severe burden. any modern evaluation activity for emergency response
Once providers tire of this burden, the quality of the data organizations. Performance measures are quantitative
collected is likely to deteriorate. Collecting the wrong measures used to evaluate and improve outcomes and/or
data may be as problematic as lacking any data at all. the structure of the organization and its performance of
Identifying and defining system quality indicators and functions and processes. Performance measures
collecting the appropriate data to measure system supplement and guide the standards-setting process by
performance according to those indicators are essential providing a more targeted basis for data gathering and
to evaluate the system. reporting.
A performance indicator is a criterion related to the quality • Verify effectiveness of a corrective action
of the program or service that can be measured. Indicators, • Allow comparison to established standards.
once identified, must be defined for consistency in use. A
When identifying and defining emergency response system
performance measure is a baseline, standard, norm or
performance indicators, follow a multi-phased approach.
criterion against which one can assess performance in a
The indicator must be measurable, so data must be
program or service according to the indicators identified. A
collectable. Evaluate the indicator for relevance to system
performance indicator answers the question, “How are we
design, quality and effectiveness. Following the
doing?” for a specific issue. Examples include response
identification and definition of system relevant indicators,
time or EMS defibrillation time. Performance indicators are
develop measures for those indicators. Harbour (1997)
analogous to a light on your car’s dashboard. These lights
provides a useful acronym for developing performance
may indicate that everything is okay with your car, or they
measures: SMART, or specific, measurable, action-oriented,
may indicate trouble.
relevant and timely. Table 2-2 lists criteria for Emergency
Performance measurement, then, is an evaluation and response system performance measures.
planning tool leading to improvement and quality. It allows
In addition to performance measurements and indicators,
the organization to reinforce and improve what is working
another term relevant to measuring performance of an
and repair or replace what is not. Performance
emergency response system is benchmarking.
measurement is a tool that lets the organization track
Benchmarking was originally a surveying term for a point
progress and direction toward strategic goals and
of reference. Benchmarking is an improvement process
objectives. Performance measurement is the process of
2-14
when evaluated for patient outcome. f. Minimum daily staffing by
TABLE 2-2. CRITERIA FOR Best practices are those methods or
company
EMERGENCY RESPONSE techniques that result in increased
g. Total staffing per call
SYSTEM PERFORMANCE system quality and performance
i. Fire
MEASURES COLLECTION when incorporated into your
ii. EMS
FORM COMPLETION KEY operation. Once best practices are
iii. Special operations/high
hazard
known and benchmarks established,
h. Estimated economic impact of
you can measure system
Performance Measures fire
performance relative to the indicator
should be: i. Number of patients treated
benchmarked.
(EMS)
1. structure, process, and
NFPA 1710 Standard is the j. Patient outcome statistics for
outcome oriented
benchmark for emergency response EMS
2. relevant to quality and systems. k. Outcome and economic
effectiveness of various impact for other emergency
Evaluating and Reporting
system components incidents
Annual Evaluation V. Incident response data by station/
3. practical
Your annual evaluation is based on company
4. based on scientific performance objectives in the
evidence when possible VI. Training reports
standard, using actual response data.
5. subject to ongoing review A typical annual evaluation contains VII. Future department goals
data compiled into the following
6. designed for ease in data
categories:
collection
I. Organizational Statement
7. continuously evaluated for
relevance II. Organizational structure chart
2-15
Quadrennial Report
The quadrennial report contains four years of data
compiled into the same categories as the annual
evaluation. However, the quadrennial report provides
additional information regarding whether the
department complies with 1710’s performance
objectives. This information must be reported according
to the three basic operational components found in the
1710 standard. Just as described in the department’s
organizational statement, these components include
staffing, deployment and time. You assess each
component, reporting them separately in the quadrennial
report.
2-16
ANALYZING STAFFING, DEPLOYMENT AND TIME
With an overview in Section 2 of what’s required for compliance, and the
three-phase process for ensuring system quality, your next step is to begin
Phase I, analyzing staffing, deployment and time.
Overview
As explained in Section 2, to ensure quality operations you can follow this
three-phase process:
To evaluate your compliance with the 1710 standard you analyze three
aspects of your operation:
• staffing
• deployment
• time
These annual evaluations are necessary to determine if your operation
meets the performance objectives in 1710.
• On-duty staffing
• Company units and supervision
• Supervisory chief officers
• Operating units, engine companies
• Operating units, ladder companies
• Operating units, other companies
• Operating units, quint companies
• EMS response staffing
• EMS transport staffing
• Airport rescue and fire-fighting services
• Special operations
• Marine rescue and fire-fighting services
• Wildland fire suppression services
3-1
In this section you analyze each of these components Section 5.2.2.2 and Subsections
and the services they represent, in light of 1710:
Fire companies whose primary functions are to perform
• Standard—The exact language in the standard the variety of services associated with truck work, such
as forcible entry, ventilation, search and rescue, utility
• Intent—A plain English translation of the standard
control, illumination, overhaul and salvage work, shall
• Evaluation Method—Tool or method used to evaluate be known as ladder or truck companies. These
the department in light of the standard companies shall be staffed with a minimum of four on-
duty personnel. In jurisdictions with tactical hazards,
• Plan for Compliance—The departmental changes
needed to comply high hazard occupancies, high incident frequencies,
geographical restrictions, or other pertinent factors as
On-Duty Staffing identified by the authority having jurisdiction, these
Standard companies shall be staffed with a minimum of five or six
on-duty personnel.
Section 5.2.1.1
Section 5.2.2.3 and Subsections
On-duty fire suppression personnel shall be comprised of
the numbers necessary for fire-fighting performance Other types of companies equipped with specialized
relative to the expected fire-fighting conditions. These apparatus and equipment shall be provided to assist
numbers shall be determined through task analysis that engine and ladder companies where deemed necessary
take the following factors into consideration: as part of established practice. These companies shall be
staffed with a minimum number of on-duty personnel as
1. Life hazard to the populace protected
required by the tactical hazards, high hazard
2. Provisions of safe, effective and efficient fire occupancies, high incident frequencies, geographical
suppression operations for the fire fighters restrictions, or other pertinent factors as identified by
3. Potential property loss the authority having jurisdiction.
3-3
Plan for Compliance Evaluation Method
Develop a plan to achieve and maintain on-duty staffing Assess for:
at sufficient levels by accomplishing the following:
1. Presence of company members assigned to equipped
• Detail capital equipment and personnel additions response apparatus
necessary to meet 1710 performance objectives
2. Staffing levels that meet company and initial response
• Determine costs for necessary resource additions, requirements outlined in 5.2.3
both capital equipment and personnel
3. Presence of company officer for each company
• Consider timeframe for implementing necessary
changes Plan for Compliance
Develop a plan to achieve and maintain on-duty staffing
• Consider standard operating procedure (SOP) changes
at sufficient levels, and ensure company officers are in
for staffing and deployment
place on each incident by considering the following:
• Consider personnel training implications
• Detail capital equipment and personnel additions
Staffing: Company Units and Supervision necessary to meet 1710 performance objectives
On-duty personnel assigned to fire suppression shall be • Consider timeframe for implementing necessary
organized into company units and shall have appropriate changes
apparatus and equipment assigned to such companies.
• Consider SOP changes for staffing and deployment
Section 5.2.1.2.1
• Consider personnel training implications
The fire department shall identify minimum company Staffing: Supervisory Chief Officers
staffing levels as necessary to meet the deployment
criteria required in 5.2.3 to ensure that a sufficient Standard
number of members are assigned, on-duty, and available Section 5.2.1.2.3
to safely and effectively respond with each company.
Supervisory chief officers shall be dispatched or notified
Section 5.2.1.2.2 to respond to all full-alarm assignments.
Each company shall be led by an officer who shall be Section 5.2.1.2.4
considered part of the company.
The supervisory chief officer shall ensure that the
incident management system is established as required
Intent
in Section 6.2.
On-duty personnel must be organized into company
units assigned to apparatus with a specific function. For Section 5.2.1.2.5
example, truck companies typically provide building Supervisory chief officers shall have staff aides deployed
access, victim search and rescue, ventilation of fire to them for purposes of incident management and
gases/smoke and perform overhaul and salvage work. accountability at emergency incidents.
Engine companies typically provide fire suppression
efforts to control fire extension, protect routes of egress Intent
for trapped victims and ultimately extinguish the fire as Ensure that an incident management system is
close to its origin as possible in addition to conducting implemented and managed appropriately. Ensure the
search and rescue work. supervisory chief officer has an aide available to assist
with effective on-scene management of an incident.
3-4
Evaluation Method The 1710 Standard provides
Assess dispatch protocols, SOPs and for an exception that allows FIGURE 3-1. COMPANY DEFINITION
response logs. A supervisory chief departments to use a
officer must respond to all initial multiple apparatus
full-alarm incidents and must have at configuration to be a
Engine
least one aide deployed. company for emergency
response if “multiple
Plan for Compliance apparatus are assigned
Develop SOPs requiring dispatch of that are dispatched and
a supervisory chief officer and arrive together, FF FF FF Officer
3-5
rescue, utility control, illumination, overhaul and salvage restrictions), staff ladder companies with five or six
work, shall be known as ladder or truck companies. personnel.
These companies shall be staffed with a minimum of
four on-duty personnel. In jurisdictions with tactical Plan for Compliance
hazards, high hazard occupancies, high incident Develop a plan to achieve and maintain ladder company
frequencies, geographical restrictions, or other pertinent staffing at a minimum of four personnel, including one
factors as identified by the authority having jurisdiction, officer, or in high-risk areas, five or six personnel,
these companies shall be staffed with a minimum of five including one officer.
or six on-duty members.
Staffing: Other Companies
Intent Standard
Ensure ladder companies are staffed based on minimum Section 5.2.2.3 and Subsections
levels for emergency operations for safety, effectiveness
Other types of companies equipped with specialized
and efficiency. The 1710 standard ladder company
apparatus and equipment shall be provided to assist
performance objective requires a minimum of four on-
engine and ladder companies where deemed necessary
duty personnel. A company always consists of at least
as part of established practice. These companies shall be
one officer and three fire fighters who respond on one
staffed with a minimum number of on-duty personnel as
piece of apparatus.
required by the tactical hazards, high hazard
The 1710 Standard provides for an exception that allows occupancies, high incident frequencies, geographical
departments to use a multiple apparatus configuration to restrictions, or other pertinent factors as identified by
be a company for emergency response if “multiple the authority having jurisdiction.
apparatus are assigned that are dispatched and arrive
together, continuously operate together and are managed Intent
by a single company officer.” Ensure companies supporting engine and/or ladder
The intent of this exception is that multiple apparatus company operations are staffed based on minimum
responding to an emergency incident originate from the levels for emergency operations for safety, effectiveness
same location and are considered to be a single and efficiency. The 1710 standard fire company
company (staffed as defined in Section 5.2.2). The staff performance objective requires at least one officer.
on the apparatus is expected to operate as teams so as The 1710 Standard provides for an exception that allows
to be safe, effective and functional. departments to use a multiple apparatus configuration to
Today some departments may dispatch multiple be a company for emergency response if “multiple
companies from different locations and consider them a apparatus are assigned that are dispatched and arrive
company. This does not meet the performance objectives together, continuously operate together and are managed
of the standard. The optimal performance objective by a single company officer.”
outlined in the definition of a company is to staff four The intent of this exception is that multiple apparatus
personnel on a single apparatus. The department should responding to an emergency incident originate from the
develop a reasonable plan to achieve this objective. same location and are considered to be a single
company (staffed as defined in Section 5.2.2). The staff
Evaluation Method on the apparatus is expected to operate as teams so as
Assess daily ladder company staffing levels: to be safe, effective and functional.
1. Staff ladder companies with four personnel including Today some departments may dispatch multiple
an officer. companies from different locations and consider them a
2. Evaluate SOPs to determine the ability for ladder company. This does not meet the performance objectives
companies to achieve on-scene tasks. of the standard. The optimal performance objective
outlined in the definition of a company is to staff four
3. In areas with associated high risks to both personnel personnel on a single apparatus. The department should
and citizens (such as tactical hazards or geographical develop a reasonable plan to achieve this objective.
3-6
Evaluation Method apparatus are assigned that are 3. If the company is expected to
Assess staffing levels for companies dispatched and arrive together, perform multiple roles
supporting engine or ladder continuously operate together and simultaneously, additional staffing,
company operations. Include an are managed by a single company above the levels specified in 5.2.2,
officer and a minimum of four officer.” shall be provided to ensure that
personnel to safely support engine those operations can be
The intent of this exception is that
and ladder operations as described performed safely, effectively and
multiple apparatus responding to an
in Section 5.2.2.3. efficiently.
emergency incident originate from
the same location and are
Plan for Compliance Plan for Compliance
considered to be a single company
Develop a plan to achieve and Develop a plan to achieve and
(staffed as defined in Section 5.2.2).
maintain all company staffing at a maintain quint company staffing at a
The staff on the apparatus is
minimum of four personnel, minimum of four personnel,
expected to operate as teams so as
including one officer, or in high-risk including one officer, or five to eight
to be safe, effective and functional.
areas, five or six personnel, personnel including one officer if the
including one officer. Today some departments may company is expected to perform
dispatch multiple companies from multiple roles. Implement SOPs for
Staffing: Quint Apparatus different locations and consider the functioning of quints.
Companies them a company. This does not meet
Staffing: EMS
Standard the performance objectives of the
standard. The optimal performance Standard
Section 5.2.2.4
objective outlined in the definition of Section 5.3.3.3 and Subsections
Fire companies that deploy with a company is to staff four personnel
quint apparatus, designed to operate on a single apparatus. The On-duty EMS units shall be staffed
as either an engine company or a department should develop a with the minimum numbers of
ladder company, shall be staffed as reasonable plan to achieve this personnel necessary for emergency
specified in 5.2.2. If the company is objective. medical care relative to the level of
expected to perform multiple roles EMS delivery provided by the fire
The 1710 standard quint company department. EMS staffing
simultaneously, additional staffing,
performance objective requires that requirements shall be based on the
above the levels specified in 5.2.2,
if the quint company is expected to minimum levels needed to provide
shall be provided to ensure that
perform multiple roles, meaning patient care and member safety.
those operations can be performed
both engine and truck work Units that provide emergency
safely, effectively and efficiently.
simultaneously, then additional medical care shall be staffed at a
Intent personnel are required to minimum with personnel that are
accomplish on-scene tasks. trained to the first responder/AED
Ensure that quint apparatus
companies are staffed based on level. Units that provide BLS
Evaluation Method
minimum levels for emergency transport shall be staffed and trained
Assess staffing levels for quint at the level prescribed by the state or
operations for safety, effectiveness
companies: provincial agency responsible for
and efficiency, and that they are
operated as either an engine or a 1. Maintain and include a minimum providing emergency medical
ladder company. The 1710 standard of four personnel including an services licensing. Units that provide
fire company performance objective officer. ALS transport shall be staffed and
requires at least one officer. trained at the level prescribed by the
2. If the quint companies are
state or provincial agency
The 1710 Standard provides for an expected to perform multiple roles
responsible for providing emergency
exception that allows departments (for example, truck and engine
medical services licensing.
to use a multiple apparatus duties), staff them with greater
configuration to be a company for than four personnel.
emergency response if “multiple
3-7
Intent 3. All BLS and ALS units required for appropriate
Ensure responding EMS units are staffed based on deployment of EMS response services, both response
minimum levels of appropriately trained personnel and transport services (5.3.3.4), are staffed with BLS
needed to provide patient care at a level selected by the or ALS personnel respectively, to provide services set
department while providing for member safety. Units forth in the department’s organizational statement.
that respond to provide emergency medical care must be Appropriate deployment for ALS responses includes
staffed at a minimum with personnel trained to the first the capability to deploy a minimum of two members
responder/AED level. If the department chooses to trained as emergency medical technician—paramedic
provide EMS at a higher level (BLS or ALS), then units level and two members trained at emergency medical
that respond to deliver BLS care must be staffed and technician—basic level within eight minutes (480
trained at levels prescribed by the state or provincial seconds) (5.3.3.4.4).
government licensing agency responsible for emergency
medical services. Units that respond to deliver ALS care Plan for Compliance
must provide two paramedics and two EMTs on scene. Develop a plan to achieve and maintain EMS staffing at
The standard does not require that the two paramedics levels appropriate on all fire department apparatus.
arrive on the same vehicle. Units that provide BLS or Maintain personnel training at levels commensurate with
ALS transport must be staffed and trained at levels the EMS service level provided by the department.
prescribed by the state or provincial government agency Maintain adequate numbers of trained personnel to
responsible for providing emergency medical services avoid reducing EMS service levels.
licensing. Staffing: EMS (ALS Deployment)
3-8
Evaluation Method deployment may vary, several key the total number of incidents, you
Assess daily staffing and personnel components are universal: can evaluate compliance with
training levels. Examine dispatch Section 5.3.3.4.3.
• Identifying and inputting
archives or CAD data to identify reasonable and prudent travel Combination of CAD Data and
response times for both the BLS speeds for every road segment to Computer Modeling
initial responders within four be traveled
minutes (240 seconds) 90% of the By assessing a blend of actual CAD
time and ALS personnel within eight • Identifying and inputting unit data in conjunction with computer-
minutes (480 seconds) 90% of the locations modeled projected response
time. Based on data collected or capabilities, you can develop a better
• Inputting an eight-minute (480-
archived, you may identify those assessment of appropriate
second) response time
cases when a total of four deployment. By using a GIS system
performance objective
personnel—two BLS and two ALS— to graphically represent the area
With this information, a GIS system covered by the authority having
were available on scene.
can identify those roads covered by jurisdiction, and to project road
There are at least three evaluation fire department ALS responders structure coverage meeting
methods you can use for assessing within eight minutes (480 seconds), performance objectives found in this
compliance with this requirement: based on reasonable and prudent standard, you may superimpose
road speeds and other factors. actual incident locations on a map.
• CAD data review
This method alone assesses road Furthermore, you can identify both
• Computer modeling
structure coverage by projecting a where response times have been
• A blend of both historical data and percentage of road segments that appropriate in the past and where
computer modeling may be reached within the they may fail to meet performance
CAD Data Review (Assessing Actual designated time frame. This measure objectives in the future. Identify
Responses) is a proxy for addresses that may be incidents with appropriate response
reached within the same time limits. times differently from incidents for
Response times for ALS units, as
This measure is also a projection of which response times failed to meet
recorded by the CAD system, can be
response capabilities rather than of performance objectives. Clearly label
sorted based on response times. By
actual responses. projected road structure coverage
identifying those emergency
A basic alternative to a GIS areas with respect to the response
incidents with response times fewer
computer model is an actual driving time parameters used.
than eight minutes (480 seconds)
and expressing this group as a assessment of coverage areas. Have Incidents with inadequate response
percentage of the total number of a vehicle travel at reasonable and times that fall outside projected
EMS capable unit response times, prudent speed from each station, coverage areas need either
you can evaluate compliance with along each travel route available to additional resources deployed to
this requirement. If less than 90% of that station. Mark a map with eight cover those areas or current
all emergency incidents received an minute (480 second) travel limits resources redeployed in an attempt
ALS unit within eight minutes (480 based on roads actually traveled to better cover incidents in those
seconds) response time, this within this time requirement. By areas.
requirement is unmet. combining a map of incident
The advantage of this combination
locations with a map showing eight
Computer Modeling (Assessing approach is the ability to model
minute (480 second) coverage areas,
Projected Capability) proposed changes on a computer in
you may identify those areas
advance of actual deployment
By using a geographic information currently receiving ALS responders
changes, ensuring that any changes
system (GIS), you can model within the required time frame. By
will allow the department to meet
response capabilities in the absence expressing those incidents falling
performance objectives.
of actual CAD data. Although the within eight minute (480 second)
tools or software used to model coverage areas as a percentage of
3-9
Cardiac Arrest Survival Model
FIGURE 3-3. CARDIAC ARREST SURVIVAL RATE
One example of how this combination approach works
is a cardiac arrest survival predictive model, based on
the research of Dr. M.S. Eisenberg. The formula uses
cardiac arrest response data to model waves of
predicted patient survival geographically, based on the
point of origin and response capability of the advanced
life support response vehicles.
3-10
Plan for Compliance Intent • Cost-out necessary resource
Develop a plan to achieve and Ensure sufficient fire personnel are additions, both capital equipment
maintain EMS first responder and on-duty to allow for safe fire fighter and personnel
BLS/ALS unit staffing at levels performance on the fireground,
• Consider timeframe for
appropriate to ensure efficient, based on a task analysis, and to
implementing necessary changes
effective and safe EMS operations. ensure efficient, appropriate staff
Maintain personnel training at levels available to provide safe and • Consider SOP changes for staffing
necessary for the EMS service effective EMS services. and deployment
provided by the department.
• Consider personnel training
Maintain adequate numbers of Evaluation Method
implications
trained personnel to avoid reducing Staff airport fire department ARFF
EMS service levels as a result of companies as required by NFPA 403, Staffing: Marine Rescue and
personnel shortages. To accomplish Standard for Aircraft Rescue and Fire-Fighting (MRFF) Services
these plans, consider the following Fire Fighting Services at Airports. Standard
issues: Base the evaluation of ARFF Section 5.6.4 and Subsections
operations on requirements found in
•cost of necessary system On-duty marine personnel shall be
this standard. Airport fire
enhancements, including personnel comprised of the numbers necessary
department companies that respond
and capital equipment, to meet for safe and effective fire-fighting
to structural incidents must meet the
EMS performance objectives performance relative to the expected
staffing requirements found in
MRFF conditions. These numbers
• EMS training for all fire section 5.2.1 of NFPA 1710. Airport
shall be determined through task
department members, including fire department companies that
analysis as required for types of
continuing education components respond to EMS incidents must meet
marine vessels and through
the staffing requirements found in
• timeframe for acquisition and additional task analysis that take the
implementation of resource Section 5.3.3.3. This section specifies
following factors into consideration:
enhancements transport staffing levels and
(1) life hazard to the populace
response levels as established in
Staffing: Airport Rescue and protected, (2) provisions of safe and
Section 5.3 of NFPA 1710, or as
Fire-Fighting Services effective fire-fighting performance
required by the state or provincial
conditions for the fire fighters, (3)
Standard agency responsible for providing
potential property loss, (4) nature,
emergency medical services. Large-
Section 5.5.5 and Subsections configuration, hazards and internal
scale incidents must also include a
protection of the properties
Airport fire department ARFF supervisory chief officer (NFPA
involved, (5) types of tactics and
companies shall be staffed as 1710, Section 5.2.3.2.2), aide, and a
evolutions employed as standard
required by NFPA 403, Standard for safety officer (NFPA 1710, Section
procedure, type of marine vessel
Aircraft Rescue and Fire-Fighting 6.1).
used and results expected to be
Services at Airports. Airport fire
obtained at the fire scene, (6)
companies that deploy to structural Plan for Compliance
requirements of the regulatory
incidents on airport property shall Develop a plan to achieve and
authorities having jurisdiction over
meet the staffing requirements of maintain on-duty staffing at
navigable waters, ports and harbors.
5.2.1. Airport fire companies that sufficient levels to meet staffing
On-duty personnel assigned to
deploy to emergency medical requirements referenced in
marine fire fighting shall be
incidents on airport property shall applicable portions of NFPA 1710,
organized into company units and
meet the staffing requirements of Sections 5.2 and 5.3, by taking the
shall have appropriate vessels and
5.3.3.3. following actions:
equipment assigned to such
• Detail capital equipment and companies. Each marine company
personnel additions necessary to shall be led by an officer who shall
meet 1710 performance objectives be considered part of the company.
3-11
Intent Each company shall be led by an officer who shall be
Ensure sufficient marine personnel are on-duty to allow considered a part of the company. Supervisory chief
for safe fire fighter performance in expected MRFF fire- officers shall be dispatched or notified to respond to all
fighting conditions, based on a task analysis. full-alarm assignments. The supervisory chief officer
shall ensure that the incident management system is
Evaluation Method established as required in Section 6.2.
Because the numbers of marine personnel are
determined through task analysis, evaluation of staffing Intent
can be undertaken only with an understanding of those Ensure sufficient wildland fire-fighting personnel are on-
tasks in which the MRFF plan to engage. For example, if duty to allow for safe fire fighting performance relative
a marine fire fighting operation requires an exterior to the expected wildland fire fighting conditions.
application of extinguishing agent, fewer personnel may Evaluation Method
be required than for a shipboard direct attack. At a
minimum, on-duty personnel assigned to marine fire Because the numbers of wildland fire fighting personnel
fighting must be organized into company units. are determined through task analysis, any evaluation of
Evaluation for the presence or absence of company units staffing must be completed by considering these factors:
with an associated company officer is one measure for 1. Life hazard to the populace protected
complying with Section 5.6.4.2.
2. Provision of safe and effective fire-fighting
Plan for Compliance performance conditions for the fire fighters
Develop a plan to achieve and maintain on-duty staffing 3. The number of trained response personnel available to
at levels sufficient to meet the staffing needs identified the department including mutual aid services
by a MRFF task analysis. Include the deployment of
4. Potential property loss
organized companies supervised by company officers.
Take the following actions: 5. Nature, configuration, hazards and internal protection
of the properties involved
• Detail capital equipment and personnel additions
necessary to meet 1710 performance objectives 6. Types of wildland tactics and evolutions employed as
standard procedure
• Cost-out necessary resource additions, both capital
equipment and personnel 7. Type of apparatus used
• Consider timeframe for implementing necessary 8. Topography, vegetation and terrain in the response
changes areas.
• Consider SOP changes for staffing and deployment A supervisory chief officer must respond to all full alarm
wildland fire fighting efforts.
• Consider personnel training implications
Staffing: Wildland Fire Suppression Services Plan for Compliance
Develop a plan to achieve and maintain on-duty staffing
Standard
at sufficient levels to meet the staffing needs identified
Section 5.7.4 and Subsections by a wildland fire fighting task analysis, to include the
On-duty wildland fire-fighting personnel shall be deployment of organized companies supervised by
comprised of the numbers necessary for safe and company officers.
effective fire-fighting performance relative to the
expected wildland fire-fighting conditions. On-duty
personnel assigned to wildland operations shall be
organized into company units and shall have appropriate
apparatus and equipment assigned to such companies.
3-12
Task: Analyzing Evaluation Method(s) • Identifying and inputting
Deployment This performance objective states reasonable and prudent travel
that the initial arriving company speeds for every road segment to
In the next part of Phase 1 you
should arrive at 90% of all incidents be traveled
review the deployment component,
within four minutes (240 seconds) of
which involves the sufficient • Identifying and inputting company
departing the assigned station. This
response of staffed resources— locations
is the actual company response time.
vehicles and equipment. • Inputting an eight-minute (480-
There are at least three evaluation
Deployment: Initial Arriving second) response time restriction
methods you can use for assessing
Company With this information, a GIS system
compliance with this performance
Standard objective: can identify those roads covered by
at least one fire company within four
Section 5.2.3.1 and subsection • CAD data review minutes (240 seconds), based on
The fire department’s fire • Computer modeling reasonable and prudent road speeds
suppression resources shall be or other factors.
deployed to provide for the arrival of • A blend of both historical data and
computer modeling This method alone assesses road
an engine company within a four-
structure coverage by projecting a
minute response time and/or the CAD Data Review (Assessing Actual
percentage of road segments that
initial full-alarm assignment within Responses)
may be reached within the
an eight-minute (480-second)
Response times for initial arriving designated time frame. This measure
response time to 90 percent of the
companies, as recorded by the CAD is a proxy for addresses that may be
incidents as established in Chapter 4
system, can be sorted based on reached within the same time limits.
(of NFPA 1710). Personnel assigned
response times. By identifying those This measure is also a projection of
to the initial arriving company shall
emergency incidents with company response capabilities rather than of
have the capability to implement an
response times fewer than four actual responses.
initial rapid intervention crew
minutes (240 seconds) and
(IRIC). A basic alternative to a GIS
expressing this group as a
computer model is an actual driving
percentage of the total number of
Intent assessment of coverage areas. Have
emergency responses, you can
Ensure the initial arriving company a vehicle travel at reasonable and
evaluate compliance with this
(see Figure 3-4) arrives on the scene prudent speed from each station,
performance objective. If less than
with adequate staffing to safely and along each travel route available to
90% of all emergency incidents
effectively begin immediate that station. Mark a map with four
received an initial arriving company
fireground operations while fires are minute (240 second) travel limits
within a four minute (240 second)
still at a manageable stage. Allow the based on roads actually traveled
response time, this performance
initial company to provide critical within this time performance
objective is unmet.
interventions including protection of objective. By combining a map of
egress points and exposures and to Computer Modeling (Assessing incident locations with a map
effect quick victim rescue until the Projected Capability) showing four minute (240 second)
remainder of the initial full-alarm By using a geographic information coverage areas, you may identify
assignment arrives. system (GIS), you can model those areas currently receiving fire
response capabilities in the absence companies within the required time
of actual CAD data. Although the frame. By expressing those incidents
software used to model deployment falling within four minute (240
may vary, several key components second) coverage areas as a
are universal: percentage of the total number of
incidents, you can evaluate
compliance with NFPA 1710, Section
5.2.3.1.
3-13
Combination of CAD Data and Computer Modeling Plan for Compliance
The best assessment of appropriate deployment can be Develop a plan to achieve and maintain on-duty staffing
developed by combining actual CAD data with computer and company deployment at sufficient levels so that
modeled projected response capabilities. By using a GIS companies responding on an initial alarm arrive on the
system to graphically represent the area covered by the scene within four minutes (240 seconds) for 90% of all
authority having jurisdiction and to project road such emergency incidents.
structure coverage meeting performance objectives Deployment: Initial Full-Alarm Assignment
found in this standard, you may superimpose actual
incident locations on a map identifying both where Standard
response times have been appropriate in the past and Section 5.2.3.2.1
where they may fail to meet performance objectives in
The fire department shall have the capability to deploy
the future. Incidents with appropriate response times
an initial full-alarm assignment with an eight-minute
may be identified differently from incidents for which
response time to 90 percent of the incidents as
response times failed to meet performance objectives.
established in Chapter 4 (NFPA 1710).
FIGURE 3-4. INITIAL ARRIVING COMPANY
Intent
Ensure companies arrive on the scene
as part of an initial full-alarm
assignment within eight minutes (480
seconds), and with adequate staffing
and equipment to safely, efficiently and
Engine effectively manage the fire incident.
4 Minutes Evaluation Method(s)
FF FF FF Officer
3-14
CAD Data Review (Assessing Actual By identifying those incidents with This method alone assesses road
Responses) initial full-alarm assignment structure coverage by projecting a
response times fewer than eight percentage of road segments that
Response times for a combination of
minutes (480 seconds) and may be reached within the
required companies, an initial full-
expressing this group as a designated time frame. This measure
alarm assignment, as recorded by
percentage of the total number of is a proxy for addresses that may be
the CAD system can be sorted based
initial arriving company arrival reached within the same time limits.
on the time of the first company
times, you can evaluate compliance This measure is also a projection of
departure to the arrival of the last
with this performance objective. If response capabilities rather than of
required company.
less than 90% of all incidents actual responses.
On-scene operations for an initial received a full-alarm assignment on
The GIS modeling of initial full-alarm
full-alarm assignment require the scene within a four minute (240
assignment coverage areas is
apparatus, equipment and personnel second) response time, this
complex. Because a minimum of two
sufficient to do the following: performance objective is unmet.
engine companies is required to
a. establish incident command Additionally, if the number of
address water supply, fire attack and
outside of the hazard area personnel arriving with these
IRIC establishment, the next step of
companies is inadequate to complete
b. establish an uninterrupted water a GIS assessment is to identify those
all the tasks identified, this
supply, 400 gpm for 30 minutes areas capable of receiving a
performance objective is unmet.
minimum of two engine companies
c. establish of an effective water Computer Modeling (Assessing within eight minutes (480 seconds).
flow application rate from two Projected Capability) When eight-minute (480-second),
handlines, each with a minimum ladder coverage area intersects two-
capacity of 100 gpm, and operated By using a geographic information
engine coverage areas, all but two of
by a minimum of two personnel system (GIS), you can model
the performance objectives in NFPA
each response capabilities in the absence
1710 Section 5.2.3.2.2 may be met.
of actual CAD data. Although the
d. provide one support person for By further intersecting eight-minute
software used to model deployment
each line (480-second) two-engine one-ladder
may vary, several key components
coverage areas with eight-minute
e. assign a minimum of one victim are universal:
(480-second) chief officer and aide
search and rescue team consisting
• Identifying and inputting coverage areas, you can identify the
of two members reasonable and prudent travel eight-minute (480-second) initial full-
f. assign a minimum of one speeds for every road segment to alarm assignment coverage area.
ventilation team consisting of two be traveled Incidents requiring an initial full-
personnel alarm assignment that fall outside
• Identifying and inputting company
locations the modeled coverage areas fail to
g. if an aerial device is used in
meet this performance objective.
operations, provide one person to
• Inputting an eight-minute (480-
maintain primary control of the second) response time restriction A similar routine can be applied to
aerial device at all times the process of assessing those areas
With this information, a GIS system where a minimum of 15-17 fire
h. establish an IRIC consisting of a can identify those roads covered by fighters and officers can arrive
minimum of two properly companies within eight minutes (480 within eight minutes (480 seconds)
equipped and trained personnel seconds), based on reasonable and response time. In this case, the total
prudent roads speeds or other number of available fireground
factors, the first step in initial full- personnel is being evaluated,
alarm assignment response regardless of the number or
assessment. configuration of arriving companies.
3-15
Incidents requiring 15-17 fire fighters and officers that Plan for Compliance
fall outside the modeled coverage areas fail to meet this All career fire departments must analyze initial full-alarm
performance objective. assignment coverage through either dispatch logs or
By combining a map of incident locations with a map computer modeling systems. If the performance
showing eight-minute (480-second) initial full-alarm objective is unmet, the plan for compliance will depend
assignment coverage areas, you may identify those areas on the resources available to the fire department. If
failing to receive adequate companies within the resources originating from current stations are
required time frame. By expressing those incidents determined to be the cause of extended response times,
falling within eight-minute (480-second) coverage areas consider additional stations, strategically located to
as a percentage of the total number of incidents, you can reduce response times to eight minutes (480 seconds) or
evaluate compliance with NFPA 1710, Section 5.2.3.2. fewer. If required apparatus from current stations are
not available to respond and arrive within eight minutes
Combination of CAD Data and Computer Modeling (480 seconds) of station departure, then consider
The best assessment of appropriate deployment can be additional apparatus. If response times do meet this
developed by combining actual CAD data with computer performance objective but company staffing prohibits
modeled projected response capabilities. By using a GIS the completion of essential tasks, adjust staffing to
system to graphically represent the area covered by the accomplish on-scene tasks. Figure 3-5 illustrates an
authority having jurisdiction and to project road assessment of fireground staffing compliance.
structure coverage meeting performance objectives Deployment: Additional Alarm Assignments
found in this standard, you may superimpose actual
incident locations on a map identifying both where Standard
response times have been appropriate in the past and Section 5.2.3.3 and Subsections
where they may fail to meet performance objectives in
The fire department shall have the capability for
the future. Incidents with appropriate response times
additional alarm assignments that can provide for
may be identified differently from incidents for which
additional personnel and additional services, including
response times failed to meet performance objectives.
the application of water to the fire; engagement in search
Clearly label projected road structure coverage areas in and rescue, forcible entry, ventilation and preservation
respect to the response time parameters used. Incidents of property; accountability for personnel; and provision
identified as having inadequate response times that fall of support activities for those situations that are beyond
outside projected coverage areas indicate a need for the capability of the initial full-alarm assignment. When
either additional resources to be deployed to cover those the incident escalates beyond an initial full-alarm
areas or current resources redeployed. assignment or when significant risk is present to fire
fighters because of the magnitude of the incident, the
The advantage of this combination approach is the
incident commander shall upgrade the IRIC to a full
ability to model proposed changes on the computer in
rapid intervention crew(s) (RIC) that consists of four
advance of actual deployment changes. This approach
fully-equipped and trained fire fighters.
also ensures that changes will allow the department to
meet performance objectives. An incident safety officer shall be deployed to all
incidents that escalate beyond an initial full-alarm
Using any of these evaluation methods, you must
assignment or when significant risk is present to fire
demonstrate that initial full-alarm assignments, capable
fighters. The incident safety officer shall ensure that the
of completing all required fireground tasks including the
safety and health system is established as required in
implementation an initial rapid intervention crew (IRIC),
Section 6.1 (NFPA 1710).
arrive within eight minutes (480 seconds) for 90% of all
such emergency incidents.
3-16
Intent specified time limit for providing beyond the initial full-alarm
Ensure the availability of additional these resources has been specified. assignment, and also those that
personnel, apparatus and support For this reason, department received additional apparatus and
resources to supplement initial evaluation is limited to the presence personnel, you may express as a
alarm assignments for those or absence of resources available to percentage those larger incidents
situations that are beyond the supplement an initial alarm that required additional resources
capability of the initial full-alarm assignment. and actually received additional
assignment. Additionally, this section alarm assignments.
There are at least three evaluation
requires the IRIC be upgraded to a methods you can use for assessing Computer Modeling (Assessing
full four-person rapid intervention compliance with this requirement: Projected Capability)
crew(s) for incidents escalating
beyond the initial full-alarm • CAD data review By using a geographic information
assignment. This section also system (GIS), you can model
• Computer modeling
requires that this level of incident response capabilities in the absence
include a safety officer who ensures • A blend of both historical data and of actual CAD data. The same data
computer modeling input routines are required as for
establishment of a safety and health
system on scene. CAD Data Review (Assessing Actual Initial Full-alarm assignment
Responses) evaluation. However, in this case the
Evaluation Method(s) model is queried to identify those
As with Initial Full-alarm areas that can receive additional
Although this performance objective
assignment, CAD system data can be units, above and beyond an initial
states that the department should
sorted based on the level of the full-alarm assignment, within a
have the capability for providing
incident. By identifying those department-selected time frame.
additional alarm assignments beyond
emergency incidents escalating
the initial full-alarm assignment, no
3-17
This method alone assesses road structure coverage by Plan for Compliance
projecting a percentage of road segments that may be All career fire departments must analyze the capacity to
reached within the designated time frame. This measure provide additional resources above and beyond the
is a proxy for addresses that may be reached within the initial full-alarm assignment through either dispatch logs
same time limits. This measure is also a projection of or computer modeling systems. If the performance
response capabilities rather than of actual responses. objective cannot be met, the plan for compliance will
The GIS modeling of additional alarm assignments depend on the resources available to the fire
involves intersecting the previously identified initial full- department. If resources originating from current
alarm assignment with selected additional resources stations are determined to be the cause of extended
such as one additional engine or ladder company or response times, consider additional stations, strategically
safety officer response. Incidents requiring additional located to reduce response times. If apparatus from
initial full-alarm assignment resources that fall outside current stations are not available to respond and arrive
the modeled coverage areas fail to meet the department- in a timely fashion, consider additional apparatus. If
selected performance objective. apparatus are available but staffing prohibits the
establishment of minimum company staffing to
Combination of CAD Data and Computer Modeling accomplish on-scene tasks, consider additional on-duty
The best assessment of appropriate deployment can be personnel. If no plan is in place ensuring the provision of
developed by combining actual CAD data with computer an on-scene safety officer, prepare a plan. To accomplish
modeled projected response capabilities. By using a GIS these goals, take the following actions:
system to graphically represent the area covered by the
• Detail capital equipment and personnel additions
authority having jurisdiction, as well as areas that may necessary to meet 1710 performance objectives
also be covered by outside jurisdictions, and to project
road structure coverage meeting performance objectives • Cost-out necessary resource additions, both capital
found in this standard, you may superimpose actual equipment and personnel
incident locations on a map identifying both where • Consider timeframe for implementing necessary
response times have been appropriate in the past and changes
where they may not meet performance objectives in the
future. • Consider SOP changes for staffing and deployment
Incidents with appropriate additional alarm resources • Consider personnel training implications
may be identified differently from incidents for which Deployment: BLS EMS Service Delivery
additional alarm assignments failed to meet performance
Standard
objectives. Clearly label projected road structure
coverage by additional resources in respect to the Section 5.3.3.4.2
resource parameters used. Incidents identified as having The fire department’s EMS for providing first responder
inadequate additional alarm resources that fall outside with AED shall be deployed to provide for the arrival of
projected coverage areas indicate a need for either a first responder with AED company within a four-
additional resources to be deployed to cover those areas minute (240-second) response time to 90 percent of the
or current resources redeployed. incidents as established in Chapter 4 (NFPA 1710).
The advantage of this combination approach is the Section 4.3.2.1
ability to model proposed changes on the computer in
Where emergency medical services beyond the first
advance of actual deployment changes. This approach
responder with automatic defibrillator level are provided
also ensures that changes will allow the department to
by another agency or private organization, the authority
meet performance objectives. Using any of these
having jurisdiction, based on recommendations from the
evaluation methods, you must demonstrate that
fire department, shall include the minimum staffing,
resources are available to supplement the initial alarm
deployment and response criteria as required in Section
assignment.
5.3 in the following:
3-18
1. The fire department organizational Computer Modeling (Assessing coverage areas, you may identify
statement Projected Capability) those areas currently receiving
arriving units within the required
2. Any contract, service agreement, By using a geographic information
time frame. By expressing those
governmental agreement or system (GIS), you can model
incidents falling within four minute
memorandum of understanding response capabilities in the absence
(240 second) coverage areas as a
between the authority having of actual CAD data. Although the
percentage of the total number of
jurisdiction and the other agency software used to model deployment
incidents, you can evaluate
or private organization may vary, several key components
compliance with Section 5.3.3.4.2.
are universal:
Intent Combination of CAD Data and
• Identifying and inputting
Ensure the appropriate delivery of Computer Modeling
reasonable and prudent travel
time critical emergency medical speeds for every road segment to The best assessment of appropriate
services by career fire departments. be traveled deployment can be developed by
combining actual CAD data with
Evaluation Method(s) • Identifying and inputting unit
computer modeled projected
This performance objective states locations
response capabilities. By using a GIS
that the fire department EMS system • Inputting a four-minute (240- system to graphically represent the
for providing first responder with second) response time restriction area covered by the authority having
AED care should allow for unit jurisdiction and to project road
With this information, a GIS system
arrival at 90% of all incidents within structure coverage meeting
can identify those roads covered by
four minutes (240 seconds) of performance objectives found in this
EMS units within four minutes (240
departing the assigned station. standard, you may superimpose
seconds), based on reasonable and
There are at least three evaluation prudent road speeds or other actual incident locations on a map
methods you can use for assessing factors. identifying both where response
compliance with this requirement: times have been appropriate in the
This method alone assesses road past and where they may fail to meet
• CAD data review structure coverage by projecting a performance objectives in the future.
percentage of road segments that
• Computer modeling Incidents with appropriate response
may be reached within the times may be identified differently
• A blend of both historical data and designated time frame. This measure from incidents for which response
computer modeling is a proxy for addresses that may be times failed to meet performance
CAD Data Review (Assessing Actual reached within the same time limits. objectives.
Responses) This measure is also a projection of
response capabilities rather than of Clearly label projected road
Response times for arriving units, as structure coverage by units with
actual responses.
recorded by the CAD system, can be appropriate response times in
sorted based on response times. By A basic alternative to a GIS respect to the response times
identifying those incidents with computer model is an actual driving parameters used. Incidents identified
response times fewer than four assessment of coverage areas. Have as having inadequate response times
minutes (240 seconds) and a vehicle travel at reasonable and that fall outside projected coverage
expressing this group as a prudent speed from each station, areas indicate a need for either
percentage of the total number of along each travel route available to additional resources to be deployed
arriving unit response times, you can that station. Mark a map with four to cover those areas or current
evaluate compliance with this minute (240 second) travel limits resources redeployed.
performance objective. If less than based on roads actually traveled
within this time performance The advantage of this combination
90% of all incidents received an EMS
objective. By combining a map of approach is the ability to model
unit within a four minute (240
incident locations with a map proposed changes on the computer
second) response time, this
showing four minute (240 second) in advance of actual deployment
performance objective is unmet.
3-19
changes. This approach also ensures that changes will having jurisdiction, based on recommendations from the
allow the department to meet performance objectives. fire department, shall include the minimum staffing,
deployment and response criteria as required in Section
Using any of these evaluation methods, demonstrate that
5.3 in the following:
arriving units, capable of providing first responder/AED
or BLS care, arrive within four minutes (240 seconds) for • The fire department organizational statement
90% of all emergency incidents.
• Any contract, service agreement, governmental
agreement or memorandum of understanding between
Plan for Compliance
the authority having jurisdiction and the other agency
All career fire departments must analyze EMS unit
or private organization
response times through either dispatch logs or computer
modeling systems. If the performance objective is unmet, Intent
the plan for compliance will depend on the resources
Ensure the appropriate delivery of time critical advanced
available to the fire department. If resources deploying
life support (ALS) emergency medical services by career
from current stations are determined to be the cause of
fire departments.
extended response times, consider additional stations
located to reduce arriving unit response times to four Evaluation Method(s)
minutes (240 seconds) or fewer. If units from current
This performance objective states that when provided,
stations are unavailable to respond and arrive within
ALS should arrive at 90% of all incidents within eight
four minutes (240 seconds) of station departure,
minutes (480 seconds) of departing the assigned station.
consider additional units. If response times do meet this
performance objective but EMS staffing or lack of There are at least three evaluation methods you can use
training prohibits the delivery of EMS services, increase for assessing compliance with this requirement:
staffing to meet or exceed performance objectives. To
• CAD data review
accomplish these goals take the following actions:
• Computer modeling
• Detail capital equipment and personnel additions
necessary to meet 1710 performance objectives • A blend of both historical data and computer modeling
CAD Data Review (Assessing Actual Responses)
• Cost-out necessary resource additions, both capital
equipment and personnel Response times for ALS units, as recorded by the CAD
system, can be sorted based on response times. By
• Consider timeframe for implementing necessary
changes identifying those incidents with response times fewer
than eight minutes (480 seconds) and expressing this
• Consider SOP changes for staffing and deployment group as a percentage of the total number of EMS
• Consider personnel training implications capable unit arrival times, you can evaluate compliance
with this performance objective. If less than 90% of all
Deployment: ALS EMS Service Delivery
incidents received an ALS unit within an eight minute
Standard (480 second) response time, this performance objective
Section 5.3.3.4.3 is unmet.
When provided, the fire department’s EMS for providing Computer Modeling (Assessing Projected Capability)
ALS shall be deployed to provide for the arrival of an By using a geographic information system (GIS), you can
ALS company within an eight-minute (480-second) model response capabilities in the absence of actual
response time to 90% of the incidents, as established in CAD data. Although the software used to model
Chapter 4 (NFPA 1710). deployment may vary, several key components are
Section 4.3.2.1 universal:
Where emergency medical services beyond the first • Identifying and inputting reasonable and prudent
responder with automatic defibrillator level are provided travel speeds for every road segment to be traveled
by another agency or private organization, the authority • Identifying and inputting unit locations
3-20
• Inputting a eight-minute (480- Combination of CAD Data and Using any of these evaluation
second) response time restriction Computer Modeling methods, you must demonstrate that
ALS units capable of providing ALS
With this information, a GIS system The best assessment of appropriate
care, arrive within eight minutes
can identify those roads covered deployment can be developed by
(480 seconds) for 90% of all
ALS units within eight minutes (480 combining actual CAD data with
emergency incidents.
seconds), based on reasonable and computer modeled projected
prudent road speeds or other response capabilities. By using a GIS
Plan for Compliance
factors. system to graphically represent the
All career fire departments must
area covered by the authority having
This method alone assesses road analyze ALS unit response times
jurisdiction and to project road
structure coverage by projecting a through either dispatch logs or
structure coverage meeting
percentage of road segments that computer modeling systems. If the
performance objectives found in this
may be reached within the performance objective is unmet, the
standard, you may superimpose
designated time frame. This measure plan for compliance will depend on
actual incident locations on a map
is a proxy for addresses that may be the resources available to the fire
identifying both where response
reached within the same time limits. department. If resources deploying
times have been appropriate in the
This measure is also a projection of from current stations are determined
past and where they may fail to meet
response capabilities rather than of to be the cause of extended
performance objectives in the future.
actual responses. response times, consider additional
Incidents with appropriate response
stations, located to reduce ALS unit
A basic alternative to a GIS times may be identified differently
response times to eight minutes (480
computer model is an actual driving from incidents for which response
seconds) or fewer. If units from
assessment of coverage areas. Have times failed to meet performance
current stations are not available to
a vehicle travel at reasonable and objectives.
respond and arrive within eight
prudent speed from each station,
Clearly label projected road minutes (480 seconds) of station
along each travel route available to
structure coverage by units with departure, then consider additional
that station. Mark a map with eight
appropriate response times in units. If response times do meet this
minute (480 second) travel limits
respect to the response time performance objective but ALS
based on roads actually traveled
parameters used. Incidents identified staffing or lack of training prohibits
within this time performance
as having inadequate response times the delivery of ALS services,
objective. By combining a map of
that fall outside projected coverage increase staffing to meet or exceed
incident locations with a map
areas indicate a need for either performance objectives. To
showing eight minute (480 second)
additional resources to be deployed accomplish these goals take the
coverage areas, you may identify
to cover those areas or current following actions:
those areas currently receiving ALS
resources redeployed.
units within the required time frame. • Detail capital equipment and
By expressing those incidents falling The advantage of this combination personnel additions necessary to
within eight minute (480 second) approach is the ability to model meet 1710 performance objectives
coverage areas as a percentage of proposed changes on the computer
the total number of incidents, you in advance of actual deployment • Cost-out necessary resource
additions, both capital equipment
can evaluate compliance with changes. This approach also ensures
and personnel
Section 5.3.3.4.3. that changes will allow the
department to meet performance • Consider timeframe for
objectives. implementing necessary changes
3-21
FIGURE 3-6. EMS SERVICE DELIVERY COMPLIANCE
Figure 3-6 illustrates an assessment of EMS service respond to emergency incidents beyond the first
delivery compliance. Figure 3-7 illustrates an assessment responder operations level for hazardous materials
of ALS response capability. response shall be trained to the applicable requirements
of NFPA 472, Standard for Professional Competence of
Special Operations: Organization and Resources
Responders to Hazardous Materials Incidents. All fire
Standard department members who are expected to respond to
Section 5.4 and Subsections emergency incidents beyond the confined space
operations level for confined space operations shall be
Special operations shall be organized to ensure that the
trained to the applicable requirements of NFPA 1670,
fire department’s special operations capability includes
Standard on Operations and Training for Technical
personnel, equipment and resources to deploy the initial
Rescue Incidents. The fire department shall have the
arriving company and additional alarm assignments
capacity to implement an RIC during all special
providing such services. The fire department shall be
operations incidents that would subject fire fighters to
permitted to use established automatic mutual aid or
immediate danger of injury, or in the event of equipment
mutual aid agreements to comply with the requirements
failure or other sudden events, as required by NFPA
of Section 5.4 (NFPA 1710). The fire department shall
1500, Standard on Fire department Occupational
adopt a special operations response plan and SOPs that
Safety and Health Program. If a higher level of
specify the role and responsibilities of the fire
emergency response is needed beyond the capability of
department and the authorized functions of members
the fire department for special operations, the fire
responding to hazardous materials emergency incidents.
department shall determine the availability of outside
All fire department members who are expected to
3-22
An additional performance objective,
FIGURE 3-7. ALS RESPONSE ASSIGNMENT in Section 5.4.5, includes the ability
of the fire department to provide for
a rapid intervention crew during all
special operations incidents that
would subject fire fighters to
immediate danger of injury, or in the
event of equipment failure or sudden
events, as required by NFPA 1500,
Standard on Fire department
Occupational Safety and Health
Program. Automatic mutual aid or
mutual aid agreements are permitted
as a mechanism to provide required
resources.
Example Incident:
Train Derailment with
Hazardous Materials
Involvement RADIOACTIVEI I I
Company Members
HOT
FLAMMABLE
GAS
WARM
5"
DECON
Pumper
Aerial
Pumper
Pumper
Squad EMS
OR
Pumper Pumper
Airport Rescue and Fire-Fighting Services: category as established by NFPA 403, Standard for
Organization and Resources Aircraft Rescue and Fire-Fighting Services at Airports.
Airport fire department companies equipped with
Standard
specialized apparatus and equipment shall be provided
Section 5.5 and Subsections to assist ARFF companies where deemed necessary as
Airport fire departments shall adopt operations response identified in 5.5.1. Airport fire department companies
plan and SOPs that specify the roles and responsibilities that deploy to structural incidents on airport property
for nonaircraft incidents as required by 5.1.2. Airport shall meet the response time requirements of 4.1.2.1.1.
rescue and fire fighting operations shall be organized to Airport fire department companies that deploy to
ensure that the fire department’s capability includes emergency medical incidents on airport property shall
personnel, equipment and resources to deploy the initial meet the response time requirements of 5.3.3.4. The
arriving company, the full-alarm assignment, and airport fire department shall be permitted to use
additional alarm assignments as required in 5.2.3. Airport established automatic mutual aid or mutual aid
fire departments shall have access to special tools, agreements to comply with the requirements of Section
equipment, supplies, personal protective equipment 5.5.
(PPE), and other airport resources that are required to
perform operations safely and effectively in their
assigned roles and responsibilities. The airport fire
department’s ARFF resources shall deploy the required
number of vehicles as required for the airport assigned
3-24
Intent Apparatus and personnel required Computer Modeling (Assessing
These sections address typical fire based on the nature of an emergency Projected Capability)
department operations at an airport must include sufficient resources
By using a geographic information
facility including structural fire capable of doing the following: (a)
system (GIS), you can model
fighting and the provision of EMS establish incident command outside
response capabilities in the absence
services. Aircraft rescue and fire- of the hazard area; (b) establish an
of actual CAD data. Although the
fighting (ARFF) services are uninterrupted water supply, 400 gpm
software used to model deployment
addressed separately in NFPA 403, for 30 minutes; (c) establish of an
may vary, several key components
Standard for Aircraft Rescue and effective water flow application rate
are universal:
Fire-Fighting Services at Airports. from two handlines, each with a
Section 5.5 requires airport fire minimum of 100 gpm, and operated • Identifying and inputting
companies that deploy to structural by a minimum of two personnel reasonable and prudent travel
fire and EMS incidents on airport each; (d) provide one support speeds for every road segment to
property to meet the response time person for each line; (e) assign a be traveled
performance objectives included in minimum of one victim search and
• Identifying and inputting
applicable sections of this standard. rescue team consisting of two company/unit locations
The standard permits the use of members; (f) assign a minimum of
automatic mutual aid and mutual aid one ventilation team consisting of • Inputting a four- or an eight-minute
two personnel; (g) if an aerial device (240- or 480-second) response time
to reach compliance.
is used in operations, provide one restriction
Evaluation Method(s) person to maintain primary control With this information, a GIS system
Section 5.5 specifically requires that of the aerial device at all times; and can identify those roads covered by
structural responses on airport (h) establish an IRIC consisting of a companies/units within four or eight
property meet response time minimum of two properly equipped minutes (240 or 480 seconds). This
performance objectives of NFPA and trained personnel. assessment considers reasonable
1710, Section 4.1.2.1.1, and that EMS By identifying those incidents with and prudent road speeds, as well as
responses on airport property meet performance objective response road structure impediments.
the response time performance times fewer than eight minutes (480 This method alone assesses road
objectives of NFPA 1710, Section seconds) and expressing this group structure coverage by projecting a
5.3.3.4. as a percentage of the total number percentage of road segments that
There are at least three evaluation of response company response times may be reached within the
methods you can use for assessing (by type of incident), you can designated time frame. This measure
compliance with this requirement: evaluate compliance with this is a proxy for addresses that may be
performance objective. If less than reached within the same time limits.
• CAD data review 90% of all incidents received an This measure is also a projection of
• Computer modeling initial response assignment within response capabilities, rather than of
four minutes (240 seconds) or a actual responses.
• A blend of both historical data and
elevated assignment on-scene within
computer modeling Combination of CAD Data and
an eight minute (480 second)
CAD Data Review (Assessing Actual Computer Modeling
response time, these performance
Responses) objectives are unmet. Additionally, if The best assessment of appropriate
Response times for any combination the number of personnel arriving deployment can be developed by
of required companies/units (fire or with these companies is inadequate combining actual CAD data with
EMS) as recorded by the CAD to complete all the tasks identified, computer modeled projected
system can be sorted based on the this performance objective is response capabilities. By using a GIS
time of the first company/unit unsatisfied. system to graphically represent the
departure to the arrival of the last area covered by the authority having
required company/unit. jurisdiction and to project road
3-25
structure coverage meeting performance objectives and responsibilities of the fire department and the
found in this standard, you may superimpose actual authorized functions of members responding to marine
incident locations on a map identifying both where emergencies. Fire department marine SOPs shall be
response times have been appropriate in the past and coordinated with the applicable agencies, such as the
where they may fail to meet performance objectives in port or harbor authority and supporting agencies. Marine
the future. Incidents with appropriate response times fire departments shall have access to special tools,
may be identified differently from incidents for which equipment, supplies, PPE and other marine resources
response times failed to meet performance objectives. that are required to perform operations safely and
effectively in their assigned roles and responsibilities.
Clearly label projected road structure coverage by
apparatus with appropriate response times in respect to
Intent
the response time parameters used. Incidents identified
These sections address MRFF operations, organization
as having inadequate response times that fall outside
and access to specialized equipment and resources
projected coverage areas indicate a need for either
required for safe and effective marine emergency
additional resources to be deployed to cover those areas
operations.
or current resources redeployed.
3-28
Task: Analyzing Times FIGURE 3-9. EMERGENCY RESPONSE TIME INTERVALS: FIRE
Emergency responders must SUPPRESSION
respond to a wide variety of
situations, including fire, hazardous
materials spills, water rescues,
Unknown Unknown 60 Seconds 60 Seconds 240 Seconds 120 Seconds
confined space rescues, acts of
terrorism, violent acts causing
trauma, burns, poisonings and
Assess
cardiac arrests. These incidents are Rescue
Ventilate
both unscheduled and urgent. The Suppress
common factor in all these situations
is the critical need for a rapid
response. A community’s emergency Ignition Discovery Notification Dispatch Turnout Arrival Overhaul
response system must be adequately of Fire of of and at scene Secure
Emergency Emergency Depart
staffed and flexible to meet accepted Response Units
System
standards of performance for Flashover
Assess
Defibrillate
Medicate
arrest, stroke, traumatic injury and other emergencies. For example, an emergency response system with an
Response time is the key. average BLS response time of four minutes, and an
average ALS response time of seven minutes, has a
Expanded Information predicted survival rate of 28.7%, as shown below:
Cardiac Arrest Survival Model 67% - (2.3 x 6.0) – (1.1 x 7.0) – (2.1 x 8.0) = 28.7%
Previously in this section we explain how you can assess Predicted Patient Survival Rate
a blend of actual CAD data in conjunction with The CD that accompanies this guidebook includes an
computer-modeled projected response capabilities to Excel spreadsheet calculator you can use to determine
develop a better assessment of appropriate deployment. survival rates for your system. Figure 3-11 shows an
One example of this approach is the Cardiac Arrest example of a completed Eisenberg Cardiac Arrest
Survival Calculator. Using a formula developed by Dr. Survival Calculator, where the BLS Travel Time and ALS
M.S. Eisenberg, et al (1993), it is possible to calculate the Travel Time are four minutes.
percentage predicted survival for patients in cardiac
arrest, based on time to critical intervention. The
formula is as follows:
3-30
FIGURE 3-11. CARDIAC ARREST SURVIVAL CALCULATOR (note 1)
Time (min.)
Call Processing Time (CPT, Time from call received to apparatus dispatched) 1
Patient Access Time (PAT, Time from apparatus arrival to the arrival or providers at the patient’s side) 1
BLS Travel Time (BLSTT, Time from BLS apparatus en route to a location to arrival at that location with
CPR trained personnel) 4
ALS Travel Time (ALSTT, Time from ALS apparatus en route to a location to arrival at that location with
ACLS trained personnel) 4
AED or ACLS (APT, Time required to assemble equipment and initiate AED or ACLS care) 1
Maximal Survival Rate (MSR) represents the maximum percentage survival rate of patients
who can survive an out of hospital cardiac arrest if CPR, AED, and ACLS were to be
provided immediately upon collapse. 67%
Predicted Survival Rate (PSR) = 67% less (2.3% per minute to CPR)
less (1.1% per minute to defibrillation)
less (2.1% per minute to ACLS)
PSR = 25.3%
1Based on information found in Eisenberg, M.S., et.al., (1993), “Predicting Survival From Out-of-Hospital Cardiac Arrest:
A Graphic Model,” Annals of Emergency Medicine; November 1993.
3-31
3-32
STRATEGIC PLANNING AND PROPOSING
In this section we explain strategic planning methods that will help you
determine the best proposal to submit to your authority having jurisdiction
to encourage implementation of NFPA 1710. Any proposal is best
presented jointly from labor and management. It is imperative that labor
and management cooperate and collaborate regarding proposed
departmental changes, supporting evidence, system data and cost
information.
Strategic Planning
After evaluating the overall system, assessing each component and
revealing any deficiencies, you take the next step through strategic
planning to move the emergency response system toward the standard’s
performance objectives. This phase involves calculating costs and
determining the time required to implement necessary system component
improvements identified in previous phases.
Proposing
The proposal process varies significantly from one jurisdiction to the next,
ranging from an informal presentation to a detailed response. A written
document of some length will be required, with an oral presentation likely.
4-3
Answering Questions about the Task: Developing Models
Presentation
For Your Proposal
GENERAL PRESENTATION DO’S AND DON’TS
4-4
Background structured approach to simplify data Step 5
The local fire department has long collecting, calculating, and Assess training costs—Identify what
provided fire suppression, rescue, information recording required to would be the cost of training and
EMS, and hazardous materials complete this proposal. Each equipment required to meet NFPA
response. The department is also template section provides a 1710 standard.
active in other aspects of fire worksheet to record pertinent
services including fire prevention, information, perform calculations Step 6
arson investigation, and public and summarize costs projections. Summarize the results—Combine
relations/education. A Six-Step Process the costs for people and equipment
on to a Summary Worksheet that you
Preparing your jurisdiction’s
Situation will insert into the proposal.
proposal means that you must
City A has noted significant
develop a profile of the services and Step 1. Collect Data
problems with company staffing.
personnel required to expand the In this step you collect the data
The community leaders are aware of
services. To make this process easy, you’ll need to determine how many
the NFPA 1710 deployment and
we have divided it into six steps. additional resources (equipment and
operations standard, yet they are not
personnel) are required and what the
yet convinced of the need to Step 1 expense will be for providing the
enhance the current three-person
Collect data—Collect the financial services offered by the department
company staffing to four.
data you need to determine how according to the organizational
much equipment is required and how statement. We show examples for
The Mission
much it costs to add the enhanced City A in the charts and tables that
Develop a plan to resolve this
service. follow. (Your numbers may be higher
situation culminating in an
in some categories, lower in others.)
emergency response system design Step 2
that will meet the performance There are several data to collect:
Determine the staffing factor—
objectives included in NFPA 1710.
Assess your current staffing to • Fire department policies on
Based on the above scenario, the determine the number of personnel personnel and resource
Fire Department in City A would like required to staff one position 24 deployment
to enhance staffing on engine hours a day, 7 days a week, 365 days
• Wages and associated
companies. The purpose of this a year.
compensation from salary
exercise is to determine the marginal
schedules, memoranda of
costs associated with increasing Step 3
understanding (MOU) and
staffing on all engine companies to Determine the marginal personnel
contracts
four personnel with a goal of requirement—Specify the difference
achieving compliance with NFPA between the number of personnel • Health insurance plan costs
1710 by meeting the performance you currently have and the number
• Pension plan costs
objectives contained in it. you’ll need to offer the expanded
services. These numbers are only examples;
To calculate the cost of adding such you will insert the specific number
services, you must determine the of apparatus, staffing levels and
Step 4
marginal costs. The following is a salaries for your city. The data
Assess wage and benefit costs—Now
user-friendly guide to developing a provided in Table 4-1 will be used to
that you know the number of people
marginal costs template. complete tasks in Steps 2–6.
needed, determine the cost to the
The marginal cost template is a tool fire department to hire these EMT training is conducted in-house
for estimating costs as part of an individuals. at a cost of approximately $50 a
overall proposal to enhance staffing person for books and materials.
on engine companies. The intent of
this template is to provide the user a
4-5
Step 2. Calculate the Staffing Factor
In this step you use the personnel and resource data collected in Step 1 to
COSTING METHODS AND DEFINITIONS
Costing is the process of determine the staffing factor. The staffing factor assesses your current staffing
identifying and measuring the to determine the number of personnel required to staff one position 24/7, 365.
costs of the provision of
services. There are two Several types of data are used in calculating the staffing factor:
possible methods. • Number of companies
MARGINAL COSTING—The • Number of personnel assigned to each company
marginal costs of providing • Scheduled hours of work
EMS services include those
expenses beyond the current • Leave entitlements
budgeted amount for existing
Staffing Factor Worksheet
fire department operations.
This worksheet (Figure 4-1) gathers information necessary to determine the
This method may also be
department’s staffing factor. The staffing factor is used to calculate the number
referred to as incremental
of personnel required to staff field positions 24 hours a day/7 days a week. For
costing, which is a type of
most departments Days of Work is 365 and Hours of Work is 24. For those
marginal costing. Incremental
departments responsible for coverage only a portion of that time, enter here
costing (which is used for the
the actual days and hours of work here. Multiply Days of Work times Hours of
City A and B examples in this
Work to calculate Total Annual Hours of Work.
guidebook) is the assessment
of the cost of adding a service Enter the Number of Shifts/Platoons.
to the realm of services already
Divide the Total Annual Hours of Work by the Number of Shifts/Platoons to
provided. Managers making a
determine the Hours Worked Per Group.
choice about the costs and
benefits of additional services Enter your Workweek in hours (e.g., 42, 48, 53, or 56 hours per week.)
typically use this method. Enter Average Leave Used per employee in each category. Kelly days or leave
types not listed may be entered as Other Leave. Total each of the respective
ALLOCATED COSTING—
categories to determine the Average Leave Used Per Employee, and enter this
Allocated costing divides a fire
figure as Total Average Leave Used Per Employee.
department’s total costs by
total transactions (emergency Subtract Total Average Leave Used from Hours Worked Per Group, and enter
responses) and, therefore, as Hours Actually Worked.
assigns a cost to each Divide Total Annual Hours of Work by the Hours Actually Worked to calculate
transaction. Allocated or the staffing factor. Record and carry the Staffing Factor to the appropriate
activity-based costing looks at section of the Marginal Personnel Requirements Worksheet.
the total cost of an emergency
response from end to end. It is
a method of allocating all
associated costs, including the
overhead or indirect cost of
operations to various activities
(such as fire suppression,
training, arson investigation or
EMS). The objective is to
understand how resources are
used.
4-6
TABLE 4-1. CITY A OPERATIONAL RESOURCES
Current Resources
City A currently deploys engines, ladders, rescues and chief’s cars to emergency incidents. City A has 55 engines, 21 ladders, 28
rescues and 10 chief’s cars. City A has established minimum staffing levels of 3 personnel on 20 engine companies and 4 personnel
on 35 engine companies. Additionally, City A has established minimum staffing levels of 4 personnel on ladder companies and 2
personnel on rescue and chief’s cars.
4-7
Step 3. Calculate the Marginal Personnel • Salary scale
Requirements
• Associated economic benefits (such as longevity or
In this step you use the personnel and resource data
incentive pay)
collected in Step 1 to determine the difference between
the number of personnel you currently have and the • Health insurance and pension benefits
number you will need to offer expanded service.
Wages Worksheet
Several types of data are used to calculate marginal
To properly estimate marginal personnel costs, calculate
personnel requirements:
wages and benefits for new employees using this
• Staffing Factor calculated in Step 2 worksheet (Figure 4-3).
• Number of companies For wages, include base salary only. Enter the total
anticipated wages as a result of the hiring process for all
• Number of personnel assigned to each company proposed employees.
Marginal Personnel Requirements Worksheet If applicable, estimate total Longevity Pay Costs for
This worksheet (Figure 4-2) uses values from the proposed employees. Record the method of calculation
Staffing Factor Calculation Worksheet to estimate the or reference the appropriate section of the contract or
number of personnel required to appropriately staff MOU.
companies at all times. During the system design-
Hiring Costs may include, but are not limited to, the cost
planning phase of your proposal, determine the number
of written and oral entrance examinations, physical
of personnel required to staff companies at all times, and
ability testing, pre-employment medical screening and
enter the number into Minimum Staffing Levels.
immunizations. Enter the total costs anticipated as a
Enter the Staffing Factor from the Staffing Factor result of the hiring process for all proposed employees.
Worksheet in the appropriate column.
The employee uses the Uniform Allowance to purchase
Multiply the number of Companies by established uniforms and associated gear. Enter the total costs
Minimum Staffing Levels. Multiply that figure by the anticipated as a result of the hiring process for all
Staffing Factor to determine the number of personnel proposed employees.
required to appropriately staff each company at all
Incentive Pay may include, but is not limited to, EMS
times. If the resulting number is a fraction, round up to
Incentive, Premium Pay, EMS Assignment Pay,
the next whole number, and enter this value into the
Hazardous Materials Pay and Educational Pay. Enter the
Total Personnel Required by Company fields.
total costs anticipated as a result of the hiring process
Add Total Personnel Required by Company fields to for all proposed employees.
determine the Total Personnel Required for the Fire
Pension Contributions made or matched by the
Department. This is the estimated number of personnel
employer are estimated. These contributions may be
required to staff each company 24/7, including employee
fixed or a percentage of employee wages. Enter the total
leave coverage. This value will be on the Wages
amount of pension contribution expenses by the
Worksheets.
employer in this area, and record the method of
Step 4. Assess Wage and Benefit Costs calculation as an endnote.
Now that you know the number of people needed, you The Cost of Benefits varies widely by region and
next calculate the cost to hire these individuals. In this according to the benefit package provided by the
step you use the wage and benefit data collected in Step jurisdiction. Record the total estimated cost of Medicare,
1 to determine the difference between wage and benefit Health and Life Insurance benefits for all proposed
costs. employees.
Several types of data are used to assess wage and benefit Total Estimated Personnel Costs are derived by adding
costs: totals for all of the categories listed above.
• Marginal personnel calculated in Step 3
4-8
Use the following matrix to record Turnout Gear Costs vary based on Results of a Systematic
current and future compensation the selected vendor. Use the Evaluation of the City A
rates for various levels of employees. worksheet to survey vendors for Scenario
prices of protective gear. Enter the Based on the summary worksheet,
Record the number of new
results indicated on the Training and certain facts and benefits associated
employees, their current and step
Protective Gear Cost Worksheet. with NFPA 1710 become apparent,
increase wages, longevity pay,
These values will be carried over to and lead to certain
incentive pay and health insurance
the Summary Worksheet. recommendations:
and pension benefits. Calculate the
number of new employees in the Step 6. Summarize the Results • Fact—Annual estimated personnel
Personnel Requirements Worksheet. Combine personnel, training and costs, training costs and protective
Wage totals are carried over to the vehicle costs on to the Summary gear costs associated with the
Summary Worksheets. Worksheet. The Summary Worksheet staffing proposal presented over a
Step 5. Assess Equipment Costs demonstrates the benefits associated three-year period are $982,020,
with enhanced service delivery over $2,093,505 and $3,080,933,
Next, you calculate the expense for
a specified time. respectively.
costs. In this step you use associated
costs collected in Step 1 to The data contained on the Summary • Benefit—Efficient, effective and
determine the total equipment costs. Worksheet include the following safe fire suppression operations
information: will result.
Two types of data are used to assess
training and equipment costs: • Personnel costs • Recommendation—Although the
fire department progressively
• Training • Training costs
allocates its existing resources,
• Turnout gear • Equipment costs additional fire suppression
personnel are necessary.
Training and Protective Gear Summary Worksheet
Cost Worksheet The Summary Worksheet (Figure 4- • Recommendation—The City A
Fire Department must hire 70 fire
Use this worksheet (Figure 4-4) to 5) consolidates values calculated on
fighters to increase staffing levels
estimate the costs of both training other worksheets and requires entry
on all engine companies to four
and equipment required to of some new information. It is
personnel. By accomplishing this,
implement the performance important to show the fiscal
the department would meet NFPA
objectives of NFPA 1710. Enter costs attributes of your enhanced system
1710 performance objectives. The
as described below. design over a period. Therefore, the
implementation time-line could be
Summary Worksheet is formatted to
Training Costs vary from fire phased in over several years to
show a three-year period. In systems
department to fire department. For make associated costs manageable
that incur large startup costs, the
instance, some fire departments are for the jurisdiction.
post-transition years reflect the true
equipped to conduct training in-
cost. In your proposal, it is important
house at little or no cost. Other fire
to reference the source of
departments must pay fees to send
information to a previous worksheet
prospective employees to outside
or other information source.
agencies. Once you assess your
particular situation, enter the results Enter the Total Estimated Personnel
on the Training and Protective Gear Costs from the Wages Worksheet.
Cost Worksheet.
Enter the Total Training and
Protective Gear Costs from the
Training and Protective Gear
Worksheet.
4-9
City B Scenario labor-management partnership and a distinctive
In the organizational statement, City B Fire Department command structure, the fire department-based system
has committed to provide emergency medical services at would deliver the optimum level of EMS response and
the ALS level. A number of the companies are staffed patient care including patient transport—because it
with at least one paramedic deployed to provide ALS would meet the performance objectives in NFPA 1710.
response. Patient transport, both ALS and BLS, is To calculate the cost of adding such services, you must
provided by a private ambulance company. Long determine both the marginal costs and revenue
response times of the private ambulance provider cause associated with a full-service, out-of-hospital emergency
some delay in patient care on scene and cause fire medical care system. Following is a user-friendly guide
fighters to spend excessive amounts of time waiting for to developing a marginal costs and revenue template.
patient transport. The system’s ALS response fails to
meet performance objectives of NFPA 1710. This fire-based EMS marginal cost template is a tool for
estimating costs and projecting revenue as part of an
Background overall EMS integration proposal. The template offers a
The fire department responds to all requests for structured seven-step approach to simplify data
emergency medical services within the city. In the last collecting, calculating and information recording
two years the fire department began staffing engine required to complete of an EMS proposal. Each step
companies with paramedics to further reduce critical includes a worksheet to record pertinent information,
ALS response times. The fire department’s fractile perform calculations and summarize costs and revenue
response time for companies is less than four minutes, projections.
90% of the time. A Seven-Step Process
Preparing your jurisdiction’s proposal requires that you
Situation
develop a profile of the services and personnel required
A private ambulance service provider now responds with to expand the services. To make this process easy, we
the fire department to perform ALS patient care and have divided it into seven steps.
transport. Current problems revolve around extended
response times for paramedic service, causing fire Step 1
fighters to sit on the scene with unstable patients for Collect data—Collect the financial data you’ll need to
extended periods. The private provider has tried to determine how much equipment is required and how
address this problem by using a concept called system much it costs to add EMS.
status management (trying to predict when and where
calls will occur and stationing ambulances on street Step 2
corners), without avail. The real situation is that there Determine the staffing factor—Assess your current
are simply too few paramedics or ambulances on the staffing to determine the number of personnel required
street to handle the call volume. Additionally, there has to staff one position 24/7, 365.
been a decrease in the quality of patient care, and
potential liability problems (indicated by patient Step 3
complaints to medical oversight authorities) have Determine the marginal personnel requirement—Specify
become a common event. the difference between the number of personnel you
currently have and the number you’ll need to offer the
Mission
expanded services.
Develop a proposal to build an EMS response system
that will meet the performance objectives in NFPA 1710. Step 4
The Fire Department in City B would like to provide Assess wage and benefit costs—Now that you know the
citizens with a full service, out-of-hospital emergency number of people needed, determine the cost to hire
medical care system. This system would include the these individuals.
provision of rapid response patient care at both the basic
and advanced life support levels and transport for the
purpose of continuity of quality patient care. Through
4-10
Step 5 Step 2. Calculate the Staffing of the respective categories to
Assess vehicle and equipment Factor determine the Average Leave Used
costs—Identify the cost of buying In this step use the personnel and Per Employee and enter this figure
the equipment the employees resource data collected in Step 1 to as Total Average Leave Used Per
require. determine the staffing factor. The Employee.
staffing factor assesses your current Subtract Total Average Leave Used
Step 6 staffing to determine the number of from Hours Worked Per Group and
Determine revenue from transport— personnel required to staff one enter as Hours Actually Worked.
Calculate the estimated revenue position 24/7, 365.
generated from providing fire-based Divide Total Annual Hours of Work
Several types of data are used in by the Hours Actually Worked to
EMS transport services.
calculating the staffing factor: calculate the staffing factor. Record
Step 7 • Number of response/transport and carry the Staffing Factor to the
Summarize the results—Combine units appropriate section of the Marginal
the costs for people and equipment Personnel Requirements Worksheet.
• Number of personnel assigned to
on a Summary Worksheet that you each unit Step 3. Calculate the Marginal
will insert into the proposal. Personnel Requirements
• Scheduled hours of work
Step 1. Collect Data In this step you use the personnel
• Leave entitlements and resource data collected in Step 1
In this step you collect the data
you’ll need to determine how many to determine the difference between
Staffing Factor Calculation the number of personnel you
additional resources (equipment and
Worksheet currently have and the number you
personnel) are required and what the
This worksheet (Figure 4-6) reflects will need to offer expanded service.
expense will be for providing the
the information necessary to
services offered by the department Several types of data are used to
determine the department’s staffing
according to the organizational calculate marginal personnel
factor. The staffing factor is used to
statement. We show examples for requirements:
calculate the number of personnel
City B in the charts and tables that
required to staff field positions 24/7. • Staffing Factor calculated in Step 2
follow. (Your numbers may be higher
For most departments Days of Work
in some categories, lower in others.) • Number of response/transport
is 365 and Hours of Work is 24. For
units
There are several data to collect: those departments responsible for
• Fire department policies on coverage only a portion of that time, • Number of personnel assigned to
enter here the actual days and hours each unit
personnel and resource
deployment of work here. Multiply Days of Work
times Hours of Work to calculate Marginal Personnel Requirements
• Wages and associated Total Annual Hours of Work. Worksheet
compensation from salary This worksheet (Figure 4-7) uses
schedules, MOUs and contracts Enter the Number of Shifts/Platoons.
values from the Staffing Factor
Divide the Total Annual Hours of Calculation Worksheet to estimate
• Health insurance plan costs
Work by the Number of the number of personnel required to
• Pension plan costs Shifts/Platoons to determine the appropriately staff apparatus at all
These numbers are only examples; Hours Worked Per Group. times. During the system design-
you will insert the specific number planning phase of your proposal,
Enter your Workweek in hours (e.g.,
of apparatus, staffing levels and determine the number of personnel
42, 48, 53, or 56 hours per week).
salaries for your city. The data required to staff at all times, and
provided in Table 4-2 will be used to Enter Average Leave Used per enter it into Minimum Staffing
complete tasks in Steps 2–6. employee in each category. Kelly Levels.
days or leave types not listed may be
entered as Other Leave. Total each
4-11
TABLE 4-2. CITY B OPERATIONAL RESOURCES
Current Resources
For EMS response, City B Fire Department currently deploys one paramedic and three BLS staff to ALS incidents.
• Year 1 wages for step 1 are $29,470 while step 2 wages are $36,838.
• Year 2 wages for step 1 are $30,190 while step 2 wages are $37,738.
• Year 3 wages for step 1 are $30,370 while step 2 wages are $38,638.
Data to Collect
There are other types of data to collect and insert into the form shown in Figure 4-7, City B Marginal Personnel Requirements
Worksheet.
Hours of Work
The scheduled hours of work consist of one 24-hour shift every four days (one on, three off). This is a total of 42 hours a week or 2,190
hours a year.
Longevity Pay
Longevity pay is 2% at the second year of service. An additional 1.0% is earned each year thereafter, to a maximum of 16%.
Hiring Costs
Psychological testing costs $300, and physical testing $100.
Incentive Pay
EMS incentive pay costs .0075% of salary.
Uniform Allowance
The uniform allowance is $730 a year for each employee.
Pensions
The employer contributes an amount equal to 3.5% of the payroll.
Medicare
Medicare costs 1.45% of salary a year.
Health Insurance
The jurisdiction contributes $6,222 a year per employee.
Life Insurance
Life insurance costs $60 a year per employee.
4-12
TABLE 4-2. CITY B OPERATIONAL RESOURCES
4-13
Enter the Staffing Factor from the Staffing Factor Wages Worksheet
Worksheet in the appropriate column. Use this worksheet (Figure 4-8) to properly estimate
Multiply the number of Units by established Minimum marginal personnel costs, calculate wages and benefits
Staffing Levels. Multiply that figure by the Staffing for new employees.
Factor to determine the number of required personnel to For wages include base salary only. Enter the total
appropriately staff each type of unit at all times. If the anticipated wages as a result of the hiring process for all
resulting number is a fraction, round up to the next proposed employees.
whole number and enter this value into the Total
If applicable, estimate total Longevity Pay Costs for
Personnel Required by Unit fields.
proposed employees. Record the method of calculation
Add Total Personnel Required by Unit fields to or reference the appropriate section of the contract or
determine the Total Personnel Required for the Fire Memorandum of Understanding.
Department. This is the estimated number of personnel
Hiring Costs may include, but are not limited to, the cost
required for the fire department to staff each unit 24/7,
of written and oral entrance examinations, physical
including employee leave coverage. This value will be on
ability testing, pre-employment medical screening and
the Wages Worksheets.
immunizations. Enter the total costs anticipated as a
Step 4, Assess Wage and Benefit Costs result of the hiring process for all proposed employees.
Now that you know the number of people needed, you
The employee uses the Uniform Allowance to purchase
next calculate the cost to hire these individuals. In this
uniforms and associated gear. Enter the total costs
step you use the wage and benefit data collected in Step
anticipated as a result of the hiring process for all
1 to determine the difference between wage and benefits
proposed employees.
costs.
Incentive Pay may include, but is not limited to, EMS
Several types of data are used to assess wage and benefit
Incentive, Premium Pay, EMS Assignment Pay,
costs:
Hazardous Materials Pay and Educational Pay. Enter the
• Marginal personnel calculated in Step 3 total costs anticipated as a result of the hiring process
for all proposed employees.
• Salary scale
Pension Contributions made or matched by the
• Associated economic benefits (such as longevity pay
employer are estimated. These contributions may be
or incentive pay)
fixed or a percentage of employee wages. Enter the total
• Health insurance and pension benefits amount of pension contribution expenses by the
employer in this area and record the method of
calculation as an endnote.
4-14
Requirements Worksheet. Wage Equipment lists and prices, like year of operation.
totals are carried over to the vehicles, vary based on location.
Consider Medical Liability Insurance
Summary Worksheets. Develop equipment lists as part of
for services providing prehospital
the system design and as required by
Step 5. Assess Vehicle and care that are not given immunity by
state/provincial or other government
Equipment Costs state/provincial law. In many areas
licensing authority. Use the
Next, you calculate the expense for existing Good Samaritan laws do not
worksheet to survey local equipment
vehicle and equipment costs. Use protect prehospital providers.
vendors for prices and total cost of
vehicle and associated costs Contact a medical liability insurance
each equipment list. Enter the
collected in Step 1 to determine the vendor to estimate the Cost of
results as indicated on the Cost
total vehicle and equipment costs. Medical Liability Insurance for
Worksheet. These values will be
employees at each training level.
Several types of data are used to carried over to the Summary
Cost entered should reflect only the
assess vehicle and equipment costs: Worksheet.
marginal number of EMS trained
• Vehicle costs If the current transport provider can employees hired or trained to
give you actual fuel usage and cost complete the system enhancement.
• Fuel costs
information for each vehicle, enter In this case, the enhancement is to
• Licensing fees actual Transportation Fuel Costs. If integrate EMS transport into fire
not, estimate Transport Fuel Costs to department services.
• Medical liability insurance
equal fuel costs for one EMS
Service License Fees, EMS Vehicle
Vehicle and Equipment Cost response vehicle in your department,
Inspection Fees and ALS Personnel
Worksheet for one year.
Certification Fees vary from state to
Use this worksheet (Figure 4-9) to Contact the maintenance shop used state. A fire department interested in
estimate the costs of vehicles and by your jurisdiction to estimate performing ALS services would be
equipment required to meet NFPA Maintenance Costs (e.g., oil changes, provided this information by the
1710 performance objectives. Enter preventative maintenance) for the appropriate state/provincial agency
costs as described below. proposed vehicles. If this when filing an application to provide
Vehicle costs involve many variables: information is unavailable, use ALS services.
vehicle type, purchase price, lease annual EMS response vehicle
Step 6. Determine Revenue for
term and interest rates. Once you maintenance costs multiplied by the
Transport
select a vehicle type, survey area total number of proposed vehicles.
Enter the Estimated Transport Call
emergency vehicle vendors for these Every department proposing or Volume on the Revenue Projection
variables. Lease arrangements upgrading EMS services should Worksheet (Figure 4-10). One
reduce startup costs by spreading consult a Medical Director. An EMS method for estimating this volume is
the cost of the vehicle over several Regional Authority may provide a to take the most recent annual
years. This is an attractive option for Medical Director or consultation. In transport volume as recorded by the
departments that lack capital funds either case, enter the cost, if any, for current transport provider and
for vehicle purchase. a Medical Director. increase it by 3% per year. The
A local vehicle dealer can provide EMS Billing Service Charges costs national average call volume
Purchase Price, Lease Factor and are usually a percentage of increase ranges from 2-5% annually.
Annual Lease Payment data for a collectibles recorded by the billing Enter the Estimated Transport
selected vehicle. Enter these values company (typically 5-15%). To Revenue. Estimate revenue based on
in the appropriate area of the calculate the amount to enter on the transport call volume, ALS and BLS
worksheet. Annual Lease Payment Summary Worksheet, multiply charges, and payor mix within the
or Purchase Price will be carried Projected Collectibles by the system. Payor mix may include
forward to the Summary Worksheet, estimated EMS Billing Charge and dollars from Medicare, Medicaid,
as required. enter this operational cost in the third-party payors and individuals.
appropriate area corresponding to Payment amounts may vary by
4-15
insurance plan. Currently Medicare bases its Summary Worksheet
reimbursement amounts on an ambulance fee schedule. The Summary Worksheet
Beginning in 2002, the fee schedule will be phased in, (Figure 4-16) consolidates values calculated on other
transitioning from the traditional reasonable charge worksheets and requires entry of some new information.
payment system over a five-year period. It is important to show the fiscal attributes of your
To see sample calculations and notes on revenue and enhanced system design over a period. Therefore, the
other projections, see Figures 4-11 through 4-15. The Summary Worksheet is formatted to show a three-year
IAFF and IAFC have resources to assist you in projecting period. In systems that incur large startup costs, the
revenue and completing these worksheets. You may post-transition years reflect the true cost effectiveness of
contact the IAFF’s Division of Technical Assistance and a fire-based system. In your proposal, it is important to
Information Resources at reference the source of information to a previous
(202) 824-1547. To reach the IAFC call (703) 273-0911. worksheet or other information source.
Step 7. Summarize the Results Enter the Total Estimated Personnel Costs from the
Wages Worksheet.
Combine personnel costs, training costs and vehicle
costs on a Summary Worksheet. The Summary Enter the Total Training Costs from the Training Cost
Worksheet demonstrates the benefits associated with Worksheet.
enhanced service delivery over a specified period.
Enter the Total Vehicle Costs from the Vehicle and
The data contained on the Summary Worksheet include Equipment Worksheet.
the following information:
Enter the Total Equipment Costs from the Vehicle and
• Personnel costs Equipment Worksheet.
• Training costs Enter the Total Operational Costs from the Vehicle and
Equipment Worksheet.
• Equipment costs
Enter the Estimated Transport Call Volume from the
• Vehicle costs
Transport Revenue Projection Worksheet.
4-16
Results of a Systematic • Benefit—Fire-based EMS system
Evaluation of City B Scenario design allows responding
Based on the summary worksheet, personnel to handle the most time-
certain facts and benefits about your critical emergency, whether it is
department and the costs to meet fire suppression, rescue or medical
NFPA 1710 performance objectives emergency.
become apparent, and lead to a
Recommendation—The City B Fire
recommendation:
Department needs to hire 21
• Fact—The estimated revenue in personnel to meet ALS performance
the first year of operation is objectives in NFPA 1710.
$1,086,584, after deducting the
start-up cost of implementing the Using the Accreditation
fire-based system ($1,381,837). Process
• Fact—Implementation of the A method that can be used to assist
proposed fire-based system will in implementing 1710 is the Fire and
continue to provide City B with Emergency Self Assessment process,
estimated annual revenue in which is utilized within the
excess of $1 million, and net three- Commission on Fire Accreditation
year revenue of $3,454,260. International (CFAI) agency
accreditation process. The Fire and
• Benefit—Increase the number of
ALS capable vehicles available for Emergency Self-Assessment process
response from the current provides a mechanism to evaluate 10
allocation of private ambulances specific categories of organizational
to the implementation of two performance including more than
paramedics dedicated to City B. 250 quantitative and qualitative
performance measures. The primary
• Benefit—An integrated fire-based purpose of this evaluation is to
EMS system will allow the fire identify projects and programs that
department to respond and can be measured to verify the
transport rather than handing program’s success in relation to
those patients off to another organizational goals and objectives.
provider, promoting continuity of Critical components of this process
care while generating revenue. include data collection performance
• Benefit—The Fire Chief will measurement, data analysis,
control both fire suppression and qualitative versus quantitative
EMS services for the municipality. measurements and the development
of a “Standards of Response”
• Benefit—The jurisdiction would coverage document. This document
experience more efficient use of
assists in developing a plan for the
tax dollars, increased productivity
deployment of resources based upon
and enhancement of fire/EMS
the community’s risks. For
capabilities, through the use of
communities that have implemented
cross-trained/dual-role fire
1710, setting the same performance
fighters, by providing two essential
objectives as required in the
public services in one department.
standard, the document assists in
analyzing how well they are meeting
the standard.
4-17
4-18
Figure 4-1
City A Staffing Factor Worksheet
To ensure that adequate staff are available to cover necessary positions, including coverage for employees on
various types of leave, a ""Staffing Factor" should be calculated.
Number of Shifts/Platoons 3
Hours worked per group 2847 (8760 divided by # of shifts)
Summary: Total hours worked in 1 year equals 8,760. Average hours actually worked by a single employee in 1 year are 2,504.
Hours to be worked divided by average hours actually worked equals, the "staffing factor", 3.5. Ideally, 3.5 full time equivalents
would be needed to staff each designated position within the department in order to cover all positions 24 hours a day, seven days
per week. This proposal uses 3.5 as the staffing factor to calculate the total number of new hires necessary to increase staffing
on engines from 3 to 4 personnel.
Note: Data used in this worksheet can be found in the hours of work and leave usage sections of the City A Profile.
4-19
4-20
Figure 4-2
City A Marginal Personnel Worksheet
Minimum
Type of # of Staffing Staffing Total Personnel
Apparatus Apparatus Levels Factor Required
Minimum
Type of # of Staffing Staffing Total Personnel
Apparatus Apparatus Levels Factor Required
Marginal Personnel
Difference Between
Current and Proposed 70
Summary: In order to enhance staffing levels on engine companies within NFPA 1710 system performance objectives, City A
must hire 70 personnel.
Note: Data used in this worksheet can be found in the current resources section of the City A Profile.
4-21
4-22
Figure 4-3
City A Wages Worksheet
Marginal Personnel 25 25 20
Benefits
4-23
4-24
Figure 4-4
City A Training and Protective Gear Worksheet
Note: Data used in this worksheet can be found in the current resources section of the City A Profile.
4-25
4-26
Figure 4-5
City A Summary Worksheet
4-27
4-28
Figure 4-6
City B Staffing Factor Worksheet
To ensure that adequate staff are available to cover necessary positions, including coverage for employees on various
types of leave, a “Staffing Factor” should be calculated.
Number of Shifts/Platoons 4
Hours worked per group 2190 (8760 divided by # of shifts)
Workweek (Hours) 42
Summary: Total hours worked in 1 year equals 8,760. Average hours actually worked by a single employee in 1 year are 1,662.
Hours to be worked divided by average hours actually worked equals, the “staffing factor”, 5.3. Ideally, 5.3 full time equivalents
would be needed to staff each designated position within the department in order to cover all positions 24 hours a day, seven days
per week. This proposal uses 5.3 as the staffing factor to calculate the total number of new hires necessary to integrate ALS and
transport services into the fire department.
Note: Data used in this worksheet can be found in the hours of work and leave usage sections of the City B Profile.
4-29
4-30
Figure 4-7
City B Marginal Personnel Requirements Worksheet
Minimum
Type of # of Staffing Staffing Total Personnel
Apparatus Apparatus Levels Factor Required
Minimum
Type of # of Staffing Staffing Total Personnel
Apparatus Apparatus Levels Factor Required
Marginal Personnel
Difference Between
Current and Proposed 21
Summary: In order to provide ALS Transport service within NFPA 1710 system performance objectives, City B
must hire 21 fire fighter/paramedics.
Note: Data used in this worksheet can be found in the current resources section of the City B Profile.
4-31
4-32
Figure 4-8
City B Wages Worksheet
Benefits
Note: Data used in this worksheet can be found in the wages and benefits
section of the City B Profile.
4-33
4-34
Figure 4-9
City B Vehicle and Equipment Cost Worksheet
Transport Units 2 0 0
Ambulance Lease $82,210 $82,210 $82,210
Equipment Costs
Operational Costs
4-35
4-36
Figure 4-10
Revenue Projection Based on Total Payor Mix for Ambulance Services (including Medicare data from Figures 4-12, 4-13 and 4-14)
Projected Medicare Transports (39% of total transports)2 2,979 3,069 3,161 3,255
Projected Other Third-Party Payor/Private Pay Transports3 4,660 4,799 4,943 5,092
Oxygen and Supplies (50% of BLS and 100% of ALS) 3,122 3,216 3,312 3,412
($35/transport using oxygen) Projected Charges $ 109,270.00 $ 112,560.00 $ 115,920.00 $ 119,420.00
EKG Monitor (50% of BLS and 100% of ALS) 3,122 3,216 3,312 3,412
($90.00/transport using EKG) Projected Charges $ 468,300.00 $ 482,400.00 $ 496,800.00 $ 511,800.00
4-37
4-38
Figure 4-11
City B Revenue Projection Total Payor Mix Notes
2According to the US Census approximately 19.5% of the County population is 65 years old or older. Since this population is more likely to require ambulance services,
perhaps as much as two times more likely, this age group's percentage within the community was doubled as proxy for the percentage of transports that can be
expected to be covered by Medicare. The actual percentage of transports in City B covered by Medicare may vary.
3Total transports less projected Medicare transports. Transports not covered by Medicare, covered by commercial health insurance, or private pay.
4Basic Life Support (BLS): Transportation by ground ambulance vehicle and medically necessary supplies and services, plus the provision of BLS ambulance services.
The ambulance must be staffed by an individual who is qualified in accordance with State and local laws as an emergency medical technician-basic (EMT-B).
5Base and itemized procedure and supply charges based on actual ambulance provider invoices and Centers for Medicare Services (CMS) prevailing rate data.
6Advanced Life Support (ALS): Where medically necessary, the provision of an assessment by an advanced life support provider and/or the provision of one or more
ALS interventions. An ALS provider is defined as a provider trained to the level of the EMT-Intermediate or Paramedic in accordance with state and socal laws. An ALS
intervention is defined as a procedure that is, in accordance with state and local laws, beyond the scope of authority of an EMT-Basic. Approximately 34% of all
transports. Source: City B FD.
7See “Medicare Calculations.”
8The amount billed to Medicare, Commercial Health Insurance Payors, and private-pay patients.
9City B Fire Department estimates an overall area collection rate of approximately 80%: ~10% - Not collected due to contractual allowances; ~10% - Lost to patient non-
payment/bad debt.
10Estimated collectibles if all patients are billed based on Current Method 4 Fee Schedules and the CMS Ambulance Fee Schedule. Actual amounts collected will
depend on the payor mix of transported patients and the actual collection rate.
4-39
4-40
Figure 4-12
City B Revenue Projection Variables Based on the Medicare Fee Schedule for Ambulance Services
Ambulance Fee Schedule Fully Implemented in 2006 100% Percent Increase/Year7 3.00%
4-41
4-42
Figure 4-13
City B Revenue Calculations Based on the Medicare Fee Schedule for Ambulance Services
CMS Pays8
Non-Transport
CMS Pays9
4-43
4-44
Figure 4-14
City B Revenue Projection Calculations Based on the Medicare Fee Schedule for Ambulance Services, Continued
Year 1 Year 2 Year 3 Year 4
Projected Total Transports (from previous sheet) 2,979 3,069 3,161 3,255
Projected Charges $- - $ -- $ -- $ -
Projected Charges $- - $ - $ - $ -
Projected Charges $ - $ - $ - $ -
Summary
Less 20% Write-Offs and Bad Debt10 $ 151,355.32 $ 161,419.01 $ 171,913.51 $ 150,938.71
4-45
Estimated Collectibles11 $ 605,421.29 $ 645,676.02 $ 687,654.05 $ 603,754.82
4-46
Figure 4-15
City B Revenue Projection Medicare Fee Schedule Notes for Figures 4-13 and 4-14
2Basic Life Support (BLS): Transportation by ground ambulance vehicle and medically necessary supplies and services, plus the provision of BLS ambulance services.
The ambulance must be staffed by an individual who is qualified in accordance with state and local laws as an emergency medical technician-basic (EMT-B).
3Advanced Life Support (ALS1): Where medically necessary, the provision of an assessment by an advanced life support provider and/or the provision of one or more
ALS interventions. An ALS provider is defined as a provider trained to the level of the EMT-Intermediate or Paramedic in accordance with state and local laws. An ALS
intervention is defined as a procedure that is, in accordance with state and local laws, beyond the scope of authority of an EMT-Basic. Approximately 34% of all
transports. Source: City B FD.
4ALS2: Where medically necessary, the administration of at least three medications and/or the provision of one or more of the following ALS Procedures: Manual
Defibrillation/Cardioversion, Endotracheal Intubation, Central Venous Line, Cardiac Pacing, Chest Decompression, Surgical Airway, Intraosseous Line.
5Specialty Care Transport (SCT): Interfacility transportation of a critically injured or ill beneficiary by ground ambulance vehicle, including medically necessary
supplies and services, at a level of service beyond the scope of the EMT-Paramedic. SCT is necessary when a beneficiary's condition requires ongoing care that must be
furnished by one or more health professionals in an appropriate specialty area, for example, nursing, emergency medicine, respiratory care, cardiovascular care, or
paramedic with additional training.
6The 2001 Geographic Practice Cost Index (GPCI) measures differences in the costs of operating a medical practice among fee schedule payment areas relative to the
national average. The law requires that the GPCI measure the resource cost differences among areas such as employee wages, rents, medical equipment and supplies.
In the Proposed Fee Schedule GPCI is used to adjust the Proposed Fees to more closely approximate the actual local cost of providing transport services.
7Projected annual increase in transport volume. Source: City B Fire Department.
8Medicare reimbursement for each level of transport. Source: Actual private ambulance invoices and CMS data.
10Under the proposed Ambulance Fee Schedule Medicare will pay 80% of the listed charges with the patient responsible for the remaining 20%. Medicare providers
may not bill the patient for any amount beyond the established fees. The local collection rate is approx. 80%. Source: City B Fire Dept.
11Estimated collectibles if all patients are billed based on the CMS Ambulance Fee Schedule. Actual amounts collected will depend on the payor mix of transported
patients and the actual collection rate.
4-47
4-48
Figure 4-16
City B Budgetary Impact Summary Based on Cost Sheets and Revenue Projections Included in Figures 4-7 through 4-13
Projected Revenue
Estimated Costs
4-49
4-50
STRATEGIC PLANNING AND PROPOSING
In this section we present additional materials referenced in previous
sections that will help you in the implementation process. Other resources
are contained on the CD that you received with the printed handbook.
Endorsements by Stakeholders
The video that accompanies this guidebook includes statements from
several elected local government officials and fire safety officials who
indicate their understanding of and support for NFPA 1710 Standard.
Following are letters from some of those officials that you may use when
circumstances make showing the videotape difficult.
5-1
5-2
5-3
5-4
5-5
5-6
5-7
5-8
Responding to Questions is based on the same universal potentially spread to surrounding
principle. The standard relies on buildings if left unaddressed. The
During your conversations with local
scientific studies of how fires behave medical response times established
officials about the value of adopting
and spread in order to establish by 1710 are based on well-
Standard 1710, you are likely to hear
feasible staffing and deployment established, empirically-based
many of the same issues raised
criteria designed to optimally reduce measurements of the maximum
during debates before NFPA. In this
injury and damage due to fire. amount of time that a patient in
section we list several of the issues
cardiac arrest can survive without
most frequently raised, and our Local governments across North
intervention.
response to each. America adopted NFPA codes or
standards that regulate fire (Note: For more detailed information
1710 Undermines Local
apparatus, clothing, hose lines and on these data see the bibliography in
Democracy
rescue tools, even though adherence Section 5.)
The Concern to these standards and codes may
1710 Undermines Public Safety
Standard 1710 is unnecessary and have imposed significant costs. One
undermines local democracy. Local reason someone might be concerned The Concern
government knows how best to run about preserving local control over The 1710 Standard undermines
our fire department based on the the issues regulated by Standard public safety because it will require
particular needs of our community. 1710 is that this standard addresses shifting resources from fire
staffing issues, or personnel, rather prevention to fire suppression.
The Response than inanimate objects such as
Throughout its history, the NFPA has buildings or fire equipment. The Response
issued standards establishing Ensuring adequate deployment of Most fire departments provide both
minimum requirements related to fire fighter personnel must be the fire prevention and fire suppression
building safety, fire apparatus, highest priority of a fire department. services. Many career fire
clothing, hose lines, rescue tools, departments use staffing and
1710 Has No Scientific Basis resources to address numerous
occupational safety and other areas
to reduce the hazards of fire. These The Concern facets of their jurisdictions’ fire
standards established minimum service requirements, including fire
The 1710 Standard has no scientific
requirements that are applied to, and prevention, training, fire inspection,
basis.
followed by, fire departments fire dispatch, emergency medical
located in jurisdictions throughout The Response services, hazardous materials
North America. It is very likely that training and response, confined
Standard 1710 represents the
our jurisdiction has adopted some space rescue and/or weapons of
culmination of a 10-year process.
portion of the NFPA’s codes and mass destruction response. The fire
During this process the fire service
standards, and it is almost certain fighters employed by these
professionals on the NFPA Technical
that our fire department has departments perform a number of
Committees assigned to develop the
purchased fire equipment these roles—a situation that
standard applied their real-world
specifically designed to meet NFPA Standard 1710 would not change.
experience when reviewing reams of
safety standards. empirical data to develop the The standard would, in fact, enhance
NFPA’s standards apply to all staffing and deployment criteria public safety. Money spent to hire an
jurisdictions regardless of their found in the standard. additional fire fighter to comply with
geography, topography, fiscal the 1710 Standard will increase both
Some of the most important criteria
capacity, service burdens, population the jurisdiction’s ability to fight fires
in 1710 are based on the fire
density or similar local variations. and its capacity to prevent them.
propagation curve, a universally
This universal adoption occurs Such a change may also enhance the
accepted, empirically-based
because a fire burns the same way in jurisdiction’s ability to provide for
measurement of how quickly a fire
Los Angeles or New York City as it the public’s health—through
will reach the flashover stage and
does in a small town. Standard 1710 emergency medical services—and
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the public’s safety, through better rescue and HazMat required to make adjustments to resource allocations
response. within existing budgets to ensure that the jurisdiction’s
various departments are providing adequate services. If
1710 Jeopardizes public safety
existing resources cannot be reallocated to the fire
The Concern department to ensure compliance with the 1710 Standard,
Adherence to the 1710 Standard will require allocation of federal or state grant money may be available to assist a
funds to fire departments at the expense of the police locality in providing minimally adequate fire response.
department, thereby jeopardizing public safety. And even if all other sources of potential revenue are
exhausted, and a tax increase is ultimately deemed
The Response necessary, citizens in several jurisdictions have already
As discussed in the previous response, adherence to the approved referenda raising revenue for the specific
1710 Standard will only enhance the public’s safety. Local purpose of complying with the 1710 Standard. A slight
governments are constantly required to allocate limited increase in sales taxes to ensure adequate fire protection
resources between competing citizen demands for is much cheaper than the alternatives—namely, loss of life
services. Certainly, a city’s resources should be primarily and property to fire, and corresponding increases in fire
directed towards ensuring that its citizens’ health and insurance rates.
safety are protected from physical harm. It is hard to Current Staffing and Equipment Are Adequate
come up with a better example of how this can be
accomplished than by ensuring compliance with the 1710 The Concern
Standard. We have been getting the job done just fine with the same
staffing and equipment levels we have used for years.
The argument that a city will have to take from its police
department what it gives to its fire department is
The Response
nonsense. A responsible local government must ensure
This position is no more defensible than refusing to get a
that the city’s police and fire departments are sufficiently
routine physical check-up because you don’t feel sick. A
funded to protect the public’s health and safety. Moreover,
fire department’s safety record is only as credible as its
the same concern could be cited with respect to any
last response. There are two ways to find out if your fire
decision to allocate resources towards performance of a
department is sufficiently staffed and equipped:
vital city function. For instance, one could also argue that
continuous trial and error, or applying the 1710 Standard.
providing a sufficient number of sanitation workers limits
The standard allows a municipality to evaluate their
the city’s ability to hire additional police officers, but
performance in key areas to determine if their service is
citizens are clearly not willing to tolerate piles of garbage
efficient, effective, and safe.
on their streets to accomplish this purpose. The case is no
different, nor should it be different, with respect to the 1710 Is Unnecessary Because of Modern Building
need to maintain a safe and effective fire department. and Fire Codes
The Concern Our jurisdiction doesn’t need more fire fighters because
modern building and fire codes have reduced our reliance
Implementation of the 1710 Standard will require the
on suppression activities.
jurisdiction to increase taxes. We can’t implement
something like this during a recession.
The Response
The Response Modern building and fire codes have introduced many
fire-prevention features. In addition to sprinklers, the
First of all, it is by no means a foregone conclusion that a
building materials used are more fire retardant, and the
jurisdiction will have to expend additional resources to
designs more conducive to stopping fire and containing
bring its fire department into compliance with the 1710
them to a smaller part of the building. Unfortunately, not
Standard, much less raise taxes to accomplish this result.
all fires occur in modern buildings, and not all buildings
Even if a fire department requires additional expenditures
have sprinklers or fire-retardant materials. Even when a
to comply with 1710, local governments are routinely
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fire occurs in a sprinkler-equipped Current Standards are Adequate requirements of the standard if they
building, the fire department must can validate and document in writing
The Concern
ensure that the fire is extinguished that such avenues are equal or
and conduct a primary and We already have alternative superior to the requirements
secondary search for potential standards by which to measure the contained in the standard. The
trapped occupants. Sprinklers are an effectiveness of our fire department, equivalency standard in 1710 is not
essential part of fire prevention, but such as the ISO ratings, and we do intended to allow any jurisdiction or
they are unable to run up the stairs fine by it. fire department to reduce the
of a building to save a life. requirements in the standard and
The Response
still claim compliance. Moreover, it
Additionally, the standard addresses None of these other standards were specifically requires any jurisdiction
more than fire suppression, and our designed to achieve the same goal as relying upon an “equivalent”
fire department does more than fight the 1710 Standard—namely, to standard to validate and document
fires. Today, fire fighters are multi- ensure that your fire department is in writing that the standard is equal
faceted responders dealing with providing minimally sufficient fire or superior to the requirements
many all types of emergencies. Such and emergency medical protection contained in the 1710 Standard. Any
situations include medial to its citizens. ISO ratings, for department seeking to rely upon
emergencies, HazMat crises, acts of example, are developed by insurance “equivalent” standards, therefore,
terrorism response and emergency companies to determine fire should be required to document and
rescues. insurance rates based on any demonstrate its equivalency to the
1710 Unnecessarily Duplicates number of variables, many of which 1710 Standard in all aspects, and in
Other Fire Department are completely unrelated related to no case should the “equivalent”
Standards fire department staffing and standard demand less of a
equipment, and have more to do department than the 1710 Standard.
The Concern with actuarial assumptions than fire
Our jurisdiction already complies safety.
with OSHA’s 2 in/2 out standard. This
‘Equivalent’ Standards Are
is enough to ensure that our
Adequate
department is protecting the health
and safety of our citizens. The Concern
Our jurisdiction does not need to
The Response
implement the 1710 Standard
The primary purpose of the 2 in/2 because we have already
out standard is to protect the safety implemented an “equivalent”
of fire fighters. This is certainly an standard, as we are specifically
important standard that has allowed to do under the 1710
undoubtedly saved numerous lives, Standard.
but it was intended to protect the
lives of fire fighters, and was not, The Response
like the 1710 Standard, primarily When the NFPA Standards Council
designed to protect the lives, safety adopted the 1710 Standard, it
and property of citizens. Your included what is sometimes called
jurisdictions’ citizens—who, after all, an “equivalency” statement.
are the consumers of your fire Equivalency statements are common
departments’ services—deserve the features in NFPA Standards. The
standard of protection, as provided equivalency statement contained in
by the 1710 Standard. the NFPA 1710 Standard allows
jurisdictions to use other “systems,
methods or approaches” to meet
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Sample Fact Sheet Requirements
The standard establishes minimum criteria for
Background
effectiveness and efficiency of wildland, aircraft, marine
In 2001 the National Fire Protection Association (NFPA)
and special operations to adequately protect the safety of
issued NFPA 1710, Standard for the Organization and
the public and fire department employees.
Deployment of Fire Suppression Operations, Emergency
Medical Operations, and special Operations to the Public The standard specifies minimum requirements for health
by Career Fire Departments. NFPA is an international and safety, incident management, training,
organization with more than 75,000 individual and more communications and pre-incident planning.
than 80 national trade and professional organization Benefits of Compliance
members.
Implementing NFPA 1710 has several benefits for our
NFPA 1710 sets minimum standards for fire fighter crews, community’s citizens, businesses and fire fighters.
responses times and other factors involved in determining
the organization and deployment of fire fighting and NFPA 1710 Is an Insurance Policy for the Community
emergency medical systems. The standard represents the and Its Businesses
culmination of a 10-year process that involved research, Just as we have insurance policies on our lives, homes
expert opinion, debate and, finally, consensus. and businesses, NFPA 1710 would offer insurance for the
local economy by guaranteeing the community and its
Adopted NFPA standards apply to jurisdictions regardless
businesses that fire and emergency medical services will
of their geography, topography, fiscal capacity, service
respond promptly and appropriately in an emergency.
burdens, population density or similar local variations.
Even a moderate-sized fire can hurt the community’s tax
Fire fighting and other organizations supported passage of
base. When businesses close, employees don’t get paid.
NFPA 1710 despite improvements in modern building and
They can’t put money back into the community, and will
fire codes that introduced many fire-prevention features.
go from being taxpayers to public support recipients. The
In addition to sprinklers, the building materials used are
business itself can’t pay taxes because it’s not selling its
more fire retardant, and the designs more conducive to
goods and services. A fire that devastates a building will
stopping fires and containing them. Unfortunately, not all
inevitably cause the company to consider whether it
fires occur in modern buildings, and not all buildings have
should reopen; if it does, the owners may chose to
sprinklers or fire-retardant materials. Even when a fire
relocate to another city or state/province, representing a
occurs in a sprinkler-equipped building, the fire
permanent loss to the tax base.
department must ensure that the fire is extinguished and
conduct a primary and secondary search for trapped
NFPA 1710 Enhances Public Safety
occupants.
Studies show that by responding quickly to a building fire,
Additionally, the standard addresses more than fire we keep a small incident small. When a response takes
suppression, and our fire department does more than fight more than a few minutes, however, the losses escalate
fires. Today, fire fighters are multi-faceted responders substantially, resulting in a significant loss of property.
dealing with many types of emergencies. Such situations Communities that have a good record of emergency
include medical emergencies, hazardous material service response times enhance the quality of life for
incidents, acts of terrorism response and emergency current residents, and can help attract new residents and
rescues. businesses.
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NFPA 1710 Will Save Lives NFPA 1710 Protects the
Fire fighting is dangerous work. For Community Against Liability
the protection of fire fighters and the Courts frequently rely upon NFPA
victims of fire or other emergencies, standards to determine the “industry
NFPA 1710 applies the documented standard” for fire protection and
and proven science of fire behavior safety measures. Judicial reliance on
and emergency medicine to the basic NFPA doctrines is most frequently
resource requirements for effective found in common law negligence
fire and emergency service claims. NFPA 1710 could be found to
deployment. This application allows be highly relevant to the question of
a community to determine if the whether a jurisdiction has
resources allocated for the different negligently failed to provide
types of fires, emergencies, medical adequate fire or emergency medical
calls and other incidents are protection to an individual harmed
sufficient to effectively control the in a fire or medical emergency. The
incident and protect lives and level of fire and emergency medical
property. service provided by a jurisdiction
will be compared to NFPA 1710
Standard in courts considering such
lawsuits even where the particular
jurisdiction has not specifically
adopted the standard. Jurisdictions
will assume some additional legal
risk by failing to abide by NFPA 1710
even where it has failed to explicitly
adopt the standard.
5-13
5-14
I. Mission Statement: The City C Fire Department is an organization of dedicated
professionals who are committed to serving the community by protecting life, property, and the
environment through fire and injury prevention, employee and public education, fire suppression and emergency medical response
and care.
II. Geographical Boundaries: 30 square miles. The City C Fire Department covers area between Lake E, City D, City E and River F.
a. Organizational Structure
Fire Chief
Emergency
Fire Prevention/Arson Deputy Chief Logistics and
Preparedness and
Investigation Operations Financial Services
Planning
b. Station locations: 10 fire stations; each station is strategically located for safe and efficient response
to fire and medical emergencies occurring within the limits of City C.
Station 1: 1901 Irving Blvd. 1 engine and 1 ladder staffed with 4; 1 EMS unit staffed with 2.
Station 2: 4211 Northhaven Rd. 1 engine staffed with 4; 1 EMS unit staffed with 2.
Station 3: 816 S. Akard St. 1 engine staffed with 3; 1 hazmat unit staffed with 4;1 EMS unit staffed with 2.
Station 4: 2039 Augstine Dr. 1 engine and 1 ladder staffed with 4; 1 EMS unit staffed with 2.
Station 5: 4451 Frankford Rd. 1 engine staffed with 4; 1 EMS unit staffed with 2.
Station 6: 6045 Belmont Ave. 1 engine staffed with 3; 1 EMS unit staffed with 2.
Station 7: 616 Chalk Hill Rd. 1 engine staffed with 4; 1 ladder staffed with 3; 1 EMS unit staffed with 2.
Station 8: 280 Harwood St. 1 engine staffed with 4; 1 EMS unit staffed with 2.
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5-16
c. Response apparatus deployed from each station: 7 stations deploy one engine and one
EMS unit; 3 stations deploy one engine, one truck, and one EMS unit.
i. Fire Suppression: 7 engines are staffed with four fire fighters each (two trained
at the EMT level); 3 engines are staffed with 3 fire fighters each (two trained at the EMT level);
2 trucks are staffed with four fire fighters each (two trained at the EMT level);
1 truck is staffed with three fire fighters each(two trained at the EMT level).
e. Support systems:
iii. Training: The Fire Department provides a training program that ensures personnel
are trained and competency is maintained to execute all responsibilities consistent with
our organization and deployment.
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5-18
ORGANIZATIONAL STATEMENT EXAMPLE–CITY C FIRE DEPARTMENT
a. Fire suppression: Fire Department operations are organized to ensure that fire suppression
capability includes personnel, equipment, and resources to deploy the initial arriving
company, the initial full alarm assignment as required in NFPA 1710.
On the scene of a fire, a sufficient number of firefighting personnel are deployed to
simultaneously attack the fire, ventilate the fire, facilitate rescue and monitor personnel.
b. Rescue: The Fire Department provides services that include locating endangered persons at an
emergency incident, removing those persons from danger, treating the injured, and
providing for transport to an appropriate health care facility.
d. Hazardous materials response: Fire Department hazardous materials response capability includes
personnel, equipment, and resources to deploy at the first responder operational level
as required by 29 CFR 1910.120.
e. Fire Prevention: The Fire Department maintains a level of fire safety and prevention in accordance
with NFPA 1.
f. Arson Investigation: The Fire Department ensures that fire investigators meet the qualifications and
job performance requirements of NFPA 1033.
g. Public Education: The Fire Department teaches fire safety and injury prevention to local schools,
businesses, and civic organizations.
h. Special Operations:
i. Disaster: The Fire Department responds to natural disasters, terrorism incidents, weapons of mass
destruction and mass-scale casualty events in accordance with NFPA 1600.
ii. Confined Space: Fire Department confined space capabilities include personnel, equipment,
and resources to deploy at the confined space operational level as required by 29 CFR 1910.146.
i. Mutual Aid: See attached Mutual Fire Fighting Assistance Agreement. (attached)
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5-20
ORGANIZATIONAL STATEMENT EXAMPLE–CITY C FIRE DEPARTMENT
a. Fire Suppression: All jurisdictional first due units will arrive on the scene of an emergency incident
within four minutes (240 seconds), 90% of the time. All units deployed for an initial alarm assignment will arrive
on the scene within eight minutes (480 seconds), 90% of the time.
Initial full alarm assignment allows the following tasks to be completed efficiently, effectively and safely
on the scene of a fire.
b. Emergency Medical Services: City C Fire Department provides emergency medical services at the advanced life support level
(ALS). All first responder units will arrive on the scene within four minutes (240 seconds), 90% of the time.
All BLS level units will have personnel, equipment, and resources necessary to provide BLS level care including an
automatic external defibrillator (AED). All ALS units will arrive on the scene within eight minutes (480 seconds),
90% of the time. All ALS units will carry equipment to provide ALS level care as prescribed by the state licensing agency.
c. Dispatch: Call receipt and processing time will be handled within the time requirements of NFPA 1221.
d. Turnout time: Personnel dispatched on an emergency call will be accomplished within 60 seconds.
VI. Reporting
a. Annual Evaluation: The City C Fire Department annually evaluates itself according to performance based on the objectives outlined above
b. Quadrennial Reports: The City C Fire Department submits quadrennial reports to the Mayor with copies to each member of the City Council.
These reports document City Cs Fire Department performance based on annual evaluations. If deficiencies exist,
the report contains potential consequences of the deficiencies as well as a strategic plan to bring the City C Fire Department closer to
the requirements established above and based on the NFPA 1710 standard.
VII. Supporting Documents
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5-22
Model Quadrennial Report, Example of d. Hazardous Materials Response
5-23
• The Fire Department maintains an minute response time to 90 percent minutes response time for 90% of all
educational intervention program of the incidents as established in such incidents, an additional fire
targeted for juvenile firesetters Chapter 4 [of NFPA 1710]. Personnel station is required in the northwest
administered by nationally assigned to the initial arriving quadrant of City C. This new fire
certified personnel. company shall have the capability to station would have an engine
implement an initial rapid company, ladder company and ALS
III. Incident Response Statistics
intervention crew. [NFPA 1710: ambulance. Additional costs
for Fiscal Years _____:
5.2.3.1.1 and 5.2.3.1.2] associated with building a new fire
The Fire Department has the overall station are as follows: the
responsibility for providing the Report and Strategic Plan purchase/lease of an engine, ladder,
highest level of quality emergency City C Fire Department determined and ambulance and the hiring of an
service to the citizens of City C. The that the best assessment of additional 35 personnel to staff all
Fire Department operates on 3 appropriate deployment can be three apparatus 24/7 in accordance
separate 24-hour rotating shifts to developed by combining actual CAD with NFPA 1710 guidelines. This
ensure service delivery 24 hours a data with computer modeled enhancement is projected for
day, 7 days a week. projected response capabilities. completion prior to the next
Using a GIS system allowed City C quadrennial report.
A. Number of calls by type for
Fire Department to graphically
fiscal years ____. Fire Suppression, Initial Full
represent the area covered by the
Fires: Alarm Assignment
Fire Department and to project road
Structural, residential: 2,760 structure coverage meeting Standard
performance objectives found in The fire department shall have the
Structural, non-residential: 832
NFPA 1710. Incidents with capability to deploy an initial full
Vehicle: 2,260 appropriate arrival times have been alarm assignment with an 8-minute
identified differently from incidents response time to 90 percent of the
EMS Responses:
when City C Fire Department incidents as established in Chapter 4.
BLS: 38,726 response times failed to meet [NFPA 1710: 5.2.3.1.1]
ALS: 19,074 performance objectives. Incidents
identified as having inadequate Report and Strategic Plan
Hazardous Materials response times that fall outside City C Fire Department determined
Responses: 604 projected coverage areas indicate a that the best assessment of
False Alarms: 896 need for either additional resources appropriate deployment can be
to be deployed to cover those areas developed by combining actual CAD
B. Call Receipt/Turnout Time: or for current resources to be data with computer modeled
City C communications/dispatch redeployed. projected response capabilities.
center ascertains sufficient A review of both CAD data and a Using a GIS system allowed City C
information and dispatches GIS map (Figure 5-1) indicated that Fire Department to graphically
applicable units within 90 seconds in initial arriving companies in the City represent the area covered by the
not less than 85% of all incidents. C Fire Department arrive on scene Fire Department and to project road
within four minutes for 42% of all structure coverage meeting
C. Response Time performance objectives found in
incidents. This percentile is beneath
Fire Suppression, Initial the 90% criterion established within NFPA 1710. Incidents with
Arriving Company NFPA 1710. In order for City C Fire appropriate arrival times have been
Department to achieve and maintain identified differently from incidents
Standard
on-duty staffing and apparatus at when City C Fire Department
The fire department’s fire response times failed to meet
sufficient levels so that initial
suppression resources shall be performance objectives.
arriving companies arrive on the
deployed to provide for the arrival of
scene of an incident within four
an engine company within a 4-
5-24
FIGURE 5-1. CITY C FIRE INCIDENTS FOUR-MINUTE COVERAGE AREA: FIRST DUE COMPANY
Incidents identified as having inadequate response times must be dispatched. It is this additional response that
that fall outside projected coverage areas indicate a need drives up the response/arrival time for a full alarm
for either additional resources to be deployed to cover assignment on scene. As a result, personnel objectives are
those areas or for current resources to be redeployed. A achieved in 45% of all incidents (Figure 5-3). This
similar routine can be applied to the process of assessing percentile is beneath the 90% criterion established within
those areas where a minimum of 15-17 fire fighters and NFPA 1710. In order for the City C Fire Department to
officers can arrive within eight minutes (480 seconds) achieve and maintain initial full alarm assignment
response time. Incidents requiring 15-17 fire fighters and coverage on the scene of an incident within 8 minutes
officers that fall outside the modeled coverage areas fail response time for 90% of all such incidents, an additional
to meet this performance objective. fire station is required in the northwest quadrant of City C.
This new fire station would have an engine company,
A review of both CAD data and a GIS map (Figure 5-2)
ladder company and ALS ambulance and would be built in
indicated that initial full alarm assignments in the City C
Year 3. Additional costs associated with building a new
Fire Department arrive on scene within eight minutes for
fire station are as follows: the purchase/lease of an engine,
75% of all incidents. However, City C Fire Department
ladder and ambulance and the hiring of an additional 35
dispatches 1 chief, 2 engines, 1 ladder and 1 ambulance
personnel to staff all 3 apparatus in accordance with
with 15 fire fighters and officers when both responding
NFPA 1710 guidelines.
engines are staffed with 4 personnel. If one or both
engines are staffed with 3 personnel, an additional engine
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EMS-BLS Delivery data with computer modeled differently from incidents when City
projected response capabilities. C Fire Department response times
Standard
Using a GIS system allowed City C failed to meet performance
The fire department’s EMS for Fire Department to graphically objectives. Incidents identified as
providing first responder with AED represent the area covered by the having inadequate response times
shall be deployed to provide for the Fire Department and to project road that fall outside projected coverage
arrival of a first responder with AED structure coverage meeting areas indicate a need for either
company within a four-minute performance objectives found in additional resources to be deployed
response time to 90 percent of the NFPA 1710, the City C Fire to cover those areas or for current
incidents as established in Chapter 4. Department superimposed actual resources to be redeployed.
[NFPA 1710: 5.3.3.4.2] incident locations on a map
A review of both CAD data and a
identifying both where response
Report and Strategic Plan GIS map (Figure 5-4) indicated that
times have been appropriate in the
City C Fire Department determined first responder with AED is deployed
past and where they may fail to meet
that the best assessment of within a four-minute response time
performance objectives in the future.
appropriate deployment can be to 42% of all incidents. This
Incidents with appropriate arrival
developed by combining actual CAD percentile falls below the 90%
times have been identified
criterion established within NFPA
FIGURE 5-2. CITY C FIRE INCIDENTS DEPLOYMENT ASSESSMENT EIGHT-MINUTE COVERAGE AREA: FULL-
ALARM ASSIGNMENT
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1710. It was determined that City C Fire Department did Report and Strategic Plan
not meet the criterion outlined in NFPA 1710. In order City C Fire Department determined that the best
for the City C Fire Department to comply with the assessment of appropriate deployment can be developed
criterion established in NFPA 1710, defibrillators must by combining actual CAD data with computer modeled
be placed in the southwest quadrant of City C. Costs projected response capabilities. Using a GIS system
would include the purchase of three defibrillators. This allowed City C Fire Department to graphically represent
recommendation will be implemented in Year 2. the area covered by the Fire Department and to project
EMS-ALS Delivery road structure coverage meeting performance objectives
found in NFPA 1710, the City C Fire Department
Standard superimposed actual incident locations on a map
When provided, the fire department’s EMS for providing identifying both where response times have been
ALS shall be deployed to provide for the arrival of an appropriate in the past and where they may fail to meet
ALS company within an eight-minute response time to performance objectives in the future. Incidents with
90% of the incidents, as established in Chapter 4. [NFPA appropriate arrival times have been identified differently
1710: 5.3.3.4.3] from incidents when City C Fire Department response
times failed to meet performance objectives. Incidents
identified as having inadequate response times that fall
FIGURE 5-3. CITY C STAFFING ASSESSMENT EIGHT-MINUTE COVERAGE AREA: 15 FIRE FIGHTERS
ON SCENE
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FIGURE 5-4. CITY C EMS RESPONSE ASSESSMENT FOUR-MINUTE COVERAGE AREA: EMS INCIDENTS
outside projected coverage areas D. Minimum Daily Staffing by having jurisdiction, these companies
indicate a need for either additional Company shall be staffed with a minimum of
resources to be deployed to cover Staffing Engine Companies five or six on-duty members. [NFPA
those areas or for current resources 1710: 5.2.2.1.1 and 5.2.2.1.2]
to be redeployed. Standard
Fire companies whose primary Report and Strategic Plan
A review of both CAD data and a
functions are to pump and deliver City C Fire Department has 10
GIS map (Figure 5-5) indicated that
water and perform basic fire fighting engine companies; 30% or 3 of those
ALS response was within an eight-
at fires, including search and rescue, engine companies are staffed with a
minute response time to 90% of all
shall be known as engine companies. minimum of 3 personnel. City C is
incidents. This percentile meets the
These companies shall be staffed committed to achieving and/or
90% criterion established within
with a minimum of four on-duty maintaining a minimum of 4
NFPA 1710.
personnel. In jurisdictions with personnel on all 10 engine
tactical hazards, high hazard companies over the next 3 years.
occupancies, high incident City C has determined that it is
frequencies, geographical necessary to hire an additional 11
restrictions, or other pertinent personnel to staff all engine
factors as identified by the authority companies with a minimum of 4
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personnel 24 hours a day/7 days a ventilation, search and rescue, aerial Report and Strategic Plan
week. In order to accomplish this operations for water delivery and City C Fire Department has 3 ladder
objective, City C Fire Department rescue, utility control, illumination, companies; 33% or 1 ladder company
will hire 4 fire fighters in Year 1, 4 overhaul and salvage work, shall be is staffed with a minimum of 3
fire fighters in Year 2 and 3 fire known as ladder or truck personnel. City C is committed to
fighters in Year 3. City C will also companies. These companies shall achieving and/or maintaining a
evaluate SOPs for high-risk that may be staffed with a minimum of four minimum of 4 personnel on all 3
require staffing levels of 5 or 6 on-duty personnel. In jurisdictions ladder companies over the next 3
personnel including 1 officer on with tactical hazards, high hazard years. City C has determined that it
engine companies and will also occupancies, high incident is necessary to hire an additional 4
outline a plan of action in Year 3. frequencies, geographical personnel to staff all ladder
restrictions, or other pertinent companies with a minimum of 4
Staffing Ladder Companies
factors as identified by the authority personnel 24 hours a day/7 days a
Standard having jurisdiction, these companies week. In order to accomplish this
Fire companies whose primary shall be staffed with a minimum of objective, City C Fire Department
functions are to perform the variety five or six on-duty members. [NFPA will hire 2 fire fighters in Year 1, 1
of services associated with truck 1710: 5.2.2.2.1 and 5.2.2.2.2] fire fighter in Year 2 and 1 fire fighter
work, such as forcible entry, in Year 3. City C will also evaluate
FIGURE 5-5. CITY C ALS RESPONSE ASSESSMENT EIGHT-MINUTE COVERAGE AREA: EMS INCIDENTS
5-29
SOPs for high-risk that may require Report and Strategic Plan E. Initial Alarm Response
staffing levels of 5 or 6 personnel 1. City C Fire Department apparatus Initial Full Alarm assignment for a
including 1 officer on ladder respond in support of EMS fire suppression incident is 2 engine
companies and will also outline a incidents and most are staffed and companies, 1 ladder company and 1
plan of action in Year 3. equipped for first responder/AED ambulance.
Staffing EMS Units care.
Initial Full Alarm assignment for a
2. City C Fire Department companies BLS incident is 1 ambulance. If
Standard
expected to provide ALS services ambulance response is delayed, an
On-duty EMS units shall be staffed
are deployed so they arrive within engine may be dispatched to ensure
with the minimum numbers of
an eight-minute response time for prompt EMS delivery.
personnel necessary for emergency
90% of all such incidents.
medical care relative to the level of Initial Full Alarm assignment for an
EMS provided by the fire 3. City C Fire Department patient ALS incident is 1 engine and 1
department. EMS staffing transport apparatus expected to ambulance.
requirements shall be based on the provide ALS on scene and en
Initial Full Alarm assignment for
minimum levels needed to provide route to a treatment facility arrive
special operations or high hazards is
patient care and member safety. within an eight-minute response
3 engines, 2 ladders and 1
Units that provide emergency time for 90% of all such incidents.
ambulance.
medical care shall be staffed at a 4. All BLS and ALS units required in
minimum with personnel that are the City C Fire Department for
trained to the first responder/AED appropriate deployment of EMS
level. Units that provide BLS response services, both response
transport shall be staffed and trained and transport services, are staffed
at the level prescribed by the state or with BLS or ALS personnel to
provincial agency responsible for provide services outlined in the
providing emergency medical department’s organizational
services licensing. Units that provide statement. Appropriate
ALS transport shall be staffed and deployment for ALS responses
trained at the level prescribed by the includes the capability to deploy a
state or provincial agency minimum of two members trained
responsible for providing emergency as emergency medical technicians
medical services licensing. [NFPA (paramedic level) and two
1710: 5.3.3.3.1 and 5.3.3.3.2.3] members trained as emergency
medical technicians (basic level)
within eight minutes.
5-30
F. Estimated Economic Impact of Fire IV. Incident Response Data By Company
Successful delivery of fire protection services involves Statistical Report by Unit For Fiscal Years _____
two major elements—fire prevention and fire suppression.
Unit Total Calls
Because fire prevention will never be 100% successful, it is
necessary to buttress fire prevention goals with adequate Engine 1 344
fire suppression services. It is the objective of the City C Engine 2 772
Fire Department to get to the fire as quickly as possible
and to extinguish it with minimum loss to persons and Engine 3 888
property from the fire and from fire fighting activities. Engine 4 808
Provided below is a breakdown of fire loss for Engine 5 1,040
fiscal year _____.
Engine 6 612
Fire Value Loss
Engine 7 380
Accidental $865,309,152 $26,669,792
Engine 8 912
Incendiary $1,300,468,336 $2,666,168
Engine 9 848
Undetermined $96,420,336 $29,484,732
Engine 10 748
Other $13,115,776 $316,432
Unit Total Calls
Total $2,275,313,600 $59,137,124
Ladder 1 840
G. Number of Patients Treated (EMS) Ladder 2 804
City C treated 57,800 patients in fiscal year _____. Of the
Ladder 3 780
patients, 70% required transport to the local hospital.
Unit EMS Incidents
H. Patient Outcome Statistics for EMS
Ambulance 1 8,724
Approximately 5% of 57,800 patients in fiscal year _____
were in cardiac arrest. City C has a cardiopulmonary Ambulance 2 5,580
resuscitation rate of 17.5%. Ambulance 3 5,862
Ambulance 10 4,690
V. Training Reports
The Training Division for the City C Fire Department is
responsible for an six-step recruiting process that includes
a written examination, candidate physical abilities test,
polygraph, psychological interview, medical examination,
and background investigation.
5-31
promotional examinations in conjunction with the City Department does not currently provide confined space
Human Resource Division. rescue services.
The Training Division for the City C Fire Department is City C Fire Department has recently entered into a
further responsible for developing training curriculum on mutual aid agreement with the City D Fire Department.
hazardous materials delivery. City D Fire Department provides backup on HazMat
incidents and provides confined space operations. City C
Special Operations and Resources
Fire Department has established a special operations
Standard planning team. During Year 1 the special operations
Special operations shall be organized to ensure that the planning team will develop a special operations plan,
fire department’s special operations capability includes including a list of resources and SOPs that specify the
personnel, equipment and resources to deploy the initial role and responsibilities of the Fire Department and the
arriving company and additional alarm assignments authorized functions of members responding to
providing such services. The fire department shall be hazardous materials and other high-risk incidents.
permitted to use established automatic mutual aid or Additionally, the City C Fire Department Training
mutual aid agreements to comply with the requirements Division will coordinate and maintain personnel training
of [NFPA 1710]. The fire department shall adopt a to the HazMat Technician Level and implement training
special operations response plan and SOPs that specify necessary to provide confined space operations.
the role and responsibilities of the fire department and It is important to note that the City C Fire Department
the authorized functions of members responding to does not provide airport rescue and fire fighting services,
hazardous materials emergency incidents. All fire marine rescue and fire fighting services or wildland
department members who are expected to respond to rescue and fire fighting services. If your jurisdiction is
emergency incidents beyond the first responder responsible for any or all of the above services, data
operations level for hazardous materials response shall would need to be included in both your fire department’s
be trained to the applicable requirements of NFPA 472. annual evaluation and quadrennial report.
All fire department members who are expected to
respond to emergency incidents beyond the confined VI. Future Department Goals
space operations level for confined space operations City C Fire Department has established the following
shall be trained to the applicable requirements of NFPA goals to improve its service capacity.
1670. The fire department shall have the capacity to
• To improve response times for both fire suppression
implement an RIC during all special operations incidents and EMS delivery to ensure compliance with response
that would subject fire fighters to immediate danger of time criteria outlined in NFPA 1710.
injury, or in the event of equipment failure or other
sudden events, as required by NFPA 1500. If a higher • To improve staffing levels to four personnel on all
level of emergency response is needed beyond the engine and ladder companies, ensuring compliance
capability of the fire department for special operations, with staffing criteria outlined in NFPA 1710.
the fire department shall determine the availability of • To train all fire fighters to the HazMat technician level
outside resources that deploy these capabilities and and to implement a confined space rescue program.
procedures for initiating their response. The fire
department shall be limited to performing only those • To obtain training for all Fire Department employees
through the National Highway Transportation Agency
specific special operations functions for which its
Child Safety Seat Technician Program. Upon
personnel have been trained and are properly equipped.
completion of training, Fire Department employees
[NFPA 1710: 5.4.1 - 5.4.6]
will schedule and conduct regular car seat checks
Report and Strategic Plan throughout the city.
City C Fire Department provides HazMat First
Responder training to all Fire Department personnel.
This training enables the City C Fire Department to
provide HazMat First Responder services. City C Fire
5-32
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American Heart Association, “Guidelines for
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Prehospital Emergency Care, Vol.3-1;1999.
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83:6; 1991.
Brunacini, Alan V., “Shrinking Resources vs. Staffing
Realities,” NFPA Journal, May/June 1992; pp. 28 and 120. Kern, Karl B., et al, “New Guidelines for Cardiopulmonary
Resuscitation and Emergency Cardiac Care: Changes in
Casey, James F., “Manpower—How Much Do You Need?,”
the Management of Cardiac Arrest,” JAMA, March 14,
Fire Engineering, October 1969; pp. 111-113.
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Centaur Associates (conducted for FEMA), “Report on the
Kimball, Warren Y., Manning for Fire Attack (Boston,
Survey of Fire Suppression Crew Size Practices,” June 30,
MA:NFPA) 1969.
1982; pp. 18-20.
McManis Associates and John T. O’Hagan and Associates,
Commission on Fire Accreditation International, Fire &
“Dallas Fire Department Staffing Level Study,” June 1984;
Emergency Service Self-Assessment Manual, 6th edition
pp. I-2 & II-1 through II-7.
(Fairfax, VA: CFAI) 2000.
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Cushman, Jon, Seattle, WA Fire Department’s “Abstract:
“Metro Fire Chiefs—Minimum Staffing Position,” May
Report to Executive Board, Minimum Manning as Health
1992.
& Safety Issue,” 1981.
Morrison, Richard C., “Manning Levels for Engine and
De Maio, V.J., Stiell, I.G., Wells, G.A., Spaite, D.W., Cardiac
Ladder Companies in Small Fire Departments,” 1990.
arrest witnessed by Emergency Medical Services
personnel: descriptive epidemiology, prodromal National Fire Academy, Executive Development Program
symptoms, and predictors of survival. Ann Emerg Med III, “Fire Engines Are Becoming Expensive Taxi Cabs:
2000; 35:138-146. Inadequate Manning,” February 1981; pp. 2 and 4.
Eisenberg, M.S., et al, (1993), “Predicting Survival From National Fire Protection Association, “Decision of the
Out-of-Hospital Cardiac Arrest: A Graphic Model,” Ann Standards Council on the Complaint of M.E. Hines, Texas
Emerg Med; November 1993. Commission on Fire Protection, concerning a Formal
Interpretation on NFPA 1500, Standard on Fire
Gerard, John C. and Jacobsen, A. Terry, “Reduced Staffing:
Department Occupational Safety and Health Program,”
At What Cost?,” Fire Service Today, September 1981; pp.
April 6, 1994.
15-21.
National Fire Protection Association, NFPA 1410 Training
International Association of Fire Fighters, “Analysis of
Standard on Initial Fire Attack, 2000.
Fire Fighter Injuries and Minimum Staffing Per Piece of
Apparatus in Cities with Populations of 150,000 or More,” National Fire Protection Association, NFPA 1500 Standard
December 1991. on Fire Department Occupational Safety and Health
Program, August 1997.
International City Management Association, Managing
Fire Services, 2nd Edition (Washington, DC:ICMA) 1988; National Fire Academy, “Fire Risk Analysis: A Systems
pp. 119-120. Approach,” student manual, National Emergency Training
Center, NFA-SM-FRAS, July 20, 1984.
5-33
National Fire Protection Association, NFPA 197 Training Stiell, I.G., Spaite, D.W., Wells, G.A., et.al., The Ontario
Standard on Initial Fire Attack, 1966. Prehospital Advanced Life Support (OPALS) Study:
Rationale and Methodology for Cardiac Arrest Patients.
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Ann Emerg Med 1998; 32:180-190.
Health Hazard Evaluation Reports for Sedgwick County,
KS, Nos. HETA 90-395-2117 and HETA 90-395-2121, June Valenzuela TD, et. al., “Outcomes of Rapid Defibrillation
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New England Journal of Medicine, October 26 2000; pp.
Nevada Occupational Safety and Health Review Board,
1259-60.
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Health v. Clark County Fire Department (Statement of
Position and Stipulation), Docket No. 89-385, October
1990.
5-34
GLOSSARY OF TERMS
Advanced Cardiac Life Support (ACLS) Course taught by the American Heart Association for ALS providers
using algorithms to teach methods of treatment for cardiac
emergencies.
Advanced Life Support (ALS) Functional provision of advanced airway management, including
intubation, advanced cardiac monitoring, manual defibrillation,
establishment and maintenance of intravenous access, and drug
therapy.
Aircraft Rescue and Fire Fighting (ARFF) The fire-fighting actions taken to rescue persons and to control or
extinguish fire involving or adjacent to aircraft on the ground.
Aircraft Rescue and Fire-Fighting Vehicle A vehicle intended to carry rescue and fire-fighting equipment for
rescuing occupants and combating fires in aircraft, or in the vicinity
of, an airport.
Airport Fire Department Personnel Personnel under the operational jurisdiction of the chief of the
airport fire department assigned to aircraft rescue and fire-fighting or
other emergency response vehicles.
Alarm Time The point of receipt of the emergency alarm at the public safety
answering point to the point where sufficient information is known
to the dispatcher to deploy applicable units to the emergency.
Ambulance A vehicle designed and operated for transportation of ill and injured
persons, equipped and staffed to provide for first aid or life support
measures to be applied during transportation.
Authority Having Jurisdiction The organization, office, or individual responsible for approving
equipment, materials, an installation, or a procedure.
A-1
Automatic External Defibrillator (AED) A device that administers an electric shock through the chest wall
to the heart using built-in computers to assess the patient’s heart
rhythm and defibrillate as needed. Audible and/or visual prompts
guide the user through the process.
Basic Life Support (BLS) Functional provision of patient assessment, including basic airway
management; oxygen therapy; stabilization of spinal, musculo-
skeletal, soft tissue, and shock injuries; stabilization of bleeding;
and stabilization and intervention for sudden illness, poisoning and
heat/cold injuries, childbirth, CPR, and automatic external
defibrillator (AED) capability.
Basic Life Support First Response (EMS) Functional provision of initial assessment (i.e. airway, breathing,
and circulatory systems) and basic first-aid intervention, including
CPR and automatic external defibrillator (AED) capability.
Centers for Medicare and Medicaid Services (CMS) An agency within the Department of Health and Human Services
responsible for administering of Medicare/Medicaid and
supporting functions and services. Formerly known as the Health
Care Financing Administration (HCFA), the new name reflects the
increased emphasis at the Centers for Medicare & Medicaid
Services on responsiveness to beneficiaries and providers, and on
improving the quality of care that beneficiaries receive in all parts
of Medicare and Medicaid
A-2
Computer-Aided Dispatch (CAD) Computer-aided dispatch including, but not limited to, primary
dispatch entry and automated time stamping, 9-1-1 data interface,
demand pattern analysis, system status management, automated
patient locator aids, response time reporting and documentation, and
when installed, automated vehicle tracking.
Coverage The amount of road miles or extent to which the road structure is
covered equally by the emergency response resources deployed.
Cross-Trained/Dual Role (CT/DR) An emergency service that allows personnel trained in emergency
situations to perform to the full extent of their training, whether the
situation requires firefighting or medical care. This system type offers
a greater level of efficiency that its single-role counterparts.
Defibrillation The delivery of a very large electrical shock to the heart which stops
the abnormal electrical activity and allows the heart to restart
normally on its own. Defibrillation reverses certain types of cardiac
arrest and restores functional cardiac activity when applied soon
after the onset of cardiac arrest.
Dispatch Time The point of receipt of the emergency alarm at the public safety
answering center, to the point where sufficient information is known
to the dispatcher and applicable units are notified of the emergency.
Emergency Medical Care The provision of treatment to patients, including first aid,
cardiopulmonary resuscitation, basic life support (EMT level),
advanced life support (Paramedic level), and other medical
procedures that occur prior to arrival at a hospital or other health
care facility.
Emergency Medical Technician A generic term for any prehospital provider trained at the EMT-Basic
level of higher.
Emergency Medical Technician-Basic (EMT-B) A prehospital BLS provider with approximately 110 hours of training
based on the NHTSA National Standard Curriculum.
Emergency Medical Technician-Paramedic (EMT-P) A prehospital provider trained according to NHSTA National
Standard Curriculum to advanced levels, including all ALS
procedures.
A-3
Emergency Operations Activities of the fire department relating to rescue, fire
suppression, emergency medical care, and special operations,
including response to the scene of the incident and all functions
performed at the scene.
Engine Company Fire companies whose primary functions are to pump and deliver
water and perform basic fire fighting at fires, including search and
rescue, are known as Engine companies (NFPA Standard 1710,
Section 5.2.2.1).
Fire Apparatus A fire department emergency vehicle used for rescue, fire
suppression, or other specialized functions.
Fire Chief The highest ranking officer in charge of the fire department.
Fire Department Vehicle Any vehicle, including fire apparatus, operated by the fire
department.
First Responder (EMS) Functional provision of initial assessment (i.e., airway, breathing,
and circulatory systems) and basic first-aid intervention, including
CPR and automatic external defibrillator capability.
Forcible Entry Techniques used by fire personnel to gain entry into buildings,
vehicles, aircraft, or other areas of confinement when normal
means of entry are locked or blocked.
Fractile Response Time Fractile response time is the reporting method preferred to
response time averaging. For fractile reporting, list response times
by length of time in ascending order. Then, draw a line to include a
percentage (e.g., 90%) of the response times. The response time
below that line is the 90% fractile response time (e.g., response
within 6 minutes, 90% of the time).
Geographic Information Systems (GIS) A system of computer software, hardware, data, and personnel to
manipulate, analyze, and present information tied to a spatial
location; GIS includes: Spatial location (usually a geographic
location); information (visual analysis of data); and system (linking
software, hardware, data).
A-4
Hazardous Material A substance that presents an unusual danger to persons due to
properties of toxicity, chemical reactivity, decomposition, corrosivity,
explosion or detonation, etiological hazards or similar properties.
Health Care Financing Administration (HCFA) See Centers for Medicare and Medicaid Services (CMS).
High Hazard Occupancy Building that has high hazard materials, processes or contents.
Incident Command System (ICS) The combination of facilities, equipment, personnel, procedures, and
communications operating within a common organizational structure
with responsibility for the management of assigned resources to
effectively accomplish stated objectives pertaining to an incident.
Incident Management System (IMS) An organized system of roles, responsibilities, and standard operating
procedures used to manage emergency operations.
Initial Attack Fire-fighting efforts and activities that occur in the time increment
between the arrival of the fire department on the scene of a fire and
the tactical decision by the incident commander that the resources
dispatched on the original response will be insufficient to control and
extinguish the fire, or that the fire is extinguished.
Initial Full-Alarm Assignment Those personnel, equipment, and resources ordinarily dispatched
upon notification of a structural fire.
Initial Rapid Intervention Crew (IRIC) Two members of the initial attack crew who are assigned for rapid
deployment to rescue lost or trapped members.
Marine Rescue and Fire Fighting The fire-fighting action taken to prevent, control, and extinguish fire
involved in or adjacent to a marine vessel and the rescue actions for
occupants using normal and emergency routes for egress.
A-5
Medical Director Physician trained in emergency medicine designated as a medical
director for the local EMS agency. Responsibilities include clinical
care, protocol development, field observation, clinical training and
continuing education oversight, reviewing call reports for clinical
protocol compliance, and reviewing patient care cases as part of
an overall effort to assess system quality and performance.
Public Safety Answering Point (PSAP) Any facility where 911 calls are answered, either directly or
through re-routing.
Rapid Intervention Crew (RIC) A dedicated crew of fire fighters who are assigned for rapid
deployment to rescue lost or trapped members.
Related Activities Any and all functions that fire department members can be called
upon to perform in the performance of their duties.
Request Any call for emergency medical assistance requiring the dispatch
of mobile resources to assess and mitigate the potential
emergency.
Response Time The time that begins when units are en route to the emergency
incident and ends when units arrive at the scene.
A-6
Road Structure The systematic arrangement of interrelated roads that compose a
jurisdictions transportation network.
Special Operations Those emergency incidents to which the fire department responds
that require specific and advanced training and specialized tools and
equipment.
Specialized Apparatus A fire department emergency vehicle that provides support services
at emergency scenes, including command vehicles, rescue vehicles,
hazardous material containment vehicles, air supply vehicles,
electrical generation and lighting vehicles, or vehicles used to
transport equipment and personnel.
Staff Aide A fire fighter or fire officer assigned to a supervisory chief officer to
assist with the logistical, tactical, and accountability functions of
incident, division, or sector command.
Standard Operating Procedures (SOPs) An organizational directive that establishes a standard course of
action.
Structural Fire Fighting The activities of rescue, fire suppression, and property conservation
in buildings, enclosed structures, aircraft interiors, vehicles, vessels,
aircraft, or like properties that are involved in a fire or emergency
situation.
Sustained Attack The activities of fire confinement, control, and extinguishment that
are beyond those assigned to the initial responding companies.
Truck (Ladder) Company Fire companies whose primary functions are to perform the variety
of services associated with truck work, such as forcible entry,
ventilation, search and rescue, aerial operations for water delivery
and rescue, utility control, illumination, overhaul, and salvage work,
shall be known as ladder or truck companies (NFPA Standard 1710,
Section 5.2.2.2).
Turnout Time The time beginning when units acknowledge notification of the
emergency to the beginning point of response time.
A-7
A-8
GLOSSARY OF ACRONYMS
ACLS Advanced Cardiac Life Support IAFC International Association of Fire
Chiefs
AED Automatic External Defibrillator
IAFF International Association of Fire
AHA American Heart Association Fighters
ANSI American National Standards Institute IRIC Initial Rapid Intervention Crew
ARFF Aircraft Rescue and Fire Fighting IRIT Initial Rapid Intervention Team
B-1
INTERNATIONAL ASSOCIATION INTERNATIONAL ASSOCIATION
OF FIRE FIGHTERS, AFL-CIO, CLC OF FIRE CHIEFS