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HomeMy WebLinkAboutCOW 2021-03-08 Item 3 - Document - 2021 Fire Department Report: Operational and Administrative Analysis OPERATIONAL AND C ADMINISTRATIVE E N ANALYSIS T E R TUKWILA FIRE DEPARTMENT F O Final Report-February 2021 R P U B L I C S A F E T Y M A N A G E M CENTER FOR PUBLIC SAFETY MANAGEMENT, LLC E 475 K STREET NW, N -969-1360 T , Exclusive Provider of Public Safety Technical Services for L International City/County Management Association L C THE ASSOCIATION & THE COMPANY The International City/County Management Association is a 103-year-old nonprofit professional association of local government administrators and managers, with approximately 13,000 members located in 32 countries. Since its inception in 1914, ICMA has been dedicated to assisting local governments and their managers in providing services to its citizens in an efficient and effective manner. ICMA advances the knowledge of local government best practices with its website (www.icma.org), publications, research, professional development, and membership. The ICMA Center for Public Safety Management (ICMA/CPSM) was launched by ICMA to provide support to local governments in the areas of police, fire, and emergency medical services. ICMA also represents local governments at the federal level and has been involved in numerous projects with the Department of Justice and the Department of Homeland Security. In 2014, as part of a restructuring at ICMA, the Center for Public Safety Management (CPSM) was spun out as a separate company. It is now the exclusive provider of public safety technical represents ICMA in its dealings with the federal government and other public safety professional associations such as CALEA, PERF, IACP, IFCA, IPMA-HR, DOJ, BJA, COPS, NFPA, and others. The Center for Public Safety Management, LLC, maintains the same team of individuals performing the same level of service as when it government technical assistance experience includes workload and deployment analysis using our unique methodology and subject matter experts to examine department organizational structure and culture, identify workload and staffing needs, and align department operations with industry best practices. We have conducted 341 such studies in 42 states and provinces and 246 communities ranging in population from 8,000 (Boone, Iowa) to 800,000 (Indianapolis, Ind.). Thomas Wieczorek is the Director of the Center for Public Safety Management. Leonard Matarese serves as the Director of Research & Program Development. Dr. Dov Chelst is the Director of Quantitative Analysis. iii CENTER FOR PUBLIC SAFETY MANAGEMENT PROJECT CONTRIBUTORS Thomas J. Wieczorek, Director Leonard A. Matarese, Director, Research & Project Development Dov Chelst, Ph.D. Director of Quantitative Analysis Michael Iacona, Senior Manager Fire and EMS Sarah Weadon, Senior Data Analyst Xianfeng Li, Data Analyst Dennis Kouba, Senior Editor iiiiii CONTENTS Tables ............................................................................................................................. v Figures .......................................................................................................................... vii Section 1. Executive Summary .................................................................................... 1 Recommendations ..................................................................................................................................... 2 Section 2. Scope of Project .......................................................................................... 5 Section 3. Organization and Management ................................................................ 6 Governance and Administration .............................................................................................................. 6 Tukwila Fire Department Overview ........................................................................................................... 7 Staffing and Deployment ........................................................................................................................ 11 Fire Station Facilities .................................................................................................................................. 16 Apparatus and Fleet Management ....................................................................................................... 19 Capital Equipment ............................................................................................................................... 22 Radio Interoperability and Coverage .................................................................................................... 23 Section 4. Analysis of Planning Approaches ............................................................ 24 Fire Risk Analysis ......................................................................................................................................... 24 Hazard Analysis and Community Risk Assessment ............................................................................ 25 Hazardous Materials Response ............................................................................................................... 28 Target Hazards and Fire Preplanning ..................................................................................................... 30 Accreditation ............................................................................................................................................ 32 Section 5. Operational Response Approaches ........................................................ 33 Tukwila Response Protocols ..................................................................................................................... 34 Fire Response ......................................................................................................................................... 34 EMS Response and Transport ............................................................................................................... 45 Mutual Aid/Automatic Response ....................................................................................................... 47 Workload Analysis ................................................................................................................................. 48 Section 6. Response Time Analysis ............................................................................ 54 Measuring Response Times ...................................................................................................................... 55 Tukwila Response Times ............................................................................................................................ 56 Section 7. Performance Measurement ..................................................................... 68 Section 8. Essential Resources ................................................................................... 72 Fire Prevention and Code Enforcement ................................................................................................ 72 Washington Surveying and Rating Bureau (WSRB) ............................................................................... 77 Education and Training Programs .......................................................................................................... 78 iiiiiiiii Emergency Management.......................................................................................................................82 Emergency Communications Center (911) .......................................................................................... 85 Section 9. Considerations for Revenue Enhancements and Reduction in Overtime ...................................................................................................................................... 87 Fire Department Revenue Enhancements ............................................................................................ 87 Considerations for Reduction in Overtime Expenditures ..................................................................... 90 Section 10. Data Analysis ........................................................................................... 93 Methodology ............................................................................................................................................. 93 Aggregate Call Totals and Runs ............................................................................................................. 94 Calls by Type.......................................................................................................................................... 94 Calls by Type and Duration ................................................................................................................. 97 EMS Calls by Response Mode and Duration ..................................................................................... 99 Calls by Month and Hour of Day ....................................................................................................... 101 Units Arriving to Calls ........................................................................................................................... 103 Workload: Runs and Total Time Spent .................................................................................................. 106 Runs and Deployed Time All Units .................................................................................................. 106 Workload by Unit ................................................................................................................................. 110 Analysis of Busiest Hours ......................................................................................................................... 114 Call Locations, Aid Given and Received ............................................................................................ 116 Response Time ......................................................................................................................................... 120 Response Time by Type of Call .......................................................................................................... 121 Response Time by Hour ...................................................................................................................... 124 Response Time Distribution ................................................................................................................. 126 EMS Response Time by Response Mode .......................................................................................... 129 Attachment I: TFD Response Area Maps ............................................................................................. 130 Attachment II: Dispatch Criteria ........................................................................................................... 132 Attachment III: Actions Taken ............................................................................................................... 134 Attachment IV: Additional Personnel ................................................................................................... 135 Attachment V: Fire Loss .......................................................................................................................... 136 Attachment VI: Historical Trends in Service ......................................................................................... 137 Trends in Call Volume ......................................................................................................................... 138 Trends in Workload .............................................................................................................................. 141 Trends in Station Availability............................................................................................................... 142 Trends in Response Time ..................................................................................................................... 144 Trends in Mutual Aid ........................................................................................................................... 146 iviviv TABLES TABLE 3-1: TFD Fire Stations, Response Units, and Assigned Personnel ............................................... 12 TABLE 3-2: Program Assignment Duties ................................................................................................... 13 TABLE 3-3: Station Locations, Year Built, and Size .................................................................................. 16 TABLE 3-4: TFD Inventory of Frontline Apparatus ................................................................................... 21 TABLE 3-5: Fire Pumper Life Expectancy by Type of Jurisdiction ......................................................... 22 TABLE 5-1: Recommended Leave-Time Reductions Needed to Operate One Peak-Period FD CARES Unit Without Additional Staffing: ................................................................................................. 38 TABLE 5- ........................ 38 TABLE 5-3: Calls by Type ........................................................................................................................... 39 TABLE 5-4: Content and Property Loss Structure and Outside Fire ................................................... 41 TABLE 5-5: Total Fire Loss Above and Below $20,000: ........................................................................... 41 TABLE 5-6: Calls by Call Type and Number of Arriving Units ................................................................. 44 TABLE 5-7: EMS Calls by Response Mode and Duration ....................................................................... 47 TABLE 5-8: Mutual Aid Responses (Runs) Given and Received ........................................................... 47 TABLE 5-9: Mutual Aid Response by Agency ......................................................................................... 48 TABLE 5-10: Call Workload by Unit ........................................................................................................... 49 TABLE 5-11: Annual Runs and Deployed Time by Call Type................................................................. 50 TABLE 5-12: Station Availability to Respond to Calls ............................................................................. 51 TABLE 5-13: Top 10 Hours with the Most Calls Received ....................................................................... 52 TABLE 5-14: Frequency Distribution of the Number of Calls ................................................................. 52 TABLE 5-15: Frequency of Overlapping Calls ......................................................................................... 52 TABLE 6-1: Average Response Time of First Arriving Unit, by Call Type ............................................... 57 TABLE 6-2: Tukwila 90th Percentile Response Times ............................................................................... 58 TABLE 7-1: The Five GASB Performance Indicators ............................................................................... 69 TABLE 8-1: TFD Fire Prevention Division Activity Statistics, 20142019 .................................................. 72 TABLE 8-2: Fire Investigations, 20142019 ................................................................................................ 74 TABLE 10-1: Call Types ............................................................................................................................... 94 TABLE 10-2: Calls by Type and Duration ................................................................................................. 97 TABLE 10-3: EMS Calls by Response Mode and Duration ..................................................................... 99 TABLE 10-4: Calls by Call Type and Number of Arriving Units ............................................................. 103 TABLE 10-5: Annual Runs and Deployed Time by Run Type ............................................................... 106 TABLE 10-6: Average Deployed Minutes by Hour of Day ................................................................... 108 TABLE 10-7: Call Workload by Unit ......................................................................................................... 110 TABLE 10-8: Total Annual Runs by Run Type and Unit ......................................................................... 111 TABLE 10-9: Daily Average Deployed Minutes by Run Type and Unit .............................................. 112 TABLE 10-10: Frequency Distribution of the Number of Calls ............................................................. 114 TABLE 10-11: Top 10 Hours with the Most Calls Received ................................................................... 114 TABLE 10-12: Frequency of Overlapping Calls ..................................................................................... 115 TABLE 10-13: Station Availability to Respond to Calls ......................................................................... 115 vvv TABLE 10-14: Calls and Workload by Location....................................................................................117 TABLE 10-15: Structure Fire and Outside Fire Runs by Location.........................................................117 TABLE 10-16: Aid Given Calls, by Call Type .......................................................................................... 118 TABLE 10-17: Aid Received Calls, by Call Type .................................................................................... 118 TABLE 10-18: Aid Received Calls, by Responding Agency ................................................................ 119 TABLE 10-19: Mutual Aid Response, by Agency .................................................................................. 119 TABLE 10-20: Average Response Time of First Arriving Unit, by Call Type ......................................... 121 TABLE 10-21: 90th Percentile Response Time of Average Response Time of First Arriving Unit, by Call Type .................................................................................................................................................. 123 TABLE 10-22: Average and 90th Percentile Response Time of First Arriving Unit at Tukwila, by Hour of Day ....................................................................................................................................................... 124 TABLE 10-23: Cumulative Distribution of Response Time, First Arriving Unit, EMS .............................. 127 TABLE 10-24: Cumulative Distribution of Response Time, First Arriving Unit, Outside and Structure Fires ........................................................................................................................................................... 128 TABLE 10-25: Average Response Times of First Arriving TFD Unit, by Response Mode ..................... 129 TABLE 10-26: 90th Percentile Response Times of First Arriving TFD Unit, by Response Mode .......... 129 TABLE 10-27: Dependence of EMS Type on CBD Code ..................................................................... 132 TABLE 10-28: Dependence of Response Mode on CBD Code ......................................................... 133 TABLE 10-29: Actions Taken Analysis for Structure and Outside Fire Calls ........................................ 134 TABLE 10-30: Workload of Administrative Units .................................................................................... 135 TABLE 10-31: Total Fire Loss Above and Below $20,000 ...................................................................... 136 TABLE 10-32: Content and Property Loss Structure and Outside Fires ............................................ 136 TABLE 10-33: Calls by Year and Grand Call Type ................................................................................ 138 TABLE 10-34: EMS Calls by Year and Type ............................................................................................ 139 TABLE 10-35: Fire Calls by Year and Type ............................................................................................. 139 TABLE 10-36: Unit Runs and Workload by Year .................................................................................... 141 TABLE 10-37: Station Availability to Respond to Calls by Year ........................................................... 142 TABLE 10-38: Comparison of 90th Percentile Response Time of First Arriving TFD Unit, by Response Mode and Year ....................................................................................................................................... 145 TABLE 10-39: Aid Given Runs by Year and Agency ............................................................................ 146 TABLE 10-40: Aid Received Runs by Year and Agency ...................................................................... 146 vivivi FIGURES FIGURE 3-1: City of Tukwila Table of Organization .................................................................................. 7 FIGURE 3-2: Tukwila Fire Department Table of Organization ............................................................... 10 FIGURE 3-3: City of Tukwila Fire Department Stations ........................................................................... 17 FIGURE 4-1: Community Risk Matrix ......................................................................................................... 25 FIGURE 5-1: Low-Risk ResponseExterior Fire Attack .............................................................................. 33 FIGURE 5-2: Moderate Risk ResponseInterior Fire Attack .................................................................... 34 FIGURE 5-3: Full-Force ResponseUtilizing an Aerial Device ................................................................. 34 FIGURE 5-4: MDPS Response Matrix ......................................................................................................... 37 FIGURE 5-5: Location of Structure Fires, 2019 ......................................................................................... 40 FIGURE 5-6: 2019 Structure Fires with a Loss of $20,000 or More .......................................................... 42 FIGURE 5-7: Calls by Number of Units Arriving EMS ............................................................................. 43 FIGURE 5-8: Calls by Number of Units Arriving Fire .............................................................................. 44 FIGURE 6-1: Fire Propagation Curve ....................................................................................................... 55 FIGURE 6-2: Tukwila Station Locations with Travel Projection of 240 Seconds ................................... 60 FIGURE 6-3: Tukwila Station Locations with Travel Projection of 360 Seconds ................................... 61 FIGURE 6-4: Tukwila Station Locations with Travel Projection of 480 Seconds ................................... 62 FIGURE 6-5: Tukwila Station Locations with Composite Travel Projections ......................................... 63 FIGURE 6-5: Location of TFD Fire Calls ..................................................................................................... 64 FIGURE 6-6: Location of TFD EMS Calls .................................................................................................... 65 FIGURE 6-7: Location of TFD Other Calls ................................................................................................. 66 FIGURE 6-8: Location of TFD Responses with Total Response Time 1of 0 Minutes or Greater .......... 67 FIGURE 10-1: EMS Calls by Type ............................................................................................................... 95 FIGURE 10-2: Fire Calls by Type ................................................................................................................ 95 FIGURE 10-3: EMS Calls by Response Mode ........................................................................................... 99 FIGURE 10-4: Calls per Day by Month ................................................................................................... 101 FIGURE 10-5: Calls per Hour by Time of Day ......................................................................................... 102 FIGURE 10-6: Calls by Number of Units Arriving, EMS .......................................................................... 104 FIGURE 10-7: Calls by Number of Units Arriving, Fire ............................................................................ 104 FIGURE 10-8: Average Deployed Minutes by Hour of Day ................................................................ 109 FIGURE 10-9: Average Response Time of First Arriving Unit, by EMS Call Type ................................. 122 FIGURE 10-10: Average Response Time of First Arriving Unit, by Fire Call Type ................................ 122 FIGURE 10-11: Average Response Time of First Arriving Unit at Tukwila, by Hour of Day ................ 125 FIGURE 10-12: Cumulative Distribution of Response Time, First Arriving Unit, EMS ........................... 126 FIGURE 10-13: Cumulative Distribution of Response Time, First Arriving Unit, Outside and Structure Fires ........................................................................................................................................................... 127 FIGURE 10- ................................................. 130 FIGURE 10- .............. 131 FIGURE 10-16: Calls per Day by Year and Grand Call Type .............................................................. 138 FIGURE 10-17: Calls per Hour by Year and Time of Day ..................................................................... 140 viiviivii FIGURE 10-18: Availability to Respond to Calls by Station and Year................................................142 FIGURE 10-19: Comparison of Average Response Time of First Arriving Unit, by Hour of Day.......144 FIGURE 10-20: Trend in 90th Percentile Response Time of First Arriving TFD Unit, by Response Mode .................................................................................................................................................................. 145 viiiviiiviii SECTION 1. EXECUTIVE SUMMARY The Center for Public Safety Management, LLC (CPSM) was retained by the City of Tukwila to conduct an Operational and Administrative Analysis for its fire department, including a detailed review of department operations, workload, staffing, fire stations, fire apparatus, and deployment practices. This analysis includes a thorough review of the organization structure; training; performance measures; prevention activities; and interactions with King County Medic One, Tri-Med Ambulance, and mutual aid and regional partners within Zone 3 of the King County Emergency Management zone system. Specifically, CPSM was tasked with providing recommendations and alternatives regarding fire department operations, potential revenue enhancements, and ways to contain overtime use in the future. During the study, CPSM analyzed performance data provided by the Tukwila Fire Department (TFD) and also examined first-hand the d deploy resources utilizing traditional approaches, which are rarely reviewed. To begin the review, project staff asked for certain documents, data, and information. The project staff used this information/data to familiarize themselves with the d operations. The provided information was supplemented with information obtained during a series of virtual interviews that focused on the performance of the department and which was used to compare that performance to national benchmarks. CPSM will typically utilize benchmarks that have been developed by organizations such as the National Fire Protection Association (NFPA), Center for Public Safety Excellence, Inc. (CPSE), the ICMA Center for Performance Measurement, as well as others. Project staff conducted its virtual interviews on September 14-15 and September 22, 2020, for the purpose of obtaining information on fire department and agency-connected support operations, interviewing key department staff, city officials and regional partners. Supplemental telephone conference calls as well as email exchanges were conducted so that CPSM staff could affirm the project scope, and elicit further discussion regarding this analysis. The Tukwila Fire Department operates under a very traditional fire department organizational structure; its equipment, deployment practices, and responding apparatus are designed primarily for structural fire protection. The TFD operates within the expansive King County urban service network, interacting with a number of service agencies that partner in the delivery of fire and EMS services. We found TFD employees to be highly skilled; they provide a full range of services in the Tukwila metropolitan area and adjacent areas of King County. The city and the fire personnel with whom CPSM interacted are truly interested in serving the city to the best of their abilities. In addition, the collaboration between TFD, the contracted ambulance service (Tri-Med), King County Medic One, Valley Communications Center, and other agencies within Zone 3 of King County Emergency Management zone system, provides for a well-integrated and excellent service delivery. As is the case with many other fire service agencies, the department is challenged to appropriately staff and deploy the needed resources while at the same time containing costs. Though these aspects of service delivery are challenging, they are not insurmountable. CPSM will provide a series of observations and recommendations that we more efficientcost-effective believe can allow TFD to become and in managing its full range of service responsibilities. 111 RECOMMENDATIONS The TFD provides an excellent range of services to its citizens, local businesses, employees, shoppers, and visitors to the area. The department is well-respected in the community and by city leadership. As with many established fire departments that have been and are experiencing a dramatic shift in their service responsibilitieswith fewer actual fires and more EMS and service-related requeststhe ability of the department to adapt or modify its service delivery strategies to reflect these changes can lag or be resisted internally. Change is never easy but can only be instituted when clear direction is provided, there is a firm commitment from the departm leadership, and the political directives of the city leadership is unwavering. Thirty-seven recommendations are listed below and in the applicable sections within this report. The recommendations are based on best practices derived from the NFPA, CPSM, ICMA, the U.S. Fire Administration, the International Association of Emergency Managers (IAEM), and the Federal Emergency Management Agency (FEMA). Considerations for Revenue In addition, CPSM has included in this study a section titled Enhancements and Overtime Reductions. Beginning on page 87, we provide eight considerations for enhancing revenue, and nine recommendations for ways to reduce overtime expenditures. The following recommendations are listed in the order in which they appear in the report. Section 3 1.The city should modify the status of future Pipeline positions and move these positions to a part-time, on-call status. Work limitations should be applied so that the city can limit benefits and pension contributions. Pipeline positions should be paid on an hourly basis and should be utilized to fill daily staffing vacancies on an as-needed basis. (See pp. 9.) 2.In future negotiations with the IAFF, the city should pursue the elimination or a reduction in the number of Kelly Days awarded to each employee, which would equate to a corresponding increase in the number of hours worked in the average workweek fire firefighters. (See p. 9.) 3. for fire personnel and consider the exclusion of any leave time as hours worked when determining overtime eligibility. (See pp. 910.) 4.TFD should consider the expansion of program management duties for field personnel and utilize these assignments to enhance career development and consider these duties as a factor in the promotional process. (See pp. 1213.) 5.TFD should expand the training requirements, certifications, and college degree prerequisites for the Captain and Battalion Chief promotional processes. (See p. 14.) 6.TFD should redefine its application of employee performance reviews and utilize these appraisals as a key component when considering employee promotions, step increases, JATC progression, and merit reviews. (See pp. 1415.) 7.The City of Tukwila should conduct periodic audits of the TeleStaff payroll and scheduling process utilized by the Fire Department. (See p. 15.) 8.The Tukwila Fire Department should institute a Quality Assurance-Quality Improvement (QA/QI) review process for its fire incident reporting. (See pp. 1516.) 222 9.Tukwila should evaluate its ability to provide fire and EMS services from a configuration of three fire stations backed by the use of roving units, automatic response, and the co- utilization of resources from its neighboring jurisdictions. (See pp. 16-18.) 10.Tukwila should consider the use of dynamic deployment and roving aid cars to improve service area coverage and reduce overall response times. (See pp. 1819.) Section 4 11.The Tukwila Fire Department should conduct a formal fire risk analysis that concentrates on the c-box occupancies, high-rise structures, industrial processing, and institutional properties. (See pp. 2427.) 12.The Tukwila Fire Department should implement a prefire planning process for all target hazards and high-risk properties; this planning should be reviewed and updated on a regular basis. (See pp. 3031.) 13.The Tukwila Fire Department should begin to enter its prefire/incident plans on all response apparatus MDTs to enable real-time retrieval of this information. (See p. 32.) 14.Tukwila should consider the completion of the CPSE Fire Accreditation process for its Fire Department in the near future. (See p. 32.) Section 5 15.The Tukwila Fire Department should continue to utilize a 12-person minimum staffing contingent that utilizes an aid car in conjunction with its other fire resources and its automatic response arrangements. (See pp. 3435.) 16.TFD should work with the Valley Communications Center Dispatch Center to implement response protocols that alter the TFD response mode when calls are determined to be minor or non-emergency in nature. (See pp. 3536.) 17.TFD should work with the Valley Communications Center Dispatch Center, King County EMS, and neighboring agencies to develop a Tukwila FD-CARES program. (See pp. 3637.) 18.The city, TFD leadership, and IAFF Local 2088, should work cooperatively to find ways to reduce employee leave accruals and leave use so as to generate additional capacity to operate one peak-period Tukwila FD-CARES unit (12 hours daily) in the city. (See p. 38.) 19.The City, TFD leadership, and IAFF Local 2088 should work cooperatively to develop guidelines for use of sick leave along with a monitoring and intervention program aimed at reducing excessive use of sick leave use. (See pp. 3839.) Section 7 20.TFD should implement a series of performance measures that enable ongoing review of service outcomes. The process of developing these measures should utilize input from TFD members, the Fire Union, the community, the Mayor and City Council, and City Administration. (See pp. 6871.) Section 8 21.The Tukwila Fire Department should institute an in-service fire company inspection program that promotes responder familiarization, code enforcement, and fire prevention efforts. (See pp. 7475.) 22.The Tukwila Fire Department should re-evaluate the use of the two 40-hour Captain/Inspectors and re-assign the duty of determining fire cause and origin and 333 estimating fire loss to the responding company officer and Battalion Chief in-charge. (See pp. 7475.) 23.The City of Tukwila should evaluate the use of an out-sourced service provider in fulfilling the fire code compliance requirements for periodic inspections of automatic fire protection systems in the city. (See p. 75.) 24. The City of Tukwila should consider the use of non-firefighter personnel (Fire Safety Specialists) instead of certified Fire Captains/Inspectors to conduct fire safety inspections and code enforcement duties. (See p. 76.) 25.The City of Tukwila should consider the re-classification of the Fire Marshal/Battalion Chief position to a non-represented position designated as a Program Manager in charge of Fire Prevention activities. (See pp. 7677.) 26.The Tukwila Fire Department should institute a comprehensive public education program that targets senior and at-risk populations along with school-age children. (See p. 77.) 27.The Tukwila Fire Department should adopt a minimum training criterion (individual hours of and completion of these training requirements on a regular basis. (See p. 79.) 28.to institute written and practical skills testing as part of the dSee p. 80.) 29.TFD should institute annual physical fitness testing in accordance with NFPA 1583 for all emergency response personnel, including chief officers. (See p. 80.) 30.TFD should institute annual medical physicals in accordance with NFPA 1582 for all emergency response personnel, including chief officers. (See p. 81.) 31.TFD should institute an employee safety and injury avoidance program aimed at reducing the number of line-of-duty injuries and lost time. (See pp. 8182.) 32.TFD should implement the use of the after-action reviews (AARs) after major incidents or events. These will serve as a training exercise and can improve service delivery and employee safety. (See p. 82.) 33.The City of Tukwila should re-assign the duties of the Battalion Chief of Emergency Management to a professionally trained Emergency Manager who is classified as a Senior Program Manager and exempt from overtime. (See pp. 8283.) 34.The City of Tukwila should update its Comprehensive Emergency Management Plan (CEMP). (See p. 83.) 35.The City of Tukwila should increase the number of city officials and support staff who are trained and capable of using the WebEOC software in the event of a major disaster or EOC activation. (See p. 84.) 36.The City of Tukwila should develop a Continuity of Operations Plan (COOP) for its essential municipal functions. (See p. 84.) 37.TFD should monitor its average call durations and unit availability for BLS calls and determine if the move from the automatic dispatching of a Tri-Med ambulance is adversely affecting system efficiency. (See pp. 8586.) 444 SECTION 2. SCOPE OF PROJECT The scope of this project was to provide an independent review of the services provided by the Tukwila Fire Department (TFD) so that the Mayor and city officials, including TFD leaders, could obtain an external perspective regarding the cityfire and EMS delivery system. This study provides a comprehensive analysis of the TFD, including its organizational structure, workload, staffing, overtime, deployment, training, fire prevention, planning, and emergency communications (911). In addition, CPSM will provide its insights to help the department determine the appropriateness of the level of response and alternative delivery systems that can be utilized in meeting both current and projected demand while containing its costs. Local government officials often commission these types of studies to measure their department against industry best practices. In this analysis, CPSM provides recommendations where appropriate, and offers input on a strategic direction for the future. Key areas evaluated during this study include: Fire department response times (using data from the citymputer-aided dispatch system and the TFD records management systems). Deployment, staffing, and overtime. Agency interaction with Medic One, Tri-Med Ambulance, and neighboring mutual aid and joint response partners. Organizational structure and managerial oversight. Fire and EMS workloads, including unit response activities. TFD support functions (training, fire prevention/code enforcement, and 911 dispatch). An evaluation of the capacity of the organization to best position itself in meeting anticipated demand. § § § 555 SECTION 3. ORGANIZATION AND MANAGEMENT GOVERNANCE AND ADMINISTRATION Tukwila is located in western King County, Washington, immediately south of the City of Seattle and just east of the Sea-Tac International Airport. Tukwila is located in the center of the Seattle Metropolitan Area, along Interstate 5, which is the predominant north-south thoroughfare in the western United States between Canada and Mexico. Tukwila freeways, railroads, and rivers has made the area an important center of business. It is estimated that nearly 45,000 people work in Tukwila. Southcenter, is located in the city. Also in Tukwila are a number of Boeing facilities and several Internet and corporate datacenters including those of Microsoft, Internap, the University of Washington, Savvis, AboveNet, HopOne, and Fortress Colocation. The city encompasses a land area of approximately 9.6 square miles and in 2019 had an estimated population just above 20,000. Tukwila is an incorporated municipal government; it operates under a Mayor/Council form of government. The Mayor is selected at-large, to a four-year term and serves as the cChief Administrative Officer. The Mayor hires and fires the City Administrator, the Fire Chief, and Police Chief and is responsible for seeing that the laws and ordinances of the city are enforced. The Mayor presides over City Council meetings but does not vote except in the case of a tie. The Mayor may veto ordinances, but a majority plus one of the City Council can override the -large. Each year in January, the Council elects a Council President who serves in this role for one year. The City Council serves as the legislative body for the city, responsible for enacting laws that govern the city, adopting a biennial budget, and appropriating funds to provide city services. Tukwila is typical of many cities and towns across the United States in that it operates its own public works department, parks and recreation, and several internal functions including finance and human resources. Tukwila operates its own police department and fire department. Emergency 911 dispatch services are provided throughout city government and neighboring agencies by Valley-Com 911. § § § 666 FIGURE 3-1: City of Tukwila Table of Organization TUKWILA FIRE DEPARTMENT OVERVIEW The Tukwila Fire Department (TFD) is a career fire department comprised of 66 personnel, of which 54 are uniformed fire rescue personnel assigned to emergency operations and 12 support personnel who are assigned to administrative, fire prevention, and training positions. The department is led by a Fire Chief who has overall responsibility for managing the d-to-day operations and providing administrative oversight. The Fire Chief is assisted by a Deputy Chief and two Battalion Chiefs (Fire Prevention and Emergency Management). The department also has an Assistant to the Chief and an Administrative Technician, who provide administrative support within the department. The Operations Division is 777 made up of54-linepersonnel who are assigned to the fourfire stations that are operational throughout the city. The Operations Division is divided into three work groups (A, B, & C Shifts) each with 18 budgeted and ipeline positions (unbudgeted firefighter assignments) who staff the fire stations to provide emergency response. Each shift is supervised by a Battalion Chief who works a 48-hour shift and answers to the Deputy Chief. Each of the fire stations is supervised by a Fire Captain. The Fire Prevention section of the department includes a Fire Marshal/Battalion Chief, two Inspector/Captains, a Project Coordinator/Plans Reviewer, and an Administrative Tech (currently vacant). The department assigns two Fire Captains as Training Instructors. These two training Captains are assigned under a contractual arrangement with the South King County Fire Training Consortium; they provide various fire and EMS training to multiple agencies in the South King County area. At the time of the CPSM interviews, the department was transitioning its Battalion Chief/Emergency Manager from his emergency management duties to a new role as Logistics and Support officer. The emergency management function was being re-assigned to a new Emergency Manager (non-uniformed) was being recruited to assume these duties. The Operations Division is responsible for providing the d functions for a wide array of fire, rescue, and emergency medical services. From its four fire stations, the department staffs one ladder truck and three engines. The Battalion Chief is assigned to a BC/Command vehicle while on duty. These units are operational 24 hours per day, 7 days a week. TFD operates with three-person staffing on each of its engines and the ladder truck. The daily minimum staffing is set at 12 personnel. Each shift is assigned 18 personnel, which accommodates up to six personnel to be off for various leave types (vacation, sick, Kelly Day, compensatory time, disability, FMLA, etc.). In April 2020, the daily minimum staffing level was reduced from 13 on-duty personnel to its current level of 12. This change was instituted as a result reduce overtime expenditures, which was often needed to maintain the minimum staffing level at 13 -personnel. Now, when the on-duty staffing drops below 12 personnel, overtime is utilized to supplement staffing. When the department operates at 12 personnel, one engine (Engine 352) is taken out of service and a two-person aid car is placed into service to replace the engine. In this configuration, the department operates two engine companies, one ladder company, a two-person aid car, and a BC/Command unit. The TFD relies heavily on its joint response agreements with neighboring agencies in Zone 3 of the King County Emergency Management zone consortium. This arrangement is a very functional and is a progressive method through which multiple agencies provide joint response from the closest available fire and EMS resources throughout the area. Best Practice participation in and utilization of the Zone 3 consortium as a . Pipeline positions In 2015 the city authorized the department to utilize additional, un-budgeted to supplement on-duty staffing. These positions were intended to provide the personnel needed for coverage of shift vacancies and forestall use of overtime staffing. Pipeline positions are trained firefighters who have tested and qualified to be hired through the firefighter recruitment and selection process. These individuals have also completed the Firefighter Recruit Academy offered through the Fire Training Consortium. CPSM believes that the Pipeline positions are a viable method for reducing overtime costs and recommends that their use should be expanded and modified in an effort to increase savings. 888 Recommendation: The city should modify the status of future Pipeline positionstodefine thesepositions aspart-time, on-call. Work limitations should be applied so that the city can limit benefits and pension contributions. Pipeline positions should be paid on an hourly basis and should be utilized to fill daily staffing vacancies on an as-needed basis. (Recommendation No. 1.) CPSM believes that the TFD can utilize upwards of nine pipeline positions to cover daily vacancies at significantly less cost than that of covering vacancies with full-time firefighters on an overtime status. The current wage provided to full-time firefighters equates to upwards of $58 per hour plus benefits. CPSM believes that the use of Pipeline positions working in a part-time, on- call basis will reduce these costs by nearly half. During the one-year period of this study from January 1, 2019 through December 31, 2019, the TFD responded to 5,754 incidents, of which nearly 77 percent were EMS-related (when canceled and mutual aid calls are excluded). All personnel are cross-trained as both EMTs (emergency medical technicians) and firefighters and are able to provide emergency medical care as well as structural and wildland fire fighting. The department provides basic life support services (BLS), from all fire stations. two-tiered EMS delivery system TFD operates in what is often termed a . In this arrangement, TFD is the first responder and then, depending on the nature of the call (Advanced Life Support or Basic Life Support), a secondary agency is dispatched. When a call is determined to be ALS, as determined by the call-screening process done at Valley Com, the department responds along with a King County EMS (Medic One) paramedic unit. If the call is determined to be BLS in nature, the department is again dispatched as the first responder and if needed a private ambulance provider (Tri-Med Ambulance Service) is dispatched if a transport is anticipated. Kelly Days Operations personnel work a three-platoon system in which personnel are on duty for 48 consecutive hours followed by 96 hours off. This schedule would normally equate to a 56-hour workweek if averaged throughout the year (or 2,912 hours annually). In Tukwila, however, through a negotiated agreement with the IAFF Firefighters Local 2088, line fire personnel receive credit for one Kelly Day in each 24-day work cycle, or a total of 14 Kelly-Days each year (336 total hours). A Kelly Day is a 24-hour day in which an employee is off with pay. This off-duty time is designed to reduce the number of hours in the average workweek. In Tukwila, the frequency of Kelly Days (one every 24 calendar days) effectively reduces the average workweek to 49.5 hours (2,576 hours annually). Considering that TFD currently employees 54 personnel who each receive 14 Kelly Days annually, the total amount of lost time annually attributable to Kelly Days is estimated to be 18,144 hours (54 personnel X 336 Kelly Day hours). As a result, two personnel are off every day because of the Kelly Day credit. CPSM believes that with a reduction in the number of Kelly Days, and a renegotiated increase of the average firefighter workweek, the city can increase substantially the available workforce and thus reduce the amount of overtime required to maintain minimum staffing. Recommendation: In future negotiations with the IAFF, the city should pursue the elimination or a reduction in the number of Kelly Days awarded to each employee, which equates to a corresponding increase in the number of hours in the average workweek fire firefighters. (Recommendation No. 2.) 999 The Kelly Day concept is not unique to the Tukwila system. CPSM has observed a number of fire departments nationally which utilize the Kelly Day credit to reduce the number of hours worked during the payroll cycle. Overtime guidelines relating to municipal fire personnel are specified in 7(k) exemption, the Fair Labor Standards Act (FLSA) and the which allows municipal fire personnel to work up to 53 hours each week before an overtime premium is required. FLSA only 1 requires overtime pay when the actual hours worked are in excess of the designated workweek. FLSA does not require that this calculation include time not worked, such as vacation time, sick leave, Kelly Days, or holidays (federal or otherwise). Tukwila operates on a 24-day FLSA cycle 2 and FLSA overtime is paid for all hours worked in excess of 182 hours. TFD personnel do not exclude any leave time as time worked in the calculation for FLSA overtime eligibility. when considering overtime eligibility for fire personnel and consider the exclusion of any leave time as hours worked when determining overtime eligibility. (Recommendation No.3.) The following figure illustrates the current organizational structure within the Tukwila Fire Department. FIGURE 3-2: Tukwila Fire Department Table of Organization 1. See 29 USC §207(k). 2. U.S. Department of Labor, Wage and Hour Division, Overtime Pay: General Guidance. 101010 STAFFING AND DEPLOYMENT Individual unit staffing and minimum daily staffing levels are perhaps the most contentious aspects of managing fire operations in the U.S. There are a number of factors that have fueled the staffing debate. Aside from FAA requirements for minimum staffing levels at commercial , there are no state or federal requirements for the staffing of structural fire apparatus. airports The U.S. Occupational Safety and Health Administration (OSHA) has issued a standard that has -in/Two- been termed the provision. This standard affects most public fire departments across the U.S., including the TFD. Under this standard, firefighters are required to operate in interior structural firefighting. teams (of no fewer than two personnel) when engaged in The environment in which interior structural firefighting occurs is further described as areas that are immediately dangerous to life or health (an IDLH atmosphere) and subsequently require the use of self-contained breathing apparatus (SCBA). When operating in these conditions, firefighters are required to operate in pairs, and they must remain in visual or voice contact with each other and must have at least two other employees located outside the IDLH atmosphere. This assures two in that the "" can monitor each other and assist with equipment failure or entrapment or two out other hazards, and the "" can monitor those in the building, initiate a rescue, or call for back up if a problem arises. 3 This standard does not specify staffing on individual apparatus, but rather specifies a required number of personnel be assembled on-scene when individuals are in a hazardous environment. There is, however, a provision within the OSHA standard that allows two personnel to make entry into an IDLH atmosphere without the required two back-up personnel outside. This is allowed when they are attempting to rescue a person or persons in the structure before the entire team is assembled. The Washington State Legislature under WAC 296-305-05002 has adopted the 4 -in/Two-oons. Under Washington guidelines, when a 5 known rescue is involved and immediate action is warranted, three personnel (2-in/1-out), can attempt to carry out the rescue. 6 A second factor that contributes to the staffing debate is the National Fire Protection Association (NFPA) 1710 publication, Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments (2020 Edition Sec., 5.2.2). This standard specifies that the staffing level on a minimum of four on-duty responding engine and ladder companies be established at personnel NFPA 1710 guideline is . Unlike the OSHA guideline, which is a mandatory provision, the advisory , meaning that communities (including Tukwila) are not required to adhere to this NFPA guideline. NFPA 1710 also provides guidance regarding staffing levels for units responding to EMS incidents; however, the provision is less specific and does not specify a minimum staffing level for EMS response units. Instead, EMS staffing requirements shall be based on the minimum levels needed to provide patient care and member safety. 7 The difficulty that many agencies have arises from their co-utilization of fire companies and EMS companies in responding to both fire and EMS calls. Working fires involving hazardous environments are labor intensive and more personnel are needed to effectively manage these incidents. EMS calls are typically managed with fewer personnel, and the majority of EMS calls 3. OSHA-Respiratory Protection Standard, 29CFR-1910.134(g)(4). 4. Ibid, Note 2 to paragraph (g). 5 https://app.leg.wa.gov/wac/default.aspx?cite=296-305-05002 6 Ibid, (4). 7. (NFPA) 1710, Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments (2020 Edition Sec., 5.3.3,2,2). 111111 can be handled with a single rescue company of two fire personnel. In the call-screening process, those calls that require additional personnel are typically identified at the dispatch level and additional personnel can be assigned when needed. In addition, in two-tiered EMS delivery systems, an additional ambulance with two personnel is typically deployed. TFD operates four primary fire suppression companies that are staffed daily (three engines and one ladder). In addition, one Battalion Chief/Command unit is in-service daily. This would typically provide a minimum daily staffing of 13 personnel. However, as mentioned above, the minimum staffing level was reduced recently to 12 personnel and at this staffing level a two- person aid car (ambulance) is placed into service at Station 54 in lieu of engine staffing. All TFD fire stations operate with a single crew that consists of a Fire Captain and two firefighters (with one firefighter assigned as the driver/vehicle operator). All response personnel are cross- trained and certified as Emergency Medical Technicians (EMTs). Station 51 houses the city- duty Battalion Chiefs. The following table identifies the primary response units operating from each of the stations and the personnel assigned. TABLE 3-1: TFD Fire Stations, Response Units, and Assigned Personnel Station # Response Units Minimum Assignment 1 Engine 3 51 1 BC/Command 1 2 52 1 Engine/Aid Car* 3 53 1 Engine 54 3 1 Ladder 4 Stations 5 Response Units 12 on-duty personnel *Note: When minimum staffing drops to 12-personnel, a two-person aid car (352) replaces E-52. Program Management Assignments Many agencies often assign the oversight of program management duties to those staff officers and chief officers who are assigned to 40-hour assignments. CPSM believes it is critical that many of the program management duties required in the operation of a modern fire and EMS organization be delegated to and under the direction of field personnel. TFD has made several assignments of support duties to line personnel and this is commendable. However, these assignments are selective and not all officers have been assigned program management duties. The ability to properly manage key organizational duties is beneficial from a career development perspective. In addition, the assumption of program management duties and the effectiveness with which an individual performs in these assignments, can be a viable consideration in the promotional process. The following table lists a variety of program management duties that could be considered for assignment to field personnel. 121212 TABLE 3-2: Program Assignment Duties Program DescriptionAssignment Level Promotional Testing Battalion Chief Performance Appraisals Battalion Chief Haz Mat/Technical Rescue Battalion Chief Employee Recognition/Awards Battalion Chief CISM/EAP Battalion Chief Sick Leave/Absenteeism Review Battalion Chief Budget Committee Battalion Chief Payroll / Executive Time Auditing Battalion Chief Police Department Liaison Battalion Chief EMS Protocols Captain Station Maintenance/Upkeep and Supplies Captain Fire Reporting QA/QI Captain Hose Testing Captain/FF Hydrant Testing Captain/FF Radio Programming Captain/FF Mapping Captain/FF Fire Pre-incident Planning Captain Infectious Disease Control Captain/FF EMS Supplies/Decon/Bio Disposal Captain/FF 911 Liaison Captain Station Response Area Designation Captain Response Protocols Captain Fire Investigations Captain/FF Safety/Rehab/Risk Management Captain SOP/Ops Committee Captain/FF Fitness Committee Captain/FF Shift Training Coordinator Captain Recruit Training/Proctoring Captain Public Information Officer Captain/FF Driver Training/EVOC Captain/FF Fleet Maintenance/Repair Record Keeping Captain/FF Internal Communications/Newsletter Captain/FF Social Media/FD Web Page Captain/FF FF/EMS Recruitment Committee Captain/FF Car Seat Installation Captain/FF Smoke Detector Replacement Captain/FF Recommendation: TFD should consider the expansion of program management duties for field personnel and utilize these assignments to enhance career development and consider these duties as a factor in the promotional process. (Recommendation No. 4.) 131313 Communicating in the Department The ability to communicate work assignments, conduct training sessions, discuss new program initiatives, or merely to update employees on departmental programs or the strategic direction of the organization requires ongoing outreach, specifically from the Fire Chief, chief officers, and training instructors in the organization. There are a number of communication tools currently available that can be used to conduct video conference calls, virtual meetings, training sessions, and information exchanges among multiple work settings (for example, see Zoom Microsoft TEAMSto use and often are available at no charge. The TFD Fire Chief conducts -In with the on-coming shifts on a regular basis. This interaction frequently is extended to the Mayor, City Administrator or other key officials when needed. Training session and administrative updates are frequently carried out in this forum. CPSM recognizes the utilization of these electronic communication tools in keeping the Best Practice organization informed and well-trained as a . Officer Promotional Process Essential to the sustainability of any organization is the career development and professional growth of the workforce. Fire service organizations are extremely regimented in their oversight of personnel issues. As is the case in Tukwila, these processes are guided by civil service rules, collective bargaining agreements, and internal personnel guidelines. The fire service promotional process is very competitive, and because of this highly competitive forum, it provides an ideal opportunity to develop individual skills and to institute organizational philosophies. The ability to direct the learning effort in developing the needed skill sets is a key function that can be orchestrated through the promotional testing process. This factor is essential in the development of the future workforce and in creating or perhaps changing the culture of an organization. Within the promotional and testing process, management can identify and utilize the source materials for testing and establish the prerequisite training criteria for promotional eligibility. It is important that the department establish prerequisites that encompass components such as colleg project management experience, supervisory training, computer applications, fitness and performance appraisals. The TFD promotional process for Captain and Battalion Chief has very limited requirements of a basic certification for EMT, Washington State License, and a Fire Instructor-1 Certificate. There are no prerequisite requirements for supervisory training; knowledge of Incident Command and Fire Inspections; or computer or technical training. Though a community college degree and core coursework in Fire Sciences is recommended, the degree requirements for both Captain and Battalion Chief can be waived with additional years of job experience or participation in in-service training activities. Recommendation: TFD should expand the training requirements, certifications, and college degree prerequisites for the Captain and Battalion Chief promotional processes. (Recommendation No. 5.) Performance Review Process The annual employee performance review is closely aligned with the promotional process and equally effective in career development, professional growth, and performance remediation. The City of Tukwila and the department do utilize an annual performance review process, but 141414 the methodologies utilized in the departmentarelargely ineffectivefor their intended purposes. Performance appraisals are not considered in the Captain and Battalion Chief promotional process, nor are these reviews considered when merit or step increases are awarded. Correspondingly, the individual performance review has limited application in progressing the nearly 40 months of training and development involved in the Journeyman Apprenticeship Training Curriculum (JATC), which is delivered through the Training Consortium. CPSM believes that the performance review process can be an effective supervisory process when used effectively. It provides a formal communication and documentation between the supervisor and an employee in establishing goals, monitoring performance, and identifying areas requiring improvement. Recommendation: TFD should redefine its application of employee performance reviews and utilize these appraisals as a key component when considering employee promotions, step increases, JATC progression, and merit reviews. (Recommendation No. 6.) When re-engineering the use of the performance review process, it is extremely important that all supervisors are properly trained in their use and clear guidelines are developed for both supervisors and subordinates. Payroll and Scheduling Management Workforce TeleStaff TFD utilizes the software package to assist in the management of its payroll process. TeleStaff is an automated payroll and scheduling system that tracks the various leave- categories and authorizes any additional pay and overtime. The TeleStaff system is interfaced with the cinvolves time-sheet entries and authorizations by both employees and supervisors to enable processing. The system utilizes a number of checks and reviews by supervisors and fire management staff along with oversight by the city Finance Department to ensure that all leave time is entered and any additional pay is paid. Most fire departments, including Tukwila, have a complex series of rules and conditions in which leave time is authorized and additional pay is applied. The TeleStaff system is a software package that is customized to address the payroll criteria established and utilized for the specific organization. The TeleStaff system is very effective and quite versatile in its application. While TeleStaff has a built-in number of authorizations, situations do arise in which an omission occurs or an overpayment is made. As with any financial process in a government setting, a periodic audit should be incorporated to ensure proper financial oversight. In Tukwila an audit of the Fire being done. CPSM believes that periodic audits of TeleStaff are warranted. Recommendation: The City of Tukwila should conduct periodic audits of the TeleStaff payroll and scheduling process utilized by the Fire Department. (Recommendation No. 7.) Incident Reporting Every response that is carried out by the Tukwila Fire Department is documented by a written incident report. EMS calls utilize a patient care report that documents the date, time, personnel involved, and actions taken in treating the patient, along with any related patient information (blood pressure, respirations, level of consciousness, signs and symptoms, injuries etc.). Fire reports identify the date and time of the incident, the occupancy type or location of the incident, the situation 151515 found, personnel involved,and the actions taken. These incident reports serve as the official public record and also provide statistical information that is used to capture key information regarding department activities including workload, response times, fire loss estimates, patient transports, etc. All EMS reports undergo a comprehensive review for Quality Assurance (Q/A) and Quality Improvement (Q/I). These reviews are done by King County and the c Medical Director. Fire reports do not have the same level of review. Reports are typically done by the first arriving officer and input is added by the Incident Commander (Battalion Chief) and other officers regarding their actions taken and their involvement with the incident. TFD does not have a formal quality review process for its fire reporting. Recommendation: The Tukwila Fire Department should institute a Quality Assurance-Quality Improvement (QA/QI) review process for its fire incident reporting. (Recommendation No. 8.) FIRE STATION FACILITIES Fire department capital facilities are exposed to some of the most intense and demanding uses of any public local government facility, as they are occupied and in use 24 hours a day and 7 days a week. The Tukwila Fire Department operates out of four fire stations with five staffed 8 primary emergency response apparatus. Department administrative offices are in the old Tukwila Station 51, located at 444 Andover Park East. The following table shows the location, year built, and size of department facilities. TABLE 3-3: Station Locations, Year Built, and Size Building Address Year Built Size/Sq. Ft. Fire Station #51 17951 Southcenter Pkwy. 2020 11,000 Fire Station #52 15447 65th Ave. South 2021* 14,650 Fire Station #53 4202 South 115th St. 1995 6,109 Fire Station #54 4237 South 144th St. 1961 4,000 *Note: Station 52 was under construction during development of this report and has an expected completion date in 2021. The following figure is a graphic depiction of the location of the cityfour fire stations and the municipal boundaries for Tukwila. § § § 8. Compton and Granito, eds., Managing Fire and Rescue Services, 219. 161616 FIGURE 3-3: City of Tukwila Fire Department Stations The TFD serves an estimated population of 20,347 people and a total service area of 9.6 square miles. The average service area for each fire station is approximately 2.4 square miles. In a FY 2011 ICMA Data Report, ICMA tabulated survey information from 76 municipalities with populations ranging from 25,000 to 100,000 people. In this grouping the average fire station service area was 11 square miles. The median service area for this grouping was 6.67 square 9 miles per fire station. 10 9. Comparative Performance Measurement, FY 2011 Data Report - Fire and EMS, ICMA Center for Performance Measurement, August 2012. 10. Ibid. 171717 In addition, the NFPA and ISO have established different indices in determining fire station distribution. The ISO Fire Suppression Rating Schedule, Section 560, indicates that first-due engine companies should serve areas that are within a 1.5-mile travel distance.The placement of fire 11 stations that achieves this type of separation creates service areas that are approximately 4.5 square miles in size, depending on the road network and other geographical barriers (rivers, lakes, railroads, limited access highways, etc.). The National Fire Protection Association (NFPA) references the placement of fire stations in an indirect way. It recommends that fire stations be placed in a distribution that achieves the desired minimum response times. NFPA Standard 1710, Section 4.1.2.1(3), suggests an engine placement that achieves a travel time of 240 seconds (four minutes). -wise linear travel time function, 12 Rand Institute has estimated that the average emergency response speed for fire apparatus is 35 mph. At this speed the distance a fire engine can travel in four minutes is approximately 1.97 miles. A polygon based on a 1.97-mile travel distance results in a service area that on average 13 is 7.3 square miles. 14 From these comparisons, it can be seen that the average 2.4 square-mile service area per station in Tukwila is much less than the noted references. In addition, Tukwila is in close proximity and has mutual aid and automatic response agreements with several neighboring fire agencies (Puget Sound Regional Fire Authority, Renton Regional Fire Authority, South King Fire & Rescue, King County Fire District #2, Mountain View Fire & Rescue, and Valley Regional Fire Authority). The City of Tukwila has recently constructed a new fire station #51 (2020) and is actively constructing a replacement for Fire Station #52 (estimated completion in 2021). CPSM believes that considering the combined workload of the TFD units, the geographic size of their service area, and proximity to neighboring mutual aid partners, a consolidation of resources and a revised deployment strategy that focuses on the EMS workload, utilizes roving units, and expands the utilization of automatic aid response from neighboring jurisdictions is warranted. Recommendation: Tukwila should evaluate its ability to provide fire and EMS services from a configuration of three stations, backed by the expanded use of automatic response, roving units, and the co-utilization of resources from its neighboring jurisdictions. (Recommendation No. 9.) Roving Units TFD deploys its emergency resources from its fixed fire station locations. Responding units are notified of an incident and then personnel must start up their vehicle, don any protective clothing necessary, and respond to the incident. The elapsed time from when a unit is notified turn-out time. and ultimately begins its response is termed Turn-out time has been taking upwards of three minutes for Tukwila units. Many agencies, particularly ambulance and EMS Roving-Units,Dynamic Deployment, providers, often instead of responding from fixed locations. This means that units are mobile or posted at key response locations in the service area, and respond immediately when dispatched. CPSM believes that 11. Insurance Services Office. (2003) Fire Protection Rating Schedule (edition 02-02). Jersey City, NJ: Insurance Services Office (ISO). 12. National Fire Protection Association. (2020). NFPA 1710, Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments. Boston, MA: National Fire Protection Association. 13. University of Tennessee Municipal Technical Advisory Service, Clinton Fire Location Station Study, Knoxville, TN, November 2012. p. 8. 14. Ibid. p. 9. 181818 response times in Tukwila for EMS calls can be reduced by nearly 25percent if theroving concept and dynamic deployment are utilized. Recommendation: Tukwila should consider the use of dynamic deployment and roving aid cars to improve service area coverage and reduce overall response times. (Recommendation No. 10.) There are a number of software packages that are utilized at the dispatch center that can assist agencies in determining key locations for roving units to be deployed.When employed 15 effectively these measures are extremely reliable and can reduce response times dramatically and improve service area coverage. Condition of Stations Fire stations are designed to adequately house apparatus and necessary equipment. Typically, new fire stations have an anticipated service life of 50 years. However, we note that in many jurisdictions older facilities are being replaced in a 30- to 35-year time frame. In most cases, facilities require replacement because of their size constraints, a need to relocate the facility to better serve changing population centers, the absence of needed safety features or service accommodations, and the general age and deterioration of the facility. TFD stations range in age from 59 years of age (Station 54) to its newest station (Station 52) that was under construction at the time of this study and which is expected to be placed into service in Spring 2021. As a result of an approved public safety bond initiative in 2016, the Tukwila fire stations and rolling fleet of fire apparatus are in very good shape and well-positioned to service the community for the foreseeable future. APPARATUS AND FLEET MANAGEMENT Fire departments utilize a wide range of fire apparatus, along with tools and equipment, in carrying out their core mission. Apparatus generally includes emergency response vehicles such as engines, tenders/tankers (water supply vehicles), aerial apparatus (ladders), quints, rescue vehicles/squads, and ambulances. There are also specialized apparatus including wildland engines and off-road vehicles, along with watercraft that are typically part of the emergency fleet. Trailers are utilized to carry specialized equipment when needed. These include hazardous materials response/equipment, decontamination devices and diking materials, structural collapse equipment, portable air filling stations, scene lighting, foam units, and mass casualty incident supplies. In addition, a wide range of utility vehicles including command vehicles and emergency communications units, staff vehicles, and maintenance trucks can be part of the fleet. The mission, duties, demographics, geography, and construction features within the community all play a major role in the makeup of the apparatus and equipment inventory utilized. These factors, as well as the funding available, must be taken into consideration when specifying and purchasing apparatus and equipment. Every effort should be made to make new apparatus as versatile, safe, and multifunctional/capable as is possible as well as practical. 15. See: http://www.bcs-gis.com/uploads/7/4/6/5/74651127/marvlis_brochure_pdf_handout.pdf, https://www.ems1.com/ems-products/communications/articles/dynamic-deployment-5-persistent-myths- busted-BYjRSoywCriT7Kmn/ 191919 Apparatus maintenance is also an integral part of any fire department, and budget-wise it is invariably a key component in keeping such large ticket items as apparatus running and extending their usefulness. It takes a big chunk of a city budget to purchase and subsequently maintain a fire department fleet. As fleets age, it is logical and sound planning to conclude that repairs and costs will increase exponentially. There are two proven ways to mitigate the long-term and short-term costs associated with repairs and replacements. The primary way is to have a sound, dedicated preventive maintenance (PM) program that is on a regular cycle for each vehicle in a saves money but saves lives as well by maintaining the number of viable apparatus ready to respond to emergencies. The other method is to have a realistic capital improvement plan (CIP) to acquire new apparatus when an existing vehicle has outlived its usefulness. NFPA 1911, which sets standards for Guidelines for First Line and Reserve Fire Apparatus, has changed and adapted over the years to reflect the changes in industry standards, but on one thing it has been wholly consistent: ensure that they are reliabl added) The standard further states: worn out. There is also fire apparatus that were manufactured with quality components, that have had excellent maintenance, and that have responded to a minimum number of incidents that are still in serviceable condition after 20 years. factors in determining how well a fire apparatus ages. (Italics added) NFPA Standard 1915 addresses the minimum expectations for a comprehensive PM program. The benefits of implementing a PM program in compliance with NFPA 1915 are many. First, maintaining a vehicle is less expensive than repairing it. Second, vehicles that undergo PM on a dedicated schedule are more likely to have a longer lifespan. Third, PM reduces the time that a vehicle is unavailable for use in the community by reducing the chances that it will need repairs that take it out of service for a lengthy period. Finally, demonstrating adherence to an NFPA 1915-compliant PM program reduces the chance of a maintenance-related untoward event and possible resulting lawsuits. The TFD deploys six primary first response units to accomplish its mission. These apparatus are strategically placed among the 4 fire stations and include three engines, one ladder, one aid car, and one BC/Command vehicle. The TFD also deploys several special service units and trailers, fire boats, and reserve apparatus. These units are not staffed on a daily basis; instead, when necessary, the personnel assigned to that station will operate these units and deploy as needed. Service vehicles are also assigned to training personnel, fire prevention, and administrative staff. The following table shows the T front-line inventory. 202020 TABLE 3-4: TFD Inventory of Frontline Apparatus UnitTypeMakeYearAgeMileage* Engine 351 Type 1/Engine Pierce Velocity 2019 1 year 1,291 Engine 352 Type 1/Engine Pierce Velocity 2019 1 year 1,246 Engine 353 Type 1/Engine Pierce Velocity 2014 6 years 43,526 Ladder 354 Aerial Ladder Pierce Velocity 2019 1 year 1,291 Ambulance AID 352 Paraliner Type1 2020 new n/a BC-543 Command Ford F-250 2016 4 years 40,953 Boat 515 Inflatable Boat Ranger 420 2009 11 years n/a Boat 516 Police Boat Woodridge 2010 10 years n/a Boat 520 Fire Boat Woodridge 2010 10 years n/a Reserve Type 1/Engine Pierce Velocity 2014 6 years Reserve Aerial Ladder Pierce 2006 14 years 12,030 Note: * Mileage as of 10/1/2020. The dline pumpers range in age from one year to six years. On average, first- line engines in the fleet are 2.6 years of age. The ladder truck is also new, purchased in 2019. The aid car was purchased in 2020. In 2016, Tukwila voters approved a public safety bond that provides apparatus replacement for the TFD for an estimated 15-year period. The city utilizes its Public Safety Plan to identify the replacement schedule for its fire apparatus. This plan is based generally on the age and odometer readings in determining the replacement order. Consequently, the TFD front-line fleet is exceptional. TFD vehicle repairs and preventive maintenance are provided by the Fleet Services Division, which operates under the cFleet Services is doing an exceptional job in maintaining the various apparatus and equipment under their responsibility. The apparatus service facility/shop is well-equipped, sufficiently sized, clean, and well-maintained. The Fleet Superintendent oversees the shop and the entire fleet maintenance system utilizing four mechanics. CPSM highly commends the efficiency and effectiveness of the fleet management unit given the staff and the corresponding output of services delivered. NFPA 1901, Standard for Automotive Fire Apparatus, 2016 edition, serves as a guide to the manufacturers that build fire apparatus and the fire departments that purchase them. The document is updated every five years, using input from the public/stakeholders through a formal review process. The committee membership is made up of representatives from the fire service, manufacturers, consultants, and special interest groups. The committee monitors various issues and problems that occur with fire apparatus and attempts to develop standards that address those issues. Of primary interest to the committee over the past years has been improving firefighter safety and reducing fire apparatus accidents. The Annex Material in NFPA 1901 contains recommendations and work sheets to assist in decision-making in vehicle purchasing. With respect to recommended vehicle service life, the following excerpt is noteworthy: "It is recommended that apparatus greater than 15 years old that have been properly maintained and that are still in serviceable condition be placed in reserve status and upgraded in accordance with NFPA 1912, Standard for Fire Apparatus Refurbishing, to incorporate as many features as possible of the current fire apparatus 212121 standard. This will ensure that, while the apparatus might not totally comply with the current edition of the automotive fire apparatus standards, many improvements and upgrades required by the recent versions of the standards are available to the firefighters who use 16 "Apparatus that were not manufactured to the applicable apparatus standards or that are over 25 years old should be replaced." 17 In a 2004 survey of 360 fire departments in urban, suburban, and rural settings across the nation, Pierce Manufacturing reported on the average life expectancy for fire pumpers.The results are 18 shown in the following table. TABLE 3-5: Fire Pumper Life Expectancy by Type of Jurisdiction First-Line Annual Miles Total Years of Demographic Service Driven Reserve Status Service Urban 15 Years 7,629 10 Years 25 Suburban 16 Years 4,992 11 Years 27 Rural 18 years 3,034 14 Years 32 Note: Most agencies utilize a combination of funding methods for apparatus replacements. These include capital replacement funds, bond initiatives, or simply through annual budget allocations. The key, however, is to develop an ongoing funding mechanism to fund the replacement of apparatus when their useful lifespan has been met. Tukwila has been diligent in providing the resources needed to fund its fire fleet replacement program. The current condition of the fleet is exceptional, and the efforts being made regarding preventive maintenance are commendable. Capital Equipment Fire apparatus are equipped with various types of tools and equipment that are utilized in providing fire and EMS services. Many of the tools and much of the equipment carried on fire apparatus are specified in NFPA and ISO guidelines. Fire and EMS equipment includes such items as hose, couplings, nozzles, various types of ladders, foam, scene lighting, oxygen tanks, AEDs, defibrillators, stretchers, small hand tools, fire extinguishers, mobile and portable radios, salvage covers, and medical equipment and supplies. Many of the small tools and equipment are considered disposable items and are replaced with ongoing operating funds. However, some pieces of equipment are very expensive, and thus require planning for their useful life and replacement. The more expensive capital items include: Self-contained breathing apparatus (SCBA) and fill stations. Firefighting PPE (personal protective equipment). Hydraulic/pneumatic extrication equipment. ECG Monitors/Defibrillators/AEDs. 16. NFPA 1901, Standard for Automotive Fire Apparatus, 2016 Edition. Quincy, MA. 17. NFPA 1901, Standard for Automotive Fire Apparatus, 2016 Edition. Quincy, MA. 18. 222222 Ambulance stretchers. Thermal imaging cameras. Mobile/portable and base radios. Mobile data computers. Gas monitoring and detection devices. Watercraft/boats/outboard motors. Much of the more expensive capital equipment is generally on a ten-year replacement cycle. Each new apparatus is equipped with these types of capital equipment, which has an estimated cost of nearly $250,000 for each new engine and ladder purchased. The total cost of outfitting a department the size of the TFD for the capital items described is estimated to be more than $2 million. Thus, CPSM estimates that the annual replacement needs for these types of capital items in the TFD is approximately $150,000 to $200,000. RADIO INTEROPERABILITY AND COVERAGE In general, interoperability refers to seamless radio communications between emergency responders using different communication systems or products. Wireless communication interoperability is the specific ability of emergency responders to use voice and data communication in real time, without delay. For example, police, fire, and EMS responding to an incident are interoperable when all can communicate with one another over individual and perhaps shared communication channels. Interoperability enables first responders from any jurisdiction to communicate with one another at larger incidents and enables emergency planners and personnel to coordinate their radio operations in advance of major events. 19 The TFD has transitioned its radio system to a P-25, trunked system. This system provides complete interoperability with area law enforcement, King County Medic One, Tri-Med, and surrounding jurisdictions. It is essential to have unit-to-unit communication between emergency responders who jointly respond on most calls. Tukwila is part of the Puget Sound Emergency Radio Network, which is a state-of-the-art land mobile radio communication system providing voice and data communications to police, fire, and EMS personnel throughout the area. This network is very effective, well-managed, and provides suitable services for the City of Tukwila and its area response partners. § § § 19. SAFECOM, U.S. De http://www.safecomprogram.gov/SAFECOM/interoperability/default.htm. 232323 SECTION 4. ANALYSIS OF PLANNING APPROACHES FIRE RISK ANALYSIS In most communities, the cost of providing fire and EMS protection has increased steadily in recent years. This has been fueled in part by rising wages, additional special pay, and escalating overtime costs. In addition, funding needs have been compounded by increasing health insurance premiums and spiraling pension contributions. At the same time, the workforce has become less productive, largely because of the increases in lost time, specifically vacation leave, Kelly Days, greater usage of sick leave, compensatory time, and increases in other miscellaneous lost- training leave, etc.). As a result, many jurisdictions are asking the fundamental question of whether the level of risk in their jurisdiction is commensurate with the type of protective force that is being deployed. To this end, a fire risk and hazard analysis can be helpful in providing a based on several factors, including: Needed fire flow if a fire were to occur. Probability of an occurrence based on historical events. The consequence of an incident in that occupancy (to both occupants and responders). The cumulative effect of these occupancies and their concentration in the community. A community risk and vulnerability assessment are used to evaluate properties in the community and assign an associated risk as either a high, medium, or low hazard. The NFPA Fire Protection Handbook defines these hazards as: High-hazard occupancies: Schools, hospitals, nursing homes, explosive plants, refineries, high- rise buildings, and other high life-hazard or large fire-potential occupancies. Medium-hazard occupancies: Apartments, offices, and mercantile and industrial occupancies not normally requiring extensive rescue by firefighting forces. Low-hazard occupancies: One-, two-, or three-family dwellings and scattered small business and industrial occupancies. 20 Plotting the rated properties on a map provides a better understanding of how the response matrix and staffing patterns can be used to ensure a higher concentration of resources for worst- case scenarios or, conversely, fewer resources for lower levels of risk. 21 20. Cote, Grant, Hall & Solomon, eds., Fire Protection Handboo k (Quincy, MA: NFPA 2008), 12. 21. Fire and Emergency Service Self-Assessment Manual, Eighth Edition (Center for Public Safety Excellence, 2009), 49. 242424 Hazard Analysis and Community Risk Assessment Hazard analysis and community risk assessment are essential elements in a fire depa planning process. The City of Tukwila and the TFD have recognized the need for a comprehensive community risk and vulnerability assessment but have been unable to implement this critical planning process. Each jurisdiction must decide what degree of risk is acceptable to the citizens it serves. This determination is based on criteria that have been developed to define the levels of risk (e.g., of fire) within all sections of the community. To this 22 end, a comprehensive planning approach that includes a fire risk assessment and hazard analysis is essential in determining local needs. The term integrated risk management refers to a planning methodology that recognizes that citizen safety, the protection of property, and the protection of the environment from fire and related causes must include provisions for the reasonable safety of emergency responders. This means assessing the risk faced, taking preventive action, and deploying the proper resources in the right place at the right time. There are two main considerations of a risk assessment: the 23 probability of an event occurring and the consequence of that event occurring. The matrix in the following figure divides the risk assessment into four quadrants. Each quadrant of the chart creates different requirements in the community for commitment of resources. FIGURE 4-1: Community Risk Matrix Plotting the rated properties on a map will provide a better understanding of how the response matrix and staffing patterns can be used to ensure a higher concentration of resources for worst- case scenarios or, conversely, fewer resources for lower levels of risk. 24 planning process. Although the City of Tukwila and the TFD have identified a number of 22. Compton and Granito, Managing Fire and Rescue Services, 39. 23. Cote, Grant, Hall & Solomon, eds., Fire Protection Handboo k (Quincy, MA: NFPA 2008), 12-3. 24. Fire and Emergency Service Self-Assessment Manual, Eighth Edition, (Center for Public Safety Excellence, 2009), 49. 252525 potential hazards in the community, a comprehensive community riskand vulnerability assessment has not been done. Recommendation: The Tukwila Fire Department should conduct a formal fire risk analysis that concentrates on the citydowntown, strip commercial establishments, big-box occupancies, high-rise structures, industrial processing, and institutional properties. (Recommendation No. 11.) As a guide in conducting a vulnerability assessment, CPSM has developed the following template that may be utilized in completing this process. Community Risk Assessment Template TASK 1: Establish a Risk Assessment Team Five to six members with assorted skills. Team leader. Data analyst. Tactical/command expertise. City planning/growth management. Financial/economic. GIS/mapping. TASK 2: Review and Plot Historical Workload (5 years) Breakout daily call distribution by type. Location/occupancy type. High-volume/frequent use. Southcenter Mall Schools. Adult living center. Identify high-dollar loss fire events (>$25K). Location/occupancy type. Cause & origin/demographic. Identify high-manpower events (>20 people). Identify high-time duration events (>2 hours). Identify events with significant economic impact (>$1 million). Identify events with multiple injuries or fatalities. Identify events with significant environmental impacts (which require remediation). TASK 3: Identify the Community Risks for High-profile Events Transportation accidents (rail, air, roadway, port). 262626 Occupancies with high OVAP scores (methodology to provide a numeric score that identifies the comparative risk in a specific occupancy). Wildfire events. Large, complex fire (dormitory, assisted living, jail, hospital, etc.). Processing or manufacturing accident (chemical, radiologic, petroleum, electrical, etc.). Mass casualty incident. Weather, flooding, or seismic event. Terrorist event. Driven by a community profile or demographic. TASK 4: Identify Capacity Issues or Incidents in which Insufficient Resources Resulted in a Negative Outcome Related to daily activities. Related to larger/significant events. Related to incidents requiring the utilization of mutual aid or external resources. Other incident types. TASK 5: Identify Additional Service Demands Related to Anticipated Growth of the Service Area Affecting daily activities. Related to larger/significant events. Incidents that required specialized services or a currently unavailable expertise. TASK 6: Identify Risk Reduction or Prevention Efforts that can Reduce or Eliminate Future Workload Related to daily activities. Related to larger/significant events. Related to new demand resulting from growth. Develop cost/outcome analysis. TASK 7: Identify Additional Training Needs to Better Manage Current or Anticipated Service Demand Develop cost/outcome analysis. TASK 8: Identify Organizational or Tactical Capabilities Needed to Meet Current Shortfalls Develop cost/outcome analysis. In addition to examining risks faced by the community at large, the department needs to Standard for a Fire Department Occupational Safety and Health Program (NFPA 1500) requires a risk management plan for fire departments to be developed separately from those that are incorporated in the local 272727 government plan.The TukwilaFire Department does not have a written internal risk 25 management program in place. A fire department risk management plan is developed and implemented to comply with the requirements of NFPA 1500. The following components must be included in the risk management plan: Risk Identification: Actual or potential hazards. Risk Evaluation: The potential of occurrence of a given hazard and the severity of its consequences. Prioritizing Risk: The degree of a hazard based upon the frequency and severity of occurrence. Risk Control: Solutions for eliminating or reducing real or potential hazards by implementing an effective control measure. Risk Monitoring: Evaluation of effectiveness of risk control measures. 26 HAZARDOUS MATERIALS RESPONSE Hazardous materials incidents occur with some frequency in Tukwila. Over the last five years, TFD units responded to on average about 100 hazmat-related calls of varying degree each year. Incidents ranged from natural gas and propane leaks, carbon monoxide incidents, biological hazards, combustible and flammable gas spills, chemical hazards, assorted spills and leaks, and chemical incidents. Many of the incidents are directly attributable to gasoline and oil spills from vehicles that run through portions of Tukwila. I-5, I-405/HWY 518, and Hwy 599 run through and are adjacent to the city. Another concern is the BNSF/Union Pacific rail line, which carries Amtrak trains as well as high-volume cargo trains through the city on a regular basis. In addition, the SEA-TAC International Airport is adjacent to Tukwila city limits, and while crash fire rescue is provided by the airport personnel, TFD has joint response duties for any significant event. The airport is the 28th-busiest airport in the world, and the eighth-busiest airport in the United States. Thirty-four airlines serve 91 non-stop domestic and 28 international destinations. In 2019, more than 50 million passengers passed through the airport. The types of hazardous materials at both fixed facilities and passing through on major transportation thoroughfares in Tukwila present the potential for a more significant event and the possibility for an event is always present. The presence of the Interstate highways and multilane highways with an unknown quantity of hazardous materials traveling through the city daily poses a challenge in developing adequate mitigation measures. Indeed, the traditional primary risks are those generated by hazmat transportation and fixed facilities. However, over the years, the type and nature of incidents to which regional hazmat teams may respond has significantly changed and have become more technically challenging. Examples include the following: 25. Robert C. Barr and John M. Eversole, eds., , 6th edition (PennWell Books, 2003), 270. 26. NFPA 1500, Standard for a Fire Department Occupational Safety and Health Program (2007 ed.), Annex D. 282828 Clandestine labs, criminal and terrorist use of hazmat as weapons, chemical suicides, etc. Interdisciplinary response scenarios in which the regional hazmat teams interface with their response partners in the law enforcement, emergency medical, and fire communities. Scenarios include special events and the use of Joint Hazard Assessment Teams (JHAT), improvised explosive devices, coordinated/complex attack scenarios, active shooter/assailant scenarios, and the emergence of virus threats such as Ebola and Zika. Tourism and economic development initiatives have drawn national sporting events and festivals to the state. While this is a positive economic development, high-profile and high- density crowd events raise the threat level, requiring a more sophisticated hazmat preparedness and response package. Changes in the U.S. domestic energy infrastructure have impacted the response community, such as for incidents involving high-hazard, flammable trains with crude oil and ethanol, increased use of liquefied natural gas (LNG) and related facilities, etc. The increasing use of social media is viewed as both a situational awareness asset and a potential operations security (OPSEC) vulnerability. The regional hazmat teams can assume a leadership role in determining future pathways and options on how social media can be safely and effectively integrated into response operations. 27 Response to hazardous materials incidents is defined in the TFD Operating Guidelines. Tukwila is compliant with OSHA, Hazardous Waste Operations and Emergency Response, 29 CFR Part 1910.120 and NFPA 472, Professional Competence of Responders to Hazardous Materials Incidents. Level I incidents can be managed and mitigated effectively by the first response personnel without a hazardous materials response team or other special unit. These incidents include: Spills that can be properly and effectively contained/or abated by equipment and supplies immediately accessible to TFD. Leaks and ruptures that can be controlled using equipment and supplies accessible to TFD. Fires involving toxic materials, and which can be extinguished and cleaned up with resources immediately available to TFD. Hazardous materials incidents not requiring civilian evacuation. (Example: A small pool supply spill that can be diluted with water for clean-up.) King County Emergency Management Zone 3 has available multiple specialized emergency response teams that can be utilized in Tukwila. Puget Sound, South King County, and the Renton Fire Authority, which are all in close proximity to Tukwila, are available through this mutual aid agreement in providing response to spills involving hazardous materials including chemical, radiologic, and biological materials. The teams provide hazard identification, response, and mitigation at a high level of proficiency. Each TFD first responder maintains a hazardous materials operations-level certification, which enables them to identify hazards and initiate defensive operations for those situations requiring Level II and III capability. CPSM recognizes the TFDrticipation in the King County Emergency Best Practice Management zone system as a , and we view the current level of response as being very appropriate for the community. 27. Flippin, P., et al; Virginia Department of Emergency Management Hazmat Program Strategic Review (VDEM, Richmond, VA, 2016) 292929 TARGET HAZARDS AND FIRE PREPLANNING The process of identifying target hazards and pre-incident planning are basic preparedness efforts that have been key functions in the fire service for many years. In this process, critical structures are identified based on the risk they pose. Then, tactical considerations are established for fires or other emergencies in these structures. Consideration is given to the activities that take place (manufacturing, processing, etc.), the number and types of occupants (elderly, youth, handicapped, imprisoned, etc.), and other specific aspects relating to the construction of the facility or any hazardous or flammable materials that are regularly found in the building. Target hazards are those occupancies or structures that are unusually dangerous when considering the potential for loss of life or the potential for property damage. Typically, these occupancies include hospitals, nursing homes, and high-rise and other large structures. Also included are arenas and stadiums, industrial and manufacturing plants, and other buildings or large complexes. Standard for Pre-Incident Planning, through its Sample Pre-Incident Plan Field Collection Card and Facility Data Record in Annex A is quite specific in identifying the need to utilize a written narrative, diagrams, and predesignated, detailed forms to depict the physical features of a building, its contents, and any built-in fire protection systems. Information collected for pre-fire/incident plans includes, but is certainly not limited to, data such as: The occupancy types. Floor plans/layouts. Building construction type and features. Building fire protection systems. Utility locations. Hydrant locations. Hazards to firefighters and/or firefighting operations. Hazmat considerations and locations. Special conditions in the building. Apparatus placement plan. Fire flow requirements and/or water supply plan. Forcible entry and ventilation plan. Emergency contact information. -incident plan is one of the most valuable tools available The information 28 contained in pre-incident fire plans enables firefighters and officers to have a familiarity with the building/facility, its features, characteristics, operations, and hazards. Thus, they can more effectively, efficiently, and safely conduct firefighting and other emergency operations. Pre- incident fire plans should be reviewed regularly and tested by periodic table-top exercises and on-site drills, especially in the most critical and frequented occupancies. http://www.nfpa.org/codes-and-standards/all-codes-and-standards/codes-and- 28 standards/detail?code=1620 303030 Strategically and from an operational standpoint, according to NFPA 1620,pre-incident planning is a total concept based upon the following: Situation awareness. Management commitment. Education. Protection. Prevention. Emergency organization. 29 CPSM believes that these conceptual considerations are particularly relevant in the case of TFD and the TFD Fire Prevention Division. TFD does not involve line personnel in in-service company inspections and the TFD-fire incident planning was discontinued in recent years. CPSM believes this is detrimental to the necessary tactical efforts that are gained through preplanning reconnaissance; in addition, the ability to inspect and correct code violation and life-safety concerns is reduced considerably. All of the organizational tenets above are directly related to the ability of fire department personnel being able to walk through the structures that present a hazard or potential heretofore unseen, or new hazards, or special conditions and actually identify them firsthand. There are numerous senior assisted living facilities in Tukwila, including Tukwila Village Senior Living, Sunshine Care, Lords Joy Adult Family Home, Holden at Southcenter, Morning Star, Linden Lea Lodge, and Careforce. The city has a number of retail, industrial, and manufacturing establishments including Westfield Southcenter mall; a number of Boeing facilities; several Internet and corporate datacenters including Microsoft, Internap, the University of Washington, Savvis, AboveNet, HopOne, and Fortress Colocation; Consolidated Container Co.; and Farwest Paint Manufacturing. There are numerous high-rise hotels, multiple schools, the Seattle Light Rail system runs throughout the city, and there are several major roadways. Many fire departments establish a uniform and systematic program for the prefire planning for critical buildings and occupancies by fire company personnel. The purpose of the program is for fire crews to become familiar with a building understand its storage and processing activities, and to review any fire suppression or notification systems and their operability. For instance, familiarization with alarm and notification systems in nursing homes, manufacturing plants, and schools can greatly mitigate confusion during the most routine calls and create a more efficient response model for the more serious calls. This information provides a great benefit during a response to an actual emergency. The Tukwila Fire Department does not conduct company inspections and the suspension of prefire planning activities further degrades this important function. Recommendation: The Tukwila Fire Department should implement a prefire planning process for all target hazards and high-risk properties and these plans should be reviewed and updated on a regular basis. (Recommendation No. 12.) 29. Ibid. 313131 The results of the preplanning process should be systematically documented and subsequently stored in on-board mobile data terminals (MDTs) for ease of accessibility by company and chief officers during emergency responses. The department has mobile data terminals (MDTs) in all first-line apparatus. Currently there is limited use of pre-incident fire plans and those plans that are accessible have not been updated. CPSM believes that pre-fire incident plans should be available instantly for responding personnel on apparatus MDTs. Recommendation: The Tukwila Fire Department should begin to enter its prefire/incident plans on all response apparatus MDTs in order to enable real-time retrieval of this information. (Recommendation No. 13.) The prefire planning process is critical from both an incident planning perspective and for responder familiarization. The critical aspect in preplanning is to ensure that these plans are kept up-to-date and that all critical facilities are visited, and contact is made on an annual or bi- annual basis. These visits should involve the building manager and/or owner/occupant to generate, update, and maintain this information exchange. ACCREDITATION Accreditation is a comprehensive self-assessment and evaluation model that enables organizations to examine past, current, and future service levels. It is used to evaluate internal performance and compares this performance to industry best practices. The intent of the process is to improve service delivery. The Center for Public Safety Excellence (CPSE) provides an extensive evaluation process, on a fee basis, to member agencies and which ultimately leads to accreditation. CPSE is governed by the Commission on Fire Accreditation International (CFAI), an 11-member commission representing a cross-section of the fire service, including fire departments, city and county management, code councils, the U.S. Department of Defense, and the International Association of Firefighters. The CPSE Accreditation Program is built around the following key measurements: Determine community risk and safety needs. Evaluate the performance of the department. Establish a method for achieving continuous organizational improvement. Local government executives face increasing pressure to "do more with less" and justify expenditures by demonstrating a direct link to improved or measured service outcomes. Particularly for emergency services, local officials need criteria to assess professional performance and efficiency. CPSE accreditation has national recognition and is widely used throughout the fire service. The key to its success is that it allows communities to set their own standards that are reflective of their needs and a service delivery model that is specific to these needs. In addition, it is a program that is based on ongoing improvement and continuous monitoring. The CPSE accreditation model may be well-suited for Tukwila. Recommendation: The Tukwila Fire Department should consider the completion of the CPSE Fire Accreditation process in the near future. (Recommendation No. 14.) 323232 SECTION 5. OPERATIONAL RESPONSE APPROACHES As mentioned previously, many agencies incorporate the use of prefire plans to provide a response and tactical strategy for those more critical or complex occupancies in the community. The following three figures illustrate the critical tasks and resources required on low- risk incidents, moderate-risk structure fires, and a full-force response involving aerial apparatus, respectively, and with ongoing training, these activities improve overall effectiveness and responder safety. FIGURE 5-1: Low-Risk ResponseExterior Fire Attack Figure 5-2 represents the critical task elements for a moderate-risk structure fire. Some jurisdictions add additional response resources to meet and, in some cases, exceed the national benchmarking provided by the National Fire Protection Association (NFPA) 1710, Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Departments, 2020 Edition. NFPA 1710 calls for the initial assignment of 16 personnel on a single-family residential structure fire when an aerial ladder is not utilized. The standard previously recommended 14 personnel on an initial response to a single family detached structure fire; however, the 2020 revision increased this recommendation to the current 16-personnel. Tukwila is unable to assemble this full complement of resources for a single-family residential structure fire from its on-duty resources. However, TFD typically assigns at least two automatic response units from neighboring agencies to its residential structure fire response assignment. Best Practice CPSM recognizes these joint and automatic response activities as a . 333333 FIGURE 5-2: Moderate Risk ResponseInterior Fire Attack FIGURE 5-3: Full-Force ResponseUtilizing an Aerial Device TUKWILA RESPONSE PROTOCOLS Fire Response The ability to assemble the necessary resources to effectively manage even a smaller residential or commercial structure fire is significant. As mentioned above, the NFPA standard (NFPA 1710) recommends a minimum of 16 personnel as the initial response to a fire at a single-family residential structure. An actual fire of any significance will require 16 to 20 personnel or more for extended periods of time. As the incident grows in size and complexity, it is not unusual to see staffing needs that can exceed 30 to 40 personnel. This would be the case in a fire at a big-box 343434 retail center like a Home Depot or Walmart, a wildfire,or a fire at an apartment complex. Though these larger incidents do not occur frequently, when they do occur, the ability to assemble sufficient resources rapidly can significantly impact the outcome. ction is perhaps the most difficult assessment faced by policy makers and fire department leadership across the nation. As communities adjust this level of response, the costs associated with maintaining this level of readiness will have significant financial implications. CPSM believes that Tukwila is adequately staffed to manage its current workload. TFD is currently assigning 18 personnel to all structure fires from its combined on-duty resources and its automatic response partners. In April 2020, the TFD reduced its minimum on-duty staffing from 13 personnel to 12 personnel. This effort was designed to reduce the escalating overtime expenditures that the city experienced over the past few years. The daily staffing levels in Tukwila will frequently change on the basis of the numbers of people off for both scheduled leave (vacation, Kelly Days, training, etc.) and unscheduled leave (sick leave, FMLA, bereavement, disability, vacancies, etc.). However, in many instances, the on-duty staffing level is at 13 or above. When the staffing level drops to 12 personnel, Engine 352 is reduced to a two-person aid car (ambulance) and Engine 352 is removed from service. In this configuration the TFD on-duty contingent is 12 personnel who staff one ladder (three people), two engines (six people), an aid car (two people), and one Battalion Chief (one person). CPSM believes that this staffing contingent is appropriate for the city of Tukwila, given the heavy concentration of EMS call volume, the joint response practice for EMS calls with King County Medic One and Tri-Med Ambulance, and for response on fire calls the utilization of automatic response partners that are in close proximity to the city. Recommendation: The Tukwila Fire Department should continue to utilize a 12-person minimum staffing contingent that utilizes an aid car in conjunction with its other fire resources and its automatic response arrangements. (Recommendation No. 15.) Call Response Modes The key to organizational efficiency and the safety of responding personnel is directly related to response activities and departmental deployment practices. TFD is doing poorly in its efforts to reduce the frequency with which its units are responding with lights and sirens to calls that are minor or non-emergency in nature. It is important to note that in most emergency delivery systems there are a large number of calls, in fact most calls, that are not life threatening or do not involve an emergency situation. Some of these requests are accidental or there is a perceived problem that when investigated is found to be non-emergency in nature. Many calls are public assist, in which individuals request assistance through the 911 system because they know the response will be immediate and there is typically no charge for these services. It is through a combined effort of the 911 dispatch center and the fire department that recognizes these occurrences and scales fire department response on the basis of the information at hand and the development of predetermined response procedures that reflect the different nature of the calls. TFD has taken the necessary steps to adjust the number of units responding when a call is determined to be non-emergency, though CPSM believes that additional improvements can be made in this area. However, when it comes to the mode of response (lights and sirens or no lights and sirens), TFD is not proficient and we believe that significant improvements can be made. This 353535 is even more concerning becausethe Valley Com Center is doing a very good jobin screening Tukwila calls and making determinations regarding the severity of the call. This information is provided to TFD responding units; however, TFD has not implemented response guidelines that result in an altered response. HOT TFD is responding to virtually all calls with lights and sirens. A response is when units respond with lights and sirens; in this mode they may pass red lights and stop signs, and utilize other COLD response patterns that expedite their rate of travel. A response is when a unit responds without its lights and sirens and follows the normal flow of traffic, stopping for red lights, stop signs, etc. The ability to respond with the fewest number of units and have these units respond in COLD results in the maximization of resources and improved responder Emergency response units that are responding with lights and sirens are more susceptible safety. to traffic accidents . Accidents involving fire vehicles responding to emergencies are the second highest cause for line-of-duty deaths of firefighters. It is estimated that more than 30,000 fire 30 apparatus are involved in accidents when responding to emergencies each year in the U.S. 31 Responding fewer units and having these units respond in a non-emergency mode makes sense in terms of safety and efficiency. We have observed a number of systems that, through the call-screening process, have reduced the frequency of their HOT responses to as low as 20 percent of their total responses (both fire and EMS). Valley-Com is currently determining if the call is ALS or BLS and also making the distinction between emergency and non-emergency calls. However, TFD units continue to respond HOT regardless of the Valley-Com call-screening assessment. CPSM believes that as many as 3,000 calls a year could be altered to a COLD response. Recommendation: TFD should work with the Valley-Com 911 Dispatch Center to implement response protocols that alter the TFD response mode when calls are determined to be minor or non-emergency in nature. (Recommendation No. 16.) Alternatives to EMS Response In a recent report compiled by the National Highway Traffic Safety Administration (NHTSA), entitled: 32 HOT responses are inherently dangerous, do not result in changes of patient revealed that outcomes, and should be limited to only time-life critical events . The study goes on to recommend that HOT responses should be less than 50 percent of all EMS responses. eliminate the fire In addition to modifying the response mode, there is also the option to actually types or public assist calls in which a single ambulance response is sufficient. This point is critical, as government entities are frequently faced with requests for additional EMS response capabilities because of the volume of EMS call activity. The following figure is a graphic developed by the International Academies of Emergency Dispatch that provides guidance regarding the mode of response and resources deployed on the basis of the call-screening and call-prioritization process. 30. Advancement of Automotive Medicine. October 2012. 31. Ibid. 32. https://www.ems.gov/pdf/Lights_and_Sirens_Use_by_EMS_May_2017.pdf 363636 FIGURE 5-4: MDPS Response Matrix In many communities, Mobile Integrated Health Care and Community Paramedicine Programs are sufficiently screening 911 calls so that alternative service providers and transport destinations (other than hospital emergency departments) are being utilized to improve patient care, reduce costs and unclog overloaded EMS networks. (See MedStar Mobile Healthcare, Fort Worth, Texas, and Colorado Springs Fire Department, CARES Program, Colorado Springs, Col.). King County EMS and its Medic One program have piloted Mobile Integrated Healthcare (MIH), in the South King County area. Several such programs have been initiated by the Puget Sound Regional Fire Authority (FDCARES), Shoreline Fire Department, and South King Fire & Rescue. These programs require a strong relationship with the dispatch center, and this has been provided through the Valley Com Center. CPSM believes that a Mobile Integrated Healthcare option can be viable in Tukwila and this approach will advance the concepts of managing the impacts of low-acuity calls in the system and addressing the social and behavioral health needs of patients accessing the 911 pre- hospital care environment. Recommendation: TFD should work with the Valley Communications Center Dispatch Center, King County EMS, and neighboring agencies to develop a Tukwila FD-CARES program. (Recommendation No. 17.) CPSM believes that the city, TFD, and the Tukwila fire union (Local 2088) can work cooperatively to help reduce the accruals of various leave categories (Kelly Day, Vacation, Sick-leave and Disability Leave). This cooperative effort could thus create additional capacity that will enable peak-period aid car the implementation and operation of a that can support a Tukwila FD- 373737 CARES program. Such an aid car wouldprovide additionalresponse capabilitieswithout adding personnel. Recommendation: The city, TFD leadership, and IAFF Local 2088 should work cooperatively to find ways to reduce employee leave accruals and leave use to a sufficient degree that generates additional capacity enabling operation of one peak-period Tukwila FD-CARES unit (12 hours daily). (Recommendation No. 18.) CPSM estimates that if the adjustments to leave accrual and leave usage shown in the following table can be achieved there will be sufficient capacitywithout the need to hire additional personnelto operate one 12-hour FD-CARES unit seven days each week, 365 days per year. TABLE 5-1: Recommended Leave-Time Reductions Needed to Operate One Peak-Period FD CARES Unit Without Additional Staffing: Leave Type Accrual/Use Reduction Additional Productivity Kelly Day 336 Hours to 168 Hours 8,736 Hours Vacation Reduce Accruals by 25% 3,598 Hours Sick Leave Use Reduce use by 15% 2,055 Hours Disability Leave Reduce use by 10% 1,150 Hours Total 14,389 Hours Needed to Operate FD- 10,950 CARES Unit (Peak Period) Use of sick leave in the Tukwila Fire Department is very high. On average in 2019, each line employee utilized 254 hours of sick leave. This equates to more than ten 24-hour shifts off each year for each employee. On average, TFD employees collectively utilize 38 hours of sick leave every day. When compared to the other largest departments in the city, the Fire Department is by far the largest user of sick leave. The following table is a comparison of sick leave use by the five largest departments in the City of Tukwila. TABLE 5-2: Comparison of Sick Leave Use by Largest Departments, 2019 Hours of Sick Leave Department No. of Employees Average Usage Taken Fire 66 12,182 185 Recreation 17 1,132 67 Community Development 23 1,516 66 Public Works 31 1.966 63 Police 98 5,741 59 TFD has policies in place that prohibit the improper use of sick leave; however, there is little internal review or enforcement of this policy. CPSM believes that the TFD should implement guidelines for its employees that identify excessive absenteeism. Then, with a comprehensive effort that will require supervisory monitoring and subordinate counseling, the department will be able to reduce excessive absenteeism. 383838 Recommendation: The city, TFD leadership, and IAFF Local 2088 should work cooperatively todevelop sick-leave use guidelines anda monitoring and intervention program aimed at reducing excessive sick leave use. (Recommendation No. 19.) Examination of Fire Calls and Responses The following table shows the aggregate call totals for the 12-month period evaluated. EMS calls represent the largest percentage of calls for service at almost 77 percent, when canceled and mutual aid calls are excluded. This predominance of EMS call activity is not unusual when compared to what we usually observe in many communities. Our experience is that EMS-related calls typically account for more than 70 percent of call activity; in some communities with a larger senior demographic, this can go as high as 80 to 85 percent. While fire calls in Tukwila represent approximately 19 percent of all calls for service, actual fires (structural and outside) represent only 3.6 percent of the overall call activity. Hazard, false alarms, good intent, and public service calls represent the largest percentage of the fire calls (81.1 percent). This is also very typical in CPSM data and workload analyses of other fire departments. TABLE 5-3: Calls by Type Calls per Call Call Type Number of Calls Day Percentage Breathing difficulty 274 0.8 4.8 Cardiac and stroke 418 1.1 7.3 Fall and injury 828 2.3 14.4 Illness and other 895 2.5 15.6 MVA 486 1.3 8.4 Overdose and psychiatric 238 0.7 4.1 Seizure and unconsciousness 519 1.4 9.0 EMS Total 3,658 10.0 63.6 False alarm 605 1.7 10.5 Good intent 64 0.2 1.1 Hazard 77 0.2 1.3 Outside fire 145 0.4 2.5 Public service 144 0.4 2.5 Structure fire 61 0.2 1.1 Fire Total 1,096 3.0 19.0 Canceled 426 1.2 7.4 Mutual aid 574 1.6 10.0 Total 5,754 15.8 100.0 61structure fires43 In looking in more detail at the , it was determined that for of these events, no reported fire damage there was . This indicates that many structure fires are minor and in some instances the fire was out upon arrival of the TFD or the fire was contained to a cooking appliance or a trash receptacle. When we looked at the time spent on structure fire incidents, we found that for 48 of the 61 structure fires and 127 of the 145 outside fires the call duration for these incidents was 60 minutes or less (including dispatch and response times). This is indicative of a relatively minor occurrence. However, there were 13 structure fire calls in which we 393939 observeda duration of greater than one hourand of these,6lasted for more than two hours. This would indicate a more significant event. The following figure shows the locations of structure fires in Tukwila during the evaluation period. FIGURE 5-5: Location of Structure Fires, 2019 There were 18 structure fires in which some degree of fire damage was noted in the incident report. The total fire loss (structure and contents) for all structural fires in the 12-month evaluation 404040 period was estimated to be $455,879. Fire damage estimates are madeby TFDinvestigatorsand company officers. For the calls in which damage was reported (structure and contents), we estimate that the average damage for each fire was approximately $25,327. We can compare this experience to average fire loss nationwide for structure fires. NFPA estimates that in 2019 the average fire loss for a structure fire in the U.S. was $25,500 From this perspective the average fire loss in Tukwila is 33 very consistent with the amount of loss found in many communities across the nation. Another indication that we use in our analysis of structure and outside fire occurrences is the frequency in which an individual event results in a combined loss that exceeds $20,000. The $20,000 demarcation is relevant from two perspectives. First, this is a dollar amount that is comparable to the national average for fire loss in a structure fire, and second, it indicates a fire , is representative of a more significant fire event that requires only five structure fires in fire department extinguishment. In the period evaluated, there were which the combined fire loss (structure and contents) exceeded $20,000. The largest combined fire loss (structure and contents) for a single event was $200,000. The average fire loss and the frequency of higher loss fires appears lower in Tukwila than what would be expected. It is hard to fully determine the reason(s) for the lower number of fires that resulted in significant fire loss. Much of this must be attributed to the quality of the fire suppression efforts exhibited by TFD and its mutual aid partners and another factor can be the presence of automatic fire sprinklers in most residential structures. It is our assessment, however, that the fire problem is limited in Tukwila and this a very positive aspect in considering the overall risk in the community. The following two tables provide an analysis of fire loss in Tukwila during the year-long evaluation period. TABLE 5-4: Content and Property Loss Structure and Outside Fire Property Loss Content Loss Call Type Loss Value Number of Calls Loss Value Number of Calls Outside fire $256,137 46 $55,615 20 Structure fire $331,549 13 $124,330 13 Total $587,686 59 $179,945 33 Note: Includes only fire calls with a recorded loss greater than $0. TABLE 5-5: Total Fire Loss Above and Below $20,000: Call Type No Loss Under $20,000 $20,000 plus 96 46 3 Outside fire 43 13 5 Structure fire 139 59 8 Total 33. Marty Ahrens and Ben Evarts, Fire Loss in the United States during 2019, NFPA September 2020 414141 FIGURE 5-6: 2019 Structure Fires with a Loss of $20,000 or More Observations: 96 outside fires and 43 structure fires had no recorded loss. 3 outside fires and 5 structure fires had $20,000 or more in loss. Structure fires: The highest total loss for a structure fire was $200,000. The average total loss for structure fires with loss was $25,327. 424242 13 structure fires had content loss with a combined $124,330 in losses. Out of 61 structure fires, 13 had recorded property loss, with a combined $331,549 in losses. Outside fires: The highest total loss for an outside fire was $140,000. The average total loss for an outside fire with loss was $6,260. 21 outside fires had content loss with a combined $55,615 in losses. Out of 147 outside fires, 48 had recorded property loss, with a combined $252,137 in losses. TFD has a moderate workload, the majority of which is EMS-related. TFD has not fully recognized this fact in its deployment strategies and has only opted to deploy a two-person EMS aid car in an effort to reduce overtime expenditures. TFD is deploying a single resource to most incidents. For the 12-month evaluation period, it was determined that on most incidents, whether fire or EMS, TFD dispatched a single unit. Overall, about 86 percent of all incidents in Tukwila (88 percent of EMS incidents and 78 percent of fire incidents) are handled by a single-unit response. It should be noted that on EMS calls, TFD typically will respond simultaneously with either a Medic CPSM believes that One unit or a Tri-Med unit, and those units are not reflected in this analysis. TFD should make additional efforts to increase the number of responses (whether fire or EMS) in which a single TFD unit is dispatched . The following two figures illustrate the breakout of unit responses for EMS and Fire call types, respectively. FIGURE 5-7: Calls by Number of Units Arriving EMS 434343 FIGURE 5-8: Calls by Number of Units Arriving Fire TABLE 5-6: Calls by Call Type and Number of Arriving Units Number of Units Call Type Total Calls Four or One Two Three More 259 1 1 0 261 Breathing difficulty 356 27 19 0 402 Cardiac and stroke 771 18 11 0 800 Fall and injury 846 18 3 0 867 Illness and other 190 184 101 2 475 MVA 220 5 2 0 227 Overdose and psychiatric 483 11 9 0 503 Seizure and unconsciousness 264 3,125 146 2 3,535 EMS Total 495 53 27 18 593 False alarm 44 12 2 2 60 Good intent 44 15 7 7 73 Hazard 101 27 15 1 142 Outside fire 116 12 4 4 136 Public service 35 11 7 8 61 Structure fire 835 40 1,065 129 61 Fire Total Canceled 78 10 1 1 90 Mutual aid 413 44 19 3 481 4,451 46 5,171 448 226 Total 86.1 8.7 4.4 0.9 100.0 Percentage Note: Only calls with arriving units were considered. Therefore, the number of calls is less than that presented in Table 5-3. 444444 Observations: Overall On average, 1.2 TFD units arrived at all calls; for 86 percent of calls only one unit arrived. Overall, four or more units arrived at 1 percent of calls. EMS On average, 1.2 units arrived per EMS call. For EMS calls, one unit arrived 88 percent of the time, two units arrived 7 percent of the time, three units arrived 4 percent of the time, and four or more units arrived less than 1 percent of the time. Fire On average, 1.4 units arrived per fire call. For fire calls, one unit arrived 78 percent of the time, two units arrived 12 percent of the time, three units arrived 6 percent of the time, and four or more units arrived 4 percent of the time. For outside fire calls, three or more units arrived 11 percent of the time. For structure fire calls, three or more units arrived 25 percent of the time. EMS Response and Transport EMS calls make up the predominant workload within the TFD system. As already mentioned, nearly 77 percent of all call activities reviewed in our analysis involves EMS-related responses (including MVAs). TFD operates in a two-tier EMS delivery system in cooperation with King County Medic One and Tri-Med Ambulance Service. This deployment model for EMS used in Tukwila is unique, in that it involved response by a different ambulance service, depending on the type of call. For ALS calls, TFD will respond in tandem with a King County Medic One unit. For ALS calls, TFD is the BLS first responder and Medic One is the ALS provider. In 2019, when a call was determined to be BLS, a TFD unit was dispatched as the BLS first responder and a Tri-Med ambulance was dispatched as the BLS transport agency. If a transport is required for an ALS patient, the Medic One unit provides the transport at no charge. Tri-Med is a private, for-profit, health care provider that is contracted by the City of Tukwila to provide its BLS transport services. Tri-Med will charge patients that are transported. The city receives a monthly payment from Tri-Med ($2,000) for its first responder services and for the replacement of any supplies or medications that are utilized. Tukwila similarly receives a first responder fee from King County for its services, which amounts to approximately $500,000 annually, King County EMS provides clinical oversight and quality review for EMS services delivered in Tukwila and throughout King County. The King County EMS system is regarded as one of the most effective pre-hospital care systems in the nation. The system relies on a comprehensive and patient-specific quality review process in fostering the best patient care practices. The system utilizes common patient protocols for both ALS and BLS care and all field activities are reviewed through a robust and comprehensive quality assurance and run review process. The quality review process is closely tied to on-going training and provider remediation. The level of oversight and coordination among first responders is exceptional. 454545 The level of care that is provided under this arrangement is very effectiveand is constantly measured on the basis of patient outcomes. In addition, a national data base comparison (ESO Index) is utilized by medical control and peer review staff to ensure that treatments are consistent with national benchmarks. All first response agencies in King County provide centralized reporting of their on-scene treatments and patient assessments and this information is reviewed in real time on a regular basis. The concepts in prehospital emergency medical care are rapidly evolving as more evidence- based research becomes available on the efficacy and effectiveness of traditional EMS models. Two of the more widely-held EMS system response beliefs that have been challenged by this research are: Faster response times improve patient outcomes. The more paramedics in an EMS system the higher the level of care. Four recent studies evaluated the impact of response times on patient outcomes and these findings consistently point to the fact that there is very little, if any association, between EMS response times and patient outcomes. Further, a 2008 statement developed by the Consortium 34 of U.S. Metropolitan Municipalities EMS Medical Directors published in Pre-hospital Emergency Care Journal contains the following: -emphasis upon response-time interval metrics may lead to unintended, but 35 Evolved EMS systems have revised response configurations based on quality emergency medical dispatch processes, deemphasizing speed as a proxy for quality service. These systems liberally use non-lights and siren responses and reserve precious ALS first response resources for the few calls in which the rapid arrival of an EMS unit may make a life-or-death difference. The key component in making this distinction is the utilization of an effective and coordinated call screening and emergency medical dispatching process. As mentioned previously, Valley Com does an in-depth screening of its EMS calls and on the basis of this evaluation makes the determination regarding the severity of the call. Three general categorizations are determined: ALS. BLS emergency. BLS non-emergency. . ALS calls account for nearly 18 For those calls that are determined to be BLS in nature (approximately 82 , a TFD unit and a Tri-Med ambulance were dispatched. 34. See: https://www.ncbi.nlm.nih.gov/pubmed/15995089 https://www.ncbi.nlm.nih.gov/pubmed/19731155 https://www.ncbi.nlm.nih.gov/pubmed/12217471 https://www.ncbi.nlm.nih.gov/pubmed/11927452 35. Prehospital Emergency Care 2008;12:141151 464646 TABLE 5-7: EMS Calls by Response Mode and Duration Average Duration Percent of Response Mode Total (Minutes) EMS Calls 17.7 ALS 649 36.2 69.2 BLS emergency 2,530 24.4 13.1 BLS non-emergency 479 23.4 100% Total 3,658 26.4 Note : Here, the duration is the interval between the latest clear and earliest dispatch times. Mutual Aid/Automatic Response Local governments use many types of intergovernmental agreements to enhance or supplement fire protection and EMS services. These arrangements take various shapes and forms and range from a simple automatic response agreement that will respond a single unit to a minor vehicle accident or EMS call, to a more complex regional hazardous materials team or a helicopter trauma service that involves multiple agencies and requires a high level of coordination. It is important that fire departments are able to quickly access extra and/or specialized resources to manage significant events. In addition, because these types of incidents do not respect jurisdictional boundaries, they often require a coordinated response. Sharing resources also helps departments reduce costs without impacting service delivery. All of these situations point to the need for good working relationships with other fire and EMS organizations. The geographic orientation of the City of Tukwila is elongated; bordering multiple areas of King County along with the Cities of Seattle, Burien, Renton, SeaTac and Kent. The TFD has a shared boundary with the Federal Way Fire District, Puget Sound Fire Authority, King County Fire District South 20, King County Fire District 2, and South King County Fire & Rescue. TFD is a member of the King County Fire Zone 3 in which participating agencies have adopted a boundary-drop agreement and cooperate in providing fire and EMS resources throughout the area. As a result of this arrangement, TFD is actively engaged in both providing and receiving resources throughout Zone 3. In 2019, TFD units responded to requests for assistance into neighboring jurisdictions a total of 980 runs. In return, TFD received assistance from outside resources for a total of 642 runs. The following table is the breakout of mutual aid and automatic response activities in 2019. TABLE 5-8: Mutual Aid Responses (Runs) Given and Received Call Type Given Received EMS 247 43 MVA (Vehicle Accidents) 194 191 Structure & Outside Fires 163 112 Misc. Fire & Assists 124 243 Canceled Calls 252 53 Total 980 642 Note : Mutual Aid is measured by the number of unit responses (runs) either given or received. 474747 TABLE 5-9: Mutual Aid Response by Agency Aid Received Aid Given Fire Agency Calls Runs Calls Runs Puget Sound RFA 354 427 243 328 Renton RFA 215 272 73 145 Fire District 20 131 153 32 38 Fire District 2 57 71 58 72 North Highline Fire District 29 43 0 0 Fire District 40 3 3 0 0 Seattle 3 5 0 0 South King Fire & Rescue 3 5 21 56 Fire District 25 1 1 0 0 Valley RFA 0 0 2 3 Total796980347642 Note : FD = Fire Department; RFA = Regional Fire Authority. Total aid received calls is lower than the sum of aid received calls from each fire agency. This table focuses on counts of calls and runs to which the appropriate agency responded without worrying about whether a unit arrived. Workload Analysis The current workload being handled by the Tukwila Fire Department is considered moderate, with the busiest unit in the system (L-354) experiencing just over 2,000 runs annually or an average of 5.5 runs per day (includes any reserve unit that temporarily replaced L-354). CPSM considers units responding to more than 3,000 calls each year as having a high workload. Overall, all TFD units combined are responding to approximately 15.8 calls each day. The TFD operates from four fire stations with five primary response units. Combined, these units handled 5,754 calls for service in the one-year period covered by this report. These 5,754 calls generated 7,470 runs or unit responses. On any given call there are multiple unit responses or ., a single structure fire call will generate five runs from TFD units. Ladder 354 was the only TFD unit that had more than 2,000 responses in 2019 (2,011). However, given the relatively short call durations for both fire and EMS calls (average of 25.3 minutes), the cumulative in-service time associated with this call activity was not exceedingly high. The following two tables show the annual runs, call types, and deployed time for the Deployed Minutes per Day, primary TFD response units. Of note is in Table 5-10, which shows that engine E351, for example, is the busiest unit in the city, and was involved in emergency response activities a total of 124.7 minutes (2.1 hours) each 24-hour duty day. 484848 TABLE 5-10: Call Workload by Unit Deployed Total Deployed Total Runs Station Unit Unit Type Minutes Annual Minutes Annual per per Run Hours per Day Runs Day B351 Battalion Chief 28.3 347.5 57.1 738 2.0 51 E351 Engine 24.7 758.6 124.7 1,843 5.0 Total 25.7 1,106.1 181.8 2,581 7.1 B352 Reserve Battalion 492.3 16.4 2.7 2 0.0 Chief 52 E352Engine25.5613.1100.81,4454.0 Total26.1 629.5 103.5 1,447 4.0 Air353 Aid Resupply Trailer 86.54.30.730.0 BOT353 Rescue Boat 75.83.80.630.0 53 E353 Engine 25.7 494.3 81.3 1,156 3.2 R353 Rescue 50.0 4.2 0.7 5 0.0 Total26.0 506.6 83.3 1,167 3.2 A354 Aid Unit 24.3106.117.42620.7 Support Service B354 26.4 0.9 0.1 2 0.0 Battalion Chief 54 E354 Reserve Engine 27.3 52.2 8.6 115 0.3 L354 Ladder Truck 23.6 746.3 122.7 1,896 5.2 Total23.9 905.5 148.9 2,275 6.2 Total 25.3 3,147.8 517.4 7,470 20.5 § § § 494949 TABLE 5-11: Annual Runs and Deployed Time by Call Type Deployed Percent Deployed Annual Annual Runs Call Type Minutes of Total Minutes Hours Runs per Day per Run Hours per Day 26.4 122.3 3.9 20.1 278 0.8 Breathing difficulty 27.5 238.2 7.6 39.1 520 1.4 Cardiac and stroke 23.4 350.7 11.1 57.7 900 2.5 Fall and injury 23.8 373.1 11.9 61.3 942 2.6 Illness and other 27.3 470.2 14.9 77.3 1,035 2.8 MVA 23.7 100.6 3.2 16.5 255 0.7 Overdose and psychiatric 25.7 246.7 7.8 40.5 575 1.6 Seizure and unconsciousness 25.3 1,901.7 60.4 312.6 4,505 12.3 EMS Total 20.0 297.0 9.4 48.8 891 2.4 False alarm 17.0 30.2 1.0 5.0 107 0.3 Good intent 36.4 87.3 2.8 14.3 144 0.4 Hazard 31.7 121.1 3.8 19.9 229 0.6 Outside fire 49.6 153.8 4.9 25.3 186 0.5 Public service 49.2 114.1 3.6 18.8 139 0.4 Structure fire 28.4 803.5 25.5 132.1 1,696 4.6 Fire Total Canceled 8.1 73.1 2.3 12.0 541 1.5 Mutual aid 30.5 369.5 11.7 60.7 728 2.0 Other Total 20.9 442.6 14.1 72.8 1,269 3.5 Total 25.3 3,147.8 100.0 517.4 7,470 20.5 Observations: Overall Total deployed time for the year was 3,147.8 hours. The daily average was 8.6 hours for all units combined. There were 7,470 runs, including 541 runs dispatched for canceled calls and 729 runs dispatched for mutual aid calls. The daily average was 20.5 runs. EMS EMS runs accounted for 60 percent of the total workload (73 percent when canceled and mutual aid calls are excluded). The average deployed time for EMS runs was 25.3 minutes. The deployed time for all EMS runs averaged 5.2 hours per day. Fire Fire runs accounted for 26 percent of the total workload. The average deployed time for fire runs was 28.7 minutes. The deployed time for all fire runs was 812.3 hours or 2.2 hours per day. 505050 There were 368 runs for structure and outside fire calls combined, with a total workload of 235.1 hours. This accounted for 7 percent of the total workload. The average deployed time for outside fire runs was 31.7 minutes per run, and the average deployed time for structure fire runs was 49.2 minutes per run. When we look at the availability rates of the responding units in Tukwila the pattern observed is very positive and indicative of a system that is well-managed and maintains an appropriate number of resources to manage the existing workload. Most systems attempt to achieve an availability rate of between 85 and 90 percent. This means that on 85 to 90 percent of the calls, the primary response unit for that area is available to respond. Availability rates are most often affected by simultaneous call activity, vehicle maintenance, training, meetings, or other reasons in which a unit is temporarily unavailable to respond to a call in its primary response area. The following table shows the availability rates for the responding units in the TFD. As can be seen, TFD units are available to respond to calls occurring in their primary response districts, on average, 93.5 percent of the time. This is a significant achievement and indicative of an appropriate number of resources being available to manage the workload. TABLE 5-12: Station Availability to Respond to Calls Arriving First Due First Due First Due Percent Percent Percent Station Calls Responded Arrived First Responded Arrived First 1,344 1,235 1,222 1,202 91.9 90.9 89.4 51 810 746 734 684 92.1 90.6 84.4 52 813 764 749 698 94.0 92.1 85.9 53 1,702 1,620 1,605 1,590 95.2 94.3 93.4 54 4,669 4,365 4,310 4,174 93.5 92.3 89.4 Total Note: For each station, we count the number of calls within its first due area where at least one TFD unit arrived. Next, we focus on units from the first due station to see if any unit responded, arrived, or arrived first. Another indicator of workload is the frequency with which peak service demand is occurring. Peak demand can occur when there are multiple calls occurring simultaneously, or when there are larger events that draw on the systems resources. All systems experience peak service demands that strain the available resources in the system. This is why it is necessary for mutual aid and joint response agreements, to help mitigate these occurrences. The key to any deployment strategy is to have sufficient resources to handle the day-to-day call activities and have the system designed to adjust and respond effectively during those high- demand periods. In the Tukwila system, given the size of the service area and the overall call volume, we would anticipate that throughout the year there would typically be two to three calls occurring within the same hour on a regular basis. This call activity can easily triple to 6 to 9 calls in an hour during periods of inclement weather, high traffic periods, and other times when call volume is higher than normal. The following table is a compilation of ten busiest hours in the 12-month evaluation period and the number of calls occurring during each of those hours. It must be pointed out that given the frequency of short call durations, it is likely that if two calls do occur in an hour the overlapping period is relatively short. In these situations, the primary response unit could be able to respond to both calls with a minimal delay. 515151 TABLE 5-13: Top 10 Hours with the Most Calls Received Number Number Total Hour of Calls of Runs Deployed Hours 2/12/2019, 9:00 a.m. to 10:00 a.m. 9 12 2.8 9/7/2019, 8:00 p.m. to 9:00 p.m. 6 8 3.3 2/5/2019, 1:00 p.m. to 2:00 p.m. 6 6 2.3 7/2/2019, 4:00 p.m. to 5:00 p.m. 5 10 2.9 11/9/2019, 7:00 p.m. to 8:00 p.m. 5 8 3.1 12/12/2019, 4:00 p.m. to 5:00 p.m. 5 8 2.6 2/9/2019, 9:00 p.m. to 10:00 p.m. 5 7 3.0 1/6/2019, 2:00 a.m. to 3:00 a.m. 5 5 2.5 7/3/2019, 6:00 p.m. to 7:00 p.m. 5 5 1.4 9/27/2019, 10:00 p.m. to 11:00 p.m. 4 8 2.6 Note: Total Deployed Hours is a measure of the total time spent responding to calls received in the hour, and which may extend into the next hour or hours. The number of runs and deployed hours only includes TFD units. TABLE 5-14: Frequency Distribution of the Number of Calls Calls in an Hour Frequency Percentage 0 4,670 53.3 1 2,806 32.0 2 971 11.1 3 261 3.0 4+ 52 0.6 Total 8,760 100.0 TABLE 5-15: Frequency of Overlapping Calls Number of Percent of Total Station Scenario Calls All Calls Hours No overlapped call 1,319 92.1 608.4 Overlapped with one call 109 7.6 25.5 51 Overlapped with two calls 4 0.3 0.7 No overlapped call 826 97.2 356.1 52 Overlapped with one call 24 2.8 6.2 No overlapped call 835 96.3 375.0 Overlapped with one call 30 3.5 6.0 53 Overlapped with two calls 2 0.2 0.9 No overlapped call 1,740 96.2 710.9 Overlapped with one call 68 3.8 15.5 54 Overlapped with two calls 1 0.1 0.1 There were occurrences observed throughout the year in which a cluster of calls occurred within a given hour. We observed a total of 261 times (3 percent of all hours) in which three calls 525252 occurredin a given hour. On 52occasions, there were fourcalls or more that occurred in the 96.4 percent of the time there were two calls or less occurring per hour same hour. However, for . Again, these hourly call rates are indicative of our ad being TFD is very considered moderate. On the basis of this assessment, CPSM has determined that the well-equipped to manage its current workload . § § § 535353 SECTION6. RESPONSE TIME ANALYSIS Response times are typically the primary measurement used in evaluating fire and EMS services. Most deployment models attempt to achieve a four-minute initial travel time for EMS calls and a full-force travel time of eight minutes for fire calls. A full-force travel time indicates the time it takes for the initial response of all resources assigned for the call to arrive on the scene. While these times have validity, the actual impact of a speedy response time is limited to very few incidents. For example, in a full cardiac arrest, analysis shows that successful outcomes are rarely achieved if basic life support (CPR) is not initiated within four minutes of the onset of the cardiac arrests occur very infrequently; on average these are 1 percent to 1.5 arrest. However, percent of all EMS incidents . There are also other EMS incidents that are truly life-threatening 36 and the time of response can clearly impact the outcome. These involve drownings, electrocutions, and severe trauma (often caused by gunshot wounds, stabbings, and severe frequency of life-threatening calls is limited, typically motor vehicle accidents, etc.). Again, the not more than 10 to 15 percent of the overall EMS call activity . Regarding response times for fire incidents, the frequency of actual fires in Tukwila (structure and structure fires were just outside fires) is very low, approximately 3.7 percent of all incidents. Actual over 1 percent of all calls, or 61 in the 12-month period evaluated . The criterion for fire response -heated gasses from a fire in an enclosed area results in a near-simultaneous ignition of the combustible material in the area. In this situation, usually after an extended period of time (8 to 12 minutes), the fire expands rapidly and is much more difficult to contain. When the fire reaches this hazardous state, a larger rate of fire spread is significantly reduced or and more destructive fire occurs. However, this even curtailed when automatic fire sprinklers are operational . The following figure illustrates the flashover phenomenon and its potential for increased damage. Another important factor in the whole response time question is called the time it takes to detect a fire or a medical situation and notify 911 to initiate the response. In many instances, particularly at night or when automatic detection systems (fire sprinklers and smoke detectors) are unavailable or inoperable, the detection process can be extended. Fires that go undetected and are able to expand in size, become more destructive and are more difficult to extinguish. § § § 36. -based Performance Measures for Emergency Medical Services System: A Model for Expanded EMS Pre-hospital Emergency Care. 545454 FIGURE 6-1: Fire Propagation Curve MEASURING RESPONSE TIMES There have been no documented studies that have made a direct correlation between response times and outcomes in fire and EMS events. No one has been able to show that a four- minute response time is measurably more effective than a six-minute response time. The logic , Furthermore, the ability to measure the difference in outcomes (patient saves, reduced fire damage, or some other quantifiable measure) between a six-minute, eight-minute, or ten- minute response is not a performance measure often utilized in the fire service. For example, in Tukwila, response times for both fire and EMS calls vary markedly. Many responses can exceed 10 minutes and there is little, if any correlation, between these extended response times and the outcomes observed. Thus, in looking at response times it is prudent to design a deployment strategy around the actual circumstances that exist in the community and the fire problem that is perceived to exist. protection for the community. It would be imprudent, and very costly, to build a deployment strategy that is based solely upon response times. response timedispatch time For the purpose of this analysis, is a product of three components: , turnout timetravel time , and . Dispatch time is the time interval that begins when the alarm is received at the communication center and ends when the response information is transmitted via voice or electronic means to the emergency response facility or emergency response units in the field. Dispatch time is the responsibility of the 911 center and outside the control of TFD officials. 555555 Turnout time is the time interval that begins when the emergency responders are first notified (through an audible alarm or visual announcement or both), and ends at the point that their response is initiated. The fire department has the greatest control over this segment of the total response time measurement. Travel time is the time interval that initiates when the unit is en route to the call and ends when the unit arrives at the scene. Response time, also known as total response time, is the time interval that begins when the call is received by the primary dispatch center and ends when the dispatched unit arrives on the scene to initiate action. TUKWILA RESPONSE TIMES For this study, and unless otherwise indicated, our response time calculation measures the first arriving unit only. Typically, we track only those responses in which the unit is responding with lights and sirens (HOT). Out of the 5,754 total calls, our response time analysis was based on a total of 4,251 calls. We excluded any canceled calls and mutual aid responses (1,000), 201 calls where no units recorded a valid on-scene time, 15 calls where the first arriving unit response was greater than 30 minutes, and 287 response time could not be calculated due to missing or faulty data. On the basis of these calculations, we determined: The average dispatch time for all calls within the city corporate limits was 1.4 minutes (84 seconds). The average turnout time was 1.8 minutes (108 seconds). The average travel time was 3.9 minutes. The average total response time for EMS calls in the city was 7.1 minutes. The average total response time for fire category calls was 7.3 minutes. The average response time for structure fire calls was 6.8 minutes. The average response time for outside fire calls was 7.8 minutes. According to NFPA 1710, Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Departments, 2020 Edition, the alarm processing time or dispatch time should be less than or equal to 64 seconds 90 percent of the time. This standard also states that the turnout time should be less than or equal to 80 seconds (1.33 minutes) for fire and special operations 90 percent of the time, with a 60-second turnout for EMS calls. Travel times are recommended to be less than or equal to 240 seconds (4 minutes) for the first arriving engine company 90 percent of the time for both fire and EMS calls. The following table shows the average response time in minutes for the first arriving unit, by call type. The subsequent table shows the 90th percentile response times. 565656 TABLE 6-1: Average Response Time of First Arriving Unit, by Call Type Time in Minutes Number of Call Type Calls Dispatch Turnout Travel Total Breathing difficulty 1.4 1.7 3.5 6.7 254 Cardiac and stroke 1.4 1.6 3.6 6.6 379 Fall and injury 1.3 1.7 4.0 7.0 751 Illness and other 1.6 1.7 3.7 7.0 785 MVA 1.4 2.0 4.3 7.7 398 Overdose and psychiatric 1.4 1.8 4.4 7.6 220 Seizure and unconsciousness 1.4 1.7 3.6 6.6 479 1.4 1.7 3.9 7.0 3,266 EMS Total False alarm 0.9 2.2 3.6 6.7 552 Good intent 1.8 2.1 4.6 8.5 57 Hazard 1.6 2.0 4.6 8.2 65 Outside fire 1.5 2.0 4.3 7.8 129 Public service 2.3 1.8 4.5 8.6 124 Structure fire 1.1 2.2 3.5 6.8 58 1.3 2.1 3.9 7.3 985 Fire Total 1.4 1.8 3.9 7.1 4,251 Total § § § 575757 TABLE 6-2: Tukwila 90th Percentile Response Times Time in Minutes Number of Call Type Calls Dispatch Turnout Travel Total Breathing difficulty 2.2 2.7 5.9 9.1 254 Cardiac and stroke 2.2 2.6 5.5 9.2 379 Fall and injury 2.5 2.6 6.6 10.5 751 Illness and other 2.8 2.6 6.0 10.1 785 MVA 3.1 2.8 6.8 11.6 398 Overdose and psychiatric 3.0 2.7 7.5 11.4 220 Seizure and unconsciousness 2.5 2.6 5.8 9.3 479 2.6 2.6 6.2 10.1 3,266 EMS Total False alarm 1.6 3.0 5.9 9.1 552 Good intent 3.4 3.0 7.5 12.1 57 Hazard 3.8 2.9 7.6 12.0 65 Outside fire 2.5 2.7 7.2 11.0 129 Public service 3.9 2.8 6.9 13.7 124 Structure fire 2.2 3.0 7.0 9.5 58 2.4 2.9 6.5 10.5 985 Fire Total 2.6 2.7 6.3 10.2 4,251 Total Observations: The average dispatch time was 1.4 minutes. The average turnout time was 1.8 minutes. The average travel time was 3.9 minutes. The average total response time was 7.1 minutes. The average response time was 7.0 minutes for EMS calls and 7.3 minutes for fire calls. The average response time was 7.8 minutes for outside fires and 6.8 minutes for structure fires. The 90th percentile dispatch time was 2.6 minutes. The 90th percentile turnout time was 2.7minutes. The 90th percentile travel time was 6.3 minutes. The 90th percentile total response time was 10.2 minutes. The 90th percentile response time was 10.1 minutes for EMS calls and 10.5 minutes for fire calls. The 90th percentile response time was 11.0 minutes for outside fires and 9.5 minutes for structure fires. NFPA 1710 response time criteria are utilized by CPSM as a benchmark for service delivery and in the overall staffing and deployment of fire departments, and are not a CPSM recommendation. It is also our observation that agencies are seldom able to achieve the response time criteria established in this standard. The data observed in the Tukwila system are 585858 indicative of a system that is extremely proficient in its service deliveryoutcomes,yet it still is unable to meet the response time criteria espoused in NFPA 1710. The fire station is a critical link in service delivery and where facilities are located is the single most important factor in determining overall response times and workload distribution. As noted previously, the fire department operates from four fire stations. The TFD fire stations are located as follows: Station 51: 17951 Southcenter Pkwy. Station 52: 15447 65th Ave. South Station 53: 4202 South 115th St. Station 54: 4237 South 144th St. The following four figures illustrate these station locations and the travel distance projections from each: 240 seconds (indicated by the green overlay), 360 seconds (indicated by the amber overlay), 480 seconds (indicated by the red overlay), and a composite overlay. These projections are based on actual road travel distances and the posted speed limits on these roadways. For Station 52 we based these projections on the new location for this facility at 15447 65th Ave. South. § § § 595959 FIGURE 6-2: Tukwila Station Locations with Travel Projection of 240 Seconds 606060 FIGURE 6-3: Tukwila Station Locations with Travel Projection of 360 Seconds 616161 FIGURE 6-4: Tukwila Station Locations with Travel Projection of 480 Seconds 626262 FIGURE 6-5: Tukwila Station Locations with Composite Travel Projections The figures show that approximately 80 percent of the developed areas of the city are covered under the 240-seconds benchmark. We would estimate that approximately 90 percent of the developed areas of the city are covered under the 360-seconds benchmark and 100 percent of These maps only depict travel distances and not the areas within the 480-seconds benchmark. actual response times. 636363 The next three figures show the actual locations offire, EMS,and other emergency responses, respectively, carried out by the Tukwila Fire Department during the year studied. It is apparent from these maps that most responses in Tukwila should result in travel times that are within four to six minutes. It also appears that the overall distribution of calls is generally equally dispersed throughout the existing service boundaries; thus, the fire station distribution should provide suitable coverage to ensure an appropriate response outcome. FIGURE 6-5: Location of TFD Fire Calls 646464 FIGURE 6-6: Location of TFD EMS Calls 656565 FIGURE 6-7: Location of TFD Other Calls In our analysis we also looked at those calls with extended total response times, that is, those total response times that were 10 minutes or greater. We determined that approximately 10 percent of all responses had a total response time greater than 10 minutes. It was surprising to 666666 observe the large volume of these calls that were in close proximity to existing facilities and resources. The following figure illustrates the 527 calls that had a total response time of 10 minutes or greater. FIGURE 6-8: Location of TFD Responses with Total Response Time of 10 Minutes or Greater 676767 SECTION7. PERFORMANCE MEASUREMENT Fire suppression, prevention programs, and EMS service delivery need to be planned and managed so that these efforts achieve specific, agreed-upon results. This requires establishing a set of goals for the activities of any given program. Determining how well an organization or program is doing requires that these goals be measurable and that they are measured against desired results. This is the goal of performance measurement. Simply defined, performance measurement is the ongoing monitoring and reporting of progress toward pre-established goals. It captures data about programs, activities, and processes, and displays data in standardized ways that help communicate to service providers, customers, and other stakeholders how well the agency is performing in key areas. Performance measurement provides an organization with tools to assess performance and identify areas in need of what gets measured gets improved improvement. In short, . The need to continually assess performance requires adding new words and definitions to the fire service lexicon. Fire administrators need to be familiar with the different tools available and the consequences of their use. In Managing the Public Sector, business professor Grover Starling applies the principles of performance measurement to the public sector. He writes that the consequences to be considered for any given program include: Administrative feasibility : How difficult will it be to set up and operate the program? Effectiveness : Does the program produce the intended effect in the specified time? Does it reach the intended target group? Efficiency : How do the benefits compare with the costs? Equity : Are the benefits distributed equitably with respect to neighborhoods, income, gender, ethnicity, age, and so forth? Political feasibility : Will the program attract and maintain key actors with a stake in the program area? 37 Performance measurement systems vary significantly among different types of public agencies and programs. Some systems focus primarily on efficiency and productivity within work units, whereas others are designed to monitor outcomes produced by major public programs. Still others track the quality of services provided by an agency and the extent to which citizens are satisfied with these services. Within the fire service, performance measures tend to focus on inputs (the amount of money and resources spent on a given program or activity) and short-term outputs (the number of fires, number of EMS calls, response times, etc.). One of the goals of any performance measurement system should be also to include efficiency and cost-effectiveness indicators, as well as explanatory information on how these measures should be interpreted. An explanation of these types of performance measures are shown in the following table. 37. Grover Starling, Managing the Public Sector, (Cengage Learning), 396. 686868 TABLE 7-1: The Five GASB Performance Indicators 38 CategoryDefinition Input indicators These are designed to report the number of resources, either financial or other (especially personnel), that have been used for a specific service or program. Output indicators These report the number of units produced or the services provided by a service or program. Outcome indicators These are designed to report the results (including quality) of the service. Efficiency (and cost-These are defined as indicators that measure the cost (whether in dollars or employee hours) per unit of output effectiveness) indicators or outcome. Explanatory information This includes a variety of information about the environment and other factors that might affect an One of the most important elements of performance measurement within the fire service is to describe service delivery performance in a way that both citizens and those providing the Ensuring Managing Fire and Emergency Services rgon can get in the way: Too often, fire service performance measures are created by internal customers and laden with jargon that external customers do not understand. For example, the traditional fire service has a difficult time getting the public to understand the staffing in the suppression of fires. Fire and emergency service providers need to be able to describe performance in a way that is clear to customers, both internal and external. In the end, simpler descriptions are usually better. 39 In 2019, the Mayor and City Council adopted a series of response time standards for the Tukwila Fire Department. These standards were a directed effort to measure department performance and focused primarily on the various components of fire and EMS response times. Though response times are one aspect of measurement in looking at emergency service delivery, they do not fully capture the quality of service that is provided once units arrive. There is no correlation regarding the speed with which units respond and the quality or effectiveness of the the goals that have been established services that are delivered once on the scene. In addition, for responder turn-out for both fire and EMS calls are excessive and far exceed recognized national standards recommended by the National Fire Protection Association (NFPA) for career fire departments. 38. From Harry P. Hatry et al., eds. Service Efforts and Accomplishments Reporting: Its Time Has Come (Norwalk, CT: GASB, 1990). 39. Managing Fire and Emergency Services (ICMA: Washington, DC: 2012), 202. 696969 It is critical that TFDdevelop a series of internal reporting processesthat can provide a direct link to department goals or specific target measures. It is also critical that these measures be both quantitative and qualitative in nature and reflect on multiple areas of service delivery within the organization. This type of ongoing analysis and the monitoring of trends are most useful to justify program budgets and to measure service delivery levels. Staff throughout the organization should participate in the development of any measures. In addition to helping facilitate department wide buy-in, this could provide an opportunity for upper management to better understand what the line staff believes to be critical goalsand vice versa. For the same reason, the process of developing performance measures should include citizen input, specifically with regard to service level preferences. Translating this advice from the citizens into performance measures will link the citizens and business community to the department and will identi Recommendation: TFD should implement a series of performance measures that enable ongoing review of service outcomes. The process of developing these measures should utilize input from TFD members, the Fire Union, the community, the Mayor and City Council, and City Administration. (Recommendation No. 20.) Following are a number of performance measures that may be considered: Operations: Response times (fire and percentile/average/frequency of excessive times). Alarm/dispatch handling times. Turnout times. Travel times. On-scene time. Call duration. Canceled en route. Workload measures Emergency vs. nonemergency responses. EMS transportsALS/BLS. Response to automatic fire alarms/frequency and outcomes. Company inspections/area occupancy familiarization. Fire preplanning. Public education: contact hours/numbers by age group. Outcome measures EMS/save rates/action taken. Successful IVs. EMS protocol compliance. Fire loss/limit of fire spreadpoint of origin, room of origin, etc. On- 707070 Lost timesick/injury. Fire service vehicle accidents. Equipment lost or broken. Training: Fire and EMS hours. Officer development. Skills assessment compliance. Specialty training. Professional development/formal education/certifications. Fitness performance. Prevention: Plans review (numbers/valuation amount/completion time). Inspections (new and existing). Numbers. Completion time. Violations (found/corrected). Quantification by type of violation and occupancy type. Fire investigations Numbers and determinations. Occupancy types, time of occurrence, ignition source. Fire loss/structure and contents. Fires in structures with automatic fire sprinklers present/activated. Fire in structures with smoke detectors present/activated. Arson arrests/convictions. Fire deaths (demographics/occupancy type/cause and origin). Miscellaneous: Customer service surveys (by engine/by shift). Following emergency response. Public assist. Inspections (prevention and company). Public education. In-service training (employee assessments). Financial/budgetary. Overtime expenditures and cause. Apparatus repair costs and out-of-service time. 717171 SECTION8. ESSENTIALRESOURCES FIRE PREVENTION AND CODE ENFORCEMENT Ensuring that services are delivered effectively is paramount in any fire service organizational mission. The functions of the fire marshal and fire prevention are most critical in that organizational milieu. The foundation of a good risk management program is to prevent fires before they occur and to help reduce the losses from those that do occur. The critical role of each person assigned to enforcement activities is likely to avert more losses than is any single firefighter and in some cases the fire department as a whole. The fire departments that are most effective in reducing losses are those that have successfully integrated prevention as a core value throughout the organization and that continuously review the impact of prevention on the overall services provided by the department. There are basic approaches that can be used to ensure that prevention is treated as a paramount department- wide priority. One way to accomplish this is to have that core value of an organization referenced directly in the mission statement. The Tukwila Fire Prevention Division provides fire prevention code enforcement, plans review, and cause and origin investigation services to City of Tukwila. Fire prevention activities in Tukwila are supervised by a Battalion Chief/Fire Marshal. The Fire Prevention Division is staffed with three full-time prevention personnel. Of these, two are Captain/Inspectors and one is a Senior Project Coordinator in charge of plans review. Fire Prevention also employs an Administrative Support Technician; however, this position was vacant at the time of the CPSM review. The Fire Prevention Division has a wide range of duties. These include plans review and code compliance regarding both new buildings while under construction, as well as ongoing maintenance inspections after the building is occupied. A significant percentage of these inspections are mandated as part of the Washington State Fire Marshal inspection guidelines regarding the inspection of specific occupancies. The remainder are performed in accordance with nationally recognized standards and best practices, with a large number being required as part of the business licensing process. In total, it is estimated that there are more than 1,700 inspectable properties within the City of Tukwila. All fire and life-safety inspections in Tukwila are conducted by the Fire Prevention Division. The TFD does not use In-service fire company inspections; however, prior to 2017, in-service engine companies were responsible for the majority of the clife-safety related inspections and the issuance of operational permits. TABLE 8-1: TFD Fire Prevention Division Activity Statistics, 20142019 2014 2015 2016 2017 2018 2019 Life-safety inspections* 1388 959 458 3 2 0 Operational permits issued* 770 461 229 86 19 0 Construction permit plans reviewed 850 747 801 805 871 805 Constructions permit inspections 703 624 789 744 737 610 Total Inspections, Permits, and Plans Reviews 3711 2791 2277 1638 1629 1415 *Note: Life-safety inspections and operation permit Issuance were done previously by in-service engine companies; however, this practice was discontinued in 2017. The City of Tukwila currently utilizes the 2017 International Fire Code. This code is adopted throughout the State of Washington; however, local jurisdictions are allowed to adopt specific 727272 amendments to this code for local applications.One such amendment is the requirement for residential fire sprinklers in all newly constructed residential housing. CPSM recognizes this fire Best Practice code provision as a . Automatic fire sprinklers have proven to be very effective in reducing fire loss and minimizing fire deaths in residential structures. Statistics reveal that there has never been an instance of a loss of multiple lives in a fire in a fully sprinklered building. Property losses are 85 percent less in 40 residences with fire sprinklers compared to those without sprinklers. Where sprinklers were 41 present, flame damage was confined to the room of origin in 97 percent of those fires. The 42 average firefighter injury rate of 13 per 1,000 in reported home fires was 79 percent lower where sprinklers were present than in fires with no automatic extinguishing systems. 43 In-Service Fire Company Inspections As was previously discussed, in-service company inspections are currently not being carried out by the Tukwila Fire Department. CPSM believes that an in-service fire company inspection program, if managed properly, can yield significant benefits to the system. Many fire agencies across the country require in-service fire companies to conduct various levels of inspections. Typically, these inspections are in smaller retail establishments, such as store-front commercial businesses and restaurants, and usually involve limited inspectable actions. These inspections usually involve the verification and placement of operational fire extinguishers, the testing of exit and emergency lighting, evaluating any blockage or storage in emergency egress passageways, the functionality of emergency exits, checking the kitchen hood systems, evaluating occupancy loading, etc. As noted previously, TFD engine companies were conducting in-service fire inspections in nearly 1,400 properties in each 18-month cycle as recently as five years ago. These inspections are beneficial for identifying and correcting violations before problems occur. They also provide firefighters with a familiarization with property occupancies, along with processing and storage activities, a familiarization that is of significant value when incidents occur. These efforts enhance the safety of responders and improve the effectiveness in mitigating problems. Recommendation: The Tukwila Fire Department should institute an in-service fire company inspection program that promotes responder familiarization, code enforcement, and fire prevention efforts. (Recommendation No. 21.) The number of inspectable properties is significant in most communities. When not done by in- service engine companies, these inspections must be done by fire prevention personnel. In many cases, when fire companies identify suspected code violations, these violations are brought to the owners attention and a follow-up inspection is scheduled to determine if corrective action was taken. For those more critical issues, a report is provided to the fire prevention staff for follow-up. The key to in-service inspection efforts is identifying problems before an emergency response is needed. In addition, the building owners are made aware of issues so they can be resolved and preventable problems can be avoided. The program can also facilitate improved interaction between the fire department and businesses. 40. Tufts University-2019, https://publicsafety.tufts.edu/firesafety/myths-and-facts-about-sprinkler-systems/ 41. Ibid. 42. NFPA-2017, https://www.nfpa.org/-/media/Files/News-and-Research/Fire-statistics-and-reports/Fact- sheets/SprinklerHOmesFactSheet.pdf 43. Ibid. 737373 Fire agencies often saythat in-service units are too busy with trainingand emergency response activities to have sufficient time to conduct fire inspections. This was the case in Tukwila and CPSM was advised that the in-service inspection program was halted when TFD actively engaged in the South King County Training Consortium. Though there is a likelihood that in- service personnel will be interrupted when doing inspections because of alarm activity, this should not be a deterrent to providing this service. In our analysis of unit workloads, CPSM found that the busiest unit in the TFD system was L-354. We estimate that on average, L-354 is involved in emergency response duties just over 2 hours each 24-hour period (122 minutes). All other units are typically involved in emergency response duties, on average, less than two hours in each 24-hour duty period. We also looked at the volume of individual training activities. On the basis of 2020 training records, we found that TFD personnel are actively engaged in training activities for less than one hour each duty day. When considering both emergency response duties and training activities, CPSM believes that there is ample time to commit approximately one additional hour each day to in-service inspections. 1,400 inspectable properties are not This is especially needed in light of the fact that upwards of being inspected each year because of the workload constraints of the fire prevention staff. Thus, we strongly recommend the re-institution of the in-service fire company inspection program. Fire Investigations Fire investigations are conducted by the TFD Captain/Inspectors, with assistance from the Fire Marshal when needed. These personnel have received training to conduct fire investigations in determining the cause and origin of fires and to determine an estimated fire loss. Over the six-year period from 2014 through 2019, there were an average of 78 investigations per year. The following table identifies the number of fire investigations conducted by department personnel during this time frame. TABLE 8-2: Fire Investigations, 20142019 2014 2015 2016 2017 2018 2019 Fire investigations 111 66 83 87 68 54 The inefficiency and added overtime cost in responding an off-duty Captain/Inspector to each fire for the purpose of conducting fire investigations are issues that warrant evaluation by the department. Fire investigations serve two primary purposes. The first is to determine the cause and origin of the fire. This information is helpful in determining if the fire was accidently started or if the fire was incendiary or intentionally started. The second purpose is to determine the estimated fire loss or property damage from the fire. This information is utilized by the building occupants in pursuing an insurance claim and possible settlement. While fire departments typically utilize Fire Prevention staff specifically trained in fire investigations to provide this service, in our studies we are seeing more investigations being done by response personnel. In most instances the first arriving company officer (also a Fire Captain) receives basic training in determining cause and origin and in estimating fire loss. Supplemental course work is available to give responding fire officers expanded training in determining fire cause and origin 747474 and estimating fire loss.As indicated in our analysis of structure fires in Tukwila in Section 5of this 44 report, it was determined that the number of actual fires with significant fire loss (greater than $20,000) is very limited (only five in 2019). CPSM believes that TFD should re-evaluate its use of Captain/Inspectors to perform fire investigations and consider shifting this responsibility to the first arriving company officer and the Battalion Chief in-charge. Recommendation: The Tukwila Fire Department should re-evaluate the use of the two 40-hour Captain/Inspectors and re-assign the duty of determining fire cause and origin and estimating fire loss to the responding company officer and Battalion Chief in-charge. (Recommendation No. 22.) There may be complex fires or possible arson cases in which deaths or injuries occur and for which criminal actions may be investigated. In these cases, an option is available to bring in the , or private insurance company investigators to support the investigation. Fortunately, these cases are not a frequent occurrence and the ability to draw on outside expertise is readily available. Contracting Out Fire Prevention Workload The TFD Fire Marshal has expressed prolonged frustration over his inability to effectively manage the fire prevention workload. The Fire Marshal has recommended the use of the outsourced Brycer Compliance Engine services of the , which is an on-line company that provides fire protection system compliance services. Most fire protection systemsincluding automatic fire sprinkler pumps, fire control rooms, annunciator panels, alarm sounding devices, cooking hood extinguishers, exhaust systems, elevators, and other alerting or extinguishing devicesrequire periodic inspections and maintenance to ensure proper operation. These services are typically carried out by private contractors and technicians who then provide the results of their evaluations/maintenance to the property owner and the agency having jurisdiction (AHJ). The Brycer Compliance Engine is a leader in providing these services to local government and in many instances the fees for its services are included in the periodic maintenance process. These service providers are also effective in identifying all of the properties in the community that require periodic inspections; they provide these listings as part of their service. CPSM believes that the Tukwila Fire Department would benefit greatly from utilizing an outsourced service provider in managing its inspections responsibilities. Recommendation: The City of Tukwila should evaluate the use of an out- sourced service provider in fulfilling the fire code compliance requirements for periodic inspections of automatic fire protection systems in the city. (Recommendation No. 23.) It is common that inspection services including plans review and fire protection system testing are supported by private, contractual partners that deliver services on an hourly or contractual basis. In addition, local engineering firms and freelance fire protection engineers often offer 45 their services to local communities on an as-needed or on a retainer basis. Since the use of model and uniform fire and building codes is widespread and well-understood, outsourcing services are readily available and oftentimes more cost-effective than hiring and maintaining full-time staff. In addition, given the cyclical nature of the construction industry and the periodic 44. See; https://teex.org/class/fop010/ and https://www.usfa.fema.gov/data/nfirs/support/nfirsgrams/nfirsgram_calculating_fireloss.html 45. See: https://safebuilt.com/services/private-provider-services/plan-review-private, https://www.scisusa.com/knowledge-center/outsourced-fire-services/, https://www.planreviewandinspections.com/services-1.html 757575 swings in local development, outsourced inspections provide greaterflexibility to expand or contract capacity on the basis of demand. In addition, these contractual relationships offer an opportunity to include specified service delivery requirements, such as specifying the time elapsed for completing plans reviews, receiving an inspection, and issuing authorization for occupancy. These schedules are extremely critical to building contractors, architects, and engineering firms and meeting the schedule is often difficult with in-house or fixed staffing. Civilianizing Inspections and Code Enforcement In many fire departments the personnel who are utilized as fire inspectors, investigators, and plans reviewers are uniformed firefighter personnel who have been re-assigned to assume fire prevention duties. In most cases these are voluntary assignments, requested by the employee. In the TFD, fire inspectors are uniformed Fire Captains/Deputy Fire Marshals and the Fire Marshal is a ranked Battalion Chief assigned to fire prevention. In recent years many agencies have moved away from the assignment of uniformed firefighter personnel to fire prevention assignments and have expanded the use of civilian personnel (non- certified firefighters) for these assignments. The positions are often classified as Fire Safety Specialists, Plans Reviewers, Code Examiners, Fire Protection Engineers, and other similar titles and job classifications which do not have emergency response credentials or responsibilities. These changes have been made primarily to achieve cost savings. In addition, when uniformed firefighters are re-assigned to these positions, we typically see these assignments going to more tenured personnel, such as in the case of TFD with Fire Captains. Emergency response personnel assigned to fire prevention positions often receive additional pay for 40-hour assignments (wage differentials, on-call pay, take home vehicles, hazardous duty, or public safety pensions, etc.). In addition, by civilianizing these positions and removing the more stringent training requirements for firefighters and the physical fitness components, there is a greater opportunity for expanding diversity in these positions. Recommendation: The City of Tukwila should consider the use of non- firefighter personnel (Fire Safety Specialists) instead of certified Fire Captains/Inspectors to conduct fire safety inspections and code enforcement duties. (Recommendation No. 24.) TFD currently uses a civilian Plans Reviewer as a member of their Fire Prevention staff. Fire Safety Specialists who are trained to conduct fire inspections and have in-depth knowledge in the applicable fire codes and enforcement criteria could serve as a valuable resource to the TFD. In addition, CPSM believes that the utilization of non-firefighting staff in the fire prevention positions will result in a direct cost savings. Reclassifying Fire Marshal Position As mentioned previously, the Fire Marshal is a ranked Battalion Chief, who is currently assigned to fire prevention. The Battalion Chief position in the Tukwila Fire Department is represented by IAFF Local 2088 and is eligible for overtime pay along with a whole host of salary increments and benefits typically not available to managerial positions. In 2019, the Fire Marshal received in excess of $57,000 in overtime pay above his regular salary. The Fire Marshal is a key managerial position with program management responsibilities. This position can be filled by a non- represented position with program management responsibilities. Many fire departments have moved from uniformed ranked positions as Fire Marshal and have instead opted for professional and managerial classifications either as a Fire Protection Engineer or a Fire Safety Manager. 767676 Recommendation: The City of Tukwila should consider the reclassification of the Fire Marshal/Battalion Chief position to a non-represented position designated as a Program Manager in charge of Fire Prevention activities. (Recommendation No. 25.) Public Education Public education is one of the most effective ways a fire department can reduce civilian injuries and death from fire and asphyxiation. This effort is closely aligned and a key component of an integrated risk management plan. Unfortunately, TFD does not have a formal Public Education and Outreach Program for either at-risk adults or school-aged children. TFD officials have indicated that recent budget constraints have limited their ability to commit the resources necessary to pursue this effort. CPSM believes that there has also been a lack of initiative by the and the community partnerships that are required. CPSM believes that a viable public education program is needed in Tukwila. Recommendation: The Tukwila Fire Department should institute a comprehensive public education program that targets senior and at-risk populations along with school-age children. (Recommendation No. 26.) In-service fire companies can be very effective in the coordination and delivery of public education programs to target populations. Scheduling can be accomplished through on-line methods or through a recorded phone-line request process. By designating a Fire Captain on each shift as the public education manager for that shift, CPSM believes that a viable public education program effort can be developed with limited financial costs. WASHINGTON SURVEYING AND RATING BUREAU (WSRB) The Washington Surveying and Rating Bureau (WSRB) collects data for 635 communities and fire districts throughout the State of Washington. These data are then analyzed using a Community Class Grading Schedule to help establish fair premiums for fire insurance, which generally leads to lower premiums in communities with better protection. This analysis then results in a Community Protection Class score ranging between 1 and 10. A community with a Protection Class 1 Rating represents superior property fire protection and a Class 10 Rating indicates that an area does not meet the minimum criteria set by the WSRB. departments. As cities grew and buildings became larger and communities more industrialized, insurance companies sometimes incurred large losses from fires. Much of the time, these losses were due to inadequate water supplies and ineffective fire suppression capabilities. To help reduce losses, insurance companies developed criteria to evaluate community fire suppression capabilities and to quantify the level of fire services provided. Once quantified, insurance companies used the information (rating) to determine and assign fire insurance rates. The emphasis then, as now, was primarily to reduce dollar loss from fires. Though improving water supplies and fire suppression can and does improve life safety, the purpose of rating fire departments is to adjust insurance rates to lessen insurance company losses. WSRB uses data and information provided by each community to derive a Protection Class rating. Community evaluations are performed periodically, generally every four to five years. As it is intended, the Protection Class rating it 777777 does not consider other emergencies or important services provided by the fire department such as EMS, technical rescue, or hazmat incident mitigation. In developing a Protection Class rating, the following major categories are evaluated: Emergency Communications: WSRB evaluates the emergency communication system used to dispatch the fire department. Fire Department: WSRB evaluates the fire department, including fire stations, apparatus, equipment, personnel, and their training. Water Supply: WSRB evaluates the capacity, distribution and maintenance of water systems and fire hydrants. Fire Safety Control: WSRB evaluates the fire code enforcement and fire safety education activities in the community. Tukwila received a WSRB Protection Class rating of 3 in 2019, which is a very good rating. The city7.6, which is just above mid-point in the Class 3 scoring category (7.0 to 7.9). Tukwila scored exceptionally well in its ratings involving Water Supply (88 percent of the points possible) and Emergency Communications, (again, 88 percent of the points possible). The department was marked down in several of the Training categories, specifically, Company Training, Training Center Training, Driver Training, and Pre-Fire Planning. Marks were similarly poor in a number of Fire Safety Control categories. Specifically; Fire Marshal (30 percent of total), Existing Inspections (12 percent of the possible points), Fire Protection System Testing (24 percent of the total), Public Fire Education, Programs (20 percent of the total points), and Adult Programs (28 percent of the total). Fire Investigation also received a lower scoring, receiving only 50 percent of the point allocation for this category. While improvements can be made in the areas referenced, it should be recognized that the overall Protection Class rating of 3 is a strong scoring. In 2019, of the 635 agencies evaluated only 13 only 62 (fewer than 10 percent), received a Protection Class rating of 3 or better, with agencies in the State of Washington achieving ratings above Tukwila. EDUCATION AND TRAINING PROGRAMS Training is one of the most important functions that a fire department should be performing on a regular basis. One could even make the argument that training is, in some ways, more important than emergency responses, because a department that is not well-trained, prepared, and operationally ready will be unable to fulfill its emergency response obligations effectively and safely. A comprehensive, relative, and ongoing training program is absolutely critical to the fire An effective fire department training program must cover all of the essential elements of that combination of technical/classroom training, manipulative or hands-on/practical evolutions, and training assessment to gauge the effectiveness of these efforts. Most of the training, but particularly the practical, hands-on training evolutions, should be developed based upon the own operating procedures while remaining cognizant of widely accepted practices and standards. Certain Occupational Safety and Health Administration (OSHA) regulations dictate that minimum training must be completed on an annual basis, covering various topics that include: 787878 A review of the respiratory protection standard, self-contained breathing apparatus (SCBA) refresher and user competency training, SCBA fit testing (29 CFR 1910.134). Blood Borne Pathogens Training (29 CFR 1910.1030). Hazardous Materials Training (29 CFR 1910.120). Confined Space Training (29 CFR 1910.146). Structural Firefighting Training (29 CFR 1910.156). Education and training programs help to create the character of a fire service organization. Agencies that place a real emphasis on their training tend to be more proficient in carrying out day-to-day duties. The prioritization of training also fosters an image of professionalism and instills pride in the organization. South King County Fire Training Consortium (SKCFTC) TFD is a participant in the . The SKCFTC is an active grouping of 10 fire service agencies located in King County south of Seattle. Agencies combine their training resources and utilize a regionally designed and comprehensive training curriculum for its participating members. Agencies are charged an annual fee for membership in the Consortium and this fee is based on the number of personnel in the individual organization in relation to thwas assessed at 6.4 percent of the Consortiums costs, or $284,000. TFD assigns two training Captains to the Consortium and these individuals work full-time delivering specific training programs to members in the Consortium. Because of the assignment of these personnel, the annual participation fee charged by the Consortium to TFD is reduced annually by approximately $248,000, resulting in an annual training charge of $36,000 after the off-set for the two assigned Captains. In addition, TFD pays the salaries of these employees along with employee benefits, training supplies, and other related service costs. In total in 2020, the TFD Training Budget accounted for just over $450,000 in expenditures. The Training Consortium develops and distributes a very detailed and all-encompassing training curriculum for those fire and EMS skills that are essential for proficiency in emergency service delivery. The curriculum meets or exceeds the required EMS training for both King County and State of Washington. Special services training is also offered involving hazardous materials response, high angle and swift water rescue, auto extrication, officer training, and incident CPSM believes that command, along with other key areas of training and safety modules. Consortium is very cost effective and very appropriate in providing for the training needs of the department. At the same time, a key failing in the review of the training delivery process in Tukwila is the absence of any adopted training standard in terms of the number of hours of training completed by individuals in the department. Though the Consortium operates on the premise of Tukwila has not adopted providing 20 hours of in-service training to every individual each month, an internal training directive , nor does it conduct periodic reviews of employee training records. Subsequently, CPSM observed a wide range of participation; many of the TFD personnel are not logging the recommended 20 hours of monthly training. Recommendation: The Tukwila Fire Department should adopt a minimum training criterion (individual hours of training completed), and require that training requirements on a regular basis. (Recommendation No. 27.) 797979 CPSM believesthatit is essential that the training effort in thedepartmentbeconsistent and provide a basis for all employees to perform those activities that are needed to operate successfully in emergency settings. This requires a comprehensive review of training activities and periodic postings of the number of hours of participation by individual employees and follow-up when an individual participation is lacking. TFD has access to a tremendous training resource through the Consortium; however, it must take the needed steps to ensure the full participation of its personnel. Many aspects of an EMS training curriculum require a skills assessment in order to obtain the necessary continuing education credits required for certification. Fire and other related service training typically does not include a skills assessment and a recorded scoring to determine individual proficiency. Recommendation: The Tukwila Fire Department should work with the Training to institute written and practical skills testing as part of the dcurriculum. (Recommendation No. 28.) The ability to monitor and record training test scores is beneficial from an overall proficiency standpoint. In addition, training scores should be incorporated into the annual performance appraisal process for both the employee, the supervisor, and training staff. In addition, the concept of adding a testing process to each training evolution adds to the importance, consistency, and seriousness in which these activities are carried out. The leadership of the Consortium has been attempting to institute more skills assessment in its fire training courses and if Tukwila places an added emphasis on this testing and assessment component, if should not be difficult to institute. Firefighter Physical Fitness Employee physical fitness is a key component in the ability of Fire and EMS personnel to do their jobs effectively and avoid injuries. Rigid fitness standards are typically required in many fire NFPA 1583, Standard on Health-Related Fitness Programs for departments throughout the nation; Fire Department Members , is a recognized industry standard for monitoring and maintaining TFD does not have a fitness standard firefighter fitness. for its emergency response personnel. Though employees are encouraged to maintain appropriate levels of fitness, and current firefighting job descriptions include language requiring good physical conditioning, a formal organizational fitness assessment does not exist. Recommendation: TFD should institute annual physical fitness testing in accordance with NFPA 1583 for all emergency response personnel, including chief officers. (Recommendation No. 29.) Candidate TFD requires new firefighters to pass a physical fitness evaluation that is based on the Physical Ability Test (CPAT) . This testing utilizes a number of firefighter skill components (stair climb, hose drag, equipment carries, ladder raise, forcible entry, rescue drag, search, and ceiling pull) that are completed in a sequential order and as a timed event. TFD should consider the use of a modified CPAT exam as the annual fitness qualification for all emergency response personnel. The Training Consortium has implemented a number of strength-hardening and fitness tests that could be utilized in these assessments. In addition, most wildland firefighter ThePack Test-Work Capacity Testing for Wildland Fire Fighting certifications utilize as an annual fitness qualification. This may also be considered as an annual fitness requirement for all TFD personnel. 808080 Annual Medical Evaluation Closely aligned with the need for firefighter fitness assessment is the need forfirefighters to have an annual medical evaluation to ensure their well-being and health status so they can safely perform their duties. Firefighters are susceptible to developing hypertension, diabetes, high cholesterol, and obesity. According to the NFPA, 43 percent of firefighter deaths are caused by overexertion and stress. In 2017, the Firefighter Cancer Support Network revealed that 61 percent of career firefighter line-of-duty deaths occurred as a result of cancer from 2002 to 2017. Periodic and directed medical testing and screening are vital to the well-being of firefighters NFPA and are effective in identifying problems at early stages in order to facilitate treatment. 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments , outlines an occupational medical program for firefighters aimed at reducing health risks and provides guidance for periodic screening and medical evaluations aimed at the health and safety of firefighters. The following medical testing is recommended under the provisions of NFPA 1582: Blood analysis. Urinalysis. Pulmonary function test. Chest X-ray (due every five years). EKG. Infectious disease screening. Cancer screening. Audiometric exam. Vision testing. Tukwila does not conduct annual medical evaluations for its firefighters. Participation in a health screening process is voluntary and if carried out is done physician, who may not be aware of or utilize the screening criteria established in NFPA 1582. Recommendation: TFD should institute annual medical physicals in accordance with NFPA 1582 for all emergency response personnel, including chief officers. (Recommendation No. 30.) In addition to periodic medical and physical fitness evaluations, firefighters often encounter injury and illnesses that are not job related and can lead to extended absences and disabilities. Upon returning to work it is essential that these employees are evaluated under the criteria established in NFPA 1582 before returning to duty. Injury Prevention and Safety Employee safety and injury prevention is closely aligned with training and education. Typically, fire department injuries are among the highest among all public sector employees. In 2018, CPSM estimates that TFD line employees lost in excess of 11,500 hours of duty time (collectively, roughly 32 hours of lost time daily) as a result of long-term disability and job-related injuries. The cost associated with OSHA recordable injuries in terms of medical costs, lost time, and workers compensation insurance are very significant. In most cases line-of-duty injuries for firefighters are preventable. There is little internal review regarding the causes of these injuries and no effort is being made to address recurring injuries 818181 and implement directed policies to reduce these occurrences. In our experience we have found that most line-of-duty injuries are a product of improper lifting or not properly utilizing personal protection and safety equipment. CPSM believes that the department should develop a TFD Health and Safety program, working in close cooperation with the c Risk Management reducing injuries office. Such a program can be extremely effective in . The base of this process is to use statistical analysis to isolate the highest frequencies of injuries and build into the training regimens and policy directives the methodologies aimed at reducing injuries. Recommendation: TFD should institute an Employee Safety and Injury Avoidance Program aimed reducing the number of line-of-duty injuries and lost time. (Recommendation No. 31.) After-Action Review Injury prevention is an organizational objective. From this perspective, it can be seen that it is critical that supervisory personnel, specifically Captains and Battalion Chiefs, must have a more active role in the efforts to reduce injuries. Though injuries in the fire service are avoided at all costs, there is a very strong sentiment that when a firefighter is injured in the line of duty, it is viewed with praise, or as something that comes with a sense of bravery or heroism. In reality, most fireground injuries are the result of a failure to follow a prescribed safety procedure or a lapse in judgment. It is critical that every injury be evaluated on the basis of why it occurred and more importantly, how it could have been avoided. The supervisor is critical to this process and in our estimation their actions, or more importantly inactions, should be evaluated in determining the cause of the injury. An after-action review (AAR) is a structured review or professional debriefing of an event that enables firefighters to discover for themselves what happened during an incident or event, why it happened, and how it can be done better in the future. activity in which the full team that participated in the event are involved in the AAR. The process is open and is not intended to be punitive. The findings of the AAR are recorded and utilized by others in the organization to learn from the actions that took place, with the overriding goals of improving outcomes and ensuring responder safety. The National Wildfire Coordinating Group (NWCG) has developed guidelines for the AAR process and these tools are available for use by fire service agencies across the nation. TFD does not utilize an AAR for key events or incidents. 46 Recommendation: TFD should implement the use of the after-action reviews (AARs) after a major incident or event. These will serve as a training exercise and can improve service delivery and employee safety. (Recommendation No. 32.) EMERGENCY MANAGEMENT Emergency management is the discipline and profession of applying science, technology, planning, and management to deal with extreme events that can injure or kill large numbers of people, do extensive damage to property, and disrupt community life. When such events do occur and cause extensive harm, they are called disasters. 47 46. See: https://www.nwcg.gov/wfldp/toolbox/aars 47. Emergency Management: Principles and Practice for Local Government. Eds. Thomas E. Drabek, Gerard J. Hoetmer. International City Management Association, 1991. p. xvii 828282 In support of the emergency management efforts both in the planning phases and when activated to address an incident, individual jurisdictions within King County have been grouped into geographic zones to facilitate and coordinate emergency management needs. During a large-scale incident with regional impacts, the King County Office of Emergency Management will serve as the primary coordination point for regional resource management, information sharing, and escalation of requests for support. King County and its regional partners in south King countythe Cities of Tukwila, Algona, Auburn, Black Diamond, Burien, Covington, Des Moines, Enumclaw, Federal Way, Kent, Maple Valley, Milton, Normandy Park, Pacific, Renton, SeaTac, and Vashon Islandhave been aligned to form Zone 3. Emergency management functions operate in accordance with the c Emergency Management Plan (CEMP). The plan provides coordination for both the planning and operational aspects of dealing with widescale emergencies and disasters. These planning and coordination efforts adhere to WAC 118-30 and the Federal Emergency Management the National Incident Management System (NIMS). Tukwila has adopted a municipal Comprehensive Emergency Management Plan that is designed to work in conjunction with the county CEMP and its Zone 3 partners. The concept of operations for the c Emergency Management serve as the coordination point for the city in managing its emergency management responsibilities. The Chief of Emergency Management along with fire and other municipal resources, are under the direction of the Mayor who has the authority under state guidelines and under the Tukwila Municipal Code to direct emergency management activities for the city. At the time of the CPSM review, the coordination of emergency management functions was being transferred to a newly appointed civilian Emergency Manager, who will work under a dual reporting structure in which day-to-day coordination will be under the Police Department and during emergencies or activations this responsibility will be under the Mayor. CPSM views the dual-reporting process to be viable in that it is not uncommon; a number of communities have taken this approach. There is a clear logic in having day-to-day oversight within an operational department that is involved in public safety and has the resources to rapidly activate in order to mitigate problems on a 24/7 basis. In addition, moving to a professionally trained Emergency Manager who has senior program managerial duties and would be exempt for overtime is a very logical approach. In addition, given that the new EOC is physically located in the new Justice Center, there is a logistical justification for having these functions fall under the Police Chief. Recommendation: The City of Tukwila should re-assign the duties of the Battalion Chief of Emergency Management to a professionally trained Emergency Manager who is classified as a Senor Program Manager and exempt from overtime. (Recommendation No. 33.) At the time of the CPSM review the City was actively developing the hiring parameters for a civilian Emergency Manager who would assume the emergency management coordination duties once hired. The c needs to be updated. The current version of the plan was written in October 2013. It is recommended that a CEMP be revised once every five years. 838383 Recommendation: The City of Tukwila should update its Comprehensive Emergency Management Plan(CEMP).(Recommendation No. 34.) CPSM believes that the revision of the Tukwila CEMP will provide an ideal opportunity for the new Emergency Manager to structure the c provides additional and the Police Department, and can make use of the experience of the Fire Department, to provide a suitable transition that will improve the overall coordination and effectiveness of these operations. Training on WebEOC Emergency management software serves as the coordinating element in planning and executing actions during large-scale events. The tracking of resources and requesting assistance through state and federal assets are carried out and documented through these automated systems. Tukwila, King County, and the Washington Emergency Management Division all use the ; however, it requires significant training and understanding of its application to be used effectively. It is essential that all key personnel and support personnel are fully trained and familiar with this program. Tukwila has not developed a sufficient cadre of personnel who are trained and are proficient in the use of WebEOC. These skills cannot be learned in the midst of an incident. Recommendation: The City of Tukwila should increase the number of city officials and support staff who are trained and capable of using the WebEOC software in the event of a major disaster or EOC activation. (Recommendation No. 35.) Other Emergency Management Plans Another key document in the emergency management planning process is the Hazard Mitigation Plan (HMP). The c the City is subject to and identifies mitigation strategies that attempt to minimize these risks. This document is well-written and was updated in September 2019. Closely aligned with the Comprehensive Emergency Management Plan (CEMP) and the Hazard Mitigation Plan (HMP) is the Continuity of Operations Plan (COOP). COOP planning is an effort that is carried out at all levels of government (local, county, state, and federal). It is used to develop and evaluate scenarios in which government services may be disrupted and plan efforts to re-institute the delivery of government services in the wake of a disaster (natural or man-made). Continuity of Operations (COOP) is an initiative of the federal government, required by U.S. Presidential Policy Directive 40 (PPD-40), to ensure that agencies at all levels of government can continue in the performance of essential functions under a broad range of circumstances. The fundamental purpose of the COOP process is for all levels of government to identify procedures that allow them to continue their essential operations in the wake of a catastrophic event. The City of Tukwila has not developed a COOP plan for its municipal operations. Recommendation: The City of Tukwila should develop a Continuity of Operations Plan (COOP) for its essential municipal functions. (Recommendation No. 36.) 848484 For helpful guidance, see the U.S. Federal Emergency Management Agency'sContinuity Resources and Technical Assistance (2018). In addition, the City of Kirkland, Wash., has developed a planning document that can provide valuable insight and examples of this process. 48 EMERGENCY COMMUNICATIONS CENTER (911) Valley Communications Center (Valley Com) provides the city911 emergency communications through an interlocal agreement. Valley Com is responsible for the dispatching and radio communications for TFD operations. The Center provides police, fire, EMS, and jail operations emergency communications to more than 30 agencies throughout south King County, Wash., extending from the Seattle city limits to the Pierce County line and including Vashon Island. Owner Valley Com has been operational for more than 40 years and Tukwila is one of five of its Cities that first initiated this service relationship. The Center is very adept in providing public safety communications and understands the advantages and challenges of the next generation of 911 (NextGen911) in the U.S. CPSM found the leadership and staff at Valley Com to be highly capable and efficient in managing the emergency communications of Tukwila and other participating members. The Center is staffed 24 hours a day, seven days a week, with a minimum staffing of 17 personnel (5 call takers, 11 dispatchers, and 1 supervisor). During peak periods the C increase to 26 positions. Dispatchers work 12-hour shifts. Peak times are 2:00 p.m. to 10:00 p.m. The Center handles more than 1,700 calls daily. During major incidents, it is common practice for additional personnel to be brought in to assist in operations. On major events, a dispatcher will be assigned specifically to the incident. New dispatchers have a probationary period of 12 months. Initial training for dispatchers includes eight weeks in the classroom, and an additional six months of supervised positional training for the various dispatch assignments (call taker, police dispatcher, and fire dispatcher). All dispatch personnel receive Association of Public-Safety Communications Officials (APCO) 911 certification and receive 40 hours of basic EMT training. All voice and radio transmissions are recorded. The Center uses a Phase II triangulation system to identify the location of cell phone calls that are received. All critical dispatch equipment is on an uninterrupted power supply (UPS). The Center is fully backed up with an auxiliary generator that is tested monthly; also, it has an alternative site in case of major outages. Emergency Medical Dispatching (EMD) The Center utilizes an format that was developed by King County EMS. This system has been established specifically for the screening and triaging of EMS calls. The Center operates under EMS protocols established by the c Director. Once a call is identified to be EMS-related, the call is then screened on the basis of its severity (ALS or BLS). Depending on this determination, either a fire department BLS first response unit is dispatched alone (for BLS calls), or when the call is determined to be an ALS event, both the fire department unit and a Medic-One ALS unit are dispatched. In 2020, the TFD altered its dispatching process for Tri-Med ambulance for those calls that automatically dispatched are BLS. Prior to 2020, a Tri-Med unit was for all calls that were determined in the dispatch screening process to be BLS (emergency and non- emergency BLS). In 2020 an agreement between TFD and Tri-Med changed the dispatch of a Tri-Med unit from an automatic dispatch at the time the response was initiated to a 48. http://mrsc.org/getmedia/18c51db7-792a-4df3-a29a-812830410cbf/k53COOP.pdf.aspx 858585 Tri-Med unit is nowrequested system in which a and a determination is made that a transport is warranted. This practice was implemented to improve the probability of a transport for Tri-Med and was an effort to reduce the number of times that a Tri-Med unit would respond and no transport would occur. Though CPSM can recognize the benefit for Tri-Med in this arrangement, we feel it could lead to a significant increase in the overall call duration for TFD units. We estimate that, in 2019, the average call duration for a BLS call for TFD units was just over 24 minutes. Under the revised dispatching process, we believe this call duration time will increase by upwards of 8 to 10 minutes on most BLS responses. This increase in call duration can adversely affect unit availability and overall response times. CPSM believes that TFD should closely monitor its call durations and unit availability to determine if the change from the automatic dispatching of Tri-Med units to the on-scene request mode affects call duration times. Recommendation: TFD should monitor its average call durations and unit availability for BLS calls and determine if the move from the automatic dispatching of a Tri-Med ambulance is adversely affecting system efficiency. (Recommendation No. 37.) The Tri-Med contract specifies a response time of upwards of 17 minutes and 59 seconds for its (non-emergency BLS). Though Tri- response times have been significantly less than the 18-minute requirement (at approximately 9 minutes), we do believe that this change has the potential to be problematic and should be monitored closely. § § § 868686 SECTION 9. CONSIDERATIONS FOR REVENUE ENHANCEMENTS AND REDUCTION IN OVERTIME As part of this Operational and Administrative Analysis, CPSM was asked to provide recommendations for ways for the TFD to generate additional revenue to fund fire department operations. As well, CPSM was asked to identify ways for the TFD to reduce overtime expenditures. Many of the ideas listed here were discussed previously in the report; however, a summary of these options has been elevated from our analysis and are presented in this section efforts directed towards generating additional to provide added emphasis. CPSM believes that revenues will be insufficient in off-setting the overtime costs needed to cover the amount of lost our recommendation that measures focus instead on reducing the time that is occurring. It is excessive amounts of leave being taken, which we believe is the root cause of the escalating overtime costs. Fire department overtime is being driven by the ccombined with the levels of leave time taken by TFD employees. For example, in 2018, the 54-line personnel 58,480 hours of paid leave for various (firefighters on the 48/96 work-schedule) utilized a total of allowances (vacation, Kelly Days, sick leave, and long-term disability). This resulted in an annual overtime expenditure of nearly $400,000. In addition to the overtime paid for minimum staffing, TFD employees were also paid overtime wages in the amount of $227,652 for additional services they provided in an off-duty status (training, disaster response, fire investigations, and other duties). CPSM estimates that each employee was off, with pay in 2018, an average of 1,083 each TFD line employee was off with pay on 37 percent of their possible hours. In other words, duty hours . FIRE DEPARTMENT REVENUE ENHANCEMENTS Generally speaking, fire department services are part of the public safety functions provided by local government. There are limited abilities to equitably charge for these services. Though a number of agencies have been creative in generating revenue, ultimately the amount of funding generated through these efforts only off-set a small portion of the overall costs of operations. The most prevalent methods usually considered include: Contracting out services to neighboring jurisdictions. Assuming EMS transport duties and charging for these services. First responder fees. Fire inspections, permitting, and plans review fees. Excessive false alarm response penalties. Non-resident response fees. Hazardous materials clean-up or recovery charges. Charging insurance companies for fire and service responses. 878787 The Tukwila FireDepartment has instituted a number of cost recovery efforts that are generating significant revenues. The following are those revenue methods that are currently in place, along with considerations for options that may generate additional funding. EMS First Responder Fee: Tukwila is generating in excess of $500,000 annually (approximately $135 per EMS first response) through its first responder arrangement with King County EMS. In addition to the annual fees being generated for EMS first responder services, TFD receives a quality review of its field EMS services from the county along with providing medical control and protocol CPSM believes that the revenues being generated from EMS first development. responder fees is financially representative of the services provided and that increasing this funding will require an orchestrated effort among all first responders in King County. Fire Inspections, Permitting, and Plans Review Fees: TFD has recently increased the revenues it is generating from these fees. In 2020, the combined fees collected from fire prevention services amounted to approximately 30 to 40 CPSM believes that percent of the cost associated with providing these services. additional adjustments in the fee structure for fire prevention services are warranted and these increases have the potential to move the city closer to full cost recovery for these services. EMS Transport: Tukwila maintains a service contract with Tri-Med Ambulance to provide BLS ambulance transports. It is estimated that approximately 2,000 transports are being carried out annually by Tri-Med from within the City. CPSM estimates that these transports generate approximately $500,000 in gross collections before expenses. We estimate that if TFD were to assume these transport responsibilities, it would require additional staffing and operating Subsequently, the expenses that would cost in excess of $1 million annually. assumption of BLS transport responsibilities by the TFD is not recommended as a viable option for generating additional revenues. Ambulance Transport Franchise Fees: Tukwila has a franchise agreement that authorizes Tri-Med ambulance service to be the exclusive provider of BLS transports originating from within the city. Per this agreement, Tukwila receives CPSM believes that there is an ability to increase $24,000 annually from Tri-Med. the annual payment from the ambulance provider for its exclusive right to do EMS transports in the city. Contracting out Services to Neighboring Communities: The option to provide fire and EMS services to neighboring communities is viable for the City of Tukwila. King County Fire District #24 has the greatest potential for consideration. In addition, other options may be available, but these would be dependent upon a desire on the part of the neighboring jurisdictions to obtain services from Tukwila and the ability to structure a pricing agreement that is agreeable to both parties. Ideally, Tukwila would generate the greatest amount of net revenue if these contract arrangements can be set up in a way in which TFD is able to provide these CPSM believes that Tukwila should services without adding additional resources. pursue options to outsource its services on a fee basis to neighboring communities. False Alarm Fees: Thistype offee is typically developed around a structure that annually allows a specified number of false alarms to be generated by an 888888 individual business, industrial or residential complexes,before a fee is charged (usually three to five annually). Managing this program requires ongoing monitoring and tracking; the fee that is charged is typically tied to the actual cost for providing this service. In addition, many false alarms are accidental or caused by power interruptions and inclement weather. Typically, these false alarms are excluded from the charge. In most instances this fee is not very high, generally $250 or less. In addition, there is the issue of collection. As well, building occupants often attempt to suppress or disconnect alarm notification systems to avoid CPSM does not recommend the establishment of an excessive recurring charges. false alarm recovery fee. Non-Resident Response Fees: Non-resident response fees have been instituted by multiple communities as a method to generate additional revenue. This fee is typically applied to motor vehicle accidents (MVA) or medical emergencies involving non-residents. The fee is based on the premise that residents are paying taxes for these services and non-residents do not, so when a call involves a non- resident, a fee can be charged. Many insurance companies allow payments to agencies when these charges involve automobile accidents or vehicle fires. For EMS calls, these charges are not universally covered by medical insurance policies. A determination regarding the frequency in which non-residents are utilizing TFD services would be suggested to determine if the call volume would be sufficient to generate additional funds to justify this effort. However, these fees will likely be charged to workers and shoppers who may requires service when in Tukwila and this factor should be considered when developing this type of CPSM recommends that Tukwila review the revenue potential from a charge. non-resident response fee and if viable, consider its implementation. Hazardous Materials Clean-up or Recovery Charges: A hazardous materials not viable in Tukwila clean-up or recovery charge is as this specialized response is provided via mutual aid from outside agencies. § § § 898989 CONSIDERATIONS FOR REDUCTION IN OVERTIME EXPENDITURES CPSM has identified options the department has for reducing overtime expenditures. The estimates we provide for savings are based on the lost hours that are related to each leave 2018 average overtime pay rate of $58.65 per hour category and the . The actual financial impacts of implementation will likely differ from our estimates, depending upon the level to which these proposals are implemented, their timing, or any refinements that may be considered. It is anticipated that the implementation of these proposals can be carried out over a multiyear timeframe and will be subject to extensive public debate, negotiations with the firefighters union, and ultimately driven by the desire to gain control of these costs. Nine recommendations are provided here for consideration: (1) Negotiate a reduction in the number of Kelly Days that are currently provided to all TFD line personnel. CPSM believes that the number of Kelly Days should be reduced by half from 14 days per year to 7 days per year. We also recommend that these reductions be put into place without a corresponding salary increase. This change will increase the average workweek from 49.5 hours (2,574 hours annually) to 52.8 hours (2,744 hours annually). Estimated Savings: $545,000 annually (2) Negotiate a change in the FLSA cycle from its current 24-day cycle to a 28-day cycle and change the eligibility requirements for premium overtime (time and one-half) to a structure based on the actual hours worked. Under the current labor agreement overtime is paid whenever an employee works additional hours. It does not exclude any time-off the employee incurs during the work cycle. FLSA guidelines (Fair Labor Standards Act) requires that premium overtime be paid whenever employees work more than the allotted hours in the work cycle. FLSA does not consider time worked as that time an employee is off (vacation, sick, disability, bereavement, etc.). When employees do not meet the FLSA work-cycle hour threshold, any additional hours worked are paid at a straight time rate as opposed to the premium rate of time-and-one- half. CPSM believes that the city should negotiate overtime eligibility based on actual hours worked and exclude any time off from the calculation. It should be noted that our assumption is that when a time-worked criterion is established for overtime eligibility, the amount of leave time taken is reduced, as employees are reluctant to take additional time off that will affect their overtime earnings Estimated Savings: $162,000 annually (3) Negotiate a reduction of 25 percent in the vacation hour accruals for line employees. The current labor agreement provides up to 312 vacation hours each year (39 calendar days) for the most senior fire department employees. Less senior employees (six or more years of service) receive 192 hours (24 calendar days) each year. CPSM believes that the combined leave options along with the 24/96 schedule, provides significant leave time for the employee and the city should 909090 negotiate a 25 percent reduction in the hours that line employees accrue annually for vacation. Estimated Savings: $208,000 annually (4) Institute a program to reduce use of sick leave. Fire department line employees utilize nearly 13,700 hours of sick leave annually. This equates to an estimated 263 hours (roughly 11 shifts) of sick leave use for every line employee in a year. Though TFD has policy restrictions against the improper use of sick leave, there is little internal review or enforcement of this policy. CPSM believes that TFD should implement guidelines for its employees and institute a supervisory review of sick leave use in an effort to curtail any unauthorized use of sick leave. We estimate that upwards of 15 percent of the annual amount of sick leave being used can be reduced with added review and on-going monitoring practices. Estimated Savings: $120,500 annually (5) Establish a safety and injury avoidance program to reduce job-related injuries. On average, TFD employees collectively incur an estimated 11,500 hours of lost time annually that is related to on-the-job injuries. There is little internal review regarding the causes of these injuries and no effort is being taken to address recurring injuries. In our experience, we have found that most line-of-duty firefighter injuries are a product of improper lifting or not properly utilizing personal protection and safety equipment. CPSM believes that an orchestrated safety and injury avoidance program can reduce the amount of time lost from job related injuries by at least 10 percent. Estimated Savings: $67,500 annually (6) Change the Pipeline positions to a part-time, on-call status and utilize these personnel to fill firefighter staffing shortages. The city currently authorizes three to five Pipeline positions (unbudgeted firefighters), who are trained firefighters eligible for hiring, to supplement department staffing. These employees are paid full-time firefighter wages and benefits during their tenure. CPSM proposes that the department utilize future Pipeline positions (upwards of 18 positions) who are employed as part-time personnel (limited benefits and no pension contributions), who work in an on-call status, with workweek limitations, and who are utilized to fill daily staffing shortages. It is estimated that part-time Pipeline positions could be paid at a rate of $25 per hour, which will be substantially less that the average firefighter overtime rate ($58.65 in 2018, not including benefits). Estimated Savings: $207,800 annually (7) Move to a three-station configuration in servicing the City of Tukwila. The city utilizes a four-station configuration with six primary response units in serving the 9.6 square miles of service area that comprises the City of Tukwila. This means there is an estimated service area for each station of approximately 2.4 square miles. This is an extremely small service response area when compared to 919191 other communities and the indices that are utilized in determining fire station response areas. In addition, the emergency service demands in Tukwila are primarily EMS related and the call volume and workload is not exceptionally high. When considering the distribution of call activity, individual unit workloads, the predominate nature of EMS-related calls, the combined service response for EMS calls by multiple agencies (King County Medic-One, and Tri-Med Ambulance), and the close proximity to joint response fire agencies (Puget Sound Regional Fire Authority, Renton Regional Fire Authority, and the South King Fire & Rescue), CPSM believes that a three-station configuration with six primary response units (including two roving aid cars), can provide comparable if not improved service to the community. TFD is planning to spend in excess of $14 million for the relocation of Fire Station 54. Though these funds have been authorized through the 2016 Public Safety Bond Program, CPSM believes that the current four-station configuration should be re-evaluated. Estimated Savings: $14 million (Public Safety Bond Allocation) (8) Civilianize and reclassify fire officers assigned to prevention. The Fire Marshal and the two Fire Captains assigned to Fire Prevention are uniformed firefighters covered under the IAFF collective bargaining agreement. These positions receive additional pay supplements (on-call pay, shift differential, public safety pension contributions), and generate extensive overtime (more than $130,000 in 2019). CPSM believes that by moving to a civilian professional staff, out-sourcing selected inspection services, and reclassifying Fire Prevention personnel to program management classifications, the city will be able to expand their professional credentials, improve productivity, and reduce costs. Estimated Savings: $150,000 annually (9) Outsource EMS first response and fire protection services. Tukwila is in a unique position to evaluate its options to outsource its fire and EMS delivery system from a private provider. Typically, private fire and EMS providers, are able to offer comparable services at significant savings because of their reduced labor costs. Generally, labor costs for private providers are 25 to 30 percent less than the costs of maintaining a municipal workforce. Because the city owns its fire stations and its fleet of response vehicles, a private provider would only need to provide the needed response personnel. In addition, because of the additional personnel that co-respond with TFD personnel (King County Medic One, Tri-Med Ambulance, South King County joint response partners) the service responsibilities for a private provider would be markedly reduced. CPSM recommends that the city evaluate its options for outsourcing its fire and EMS services through the issuance of a Request for Qualifications to determine the level of provider interest. Estimated Savings: $2.25 to $2.5 Million annually 929292 SECTION 10. DATA ANALYSIS This data analysis was prepared as a key component of the study of the Tukwila Fire Department (TFD). This analysis examines all calls for service between January 1, 2019, and December 31, computer-aided dispatch , which stores guidelines. This analysis is made up of five parts. The first part focuses on call types and dispatches. The second part explores the time spent and the workload of individual TFD units. The third part presents an analysis of the busiest hours in the year studied. The fourth part examines the call locations, mutual aid given, and received calls. The fifth and final part provides a response time analysis of TFD units. During the year covered by this study, the Tukwila Fire Department provided life safety services to about 20,000 city residents within a 9.6 square-mile city area. It operated out of four fire stations with 67 dedicated professional personnel. The department utilizes three frontline engines and a reserve engine, two rescue boats, a ladder truck, an aid unit, a rescue unit, and an SCBA trailer. TFD is located within Fire Zone 3 of King County. It provides the primary service to the areas within the city limits of Tukwila, and the jurisdictional boundaries of King County Fire District No. 24 . TFD also responds with automatic mutual aid to the following areas: SeaTac, Renton, Auburn, Kent, King County Fire Districts 2, 11, 20, and the Port of Seattle at Seattle-Tacoma International Airport. During the study period, the Tukwila Fire Department responded to 5,754 calls, of which 64 percent were emergency medical service (EMS) calls. The total combined workload (deployed dispatch time was 1.4 minutes and the average total response time was 7.1 minutes. The 90th percentile dispatch time was 2.6 minutes and the 90th percentile total response time was 10.2 minutes. METHODOLOGY In this report, CPSM analyzes calls and runs. A call is an emergency service request or incident. A run is a dispatch of a unit (i.e., a unit responding to a call). Thus, a call may include multiple runs. We received CAD data and NFIRS data for the Tukwila Fire Department. We first matched the NFIRS and CAD data based on the incident numbers provided. Then, we classified the calls in a series of steps. We first used the NFIRS incident type to identify canceled calls and to assign EMS, motor vehicle accident (MVA), and fire category call types. EMS calls were then grouped into subcategories based on their criteria-based dispatch (CBD) codes. In this analysis, we calls outside of the jurisdictional boundary of Tukwila (which includes the City of Tukwila and King County Fire District No. 24) were identified as mutual aid. Additional details can be found in Attachment I. In this report, canceled and mutual aid calls are included in all analyses other than the response time analysis. 939393 We received records for 5,979distinct calls in 2019. We removed 136 calls lacking a responding unit from TFD. All runs that did not have at least an en route or an arrive time led us to exclude another 87 calls. Two calls that involved only administrative units were not included in the analysis, but the work associated with these two calls is included in the overall analysis of additional personnel in Attachment IV. This left a total of 5,754 calls in our analysis. AGGREGATE CALL TOTALS AND RUNS During the year studied, TFD responded to 5,754 calls. Of these, 61 were structure fire calls and 145 were outside fire calls. Calls by Type The following table and two figures show the number of calls by call type, average calls per day, and the percentage of calls that fall into each call type category for the 12 months studied. TABLE 10-1: Call Types Calls per Call Call Type Number of Calls Day Percentage Breathing difficulty 274 0.8 4.8 Cardiac and stroke 418 1.1 7.3 Fall and injury 828 2.3 14.4 Illness and other 895 2.5 15.6 MVA 486 1.3 8.4 Overdose and psychiatric 238 0.7 4.1 Seizure and unconsciousness 519 1.4 9.0 EMS Total 3,658 10.0 63.6 False alarm 605 1.7 10.5 Good intent 64 0.2 1.1 Hazard 77 0.2 1.3 Outside fire 145 0.4 2.5 Public service 144 0.4 2.5 Structure fire 61 0.2 1.1 Fire Total 1,096 3.0 19.0 Canceled 426 1.2 7.4 Mutual aid 574 1.6 10.0 Total 5,754 15.8 100.0 949494 FIGURE 10-1: EMS Calls by Type FIGURE 10-2: Fire Calls by Type 959595 Observations: Overall The department received an average of 15.8 calls per day, including 1.2 canceled calls and 1.6 mutual aid calls. Mutual aid calls included 366 EMS calls and 208 fire calls that are not included in the main EMS and fire totals. EMS EMS calls for the year totaled 3,658 (64 percent of all calls), an average of 10.0 per day. Illness and other calls were the largest category of EMS calls at 24 percent of EMS calls, an average of 2.5 calls per day. Cardiac and stroke calls made up 11 percent of EMS calls, an average of 1.1 calls per day. Motor vehicle accidents made up 13 percent of EMS calls, an average of 1.3 calls per day. Fire Fire calls for the year totaled 1,096 (19 percent of all calls), an average of 3.0 per day. False alarm calls were the largest category of fire calls at 55 percent of fire calls, an average of 1.7 calls per day. Structure and outside fire calls combined made up 19 percent of fire calls, an average of 0.6 calls per day, or one call every 2 days. 969696 Calls by Type and Duration The following table shows the duration of calls by type using four duration categories: less than 30 minutes, 30 minutes to one hour, one to two hours, and more than two hours. Here, duration refers to the interval between the latest clear and earliest dispatch times. TABLE 10-2: Calls by Type and Duration Less than 30 Minutes One to More Than Call Type Total 30 Minutes to One Hour Two Hours Two Hours 204 68 2 0 274 Breathing difficulty 280 123 13 2 418 Cardiac and stroke 663 151 13 1 828 Fall and injury 712 170 11 2 895 Illness and other 289 160 27 10 486 MVA 178 59 1 0 238 Overdose and psychiatric 378 129 11 1 519 Seizure and unconsciousness 2,704 860 78 16 3,658 EMS Total 472 113 17 3 605 False alarm 54 9 1 0 64 Good intent 48 20 6 3 77 Hazard 96 31 13 5 145 Outside fire 111 19 11 3 144 Public service 35 13 7 6 61 Structure fire 816 205 55 20 1,096 Fire Total Canceled 415 10 1 0 426 Mutual aid 367 169 30 8 574 Total 4,302 1,244 164 44 5,754 979797 Observations: EMS On average, there were 0.3 EMS calls per day that lasted more than one hour. A total of 3,564 EMS calls (97 percent) lasted less than one hour, 78 EMS calls (2 percent) lasted one to two hours, and 16 EMS calls (less than 1 percent) lasted two or more hours. A total of 403 cardiac and stroke calls (96 percent) lasted less than one hour, 13 cardiac and stroke calls (3 percent) lasted one to two hours, and 2 cardiac and stroke calls (less than 1 percent) lasted two or more hours. A total of 449 motor vehicle accidents (92 percent) lasted less than one hour, 27 motor vehicle accidents (6 percent) lasted one to two hours, and 10 motor vehicle accidents (2 percent) lasted two or more hours. Fire On average, there were 0.2 fire calls per day that lasted more than one hour. A total of 1,021 fire calls (93 percent) lasted less than one hour, 55 fire calls (5 percent) lasted one to two hours, and 20 fire calls (2 percent) lasted two or more hours. A total of 585 false alarm calls (97 percent) lasted less than one hour, 17 false alarm calls (3 percent) lasted one to two hours, and 3 false alarm calls (1 percent) lasted two or more hours. A total of 127 outside fire calls (88 percent) lasted less than one hour, 13 outside fire calls (9 percent) lasted one to two hours, and 5 outside fire calls (3 percent) lasted two or more hours. A total of 48 structure fire calls (79 percent) lasted less than one hour, 7 structure fire calls (11 percent) lasted one to two hours, and 6 structure fire calls (10 percent) lasted two or more hours. 989898 EMS Calls by Response Mode and Duration The following figure shows the percentage of calls by response mode: advanced life support (ALS) and basic life support (BLS), separating emergency and nonemergency calls. We used the EMS calls that lacked CBD codes, we assumed they were ALS calls if Medic-One arrived on scene and designated the remainder as BLS nonemergency calls. The subsequent table analyzes EMS calls by duration and response mode. Durations are limited to the time spent by TFD units and do not reflect the time spent by other fire agencies or ambulances. FIGURE 10-3: EMS Calls by Response Mode TABLE 10-3: EMS Calls by Response Mode and Duration Less than 30 Minutes One to Two More Than Average Response Mode Total 30 Minutes to One Hour Hours Two Hours Duration 292 309 37 11 649 ALS 36.2 2,038 455 32 5 2,530 BLS Emergent 24.4 374 96 9 0 479 BLS Nonemergent 23.4 2,704 860 78 16 3,658 Total 26.4 Note : Here, the duration is the interval between the latest clear and earliest dispatch times. 999999 Observations: ALS TFD units responded to 649 EMS calls (or 1.8 calls per day) requiring ALS treatment. ALS calls were 18 percent of the total EMS calls responded by TFD. The average duration for ALS calls was 36.2 minutes. On average, there were 0.1 ALS type calls per day that lasted more than one hour. A total of 601 calls (93 percent) lasted less than one hour, 37 calls (6 percent) lasted one to two hours, and 11 calls (2 percent) lasted two or more hours. BLS TFD units responded to 3,009 EMS calls (or 8.2 calls per day) requiring only BLS treatment. BLS calls were 82 percent of the total EMS calls responded by TFD. The average duration for BLS calls was 24.2 minutes. On average, there were 0.1 BLS type calls per day that lasted more than one hour. A total of 2,963 calls (98 percent) lasted less than one hour, 41 calls (1 percent) lasted one to two hours, and 5 calls (less than 1 percent) lasted two or more hours. 100100100 Calls by Month and Hour of Day Figure 10-4 shows the monthly variation in the average daily number of calls handled by TFD during the year studied. Similarly, Figure 10-5 illustrates the average number of calls received each hour of the day throughout the year. FIGURE 10-4: Calls per Day by Month Observations: Average EMS calls per day ranged from 7.7 in October 2019 to 11.4 in December 2019. Average fire calls per day ranged from 2.3 in November 2019 to 4.2 in June 2019. Average other calls per day ranged from 2.3 in November 2019 to 3.1 in February 2019. Average calls per day overall ranged from 13.7 in October 2019 to 17.0 in December 2019. 101101101 FIGURE 10-5: Calls per Hour by Time of Day Observations: Average EMS calls per hour ranged from 0.2 between 4:00 a.m. and 5:00 a.m. to 0.7 between 2:00 p.m. and 3:00 p.m. Average fire calls per hour ranged from less than 0.1 between 3:00 a.m. and 4:00 a.m. to 0.2 between 1:00 p.m. and 2:00 p.m. Average other calls per hour ranged from less than 0.1 between 3:00 a.m. and 4:00 a.m. to 0.2 between noon and 1:00 p.m. Average calls per hour overall ranged from 0.3 between 4:00 a.m. and 5:00 a.m. to 1.0 between 2:00 p.m. and 3:00 p.m. 102102102 Units Arriving to Calls The following table and two figures detail the number of TFD calls with one, two, three, or four or more units arriving at a call, broken down by call type. In this section, we limit ourselves to calls where a unit arrives. There were 583 calls where a TFD unit was en route to a call but did not arrive. TABLE 10-4: Calls by Call Type and Number of Arriving Units Number of Units Call Type Total Calls One Two Three Four or More 259 1 1 0 261 Breathing difficulty 356 27 19 0 402 Cardiac and stroke 771 18 11 0 800 Fall and injury 846 18 3 0 867 Illness and other 188 184 101 2 475 MVA 220 5 2 0 227 Overdose and psychiatric 483 11 9 0 503 Seizure and unconsciousness 3,123 264 146 2 3,535 EMS Total 495 53 27 18 593 False alarm 44 12 2 2 60 Good intent 44 16 6 7 73 Hazard 101 25 15 1 142 Outside fire 116 12 4 4 136 Public service 35 11 7 8 61 Structure fire 835 129 61 40 1,065 Fire Total Canceled 78 10 1 1 90 Mutual aid 415 45 18 3 481 4,451 448 226 46 5,171 Total 86.1 8.7 4.4 0.9 100.0 Percentage Note: Only calls with arriving units were considered. Therefore, the number of calls is less than that presented in Table 10-1. 103103103 FIGURE 10-6: Calls by Number of Units Arriving, EMS FIGURE 10-7: Calls by Number of Units Arriving, Fire 104104104 Observations: Overall On average, 1.2 units arrived at all calls; for 86 percent of calls only one unit arrived. Overall, four or more units arrived at 1 percent of calls. EMS On average, 1.2 units arrived per EMS call. For EMS calls, one unit arrived 88 percent of the time, two units arrived 7 percent of the time, three units arrived 4 percent of the time, and four or more units arrived less than 1 percent of the time. Fire On average, 1.4 units arrived per fire call. For fire calls, one unit arrived 78 percent of the time, two units arrived 12 percent of the time, three units arrived 6 percent of the time, and four or more units arrived 4 percent of the time. For outside fire calls, three or more units arrived 11 percent of the time. For structure fire calls, three or more units arrived 25 percent of the time. 105105105 WORKLOAD: RUNS AND TOTAL TIME SPENT The workload of each unit is measured in two ways: runs and deployed time. The deployed time of a run is measured from the time a unit is dispatched through the time the unit is cleared. Because multiple units respond to some calls, there are more runs than calls, and the average deployed time per run varies from the total duration of calls. Runs and Deployed Time All Units Deployed time, also referred to as deployed hours, is the total deployment time of all units deployed on all runs. Table 10-5 shows the total deployed time, both overall and broken down by type of run, for TFD units during the year studied. Table 10-6 and Figure 10-8 present the average deployed minutes by hour of day. TABLE 10-5: Annual Runs and Deployed Time by Run Type Deployed Percent Deployed Annual Annual Runs Minutes of Total Minutes Call Type Hours Runs per Day per Run Hours per Day 26.4 122.3 3.9 20.1 278 0.8 Breathing difficulty 27.5 238.2 7.6 39.1 520 1.4 Cardiac and stroke 23.4 350.7 11.1 57.7 900 2.5 Fall and injury 23.8 373.1 11.9 61.3 942 2.6 Illness and other 27.3 470.2 14.9 77.3 1,035 2.8 MVA 23.7 100.6 3.2 16.5 255 0.7 Overdose and psychiatric 25.7 246.7 7.8 40.5 575 1.6 Seizure and unconsciousness 25.3 1,901.7 60.4 312.6 4,505 12.3 EMS Total 20.0 297.0 9.4 48.8 891 2.4 False alarm 17.0 30.2 1.0 5.0 107 0.3 Good intent 36.4 87.3 2.8 14.3 144 0.4 Hazard 31.7 121.1 3.8 19.9 229 0.6 Outside fire 49.6 153.8 4.9 25.3 186 0.5 Public service 49.2 114.1 3.6 18.8 139 0.4 Structure fire 28.4 803.5 25.5 132.1 1,696 4.6 Fire Total Canceled 8.1 73.1 2.3 12.0 541 1.5 Mutual aid 30.5 369.5 11.7 60.7 728 2.0 Other Total 20.9 442.6 14.1 72.8 1,269 3.5 Total 25.3 3,147.8 100.0 517.4 7,470 20.5 106106106 Observations: Overall Total deployed time for the year was 3,147.8 hours. The daily average was 8.6 hours for all units combined. There were 7,470 runs, including 541 runs dispatched for canceled calls and 728 runs dispatched for mutual aid calls. The daily average was 20.5 runs. EMS EMS runs accounted for 60 percent of the total workload. The average deployed time for EMS runs was 25.3 minutes. The deployed time for all EMS runs was 1,901.7 hours or 5.2 hours per day. Fire Fire runs accounted for 26 percent of the total workload. The average deployed time for fire runs was 28.4 minutes. The deployed time for all fire runs was 803.5 hours or 2.2 hours per day. There were 368 runs for structure and outside fire calls combined, with a total workload of 235.1 hours. This accounted for 7 percent of the total workload. The average deployed time for outside fire runs was 31.7 minutes per run, and the average deployed time for structure fire runs was 49.2 minutes per run. 107107107 TABLE 10-6: Average Deployed Minutes by Hour of Day Hour EMS Fire Other Total 0 8.9 3.8 1.6 14.2 1 9.9 3.5 0.8 14.2 2 8.1 4.2 1.1 13.4 3 7.9 3.4 0.8 12.0 4 6.3 2.4 0.6 9.2 5 6.4 3.3 1.2 10.8 6 6.4 5.0 1.7 13.1 7 9.0 6.8 1.6 17.4 8 7.4 6.3 2.7 16.4 9 9.5 6.6 3.1 19.2 10 11.5 6.1 5.1 22.7 11 14.2 4.8 3.5 22.6 12 16.4 6.0 4.5 26.9 13 16.8 8.8 5.1 30.6 14 20.9 7.4 3.9 32.1 15 19.7 6.4 4.9 30.9 16 18.4 6.3 5.2 29.8 17 17.8 6.3 6.0 30.0 18 17.9 8.0 3.7 29.7 19 18.0 6.3 3.6 27.9 20 17.1 5.3 4.2 26.6 21 15.4 5.0 3.3 23.7 22 15.6 5.0 3.2 23.7 23 13.2 5.4 1.5 20.1 312.6 132.1 72.8 517.4 Daily Avg. 108108108 FIGURE 10-8: Average Deployed Minutes by Hour of Day Observations: Hourly deployed time was highest during the day from 1:00 p.m. to 7:00 p.m., averaging 30 minutes. Average deployed time peaked between 2:00 p.m. and 3:00 p.m. at 32 minutes. Average deployed time was lowest between 4:00 a.m. and 5:00 a.m. at 9 minutes. 109109109 Workload by Unit Table 10-7 provides a summary of each u-8 and 10-9 provide a run type (Table 10-8) and the average deployed time by run type (Table 10-9). TABLE 10-7: Call Workload by Unit Deployed Total Deployed Total Runs Station Unit Unit Type Minutes Annual Minutes Annual per per Run Hours per Day Runs Day B351 Battalion Chief (BC) 28.3 347.5 57.1 738 2.0 B352 Reserve BC 492.3 16.4 2.7 2 0.0 Support Service BC 26.4 0.9 0.1 2 0.0 51 C354 E351 Engine 24.7 758.6 124.7 1,843 5.0 26.1 1,123.4 184.7 2,585 7.1 Total E352 Engine 25.5 613.1 100.8 1,445 4.0 52 25.5 613.1 100.8 1,445 4.0 Total Air353 SCBA Trailer 86.54.30.730.0 BOT353 Rescue Boat 75.83.80.630.0 E353 Engine 25.7 494.3 81.3 1,156 3.2 53 R353 Aid Unit 50.0 4.2 0.7 5 0.0 26.0 506.6 83.3 1,167 3.2 Total A354 Aid Unit 24.3106.117.42620.7 E354 Reserve Engine 27.3 52.2 8.6 115 0.3 54 L354 Ladder Truck 23.6 746.3 122.7 1,896 5.2 23.9 904.7 148.7 2,273 6.2 Total 25.3 3,147.8 517.4 7,470 20.5 Total 110110110 Total 738221,843 2,585 1,445 1,445 331,1565 1,167 2621151,896 2,2737,470 Mutual 00 393 59212 120 1912 156728 109284 59 115125 Aid Canceled 7201146 219 78 78 00870 87 83146 157541 Structure 310030 61 26 26 00180 18 0034 34139 Fire Public 221043 66 40 40 00310 31 2443 49186 Service 111111111 Outside 92 43 44 50 42014943004401544 229 Fire 33002627013320121 144 59273622 Hazard Good Intent 21001724003100014 107 38243114 : Total Annual Runs by Run Type and Unit False 00 355190 000 130 012 216891 114241190130204 Alarm 294101,007 1,302 958 958 116671 670 232781,265 1,5754,505 EMS Support Service Battalion Chief Reserve Engine Rescue Boat Ladder Truck SCBA Trailer Reserve BC Unit Type Aid UnitAid Unit EngineEngineEngine TotalTotalTotalTotal (BC) BC Total 353 Air353 C354 A354 R353 351352 E351E352E353E354 L354 OT Unit 8 BBB - TABLE 10 Station 234 1 555 5 Total 2.7 0.1 0.7 0.6 0.7 83.3 8.6 57.1124.7 184.7 100.8 100.8 81.317.4122.7 148.74 517. Mutual 9.90.00.019.8 29.7 5.30.60.410.20.4 11.6 1.21.012.0 14.260.7 5.3 Aid Canceled 1.8 0.0 0.0 2.7 1.9 0.0 0.0 1.9 0.0 0.2 0.1 3.4 12.0 4.51.91.93.7 Structure 4.10.00.03.54.30.00.02.40.00.00.04.5 18.8 7.64.32.44.5 Fire Public 4.32.30.05.6 12.2 5.90.00.03.30.00.11.02.7 25.3 5.93.33.9 Service 112112112 Outside 3.8 0.0 0.1 4.1 4.5 0.0 0.0 3.7 0.0 0.0 0.6 3.1 19.9 8.04.53.73.7 Fire Daily Average Deployed Minutes by Run Type and Unit 4.00.00.03.32.80.00.02.00.20.00.01.9 14.3 7.32.82.22.0 Hazard Good Intent 0.90.00.01.01.00.00.01.30.00.00.00.7 1.91.01.30.75.0 False 5.90.00.014.9 20.8 10.5 10.5 0.00.06.50.00.00.610.4 11.048.8 6.5 Alarm 0.3 0.0 92.6 64.6 0.1 0.3 0.1 50.3 5.4 22.569.864.649.815.983.8 105.1312.6 EMS Support Service Battalion Chief Reserve Engine Rescue Boat Ladder Truck SCBA Trailer Reserve BC Unit Type Aid UnitAid Unit EngineEngineEngine TotalTotalTotalTotal (BC) BC Total 353 Air353 C354 A354 R353 351352 E351E352E353E354 L354 OT Unit : 9 BBB - TABLE 10 Station 234 1 555 5 Observations: At the station level, Station 51 made the most runs (2,585), with an average of 7.1 runs per day. Station 51 also had the highest total annual deployed time (1,123.4 hours), with an average of 3.1 hours per day. EMS calls accounted for 50 percent of runs and 50 percent of total deployed time. Structure and outside fire calls accounted for 6 percent of runs and 8 percent of total deployed time. At the station level, Station 54 made the second most runs (2,273), with an average of 6.2 runs per day. Station 54 also had the second-highest total annual deployed time (904.7 hours), with an average of 2.5 hours per day. EMS calls accounted for 69 percent of runs and 71 percent of total deployed time. Structure and outside fire calls accounted for 4 percent of runs and 6 percent of total deployed time. At the unit level, Ladder L354 made the most runs (1,896), with an average of 5.2 runs per day. L354 had the second-highest total annual deployed time (746.3 hours), with an average of 2.0 hours per day. EMS calls accounted for 67 percent of runs and 68 percent of total deployed time. Structure and outside fire calls accounted for 4 percent of runs and 6 percent of total deployed time. At the unit level, Engine E351 made the second most runs (1,843), with an average of 5.0 runs per day. E351 had the highest total annual deployed time (758.6 hours), with an average of 2.1 hours per day. EMS calls accounted for 55 percent of runs and 56 percent of total deployed time. Structure and outside fire calls accounted for 4 percent of runs and 6 percent of total deployed time. 113113113 ANALYSIS OF BUSIEST HOURS There is significant variability in the number of calls from hour to hour. One special concern relates to the resources available for hours with the heaviest workload. We tabulated the data for each of the 8,760 hours in the year. Table 10-10 shows the number of hours in the year in which there were zero to four or more calls during the hour. Table 10-11 shows the 10 one-hour intervals which had the most calls during the year. Table 10-12 examines the number of times a Table 10- area. TABLE 10-10: Frequency Distribution of the Number of Calls Calls in an Hour Frequency Percentage 0 4,670 53.3 1 2,806 32.0 2 971 11.1 3 261 3.0 4+ 52 0.6 Total 8,760 100.0 TABLE 10-11: Top 10 Hours with the Most Calls Received Number Number Total Hour of Calls of Runs Deployed Hours 2/12/2019, 9:00 a.m. to 10:00 a.m. 9 12 2.8 9/7/2019, 8:00 p.m. to 9:00 p.m. 6 8 3.3 2/5/2019, 1:00 p.m. to 2:00 p.m. 6 6 2.3 7/2/2019, 4:00 p.m. to 5:00 p.m. 5 10 2.9 11/9/2019, 7:00 p.m. to 8:00 p.m. 5 8 3.1 12/12/2019, 4:00 p.m. to 5:00 p.m. 5 8 2.6 2/9/2019, 9:00 p.m. to 10:00 p.m. 5 7 3.0 1/6/2019, 2:00 a.m. to 3:00 a.m. 5 5 2.5 7/3/2019, 6:00 p.m. to 7:00 p.m. 5 5 1.4 9/27/2019, 10:00 p.m. to 11:00 p.m. 4 8 2.6 Note: Total deployed hours is a measure of the total time spent responding to calls received in the hour, and which may extend into the next hour or hours. The number of runs and deployed hours only includes TFD units. 114114114 TABLE 10-12: Frequency of Overlapping Calls Number of Percent of Total Station Scenario Calls All Calls Hours No overlapped call 1,319 92.1 608.4 Overlapped with one call 109 7.6 25.5 51 Overlapped with two calls 4 0.3 0.7 No overlapped call 826 97.2 356.1 52 Overlapped with one call 24 2.8 6.2 No overlapped call 835 96.3 375.0 Overlapped with one call 30 3.5 6.0 53 Overlapped with two calls 2 0.2 0.9 No overlapped call 1,740 96.2 710.9 Overlapped with one call 68 3.8 15.5 54 Overlapped with two calls 1 0.1 0.1 Table 10-13 also shows calls where a TFD unit eventually arrived and ignores calls where no unit arrived. Out calls for which a TFD unit went en route but no unit arrived. For this reason, the individual rows and the total in Table 10- will not match corresponding values for Table 10-12. TABLE 10-13: Station Availability to Respond to Calls Arriving First Due First Due First Due Percent Percent Percent Station Calls Responded Arrived First Responded Arrived First 1,344 1,235 1,222 1,202 91.9 90.9 89.4 51 810 746 734 684 92.1 90.6 84.4 52 813 764 749 698 94.0 92.1 85.9 53 1,702 1,620 1,605 1,590 95.2 94.3 93.4 54 4,669 4,365 4,310 4,174 93.5 92.3 89.4 Total Note: For each station, we count the number of calls within its first due area where at least one TFD unit arrived. Next, we focus on units from the first due station to see if any unit responded, arrived, or arrived first. Observations: During 52 hours (0.6 percent of all hours), four or more calls occurred; in other words, the department responded to four or more calls in an hour roughly once every week. The highest number of calls to occur in an hour was 9, which happened once after a seasonal storm. The hour with the most calls was 9:00 a.m. to 10:00 a.m. on February 12. These 9 calls included five false alarm calls, two seizure and unconsciousness calls, one illness and other call, and one outside fire call. 115115115 CALL LOCATIONS, AID GIVEN AND RECEIVED TFD responded to 5,754 calls in 2019, of which 4,958 calls were inside and 796 calls were outside City of Tukwila and King County mutual aid calls. Table 10-14 bre Table 10-15 provides further detail on the workload associated with structure and outside fire calls by location. Tables 10-16 and 10-17 examine aid--received to provide aid but never arrive on scene. For this reason, to analyze aid-given calls, we first count total calls where TFD responded and then count calls where a TFD unit arrived on scene. Similarly, to analyze aid-received calls, we first count total calls where an outside fire agency responded and then count calls where an outside agency arrived on scene. Table 10-18 examines calls and runs by responding outside fire agency. Since multiple agencies may respond to the same call, the total number of calls in Table 10-18 does not equal the sum of the calls counted for each agency. 116116116 TABLE 10-14: Calls and Workload by Location Percent Deployed Total Percent Location Fire Agency Call Annual Run Minutes Annual Annual Calls Per Run Hours Work Tukwila* Tukwila FD 4,931 85.7 6,439 25.3 2,718.1 86.3 Renton Renton RFA 215 3.7 272 20.9 94.7 3.0 Kent 188 3.3 203 20.0 67.6 2.1 Puget Sound RFA SeaTac 166 2.9 224 25.1 93.8 3.0 District 20 Fire District 20 131 2.3 153 22.1 56.5 1.8 District 2 Fire District 2 86 1.5 114 41.8 79.5 2.6 District 24* Tukwila FD 27 0.5 51 38.7 32.9 1.0 District 40 Fire District 40 3 0.1 3 10.7 0.5 0.0 Seattle Seattle FD 3 0.1 5 21.5 1.8 0.1 South King Fire Des Moines 3 0.1 5 28.8 2.4 0.1 and Rescue District 25 District 25 1 0.0 1 2.2 0.0 0.0 Total 5,754 100.0 7,470 25.3 3,147.8 100.0 Note : jurisdiction; FD = Fire Department; RFA = Regional Fire Authority. District 2 includes the Burien Fire Department and North Highline Fire District. TABLE 10-15: Structure Fire and Outside Fire Runs by Location Structure Fire Outside Fire Annual Percent of Location Fire Agency Minutes Minutes Hours Workload Run Run per Run per Run Tukwila* Tukwila FD 139 49.2 223 29.2 222.5 61.5 District 2 Fire District 2 30 101.2 1* 3.4 50.7 14.0 SeaTac Puget Sound RFA 26 45.3 23 33.4 32.4 9.0 Renton Renton RFA 25 31.4 13 32.6 20.2 5.6 Kent Puget Sound RFA 22 32.1 5 19.1 13.4 3.7 District 24* Tukwila FD 0 NA 6 126.3 12.6 3.5 District 20 Fire District 20 13 40.9 2* 2.9 9.0 2.5 South King Fire Des Moines 3 16.7 0 NA 0.8 0.2 and Rescue Total 258 50.9 273 31.3 361.6 100.0 Note: * TFD units went en route but did not arrive on scene. TFD made no fire runs to Seattle. 117117117 TABLE 10-16: Aid Given Calls, by Call Type Number of Runs Number of Calls Call Type Responded Arrived Responded Arrived Breathing difficulty 22 19 23 20 Cardiac and stroke 47 43 52 45 Fall and injury 51 49 54 50 Illness and other 63 59 66 61 MVA 134 113 194 157 Overdose and psychiatric 10 9 10 9 Seizure and unconsciousness 39 37 42 37 EMS Total 366 329 441 379 False alarm 70 48 72 48 Good intent 12 10 17 12 Hazard 16 12 20 16 Outside fire 28 21 44 33 Public service 13 11 15 13 Structure fire 69 50 119 75 Fire Total 208 152 287 197 Canceled 222 21 252 22 Total 796 502 980 598 TABLE 10-17: Aid Received Calls, by Call Type Number of Runs Number of Calls Call Type Responded Arrived Responded Arrived Breathing difficulty 3 3 3 3 Cardiac and stroke 16 9 16 9 Fall and injury 9 6 10 7 Illness and other 3 0 5 0 MVA 129 90 191 119 Overdose and psychiatric 3 2 3 2 Seizure and unconsciousness 6 2 6 2 EMS Total 169 112 234 142 False alarm 67 31 79 32 Good intent 10 3 27 3 Hazard 29 28 121 61 Outside fire 22 15 45 22 Public service 6 4 16 7 Structure fire 15 14 67 49 Fire Total 149 95 355 174 Canceled 29 16 53 27 Total 347 223 642 343 118118118 TABLE 10-18: Aid Received Calls, by Responding Agency Run Call Fire Agency Agency Code Responded Arrived Responded Arrived KF Puget Sound RFA 243 161 328 196 RF Renton RFA 73 41 145 66 UF Fire District 2 58 25 72 32 SF Fire District 20 31 17 34 18 FF 11 10 45 27 South King Fire & Rescue WF 10 3 11 3 AF Valley RFA 2 1 3 1 VF Fire District 20 1 0 4 0 Total* 347 223 642 343 Note: Multiple agencies can provide aid for the same call. For this reason, the total number of calls will be smaller than the sum of the individual rows listed above it; FD = Fire Department; RFA = Regional Fire Authority. TABLE 10-19: Mutual Aid Response, by Agency Aid Received Aid Given Fire Agency Call Run Call Run Puget Sound RFA 354 427 243 328 Renton RFA 215 272 73 145 District 20 131 153 32 38 District 2 86 114 58 72 South King Fire & Rescue 3 5 21 56 Seattle 3 5 0 0 District 40 3 3 0 0 District 25 1 1 0 0 Valley RFA 0 0 2 3 Total 796 980 347 642 Note : FD = Fire Department; RFA = Regional Fire Authority. Total aid received calls is lower than the sum of aid received calls from each fire agency. This table focuses on uses counts of calls and runs to which the appropriate agency responded without worrying about whether a unit arrived. Observations: For aid-given calls, when canceled calls are excluded, EMS calls were 64 percent and fire calls were 36 percent of total calls. TFD responded to 97 aid-given outside fire and structure fire calls. When canceled calls are excluded, this was 17 percent of total aid-given calls. For aid-received calls, when canceled calls are excluded, EMS calls were 53 percent and fire calls were 47 percent of total calls. TFD received aid for 37 outside fire and structure fire calls. When canceled calls are excluded, this was 12 percent of total aid-received calls. 119119119 RESPONSE TIME In this part of the analysis, we present response time statistics for different call types. We separate response time into its identifiable components. Dispatch time is the difference between the time a call is received and the time a unit is dispatched. Dispatch time includes call processing time, which is the time required to determine the nature of the emergency and the types of resources to dispatch. Turnout time is the difference between dispatch time and the time a unit is en route Response time is the total time elapsed between receiving a call to arriving on scene. In this analysis, we included all calls within the primary response area of the Tukwila Fire Department to which at least one non-administrative unit from TFD responded while excluding canceled and mutual aid calls. In addition, calls with a total response time of more than 30 minutes were excluded. Finally, we focused on units that had complete time stamps, that is, units with all components recorded, so that we could calculate each segment of response time. jurisdiction, 426 canceled calls, 201 calls where no units recorded a valid on-scene time, 15 calls where the first arriving unit response was greater than 30 minutes, and 287 calls where one or faulty data. As a result, in this section, a total of 4,251 calls are included in the analysis. The fire department indicated that it does not factor in criteria-based dispatch codes when responding to calls for service. For this reason, most of this section includes all calls. At the end of the section, we examined response times by response mode distinguishing ALS, BLS emergency, and BLS nonemergency calls. 120120120 Response Time by Type of Call Table 10-20 breaks down the average dispatch, turnout, travel, and total response times by call 10-21 does the same for 90th percentile response times. A 90th percentile means that 90 percent of calls had response times at or below that number. For example, Table 10-21 shows a 90th percentile response time of 10.2 minutes, which means that 90 percent of the time, a call had a response time of no more than 10.2 minutes. Figures 10-9 and 10-10 illustrate the same information for EMS and fire call types. TABLE 10-20: Average Response Time of First Arriving Unit, by Call Type Minutes Number Call Type Turnout & of Calls Dispatch Turnout Travel Total Travel Breathing difficulty 1.4 1.7 3.5 5.3 6.7 254 Cardiac and stroke 1.4 1.6 3.6 5.2 6.6 379 Fall and injury 1.3 1.7 4.0 5.7 7.0 751 Illness and other 1.6 1.7 3.7 5.4 7.0 785 MVA 1.4 2.0 4.3 6.3 7.7 398 Overdose and psychiatric 1.4 1.8 4.4 6.2 7.6 220 Seizure and unconsciousness 1.4 1.7 3.6 5.2 6.6 479 1.4 1.7 3.9 5.6 7.0 3,266 EMS Total False alarm 0.9 2.2 3.6 5.8 6.7 552 Good intent 1.8 2.1 4.6 6.7 8.5 57 Hazard 1.6 2.0 4.6 6.6 8.2 66 Outside fire 1.5 2.0 4.3 6.3 7.8 128 Public service 2.3 1.8 4.5 6.3 8.6 124 Structure fire 1.1 2.2 3.5 5.7 6.8 58 1.3 2.1 3.9 6.0 7.3 985 Fire Total 1.4 1.8 3.9 5.7 7.1 4,251 Total 121121121 FIGURE 10-9: Average Response Time of First Arriving Unit, by EMS Call Type FIGURE 10-10: Average Response Time of First Arriving Unit, by Fire Call Type 122122122 TABLE 10-21: 90th Percentile Response Time of Average Response Time of First Arriving Unit, by Call Type Minutes Number Call Type Turnout & of Calls Dispatch Turnout Travel Total Travel Breathing difficulty 2.2 2.7 5.9 7.6 9.1 254 Cardiac and stroke 2.2 2.6 5.5 7.3 9.3 379 Fall and injury 2.5 2.6 6.6 8.3 10.5 751 Illness and other 2.8 2.6 6.0 7.8 10.1 785 MVA 3.1 2.8 6.8 9.0 11.6 398 Overdose and psychiatric 3.0 2.7 7.5 9.5 11.4 220 Seizure and unconsciousness 2.5 2.6 5.8 7.5 9.3 479 2.6 2.6 6.2 8.2 10.1 3,266 EMS Total False alarm 1.6 3.0 5.9 8.1 9.1 552 Good intent 3.4 3.0 7.5 10.0 12.1 57 Hazard 3.8 2.9 7.6 9.3 12.0 66 Outside fire 2.5 2.7 7.2 9.2 11.0 128 Public service 3.9 2.8 6.9 9.0 13.7 124 Structure fire 2.2 3.0 7.0 8.6 9.5 58 2.4 2.9 6.6 8.6 10.5 985 Fire Total 2.6 2.7 6.3 8.3 10.2 4,251 Total Observations: The average dispatch time was 1.4 minutes. The average turnout time was 1.8 minutes. The average travel time was 3.9 minutes. The average combined turnout and travel time was 5.7 minutes. The average total response time was 7.1 minutes. The average response time was 7.0 minutes for EMS calls and 7.3 minutes for fire calls. The average response time was 7.8 minutes for outside fires and 6.8 minutes for structure fires. The 90th percentile dispatch time was 2.6 minutes. The 90th percentile turnout time was 2.7minutes. The 90th percentile travel time was 6.3 minutes. The 90th percentile combined turnout and travel time was 8.3 minutes. The 90th percentile total response time was 10.2 minutes. The 90th percentile response time was 10.1 minutes for EMS calls and 10.5 minutes for fire calls. The 90th percentile response time was 11.0 minutes for outside fires and 9.5 minutes for structure fires. 123123123 Response Time by Hour Average dispatch, turnout, travel, and total response time by hour for cal are shown in the following table and figure. The table also shows 90th percentile response times. TABLE 10-22: Average and 90th Percentile Response Time of First Arriving Unit at Tukwila, by Hour of Day Minutes Number Hour Turnout and Travel Total Response of Calls Dispatch Turnout Travel Average 90th Average 90th 1.6 2.5 3.9 6.4 8.5 7.9 10.9 132 0 1.4 2.5 4.0 6.5 8.8 7.9 10.9 135 1 1.7 2.6 3.8 6.5 8.9 8.1 12.1 99 2 1.8 2.6 4.3 6.9 10.4 8.7 12.4 94 3 1.4 2.7 4.0 6.7 9.6 8.1 10.8 79 4 1.7 2.5 4.1 6.7 8.8 8.4 11.9 86 5 1.6 2.4 3.5 6.0 8.0 7.5 10.0 101 6 1.4 2.0 3.8 5.8 8.1 7.2 10.3 151 7 1.5 1.8 3.8 5.6 8.1 7.1 10.3 156 8 1.3 1.7 3.9 5.5 8.1 6.9 10.5 163 9 1.4 1.7 3.8 5.5 8.1 6.9 9.9 174 10 1.5 1.6 3.8 5.4 8.0 6.9 9.7 214 11 1.3 1.6 3.6 5.2 7.6 6.5 9.3 241 12 1.4 1.6 3.9 5.5 7.9 6.9 9.4 254 13 1.3 1.5 4.1 5.5 8.3 6.8 10.1 267 14 1.3 1.5 4.0 5.5 8.2 6.9 10.6 242 15 1.2 1.5 4.0 5.5 8.1 6.7 9.6 218 16 1.4 1.5 3.8 5.4 7.6 6.7 9.7 241 17 1.3 1.5 4.0 5.5 8.4 6.8 10.4 231 18 1.2 1.5 3.7 5.2 7.7 6.4 8.7 215 19 1.2 1.6 3.8 5.4 7.5 6.6 9.4 226 20 1.3 1.8 3.9 5.7 7.9 6.9 9.7 211 21 1.4 2.0 4.0 6.0 8.4 7.3 10.7 174 22 1.3 2.2 3.9 6.1 8.8 7.4 10.8 147 23 1.4 1.8 3.9 5.7 8.3 7.1 10.2 4,251 Total 124124124 FIGURE 10-11: Average Response Time of First Arriving Unit at Tukwila, by Hour of Day Observations: Average dispatch time was between 1.2 minutes (8:00 p.m. to 9:00 p.m.) and 1.8 minutes (3:00 a.m. to 4:00 a.m.). Average turnout time was between 1.5 minutes (2:00 p.m. to 3:00 p.m.) and 2.7 minutes (4:00 a.m. to 5:00 a.m.). Average travel time was between 3.5 minutes (6:00 a.m. to 7:00 a.m.) and 4.3 minutes (3:00 a.m. to 4:00 a.m.). Average combined turnout and travel time was between 5.2 minutes (noon to 1:00 p.m.) and 6.9 minutes (3:00 a.m. to 4:00 a.m.). Average response time was between 6.4 minutes (7:00 p.m. to 8:00 p.m.) and 8.7 minutes (3:00 a.m. to 4:00 a.m.). The 90th percentile combined turnout and travel time was between 7.5 minutes (8:00 p.m. to 9:00 p.m.) and 10.4 minutes (3:00 a.m. to 4:00 a.m.). The 90th percentile response time was between 8.7 minutes (7:00 p.m. to 8:00 p.m.) and 12.4 minutes (3:00 a.m. to 4:00 a.m.). 125125125 Response Time Distribution Here, we present a more detailed look at how response times to calls are distributed. The cumulative distribution of total response time for the first arriving unit to EMS calls is shown in Figure 10-12 and Table 10-23. Figure 10-12 shows response times for the first arriving unit to EMS calls as a frequency distribution in whole-minute increments, and Figure 10-13 shows the same for the first arriving unit to outside and structure fire calls. The cumulative percentages here are read in the same way as a percentile. In Figure 10-12, the 90th percentile of 10.1 minutes means that 90 percent of EMS calls had a response time of 10.1 minutes or less. In Table 10-23, the cumulative percentage of 73.8 means that 73.8 percent of EMS calls had a response time under 8 minutes. FIGURE 10-12: Cumulative Distribution of Response Time, First Arriving Unit, EMS 126126126 FIGURE 10-13: Cumulative Distribution of Response Time, First Arriving Unit, Outside and Structure Fires TABLE 10-23: Cumulative Distribution of Response Time, First Arriving Unit, EMS Response Time Cumulative Frequency (Minutes) Percentage 1 0 0.0 2 3 0.1 3 29 1.0 4 163 6.0 5 474 20.5 6 636 40.0 7 637 59.5 8 469 73.8 9 333 84.0 10 178 89.5 11 119 93.1 12 72 95.3 13 45 96.7 14 30 97.6 15+ 78 100.0 127127127 TABLE 10-24: Cumulative Distribution of Response Time, First Arriving Unit, Outside and Structure Fires Response Time Cumulative Frequency (Minutes) Percentage 1 0 0.0 2 0 0.0 3 1 0.5 4 4 2.7 5 21 14.0 6 21 25.3 7 45 49.5 8 32 66.7 9 18 76.3 10 17 85.5 11 14 93.0 12 3 94.6 13+ 10 100.0 Observations: For 74 percent of EMS calls, the response time of the first arriving unit was less than 8 minutes. For 67 percent of fire calls, the response time of the first arriving unit was less than 8 minutes. 128128128 EMS Response Time by Response Mode Table 10-25 provides the average dispatch, turnout, travel, and total response times of first arriving TFD units responding to ALS and BLS medical calls. Table 10-26 gives the corresponding 90th percentile response times. Attachment II shows how CBD codes were used to determine a -One unit were identified as ALS calls, and the rest were identified as BLS nonemergency calls. TABLE 10-25: Average Response Times of First Arriving TFD Unit, by Response Mode Minutes Number Response Mode Turnout & Response of Calls Dispatch Turnout Travel Travel Time 1.3 1.7 3.7 5.4 6.7 584 ALS 1.4 1.7 3.9 5.6 7.1 2,248 BLS Emergency 1.5 1.7 3.8 5.5 7.0 434 BLS Nonemergency 1.4 1.7 3.9 5.6 7.0 3,266 Total TABLE 10-26: 90th Percentile Response Times of First Arriving TFD Unit, by Response Mode Minutes Number Response Mode Turnout & Response of Calls Dispatch Turnout Travel Travel Time 2.3 2.7 5.9 7.9 9.7 584 ALS 2.6 2.6 6.3 8.2 10.2 2,248 BLS Emergency 3.0 2.6 6.2 8.2 10.6 434 BLS Nonemergency 2.6 2.6 6.2 8.2 10.1 3,266 Total Observations: Average response times varied little by response mode. 90th percentile response times varied slightly by response mode: The 90th percentile total response time was 9.7 minutes for ALS calls. The 90th percentile total response time was 10.2 minutes for BLS emergency calls. The 90th percentile total response time was 10.6 minutes for BLS nonemergency calls. 129129129 ATTACHMENT I: TFD RESPONSE AREA MAPS FIGURE 10- Note: 130130130 FIGURE 10-15: Tukwila Fire Department Districts 131131131 ATTACHMENT II: DISPATCH CRITERIA TABLE 10-27: Dependence of EMS Type on CBD Code CBD CBD Description EMS Type Code 01 Abdominal/Back/Groin Pain Illness and other 02 Anaphylaxis/Allergic Reaction Illness and other 03 Infectious Disease Illness and other 04 Bleeding - non-traumatic Illness and other 05 Breathing difficulty Breathing difficulty 06 Cardiac Arrest Cardiac and stroke 07 Chest Pain/Discomfort/Heart Problems Cardiac and stroke 08 Choking Breathing difficulty 09 Diabetic Illness and other 10 Environmental/Toxic Exposure Illness and other 11 Medical Knowledge (medical facility only) Illness and other 12 Head/Neck Illness and other 13 Mental/Emotional/Psychological Overdose and psychiatric 14 Overdose/Poisoning Overdose and psychiatric 15 Pregnancy/Childbirth/GYN Illness and other 16 Seizures Seizure and unconsciousness 17 Sick (unknown/other) Illness and other 18 Stroke Cardiac and stroke 19 Unconscious/Unresponsive/Syncope Seizure and unconsciousness 20 Pediatric Emergencies Illness and other 21 Assault/Trauma Fall and injury 22 Burns - Thermal/Electrical/Chemical Fall and injury Drowning/Near Drowning/Diving or Water- 23 Fall and injury related Injury 24 Falls/Accidents/Pain Fall and injury 25 MVA MVA 26 Animal Bites Fall and injury 99 Unavailable Initial Dispatch Code Illness and other 132132132 TABLE 10-28: Dependence of Response Mode on CBD Code Response CBD Description Mode Code Medic unit (ALS response) together with Basic Life Support unit (BLS M response) sent Code Red. ALS Q Medic unit requested from scene by arriving BLS unit. BLS Emergency R BLS response sent Code Red; responds with lights and siren. BLS response sent Code Yellow; responds obeying speed limits and Y traffic laws. Telephone Referral Program Calls are transferred from dispatch to a TRP BLS consulting nurse line. No BLS unit is sent. Nonemergency T Breathing difficulty BLS unit requested by police for a patient that meets the TRP criteria. p BLS unit should be sent. 133133133 ATTACHMENT III: ACTIONS TAKEN TABLE 10-29: Actions Taken Analysis for Structure and Outside Fire Calls Number of Calls Action Taken Outside Fire Structure Fire Evacuate area 0 2 Extinguishment by fire service personnel 93 9 Fill-in or move up 1 0 Incident command 1 1 Investigate 49 44 Investigate fire out on arrival 3 1 Provide apparatus 1 0 Provide manpower 2 0 Refer to proper authority 1 1 Remove water 0 1 Restore fire alarm system 0 7 Salvage & overhaul 3 6 Shut down system 0 2 Standby 1 0 Ventilate 0 14 Note: Totals are higher than the total number of structure and outside fire calls because some calls recorded multiple actions taken. Observations: Out of 145 outside fires, 93 were extinguished by fire service personnel, which accounted for 64 percent of outside fires. Out of 61 structure fires, 9 were extinguished by fire service personnel, which accounted for 15 percent of structure fires. 134134134 ATTACHMENT IV: ADDITIONAL PERSONNEL TABLE 10-30: Workload of Administrative Units Annual Annual Unit ID Unit Type Hours Runs Ch351 Fire Chief 2.4 1 Ch352 Deputy Chief 0.9 1 Ch354 Deputy Chief 6.2 4 Fm351 Fire Marshal 21.2 8 Fm353 Deputy Fire Marshal 16.9 14 Fm354 Deputy Fire Marshal 28.2 33 135135135 ATTACHMENT V: FIRE LOSS TABLE 10-31: Total Fire Loss Above and Below $20,000 Call Type No Loss Under $20,000 $20,000 plus 96 46 3 Outside fire 43 13 5 Structure fire 139 59 8 Total TABLE 10-32: Content and Property Loss Structure and Outside Fires Property Loss Content Loss Call Type Loss Value Number of Calls Loss Value Number of Calls Outside fire $252,137 46 $54,615 20 Structure fire $331,549 13 $124,330 13 Total $583,686 59 $178,945 33 Note: The table only includes fire calls with a nonzero recorded loss. Observations: 96 (of 145) outside fires and 43 (of 61) structure fires had no recorded loss. 3 outside fires and 5 structure fires had $20,000 or more in losses. Structure fires: The highest total loss for a structure fire was $200,000. The average total loss for structure fires with loss was $25,327. 13 structure fires recorded content losses with a combined $124,330 in losses. Out of 61 structure fires, 13 recorded property losses, with a combined $331,549 in losses. Outside fires: The highest total loss for an outside fire was $140,000. The average total loss for outside fires with loss was $6,260. 20 outside fires recorded content losses with a combined $54,615 in losses. Out of 145 outside fires, 46 recorded property losses, with a combined $252,137 in losses. 136136136 ATTACHMENT VI: HISTORICAL TRENDS IN SERVICE In this analysis, we examine the historical trends of EMS and fire responses based on four years of data from 2016 through 2019 for the Tukwila Fire Department. We present trends in calls by type, unit workload, service availability, response time, and the quantity of mutual aid over these four previous years. For this reason, our detailed analysis focusing on 2019 is sufficient. From 2016 to 2019, TFD responded to an average of 5,611 non-administrative calls and dispatched 7,359 units per year. The annual average combined deployed time for TFD units was ction, the average dispatch time was 1.3 minutes, and the average total response time was 7.0 minutes. The 90th percentile dispatch time was 2.5 minutes and the 90th percentile total response time was 10.0 minutes. 137137137 Trends in Call Volume Table 10-33 and Figure 10-16 show the number of calls by grand call type and year from 2016 through 2019. Tables 10-34 and 10-35 detail calls by year for each EMS and fire call type. Figure 10-17 illustrates the average number of calls received each hour of the day from 2016 throughout 2019. TABLE 10-33: Calls by Year and Grand Call Type Number of Calls Grand Call Type 2016 2017 2018 2019 EMS 3,597 3,659 3,612 3,658 Fire 1,087 1,165 1,044 1,096 Other 828 852 848 1,000 Total 5,512 5,676 5,504 5,754 FIGURE 10-16: Calls per Day by Year and Grand Call Type 138138138 TABLE 10-34: EMS Calls by Year and Type Number of Calls Call Type 2016 2017 2018 2019 Breathing Difficulty 247 274 261 274 Cardiac and Stroke 341 413 424 418 Fall and Injury 820 830 842 828 Illness and Other 871 862 825 895 MVA 519 502 499 486 Overdose and Psychiatric 274 223 219 238 Seizure and Unconsciousness 525 555 542 519 Total 3,597 3,659 3,612 3,658 TABLE 10-35: Fire Calls by Year and Type Number of Calls Call Type 2016 2017 2018 2019 False Alarm 571 655 549 605 Good Intent 73 70 52 64 Hazard 102 93 78 77 Outside Fire 140 143 160 145 Public Service 121 143 146 144 Structure Fire 80 61 59 61 Total 1,087 1,165 1,044 1,096 Observations: The average number of EMS and fire calls per day from 2016 through 2018 was12.9. The average number of EMS and fire calls per day in 2019 was 13.0. The number of EMS and fire calls per day did not change significantly from 2016 through 2019. 139139139 FIGURE 10-17: Calls per Hour by Year and Time of Day Observations: From 2016 to 2019, the busiest hour shifted from 5:00 p.m. in 2016 to 2:00 p.m. in 2019. 140140140 Trends in Workload Table 10-36 compares the runs and workload for TFD units responding to calls from 2016 through 2019. TABLE 10-36: Unit Runs and Workload by Year 2019 2016 2017 2018 Station Unit Unit Type Runs Hours Runs Hours Runs Hours Runs Hours 702 319.2 782 334.4 743 299.1 738 347.5 B351 BC 1,620 707.1 1,679 727.8 1,663 679.2 1,843 758.6 51 E351 Engine 2,322 1,026.3 2,461 1,062.2 2,406 978.3 2,581 1,106.1 Total 1,469 620.3 1,465 629.6 1,468 585.5 1,445 613.1 E352 Engine 52 1,469 620.3 1,465 629.6 1,468 585.5 1,445 613.1 Total 1,151 534.8 1,127 528.8 1,110 499.9 1,156 494.3 E353 Engine 53 1,151 534.8 1,127 528.8 1,110 499.9 1,156 494.3 Total 324136.0557238.713048.9 262 106.1 A354 Aid Unit 328 142.9 290 113.8 304 117.3 115 52.2 E354 Res Engine 54 1,622 659.1 1,598 667.0 1,803 688.0 1,896 746.3 L354 Ladder Truck 2,274 938.0 2,445 1,019.5 2,237 854.3 2,273 904.7 Total 8 5.8 10 9.2 7 13.1 15 29.6 Other Unit Total 7,224 3,125.2 7,508 3,249.3 7,228 2,931.1 7,470 3,147.8 Total Note : BC represents Battalion Chief and Res Engine represents Reserve Engine. Other units include B352, C354, AIR353, BOT353, and R353 that made less than 10 runs total each year. Observations: 141141141 Trends in Station Availability Table 10-37 and Figure 10- calls within its first due area by year. Availability to respond, arrive, and arrive first is shown. TABLE 10-37: Station Availability to Respond to Calls by Year Availability Percentage Availability Station Type 2016 2017 2018 2019 Response 89.8 89.5 90.5 91.9 51 Arrive 89.2 88.8 89.6 90.9 Arrive First 87.6 86.9 87.9 89.4 Response 90.7 91.8 90.1 92.1 52 Arrive 89.6 90.8 89.3 90.6 Arrive First 84.1 83.4 83.8 84.4 Response 88.9 89.9 92.2 94.0 53 Arrive 87.5 88.3 90.4 92.1 Arrive First 79.5 81.8 82.7 85.9 Response 94.3 94.0 94.0 95.2 54 Arrive 93.5 93.4 93.5 94.3 Arrive First 92.1 91.8 91.7 93.4 FIGURE 10-18: Availability to Respond to Calls by Station and Year 142142142 Observations: The station availability increased from 2016 to 2019. Station 53 displayed the largest increase. For example, from 2016 to 2019, the availability of calls increased from 80 to 86 percent. 143143143 Trends in Response Time The following figure compares the 2019 and three-year average values of dispatch, turnout, travel, and total response tim. For calls responded by ALS, BLS-emergency, and BLS-nonemergency modes, Table 10-38 compares the three-year and 2019 values for 90th percentile response time components. Trends in these components by year are shown in Figure 10-20. FIGURE 10-19: Comparison of Average Response Time of First Arriving Unit, by Hour of Day 144144144 TABLE 10-38: Comparison of 90th Percentile Response Time of First Arriving TFD Unit, by Response Mode and Year 2016 through 2018, Minutes 2019, Minutes Station Turnout Total Turnout Total Dispatch Turnout Travel Dispatch Turnout Travel & Travel Response & Travel Response ALS 2.1 2.6 5.8 7.6 9.2 2.3 2.7 5.9 7.9 9.7 BLS-E 2.4 2.6 6.2 8.1 9.9 2.6 2.6 6.3 8.2 10.2 BLS-NE 2.8 2.7 5.9 7.9 10.4 3.0 2.6 6.2 8.2 10.6 Total 2.4 2.6 6.1 8.0 9.8 2.6 2.6 6.2 8.2 10.1 Note : BLS-E = BLS Emergency; BLS-NE = BLS Non-emergency. FIGURE 10-20: Trend in 90th Percentile Response Time of First Arriving TFD Unit, by Response Mode Observations: The 90th percentile response time in 2019 did not deviate significantly from the same percentiles in earlier years. 145145145 Trends in Mutual Aid Table 10-39 summarizes the mutual aid given by TFD to other fire agencies in King County from 2016 through 2019. Table 10-40 summarizes the mutual aid received during the same period. TABLE 10-39: Aid Given Runs by Year and Agency Fire Agency 2016 2017 2018 2019 Puget Sound RFA 398 437 450 427 Renton RFA 142 144 132 272 District 20 168 189 134 153 District 2 78 65 69 114 South King FR 3 2 7 5 Valley RFA 2 4 3 0 Other 5 10 11 9 Total 796 851 806 980 Note : FD = Fire Department; FR= Fire & Rescue; RFA = Regional Fire Authority TABLE 10-40: Aid Received Runs by Year and Agency Fire Agency 2016 2017 2018 2019 373 355 348 328 Puget Sound RFA 110 133 113 145 Renton RFA 42 28 30 38 District 20 60 66 67 72 District 2 5 0 40 56 South King FR 2 4 8 3 Valley RFA Total 592 586 606 642 Note : FR= Fire & Rescue; RFA = Regional Fire Authority. Total aid received calls is lower than the sum of aid received calls from each fire agency. This table uses counts of calls and runs to which the appropriate agency responded without worrying about whether a unit arrived. Observations: Mutual aid given to other fire agencies increased 23 percent from 2016 through 2019. The largest increase in mutual aid given was into Renton. Mutual aid received from other fire agencies increased by 8 percent from 2016 through 2019. - END - 146146146