PIA FormatPIA Format

The PIA is a review of Operations. It is used to The PIA is a review of Operations. It is used to analyze:analyze:

What was done?What was done? What was done right?What was done right? What could have been done better?What could have been done better?

Tech Rescue IncidentTech Rescue Incident

““Unconscious person on a 54’ boat”Unconscious person on a 54’ boat”

1029 hrs1029 hrs

2/22/112/22/11

614 Front St.614 Front St.

Type-MedType-Med

AlarmAlarm

Was the alarm reported, received, and Was the alarm reported, received, and transmitted correctly?transmitted correctly?

Entered:Entered: 10:29:3110:29:31 Dispatched:Dispatched: 10:29:3710:29:37

DispatchDispatch

Medic 23Medic 23

Engine 6 (Engine 25)Engine 6 (Engine 25)

Balanced Type to Tech RescueBalanced Type to Tech Rescue

Engine 24Engine 24

Engine 16 (TR 16)Engine 16 (TR 16)

Medic 12Medic 12

Chief 25Chief 25

MSO 15MSO 15

Battalion 21Battalion 21

Ladder 11Ladder 11

Initial Actions and Size-UpInitial Actions and Size-Up

Ivar’s CommandIvar’s Command

Command Timeline

•E25 and M23 On-Scene1040

•Established by E251045

•Safety 1100

•Rescue Group 1107

•Termination 1128

•M23 Transporting1131

•M23 @ Harborview 1158

Incident Command(E25)

Safety-(C25)MSO 15BC 21

M23Rescue Group

(E24)L11 E16

Incident Action PlanIncident Action Plan

Access and stabilize patientAccess and stabilize patient

Transfer patient to M23 Transfer patient to M23

Transport within “Golden Hour”Transport within “Golden Hour”

Incident Action PlanIncident Action Plan

Incident Action PlanIncident Action Plan

Incident Action PlanIncident Action Plan

Incident Action PlanIncident Action Plan

Incident Action PlanIncident Action Plan

Incident Action PlanIncident Action Plan

Incident Action PlanIncident Action Plan

Incident Action PlanIncident Action Plan

Incident Action PlanIncident Action Plan

Incident Action PlanIncident Action Plan

Incident Action PlanIncident Action Plan

TRAFFIC CONTROL:TRAFFIC CONTROL:

Did law enforcement assist in traffic Did law enforcement assist in traffic control? control?

Did you open the street as soon as Did you open the street as soon as possible? possible?

TRAFFIC CONTROL:TRAFFIC CONTROL:

COMMUNICATIONS:COMMUNICATIONS:

Were radio communications clear and Were radio communications clear and concise? concise?

Was the NFA Communication Model followed Was the NFA Communication Model followed to include the “Final Handshake?”to include the “Final Handshake?”

PUBLIC RELATIONS:PUBLIC RELATIONS:

Did the actions or performance of the fire Did the actions or performance of the fire department enhance public relations? department enhance public relations?

Questionnaire CommentsQuestionnaire Comments“Priority was getting all on-scene personnel to wear Personal Flotation Devices when working over water conditions.”WAC 296-800-16070 -Make sure your employees are protected from drowning. You must:

     (1) Provide and make sure your employees wear personal flotation devices (PFD).

     • When they work in areas where the danger of drowning exists, such as:

     – On the water.

     – Over the water.

     – Alongside the water.Note: Employees are not exposed to the danger of drowning when:Employees are working behind standard height and strength

guardrails. Employees are working inside operating cabs or stations that

eliminate the possibility of accidentally falling into the water.

Employees are wearing an approved safety belt with a lifeline attached that prevents the possibility of accidentally falling into the water.

Questionnaire CommentsQuestionnaire Comments“Conditions were wet and icy.”

“This was an experimental craft and the hatches opened from the center outward making extrication difficult.”

“Get a representative from the Ferry system early on in the incident to the command post.”

“Rescue group supervisor to update IC on a regular basis.”

“ Do not place apparatus on the ferry ramp.”

“ Communications error with Command. Incoming units didn’t know my (Rescue) role.”

“ … at some point the plan changed.”

Questionnaire CommentsQuestionnaire Comments“I believe it would have been safer to have the skiff come closer to shore for patient removal rather than the ferry dock.”

“I don’t remember Safety being established.”

“Get a representative from the Ferry system early on in the incident to the command post.”

“ Crews and patient not tied off on ferry ramp or the skiff.”

Lessons LearnedLessons Learned• Communicate plans and change of plans clearly

• Very good use of PFDs

• Tech Rescue 16 is a stand alone unit now•1st Alarm- TR16 and crew•2nd Alarm- TR16 and on-duty Technicians in that Zone•3rd Alarm- TR16 and on-duty Technicians in all Zones

• Good patient care and outcome of call for extremely unique circumstances

(snowing, experimental boat with unique features, limited access, etc.)

Lessons LearnedLessons Learned• Tag lines for personnel and patient could be considered for additional safety

• Mukilteo ferry ramp is not structurally very stable but can lower to meet most boats

• Consider all access points when receiving patients off of boats

(i.e. boat launch, Silver Cloud beach, etc.)

• Face to face communications are still very valuable in clearing up any confusion on scene

• Radio Tactical Channels should be used for Technical Rescue when necessary