DB 18-01 After Action Review

Question 1

AAR

Answer 1

After Action Review

Question 2

After Action Review (AAR) is a structured process to capture lessons learned from challenges, successes, and failures with the goal of ___.

Answer 2

improving future performance

Question 3

It is an opportunity for members to reflect on ___ happened, ___ it happened, and ___ it may be improved to increase the level of safety, efficiency, and proficiency at the next incident or training exercise.

Answer 3

1) what happened
2) why it happened
3) how it happened

Question 4

It is not intended to place blame or criticism on individuals, however, ___ is necessary to produce valuable lessons learned for each incident and/or training exercise.

Answer 4

honest discussion

Question 5

AAR’s were developed by the ___.

Answer 5

U.S. Army

-to capture lessons learned and improve performance

Question 6

Currently, all branches of the military participate in ___.

Answer 6

formal AAR’s

Question 7

Businesses and corporations have adopted this form of review to build ___ and generate open and ___

Answer 7

1) accountability

2) honest discussion.

Question 8

National Incident Management System (NIMS), National Fire Protection Association (NFPA), National Wildfire Coordinating Group (NWCG), and FIRESCOPE have all suggested the AAR as a form of ___.

Answer 8

review

• National Incident Management System
• National Fire Protection Association
• National Wildfire Coordinating Group
• FIRESCOPE

Question 9

The Los Angeles Fire Department (LAFD) has adopted the AAR as an ___ and as a ___ process

Answer 9

1) informal

2) formal

Question 10

AAR following any ___ or ___ exercise and should be conducted at the end of the ___.

Answer 10

1) all-hazard incident
2) training
3) incident or event

Question 11

The AAR will focus on ___.

Answer 11

1) Capturing lessons learned
2) Identify safety concerns
3) Training needs
4) Equipment issues
5) Policy
6) Procedure
7) Guideline reviews

Question 12

The AAR will be facilitated by the Incident Commander (IC), team leader, or designee with resources ___.

Answer 12

impacting the outcome of an incident or training exercise.

Question 13

The AAR’s express purpose is to evaluate the LAFD’s actions on scene of an all-hazard emergency response or training exercise with the emphasis on identifying ___.

Answer 13

strengths to be maintained and potential areas for further improvement.

Question 14

It is not designed to be a comprehensive review of ___

Answer 14

all tasks associated with the incident response or training event.

Question 15

It is incumbent upon all ___ to set the example and build a culture of safety to continually train and strive for competence, professionalism, and efficiency.

Answer 15

officers

-culture of safety

Question 16

Using the AAR will assist in that endeavor and shall be conducted in a manner where participants leave with a strong desire to ___.

Answer 16

improve their performance

Question 17

When conducting the AAR, the discussion should capture the following:
Incident Overview:

Answer 17

Type of Incident, Building Description, Situation, Scenario

Question 18

When conducting the AAR, the discussion should capture the following:
What was planned?

Answer 18

Objectives, Strategy, Risk Assessment

Question 19

When conducting the AAR, the discussion should capture the following:
What actually happened? (Communication, Deployment, Tactics, Organization)

Answer 19

Communication, Deployment, Tactics, Organization

Question 20

When conducting the AAR, the discussion should capture the following:
Why did it happen?

Answer 20

Challenges, Successes, Failures, Lessons Learned

Question 21

When conducting the AAR, the discussion should capture the following:
What can we do next time to improve?

Answer 21

Correct Weaknesses, Sustain Strengths, Improve Performance

Question 22

Informal After Action Review:

Informal AAR’s are required for incidents reaching the deployment of a ___.

Answer 22

Greater Alarm

Question 23

Informal After Action Review:
Informal AAR’s are encouraged for incidents requiring multiple resources at the discretion of the ___ and should be conducted following mitigation or when practical.

Answer 23

Incident Commander

-encouraged

Question 24

Informal After Action Review:

___ will also require an AAR and should be conducted following an evolution or when practical.

Answer 24

Training exercises

Question 25

Informal After Action Review:
Utilizing the AAR ___ , it is important that the IC facilitating the AAR brings together the concerned Commanders involved in the incident or training event to review their actions

Answer 25

Command Tactical Worksheet (CTW)

Question 26

Informal After Action Review:
If there are other members, regardless of rank or position, that have value towards the ___, they should also be included.

Answer 26

final analysis

-regardless of rank or position

Question 27

Informal After Action Review:
Prior to conducting the AAR at an incident, the IC shall survey the scene to identify ___ for all members has been established.

Answer 27

1) fire origin
2) determination of cause
3) safety issues
4) resource placement
5) equipment deployment
6) ensure rehabilitation

Question 28

Informal After Action Review:
It is important that the informal AAR is a candid, professional discussion of the facts and participants are honest and forthcoming with the challenges, successes, and failures to improve future ___.

Answer 28

performance for all

Question 29

Informal After Action Review:
Leaders of the AAR should identify their own challenges, successes, and failures ___, so members will be forthcoming in describing their own.

Answer 29

first

Question 30

Informal After Action Review:
The ___ will be used to measure the success or failure of the incident and ultimately define what can be done next time to improve.

Answer 30

Standards of Command

Question 31

These Standards should include:

Answer 31

1) Assumption of Command
2) Situational Awareness
3) Risk Assessment
4) Communications
5) Objectives, Strategy
6) Tactics
7) Resource Deployment
8) Organization
9) Evaluation/Revision
10) Transition of Command

Question 32

Informal After Action Review:
The leader should facilitate the discussion by identifying resources based on their sequence of arrival in ___ or ___ in a training exercise.

Answer 32

1) chronological order

2) sequence of events

Question 33

Informal After Action Review:

___ should be shared by officers within their commands

Answer 33

Lessons learned

Question 34

Informal After Action Review:

The AAR Standard Operating Procedure outlines the ___

Answer 34

1) Purpose
2) Definition
3) Scope
4) Responsibility
5) Glossary
6) Procedure

Question 35

Formal After Action Review:

Formal AAR’s will consist of ___

Answer 35

Bureau level review or higher

Question 36

Formal After Action Review:

Formal AAR’s are accompanied by an ___

Answer 36

After Action Review Report

Question 37

Formal After Action Review:
The deployment of a ___ to construct a Blue Sheet and Green Sheet or Final Report, is also considered formal and will require specific timelines for completion.

Answer 37

Serious Incident Review Team (SIRT)

• Blue Sheet
• Green Sheet

Question 38

Formal After Action Review:

What incidents shall consider a formal review?

Answer 38

• Any all hazard incident reaching a Major Emergency or Multi-operational periods or,
• consisting of unique challenges or hazards, safety concerns, equipment failure, deployment issues, lack of command and control, or
• need for analysis by Emergency Operations

Question 39

Formal After Action Review:
Except in unusual circumstances, these types of incidents will require a directive from the Bureau Commander, Deputy Department Commander (DDC), or Chief Deputy of Emergency Operations to conduct a formal AAR no later than __hours after the incident or training exercise and require an AARR immediately following.

Answer 39

72 hours

Question 40

Formal After Action Review:
The formal AAR will follow the informal AAR process and shall normally be conducted by the ___ or ___ of the concerned incident or training event.

Answer 40

1) Assistant Bureau Commander
or
2) Battalion Chief

Question 41

After Action Review Report:

The ___ will assist in sharing lessons learned and enhance firefighter safety, training, and organizational performance.

Answer 41

AARR

Question 42

After Action Review Report:
The AARR is designed to provide all Department members with ___ and ___ regarding serious or unique all-hazard emergency incidents and training exercises.

Answer 42

1) timely feedback

2) information

Question 43

After Action Review Report:

It shall be divided into how many categories?.

Answer 43

8 categories:

1) Summary
2) Challenges
3) Successes
4) Failures
5) Lessons Learned
6) Injuries
7) Safety Issues for Review
8) Reference Material.

Question 44

After Action Review Report:

The ___ will be utilized to frame responses within the AARR.

Answer 44

Standards of Command

Question 45

After Action Review Report:

It will be required ___ following a formal AAR.

Answer 45

as soon as practical

Question 46

After Action Review Report:

The report will be cataloged under the “____” tab, on the LAFD Intranet.

Answer 46

“Lessons Learned”

Question 47

After Action Review Report:

Using the ___ process allows members to review recent incidents and improve their own performance from lessons learned.

Answer 47

AARR

Question 48

After Action Review Report:
It is meant to drive ___ throughout the Department to improve firefighter safety, increase operational knowledge, and if necessary, drive changes in training and policy or procedure.

Answer 48

discussion

Question 49

After Action Review Report:

The key to the AARR is the ___ in which it is presented.

Answer 49

spirit

Question 50

After Action Review Report:
The environment and climate surrounding this process must be one in which Department members and leaders ___ and ___ discuss emergency incidents and training exercises and record this information to improve organizational performance.

Answer 50

openly and honestly

Question 51

After Action Review Report:

It is not designed to place ___ or ___ a company’s or member’s actions.

Answer 51

blame or criticize

Question 52

Blue Sheet is a ?

Answer 52

Preliminary Summary Report

Question 53

Blue Sheet:

The Blue Sheet is utilized for review of what, and how soon is it prepared?

Answer 53

• a serious injury, near miss, and/or fatalities

- normally prepared within 72 hours after the SIRT teams arrival at incident or training site

Question 54

Blue Sheet:

Its purpose is to provide the following:

Answer 54

1) Overview of the incident, accident, or training event
2) Factual information to eliminate false rumors
3) Identify and mitigate immediate safety hazards or concerns

Question 55

Blue Sheet:

The Blue Sheet is only a Preliminary Summary Report and may be followed by a more comprehensive report ____

Answer 55

Green Sheet or Final Report

Question 56

Blue Sheet:

The primary purpose of reviewing these types of events is to:

Answer 56

1) Gather and distribute information useful in preventing a similar occurrence
2) Detect design, procedural, training, and enforcement deficiencies
3) Discover and document Departmental liabilities
4) Comply with State and Federal Regulations

Question 57

Upon notification of a serious injury, near miss, and/or fatality from the Department Safety Officer, the Fire Chief, Emergency Operations Chief Deputy and Administrative Operations Chief Deputy − in consultation with the Deputy Department Commander and the United Firefighters of Los Angeles City, President − will initiate the Review Team from the ___.

Answer 57

SIRT Cadre to prepare a Blue Sheet

Question 58

Green Sheet is a ?

Answer 58

Informational Summary Report

Question 59

Green Sheet:
The Green Sheet is an Informational Summary Report utilized for review of a serious injury, near miss, and/or fatality and shall be normally prepared within how many calendar days of the SIRT’s arrival to the incident or training site unless otherwise directed

Answer 59

within 30 calendar days

Question 60

Green Sheet:

The Green Sheet is a ___ tool

Answer 60

safety/training

Question 61

Green Sheet:

The Green Sheet is completed by the ___.

Answer 61

SIRT (Serious Incident Review Team)

Question 62

Green Sheet:

The Green Sheet will contain a ___.

Answer 62

1) brief factual summary of what happened
2) a narrative to include the sequence of events leading up to the event
3) conditions of the incident or training location
4) injuries and/or damages
5) safety issues for review
6) lessons learned
7) reference material
8) map or diagram of the scene or training site.

Question 63

Green Sheet: (Serious Injury)

What defines a serious injury?

Answer 63

inpatient hospitalization requiring admission, a loss of a body part, or a serious, permanent disfigurement

Question 64

Green Sheet: (Near Miss)

What defines a near miss?

Answer 64

An event that occurs in the work or training environment and reasonably could have, but did not, result in a death or serious injury due to good fortune and/or proper operation of safety devices or equipment

Question 65

The Fire Chief, Emergency Operations Chief Deputy and Administrative Operations Chief Deputy − in consultation with the Deputy Department Commander and the United Firefighters of Los Angeles City, President − will initiate the Review Team from the SIRT Cadre to prepare an initial Blue Sheet followed by a ___

Answer 65

Green Sheet

Question 66

Serious Incident Review Team:
The ___ is an investigative body that will be charged with confidentially assembling an unbiased factual report based on the collection of evidence and interview of witnesses following a serious injury, near miss, and/or fatality.

Answer 66

SIRT (Serious Incident Review Team)

• investigative body
• unbiased factual report

Question 67

Serious Incident Review Team:
The SIRT is a ___ body that will be selected by the Emergency Operations Chief Deputy and Administrative Operations Chief Deputy − in consultation with the Deputy Department Commander and the United Firefighter’s of Los Angeles City, President − from the SIRT Cadre, upon notification of the event.

Answer 67

multi-discipline body

Question 68

Serious Incident Review Team:

A SIRT review is not part of any disciplinary process and its interviews are kept ___.

Answer 68

confidential

Question 69

Serious Incident Review Team:

The following core positions are filled by trained and qualified individuals for each SIRT deployment:

Answer 69

1) Team Leader
2) Lead Investigator
3) Safety Program Representative
4) Training Program Representative
5) Documentation Specialist
6) Labor Representative

Question 70

Serious Incident Review Team Final Report:
The SIRT Final Report shall be required for a serious injury, near miss, and/or fatality when the investigative process will exceed ___ days to compile a comprehensive report.

Answer 70

exceed 30 days

-SIRT Final Report

Question 71

Serious Incident Review Team Final Report:
This report does not have a ___ for completion due to the complexities of the investigation and necessary collaboration with other investigative bodies

Answer 71

time limit

Question 72

Serious Incident Review Team Final Report:

Either a Blue Sheet or Green Sheet or both shall precede the ___.

Answer 72

Final Report

Question 73

Serious Incident Review Team Final Report:
In addition to the Final Report, a confidential ___ will be assembled for the Fire Chief by a separate body, briefed by the SIRT

Answer 73

Working Recommendations Report

-for the Fire Chief

Question 74

Serious Incident Review Team Final Report:

A Working Recommendations Report will include ___

Answer 74

causal and contributory factors, recommendations, and/or commendations.

Question 75

Safety Stand Down:

A Safety Stand Down (SSD) is an event directed by the ___.

Answer 75

Fire Chief

Question 76

Safety Stand Down:

A Safety Stand Down (SSD) is an event directed by the Fire Chief designated for a period of time to include all ___

Answer 76

platoons, to promote awareness, and focus attention on safety.

Question 77

Safety Stand Down:

The SSD will include the following:

Answer 77

1) Definition of SSD
2) Narrative or facts surrounding the event
3) Intent of SSD message
4) Date and Time directed to be discussed
5) Documents for review

Question 78

Safety Stand Down:

The documents reviewed and training associated with an SSD shall be recorded through a ___.

Answer 78

Learning Management System.

Question 79

Documentation:
Any incident or training event requiring a formal AARR shall have all associated records/documents maintained in the corresponding Bureau Office for a minimum retention of ___.

Answer 79

5 years

- In Bureau Office

Question 80

Documentation:

These files shall be archived in the “__” Drive under a “Bureau After Action Review” folder.

Answer 80

“R”

Question 81

Documentation:

Documents to be retained shall be ___

Answer 81

scanned and formatted in a PDF or link

Question 82

Documentation:
Incidents rising to this level shall require the IC to obtain the Final Investigation Report or Summary of Pending Investigation, prepared by the ___ on the determination of cause and origin.

Answer 82

Arson Section

Question 83

The informal and formal AAR will provide a procedure to conduct review and ultimately work to create a measurable margin of ___ and a proficient level of ___.

Answer 83

1) safety

2) performance

Question 84

Appropriate documentation shall be retained in order to provide for a ___ of the Department’s Lessons Learned and reduce Department liability.

Answer 84

history

• Department’s Lessons Learned
• Reduce Department liability

Question 85

Questions regarding this policy should be directed to ___

Answer 85

Emergency Operations at (213) 978-6300.