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Checklist

Checklist - Department Emergency Preparedness and Continuity

Document FSSMS-AUD-C15All stagesRevision 4Version 0.3.3

Topic pages open on your jurisdiction, and requirements tables show its line. You can change this on any page.

1. Scope

This category audits the department’s readiness for emergencies that happen to the department rather than the ones it is dispatched to: a fire or medical emergency inside a station, a member seriously injured or killed on duty, the loss of a station, dispatch or the fleet, a pandemic or a major weather event that strips staffing, and the surge that follows a large incident. It covers the plans, the first aid provisions, the drills and the tests of those plans.

It does not cover emergency operations at incidents (category 12), the station inspection regime (category 18), the investigation of the event itself (category 16) or psychological support after a potentially traumatic event (category 11), although items here cross-reference the activation of each.

The management-system requirement is that the organization establish, maintain and test planned responses to potential emergency situations, with worker participation, and provide the information and training needed (ISO 45001:2018, cl. 8.2). The fire-service content comes from NFPA 1550’s facility safety and risk management plan requirements (NFPA 1550, 2024, ch. 12 and annex J), the emergency and continuity management program structure of CSA Z1600 (CSA Z1600:17), and COR element 11, emergency preparedness (CFCSA, 2021). First aid is a legal duty under the applicable provincial or territorial OHS regulations (J24 First Aid).

2. Criteria

Source What it sets Items
ISO 45001 cl. 8.2 emergency preparedness and response (ISO 45001:2018) Planned responses, periodic testing, training, communication to workers and contractors, worker participation in the plans 1 to 7, 29 to 36
NFPA 1550 ch. 12 facility safety and annex J risk management plan (NFPA 1550, 2024) Station life-safety systems, facility emergency plans, the risk management plan covering facilities and non-emergency activities 1 to 7, 29
CSA Z1600:17 (R2022) emergency and continuity management Program structure: hazard identification and risk assessment, prevention and mitigation, preparedness, response, continuity, recovery, evaluation and improvement 15 to 22
COR element 11 emergency preparedness (CFCSA, 2021) Written emergency plans, roles, drills, evaluation 1 to 7, 29 to 36
CFAI criteria 5D domestic preparedness, 6B facilities and 9B communications (CPSE, 2019, criteria 5D.1, 5D.3, 5D.5, 5D.6, 5D.8, 5D.9, 6B.3, 9B.11, 9B.12) All-hazards plan participation, resource request process, vulnerability assessment and protection of the agency’s own critical infrastructure, continuity of operations plan reviewed annually and updated at least every five years, crisis communications plan, annual program appraisal, facilities meeting codes with safety upgrades identified, tested recall of off-duty personnel, communications continuity plan tested annually. The crosswalk is to the 10th edition; the 11th edition applies to agencies appearing from 2027 (CPSE, 2024) CFAI column
CSA Z1210:24 first aid training and CSA Z1220:24 first aid kits Training agency curriculum and certificate levels; kit types and contents 23 to 28
Provincial or territorial first aid regulations (J24 First Aid) First aider numbers per shift, certificate levels, kits in vehicles, treatment records, certificate renewal 23 to 28
This package: Facilities and Station Safety program; Emergency Operations Safety program; Psychological Health and Safety and Peer Support program; 02 JOHSC Integration Station emergency plans, line-of-duty death and serious injury response plan, continuity plan, drill schedule, JOHSC consultation on all of them All

3. How to score

Full rules in 01 Audit Program section 5. In short: the CFAI column gives the 10th edition indicator the item evidences, or a dash. Score D, I and E each 0 to 3; derive the item score (0 not in place; 1 documented not implemented; 2 implemented not verified effective; 3 implemented and effective with evidence); both-required evidence codes need both types to score above 1 on implementation; weights C3, K2, S1 and the L flag (must score at least 2); category score is the weighted roll-up; effectiveness index from E alone.

4. Checklist

# Item Stage Wt Evid CFAI Scoring anchors (1 / 2 / 3) D I E Score Finding Owner Due
15.1 Station fire, evacuation and medical emergency plans
1 Every station has a written fire safety and evacuation plan naming the assembly point, the person in charge by shift, the method of accounting for everyone inside the building, including visitors and contractors, and the call for help (ISO 45001:2018, cl. 8.2; NFPA 1550, 2024, ch. 12) S1 C3 L D+O 6B.3 1: plan exists for headquarters only or is generic / 2: a plan at every station, posted, crews can show the assembly point / 3: plans reviewed annually, tested by drill, visitors and contractors briefed, JOHSC consulted
2 Station life-safety systems (detection, alarm, sprinklers where fitted, extinguishers, emergency lighting, exit signage) are inspected and tested at the intervals in Annual Inspection and Review Schedule with records on site S1 C3 L D+O 6B.3 1: some records, gaps of more than one interval / 2: all systems on schedule, records current / 3: deficiencies closed through the register within the due date, trend reviewed by the facilities program team
3 Fuel, propane, oxygen, compressed gas and flammable liquid storage at stations follows the storage rules in the Facilities program; an inventory is kept and inspected monthly S1 K2 L D+O 6B.3 1: rules written, storage observed inconsistent / 2: storage compliant at sampled stations, inventory current / 3: inventory reconciled annually, no repeat findings in two inspection cycles
4 A station medical emergency procedure exists for a member or visitor collapsing in the station, covering the call, the AED, the first aider, and who meets the ambulance; crews can describe it S1 C3 D+I - 1: procedure written, crews unsure / 2: crews at sampled stations describe it correctly / 3: exercised at every station within the year, time to AED recorded and under the target set by the program
5 Carbon monoxide and diesel exhaust alarms are fitted where the Facilities program requires, tested on schedule, and crews know the action on alarm S1 K2 D+O+I 6B.3 1: fitted at some stations / 2: fitted and tested everywhere, action known / 3: alarm events logged, investigated, exhaust capture faults closed through the register
6 Utility shutoffs (gas, electrical, water) are labelled at every station and the officer in charge of each shift knows their location S1 S1 O+I - 1: labelled at some stations / 2: labelled everywhere, officers can point to them / 3: included in the station orientation checklist for every new member and visitor contractor briefing
7 Plans address members who need assistance to evacuate (injury, temporary limitation) and visitors with disabilities, with a named method, not an assumption S2 S1 D+I - 1: mentioned without a method / 2: method written, officers can describe it / 3: tested in a drill in the year
15.2 Firefighter injury and line-of-duty death response plan
8 A written line-of-duty death and serious injury response plan exists, approved by the fire chief, consulted with the JOHSC, the bargaining agent and the volunteer association, and reviewed every three years or after any use S1 C3 D 5D.1 1: draft or borrowed plan not adapted / 2: approved, department-specific, consulted / 3: reviewed on schedule, exercised, the review recorded with changes
9 The plan names the notification chain in role terms (incident commander, duty chief, fire chief, family liaison, regulator, workers’ compensation board, bargaining agent, municipality, peer support) with the order and a time target for each; the target for the regulator meets the applicable reporting deadline (J08 Incident Reporting and Investigation) S1 C3 L D+I 5D.8 1: chain listed without times / 2: chain with time targets, duty chiefs can recite the first four steps / 3: chain tested by exercise, contact details verified quarterly
10 Next-of-kin notification is done in person by a designated officer with a peer supporter or chaplain, never by telephone or social media, and the plan says how the department reaches the family before the news does S1 C3 D+I 5D.8 1: rule written / 2: designated officers trained, can describe the procedure / 3: exercised with a scenario in the year, family contact records current for every member
11 Every member’s emergency contact and personal wishes record is current (checked at least annually), held confidentially, and accessible to the duty chief at any hour S1 C3 D+O 9B.11 1: records exist with gaps / 2: records current for a sample of 30, accessible out of hours / 3: annual confirmation cycle run and recorded, volunteers included
12 A family liaison and support function is defined, with benefits, workers’ compensation, funeral and honour guard guidance pre-written so nothing is drafted on the day S2 K2 D - 1: role named only / 2: guidance written, liaison officers identified / 3: liaison officers trained, guidance reviewed with the bargaining agent and association
13 Scene preservation, witness separation and the member’s right to representation and legal advice are written into the plan and known to incident commanders, consistent with the investigation program S1 C3 L D+I - 1: written, commanders unaware / 2: commanders describe the first actions correctly / 3: exercised with the investigation program lead; the plan and the investigation procedure agree
14 The plan activates the psychological support protocol for the crew, the dispatchers and the family (peer support, clinician access, the potentially traumatic event protocol in category 11) within the time the Psychological Health program sets S1 C3 D+I - 1: referenced only / 2: activation step written, peer support lead can describe it / 3: used or exercised, activation time recorded and within target
15.3 Continuity of operations and surge
15 A continuity of operations plan exists for the department, built on a hazard identification and risk assessment of the threats to its own service (loss of a station, dispatch, fleet, water, power, communications, staffing), and consulted with the JOHSC (CSA Z1600:17; CPSE, 2019, criterion 5D) S2 K2 D 5D.5, 5D.6 1: plan borrowed from the municipality without fire-service content / 2: department plan with its own risk assessment / 3: reviewed annually with the municipal emergency management office, tested
16 The plan sets the minimum staffing and response capability the department will maintain through each scenario and the trigger for reduced service, with the decision authority named S2 K2 D+I 5D.6 1: not stated / 2: stated, deputy chiefs can describe the trigger / 3: triggers used or exercised, outcome reviewed at management review
17 Loss of a station is planned: relocation site, apparatus and crew reassignment, communications, member and public notification S2 K2 D+I 5D.5, 5D.6 1: idea only / 2: written per station, district chiefs can describe their station’s fallback / 3: exercised for at least one station in the year
18 Loss of dispatch or radio is planned: backup dispatch, backup radio or cellular procedure, the station-level action, tested on the schedule in the Emergency Operations Safety program S1 C3 D+O 9B.12 1: plan written, never tested / 2: tested within the year, records / 3: tested at every station, failures closed through the register
19 Pandemic and communicable disease continuity: screening, isolation, cohorting of crews, PPE stock levels, cleaning, remote work for support staff, volunteer station practice, consistent with the Infection Control program S2 K2 D+I 5D.6 1: a plan from the last event, not updated / 2: current plan, PPE stock verified against the level set / 3: reviewed annually with the occupational health provider, stock rotated, volunteers included
20 Major weather and extended power loss: station generators tested on schedule, fuel contracts, heating, water, food for extended operations, shelter for members’ families where the department has decided to offer it S1 K2 D+O 5D.5 1: generators exist, testing irregular / 2: tested on schedule, fuel arrangements written / 3: extended-operations kit at every station checked quarterly
21 Surge and mutual aid activation: the plan says when and how mutual aid is requested for the department’s own continuity, who has authority, and how arriving crews are accounted for and briefed on the department’s safety rules (links to category 17) S2 K2 D+I 5D.3 1: mutual aid agreements only / 2: activation procedure written, duty chiefs describe it / 3: exercised with at least one partner in the year
22 Members’ own family preparedness is supported: a family emergency plan guide is issued and the department’s expectation of members during a community emergency is stated plainly S2 S1 D+I 9B.11 1: not addressed / 2: guide issued, expectation stated / 3: members at sampled stations can describe both
15.4 First aid provisions
23 First aiders are available on every shift and at every station at the number and certificate level the applicable first aid regulation requires for the workforce on each shift; a roster by shift shows it (J24 First Aid) S1 C3 L D+O - 1: certificates exist, no roster / 2: roster by shift, sampled shifts meet the number / 3: roster reconciled monthly against staffing, volunteers rostered by training night
24 First aid certificates are issued by training agencies meeting CSA Z1210 (CSA Z1210:24) at the level required, renewed before expiry, and tracked in the training records system S1 C3 L D - 1: some expired / 2: all current in a sample of 30 / 3: expiry alerts in the system, no lapse in the year
25 First aid kits meet CSA Z1220 type and size (CSA Z1220:24) for the workplace and for vehicles regularly carrying members, are inspected on the schedule and restocked S1 C3 L D+O - 1: kits present, contents incomplete / 2: kits to type at sampled stations and apparatus, inspection log current / 3: inspection folded into the apparatus check, no missing items in two cycles
26 AEDs are placed at every station and on the apparatus the program specifies, checked on the schedule, pads and batteries in date, and their location is known to every member S1 C3 D+O+I - 1: AEDs at some stations / 2: everywhere specified, checks current, members know the location / 3: check records reconciled quarterly, use events reviewed
27 A written first aid treatment record is completed for every first aid treatment given to a member, kept as the applicable first aid regulation requires (J24 First Aid), and feeds the injury reporting process S1 K2 L D+I - 1: forms exist, rarely used / 2: records found for sampled station injuries / 3: treatment records reconciled with injury reports monthly
28 Isolated or remote workplaces (wildland staging, remote volunteer stations, training sites far from hospital) have the written first aid and evacuation arrangement the applicable regulation requires (J24 First Aid) S1 K2 L D+I - 1: not identified / 2: identified and planned / 3: reviewed before each remote deployment, crews describe the plan
15.5 Drills and plan tests
29 Every station runs a fire and evacuation drill at least annually on every shift and at volunteer stations on a training night, recorded with the time to full accounting S1 K2 D+O 6B.3 1: drills at headquarters only / 2: every station, every shift, within the year / 3: times trend reviewed, deficiencies closed, drill observed by a JOHSC member at least once
30 The line-of-duty death and serious injury plan is exercised at least every two years as a tabletop with the roles named in the plan, the peer support team, the bargaining agent and the association S2 K2 D - 1: never exercised / 2: exercised within two years, record / 3: exercise findings closed through the register, plan amended
31 The continuity plan is tested at least annually by one scenario (loss of station, dispatch, staffing or weather), with an after-action review on the learning program’s first tier S2 K2 D 5D.6 1: no test / 2: one test in the year, record / 3: after-action review held, actions in the register
32 Backup dispatch and radio failure procedures are tested at every station at the interval the Emergency Operations Safety program sets, with results logged S1 C3 D+O 9B.12 1: tested at some stations / 2: all stations within the interval / 3: failures analysed, repeat failures escalated
33 Generators and emergency lighting are load-tested on schedule with records on site S1 K2 D+O 6B.3 1: irregular / 2: on schedule, records on site / 3: faults closed within the register due date
34 Contractors and visitors at stations are briefed on the evacuation plan and the assembly point on arrival, and the sign-in record shows it (links to category 17) S1 S1 D+O - 1: sign-in only / 2: briefing recorded on sign-in at sampled stations / 3: contractor interviews confirm the briefing happened
35 Drill and exercise findings are logged in the Corrective Action Register within five working days with a priority, P1 (Imminent) to P4 (Improvement), an owner, and the due dates and escalation that priority sets S1 K2 D - 1: findings in a drill report only / 2: findings in the register / 3: closed on time, effectiveness checked at the next drill
36 Accountability loop. The emergency preparedness element has a completed accountability and closed-feedback-loop table (owner, doer, verifier, feedback, closure) with default roles filled, and the loop test can be answered by the owner S1 K2 D+I 5D.9 1: table blank or roles generic / 2: filled, owner can describe each row / 3: loop test answered with a real example from the year

Loop test. A volunteer member notices on a training night that the station’s only AED shows a low battery. By when and through whom is it replaced, who tells the member, and where is the fact recorded so the audit can see it a year later?

5. Effectiveness questions

Answer each from observation or interview only, record the evidence, and use it for the E score of the items it touches.

  1. Can the crew on duty tonight get everyone out and accounted for? Observe or time a drill, or ask three members at a sampled station to walk you to the assembly point and name who counts heads. Score 3 only if the answers agree and match the plan.
  2. If a member were seriously hurt at a call this afternoon, would the family hear it from the department first? Ask the duty chief to describe the first hour without the plan in hand; check that the emergency contact record for two sampled members is current and reachable out of hours.
  3. Do members report they can raise a concern about station safety or preparedness and get an answer? Ask every interviewee the two standing questions from 01 Audit Program section 1a, and ask specifically about the last station hazard they noticed (a blocked exit, a dead alarm, an empty kit): who they told and what came back. Record the proportion with a specific, positive answer (Edmondson, 1999)DOI.

6. Interview and observation prompts

  1. Show me where you would meet if the alarm went off right now. Who counts you in?
  2. Where is the AED? When was it last checked, and by whom?
  3. What happens if the radio system goes down during a call? What does this station do?
  4. Who is the first aider on this shift? What level?
  5. Tell me about the last drill here. What did it find?
  6. If one of your crew collapsed in the bay, walk me through the first five minutes.
  7. Duty chief: a member is critically injured at a call. What are your first four phone calls, in order?
  8. Peer support lead: how are you activated after a serious injury, and how fast?
  9. Volunteer officer: how does your station know the continuity plan applies to it?
  10. Observe: the sign-in sheet for the last contractor visit; the propane and fuel storage; the exit routes at night.
  11. Observe: a generator test record and the generator’s fuel level.
  12. Everyone: if you saw something unsafe in the station tomorrow, who would you tell and what would happen?

Jurisdiction requirements

This chapter relies on the following legal requirements, which differ by province and territory. Check your jurisdiction’s section on each topic page before adopting it.

Topic What to check in your jurisdiction Page
OHS Policy and Program Whether the written OHS program must provide for monitoring its own implementation and effectiveness, which the drills and plan tests in this category serve (items 29 to 35) J03 OHS Policy and Program
Incident Reporting and Investigation Which deaths and serious injuries must be reported to the OHS regulator, how quickly and by whom, so the notification chain in the response plan meets the deadline (item 9) J08 Incident Reporting and Investigation
First Aid First aider numbers and certificate levels per shift, the training and kit standards and editions adopted, vehicle kits, first aid rooms, treatment records, certificate validity and the arrangement for isolated workplaces (items 23 to 28) J24 First Aid

References

Canadian Federation of Construction Safety Associations [CFCSA]. (2021). National COR accreditation standard (final draft, 2021-06-11). https://cfcsa.ca/pdfs/CFCSA%20National%20COR%20Accreditation%20Standard%20-%20FINAL%20DRAFT,%202021.06.11.pdf

Center for Public Safety Excellence [CPSE]. (2019). Fire and emergency service self-assessment manual (10th ed.). Commission on Fire Accreditation International. https://cpse.org/wp-content/uploads/2019/08/10th-Edition-FESSAM-Strikethrough-Underline-v.4.pdf

Center for Public Safety Excellence [CPSE]. (2024). Fire and emergency service self-assessment manual (11th ed.). Commission on Fire Accreditation International. https://www.cpse.org/accreditation/cfai10/

CSA Group. (2017). CSA Z1600:17 (R2022), Emergency and continuity management program (3rd ed.). https://www.csagroup.org/store/product/Z1600-17/

CSA Group. (2024). CSA Z1210:24, First aid training for the workplace: Curriculum and quality management for training agencies (2nd ed.). https://www.csagroup.org/store/product/CSA_Z1210:24/

CSA Group. (2024). CSA Z1220:24, First aid kits for the workplace (2nd ed.). https://www.csagroup.org/store/product/csa_z1220:24/

Edmondson, A. C. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350–383. doi:10.2307/2666999

International Organization for Standardization. (2018). ISO 45001:2018, Occupational health and safety management systems: Requirements with guidance for use. https://www.iso.org/standard/63787.html

National Fire Protection Association. (2024). NFPA 1550, Standard for emergency responder health and safety (consolidates NFPA 1500, 1521 and 1561). https://www.nfpa.org/codes-and-standards/nfpa-1550-standard-development/1550

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