Form - Incident Safety Officer Report

Completed by the incident safety officer (ISO) for every assignment that meets a trigger in Emergency Operations Safety Program section 5.3, and by the incident commander where no ISO was assigned at an incident with a firefighter injury, mayday or near miss. It records what the ISO saw and did, and it is the ISO’s written post-incident analysis, which the safety officer standard expects the ISO to prepare with observations, concerns and recommendations (NFPA 1550, 2024, s. 5.7). It answers the accreditation criterion for qualified ISO deployment to all risk events (CPSE, 2019, criterion 11A.11).

Submitted to the health and safety officer and the program manager within 48 hours. One page is enough for a routine working fire; the form expands for a mayday or an injury. It is a learning record: observations about procedures that were adapted or not followed are written to explain what made sense at the time, not to name who did it (Incident Investigation and Learning Program).

Describe any point where the work differed from the procedure (an entry before the RIT was in place, a crew that split, a ventilation opening ahead of water, a PAR missed) and the conditions that led to it: staffing, time, building, equipment, communications. This is for learning under the firewall; do not record names.

Three things worth repeating, with who did them (by role) so they can be recognized.

The ISO suggests a priority on the department’s one scale; the health and safety officer confirms it when the item enters the Corrective Action Register. P1 (Imminent): interim control immediately, the same shift, with the fire chief and JOHSC co-chairs told within 24 hours; plan due in two working days; closed within seven days. P2 (Serious): interim control within 24 hours where practicable; plan due in seven days; closed within 30 days. P3 (Moderate): plan due in 30 days; closed within 90 days. P4 (Improvement): plan by the next quarterly program update; closed within 365 days or the next budget cycle. Extensions and escalation follow the Corrective Action Register.

Hazards handed over at demobilization (to whom, when): ___. Triage tier recommended: ☐ Tier 1 AAR ☐ Tier 2 PIA ☐ Tier 3 independent review. Peer support offered (Y/N).

ISO signature (role, date); received by HSO (date); received by program manager (date).

Kept in {{Records system}} with the incident record per 05 Document Control and Records. Recommendations go to the Corrective Action Register; triage goes through Form - Event Triage Record. Parts C, D and F are learning records under the firewall and are not placed in personnel files.