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FINAL REPORT
City of Glendale
FIRE DEPARTMENT NFFA ISUU GUMNLIANCE ASSESSMENT
August 14, 2024
Moss Adams LLP
999 Third Avenue, Suite 2800
Seattle, WA 98104
(206) 302-6500
(:D MOSSADAMS
This report is intended for the internal use of City of Glendale, and may not be provided to, used, or relied upon by any
third parties.
Table of Contents
I. Executive Summary 1
II. Detailed Report 3
A. Introduction 3
B. Background 3
C. Objectives 3
D. Scope and Methodology 4
III. Non-Compliance Findings and Recommendations 6
A. Chapter 5: Training, Education, and Professional Development 6
B. Chapter 12: Behavioral Health and Wellness Programs 10
Appendix A: NFPA 1500 Compliance Standards Assessed 12
Appendix B: Definitions of Assessment Finding Rankings 17
City of Glendale Fire Department NFPA 1500 Compliance Assessment Report
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I. EXECUTIVE SUMMARY
The City of Glendale (the City) engaged Moss Adams LLP (Moss Adams)to evaluate the City's Fire
Department (the GFD) in compliance with the National Fire Protection Association (NFPA) 1500
Standard on Fire Department Occupational Safety, Health, and Wellness Program, 2021 Edition.
NFPA 1500 is recognized as the most comprehensive fire and emergency services consensus
standard available to the industry. According to NFPA's website, NFPA delivers information and
knowledge through more than 300 consensus codes and standards, research, training, education,
outreach and advocacy; and by partnering with others who share an interest in furthering its mission.
NFPA's mission is to help save lives and reduce loss with information, knowledge, and passion.
The objectives for this compliance assessment were to evaluate whether GFD was compliant with
select NFPA 1500 standards from the following chapters:
Chapter 5: Training, Education, and Professional Development
Chapter 11: Medical and Physical Requirements
Chapter 12: Behavioral Health and Wellness Programs
To complete this compliance assessment, Moss Adams interviewed GFD employees who were
responsible for overseeing the training, education, professional development, medical, physical, and
behavioral health departments. We reviewed the activities of each department for Fiscal Year(FY)
2023-2024 against select standards developed by NFPA 1500.
Conclusions
The following non-compliance findings compares the GFD activities to the standards set forth by the
NFPA 1500 for chapters 5 and 12. We did not identify any findings relating to the NFPA 1500 chapter
11 standards that we reviewed. Recommendations are intended to help the GFD ensure compliance
with standards set forth by the NFPA 1500.
NON-COMPLIANCE FINDINGS AND RECOMMENDATIONS
Chapter 5: Training, Education, and Professional Development
Medium Risk
Finding The GFD did not have a documented risk assessment that determines the
appropriate emergency medical capabilities to be available at the training site.
1. Recommendation The GFD should develop a risk assessment that will identify the appropriate
emergency medical capabilities to be available at non-live fire training
exercises sites to comply with NFPA 1500 Chapter 5 Index 5.6.3.
Finding The GFD did not have documented policies and procedures governing the
2. requirements related to their"train the trainer"process prior to becoming a
qualified instructor.
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NON-COMPLIANCE FINDINGS AND - • •
Recommendation The GFD should develop a policy and procedure that will require all instructors
to be prequalified as instructors before instructing trainings to comply with
NFPA 1500 Chapter 5 Index 5.3.8.
Chapter 12: Behavioral Health and Wellness Programs
Medium Risk
Finding The GFD Personnel Records Policy did not include a specific section that
address how employee records related to the behavioral health programs will
be maintained separate from employee personnel records.
3. Recommendation The GFD should update the Personnel Records Policy to include a policy that
will restrict employee behavioral health records from being combined with
employee personnel records to comply with NFPA 1500 Chapter 12 Index
12.1.2.3.2.
Although the focus of this compliance assessment was to identify opportunities for improvement, it is
important to note the areas of commendable operations. The GFD should be commended for the
following accomplishments:
Commitment to Excellence: Based on our interviews and observations, the GFD continues to
strive for greatness by partnering with different entities to ensure their compliance with NFPA
1500 standards. This includes a partnership with Lexipol to develop policies and procedures that
are in compliance with NFPA 1500 standards and with Vector/Target Solutions to provide and log
trainings that are in compliance with NFPA 1500 standards.
Dedicated Employees: The GFD has a lot of team members who have worked for the GFD for a
long time, indicating a sense of dedicated and committed team members who share the same
values and mission as the GFD. These long-term employees also bring with them the
experiences and knowledge needed to ensure compliance with NFPA 1500 standards.
Compliance Execution: Based on the testing performed, the GFD appeared to be substantially
compliant with the NFPA 1500 standards that we reviewed in part to the two bullets listed above.
We would like to thank GFD staff and leadership for their willingness to assist with this project.
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II. DETAILED REPORT
A. INTRODUCTION
The City engaged Moss Adams to evaluate the GFD's compliance with select NFPA 1500 standards.
We performed interviews and conducted testing to determine whether the GFD met the compliance
requirements for select NFPA 1500 standards. This compliance assessment was performed as part
of the FY 2024 Annual Audit Plan developed by the City's Independent Internal Audit Program (IIAP).
Our compliance assessment was performed between April and August 2024. Please refer to
Appendix B for definitions of assessment finding rankings.
B. BACKGROUND
The GFD serves the community with a variety of resources and services amongst its nine fire stations
and the Glendale Regional Public Safety Training Center(GRPSTC). The GFD's services include fire
suppression, emergency medical response, hazardous materials response, technical rescue,
trainings, and special events. The mission of the GFD is to "make the community safer through
innovative fire, medical, and customer services" using its core vision of being fast, caring, innovative,
and professional.
The GFD utilizes the NFPA 1500 Standard for a few reasons:
Compliance with regulations: The NFPA 1500 Standard is recognized as a national consensus
standard for fire department occupational safety, health, and wellness. Following the standard
helps the GFD comply with applicable regulations and requirements.
Best practices: The NFPA 1500 Standard is based on best practices and the latest research in
fire department occupational safety, health, and wellness. Following the standard helps the GFD
implement effective and evidence-based practices to protect the health and safety of personnel.
Risk reduction: The NFPA 1500 Standard is designed to help fire departments identify and
mitigate risks associated with fire department operations. Following the standard helps the GFD
reduce the risk of injuries, illnesses, and fatalities among personnel.
Improved performance: Following the NFPA 1500 Standard can help fire departments improve
their overall performance by ensuring that personnel are properly trained, equipped, and
prepared to respond to emergencies safely and effectively.
Public trust: Following the NFPA 1500 Standard can help fire departments maintain public trust
and confidence by demonstrating a commitment to the safety, health, and well-being of
personnel.
The NFPA Standard applies to all GFD employees who are involved in the occupational safety,
health, and wellness functions of the GFD.
C. OBJECTIVES
This compliance assessment evaluated the GFD's compliance with the NFPA 1500 Standards set
forth in the following chapters:
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Chapter 5: Training, Education, and Professional Development
This chapter outlines the requirements for training programs, including the need for initial and
ongoing training for all personnel working within the Department. It also addresses the need
for specialized training for certain types of incidents, such as hazardous materials incidents
and technical rescue operations.
The chapter also emphasizes the importance of professional development for fire department
personnel. It recommends that fire departments provide opportunities for personnel to attend
conferences, workshops, and other training events to enhance their knowledge and skills.
In addition, the chapter addresses the need for training and education on health and wellness
topics, such as nutrition, physical fitness, and mental health. It recommends that fire
departments provide resources and support to help personnel maintain their health and well-
being.
Chapter 11: Medical and Physical Requirements
This chapter emphasizes the importance of medical evaluations for all personnel, including
pre-employment medical evaluations, periodic medical evaluations, and medical evaluations
following an injury or illness. It also addresses the need for medical evaluations for personnel
who may be exposed to hazardous materials or other health hazards on the job.
The chapter also outlines the physical fitness requirements for fire department personnel. It
recommends that fire departments establish physical fitness standards and develop fitness
programs to help personnel maintain their fitness levels. It also addresses the need for fitness
assessments and the importance of addressing any physical limitations or injuries that may
impact a firefighter's ability to perform their duties.
In addition, the chapter addresses the need for medical clearance for duty following an injury
or illness. It recommends that fire departments establish protocols for medical clearance and
return to duty to ensure that personnel are fully recovered and able to perform their duties
safely.
Chapter 12: Behavioral Health and Wellness Programs
This chapter outlines the requirements for behavioral health and wellness programs,
including the need for education and training on mental health topics, such as stress
management, depression, and suicide prevention. It also addresses the need for peer
support programs and employee assistance programs to provide resources and support to
personnel who may be struggling with mental health issues.
The chapter also emphasizes the need for confidentiality and privacy in behavioral health and
wellness programs. It recommends that fire departments establish policies and procedures to
protect the privacy of personnel who seek assistance for mental health issues.
In addition, the chapter addresses the importance of addressing substance abuse and
addiction among fire department personnel. It recommends that fire departments establish
policies and programs to address substance abuse and provide resources and support to
personnel who may be struggling with addiction.
D. SCOPE AND METHODOLOGY
To obtain an understanding of the GFD processes, as it relates to the select NFPA 1500 standards
being assessed, we conducted the following procedures:
Interviews: We conducted interviews with staff from GFD departments directly related to the
areas under review for compliance including the following positions:
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Assistant Fire Chief(Personnel/Fire Marshals Office/Health and Fitness)
Assistant Fire Chief(GRPSTC/Training/Logistics)
Deputy Chief(Training)
Deputy Chief(Personal Health and Fitness)
Deputy Chief(Logistics)
Battalion Chief
Captain
Health and Fitness Coordinator
Compliance Testing: For 49 selected compliance requirements across NFPA 1500 chapters 5,
11, and 12, we reviewed documentation, which helped demonstrate compliance with the
requirements, including:
Organizational charts
Policies and procedures
Training programs
Training certifications
Completion of physical requirements
Wellness programs
Behavioral health flyers
Physician evaluation forms
We worked with GFD personnel and leadership to obtain the most currently available information for
this compliance assessment. See Appendix A for a listing of all 49 compliance requirements
reviewed.
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III. NON-COMPLIANCE FINDINGS AND
RECOMMENDATIONS
A. CHAPTER 5: TRAINING, EDUCATION, AND PROFESSIONAL DEVELOPMENT
Risk Assessment - Emergency Medical Capabilities at Training Sites -
Medium Risk
Finding The GFD did not have a documented risk assessment that determines
the appropriate emergency medical capabilities to be available at the
training site.
• • . The GFD should develop a risk assessment that will identify the
appropriate emergency medical capabilities to be available at non-live
fire training exercises sites to comply with NFPA 1500 Chapter 5 Index
5.6.3.
Criteria
NFPA 1500 Chapter 5 Index 5.6.3 states that"for non-live fire training exercises, fire departments
shall conduct a risk assessment to determine the appropriate emergency medical capabilities to be
available at the training site."
Condition
The GFD did not have a process established for documenting a formal risk assessment that
determines the appropriate emergency medical capabilities to be available at the training site. Based
on discussions with the GFD, they believed they met this requirement by taking into consideration
what appropriate resources were needed prior to each drill.
Cause
The risk assessment to determine the appropriate emergency medical capabilities available at
training sites was not completed possibly because the GFD was unaware of this specific requirement.
E,f�'eet
By not utilizing a formal documented risk assessment process, as required by NFPA 1500 Chapter 5
Index 5.6.3, the GFD has an increased likelihood that training sites for non-live fire training exercises
might not have the appropriate emergency medical capabilities available, if needed. Although none of
our discussions or testing suggested that training sites did not have the appropriate emergency
medical capabilities available, not having the risk assessment in place to determine what emergency
medical equipment available increases that risk. A training site without the appropriate medical
capabilities might lead to a delayed or inadequate response to aid a firefighter in distress during a
non-live fire training exercise.
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Recommendation
The GFD should develop a risk assessment that will identify the appropriate emergency medical
capabilities to be available at non-live fire training exercises sites in compliance with NFPA 1500's
Chapter 5 Index 5.6.3 standards. This risk assessment process should be formally documented for
each non-live fire training exercise and should include the following considerations:
Identification of Potential Hazards: The risk assessment should identify potential hazards
associated with the training site, such as the risk of falls, exposure to hazardous materials, or
other types of injuries.
Assessment of the Likelihood and Severity of Potential Hazards: The risk assessment
should evaluate the likelihood and severity of potential hazards, taking into account factors such
as the type of training being conducted, number of personnel involved, and location and condition
of the training site.
Evaluation of the Effectiveness of Existing Emergency Medical Capabilities: The risk
assessment should evaluate the effectiveness of existing emergency medical capabilities at the
training site, such as the availability of first aid kits, automated external defibrillators (AEDs), and
trained personnel.
Identification of Additional Emergency Medical Capabilities Needed: Based on the
assessment of potential hazards and effectiveness of existing emergency medical capabilities,
the risk assessment should identify any additional emergency medical capabilities needed at the
training site. This may include the need for additional first aid supplies, the presence of an
ambulance or other emergency medical services (EMS) personnel on site, or the need for
specialized medical equipment or personnel.
Development of an Emergency Medical Response Plan: Based on the results of the risk
assessment, the GFD should develop an emergency medical response plan that outlines the
appropriate emergency medical capabilities to be available at the training site. The plan should
include procedures for responding to medical emergencies, such as the activation of EMS
personnel or the use of first aid supplies.
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RESPONSEMANAGEMENT
Management We concur with the finding.
Agreement
Owner Glendale Fire Department Training Division
Target Completion This project will be completed by January 30, 2025.
Date
The Glendale Fire Department Training division is gathering data and
best practices for development and implementation of a risk assessment
Action Plan and Emergency Medical Response Plan for the appropriate emergency
medical capabilities for non-live fire training exercises.
Training the Trainer Policies and Procedures — Low Risk
FindingThe GFD did not have documented policies and procedures governing
the requirements related to their"train the trainer" process prior to
becoming a qualified instructor.
• • • The GFD should develop a policy and procedure that will require all
instructors to be prequalified as instructors before instructing trainings
to comply with NFPA 1500 Chapter 5 Index 5.3.8.
Criteria
NFPA 1500 Chapter 5 Index 5.3.8 states that"all training and exercises shall be conducted under the
direct supervision of a qualified instructor." The GFD stated that they met this requirement by having
their instructors go through a "train the trainer" process prior to becoming an instructor. We would
expect this process to be documented in policies and procedures to capture all requirements and
standardize the process for future training sessions.
Condition
Based on interviews, the GFD utilized a "train the trainer" approach; however, they did not have
policies and procedures governing the requirements related to the "train the trainer" process prior to
becoming a qualified instructor.
Cause
Per the GFD, there are no current policies or procedures put in place by the GFD to ensure that
instructors are required to be qualified before conducting training.
Effect
By not having documented policies and procedures for the "train the trainer" process, the GFD has an
increased likelihood that some of its trainings might not be conducted by qualified instructors.
Although none of our discussions or testing suggested that instructors were unqualified, not having
policies and procedures in place to standardize the process increases that risk. Having an unqualified
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instructor lead a training might result in insufficient or incorrect information being passed on to GFD
employees.
Recommendation
The GFD should develop a policy and procedure that will require all instructors to be prequalified as
instructors before instructing trainings to comply with NFPA 1500's Chapter 5 Index 5.3.8 standards.
This policy and procedure should include the following sections:
Definition of a Qualified Instructor: The GFD should define what constitutes a qualified
instructor, including the required qualifications, certifications, and experience.
Instructor Selection and Assignment: This section should cover selecting and assigning
qualified instructors to conduct training and exercises. This should include ensuring that
instructors have the necessary expertise and experience to deliver the required training.
Instructor Training and Development: This section should cover training and developing
qualified instructors, including ongoing professional development and training on new
technologies and techniques.
Training and Exercise Planning: This section should cover planning and scheduling training
and exercises, including the identification of training objectives, development of training materials,
and selection of appropriate training methods.
Supervision of Training and Exercises: This section should cover direct supervision of training
and exercises by qualified instructors. This should include ensuring that instructors are present
during all training and exercises and that they are actively engaged in supervising and providing
feedback to participants.
Evaluation of Training and Exercises: This section should cover evaluating the effectiveness of
training and exercises, including the use of feedback from participants and analysis of
performance data. This should include a process for identifying areas for improvement and
making necessary changes to training programs.
RESPONSEF MANAGEMENT
Management We concur with the finding.
Agreement
Owner Glendale Fire Department Training Division
The Glendale Fire Department Training Division is currently creating a
Target Completion Date policy and procedure related to a process for becoming a "qualified
instructor".
Action Plan This project will be completed prior to December 31, 2024.
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B. CHAPTER 12: BEHAVIORAL HEALTH AND WELLNESS PROGRAMS
Personnel Records Policy— Medium Risk
• The GFD Personnel Records Policy did not include a specific section that
address how employee records related to the behavioral health programs
will be maintained separate from employee personnel records.
• . The GFD should update the Personnel Records Policy to include a policy
that will restrict employee behavioral health records from being
combined with employee personnel records to comply with NFPA 1500
Chapter 12 Index 12.1.2.3.2.
Criteria
NFPA 1500 Chapter 12 Index 12.1.2.3.2 states that"member records maintained by a behavioral
health program shall not become part of a member's personnel file."
Condition
During review of the GFD Personnel Records Policy 1018, we did not identify a specific policy that
requires behavioral health programs to maintain member records separate from member personnel
records. We did note that this policy was in draft form during our review and was not the finalized
policy.
Cause
There are no current policies or procedures put in place by the GFD to ensure that employee records
maintained by a behavioral health program shall not become part of an employee's personnel file
possibly because the GFD was unaware of this requirement. The GFD is in the process of working
with a third-party, Lexipol, to update its policies and procedures, and including a section within the
Personnel Records Policy that specifically addresses the separation of behavioral health records may
have been missed during the update.
Effect
By not having documented policies and procedures to comply with NFPA 1500 Chapter 12 Index
12.1.2.3.2, the GFD has an increased likelihood that employees' behavioral health records become
comingled with their personnel file. This could compromise the confidentiality and privacy of the
employee's health information and could ultimately lead to legal action against the GFD.
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Recommendation
As the GFD works to update its policies and procedures, it should update the Personnel Records
Policy to include a policy that explains how the GFD will restrict employee behavioral health records
from being combined with employee personnel records to comply with NFPA 1500 Chapter 12 Index
12.1.2.3.2 requirements. This policy should also include who will be responsible for verifying that this
information stays separate to help promote accountability. If needed, the GFD should work with the
City's Human Resources and Risk Management Department to help verify that these records are
maintained separately.
RESPONSEMANAGEMENT
Management We concur with the finding.
Agreement
Owner Glendale Fire Department Personnel Division
The Glendale Fire Department Personnel Division will update the GFD
Records Policy to restrict employee behavioral health records from being
Target Completion combined with employee personnel records. The GFD Personnel
Date Division will work internally as well as with COG Human Resources to
ensure this process is secure and the policy is implemented.
Action Plan This plan will be completed by October 25, 2024.
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APPENDIX A: NFPA 1500 COMPLIANCE STANDARDS ASSESSED
For this compliance assessment, we reviewed 49 compliance requirements from NFPA 1500 Chapter 5, 11, and 12. See the table below for each compliance requirement that we reviewed and the results of our assessment.
� iTESTING PROCEDURES �Ili Aft AL
Chapter 5— Training, Education, and Professional Development
5.1.3 The fire department shall establish training and education programs that provide new members initial training, Obtained evidence of fire academy training
proficiency opportunities, and a method of skill and knowledge evaluation for duties assigned to the member prior to completion for sample of three employees. Yes
engaging in emergency operations.
5.1.4 The fire department shall restrict the activities of new members during emergency operations until the member has Obtained evidence of fire academy training
demonstrated the skills and abilities to complete the tasks expected. completion for sample of three employees. as
5.1.6 The fire department shall provide all members with training and education on the department's written procedures. Obtained evidence of fire academy training
completion for sample of three employees
and reviewed copy of General Order Policy Yes
202.
5.1.8 The fire department shall provide all members with a documented training and education program that covers all Obtained evidence of fire academy training
assigned personal protective equipment(PPE). completion for sample of three employees Yes
and reviewed copy of Personal Protective
Equipment Policy 914.
5.1.13 All members who are likely to be involved in emergency operations shall be trained in the incident management and Obtained evidence that the emergency
accountability system used by the fire department. operations employees were trained in the
incident management and accountability Yes
system used by the department in quarter
one and quarter two of fiscal year 2024.
5.2.2 All driver/operators shall meet the requirements of NFPA 1002. Reviewed the Job Performance
Requirements(JPRs)that are used each Yes
during quarterly drills to track and monitor
driver's qualifications.
5.2.4 All fire officers shall meet the requirements of NFPA 1021. Reviewed a copy of the quarterly training
programs/agenda for Fire Officers I-IV
provided from June 30, 2023 through Yes
April 30, 2024.
5.2.6 All members responding to hazardous materials incidents shall meet the operations level as required in NFPA 472. Reviewed training certificates for sample of Yes
five employees.
5.3.1 The fire department shall adopt or develop training and education curriculums that meet the minimum requirements Reviewed a copy of the 24-month training Yes
outlined in professional qualification standards covering a member's assigned function. calendar.
5.3.4 The fire department shall provide specific training to members when written policies, practices, procedures, or guidelines Reviewed a copy of the General Order Yes
are changed and/or updated. Policy 202.
5.3.7 All live fire training and exercises shall be conducted in accordance with NFPA 1403. Reviewed a copy of the Tower Incident Yes
Action Plan.
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INDEX NFPA 1500 STANDARD TESTING PROCEDURES COMPLIANT? COMMENT
5.3.8 All training and exercises shall be conducted under the direct supervision of a qualified instructor. Attempted to review policies and See Non-Compliance Finding#2.
procedures for the GFD's"train the trainer" No
process.
5.3.13 All members shall be provided initial and ongoing training in the risks associated with workplace exposure to products of Reviewed the Advanced Cleaning and
combustion, carcinogens, contaminants, and other incident-related health hazards. Inspection personal protective equipment Yes
logs from July 2023 through June 2024.
5.3.14 The fire department shall provide all members with training and education on behavioral health issues in the fire service Reviewed the Wellness Fitness February
to include the importance of addressing behavioral health problems, including, but not limited to,the impact of stigma 2024 Newsletter(Craig Tiger Act
associated with behavioral health and how to overcome it, substance use disorder, depression, post-traumatic stress, Information),Wellness Fitness January
family and relationship concerns,factors that enhance resilience, suicide prevention, and available resources for 2024 Newsletter, City of Glendale Human Yes
behavioral health treatment. Resource Policy No. 505 Drug,Alcohol and
Substance Abuse,Wellness Fitness April
2024 Newsletter, Wellness Fitness June
2024 Newsletter
5.4.1 The fire department shall provide specific and advanced training to members who engage in special operations as a Reviewed training certificates for sample of Yes
technician. five employees.
5.4.3 Members expected to perform hazardous materials mitigation activities shall meet the training requirements of a Reviewed training certificates for sample of Yes
technician as outlined in NFPA 472 and NFPA 1072. five employees.
5.5.1 The fire department shall develop a recurring proficiency cycle with the goal of preventing skill degradation and potential Reviewed the GFD Mid Rise Department
for injury and death of members. Training Packet, Forcible Entry Packet, and Yes
GFD Save your own Department Training
Packet
5.5.2 The fire department shall develop and maintain a system to monitor and measure training progress and activities of its Obtained evidence of training completion for Yes
members. sample of three employees.
5.6.3 For non—live fire training exercises,fire departments shall conduct a risk assessment to determine the appropriate Attempted to review a risk assessment for See Non-Compliance Finding#1.
emergency medical capabilities to be available at the training site. determining the appropriate emergency No
medical capabilities to be available at the
training site.
Chapter 11 — Medical and Physical Requirements
11.1.2 Members of a fire department shall be evaluated as specified in NFPA 1582, Chapter 7 and meet the medical Reviewed the completed Fire Department
requirements specified in NFPA 1582, Chapter 9. Medical Examination for a sample of three Yes
employees.
11.1.3 Medical evaluations shall take into account the risks and the functions associated with the individual's duties and Reviewed the completed Fire Department
responsibilities. Medical Examination for a sample of three Yes
employees.
11.2.1 The fire department shall develop physical performance requirements for candidates and members who engage in Reviewed the completed physical
emergency operations. performance requirements developed for Yes
candidates and employees in emergency
operations for a sample of three employees.
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INDEX NFPA 1500 STANDARD TESTING PROCEDURES COMPLIANT? COMMENT
11.2.2 Candidates shall be qualified as meeting the physical performance requirements established by the fire department prior Reviewed the completed Fire Department
to entering into a training program to become a fire fighter. Medical Examination for a sample of three Yes
employees.
11.2.3 Members who engage in emergency operations shall be annually qualified as meeting the physical performance Reviewed the completed physical
requirements established by the fire department. performance requirements developed for Yes
candidates and employees in emergency
operations for a sample of three employees.
11.2.4 Members who do not meet the required level of physical performance shall not be permitted to engage in emergency Reviewed the Fire Department Medical
operations. Examination Certification for one employee,
which documented that this firefighter was Yes
restricted from engaging in emergency
operations and entered a performance
rehabilitation program.
11.2.5 Members who are unable to meet the physical performance requirements shall enter a physical performance Reviewed the Fire Department Medical
rehabilitation program to facilitate progress in attaining a level of performance commensurate with the individual's Examination Certification for one employee,
assigned duties and responsibilities. which documented that this firefighter was Yes
restricted from engaging in emergency
operations and entered a performance
rehabilitation program.
11.3.1 The fire department shall establish and provide a health and fitness program that meets the requirements of NFPA 1583 Reviewed the Wellness Program Policy
to enable members to develop and maintain a level of fitness that allows them to safely perform their assigned functions. 1021,Wellness Fitness Committee Meeting Yes
Minutes for April 2024, and Wellness
Fitness May 2024 Newsletter.
11.3.2 The maintenance of fitness levels specified in the program shall be based on fitness standards determined by the fire Reviewed the Wellness Program Policy
department physician that reflect the individual's assigned functions and activities and that are intended to reduce the 1021, Wellness Fitness Committee Meeting Yes
probability and severity of occupational injuries and illnesses. Minutes for April 2024, and Wellness
Fitness May 2024 Newsletter.
11.5.1 The fire department shall actively attempt to identify and limit or prevent the exposure of members to infectious and Reviewed the GO108.01A Infection Control
contagious diseases in the performance of their assigned duties. Exposure Protocol and G0108.01 B Yes
Infectious Disease Prevention &Disinfection
Procedures
11.5.2 The fire department shall operate an infection control program that meets the requirements of NFPA 1581. Reviewed the Target Solutions Training Yes
Module.
11.6.1 The fire department shall have an officially designated physician who shall be responsible for guiding, directing, and Reviewed the HeartFit for Duty-Annual Yes
advising the members with regard to their health and fitness for various duties. Medical Exam Process.
11.7.1 Fire departments shall establish a process to evaluate the ability of a member to perform essential job functions. Reviewed the HeartFit for Duty-Annual Yes
Medical Exam Process.
11.7.2 The process to evaluate the fitness of a member to perform essential job functions shall be conducted by a qualified Reviewed the HeartFit for Duty-Annual Yes
person and confirmed by the fire department physician. Medical Exam Process.
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INDEX NFPA 1500 STANDARD TESTING PROCEDURES COMPLIANT? COMMENT
11.7.3 When a member is determined to be unable to perform the essential job functions,the member shall be provided Reviewed the Fire Department Medical
assistance, treatment,or both that is intended to return the member to a condition that will allow him or her to perform Examination Certification for one employee,
the essential job functions. which documented that this firefighter was Yes
restricted from engaging in emergency
operations and entered a performance
rehabilitation program.
11.7.4 A member who has been determined to be unable to perform the essential job functions will only be returned to duty Reviewed the Fire Department Medical
when the fire department physician has confirmed that the member can perform the essential job functions. Examination Certification for one employee,
which documented that this firefighter was Yes
restricted from engaging in emergency
operations and entered a performance
rehabilitation program.
Chapter 12 - Behavioral Health and Wellness Programs
12.1.1.1 The behavioral health program shall at a minimum include the capability to provide diagnostic assessment, short-term Reviewed the Professional Service
counseling, crisis intervention, and referral for the following behavioral health and personal problems that could Agreement between City of Glendale and a
adversely affect the member, as well as fire department work performance: healthcare consultant.,who provided
(1)Substance use disorder behavioral health services.
(2)Anxiety
(3)Depression
(4)Suicidality Yes
(5)Potentially traumatic events
(6)Acute stress reactions
(7)Grief
(8)Financial problems
(9)Relationship and/or family problems
12.1.1.2 Behavioral health programs that include a peer support component shall ensure that peers are provided with the Reviewed the Critical Incident Stress
knowledge and skills to provide support, educate members about behavioral health, serve as a bridge to behavioral Management Policy 1023. Yes
health programs and community resources, and build or enhance their peer support programs.
12.1.2.1 The fire department shall adopt and follow clear written policies regarding alcoholism, substance use disorder, and other Reviewed the Drug and Alcohol-Free Yes
behavioral conditions that can adversely affect performance or fitness for duty, or both. Workplace Policy 1027.
12.1.2.2 Confidentiality of Behavioral Health Information. Reviewed the Patient Medical Record
Security and Privacy Policy 803, Personnel
Records Policy 1018, and Health Insurance Yes
Portability and Accountability Act(HIPPA)
Policy.
12.1.2.3 The fire department shall adopt and follow clear,written policies consistent with applicable statutes, regulations,and Reviewed the Patient Medical Record
standards respecting records, confidentiality, data gathering and reporting, and protection and release of privileged Security and Privacy Policy 803, Personnel Yes
information related to its behavioral health program. Records Policy 1018, and HIPPA Policy.
12.1.2.3.1 These policies shall identify to whom and under what conditions information can be released and what use, if any, can Reviewed the Patient Medical Record
be made of records for purposes of research, program evaluation, and quality assurance. Security and Privacy Policy 803, Personnel Yes
Records Policy 1018, and HIPPA Policy.
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INDEX NFPA 1500 STANDARD TESTING PROCEDURES COMPLIANT? COMMENT
12.1.2.3.2 Member records maintained by a behavioral health program shall not become part of a member's personnel file. Reviewed the Patient Medical Record See Non-Compliance Finding#3.
Security and Privacy Policy 803, Personnel No
Records Policy 1018, and HIPPA Policy.
12.1.5 Members shall be permitted to utilize accrued leave, including medical leave, or be assigned alternate duty where Reviewed Sick Leave Policy 1046. Yes
possible,to access behavioral health services.
12.2.1 The wellness program shall provide prevention strategies and health promotion activities related to identified risk factors Reviewed the Wellness Program Policy
for fire fighter health and safety. 1021,Wellness Fitness Committee Meeting Yes
Minutes for April 2024, and Wellness
Fitness May 2024 Newsletter.
12.2.3 The fire department shall develop a policy on the use of tobacco products for all members. Reviewed the Smoking and Tobacco Use Yes
Policy 1026.
12.2.3.1 The fire department shall provide a smoking/tobacco use cessation program to incumbent tobacco users that is Reviewed the Tobacco Cessation Program Yes
nonpunitive and operates with short-term and long-term goals. from 2021.
12.2.3.2 The fire department shall develop a policy that candidates be tobacco-free upon appointment and throughout their Reviewed the Smoking and Tobacco Use Yes
length of service to the department. Policy 1026.
12.2.3.3 Members shall not use tobacco products inside the worksite,within or on fire department apparatus, or inside training Reviewed the Smoking and Tobacco Use Yes
facilities. Policy 1026.
12.2.3.4 The fire department shall develop and implement SOP/Gs to provide strategies to manage the effects of acute and Reviewed the Wellness Fitness May 2024 Yes
chronic sleep and circadian rhythm disruption that lead to sleep deprivation,fatigue, and other adverse health effects. Newsletter.
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APPENDIX B: DEFINITIONS OF ASSESSMENT
FINDING RANKINGS
We utilized the City IIAP's risk rankings, presented below, and assigned rankings based on our
professional judgment. A qualitative assessment of high, medium, or low helps to prioritize
implementation of corrective action as shown in the following table.
Critical control deficiencies that expose the City to a high degree of combined
risks. Recommendations from high-risk findings should be implemented
HIGH immediately (preferably within three months)to address areas with the most
significant impact or highest likelihood of loss, misappropriation, or damage
related to the City's assets.
Represents less than critical deficiencies that expose the City to a moderate
degree of combined risks. Recommendations arising from medium risk
MEDIUM findings should be implemented in a timely manner(preferably within six
months), to address moderate risks and strengthen or enhance efficiency in
internal controls on areas with moderate impact and likelihood of exposure.
Represents low risk or control deficiencies and the exposure is not likely to
expose the City and its assets to significant losses. However, they should be
LOW addressed to improve efficiency and effectiveness of operations.
Recommendations arising from low-risk findings should be implemented within
12 months.
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