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HomeMy WebLinkAboutCOM 0733.000 2020-2022 3 County of Hawaii Office of the County Auditor County Auditor 120 Pauahi St., 309 County of Hawaii Hilo, HI 96720 Office of the County Auditor F 808.961.8905 Ph 808.961.8386 March 21, 2022 o � C Honorable Maile Mederios David, Council Chair �� and Members of the Hawaii County Council Hawai'i County Council o� 25 Aupuni Street Hilo, Hawaii 96720 Dear Chair David and Council Members, In accordance with generally accepted government auditing standards and the Hawai'i County Charter Section 3-18(d)(2), the Office of the County Auditor conducts or causes to be conducted: Performance and/or financial audits of the funds, programs, services, and operations of any county agency, executive agency, or program, as set forth by the county auditor in an annual audit plan that shall be transmitted to the county council and the mayor and filed with the county clerk as a public record. We have completed our performance audit of the Hawaii Fire Department (HFD) Report No. 2022-02. The objective of this audit was to determine if HFD was providing services in an economical efficient and effective manner, and whether goals and objectives were being achieved. Observations and evidence concluded while the department generally delivers an adequate "all-hazards" response to fires, medical emergencies, rescues, hazardous material incidents, natural and manmade disasters, it is subjecting itself and by extension the public, to undue risk, because it lacks the fundamental building blocks necessary to support best practices. We reviewed the Hawaii Fire Department 2015-2020 Strategic Plan. While many small achievements were accomplished early, most were never acted upon, or dissolved over time. We attribute the failure primarily to the inability to secure plan resources prior to identifying the department's needs and the lack of a master plan. Additionally, we identified both deficiencies and opportunities, which led us to make a total of thirteen (13) recommendations. Comm. N Hawaii County is an Equal Opportunity Provider and Employer Ref.To: C Ref. Date A 4 2022 In response to a draft of this report, the Fire Chief expressed general agreement with our audit results. A copy of management's complete response can be found at the end of this report. We would like to express our sincere appreciation for the Hawaii Fire Department unrestricted access to sites, information, personnel, and coordination throughout the audit. The cooperation was exceptional. If you have any questions or concerns about the status of findings and recommendations discussed, please feel free to contact me at 961-8386. Respectfully, i bmw Co my Auditor County of Hawaii cc: Mitchell Roth, Mayor Lee Lord, Managing Director Jon Henricks, County Clerk Fire Commission Board Todd Kazuo, Fire Chief Eric Moller, Deputy Fire Chief Deanna Sako, Finance Director Fire Commission Robert Lee, President, Hawaii Fire Fighters Association IL Ab i--.'md� i gim Nla IN rr JNt Y'OF�41L grf•OF NPS wM' County of Hawaii Office of the County Auditor ` . Fou pEo Report No. 2022-02 March 21 , 2022 d. 0 it0 `wl r L- Table of Contents ExecutiveSummary.................................................................................1 AboutUs.................................................................................................5 Chapter 1 Introduction..................................................................6 Objective Scope and Methodology Chapter 2 Organization................................................................8 Background Organizational Chart Demand for Services Chapter 3 Strategic Plan Overview................................................14 Chapter 4 Assessment and Planning ............................................17 Chapter 5 Essential Resources ......................................................20 Vehicles Facilities Staffing Chapter 6 Financial Resources ....................................................41 Chapter 7 Governance and Administration....................................47 Chapter 8 Human Resources..........................................................49 Chapter 9 Training and Competency..............................................52 Chapter 10 Waste, Fraud, and Abuse.............................................55 Conclusion.................................................................................56 Chapter 11 Management Response..............................................58 This page intentionally left blank. Executive Summary Background The purpose of the audit was to determine if services are being provided: effectively, efficiently, comply with relevant governance, and whether resources in their current allocations, contribute or limit program success. To achieve our objective, we reviewed the Hawaii Fire Department 2015— 2020 Strategic Plan. We determined the number of projects in the strategic plan could not be reasonably obtained in the plan timeline. As a result, the plan largely devolved into a wish list of whatever could be salvaged rather than a unidirectional improvement tool. Based on the audit's objectives and the evaluation of various performance categories, we made thirteen recommendations as follows: We make the following recommendations General 1. We recommend HFD develop a master plan. • A master plan may require a third-party consultant. Accreditation 2. We recommend HFD work toward CFAI accreditation as reported in their Hawaii Fire Department Strategic Plan 2015-2020. Vehicles 3. We recommend HFD develop and implement a comprehensive vehicle profile for each of its apparatus. 4. We further recommend HFD develop and implement a maintenance and replacement plan to ensure safe and cost-effective operations based on evidence. The plan should include the following: • Establish a comprehensive vehicle list • Track age, mileage, and condition • Determine which vehicles are appropriate for what terrain • Establishing replacement targets (age, mileage, lifetime maintenance costs, class of vehicle, etc.) • Regular inspection of high-risk vehicles' • Assign apparatus from high volume stations to low volume stations to extend the useable life 1 � Facilities 5. We recommend HFD work with its Fire Captains to develop a system to compile and maintain a master list of work order items. Where appropriate, HFD should leverage its economy of scale into CIP projects, including but not limited to: • Central A/C installs • Roof repairs • Overhead door repairs • Exhaust systems • Generator installs • Review lease agreements to verify landlord obligations regarding facilities maintenance. Staffing 6. We recommend HFD pilot a relief pool program to control overtime expenditures while better meeting NFPA Standards. 7. We further recommend HFD follow and enforce internal controls to limit rank-for-rank overtime to ninety-six hours for each quadrimester. 8. We further recommend HFD follow and enforce the non-emergency overtime policy. Financial 9. We recommend HFD develop budgeting benchmarks to assist county management's understanding of budget requests. Deployment 10. We recommend HFD evaluate its volunteer program to: • Enhance the incentive for participation • Develop organizational structure and support roles • Invest into volunteer infrastructure and training, especially those servicing rural communities who often represent the first line of defense. Training 11.We recommend HFD earmark a set number of training hours annually for each employee based on their position title and training needed to maintain proficiency. 12. We further recommend HFD develop a tracking mechanism to measure: • Participation • Certifications held • Renewal dates 21 Waste, Fraud, Abuse 13. We recommend HFD work with other departments to revise the County's Vehicle Use Policy, specifically refueling, to include provisions for electrically powered vehicles. Conclusions When our recommendations are implemented, in good faith, the department can expect the following benefits: General 1. The implementation of a master plan will help HFD establish a long-term vision. Adherence to the schedule can turn HFD's visions into reality. Accreditation 2. Pursing accreditation will serve as the foundational building block to help HFD meet the department's performance, mission, and public expectations. Vehicles 3. A vehicle profile will give HFD data on every vehicle and help them to understand the age, condition, and input costs associated with maintenance of it's fleet. 4. Vehicle replacement targets will help HFD better understand when it is no longer cost-effective to maintain vehicles while providing budget justification. Facilities 5. A master list of facility needs will help HFD gain a holistic understanding of what is broken, what is breaking, and how long it is taking to fix things. HFD can prioritize projects and leverage similar items into more cost-effective repairs. Staffing 6. A relief pool will provide HFD with a more flexible staffing model to help balance the everyday needs of the department with the fluctuations that are incurred as a result of callouts. 7. Enforcement of the HFD's internal controls will require management to take a more assertive role in the approval process related to delegated overtime. 8. Enforcement of HFD's existing non-emergency overtime policy will drive costs down by reducing instances of overtime. Financial 9. Using fair and consistent analysis provides decision-makers with assurance that funding is approriately supported by evidence. 3 � Human Resources 10. Updating all relevant documents governing HFD's operations will provide staff with assurance that the administration is leading them by example and not just managing them through crisis. Deployment 11. Managing HFD volunteer companies like an organization with structure, roles, and expectations creates opportunities and engagement that can break the bonds of budget constraints. Training 12. Determining how many hours remain after accounting for sick, vacation, and training, will help HFD plan for what staffing is needed to ensure no interruption in service. Waste, Fraud, Abuse 13. Addressing the improper use of resources at County facilities, will build public trust. We would like to express our sincere appreciation for the Hawaii Fire Departments unrestricted access to sites, information, personnel, and coordination throughout the audit. The cooperation was exceptional. 4 � About us Mission It is our mission to serve the Council and citizens of Hawaii County by promoting accountability, fiscal integrity, and openness in local government. Through performance and/or financial audits of County agencies and programs, the Office of the County Auditor examines the use of public funds, evaluates operations and activities, and provides findings and recommendations to elected officials and citizens in an objective manner. Our work is intended to assist County government in its management of public resources, delivery of public services, and stewardship of public trust. Audit Authority Hawaii County Charter §3-18 establishes an independent audit function within the Legislative Branch through the Office of the County Auditor (OCA). Purpose The purpose of this audit is to determine if services are being provided effectively, efficiently, and economically, comply with relevant governance, and whether resources in their current allocations contribute or limit program success. Performance Audit Definition Performance audits provide objective analysis, findings, and conclusions to assist management and those charged with governance and oversight with, among other things, improving program performance and operations, reducing costs, facilitating decision making by parties responsible for overseeing or initiating corrective action, and contributing to public accountability. 51 This page intentionally left blank Chapter 1 Introduction Objectives 1. Is the Hawai'i Fire Department internal control system suitably designed and operating effectively to ensure compliance with applicable laws, National Fire Protection Association (NFPA) standards, and County policies and procedures? 2. Is the Hawai'i Fire Department internal control system suitably designed and operating effectively to deliver an array of fire protection services adequately? 3. Evaluate key performance indicators such as demand for services, best practices, public expectations, and outcomes to determine if current resources contribute or limit department success? Has the department established adequate internal controls to ensure applicable operational procedures were completed and adequately enforced? Scope The audit used trend data for a period ranging from FY2017 to FY2021. Demand for service data ranged from January 2017 to December 2021. Single-year data considered FY2021. The audit referenced HFD's 2015-2020 strategic plan. We reviewed Ocean Safety and Fire Inspections in a limited capacity. The audit began in November of 2021 and concluded in March 2022. Methodology To accomplish our objectives, we: • Traced performance outcomes achieved against the 2015 - 2020 strategic plan. • Interviewed appropriate staff and management to assess their understanding of and compliance with relevant internal controls, County policies and procedures, and applicable standards. • Reviewed applicable documents relating to operations. • Developed an understanding of the department's internal control system, processes, practices, and document flow. • Reviewed the department's written policies and procedures. • Observed monitoring and safeguarding practices. • Conducted site visits. • Noted any exceptions and identified opportunities/areas for improvements. 6 � • Was mindful of potential fraud, waste, and abuse during the audit. We conducted this performance audit in accordance with generally accepted government auditing standards. Those standards require that we plan and perform the audit to obtain sufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions based on our audit objectives. We believe the evidence obtained provides a reasonable basis for our findings and conclusions based on our audit objectives. Chapter 2 Organization Background The County of Hawaii Fire Department (HFD) has grown and evolved its workforce since beginning operations in 1888 as a volunteer group of citizens who organized themselves into the Hilo Volunteer Fire Department. HFD is an "all-hazards" department consisting of twenty career and eighteen volunteer stations. All hazards mean the department responds to an array of incidents whose categories include but are not limited to fire protection, rescue, hazmat, EMS and Ocean Safety. HFD has a workforce of approximately 570 individuals consisting of paid firefighters, volunteers, administration, and specialty roles, covering a service area of 4,028 square miles and protecting the lives and property of 200,528 residents. When fire or EMS services can't or aren't administered correctly, people can perish, and property is put at risk of destruction. Nationally, in 2020, direct fire damage was estimated to have caused $ 21.9 billion in property damage and caused 3,500 civilian deaths. One hundred forty firefighter fatalities were reported. Departments across the country are adapting to increasing volumes of EMS calls and other threats, including increased natural disasters and acts of terrorism. Consequently, decision-makers need tools to determine the optimal alignment of resources with the service commitments required for the adequate protection of citizens. Chapter 2 Hawaii Fire Department Office of the Fire C11119-1 lA inwnketrative SerAces ^ I lumen Resoa c+3� Fiscal Sectic•i Suppwt Services Div fi „_ _� F°_m;a¢�:dl FlrePreMenRion Burellu Crneryr rct'L? ratiiar.C�. ) Medical 5e virr_sSureau Auxiliary Services Bureau Maintenance Section fon nunications i3aRtaliaai 1 Logistics B t Stn 01 Central Stn C2 Waiakea Stn 06 Capin Cask Stn 03 44aihai Stn 07 Kailua Stn 04 Knumana Stn 09 Waimea Protection Training Stn 05 Keaau Stn 12 Keauthou Volunteer Training Stn061ionakaa Stn 145 Koh ala Stn 10 Pahoa Stn 15 N Kohala Stn 11 Kau Stn Ifs Waaikoloa Sen 17 Laupahoehae Stn 20 Ocean View Stn 18 Paradise Park Stn 21 Makalei Cast HaVestliawaiHawaii1 Stn 19 Volcano Kahaluu Onekahakaha Battalion Carlsmith Laalaa Leleivri Hapuna Richardson Spencer West Ilawa�i lionabi East I I awaii Vol Stn 68 Kona Paradise Ahalanui Vol Stn 1A Pepeekeo Y Val Stn 7B Kalaaa Isaac Hale Vol Stn SB Hawaiian Acres Val Stn 9A Waikii Punaluu Val Stn 5C Fern Forest Vol Stn 99 Kanehoa Val Stn 50 Fern Acres 4 Vol Stn 144 Kahala Ranch Val Stn 8A Panuila Vol Stn 16B Puuanahulu Val Stn 100 Ainalaa Vol Stn 24A Ocean Vww Val Stn IIA Naalehu Vol Stn 11C Discovery Ilarbaur Vol Stn 110 Pahala Vol Stn 18A HPP Vol Stn 19A Volrana 9 � Page The Fire Chief and administrative staff coordinate department resources and activities. The department recognizes two distinct divisions, emergency operations and support services. Emergency operations include eleven eastside fire stations (Battalion 1) and nine westside fire stations (Battalion 2). Special Operations units also conducts search and rescue, hazardous material response, and ocean safety. Ocean Safety exists independently from battalion command. The stations respond to a full array of public emergencies, including fire suppression, hazardous materials incidents, rescue operations, and emergency medical operations. Support Services Division provides essential services to the public and emergency response personnel that support the mission of HFD. They include the Fire Prevention Bureau, Training Bureau, Emergency Medical Services Bureau, and the Auxiliary Services Bureau. • Fire Prevention Bureau provides: o Public fire education programs o Inspections o Investigations o Maintains current codes o Conducts plan reviews • Training Bureau provides: o Education o Training • Emergency Medical Services Bureau provides: o Mobile advanced life support service ■ Definitive treatment of trauma and fall prevention assessment ■ Community paramedicine programs • The Auxiliary Services Bureau consists of: o Communications section o Apparatus and equipment repair section o The warehouse/logistics section 10 y a y� da 0 w /A f Jti any+ E ■ /� V N / Y • A • 7 E • G m _' • A Lo�0 z � c � rr � ° any � ��G�s � • • 16 r d LL y (V ,a sF }+ y y v � N Q Uz V luappuljolunoo z °wl lO N � Y1 tf M � O N 00 01 M R p N N N N N �l F et Vl M 01 V 1l1 V N M ✓1 O� 6l O T • N 1 N O m N 10 n < • c .l O -2 et ✓1 ON N u T _ N ON rV N • N G = � l!1 O V' n M OJ r 00 O O LL U L -It N O, rn V 00 • m r r N - N LL —_. Nm m m > a Lo 00 M -�r c- N — w N ai 72 10 T r i0 in in o2 O N V1 d' r co N f� Ch C O �- W O w w O L V ✓t N N N n' Q p � CM) m N t0 O O7 M N a c v v c m V p z ;uappuljolunoo N o — }� o 0 0 0 0 e-I Demand for Services Over the last five years, HFD averaged 25,886 calls per year. Between the calendar years 2017 to 2021, approximately 70% of incidents HFD responded to were requests for emergency medical services (EMS). Fire calls represented about 3.5% of the overall volume. Daily call volumes tend to climb beginning at six am, peaking at the eleven to twelve o'clock hour, and remains steady throughout the day, declining beginning about six pm. Calls by Station by Type StationName Assist EMS Exp False Fire Hazard Other Service Weather Total Kailua 4535 11444 418203 313 295 69 3 15�r 537 Central Fire Station 2549 12371 4 233 360 110 2 1464 13 17106 Pahoa Fire Station 1999 9141 82 786 211 2 1138 7 13366 Haihai Fire Station 1166 8039 95 140 66 4 751 4 10265 Kea'ea Fire Station 1228 6609 1 81 433 77 1 500 4 8934 Hawaiian Paradise Park 1036 5748 2 82 460 91 615 2 8036 Waiakea Fire Station 1022 4490 1 64 156 44 4 392 3 6176 Kaumana Fire Station 647 4399 1 73 72 37 480 8 5717 Waimea 601 4151 3 112 141 43 1 303 � 5357 Keauhou 1016 3221 79 80 56 300 4752 Captain Cook 751 3141 73 141 79 366 4 4555 South Kohala 812 3244 3 123 116 25 138 2 4463 Ocean View 947 2753 1 16 406 31 282 1 4437 Makalei 903 2570 91 153 34 368 4119 Honoka'a Fire Station 421 2472 1 37 149 72 5 213 6 3376 Volcano 360 1820 1 41 105 23 165 1 2516 Waikoloa 307 1725 45 89 12 249 1 2428 North Kohala 278 1536 35 112 30 264 2257 Ka'u Fire Station Pahala 401 1358 39 237 47 168 2250 Laupahoehoe Fire Station 175 738 14 62 15 2 108 2 1116 1 Total 21154 90971 22 1728 4493 1172 24 9801 65 129430 Data Source:Provided by HFD Calls for Service 2017—2021. EMS calls represent an ever-growing portion of the workload for HFD. EMS workloads should be a primary consideration for long-term planning, and stations may need to regularly accommodate multiple EMS vehicles and their personnel at a single station. HFD may also see an outsized benefit of continuing to recruit employees who can serve the dual Fire/EMS roles. 121Page Performance Self-Assessment To gain understanding, we interviewed HFD management to determine how they perceived their current level of performance. We asked 131 questions in seven categories. We corroborated with management and determined ten do not apply to their operations. Of the remainder, management determined they were incorporating approximately 41.3% of the performance measures into their operations and were not achieving about 58.7%. We determined HFD was accurately reporting their performance. Self-Assessment Matrix # Action Yes No N/A 1 Assess risks and develop long-range plans. a 8 1 2 Evaluate fire department performance and use resources cost-effectively 12 5 1 3 Promote public awareness of fire safety. 7 10 1 4 Ensure fire code enforcement. 6 7 3 5 Develop effective communications systems. 6 3 0 6 Prepare a competent work force and support safe operations. 11 22 2 7 Plan for on-scene responses.. 6 _16 2 50 71 10 1 Asess-i4:s and de,elop long-ra.. Evaluate fire oepa tment perform,. romote public av a-eness of fire.. c 0 -1 -sure fire code enforcement. a u 5 Develop effect ve cornmunicatio... 6 prepay=a competent,,.-orkforce Plan for o^-scene responses. •Yes •No •N!A. Source:Compiled Courtesy OCA 131 Page Chapter 3 Strategic Plan Overview In 2015, HFD produced the Hawaii Fire Department Strategic Plan (Plan) 2015-2020. While not every item from the plan is addressed in our audit, we determined some deliverables identified in the plan to be more critical to the successful operations of a prudently run department. The ten key performance criteria include: Performance Categories 1. Assessment and Planning 2. Essential Resources 3. External System Relations 4. Financial Resources 5. Goals and Objectives 6. Governance and Administration 7. Human Resources 8. Physical Resources 9. Planning 10. Training and Competency Within the ten performance categories, HFD identified milestones and activities that it needed to achieve to support the plan. In total, the plan included 203 items that ranged from activities as small as advocating for new positions to as large as completing major capital ,,_ K improvement projects. Significant accomplishments included some of the proposed capital projects, such as the replacement of the Kawailani = Station (completed), the Combined Communications Center (in progress), and the aerial Chopper 2 replacement (in Picture Groundbreaking Combined Communications Center,2021 progress). Courtesy,Office of Management 141 Page Initially, several policies were created which aligned with the plan. However, over time, most of the items in the plan were not achieved, and some of the items that were initially developed were not maintained. Some deliverables could not be substantiated. Because the strategic plan was described as dynamic and subject to periodic review, failure to implement an item in and of itself does not constitute a failure of the plan. We noted that current HFD leadership had no ownership of the plan, and attestation relied on the current leadership's familiarity with historical activity. A master plan creates a vision and should encompass a ten-year timespan. A strategic plan identifies a subset of items from the master plan that can be achieved in a much shorter three-to-five-year time frame. Masterplan Overview Masterplans also referred to as growth management plans, match the current level of services being provided with the anticipated growth of the communities they serve. In short, the masterplan answers three questions: • Where are we now? • Where will we need to be in the future? • How do we get there? The plan life is expected to be relevant for ten years and, because of the complexity, usually requires a third-party consultant. The masterplan assesses the current conditions, the department, and the environment it operates in. Fire department masterplans often incorporate Insurance Services Office (ISO) statistical and actuarial information to educate the department and community of the risks they face because of the fire organization's distribution of resources and fire service performance. The sophistication of plans varies, but it is generally assumed agencies that service populations greater than 100,000 residents will use more robust data capture methods. Elements of a masterplan address a wide range of issues depending on the mission, where the department is at, and what it still needs to accomplish. This may include organization charts, procedures, recordkeeping, staffing, service delivery, performance, training, and future delivery system models. Master plans take time, planning, and resources. If the department does not possess the internal skills or software to gather and analyze its own data, then it should expect to outsource. We found simple plans ranging from $ 78,000 for a department the size of HFD with larger masterplans costing approximately $ 144,000, including modules that address: 15 1 • Communications • EMS support and oversight • Hazmat support and response • Technical rescue support and response • Strategic plans to compliment the master A masterplan can be finalized in as little 6 months from project initiation to completion. An example masterplan can be found at: https�//www modestogov com/DocumentCenterNiew/10867/Modesto-Fire-Department-Master- Plan-Final-Report-PDF Cause and Condition Without a master plan, HFD's strategic plan loses its purpose, and the vision diminishes over time. Effect Stakeholders who cannot clearly see the vision, do not understand why it is important. Recommendation We recommend HFD develop a master plan. "If you fail to plan, you plan to fail." Benjamin Franklin 161PGge Page intentionally left blank. Chapter 4 Assessment and Planning HFD defined the assessment and planning section as "A process by which the Hawaii Fire Department can evaluate the progress and success in department programs, activities, and services by utilizing established plans identifying goals, strategies, and tactics." HFD's plan model stated that it would pursue four deliverables in the assessment and planning category. We evaluated one item: • Achieve accreditation as a fire department through the Commission on Fire Accreditation International (CFAI). Results • HFD did not achieve accreditation. Audit Activity We reviewed the County's Final Program Objectives and proposed operating budget, including program highlights from FY 2015-2020. We benchmarked and found that the Honolulu Fire Department was accredited in 2000 by the CFAI and re-accredited in 2005, 2010, 2015, and 2020. As of February 2022, the Hawaii, Kauai, and Maui County Fire Departments are not accredited. Accreditation Overview Accreditation is the process of officially recognizing the organization as having a particular status or being qualified to perform a particular activity and is important to the public interest because it provides assurance that the organization has methodologies to review all aspects of operations. Accreditation is a multi-step process. Accreditation requires a self-assessment of present performance, past performance, defined objectives, and it aids plan creation. Supporting documents and exhibits validating quantitative or qualitative statements are required. A community risk analysis must be performed to assess buildings and infrastructure and classify them into risk categories. This helps the department align its equipment and apparatus to the needs of a potential incident. 17 HFD does not have standards of cover. An applicant seeking accreditation must develop standards of cover, a comprehensive evaluation of the community including demographics, population density, land or infrastructure limitations, and seasonal impacts on resources. It also evaluates staffing, deployment, and performance, including total response times, call processing, dispatch, turnout, and travel times. Data points work together to create baseline measurements. Baselines are then used to establish objectives and goals. This drives the department's placement of people and resources and helps to identify future needs. An example of standards of cover can be found at: https //www.scottsdaleaz.gov/Assets/ScottsdaleAZ/Fire/SOC1 5.pdf Accreditation sometimes fails because of misunderstandings of the approach to adoption, conformance to consensus standards, and cost. Approach Accreditation is an ongoing process, not a start-stop project which can be delegated to someone or implemented with strict deadlines. Management should consider field employees' feedback when developing its data. Consensus Standards One misconception for agencies seeking accreditation is that they must fully comply with Chapter 4, Section 4.1.2.1 response standard of the National Fire Protection Association (NFPA) 1710, Standard for The Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments. Accreditation evaluates the departments past performance and sets the direction for the future. It also considers best practices and standards, creates benchmarks, sets goals, and compels the department to make incremental improvements. Accreditation does not require compliance with all standards. Accreditation certifies that the department has adequate means to continually self-improve. A prudently run department may use accreditation as justification for resource requests. Cost Accreditation has associated expenses. Estimates indicate a department should secure an average of approximately fifteen thousand dollars annually and thirty thousand dollars every five years to support fees, member accreditation, training, travel, site visits, clerical support, and 18 1 application with the commission. An investment toward accreditation should be weighed against operational impacts, including systems, processes, people, communication, and performance. Cause and Condition HFD was unable to commit ongoing resources to achieve accreditation. Effect HFD is not proactively developing internal methods to improve service delivery in the communities it is expected to serve and protect. Recommendation We recommend HFD work toward CFAI accreditation as reported in their Hawaii Fire Department Strategic Plan 2015-2020. Pursing the accreditation process will serve as the foundational building block to help HFD meet the department's performance, mission, and public expectations. OEM Logo for illustrative purposes only 19 This page intentionally left blank. Chapter 5 Essential Resources HFD defined the essential resources section as "The identification of department equipment, supplies, personnel positions, facilities and programs necessary for the efficient delivery of emergency and non-emergency services to Hawaii County." HFD's plan model stated that it would pursue six deliverables in the essential resources category. We evaluated three items: 1. The development of a vehicle replacement program based on NFPA standards. 2. The provision of facilities maintenance to ensure an efficient, useful life. 3. Determine and meet NFPA standards for staffing requirements. Results 1. HFD did not develop guidelines to target vehicle replacement through an official process. 2. HFD did not clearly define its facility maintenance responsibilities from those belonging to the Department of Public Works. 3. HFD does not meet NFPA standards for staffing requirements. Audit Activity Vehicles Replacement Schedules We interviewed the Fire Chief and found this schedule does not exist. We interviewed the Chief Mechanic and found the out-of-service vehicle list and repair and maintenance records were incomplete. Personnel said physical repairs are a priority, and there is no clerical support. NFPA Overview The NFPA "is a global non-profit organization established in 1896, whose stated mission is to eliminate death, injury, property, and economic loss due to fire, electrical and related hazards. NFPA delivers information and knowledge through more than 300 consensus codes and standards, research, training, education, outreach, and advocacy." NFPA codes and standards are supported by a rigorous development process. 20 NFPA standards may be legally enforceable when they are predicated on OSHA standards or when incorporated into code. For example, Hawaii County Code Chapter 26 includes the adoption of the state fire code, which incorporates NFPA 1, the Uniform Fire Code. Although not all standards are attainable for every department, there are numerous benefits to adopting achievable NFPA standards. NFPA standards tend to represent evidence of what a reasonably prudent fire department should be doing. Applicable NFPA reference standards • NFPA 1900 is currently being revised to incorporate the following standards: o NFPA 1901 Standard for Automotive Fire Apparatus o NFPA 1906 Standard for Wildland Fire Apparatus o NFPA 1917 Standard for Automotive Ambulances o NFPA 414 Standard for Aircraft Rescue and Fire-Fighting Vehicles • NFPA 1911 Standard for the Inspection, Maintenance, Testing, and Retirement of In- Service Automotive Fire Apparatus • NFPA 1912 Standard for Fire Apparatus Refurbishing NFPA 1911 • NFPA Chapter 5 Retirement of Emergency Vehicles 5.1.1 states, "The fire department shall consider safety as the primary concern in the retirement of vehicles." • NFPA Chapter 5 Retirement of Emergency Vehicles 5.1.2 states, "Retired emergency vehicles shall not be used for emergency operations." The standard includes a guideline (Annex D, 2017 edition) which offers general guidance. It's important to note that while the standard does not include mandatory replacement schedules, other criteria, including apparatus design, or elements such as seatbelt warning signals, or anti- lock brakes, are required safety features that may be missing from older vehicles. In 2009 major additions were added, including rollover stability, tire pressure sensors, extended seatbelts to accommodate fully dressed firefighters, and new restraint system requirements. The annex suggests that apparatus more than fifteen years old but properly maintained be put into reserve status but should be upgraded according to NFPA 1912 standards. It further indicates that vehicles unable to meet the criteria, and where retro fitment exceeds the salvage value, and those apparatus over twenty-five years old, should be replaced. It also points out that some vehicles may wear out in as little as eight to ten years, whereas quality vehicles treated well, and maintained properly, may still be serviceable as a reserve vehicle at twenty years. 21 1 M A r r z A N m c a M U w u � A O m `u c J a in O n q u d x 2 E °un a °' k �. < E M o 'E O y C1 E -O 6 v J 7 n N r o n a c CnC V C S A E Q L G j i E L a p ` E _o u < _ VI O V q � Q C_ (J Y L y o « C u ,. E u S .T CL n n u Q V G 0 r4 � � Y q T ~ J O S J O M `p LO 2 Q J A_ m 1 � q N VI D u y A O � - L t ♦'J �� N V u n � 7 E a L.L t A O Q O V U O g A 0 0 J IZ- q y C C y • V u 2 CO O U « •� y 3 0 o u M rn > E T � O - Q 4 J U y L A u q _ u E rn o c L i n u S C B a J Y o E Q U n o N d a O W 2 3 d A N O U O d U « J v y Y m c E i u O > O J US D C T O u N O Y � t1O D - P. o p L o N N Vehicles tend to follow similar stages in their economic life cycles: • Initial purchase o Acquisition o Licensing o Preparation/commissioning into the fleet • Depreciation —A sharp depreciation in the value of the vehicle in the first years followed by a leveling out over time (salvage value) • Vehicle Repair and Maintenance o Repairs include component failures such as alternators, air compressors, fans, radiators, and similar components that fail prematurely o Repair costs tend to be manageable until primary drivetrain components fail o After the initial productive years of vehicle life, repair costs tend to increase over time o Maintenance includes sparkplugs, brakes, batteries, hoses, belts, filters, fluids, and similar work needed to be done to ensure efficient operation o Warranty costs typically cover most unforeseen premature failures for the first three to five years. o The period when repair and maintenance costs are low and the vehicle is performing adequately is referred to as its optimal age range • Vehicle Disposal o Vehicles should be retired when the depreciated value, also known as salvage value, approximately equals the lifetime repair and maintenance costs or when the vehicle reaches a predetermined target of either mileage or age or some combination of all the above. HFD continues to work with -- --�� fragmented vehicle lists and does not jr collect data in a fashion that allows it to analyze downtime, efficiency, or lifetime maintenance costs. Additionally, the department's fleet is " not always optimized to work in the geography to which it is assigned. During site visits, staff explained some . of the challenges they faced, including two-wheel drive ambulances that could not access the terrain on assist, a new pickup with body damage ; because of ground clearance, engines New vehicle,body damage.Needed additonal ground clearance—Courtesy County Auditor 23 that were too large to access the incident sites, and vehicles that were too heavy for the bridges they were expected to traverse over. Cause and Condition HFD is not able to determine if lifetime repair and maintenance costs exceed the vehicle's value. Effect HFD's resources are primarily focused on out-of-service apparatus rather than preventative maintenance. Recommendation We recommend HFD develop and implement a comprehensive vehicle profile for each of its apparatus. We further recommend HFD develop and implement a maintenance and replacement plan to ensure safe and cost-effective operations based on evidence. The plan should include the following: • Establish a comprehensive vehicle list • Track age, mileage, and condition • Determine which vehicles are appropriate for what terrain • Establishing replacement targets (age, mileage, lifetime maintenance costs, class of vehicle, etc.) • Regular inspection of high-risk vehicles • Assign apparatus from high volume stations to low volume stations to extend the useable life 24 _ a T A ♦� N C ✓ 'f C P:. N O Z ;y v co ti N m C6 t LL � j Q d o r U C 4� N A IF N r . c g Y , N ' a Ln N �o L O Y 2 Y c 0 a t M 3 S V/ LL o � Y f0 a O 0 9 Y 3 N � 6 C p O F it nz Q L (.1 7 p o > d � Q • U �. LL E y) o O 0 u Ln E; C O > U >° > o G �. a Z .0 L a LL �^ L o > a Q� > ' a Q� a 4--a C2 c O > a, UJ a o _ c m �� L. fD yli c 3 o }+ m o m c LO V) O c o J�1 N U 76 a C p 4P > O 0 d W a T CLa a co Ul r o > a °J CL n N a V O v ,fl 0 o V 6 � Ti Q E ;r O U 1 W 4-a �U C6 +-+ i O , N +a Q (CS U C m m > I v a m N This page intentionally left blank. 2. The provision of facilities maintenance to ensure an efficient, useful life Audit Activity We gained an understanding of HFDs' Capital Improvement Project (CIP) allotments from 2017 to current. We reviewed and compared outstanding work order items to observations made during site visits. We interviewed staff and management. We reviewed policies and procedures to identify responsible parties. Facilities Maintenance Overview HFD operates twenty fire stations island-wide. Fire stations are owned by State, County, and private entities. Fire station's age and conditions vary widely. Additionally, HFD manages 18 volunteer sites. Sites range from vehicles parked at homeowner residences under tents to industrial garages. Sites with structures have electricity, no sleeping quarters, and plumbing varies. HFD has agreements with neighborhood associations to provide different degrees of maintenance. ALL Compile Courtesy County Auditor We reviewed HFD's Rules and Regulations Section 7. That states the Fire Captain, "Supervises station activities, including the maintenance, and upkeep of facilities, grounds, and equipment." Based on the department's current definitions, it is the Fire Captain's responsibility to manage maintenance issues affecting the station. Elements of facilities maintenance can be charged to operating budgets or, if appropriate, added as projects in the capital improvement budget. Repair and maintenance are defined as preventative and routine upkeep and/or the preservation or restoration of an existing element, space, building, or facility. 291 Page Capital improvements are any addition or alteration to real property that: • Substantially adds to the value of the real property or prolongs its useful life • Becomes part of the real property or is permanently affixed • It is intended to become a permanent installation Examples of repair and maintenance versus capital improvements: R&M versus CIP Source:IRS.gov Repair and Maintenance Capital Improvements A faucet or toilet Replacing 30%or more of a major structural component,such as a roof. Fixing: Renovating an entire room(for example,kitchen) An existing AC unit Installing central air conditioning,a new plumbing system,etc. Painting Additions,such as a deck,additonal room,etc. Costs incurred for: Replacing: A broken pipe A cabinet door A few planks or tiles on a floor A few shingles on a roof Inspection,or cleaning part of the building structure and/or building system Replacing broken or worn out parts with comparable parts HFD Work Orders Source:DPW Building Division DATESLI8MIFTE-� REOLSTDESCRIPTION STA.TLS ERRED-C PROJECT R&M REPAIR CIF LOCATION DESIGN/REVIEVu MANAGER estimate COST 1/29/2021 new outlet 1/29/2021 x x N.Kohala fire 1124/2017 new outlet 11/24/2017 x x Captain cook fire 2/18/2021 Solar panel replacement 2/18/2021 x x Kailua fire station 2020 Hose tower roof hatch meta 2020 z x Captain cook fre cover 6/20/2020 New sink/faucet/drain 6/20/2020 x x Central fire 6/24/2018 Outlet%Generator 5.124/2018 x x Central fire 6/29/2021 Post and Pier porch and steps 6/29/2021 x x Kahaluu Station 21 6/6:2021 Interior'_+terio,painting 6!16/2021 X x N.Kohala fire 7/12/2021 Apparatus floor roll up door 6/15/2021 x x Pahoa fire replacement 7/14/2020 Generator sonde-ser 7114./2020 x x Kaumana fire 9/18/2018 New outlet for AC 9/18/2018 x x Hort a fire 10/18/2021 'Alater teak from t''et piping Pending/ava,ability under R&M Central fire 10/18/2021 Snake out drain Pending/availability under R&M Honoka a fire 1026%20'_1 Eathroom sink leak Pending/ava.abilit;- under R&M Central fire 10.%26/2021 Replace pivot rod/urinal Pending/availability under R&M Keauhou fire 10/30.2021 Replace toilet lever and tank Pending/avai:abili y under R&M Keauhou f re cover 10./31/2021 Replace toilet assembly Pending;'availability under R&M Keauhou fire 11%12021 Kitchen dra^-1oa Pena-no'avaabilitp under R&M S.Kohala f-,t 11/4/2021 Toilet not functioning property Pending:'availability under R&M Central fire 11%8.2021 Toilet handle leaks when.flush Penc�ng;'avaliabihty under R&M Central fire 11/8/2021 Lamps and ballast replaceme,,t Pending/availability under R&M N.Kohala fire 911 7: Capt.shower head,eal: Parts on orcer under R&M Central fire 30Page We requested a comprehensive maintenance work order list from Department of Public Works Building Division. We found the work order list to be incomplete, and some items, especially those identified as CIP, are not being repaired in a timely fashion. During site visits, we observed instances of occupational and health, and safety hazards, placing employees in harm's way. Health and safety concerns should be addressed immediately. Some examples were observed during our site visits: • Plymovents that extract vehicle exhaust from apparatus bays do not function at any stations. Conditions varied from: ■ Couplers that do not seal on apparatus ■ Burnt motors ■ Corrosion ■ Electrical surges ■ Compressors • Inoperable overhead doors at stations: o Kaumana ■ Missing glass panes o Waimea o Waiakea o Keaau ■ Broken Motors o Pahala ■ Fasteners falling out of the tracks • Corrosion or leaking roofs: ■ Kaumana ■ Keaau ■ Waiakea ■ Pahala During our site visit, we observed that the Kailua Station was using a mobile generator as a substitute because the station's generator died. We also observed several of the station's generators are in use well beyond their useful life. We also observed missing smoke detectors and out-of-service fire alarm systems in county facilities that are occupied twenty-four hours a day. The lack of a complete and comprehensive work order list is contributing to poor facilities maintenance. Additionally, "big ticket" repairs such as overhead doors at multiple stations are not being aggregated together into a single project where leveraged bargaining power will deliver the most cost-effective repairs. 31 Cause and Condition HFD has no formal process to compile, monitor, or manage outstanding work orders to make informed decisions. Effect Repair and maintenance work is not performed timely. Recommendations We recommend HFD work with its Fire Captains to develop a system to compile and maintain a master list of work order items. Where appropriate, HFD should leverage its economy of scale into CIP projects, including but not limited to: • Central A/C installs • Roof repairs • Overhead door repairs • Exhaust systems • Generator installs • Review lease agreements to verify landlord obligations regarding facilities maintenance. 32 O L �i p L_ C C U O O C N t t a E o C o O a v 0 O E N w d him � � O t r/w' L `a i �U C� E .E� a m r t V_ d T O i C O t v Q O d . O O Qj C O LL N � N ryp O t_ O — _ O 0 a LIn a o 0 a � o � u a m m V � W � 7 r OD Q S ll w 1 Q A n � � > S a w z a r > t j, Q �S- U N Q u .v ;UnowV r r m rn a v a e LO N r �D N O r � o cu a a. ao o ni rn r � v J cc r w � G O W Z N m Y LL � V J • Q •- M O v g ci Q � r O JO N Oi U IX� a0 Go 01 u1 co p a OJ Q I-- upt O N N OOp b r v N D V o; QJ N CO � V v c V V N L W W d d i �� o o 4-0 ll Q a, �n c m y M ry ro w a LL m o N . 0 � v m v v LL � cr U w LL � g O R N QV w iJ QQ r T J GO N • .. - � K r�mJ r°n V � N ON � V � W � C mom O cc v m r O H = p cc a o O W � O K C a LL o - "' M o CL Q Q v �c e m o; ui v rn o m vri o not `J aJ � c Z at R erw� v a _ N IQ MIq m a m m Q u`Oi o rn o o > 1. z `� ni � cc a v LL 4a'°aelR9 uaU,iu7^CrvOMrSF` r<- Y ti m 0 W N = Q d U � O `m Z n Q C d m @ Q ~ O O [O w z U _ W Z v Fs Q a 2 Q z o w Q 0 = L > w U d Q 0 o z ao junowV Q V S Z 0 cc 7A 3. Determine and meet NFPA standards for staffing requirements. Audit Activity We interviewed staff, reviewed NFPA standards HFFA CBA agreements, examined calendar schedules and payroll activity reports. Staffing Overview HFD's staffing standard includes six personnel at most stations. A typical company is comprised of a Captain, Equipment Operator, Fire-EMS Specialist II, and three Firefighters. Staffing consists of three shifts, A, B, and C. All members assigned to a station regardless are defined as a company. Shifts begin at 8 a.m. and run for twenty-four hours until 8 a.m. on the following day. Staffing is grouped into work periods. Work periods include all shifts worked inside of a nine-day window. Uniformed staff work twenty-four hours on shift, then are relieved to rest and recuperate for twenty-four hours before coming back on shift. This cycle is repeated a total of three times, and uniformed staff then go on a four-day, ninety-six-hour relief period. NFPA 1710 NFPA 1710, Section 5.2.3 identifies the units as companies by function and establishes staffing relative to the function. Engine companies and ladders require minimum staffing of four members. High incident zones and geographically challenging areas can require five to six on-duty members as determined by the authority having jurisdiction. Where EMS services are being provided, minimum staffing consists of two personnel trained to deliver basic life support. HFD's primary concern is to provide sufficient staffing to maintain operational readiness. Needs are affected by absences, operations, and incidents. The department has the discretion to backfill absences in an overtime capacity—this practice results in significant overtime expense. The goal of the department should be to actively minimize and preserve unanticipated budget capacity for large or prolonged events. Some overtime is expected. The total number of hours worked during a nine-day period is seventy-two. By (CBA) agreement, uniformed staff is entitled to four hours of overtime, over and above sixty-eight worked in a work period, a minimum of four hours of overtime if all hours are worked as scheduled. This creates a category referred to as scheduled overtime which can be anticipated and budgeted; however, HFD is incurring millions of dollars over and above the budget. In FY2021, the County paid over $ 7.8 million in overtime wages. 35 Five largest categories of overtime: Position Hours Amount Percentage OT -WORKED ON HOLIDAY BU11 91496.5 $ 1.736.019.94 22.24910 OT-WK ON DAY OFF RANTS FOR RANK 40744.8 $2.019.315.06 26.87% OT -WORKED ON DAY OFF 57548.9 $2.567.885.46 32.89% OT-WORKED OVER 8!DAY 1.5 5414.65 $ 220.887.43 2.83% SCHEDULED OVERTIME DIFF LINK $ 765.607.66 9.81% ALL OTHERS 57302.3 $ 497.266.73 6.37% Grand Total 252507.15 $ 7,$06,9$2.28 Six positions account for over 88% of the overtime: Position Hours Amount Percentage BATTALION CHIEF 6621.75 $ 347-569.62 5 02% FIRE CAPTAIN 34321.70 $ 1.576.486.62 22.79% FIRE EOUIPIM1El-,JT OPERATOR 45271.85 $ 1-427.258.89 20.639,o FIRE FIGHTER 82726.45 $ 1.671.304.78 24.16% FIRE RESCUE SPECIALIST 11350.85 $ 393.111.65 5.68% FIRE/EMS ,SPECIALIST II 36081.30 $ 1.501.078.69 21.70% Grand Total 216373.90 $ 6,916,810.25 HFD paid $1.6 million in earned sick and $2.5 million in earned vacation time in FY 2021. Position Hours Amount Percentage SICK 59302.63 $ 1.614.811.56 38 86% VACATION 80869.09 $2.540.562.52 61.14°x0 Grand Total 140171.72 $4,155,374.08 Source:Eden pyActHstSumDet Time Period 07/01/20 to 06/30/21.Compiled Courtesy County Auditor 361 - We highlight these figures because, under the existing framework, sick and vacation hours are costs that must be covered through backfill and overtime. HFD currently has no mechanism to backfill these absences without paying a premium. However, the premiums have little correlation to incidents. They are a result of required delegation as described in the CBA. Rank- For-Rank (RFR) requires employees of equal rank to have the first opportunity to backfill in the event of an absence. It is the policy of HFD to look within the station to provide the backfill. An FTE from a different shift in the company is called in on a day off and is paid a premium to stand in. According to the HFFA contract, uniform employees are to be offered twelve shifts per year of RFR or 288 hours. HFD has policies to contain costs. Section 656.01 Procedures Manual states, "Non-Emergency- Overtime (79-2) is strictly prohibited without the prior authorization of the Fire Chief or Deputy Fire Chief. Requests shall be initiated through the organizational chain of command of the Fire Department with justification for work to be accomplished." Quota-based overtime is contrary to this department policy, and the department is not able to demonstrate that it is actively enforcing this procedure. We corroborated with HFD and found pre-authorization of overtime is not generally followed or enforced. Chief's Memorandum No. 2019-036 Section H. states that ninety-six hours shall be allowed every four months (quadrimester, quad), July 1 - Oct 31, Nov 1 - Feb 28, Mar 1 - Jun 30) Section I. "Each employee is responsible for the total amount of rank-for-rank worked, and Battalion Chiefs are responsible for the tracking of the hours and the equitable distribution. Employees who go over their allotted hours shall be subject to corrective action." For FY 2021, we tested RFR hours and found that seventeen employees went over in Quad one ranging from between 96.5 to 192 total hours, Quad two found eighteen employees went over from between 103.5 to 192 total hours, and Quad three found thirteen employees went over from between 108 to 192 total hours. The proper delegation of overtime is essential to manage because employees hired prior to July 1, 2012, fall under grandfathered collective bargaining agreements where premium payments are part of a calculation that averages the three highest-earning years and pays lifetime pensions based on those earnings, with limited exceptions. Not correctly monitoring and delegating violates the HFFA agreement, HFD policy, and contributes to long-term pension obligations. As of November 2021, approximately 240 active employees belonged to grandfathered programs. HFD is not meeting its constant staffing needs or enforcing its cost control procedures related to payroll. However, adding personnel in the existing framework to achieve minimum staffing will not reduce its overtime burden because those employees will be assigned to a shift and called back in an overtime capacity just as existing staff. Straight-time substitution can be achieved in a few ways. HFD could add excessive overcapacity so that a callout would not affect minimum staffing. 37 1 In this scenario, HFD is paying premium costs to maintain constant staffing. Alternatively, HFD could add a relief pool without a designated station assignment. Some benefits of a relief pool: • Reduces employee burnout • Reduces costs related to callbacks • Reduces costs related to scheduled leave Analysis of FY2021 data shows potential cost savings through the addition of a relief pool. Relief Pool Calculation One full-time equivalent (FTE) employee Total Hours Available Hours Total Annual Hours Available 2,920 Less Hours Contractual Scheduled Overtime 160 Contractual Rank-for-Rank 288 Net Hours Available Hours 2,472 Sick and Vacation Leave (S&V) Average Hours Leave Total Average Hours (AH) 10 Battalion Chief 427 4,270 59 Fire Captains 340 20,060 66 Equipment Operators 391 25,806 18 Fire Rescue Specialists 382 6,876 42 Fire/EMS Specialists II 342 14,364 141 Firefighters 263 37,083 Grand Total 108,459 Where costs are: Average Compensation Hourly Average x Fringe = True Hourly x (AH) = Cost Battalion Chiefs $ 45.18 41% $ 63.71 4,270 $ 272,041.70 Fire Captains $ 36.27 41% $ 55.37 20,060 $ 1,110,722.20 Equipment Operators $ 31.03 41% $43.75 25,806 $ 1,129,012.50 Fire Rescue Specialists $ 28.25 41% $ 39.84 6,876 $ 273,939.84 Fire/EMS Specialists II $ 32.12 41% $45.29 14,364 $ 650,545.56 Firefighters $ 24.11 41% $ 34.00 37,083 $ 1,260 822.00 Grand Total $ 4,697,083.80 38 1 And where these costs must currently be covered by over time backfill at 1.5x. Average Compensation Cost Overtime Multiple Overtime Cost Battalion Chiefs $ 272,041.70 1.5x $408,062.55 Fire Captains $ 1,110,722.20 1.5x $ 1,666,083.30 Equipment Operators $ 1,129,012.50 1.5x $ 1,69,3518.75 Fire Rescue Specialists $ 273,939.84 1.5x $410,909.76 Fire/EMS Specialists II $ 650,545.56 1.5x $ 975,818.34 Firefighters $ 1,260,822.00 1.5x $ 1,891,233 Grand Total $ 7,045,625.70 And where a relief pool would have the following availability to substitute: Position Net Annual Less Avg S&V = Remaining Battalion Chiefs 2,472 - 427 2,045 Fire Captains 2,472 - 340 2,132 Equipment Operators 2,472 - 391 2,081 Fire Rescue Specialists 2,472 - 382 2,090 Fire/EMS Specialists II 2,472 - 342 2,130 Firefighters 2,472 - 263 2,209 And where the pool composition needs are as follows: Position S&V Hours /Avail per sub = (Rounds down) Staff Needed 10 Battalion Chiefs 4,270 2,045 2 59 Fire Captains 20,060 2,132 9 66 Equipment Operators 25,806 2,081 12 18 Fire Rescue Specialists 6,876 2,090 3 42 Fire/EMS Specialists II 14,364 2,130 6 141 Firefighters 37,083 2,209 16 Grand Total 48 Despite calculations, modeling suggested cost savings up to a break-even point of about 24 personnel. We advise a slow, phased approach to implementation. 39 Estimated Cost Savings Adding a one-year pilot relief pool program consisting of twelve employees could: Lower Employee Cost Model Cost County taxpayers: Provide: Create: Position S&W Substitution Hours Save Net Savings 12 Firefighters $ 1,105,177.74 26 508 $ 1,351,908 $ 246,730.26 Grand Total $1,105,177.74 $246,730.26 Alternatively: Higher Employee Cost Model Cost County taxpayers: Provide: Create: Position S&W Substitution Hours Save Net Savings 2 Battalion Chiefs $ 324,605.97 4,090 $ 390,881.30 $ 66,275.33 9 Fire Captains $ 1,319,865.35 19,188 $ 1,593,563.40 $ 273,698.05 1 Fire/EMS Specialist II $ 124 821.96 2,090 $ 141 994.60 $ 17,172.64 Grand Total $ 1,769 293.28 $ 357,146.02 Cause and condition HFD backfills all absences with overtime. Effect HFD historically exceeds its budgeted salary and wages for overtime. Recommendations We recommend HFD pilot a relief pool program to control overtime expenditures while better meeting NFPA Standards. We further recommend HFD follow and enforce internal controls to limit rank-for-rank overtime to ninety-six hours for each quadrimester. We further recommend HFD follow and enforce the non-emergency overtime policy. 40 1 z C) m UL FF- � a0 V1 r 01 N F- F- Z U0 } N N 1D N o0 00 V IO z d Q w O > M C O M O 0 tD u1 W O a K _ J [C z N r Ln w O V1 61 ai n O M 1D �- • • • • • • • m n n s v o m r 00 N l0 � N R 01 r4 N M F/ N N N N ko O C O M r- t0 rIjm m r of ry N LA r V m u N O N N oo oo O V 1D LL d. r M u O �o N m O �C 0i r V .- V1 r f n l0 io l0 Q w N W m m O u� N r r ru 1 to C O V T O i0 O U T 01 V' Nu5 V N 1 N O of M oo O Q r O L o NIdn v � 1r N 0 0 0 V J co rn o m oro m A` T r� �n r o ao W O r N O N OL O V m N N N r C O l0 O O N l0 o, M r to Lf1 V OJ M O to M m d- V , r Co co ai v -T ' ao L YL IT _ Z O O VI '^ Xsainlipuadx3 m a Z N Z p nL, O 0 a, d a0- F� \V z O J � a m o3 o3 V G N n � � G T N N 2 OD f0 CL w Page intentionally left blank Chapter 6 Financial Resources HFD defined the financial resources section as "An analysis of the financial condition of an agency to determine its ability to fund operational priorities, its effectiveness in serving the community needs and its prognosis for long-range quality of service." HFD's plan model stated that it would pursue five deliverables in the financial resources category. We evaluated one item. Audit Activity We benchmarked HFD's FY 2021' expenditures against five comparable fire departments based on criteria of 20% plus or minus population variance. Financial Resources Overview HFD said that it is underfunded relative to its industry peers. HFD has several unique aspects which make benchmarking difficult. For example, the vast area it responds to sets it apart from industry peers. We identified seven common benchmarks: • EMS services • Average cost per employee to the taxpayer • Cost of department per capita • Cost per station • Ratio of sworn staff to civilian • Percentage salary and wages to budget • Percentage of the budget Financial Resources Overview We compared HFD's funding to other municipals serving communities of similar size. When considering EMS services as part of the department's offerings, the relationship changes. HFD receives revenues from the State and County. Area State County EMS 100% 0% Operations 0% 100% Ocean Safety 34% 66% 42 w CO O CA MN M Lo Q m (M (D bA 00 M UO a) �_ V CO O V LO tm Nm Efl v co � a1 � O a' 0 _r_ _ a ° N () O O O O O O VQ 0) OOb9b9OO O O V 6 C6 O O CD O MM (n N N N 00 M O CA � N N inP- � O N CD Cl) O O 00 00 N N U Cl) Cl) 61) 6s O O LL C � c c O V' N EA b9 O (O O O 6 00 E O CO Cn m "a M M O (fl Q 00 Q 0 N LO 619 Q C 00 N 00 M O O (O O i m m rn °� ry rn N 0 D t co M 613 � U E!? 69 O 0 cn (n ° 0 0 0 0 0 0 0 0 0 0 0 v o rn U a) (n � r f` ffl Efl M O O O (o r Cl) y M N � N (O 0 C6N (O r L ° m U M Cl) r, rn co LO y rl CA (D O Q � N N C6 b9 U) Cry (q O O O O M V W O W M O co '� o c r- 00 Cl) O O O EA O (o f� O O V (D (D O O O O M r O f� M M N N 00 N 69 rl- W Q m O CY)oo (fl V N (T cof` V _ co(D co LL O M O N N LO C C F O O .� M M O O O O O O O O O '� o c m 00 Q- M Co CO 006 O O r r r M CT co •- O O Qr--� (D (D M N OD ( N (NA ' 00 T) 'D M M N — ^ _ O CA 64 �J O F-- <j ^L o uj N N 7 N LO O O O O O O O 00 0 0 V CA O I (6 r' m O N O co, O N O O N 00 c0 CL Q N ti N O co N N O N 0 Cn yq V r + C cor N C7) N O c0 0p 6 _ — W [n ° f0 m CO _ f` 61) m N N N U N ate.+ (D - N N O N ° y-+ — U 0) 6-9 EA �3 V3 U ED � E _ w L O N [T O a) N N N 'm _0 -o -D LU m a) � m Q -0 'n a (a 0 0 > > > > O L~L m LL W Co 0- 0 a 2 o 0 o a (D w d CL Q LL LL W (m OV Il N Q p N (0 W ic U � m t~i U a) o U U o N m OU a c -a U c ` O N m Nn U d 2m (v O _0 LL LL CL) O Y m O N M V to (D r` M m O N M V Cf') M f` Cb O (y.) r I:t Cost per employee to the taxpayer The Cost per Employee to Taxpayer (CET) is HFD's total budget divided by the number of employees. This measure is important because a CET too high from the median can mean poor economy to the taxpayer, and a CET too low, and after accounting for the salary portion of wages can indicate underinvestment in an expense category for the department. The average comp cost per employee in this comparison is $ 153,580. HFD is $97,890. Because the department average CET is lower than its comps, and the percentage of wages is higher than its comps, our analysis indicates that the department is underfunded in some or all categories of expenses. Average cost per capita The Cost per Capita (CC) is HFD's total budget divided by the population of the island. This CC is the second measure of the economy to the taxpayer and accounts for the department's level of infrastructure. The average CC was $ 226. HFD was slightly higher at $ 234. Our analysis indicates HFD's per capita cost is slightly higher than average to its comps. This is likely because HFD has more stations to maintain. Cost per station The Cost Per Station (CPS) is the total budget divided by the number of (paid) fire stations. This measure is not meant to indicate how many dollars are supporting each station. Instead, a CPS too high from the median may indicate a bloated budget. However, infrastructure carries fixed costs, and CPS too low from the median may indicate a lack of financial support. The average CPS was $ 3.4 million. HFD's is $ 2.1 million. Our analysis suggests HFD budget in aggregate equivalent to its comps; however, with so much more infrastructure to support, it is operating with significantly fewer resources. Ratio of sworn employees to civilian The ratio of Sworn staff to Civilians (S:C) measures the number of production staff (sworn) to the number of support (civilian) personnel. This is important to measure because a low ratio of S:C may indicate an organization is failing to use technology or is structured in an inefficient manner. A high S:C ratio may indicate an efficient use of technology but also may indicate that production personnel is being misused. The average S:C in our analysis was 13.06:1. HFD's average ratio is 29.9:1. We determined that HFD is not using technology solutions to achieve its high ratio. HFD said that they lacked support staff. During our site visits, we observed uniformed staff members carrying out the functions of clerical employees. Uniform employees are being paid substantial salaries but are regularly performing low-impact work. 44 Percentage of salary and wages (S&W) to budget Percentage of Salary and Wages to Budget (SWB) measures department compensation to staff divided by its overall funding. The SWB is important because a percentage too high may indicate the department is overcompensating through premium wages and/or underfunding other areas of its budget. The average SWB was 83.3%. HFD's SWB is 85.9%. Our analysis indicates that HFD could achieve a lower ratio by increasing other areas of its budget, decreasing payroll expenses, adding support staff who typically do not require the same level of premium compensation, or by a mix of these proposals. Percentage of Budget The Percentage of Budget (PB) measures the department's budget allocation compared to the total general fund. The PB is important because while the aggregate dollars will be vastly different, the percentage provides a more stable indicator of what proportion of revenues should fund departments performing specialized functions. The average PB was 19.9%. For HFD, it is 10.6%. HFD ranked lowest among its comps. HFD said they depend on charitable donations. Historically, HFD accepted donated equipment to enhance its inventory, such as: • Fire nozzles • Extraction tools • Life jackets • Training • Occasional utility terrain vehicle (UTV) or light-duty apparatus In 2020, average donations significantly increased, including: • H125 medical helicopter valued at $ 5 million • Engine truck valued at $ 1.1 million • 4x4 big dog valued at $ 524 thousand • 4x4 big dog valued at $ 453 thousand • 4x4 truck valued at $ 401 thousand • BME Xtreme fire truck valued at $ 235 thousand While partnerships with charitable organizations are beneficial, it is the responsibility of the County to ensure HFD has the tools it needs to perform its duties adequately. Philanthropic contributions should enhance the value of making good great. 45 1 Cause and condition Analysis indicates HFD is underfunded relative to its peers. Effect HFD is not able to acquire the items they need and depends on charitable organizations. Recommendation We recommend HFD develop budgeting benchmarks to assist county management's understanding of budget requests. 46 � Page intentionally left blank Chapter 7 Governance and Administration HFD defined the governance and administration section as "The recognition of the authority that allows an organization or agency to operate legally. In fulfilling its responsibility, the legal entity that oversees this formation process reflects the public interest, protects the agency from undesirable external interference, determines basic policies for providing services, and interprets the agency's activities to its constituency." HFD's plan model stated that it would pursue six deliverables. We evaluated five items: • Review and revise, as necessary, HFD's Procedures/Rules and Regulations Manual • Review and revise, as necessary, all Standard Operating Guidelines • Review and update the HFD Helicopter Emergency Medical Systems Guideline • Review and update the Continuity of Operations Plan • Ensure compliance with Hawaii County Rules and Regulations and other regulations by department staff Audit activity We compared statements made by HFD in both its Final Status Report on Program Objectives for FY 2015-2016 and Final Status Report on Program Objectives for FY2018-2019. HFD said all policies, procedures, rules, regulations were up to date and being maintained. We found several items were not updated. We reviewed the current version of policies, procedures, standard operating guidelines, rules, and regulations. Although dated November 2021, large portions of the material contents were from the 1980s and 1990s. Formal documentation ensures the department has thoroughly reviewed its operation and has a good handle on control of the most common issues. The practice of leading with complete and organized documentation sets a tone at the top. It is a best practice to review documentation annually. 471 Page Cause and condition HFD has outdated policies and procedures that are not reviewed annually. Effect RFD's staff said roles and expectations are not clearly defined. Recommendation We recommend HFD update and clearly distinguish SOP's, SOG's, MOA's, MOU's, policies, rules, and regulations. Elements the department should include but not be limited to: • A standard format • Annual review • Version control • Distribution 48 Chapter 8 Human Resources HFD defined the Human Resources section as, "The identification of the significant asset of the Hawaii Fire Department, its personnel, and the necessary programs to maintain our workforce. " HFD's plan model stated that it would pursue seven deliverables. We evaluated one item: • Provide proper staffing at emergency worksites. Deployment Overview Deployment is the movement of forces within operational areas and is very different than fire staffing. Where staffing refers to the number of personnel readily available to accompany an apparatus, deployment refers to the total number of personnel needed to attend to an incident as established by the NFPA. Deployment Requirements: • Single-family dwelling of typical size requires a minimum of sixteen members (2020 edition) + One if aerial vehicles are used. • Commercial single level requires twenty-eight • Multi-unit apartment or townhome requires twenty-eight • High-rise requires forty-three To meet standards, assuming four-person companies, a house fire will require a response from four stations, while a single-level commercial complex will require seven stations. We identified two factors affecting service levels unique to Hawaii County. HFD uses both paid firefighters and unpaid volunteers. The hybrid model is referred to as a combination department. EMS personnel that must stay in their district is a second contributing factor. 49 NFPA Benchmarks Benchmark 1st Tier 2nd Tier Alarm Answer 15 Sec 95% of the time 40 Sec 99%' of the time Alarm Processing 64 Sec 90% of the time 106 Sec 95% of the time EMS Turnout 60 Sec Fire Turnout 80 Sec First Engine Due 240 Sec (4) Min 90% of the time Initial Full Alarm High Hazard 610 Sec (1 Orrin 10sec) 90% of the time Low/Medium Hazard 480 Sec (8 min) 90% of the time Second Engine Due 360 Sec (6) Min 90010 of the time Source NFPA compiled courtesy OCA We look at company size compared to operational effectiveness. The National Institute of Standards and Technology (NIST) conducted a series of side-by-side field experiments in 2010 to assess two, three, four, and five-person performance outcomes. Among the results (on average): Low Hazard Structure Fires: • Four-person teams completed all initial deployment tasks 25% faster than three-person and 30% faster than two-person. • Four-person teams competed in all groundfire tasks 25% more than three-person teams. Time to Water on Fire: • Five-person teams are 22% faster than two-person teams and 12% faster than three- person, and 6% faster than four-person teams. Ground Ladders and Ventilation: • Four-person teams completed laddering, and ventilation tasks completed 30% faster than two-person teams and 25% faster than three-person teams. Primary Search: • Five-person and four-person crews started and completed a primary search in the same amount of time. They were 6% faster than the three-person crews and 30% faster than the two-person crew. Three-person crews were 25% faster than two-person crews. (A 10% difference was equivalent to just over one minute 50 1 - Hose Stretch Time: • Two-person versus three-person crews took 57 seconds longer to stretch a line. • Two-person versus four-person crews took 87 seconds longer to complete the same tasks. • Two-person versus five-person crews produced a difference greater than 2 minutes (122 seconds) difference in task completion time. When evaluating whether the NFPA 1710 "industry standard could be achieved," time started from the first engine arrived at the hydrant and ended when fifteen firefighters were assembled on the scene. An effective response force was assembled by the five-person crews three minutes faster than the four-person crews. Two and three-person crew scenarios were unable to assemble enough personnel to meet this standard. Results show a tangible benefit between people and performance. Until such time as the County can fully fund HFD with paid firefighters, volunteers create value by increasing the total number of on-scene responders. HFD experiences low recruitment and an enthusiasm gap for participation on the east side of the island. Average volunteer company size ranges from about four to six on the eastside and nine to twelve on the westside. Volunteers are not issued a breathing apparatus and cannot enter structure fires which limits how and where they can deploy on-scene. There is minimal incentive to participate. HFD has limited resources to scale operations. Volunteers offer a low-input, high return on investment opportunity. Volunteers can serve roles aside from firefighting. Volunteers can take on support roles, helping the department to coordinate the logistics of personnel and resources, enhancing community outreach, etc., as determined by management. Cause and condition HFD has not capitalized on the important support role that volunteers can play. Effect Volunteer participation suffers, and the department finds itself unable to meet NFPA 1710 standards of deployment. Recommendation We recommend HFD evaluate its volunteer program to: • Enhance the incentive for participation • Develop organizational structure and support roles • Invest into volunteer infrastructure and training, especially those servicing rural communities who often represent the first line of defense. 51 This page intentionally left blank. Chapter 9 Training and Competency HFD defined the training and competency resources section as "The development and utilization of tools to verify that personnel is achieving the necessary requirements to be successful and contribute to the organization's mission, vision, and core values." HFD's plan model stated that it would pursue five deliverables. We evaluated all of the items: • Develop a cadre of certified Fire Instructors • Provide training opportunities to maintain accepted department certifications • Provide leadership and professional development training for personnel • Provide for proper staffing of the Training Bureau • Provide for leadership development of existing and eligible officers throughout all levels of leadership in HFD Results — HFD's Final Program Objectives FY 2017-2018 state that due to assignment changes and staffing, the curriculum was not initiated. In FY 2018-2019, they provided an update stating the program had been developed but could not be supported because of staffing and fiscal challenges, alluding to overtime. Final Program Objectives FY 2015-2016 noted the procurement of Target Solutions® to offer e- training modules and provide user-defined curriculum and early warning systems to trigger remedial training and to keep certifications current. By FY 2018-2019, program objectives reported the full and successful implementation of online documentation and management as the primary management tool. In FY 2019-2020, HFD reported having added all vehicle endorsements and personnel credentials. It further stated that its record management had been cleaned and organized in FY 2019-2020. We asked for verification of these materials and were told the information was not available as represented. The Training Bureau noted in Final Program Objectives FY 2015-2016, 2017-2018, 2018-2019 that staffing constraints due to budget had prevented proper staffing at the bureau. 52 Audit Activity We reviewed Final Program Objectives FY 2015-2020, HFD procedures manual, conducted interviews with the Training Battalion Chief, the Volunteer Coordinator, and both volunteer training Captains, and conducted site visits at all paid and volunteer stations. We reviewed training materials provided by the training group related to the subject matter. We corroborated with management. Training Overview HFD sees training as an opportunity to provide three tangible benefits: 1. Preparing operational units 2. Protect the County against liability 3. Provide for the safety of personnel To prepare operational units, HFD categorizes training into four levels: 1. Task level —Training based on acquiring knowledge related to basic competence. 2. Tactical level -Training to develop situational awareness and conditions-driven thought processing. 3. Strategic level —Training focuses on determining resource capacities and deploying them to create the most effective impact, often as part of a mutual aid (multi-agency, deployment). 4. Operations specific level - Training that focuses on evaluating the deployment performance, coordination of multiple companies, and full-scale exercises. HFD's method of training includes: 1. Initial Certification • Recruit Academy • Technical Rescue • Fire Apparatus Driver Operator 2. Re-certification • Captain-Led Training • Online Assignment • Incumbent Programs • Multi-Company Drills • Full-Scale Exercises 3. Operations-Specific Program • Battalion Chief-Led Training • Company Performance Standards • Multi-Company Standards • Multi-Agency Standards • Fire Officer Program 53 1 HFD`s methods of training delivery include: 1. Online Assignments 2. Captain-Led Training 3. Certification 4. Incumbent Training Programs 5. Multi-Company Drills 6. Full-Scale Exercises HFD's program updates led stakeholders to believe that training could be achieved and maintained online. While some of the training can and should be done between calls for service, other training requires hands-on, field simulation, and multi-company cooperation. HFD cited challenges including: 1. Staffing 2. Budget 3. Training Program Inabilities • Offer • Deliver • Evaluate • Maintain 4. Guiding Documents 5. Records 6. Leadership Cause and condition HFD did not clearly acknowledge the gap between of online management and field training. Effect Stakeholders expect training and certification should be achievable online and during downtimes at the station. Recommendation We recommend HFD earmark a set number of training hours annually for each employee based on their position title and training needed to maintain proficiency. We further recommend HFD develop a tracking mechanism to measure: • Participation • Certifications held • Renewal dates 541 This page intentionally left blank. Chapter 10 Fraud, Waste, and Abuse Audit standards require that we remain mindful and document all instances of waste, fraud, and abuse. We noted specific issues that we communicated directly to HFD`s management. We appreciate their commitment to resolving these matters. During fieldwork, we observed two occasions where personal electric vehicles were charging off fire stations. HFD installed solar panels at multiple stations in 2015 as part of an initiative to reduce energy costs. We corroborated with the Chief. He said the activity was unauthorized and had denied the one and only request that was presented to him. HFD Rules and Regulations, Station Commander duties and responsibilities Sub Section 2. "Officers shall not knowingly allow County property to be used for individual personnel benefit not associated with official duties." Cause and condition Vehicle use policy is not followed or enforced. Effect The department is using taxpayer resources inappropriately. Recommendation We recommend HFD work with other departments to revise the County's Vehicle Use Policy, specifically refueling, to include provisions for electrically powered vehicles. 551 This page intentionally left blank. Conclusion The Office of the County Auditor has concluded its audit with the County of Hawaii Fire Department. Our review of functional areas led us to make thirteen (13) recommendations. When our recommendations are implemented, in good faith, the department can expect the following benefits: General 1. The implementation of a master plan will help HFD establish a long-term vision. Adherence to the schedule can turn HFD's visions into reality. Accreditation 2. Pursing accreditation will serve as the foundational building block to help HFD meet the department's performance, mission, and public expectations. Vehicles 3. A vehicle profile will give HFD data on every vehicle and help them to understand the age, condition, and input costs associated with the maintenance of its fleet. 4. Vehicle replacement targets will help HFD better understand when it is no longer cost-effective to maintain vehicles while providing budget justification. Facilities 5. A master list of facility needs will help HFD gain a holistic understanding of what is broken, what is breaking, and how long it is taking to fix things. HFD can prioritize projects and leverage similar items into more cost-effective repairs. Staffing 6. A relief pool will provide HFD with a more flexible staffing model to help balance the everyday needs of the department with the fluctuations that are incurred as a result of callouts. 7. Enforcement of the HFD's internal controls will require management to take a more assertive role in the approval process related to delegated overtime. 8. Enforcement of HFD's existing non-emergency overtime policy will drive costs down by reducing instances of overtime. 561 Financial 9. Using fair and consistent analysis provides decision-makers with assurance that funding is appropriately supported by evidence. 10. Updating all relevant documents governing HFD's operations will provide staff with assurance that the administration is leading them by example and not just managing them through crisis. Deployment 11. Managing HFD volunteer companies like an organization with structure, roles, and expectations create opportunities and engagement that can break the bonds of budget constraints. Training 12. Determining how many hours remain after accounting for sick, vacation, and training will help HFD plan for what staffing is needed to ensure no interruption in service. Waste, Fraud, and Abuse 13. Addressing the improper use of resources at County facilities will build public trust. We would like to express our sincere appreciation for the Hawai'i Fire Department's unrestricted access to sites, information, personnel, and coordination throughout the audit. The cooperation was exceptional. 571 Management Response Mitchell D.Roth .'. Kazuo&�L.Todd Lee E.Lord '• Eeie H.Koller W..N.p r i-- `� ,. �.� rltp.n F:.rurr Comm) of 3L)awal'l HAWAII FIRE DEPARTMENT B."upti i Street*Suitt 2901•IIBu.Ir.nii'i%'20 A03)932-2900e F■i("81931-2929 March 11.2022 Mr.Tyler Benner Hawai'i County Auditor 120 Pauahi St.Suite 309 Hilo,Hawaii 96720 RE: CHIEF'S RESPONSE TO AUDIT Aloha Mr.Benner: Thank you for the time and effort in conducting this thorough analysis of our department's services and processes.I think this report is well thought out.and while I wish it went into more detail in certain areas.I realize that it needed to be a report and not a book. There is no disagreement with any of the recommendations put forth within the concept of this document. I agree that all emergency response departments should be working towards or have achieved accreditation and be following most if not all of the processes noted in the recommendations.That said,1 believe that the Hawaii Fire Department has done the best job it could leading up to this point.Most of the comparable departments within this document are excellent comparisons based on their department size and the population they serve(pg.38). However.when we examine the data the majority of these comparable fire departments have access to resources such as: 1. More administrative staffing(5 of 5) 2. Smaller response areas(5 of 5) 3. Less fire stations to manage and fund(5 of 5) 4- More fire fighters per station and shift(5 of 51 5. No volunteers fire stations to fund 15 of 5) h. No EMS services provided(4 of 5) 7. No Ck-ean Safety services provided(5 of 5) 8_ Larger percentage of operating capital to their personnel costs(4 of 5) 9. A larger budget to provide and manage fire sen•ices(5 of 5) 10.A larger percentage of the counties total budget(5 of 5) Considering the current limitations of staffing.equipment facilities.and funding.I am not Aughal confident on how much headway we will be able to achieve towards these w�F fLr�m':inunty i>,vL,�uuV 4?1*}nrtvn;ty f"nriftr mpf i:rttrnlmnr. 581 Page recommendations.As noted in this report.the previous administration had put together a strategic plan to address many of the above noted areas.Also as noted.not much was achieved over the course of that plan period making the strategic plan look much like a wish list. The Hawaii Fire Department has a long road to travel to become an accredited public service organization. While we can have the best ideas and plans in the world_they are ultimately just really nice dreams on paper without the resources to achieve them. To give an example of what 1 mean,let's say we recognize an issue that needs attention.After analysis,we define our problem as the apartment next door to us is on fire. We create a plan to use water to put out the fire.We then take action by quickly applying water on the fire. However if the process we use is a small water bucket_we are 2 Analyzed Problem ultimately not going to be successful.Our resources to meet the Z Created a Plan needs of the planned solution are not adequate. While the L Applied Action L recommendations in this document are excellent,the Hawai'i Fire L ,,oh.@,, d$;-4e Department is currently limited in our available resources to achieve them within a practical timeframe. In summary,I agree with the recommendations and believe that the public deserves a department that is performing among its peers nationally. l believe that we must meet a consensus standard for providing emergency response and safety.while being fiscally responsible to the public and its taxpayers. Thank you for the tone and effort spent writing this document. We will do our best to implement these recommendations and to produce the best possible Hawaii Fire Department for the County of Hawaii. Please refer to the attached follow up document on the specific response to each recommendation with details on our time frame and or limitations on expected implementation. Sincerely. KAZUO S.K_L_TODD Fire Chief cr. Honorable Maile Mederios David,Council Chair and Members of the Hawaii County Council 591 Page 'd Kazuo S.K.L.Todd Mitchett U.Rath Fire Czi/ I1nw Lee E. Lord Erie H, Koller Han-emg D,-9w Drpw,Fie[ikf Coi ntv of —Apb iI j HAWAII FIRE DEPARTMENT 25.tupuni Strep•wile:501 a 1hkL laMwai'i 90.10 IRU)932-2900•Fos 48")93M929 MANAGEINENT'S RESPONSE TO AtTDIT RECOMMENDATIONS Recommendation 1 We recommend HFD develop a master plan. Recommendation 2 We recommend HFD work toward C'FAI accreditation as reported in their Hawaii Fire Department Strategic Plan 2015-2020. Management Response to Recommendations 1 & 2 We concur with these recommendations with reservations_ Management is in full agreement with these recommendations.but the following circumstances could affect the implementation. The fire department has limited free staffing or funding to allocate towards achieving either of these recommendations. To achieve these recommendations we recommend the following: I. Hire an external organization through cooperative procurement to work with the Fire Department to put together a master plan.community risk assessment.and strategic plan which meets consensus standards. Initial research has shown this to run approximately S143.900. 2. Mirror the Hawaii Police Department and create a section who manages accreditation. Police has a full time staff of one lieutenant,two sergeants.and one clerk III to maintain their accreditation status.In discussions with HPD they also need to borrow several staff members from other sections when accreditation renewal comes up. To implement this within HFD we would recommend the creation of one fire captain position.one program manager position.and two clerk III positions. Estimated total cost is$266,500 annually based on median wage for these positions. 3. Procurement of initial training for our chief officers at the C'enter's for Public Safety Quality Improvement for the Fire and Emergency Services workshops(20 held per year). Three day course with costs is anticipated to be$44?00. Implementation year would cost $459.500 to start the process.with a continuing costs of $266,500 annually thereafter-The fire department will try to complete this process as effectively as we can_ We anticipate implementing of the following documents by. I f lamn'r Cnuirty is mi Eq" C�Wrtunily Frtra,irr acid hupfaurr. 601 Page Funded Responsible Cost I nfunded Responsible Implementation Part Implementation Paro 10 year Long Juric202_a Contractor& S85.450 June 2025 Chiet'Todd Range Master HYD Staff Plan(LR!►1P Standards of Septcmtxr'_'il'_3 Contractor& S41000 Junc 2027 Chief Todd Caver(S()['.1& HFD Staff IS?h_UOO of Community Risk scparatc tram Assessment LR 1tP Y i('RA Srear llecember'_U_, Contractor& SIo.1150 Junc 202-3 ChtefTodd C'ommunirt HFD Staff Centered Strategic Plan 1('(-SP Recommendation 3 We recommend HFD develop and implement a comprehensive vehicle profile for each of its apparatus. Recommendation 4 We further recommend HFD develop and implement a maintenance and replacement plan to ensure safe and cost-effective operations based on evidence. The plan should include the following: • Establish a comprehensive vehicle list • Track age.mileage.and condition • Determine which vehicles are appropriate for what terrain • Establishing replacement targets iage. mileage. lifetime maintenance costs,class of vehicle, etc.) • Regular inspection of high-risk vehicles • assign apparatus from high volume stations to low volume stations to extend the useable life Management Response to Recommendations 3& 4 We concur with these recommendations with reservations. Management is in full agreement with these recommendations.but the following circumstances could affect the implementation. The fire department has limited free staffing and funding to allocate towards achieving either of these recommendations. To achieve these recommendations we propose the following: 1_ Creation of a Clerk III position to work with the mechanics shop to start the process of tracking vehicle repairs,maintenance.and status. Estimated cost is 543,5110 based on median wage of the position. (this can also be found on supplemental request#7 for FY 21,23) 2. Creation of a Clerk III position in Auxiliary,Sm ices to support the warehouse and free up Battalion Chief Hara from clerical work to pursue these initiatives. Estimated cost is 611 Page S43,500 based on median wage of the position.(:this can also be found on supplemental request#3 for FY ?'�3► 3. Replacement of the record management system to allow for the tracking of vehicle statuses.repairs. and maintenance. New RMS system is estimated to run 545.000 a year. Current budgeted legacy system is S 19.000 a year,so an increase of 526.000 a year for software is needed_ Total costs of implementation of recommendations 3&:4 is$113.500 added to the fiscal budget_ Battalion Chief Vem Hara will be responsible for implementation and policy deployment_ We anticipate implementation to be completed by June of 2023 With adequate funding. Recommendation 5 We recommend HFD work with its Fire Captains to develop a system to compile and maintain a master list of work order items.Where appropriate.HFD should leverage its economy of scale into CIP projects, including but not limited to: • Central XC installs • Roof repairs • Overhead door repairs • Exhaust systems • Generator installs • Review lease agreements to verify landlord obligations regarding facilities maintenance. Management Response to Recommendations 5 We concur with these recommendations_ Management is in full agreement with these recommendations. It should be noted that the Hawaii Fire Department has in the past submitted economy of scale projects,regular projects.small projects,and even very large projects to the Department of Public Works.The buildings"e reside in 24 hours a day and respond from are owned and maintained for the most part by DPW. As an example the Pahala Fire Station roof was identified in 2007 as needing replacement by DPW. Since then the county has spent over S200,000 in planning the process of changing the roof for the station,but has yet to actually replace the roof. Fire personnel currently sleep in a building with buckets to catch rain water.and large sections of the roof rusted away. The Hawaii Fire Department has minimal control or ability to effect repairs on the structures we currently inhabit. That said,we are in agreement that we should have a better tracking system for all of our repairs and work orders. Battalion Chief Vern Hara is currently in charge of this. He is also in charge of ordering,contracts,procurement.distribution, maintenance.dispatch.records. and our mechanics. He has no clerical staff to assist him in these duties.To achieve this recommendation we recommend the following: 1. Creation of a Clerk 111 position in Auxiliary Services to support the warehouse and free up Battalion Chief Hara from clerical work to pursue these initiatives. Estimated cost is 543.500 based on median wage of the position_(this is a duplicate of our above recommendation.and can also be found on supplemental request#3 for FY 22,23) 621 Page This would allow him to free up time currently being spent on clerical work_Total costs of implementation of recommendation 5 is$43.500 added to the fiscal budget. Battalion Chief Vern Hara will be responsible for implementation and policy deployment. We anticipate implementation to be completed by April of 7023 with adequate funding. Recommendation 6 We recommend HFD pilot a relief pool program to control overtime expenditures while better meeting constant staffing needs. Management Response to Recommendation 6 We concur with investigating this recommendation. Having taken a cursory look at the data provided we think that this recommendation provides very interesting potential to provide staffing and potentially reduce costs_At this time we cannot say whether it is entirely feasible with DHR and HFFA_We will start the investigation of this recommendation.and put together a report by September 2022 for discussion with the relevant departments_Deputy Chief Moller will take the lead on this.with assistance from Assistant Chief Clkinaka. He has no clerical staff to assist him in these duties. To achieve this recommendation we propose the following: 1. Creation of a Clerk III position in Admin to support the Assistant Chief and free him up from clerical work to pursue these initiatives. Estimated cost is$43.500 based on median wage of the position_(this can also be found on supplemental request#3 for FY 22'23) Recommendation 7 We further recommend HFD follow and enforce internal controls to limit rank-for-rank overtime to ninety-six hours for each quadrimester. Recommendation 8 We further recommend HFD follow and enforce the non-emergency overtime policy. Management Response to Recommendations 7& 8 We concur with these recommendations_ We will start enforcing internal control limits on rank-for-rank overtime.and enforce the non- emergency overtime policy. Part of the difficulty of this is our current tracking of data is on paper timesheets,and pulling statistics in the past has been linvted by available time to manually compile data. We will need some help from the County Auditor's Office in setting up automatic data analysis on payroll statistics,or consider alternative systems or programs that can track this data in real time.Assistant Chief Darwin Okinaka will be responsible for this.and will have his operational battalion chiefs enforce this policy. We believe with some assistance the County Auditor's office on automating our data. vve can have this implemented by July of 202-1. To achie,-e these recommendations we propose the following: 631 1. Creation of a Clerk III position in Admin to support the Assistant Chief and free him up from clerical work to pursue these initiatives. Estimated cost is$43.500 based on median wage of the position.(this is a duplicate of our above recommendation,and can also be found on supplemental request#3 for FY 21'23) Recommendation 9 We recommend HFD develop budgeting benchmarks to assist county management"s understanding of budget requests. Management Response to Recommendation 9 We concur with this recommendation. Management is in full agreement with this recommendation. This is something,,ve are currently working on when time permits. It is noted that we believe recommendations 1.2 are highly tied into this request. To give the best information on what the department should be budgeting for.a Standards of Cover(SOC I. a Community Centered Strategic Flan.and a Community Risk Assessment are critical. These documents lay out the expected level of service and are critical to basing budget goals and benchmarks. To achieve this recommendation we propose the following: I. Creation of a Business Manager position in Admin to support the Fire Chief in his pursuit of this recommendation. Estimated cost is$104.652 based on median wage of the position.(this can also be found on supplemental request#3 for FY 2-11,213) ?. Funding for reconunendations 1 &2 (5459,500) Chief Todd is responsible for this recommendation-We will seek a complete and thorough accounting for each fiscal year in September to present for the budgetary cycle. Recommendation 10 We recommend HFD evaluate its volunteer program to: • Enhance the incentive for participation • Develop organizational structure and support roles • Invest into volunteer infrastructure,especially those servicing rural communities who often represent the fust line of defense. Management Response to Recommendation 10 We concur with these recommendations with comments. Management is in full agreement with this recommendation. but it should be noted that implementation of any evaluation findings,will probably run into a funding wall. While administration can produce a report after evaluating the volunteer progran-L the largest issue is that there is almost no funding to support the 18 volunteer fire stations.Realistically to fund and replace vehicles. build up proper infrastructure,and to handle administrative paperwork we can roughly estimate that this section needs a budget of at least several million dollars and the 641 Page p f I addition of support staff positions_To achieve these recommendation we recommend the following., 1. Approval of supplemental budgetary request". A for FY 2223 for 5455.000 to fund additional positions to support the volunteer sections of the fire department. 2_ Approval of supplemental budgetary request#96 for FY 22 23 for S1.200,000 to fund operating capital expenditures to support the volunteer sections of the fire department. The total costs of these recommendations are 51.655.000. Management will evaluate the volunteer program to meet the goals of the recommendation. Volunteer Commander Bertsch and the Two Fire Captains assigned to the volunteer section will work on this_ An analysis and final report will be completed and subnutted by September 2022. Recommendation 11. We recommend HFD earmark a set number of training hours annually for each employee based on their position title and training needed to maintain proficiency. Recommendation 12. We further recommend HFD develop a tracking mechanism to measure: • Participation • Certifications held • Renewal dates Management Response to Recommendations I1 & 12 We concur with these recommendations with reservations. Management is in full agreement with these recommendations.but the following circumstances could affect the implementation. The fire department believes that having adequate inventory and accountability of the training is essential to maintaining safety of our personnel and to produce the best outcomes for the public. It should be noted that there are currently only three salaried personnel in the training branch to handle the training of 40 new firefighter recruits each year.and manage continued training and certification of over 400 employees who have an average of 5 certifications and or licenses that need training. and dociunentation. The training branch has no clerical staff. Management will earmark a set number of training hours.and produce a plan to track the hours properly for certification held by personnel. Battalion Chief Patrick Springer will be in charge of this. A report will be completed by September 2022_ The success of any recommendation from this report will probably highly rely on funding support.To achieve these recommendations we propose the following: 3_ Creation of a Clerk III position in the Training Section to support Battalion Chief Springer and handle clerical work so that lie can pursue these initiatives. Estimated cost is 543.500 based on median wage of the position.(this can also be found on supplemental request ti3 for FY 1'23 651 4. Creation of four(4)recruit training officer positions to support training operations for firefighter recruits. These positions are currently being funded through overtime_ Expected cost are. $276,803 annually to fund the base salaries for these positions(this can also be found on supplemental request#9E for FY 22213) 5. :'Approval of supplemental budgetary request#9F for FY 22 213 for 5300.000 to fund training and maintenance of certifications for the fire department. The total cost of these recommendations are 5622.303 annually. Recommendation# 13. It is recommend HFD work with Finance to revise the County's Vehicle Use Police.specifically the refill gas section.to include provisions for electrically powered vehicles. Management Response to Recommendations 13 We concur with this recommendation. Ntanagement is in full agreement with this recommendation. A policy has been developed, clearly stating the issues and consequences of utilizing Employer provided services without compensation or authorization. This policy is required to be consulted on. The Policy will be put into effect following the consultation process. Additionally. Management feels that with the increased emphasis on Electric Vehicles and the potential transfer of the County Fleet to non-fossil fuel vehicles,fee driven Electric Power Recharging Stations at all Fire Department Facilities would be a positive initiative. The fire department will try to complete this process as soon as we can. We anticipate implementing an Employer Provided Services Standard Operating Guide by June 2022. Deputy Fire Chief Moller will be responsible for implementing the recommendation for policy development and triennial review_ 661 (�//�,�/ County of Hawai'i 7> Office of the County Auditor County Auditor 120 Pauahi St., 309 �• Hilo, HI 96720 808.961.8386 ;+f•,,. ..•.r`r www.hawaiicounty.gov The Office of the County Auditor is tasked with promoting accountability, fiscal integrity, and openness in local government. Our work is intended to assist County government in its management of public resources, delivery of public services, and stewardship of public trust. Copies of this audit report can be obtained by contacting the Office of the County Auditor or visiting our website: httl)s//www hawaiicounty_gov/our-county/legislative/office-of-the-county-auditor/audit-reports