A Multi-Agency Review of The October 1991 Fire In The Oakland-Berkeley Hills

Oakland – (Special to OaklandNewsOnline.com) – This text is directly from a publication called “A Multi-Agency Review of The October 1991 Fire In The Oakland-Berkeley Hills” and this blogger, Zennie Abraham, happened to find online in what is called a giant “Internet archive”. The document was prepared for then-Oakland Mayor Elihu Harris and Berkeley Mayor Lonnie Hancock.

How The 1991 Oakland Hills Fire Started And What Happened?

Frrom the report you’re about to read, here’s a multi-paragraph summary of The 1991 Oakland Hills Fire:

The fire began at or near the location of a three-acre fire on the previous day. Because there was no wind on Saturday, the 19th, the small fire was controlled with relative  ease. Firefighters doused the burn area with water before they left late in the evening of  the 19th. 


By 8:30 a.m. the next morning, Oakland Fire Department personnel were on the  scene continuing mop-up of the Saturday fire. They were dealing with a few flare-ups-- successfully--when, at about 10:45 a.m., a spark from within the burn area was blown by  gusting northeast winds to a fuel-rich spot just out of the burn area. The same winds worked like a bellows on the spark and the fire was out of control in a few minutes. 


The East Bay hills blaze was a classic canyon-influenced fire. The high tops of  Claremont, Grizzly, and Swainland (Horse) ridges and Upper Rockridge hill form a horseshoe-shaped bowl. After ignition, the fire ran up toward Grizzly Peak Boulevard, as  canyon fires tend to do. The strong northeast wind simultaneously blew it down toward  Buckingham Boulevard. The thermal column from the fire quickly reached a thermal  inversion layer at around 3,500 feet. This layer effectively put a lid on the bowl and trapped  the heat; this preheated all the fuels within the bowl and made ignition more likely. 


As the fire swept downslope, driven by the fierce wind, it gained momentum from  the continuous cover of coyote brush and trees. The fire moved directly from tree cover to  houses along the lower canyon slope. Within 15 minutes of the first house ignition, the fire had gained such intensity that it developed into at least one, and probably two, firestorms. 
It then swirled up, around, and through Hiller Highlands. An airborne observer described  the thermal column as looking and behaving like a tornado. 


Airborne flaming material spread the fire across Highway 24, an eight-lane freeway.  Both brush and combustible roof coverings on the south side of Highway 24 were ignited.  The airborne observer reported 50 or more roofs in Upper Rockridge igniting one after the  other, much like lights coming on in rooms as someone races down the hallway flipping on  the switches. 


The October 20th fire ignited 790 structures in its first hour. In the ten hours that it roared through Oakland and Berkeley’s prime hill areas, it torched homes at the rate of one each 11 seconds. It defied every attempt to stop its progress until thousands of firefighters (resident, volunteer, and professional) assembled hundreds of pieces of fire apparatus, and the wind subsided. 


That evening the wind subsided and, in some places, changed directions to blow back  over the burned area. The fire spread was halted on all fronts, except for a few spot fires  along the perimeter, by 9:00 p.m. Sunday evening. Firefighters drew a perimeter around the  fire by the pre-dawn hours of Monday, October 21. The fire was declared "contained" on 
Tuesday afternoon and "under control" on Wednesday morning.


The East Bay Hills Fire 


A Multi-Agency Review of the October 1991 
Fire in the Oakland/Berkeley Hills 


IN Lit e} Ke, RNA 


East Bay Hills Fire Operations Review Group 


State of California 
Governor's Office of Emergency Services 


Pete Wilson 
Governor 


Richard Andrews, Ph.D. 
Director, Office of Emergency Services 


STATE OF CALIFORNIA HETE ILS OS Sisco 


me 


OFFICE OF EMERGENCY SERVICES 


2800 MEADOW VIEW ROAD (CUA ML MIAR EO RaNnCA 


SACRAMENTO, CALIFORNIA 95832 * 
(916) 4274990 ‘ 


(ita 
California Office of 
Emergency Services 


To Readers of this Report: 


The calamity in the hills of Oakland and Berkeley on Sunday, October 20, 1991, was 
California’s most devastating fire since the conflagration that ravaged San Francisco in 1906. 


In preparing this report, careful attention has been paid to issues raised by residents 
and the media regarding circumstances surrounding the fire. 


We believe this report is a definitive account of public agency emergency operations 
related to the East Bay hills fire. It may not, however, answer every question. 


Our focus is toward the future, toward lessons that should be learned by all fire 
agencies, emergency services personnel, elected officials, and the public. 


Two fundamental points need to be made: 


cm iL In the absence of aggressive fire mitigation efforts, public safety officials may 
again face circumstances as overwhelming as those encountered on October 20. 


An earlier report published by the Office of Emergency Services and the 
Federal Emergency Management Agency -- Hazard Mitigation Report for the East Bay Fire 
in the Oakland - Berkeley Hills -- details mitigation measures to reduce fire risk in 
California’s most vulnerable communities. 


2; When truly catastrophic events happen, standard methods for managing large- 
scale emergencies may prove inadequate. 


Public safety agencies at all levels -- fire, police, emergency services, 
emergency medical -- should develop protocols for quick identification of potentially 
catastrophic situations, and institutionalize procedures for rapid assignment of resources and 
personnel based upon meaningful damage assessments. 


The Office of Emergency Services will accelerate work with agencies throughout 
California to enhance our ability to respond to potentially catastrophic events. 


Richard Andrews, Ph.D. 
>» Director 


THE EAST BAY HILLS FIRE 


Report to: 


Elihu Harris, 
Mayor of Oakland 


& 


Loni Hancock, 
Mayor of Berkeley 


ty 


from the CRIVERSITY oe 


East Bay Hills Fire 
Operations Review Group 


of the 


Governor’s Office of Emergency Services 


February 27, 1992 


Digitized by the Internet Archive 
in 2024 with funding trom 
state of California and California State Library 


https ://archive.org/details/C 124903647 


COMMENDATIONS 


Members of the community and public safety personnel responded with inspiring 
dedication and heroism on October 20, 1991. 


The exceptional performances of these individuals -- too numerous to be each 
mentioned -- prevented a much larger loss of life and property. 


The efforts of residents and public safety officials were undertaken under extremely 
difficult, often life-threatening circumstances. People did the best they could, working long 
hours in an environment that included searing heat and flames, blinding smoke and 
sometimes erratic, hazardous fire behavior. 


The fire-fighting abilities of individual engine companies, from Oakland and 
Berkeley, other responding jurisdictions, the California Department of Forestry and Fire 
Protection and East Bay Regional Parks District, attests to their collective experience and 
dedication. 


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TABLE OF CONTENTS 


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PREFACE 


On October 25, 1991, in a letter to Governor Pete Wilson, Oakland Mayor Elihu 
Harris asked the state to conduct a review of the operational effectiveness of fire, police and 
emergency management response to the East Bay hills fire. The review concentrates on 
four aspects of response: policies, procedures, equipment and training. The Mayors of 
Oakland and Berkeley constituted separate task forces to receive and consider input from 
citizens and community-based groups on the fire response. 


The Governor’s Office of Emergency Services (OES) was assigned the responsibility 
for the conduct of this review. OES is a state agency, reporting directly to the Governor, 
responsible for coordination of emergency planning, response and recovery. OES is not a 
regulatory agency. It plays a key role in coordinating training and mutual aid response 
related to all emergencies. 


OES empaneled a review group composed of individuals with broad experience in 
the fire service, law enforcement and emergency services disciplines. The group began work 
on November 8, 1991. 


Initially the group reviewed all printed accounts related to this incident. This 
material yielded a list of potential issues: concerns voiced by citizens; potential 
discrepancies in inter-agency coordination; and difficulties in managing an emergency of this 
size and scope. Eventually, an outline was developed from this long list. Outline headings 
are reflected as sections in this report. 


The work was divided among group members. They reviewed logs and records, 
conducted interviews, and received briefings on equipment and systems in place at the time 
of the fire. Over 75 individuals involved in response were interviewed. Simultaneously, a 
written survey was disseminated to fire agencies that sent resources to the fire, including the 
cities originally with jurisdiction over it. Over 400 survey responses were eventually 
received. With information gathered in this manner, and from the experience of group 
members, this report chronicles what happened and formulates realistic recommendations. 


The report is organized in a manner consistent with the time-sequence involved in 
response to this emergency. However, this is not chronological in every case. It begins with 
a discussion of the preparations and conditions present in each department prior to the fire. 
Since fire response begins with a call to some communications center, these sites, and 
communications capability in general, are considered next. 


Alarm is considered next. The Saturday fire, and the adequacy of mop-up related 
to it, is discussed in the mop-up segment of this report which appears later. 


sive 


Strategy and tactics are considered next, with discussion of actual decision making 
and coordination. The Mutual Aid System and the Incident Command System are then 
discussed with emphasis on the relationship between these systems and their components. 


Evacuations, a critical action in major fires, receives specific consideration. This is 
followed by discussion of the use of volunteers, the mop-up process, and demobilization. 


The final issues considered are those related to public information, law enforcement, 
and emergency management. 


In each case, the information records significant activities, processes or issues which 
led the group to suggest specific recommendations. In some cases, a general theme emerged 
that necessitated a recommendation. 


This report is prepared in the spirit of improving the fire service and public safety 
within not only Oakland and Berkeley, but throughout California. The goal of the review 
is to enhance response to future emergencies. 


Michael Guerin 
Review Group Chair 


6 


ACKNOWLEDGEMENTS 


This report could not have been produced without the cooperation of the fire 
departments of the affected communities, the East Bay Regional Park District, and 
Lawrence Livermore Lab. The generous help offered by individual members of those 
departments was invaluable in forming a comprehensive understanding of what went on 
during the October 20th fire. 


The detail and depth provided by all the departments that responded to the review 
group’s questionnaire is also greatly appreciated. 


The task of assembling and sifting all the findings fell to the members of the East 
Bay Hills Fire Operations Review Group. Together members of the group have over 500 


years of experience in firefighting and fire management, including both wildland and urban 
expertise. 


REVIEW GROUP 


* Michael Brady, Chief of the Hazardous Materials Section for OES’s California 
Specialized Training Institute. 


x Tom de Bakker, Deputy State Fire Marshal for the California State Fire Marshal’s 
Office. 


2 Denise Knight, Deputy State Fire Marshal for the California State Fire Marshal’s 
Office. 


= Dan Matson, Deputy Chief with the California Department of Forestry and Fire 
Protection. 


| William Maxfield, Fire Chief of the Contra Costa County Fire Protection District. 
= Gerald Newcombe, Vice-Chair of the State Board of Fire Services. 
“ Loren Poore, Chair of the Interagency Wildland Fire Prevention Committee and the 


Wildland Arson Response Group. 


DEPARTMENT LIAISON REPRESENTATIVES 


6 Paul Burastero, Assistant Fire Chief in the Berkeley Fire Department. 


w Richard L. Jones, Administrative Captain with the Piedmont Fire Department. 
= Alford Nero, Captain for Administration with the Oakland Fire Department. 


| Andrew M. Stark, Assistant Fire Chief for Operations with the Oakland Fire 
Department. 


LAW ENFORCEMENT REPRESENTATIVE 


a Laurence Buffaloe, Chief of the OES Law Enforcement Division. 


EMERGENCY MANAGEMENT REPRESENTATIVE 


a Vincent Montane, Regional Manager for state OES Region II. 


REVIEW GROUP COORDINATOR 


a Richard Aronson, Chief of the OES Fire and Rescue Division. 


PRINCIPAL STAFF 


| Richard Millar, U.S. Forest Service Retired. 


e Bill Tonguet, OES Fire and Rescue Division Retired. 


REVIEW GROUP CHAIR 


a Michael Guerin, OES Assistant Director responsible for Response and Recovery. 


We are grateful to all who helped the group gather, review, and interpret data. 
Karen Coombs, Frank Potter and Bruce Gadbois of CSTI contributed to the survey design 
and analysis. 


We would especially like to acknowledge the following: Laura Ghilardi, word 
processing; Sarah Nathe, editing; and Sue Dubie-Holbrook, printing/assembly of this 
document. 


- Vii - 


EXECUTIVE SUMMARY 


A. SCOPE OF REPORT 


This report is intended as a review of the operations of all agencies that responded 
to the October 20, 1991, fire in the East Bay hills. In keeping with the request that 
occasioned it, the report concentrates primarily on training, procedures, equipment, and 
policies. 


The report is organized in sections that address operations in each arena of fire 
fighting, from training and preparedness to mop-up and demobilization. Although the focus 
is on fire organizations, public information, law enforcement, and emergency management 
operations are also reviewed. 


The material presented here was gathered as thoroughly as possible. It does not 
depict each front of the fire at every moment. Nor does it adequately represent how much 
was going on simultaneously as the fire raged. 


The order imposed on the material is intended to allow for evaluation of major 
issues, and statement of significant recommendations. It is roughly chronological, from the 
beginning of the fire to demobilization some days later. 


To make the recommendations most obvious, they are listed below in summary form, 
and in the order in which they appear in the report. 


B. RECOMMENDATIONS 


1. Preparedness 


& Improve public safety agencies’ understanding of the national fire danger 
rating system. Components related to ignition, spotting potential, expected 
rates of spread, and fire behavior are pertinent to wildland intermix fires. 


a Develop local emergency action plans that deal effectively with "red flag" 
program. Urban fire departments with hillside /wildland intermix areas should 
train staff in the application of the national fire danger rating system. 


a Revise local hillside/intermix fire plans in light of the experience of October 
19-20, 1991. Fire hazard mitigation measures are essential. 


8 Coordinate plans and mitigation measures with other jurisdictions and 


government levels. See the joint federal, state, local Hazard Mitigation Report 
for the East Bay Fire, issued by FEMA and OES, for greater detail. 


Bie 


Make wildland fire control a component of scheduled training. 


2. Communications 


Assign a supervising fire dispatcher to be present in dispatch centers at all 
times. A working knowledge of fire terminology and mutual aid procedures 
is important to handle complex or large emergencies. 


Separate fire and police dispatch functions whenever possible. This assures 
that the fire dispatcher is knowledgeable and paying undivided attention. 


Train fire dispatchers in terminology, mobilization of fire and support service 
apparatus, and air operation deployment. An ability to keep track of 
resources and their locations is also necessary. 


Train dispatchers in initiating mutual aid requests and recognizing the "intent" 
of mutual aid requests. 


Plan to allocate radio frequencies by function, operational division, and 
support service. Monitor each frequency at the command center. 


Set up dedicated "outgoing only" telephone lines in dispatch centers. Do not 
list or post the outgoing line numbers. 


Conduct frequent interagency radio communication exercises. All fire 
departments in an area should participate. 


3. Strategy and Tactics 


Expand operational level command staff to meet recognized standards for 
span of control in fire fighting. One chief officer for each five to eight 
operational companies is optimal. 


Appoint a deputy chief to enhance interplatoon coordination and insure unity 
of command concepts. 


Recognize the limitations of air tankers and water-dropping helicopters. 
Agencies with those resources should provide all urban fire departments with 
guidelines for safe & effective air operations. 


Develop a more expedient means of adapting hydrant outlets from 3" to 2- 
1/2" National Standard Thread. Investigate the feasibility of installing 
adapters with break-away caps. 


Upgrade the water grid sufficiently to produce a fire flow consistent with 
building density and size. 


ca 


Install a permanent auxiliary pumping system for refilling all upper water 
zones in hill areas. 


Maintain a list of locally available water tenders at all fire dispatch centers. 


4. Mutual Aid System 


Prepare all fire service agencies for "worst case" scenarios, particularly fires, 
earthquakes, hazardous material and mass casualty incidents. 


Increase the response speed and capability of California’s mutual aid systems. 
Improve inter-regional alerting protocols. 


Hold more frequent mutual aid mobilization exercises. Design them to be 
real-time. 


Include a designated strike team leader in all prearranged strike team 
consignments. 


Begin moving requested resources immediately. 
All fire departments should plan for receiving mutual aid from many 
participants. Include in plans reporting, staging, deployment, supporting and 


demobilization protocols. 


Make exercises for wildland/structural fires part of the regular training 
schedule. Interagency, multiple company exercises should be held yearly. 


Establish automatic mutual aid, boundary drops, and interagency response for 
mutual threat zones, including multi-disciplinary incidents. 


Familiarize all personnel with protocols, procedures and terminology for 
requesting air support. 


5. Incident Command System 


Provide training to all local emergency response personnel in the ICS system. 
Personnel outside emergency services should also be trained in the areas of 
logistics and finance. 


Schedule increased interdepartmental drills in ICS. 


Reduce incompatibility in communications systems at all levels, and between 
local and state agencies. 


Include in ICS training and drills opportunities to learn and practice the 
transition from single resource to multi-agency incident. Both command and 
support staff benefit from working on this complex set of procedures. 


Design exercises to allow all officers to gain experience in all operational 
roles. 


Include a communications function in the ICS structure. 


Plan for early information/intelligence gathering and procedures for sharing 
with Emergency Operations Center and media. 


6. Evacuations 


Clarify in each jurisdiction which agencies have statutory authority to order 
and supervise evacuation. 


Equip all fire vehicles with loudspeakers so that firefighters can inform 
citizens of need for evacuation. 


Schedule information exchanges among all operational level fire and police 
personnel from all jurisdictions in a mutual threat zone. Discuss local 
procedures, authority, and automatic mutual aid agreements. 


Use the Emergency Broadcast System (EBS) and Emergency Digital 
Information System (EDIS) to its fullest benefit. 


Conduct public information campaigns throughout California on evacuation 
issues. 


7. Volunteers 


8. Mop-up 


Plan and prepare to deal with and use spontaneous volunteers and resources 
early in an incident. 


Create an organizational element in fire departments to manage and use 
voluntary resources. 


Develop a policy in every emergency organization to promote and use 
volunteers. 


Make wildland fire mop-up techniques a component of scheduled training. 


~% 9. Demobilization 


a An independent committee of the Fire and Rescue Mutual Aid System is 
studying this issue and will make recommendations at a later date. 


10. Emergency Public Information 


a Dispatch a trained Public Information Officer (PIO) immediately to any major 
incident. Give public information provision a high priority. 


i Include a team of PIO’s in the emergency response plan for every city and 
county. 
= Equip the PIO team with a mobile and EOC information center, complete 


with staff, phones, and fax machines. 


a Plan to provide media reporters with access to information, whether by phone 
or by entrance to the disaster area. 


= Train law enforcement personnel from all cities in recognizing the access 
rights of media representatives. 
Ss 
11. Emergency Management 
= Enhance multi-discipline coordination, particularly between fire, law, and 
emergency services agencies at all levels. 
= OES should develop formal mutual aid procedures for emergency services 
personnel. 
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THE FIRE 


The October 20, 1991 fire started in the Oakland hills north of the Caldecott Tunnel, 
near Buckingham Boulevard. This is a residential area of Oakland, with houses built rather 
densely, some on steep hill slopes, and many surrounded by abundant shrubbery and trees. 
In this area there have been other major fires: most notably, one in September of 1970 that 
burned more than 200 acres in roughly the same neighborhood and destroyed 37 homes; and 
the infamous September, 1923 fire which burned through the Berkeley hills and down into 
the city, destroying over 600 homes in an hour. 


The structures in the hills are mostly wood frame; their siding is wood panel, wood 
shake, or stucco; and their roofing is wood shake, ceramic tile, asphalt shingle, or other 
forms involving rock and asphalt. 


The fire began at or near the location of a three-acre fire on the previous day. 
Because there was no wind on Saturday, the 19th, the small fire was controlled with relative 
ease. Firefighters doused the burn area with water before they left late in the evening of 
the 19th. 


By 8:30 a.m. the next morning, Oakland Fire Department personnel were on the 
scene continuing mop-up of the Saturday fire. They were dealing with a few flare-ups-- 
successfully--when, at about 10:45 a.m., a spark from within the burn area was blown by 
gusting northeast winds to a fuel-rich spot just out of the burn area. The same winds 
worked like a bellows on the spark and the fire was out of control in a few minutes. 


The East Bay hills blaze was a classic canyon-influenced fire. The high tops of 
Claremont, Grizzly, and Swainland (Horse) ridges and Upper Rockridge hill form a 
horseshoe-shaped bowl. After ignition, the fire ran up toward Grizzly Peak Boulevard, as 
canyon fires tend to do. The strong northeast wind simultaneously blew it down toward 
Buckingham Boulevard. The thermal column from the fire quickly reached a thermal 
inversion layer at around 3,500 feet. This layer effectively put a lid on the bowl and trapped 
the heat; this preheated all the fuels within the bowl and made ignition more likely. 


As the fire swept downslope, driven by the fierce wind, it gained momentum from 
the continuous cover of coyote brush and trees. The fire moved directly from tree cover to 
houses along the lower canyon slope. Within 15 minutes of the first house ignition, the fire 
had gained such intensity that it developed into at least one, and probably two, firestorms. 
It then swirled up, around, and through Hiller Highlands. An airborne observer described 
the thermal column as looking and behaving like a tornado. 


Airborne flaming material spread the fire across Highway 24, an eight-lane freeway. 
Both brush and combustible roof coverings on the south side of Highway 24 were ignited. 
The airborne observer reported 50 or more roofs in Upper Rockridge igniting one after the 
other, much like lights coming on in rooms as someone races down the hallway flipping on 
the switches. 


The October 20th fire ignited 790 structures in its first hour. In the ten hours that 
it roared through Oakland and Berkeley’s prime hill areas, it torched homes at the rate of 
one each 11 seconds. It defied every attempt to stop its progress until thousands of 
firefighters (resident, volunteer, and professional) assembled hundreds of pieces of fire 
apparatus, and the wind subsided. 


That evening the wind subsided and, in some places, changed directions to blow back 
over the burned area. The fire spread was halted on all fronts, except for a few spot fires 
along the perimeter, by 9:00 p.m. Sunday evening. Firefighters drew a perimeter around the 
fire by the pre-dawn hours of Monday, October 21. The fire was declared "contained" on 
Tuesday afternoon and "under control" on Wednesday morning. 


The fire killed 25 people, injured 150, and burned over 1600 acres. It destroyed 3354 
single family residences, 456 apartments, and did an estimated $1.5 billion in damages. 


As home building continues to spread into the very desirable locations in California’s 
foothills, fires like the East Bay hills fire will become more common. But the 
urban/wildland interface, or intermix, fire involving homes built near or in brush areas is 
vastly different from the fires urban firefighters encounter on a daily basis. It also differs 
from wildland fires in many respects because it involves the very generous fuel supply 
provided by wood structures. 


A fire burning 400 or more homes per hour does not allow for normal fire-fighting 
tactics -- either urban or wildland. Few if any fire departments have the resources necessary 
to control such a fire quickly. They must rely on mutual aid. Although California has an 
excellent master mutual aid plan, it can not respond fast enough in most cases to prevent 
an intermix fire from destroying many homes. 


The East Bay Hills fire is similar in many respects to the Paint fire in Santa Barbara 
County in July of 1990, and the College hills fire in Glendale in June, 1990. None of the 
fires is considered large in terms of wildland fires, but each one presented unique challenges 
to firefighters: water pressure was inadequate; narrow streets quickly became blocked and 
impeded both ingress and egress; numerous untreated wood roofs contributed to fire spread; 
most houses were without proper bush clearance; and the fire advanced along multiple 
fronts. 


Complicating the fight against each fire were additional problems: resources were 
immediately overtaxed; communications were inadequate; extensive evacuations were 
necessary; the struggle to save houses and groups of houses had to be abandoned in order 
to consolidate resources or control fire spread; incoming mutual aid units were unfamiliar 
with the area; and coordination was needed among law enforcement, fire, and other 
agencies. 


The natural forces at work on October 20, 1991 were extreme, but not exceptional 


for the season, the place, and the ecosystem. The high temperature (92°F) set a record -- 
by one degree. The relative humidity was very low (16%), as it frequently is in October. 


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The temperature inversion at about 3500 feet, high winds from the northeast (averaging 20 
mph, gusting to 35-50), and dry conditions from a long-term drought were all fairly typical 
for an autumn day. The only atypical phenomenon was the especially abundant fuel supply 
provided by a freeze the previous December that killed plants and trees. But the freeze 
only increased available fuel; it didn’t create it. 


The conditions were conducive to the conflagration that resulted, but they were not 
exceptional. They occur in hilly, urban/wildland intermix areas all over the state every 
autumn. We can do little to control them, but we must be ready for them. We can control 
construction and subdivision standards. We can adopt and enforce prudent brush, limb, and 
debris clearance standards. We can widen roads and provide alternate safe routes of access 
and egress. Or we can continue to pay for our failure to do so through higher fire insurance 
premiums, taxes, utility bills, and -- from time to time -- death and destruction. 


The choice is ours: elected and career public officials, neighborhood groups, and 
citizens each have a role and a responsibility. The choice is not exclusive to Oakland and 
Berkeley -- a tour through any of California’s hill communities reveals a potential for other 
tragic urban/wildland intermix conflagrations. How well we heed the lessons from this 
disastrous fire will determine the safety of future development in California. 


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l. PREPAREDNESS 


A. INCIDENT MANAGEMENT 


California’s fire service has adopted the Incident Command System (ICS) for all 
emergency management needs. The system provides for the orderly expansion of emergency 
management from a single operational unit to a large multifaceted, interdisciplinary and 
interagency emergency group. Training for implementation of ICS varies greatly on a 
department-by-department basis throughout the state. 


Both Berkeley and Oakland utilize ICS. Berkeley has been utilizing the system for 
several years. Oakland started implementation and training following the 1989 earthquake. 
All of Berkeley’s Senior Chief Officers have completed the National Fire Academy’s 
"Command and Control" course, which includes ICS. Most of Berkeley’s operational level 
officers have completed the ICS Strike Team Leader course. 


Oakland’s Training Division provides orientation training for company level officers. 
Oakland routinely utilizes ICS during multiple-company drills to give chief officers 
experience in performing the various functional specialties of the system. Oakland’s 
operational level chief officers are all qualified strike team leaders. 


Both departments utilize ICS for all emergencies and it is therefore incorporated into 
training exercises wherever command and control elements are present. 


B. WILDLAND TRAINING 


Berkeley’s training division schedules and monitors company level training. Wildland 
training is included in the daily training schedule throughout the year. Berkeley participated 
in interagency wildland exercises with the East Bay Regional Parks in the spring of 1991. 
Some of Berkeley’s company and operational level chief officers participated in a wildland 
fire mutual aid exercise with Santa Clara County in 1990. 


Oakland’s training division schedules and monitors company level training. Wildland 
fire topics are routinely included as a study assignment. Drills (exercises) are scheduled on 
an as-needed-basis. There had been no recruit classes during 1991 and no wildland 
exercises were scheduled. 


C. MUTUAL AID 


Berkeley routinely includes mutual aid training in the schedule for company officers. 
Oakland’s training schedule does not routinely include mutual aid procedures. Personnel 
often gain practical experience because of their frequent involvement in mutual aid 
responses. 


Ot 


D. PLANS 


Berkeley has a written plan which outlines procedures/actions for hill fire 
emergencies ("Panoramic Hill Fire Response and Hill Fire Problem"). 


Oakland has a formally adopted "Hills Plan" which defines operational policies and 
guidelines for hill fire contingencies. The plan was used on October 20, 1991. 


Each of the departments is currently revising its respective hill fire plan. 


The "red flag" program is part of the US Weather Bureau fire weather forecast. 
These fire weather forecasts are used by the National Fire Danger Rating System to 
generate forecast manning/dispatch indices and weather. In order to use this program, cities 
need to understand the system and have an action plan for "red flag" watch/warning periods. 


E. RECOMMENDATIONS 


# There should be a better understanding of the National Fire Danger Rating 
System. This includes the components related to ignition, spotting potential and expected 
rates of spread and fire behavior. This includes the need for local emergency action plans 
that deal effectively with "red flag" programs. Local agencies should make arrangements 
with the Office of Emergency Services and Department of Forestry and Fire Protection to 
receive these warnings on a timely basis. 


a Urban fire departments, particularly those with wildland intermix fire 
problems, should have some persons within their departments trained to understand the use 
and application of the National Fire Danger Rating System. 


= Local hillside/intermix fire plans for hazardous fire areas should be revised 
in light of the information discerned through this fire review. Again, mitigation measures 
are essential. Response patterns should change as a result of the lessons of this fire. 
Automatic aid integrated first alarm response zones should be developed and adopted 
without regard for boundaries. 


cs This review specifically targeted preparation and operations related to the 
emergency response to this disaster. There are hazard mitigation issues that cannot be fully 
separated from this topic. Clearly, topics such as roofing, zones and codes, planning, and 
others have a direct bearing on fire behavior, and rate of spread. While these issues are 
mentioned in this report, see the joint federal, state, and local Hazard Mitigation Report for 
the East Bay Fire, issued by the Federal Emergency Management Agency, for greater detail 
and recommendations. 


a Institute staffing pattern changes to strengthen companies in hazardous fire 
areas during "red flag" programs. 


10: 


| Wildland fire control should become a component of scheduled in-service 
company training. Training should include all aspects of wildland tactics, i.e., SUppression, 
firebreak construction, cold trailing, hot spotting, safety, and survival techniques. 


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ll. COMMUNICATIONS 


The dispatch function and communications between the dispatchers and incident 
commander were two critical parts of the response. It is appropriate to consider the 
dispatching in the context of the real working conditions there, rather than in comparison 
to an ideal environment. 


A. DISPATCH 


1. Oakland 


Normal staffing at Oakland Fire Dispatch is one dispatch supervisor and two 
dispatchers on day and graveyard shifts and one supervisor and three dispatchers on swing 
shifts. On October 20, one dispatch supervisor was present; one veteran dispatcher and one 
with six months experience were on duty. Oakland has the ability to expand to a maximum 
of six staffed consoles, each with the same capabilities. Fire Dispatch operated on a new 
Computer Aided Dispatch (CAD) system that had been installed in June. However, this 
was a replacement for an earlier CAD system and the change did not seem to be a factor. 


Basic training for dispatchers is handled in-house, with the majority learning through 
on-the-job training. There is little formal training on topics such as mutual aid since a Fire 
Officer is typically called in to the Dispatch Center to handle such matters when needed. 
Also, Oakland has historically regarded itself as the "big" agency in the East Bay which 
typically provides mutual aid. Dispatchers rarely handle mutual aid callouts and may not 
be trained in procedures. 


In this case, it appears that adequate personnel responded to dispatch to assist the 
regular staff; Oakland fire personnel, off-duty dispatchers, and even an ex-employee 
responded to Dispatch and assisted with the effort there. Problems which developed were 
generally more related to system capabilities than to personnel. 


The volume of traffic generated by the public and by responding elements overloaded 
all communications systems. No telephone lines are reserved for outgoing calls only. As 
the available phone lines became flooded with calls coming in, dispatch personnel were 
unable to access outside lines to make needed calls in a timely manner. Similarly, radio 
traffic quickly overloaded available frequencies. 


It was reported that fire command in the field had considerable difficulty contacting 
Dispatch at times, often making repeated calls from cellular telephones until finally a line 
cleared and they could communicate on immediate issues. This delay caused the 
information flow to be piecemeal. It was difficult to maintain an accurate picture of 
resources committed or available, and to monitor the progress of the fire itself in all areas. 


{oe 


As one result of the overcrowding of radio channels, field elements turned to self- 
assigning their units to activities based on their best judgment. They were not part of a 
centrally directed response. Others turned to alternate means of communicating: using 
non-fire frequencies or, in at least one case, speaking to an Oakland police officer who 
relayed information through his Dispatch center to the Fire Dispatch Center. At least one 
agency, which had Oakland’s fire frequencies programmed into their radios, was unable to 
contact Oakland Fire on those frequencies. 


Units from outside jurisdictions were called in through the established Mutual Aid 
System and by direct requests outside of that system. Others responded of their own 
volition and assisted in fire-fighting efforts. 


2. Berkeley 


The City of Berkeley began utilizing civilian dispatchers in the Fire Dispatch Center 
in 1976. The separate Police and Fire Dispatch centers were combined in 1984 into a joint 
Public Safety Communications Center. There is one dedicated position for fire dispatching 
and one for police dispatching. These dispatch positions are supported by at least two 
additional call takers and a Dispatch Supervisor. Each position is capable of answering 
telephones, however, radio traffic is handled by the dedicated Police or Fire position. 


Five days a week, from 7:00 a.m. to 4:00 p.m., there is a Fire Captain working in the 
Communications Center to assist in supervising the fire operations. There is also a Senior 
Public Safety Dispatcher (SPSD) position that has direct supervision responsibility. On the 
morning of October 20, 1991, there was no supervisor on duty. The staffing that morning 
included three Public Safety Dispatchers (PSD), and one Police Service Assistant (PSA). 
The PSA is not trained to operate radio equipment. 


The Berkeley Dispatch log clearly indicates the person answering calls was not 
familiar with fire terminology. The log indicates that the Communications Center was aware 
of Oakland’s Saturday fire, but not where it was located, although Berkeley sent two engine 
companies and a chief officer into Oakland to assist on the fire. The Communications 
Center was aware that Oakland Fire Department was working the same fire on Sunday 
morning. 


As the morning of October 20th progressed, people in Berkeley and Oakland, in the 
vicinity of the fire, started calling Berkeley reporting the fire. It was a warm windy day, and 
citizens were becoming concerned as the volume of smoke in the area of the fire increased. 
The Berkeley Dispatcher told callers the fire was in Oakland, and not a problem. As the 
smoke column expanded, so did the calls. There was no contact made by Berkeley 
Communications Center or Berkeley Fire Department to question Oakland on the fire 
conditions. The on duty Berkeley Assistant Chief, after watching the smoke conditions for 
30 minutes, decided to take a look, and proceeded into Oakland. 


The calls to the Berkeley Communications Center intensified to a nearly 
unmanageable point. People were calling asking if they should consider evacuating, and 
were told there was no problem, "Oakland is taking care of it". At 11:41 a.m., a caller asked 


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were told there was no problem, "Oakland is taking care of it". At 11:41 a.m., a caller asked 
about the fire location and was told, "it’s Oakland’s fire, they’re taking care of it. That’s all 
the information I have." These answers were given without contacting Oakland Fire 
Department. At 12:34 p.m., after the second alarm had been requested, citizens were 
advised, "there have been no evacuations, as far as I know". This information was given 
even though the first Berkeley Fire Department officer on the scene had told the dispatcher, 
at 12:16 p.m., to have the Police Department begin immediate evacuation of the area. 


Communications to Oakland Fire Department were hampered because the direct-dial 
TAC (Tactical) Line which usually links East Bay fire departments was not operational. 
The TAC line is a direct-dial line connecting 12 East Bay agencies. The line had been non- 
operational for approximately two weeks prior to the fire. The microwave path for the TAC 
line had been disrupted because of new construction between the line-of-sight microwave 
towers. Rerouting of the transmission loop is expected to take several months to complete. 


B. ALARMS 


It is customary fire service practice to number sequentially, as alarms, the requests 
for, and dispatch of, resources. Each subsequent alarm after the first is generally filled by 
a like complement of resources, i.e, engines, trucks, tank wagons and patrol wagons. Both 
Berkeley and Oakland follow these common practices. For example, if the first alarm 
assignment is for three engines, one truck and a Chief, the second alarm will be filled by 
three engines, one truck, and, where available, another Chief. 


1. Oakland 


Within a period of 24 minutes (11:02 am to 11:26 am) Oakland’s “Tunnel Command 
transmitted SECOND through SIXTH ALARMS. Upon dispatch of the SIXTH alarm 
assignment, committed resources included three Chief Officers, 19 Engines, three truck 
companies, three brush/patrol wagons, and one command van. On the THIRD alarm (11:04 
a.m.), the incident commander requested a California Department of Forestry (CDF) 
response. Standard CDF response to an urban-wildland mutual aid request is one helitac 
unit, two engines, one dozer and one Battalion Chief. A CDF helitac unit includes pilot, 
co-pilot observer, a crew chief and eight Firefighters. 


On the SIXTH alarm, the Incident Commander also requested five mutual aid 
engines. The mutual aid request was filled through Oakland Fire Department 
Communication Center by direct contact with Alameda, Alameda Naval Air Station, 
Emeryville, Lawrence Berkeley Lab, and San Leandro. Everyone associated with Oakland’s 
command-communication structure assumed that Berkeley was already involved. 


“The Incident Commander dubbed this the "Tunnel Fire" due to the proximity of the 
Caldecott Tunnel. 


a2 


Oakland’s SECOND ALARM was transmitted by the Company Officer of Engine 19. 
No reporting location was specified, but there had been sufficient radio traffic from the fire 
scene as to leave no doubt about the location of need. Subsequent alarm assignments were 
directed to the Incident Command Post on Grizzly Peak Boulevard near Marlborough 
Terrace. The FOURTH ALARM (between 11:15 a.m. and 11:25 a.m.) assignment was 
redirected to the Parkwood Apartments. The SIXTH ALARM assignment was redirected 
to Bay Forest Drive. 


The redirections resulted from the rapidly changing conditions. Some responding 
units were reassigned to the upper Rockridge area, others couldn’t get through the 
evacuation congestion and closed roads. In seeking alternate routes, they encountered fire 
conditions requiring defensive fire-fighting to protect evacuees and preserve a route of 
escape. 


From about the time of the FOURTH ALARM, Oakland’s two radio frequencies 
were saturated. There was a constant stream of communication, unit-to-unit, unit-to- 
command, command-to-unit, command-to-communicationcenter, andcommunication center- 
to-command. There was a lot of signal over-riding (mobile overpowering portables) and 
some lost transmissions due to topographical interference. 


Throughout the first 12 hours of heavy operations, communications were the most 
persistent problem. Individual companies often could not communicate with either their 
Division Chief or the Incident Command Post. This inability to communicate often 
necessitated independent and uncoordinated action. On at least one occasion, in the upper 
Rockridge area, a Division Chief's request for resources was lost and may have contributed 
to forced withdrawal from a perimeter control line along Ocean View. 


The companies on Buckingham Boulevard at and shortly after the blow-up, struggled 
frantically to control the fire and evacuate the area. As the fire quickly overran two of the 
four companies, one took refuge in a swimming pool and the other retreated to Engine-8’s 
location at 7235 Buckingham Boulevard. Through an extraordinary effort, crews of Engines 
24 and 8 and an East Bay Regional Parks patrol unit managed to save 7200 and 7235 
Buckingham Boulevard as the fire roared over and around them. Civilians who were 
trapped with them were sheltered in the concrete-walled garage of 7235. 


Over the next two and a half hours, the fire overran perimeter control efforts on 
lower Marlborough Terrace, Bay Forest Drive, Broadway Terrace, Buena Vista Avenue and 
the Parkwood Apartments. The spread was so rapid and of such intensity that there was no 
opportunity to move fire-fighting resources into the Strathmore Ridge or Hiller Highlands 
areas. Fire and Police personnel undertook evacuation of those areas at great personal risk. 
An Oakland Fire Lieutenant recounts a woman standing on a rear deck resisting his 
evacuation orders as the front of her house caught fire. During the first hour, following full 
first alarm commitment, a structure ignited at the rate of one each 4.5 seconds. 


Mutual Aid frequencies (WHITE Channels) were also saturated quickly as incoming 
mutual aid units began arriving in numbers. During the early hours of Command Post 
operation (before 3:00 pm), staffing levels resulted in some WHITE-1 transmissions being 


ra oe 


missed. Both Strike Team leaders and Mutual Aid company officers reported difficulty 
communicating with Oakland’s command structure. Of the 372 mutual aid engine 
companies which responded to this event, 329 were equipped with WHITE FIRE-1, 313 with 
WHITE FIRE-2, and 301 with WHITE FIRE-3. Oakland’s Command Van is equipped for 
WHITE FIRE-1 and WHITE FIRE-2. 


Eagle-5 (East Bay Regional Parks Helicopter) was unable to communicate in a timely 
manner with Oakland’s Command Post on either WHITE or Oakland’s fire frequencies. 
It had to land near the Command Post in order to report. Due to rapidly changing 
conditions, the airborne observer’s information was often negated before it could be 
delivered. Oakland’s fire observer in the Police Department helicopter had similar 
difficulties. Lack of sufficient command post staff to monitor operational frequencies was 
the primary cause of this difficulty. 


Fireground officers were able to communicate the most critical information. Overrun 
positions, serious injuries, casualties, water supply problems, evacuation needs, and unit-to 
unit cautions were communicated. Most radio transmissions were concise and clearly stated. 


In reviewing transcripts of emergency tapes, a person unfamiliar with fireground 
operations, or a particular department’s jargon, might conclude that there was confusion, 
that firefighters’ communication was not effective. When the transmissions are tracked, 
however, it is apparent that meaningful exchanges did take place. Frequent changes in 
command, command post location and division designations all contributed to an already 
confusing situation. Due to the magnitude of the emergency, there simply were not enough 
Oakland Chief Officers to provide adequate division and sector command. 


If each of the requests for resources was numbered sequentially as an alarm, the 
Tunnel Fire would have been a 27-ALARM incident. If the number of alarms was 
determined by the number of responses equivalent to the FIRST ALARM assignment, it 
would have been a 107-ALARM event. 


The only technical communication problem reported had to do with power supply in 
Oakland’s command van. Batteries for portable radios were in high demand. 


2. Berkeley 


Berkeley became actively involved at 12:08 p.m., when Berkeley’s Engine 3 arrived 
at Tunnel and Vicente Roads. Upon arrival, the Company Officer reported fire blowing 
across Tunnel Road 100 feet south of the intersection (in Oakland). He immediately asked 
for a full FIRST ALARM assignment (2 Engines, 1 Truck). The SECOND ALARM was 
transmitted at 12:17 p.m. Recall of off-duty Chief Officers and staffing for reserve apparatus 
was directed at 12:22 p.m. Total recall of off duty personnel was started as soon as reserve 
apparatus staffing assignments were complete. The THIRD ALARM was transmitted at 
12:38 p.m., followed by direct requests to Albany, Emeryville and Lawrence Berkeley 
Laboratory. 


- 16- 


The first attempts to stop the fire’s progress were along lower Vicente and Tunnel 
Roads, where seven roofs ignited almost simultaneously. The fire jumped Tunnel Road 
about 12:15 p.m. The SECOND ALARM assignment set up along Roble Road at 12:30 
p.m., where four roofs ignited by airborne flaming material. At 12:30 p.m., the Tunnel and 
Vicente line was overrun. Resources were repositioned along Tunnel up Bridge and along 
Alvarado. Mutual aid resources (Emeryville, Albany, Lawrence Berkeley, Hayward and 
Alameda Naval Air Station engines and Strike Teams from Contra Costa, Marin and San 
Francisco) strengthened these operations sufficiently to hold the perimeter lines. Heavy 
fire-fighting continued into the morning of October 21st. 


Chief Cates assumed incident command at 2:27 p.m., and established Division "A" 
Tunnel Command and Division "B" Roble Command. Evacuation plans for threatened 
Berkeley areas were completed Deputy Chief Salter and executed by the Berkeley Police 
Department between 12:30 and 2:00 p.m. 


In another action, Berkeley’s Engines 7 and 11 were sent to a reported fire at the end 
of El Camino at 2:00 p.m. The fire involved three houses. Although forced to abandon 
operations briefly, the firefighters were able to hold the fire with the help of civilians and 
stop its further extension into either Berkeley or Oakland. By 8:00 p.m., October 20th, all 
Berkeley’s fire line commanders were confident their perimeter lines would hold. 


Berkeley’s fireground communications were marginally adequate. Only minor delays 
in transmissions were caused by radio traffic. The tactical line between Berkeley and 
Oakland was not operational during the fire period. 


Unit-to-unit and command-to-unit communications were "clear text" and easily 
understood. For the most part, Berkeley-Oakland Command Post communications were 
through cellular phone to Berkeley’s Agency Representative at the Oakland Incident 
Command Post. 


C. LOCAL AID, CALL BACK, MOVE UP 


Local mutual aid is provided through a formalized Alameda County Fire Mutual Aid 
Plan. The county is divided into three zones: East, North and South, each with a Zone 
Coordinator and an alternate Zone Coordinator chosen by the fire chiefs within each zone. 
Oakland is the North Zone Coordinator, with Naval Air Station Alameda as alternate. 
Resource allocation is prescribed by jurisdictions within each zone. 


Between neighboring jurisdictions, there have historically been strong mutual aid 
relationships. While no automatic plan is formally adopted, departments frequently cross 
jurisdictional boundaries and take initial action before arrival of the responsible department. 
This is particularly common between Berkeley and Oakland and Oakland and San Leandro. 
During the October 20 fire, San Leandro responded to a 2-Alarm incident in East Oakland 
and handled the incident without any involvement of Oakland resources. 


Lalas 


The mutual assistance relationship between Oakland and San Francisco goes back 
to the 1860s. Between Berkeley and San Francisco, the relationship dates from 1906. No 
formalized city-to-city aid agreements have been executed. 


Because of mutual threat zones, direct mutual assistance is also common between 
Alameda and Contra Costa communities. For the October 20 fire, Oakland’s first request 
for mutual aid (11:04 a.m.) went to CDF because of the immediate need for air attack. 
That request was immediately followed by a request for five mutual aid engine companies. 
Oakland’s Fire Communication Center contacted Alameda, Alameda Naval Air Station, 
Emeryville, Lawrence Berkeley Lab, and San Leandro. 


The request for CDF resources was transmitted to Santa Clara Ranger Unit, Morgan 
Hill at 11:19 a.m. The Oakland dispatcher’s unfamiliarity with air resource terminology 
(asked for “air operations" which in CDF terminology is the designation for an incidents Air 
Operations Director) delayed processing the request. At 11:24 a.m., CDF dispatched a Task 
Force consisting of a helitac unit, two type-3 engines, a dozer and a Battalion Chief. Direct 
requests were made to Contra Costa (11:34 a.m.) and San Francisco (12:31 p.m.) for 10 
engines each. 


Oakland’s standard operating procedures are to recall Chief Officers on the 
SECOND ALARM. Recall was started at 11:07 a.m. Recall of off-duty personnel to staff 
reserve apparatus was started shortly after the THIRD ALARM. General recall followed 
the FOURTH ALARM and efforts to contact off-duty personnel continued throughout the 
day. Off-duty personnel continued reporting for duty through 4:00 a.m., on October 21st. 


Berkeley made its first requests for mutual aid to Albany (12:55), Emeryville, and 
Lawrence Berkeley Lab (1:50 p.m.) for one engine from each. On one call (Emeryville) 
Berkeley’s dispatch said, "We need help," to which Emeryville responded, "What kind of help 
do you want?" Berkeley replied, "Whatever you have." 


At 12:22 p.m., Berkeley’s Fire Chief directed the recall of chief officers and the "B" 
platoon for staffing reserve apparatus (3 engines, 1 truck). Response records indicate that 
reserve apparatus were staffed by 1:30 p.m. 


D. RECOMMENDATIONS 


|] Dispatch centers in high risk areas need a supervising fire dispatcher on duty 
at all times to handle multiple alarms or the outbreak of a large-scale emergency. The 
dispatcher needs thorough working knowledge of fire service terminology and mutual aid 
mobilization procedures. 


|] Berkeley should consider separation of fire from the police dispatch function. 
The volume of police-related radio and telephone traffic allows little opportunity for cross 
training. To illustrate this, attention is invited to the Berkeley telephone log transcript for 
October 20. 


sa Qie 


a Fire dispatchers need in-depth training in terminology related to the 
mobilization and movement of mutual aid fire and support service apparatus and equipment. 
Training should include air operations terminology, and resource status record keeping and 
tracking designations. 


a Dispatchers need training and delegated authority to initiate mutual aid 
request/response. 
t] Early allocation of radio frequency by function, operational division and 


support service is of critical importance. Each frequency needs to be constantly monitored 
at the command post. Switching from frequency-to-frequency to gain clear air time leaves 
too much opportunity for missed information. Incident command staff cannot monitor 
operational frequencies and communicate direction and control information on 
administrative channels or telephone at the same time. 


a Frequency management is critical in a large incident. Engine company 
personnel and chief officers had a variety of mutual aid fire frequencies available in their 
radios. Frequency congestion could have been reduced with better distribution of traffic on 
the available frequencies. 


= Dispatch centers need dedicated "outgoing-only" telephone lines with unlisted 
and unpublished line numbers. 


a All fire departments need frequent interagency radio communication training 
and shared protocols between dispatch centers at all levels. Use of WHITE channels, 
dedicated tie-lines, or other technologies should be used for real-time emergency 
information exchange between centers. 


eT O"e 


lil. STRATEGY AND TACTICS 


The fundamentals of fire protection are, in order of priority: prevention; protection 
of life; protection of exposures; confinement, extinguishing, overhaul (mop-up); and 
investigation. To some degree, all strategic and tactical decisions are made to accomplish 
one or more of those fundamental goals. Strategic decisions are generally made by the 
command staff. Tactical decisions, as a rule, are made by engine and truck company officers 
in order to respond to circumstances or to carry out the strategic decision. 


A. INITIAL ATTACK 


On October 20, 1991, Engine Companies 19 and 24 arrived at 7185 Marlborough 
Terrace at approximately 8:30 am. This response included an engine and brush wagon from 
each station plus an officer and an engineer and two firefighters, for a total of four 
apparatus and eight personnel. They immediately observed smoke and hot spots from two 
locations on the fire area from October 19. One was on the Northeast flank and one below 
the Gwin tank on the east flank. These hot spots were taken care of and the area around 
them was mopped up, mixing water and mineral soil with the duff (leaves and pine needles 
that accumulate over the years). 


This procedure was followed each time smoke was observed. From about 9:30 to 
10:30, no additional smoke was observed. During this period, an East Bay Regional Park 
(EBRP) engine and brush wagon arrived, and those personnel were directed to pick up hose 
on the northeast flank of the fire. EBRP assigned two of their personnel to start from the 
Gwin tank and work down the east flank, dragging hose and watching for hot spots. One 
EBRP officer was directed to the west flank below Malbrough Terrace to assist in dragging 
hose down that side. 


Both EBRP vehicles went to Buckingham Boulevard and started up the east flank. 
They immediately noticed hot spots and began wetting these down with a back-pack pump 
and used a McCloud tool to mix and mop-up. Just after starting this, they observed open 
flame about 150 feet across the west flank of the fire. The EBRP engine was moved around 
to the west flank and started a hose line up the hill from Buckingham Boulevard to the 
flare-up, while the person with the back-pack walked across the hill and started working on 
the flare up. 


About this time, two Oakland firefighters from Engine 19 came down the West flank 
from the top and helped drag hose from the EBRP engine to put out the flare-up that was 
inside the old burn about five feet under a pine canopy. There was considerable duff and 
unburned needle cast from the pine trees in the area. The wind had been blowing and 
there was considerable build-up of unburned needles on top of the October 19th burn. 


a50= 


When this flare-up was knocked down, they looked back across the fire to the east 
flank and observed another flare-up with open flames beneath three or four small oak trees. 
The wind was now much stronger. Two of the EBRP personnel walked across the burn on 
the contour and started putting out this flare-up, also inside the burn. They had a backpack 
pump and a McCloud. At this same time, the homeowner from 7151 Buckingham came up 
the hill with a charged garden hose and helped put out this flare-up. 


Within seconds, they noticed another flare-up about 20 feet below them outside the 
burn. This flare-up began to burn with five-foot high flames and spread down hill towards 
Buckingham Boulevard and the house at 7151. 


By this time, the EBRP engine had been moved back to the east side of 7151 and 
began working on the fire coming down toward them. Engine 24 arrived at approximately 
the same time, 11:05 a.m., and spotted at a hydrant in front of 7180 Buckingham Boulevard. 
This hydrant is just above the turn in the road some distance east of 7151. The wind was 
so strong that it turned the water stream from a deck gun 90 degrees from the fire. An 
attempt was made to prevent the fire from engulfing the house at 7151 Buckingham 
Boulevard without success. 


The fire behavior was so extreme that two engine companies and hydrant water were 
unable to save the house at 7151 Buckingham, but they were able to protect and save one 
house at 7200, across the street from 7151, and a large four-story shingle structure at 7235 
Buckingham Boulevard. 


When the house at 7151 Buckingham burned, the fire spread in all directions: uphill 
to the North and east toward Grizzly Peak; southeast across Buckingham Boulevard toward 
the Parkwood Apartments complex; uphill west towards Westmoorland, Norfolk and 
Marlborough Terrace. This all happened in about 20 minutes. During this period, four 
alarms were sounded. The FIFTH and SIXTH ALARMS were combined and sounded at 
11:26 a.m. 


B. STRATEGY 


Once the fire made its major run, fire resources through local and statewide mutual 
aid began arriving on the scene. Positive perimeter action began. The fire continued to 
spread, but the rate of spread was not as drastic as during the first hour. 


The command function was very limited during the early period. The two-channel 
radio system was completely overloaded, as was the telephone system--both land line and 
cellular. Much of the fire suppression action was undertaken by individual engine captains 
and lieutenants independently, because they could not communicate with command. This 
independent action was commendable, but frequently futile since the firefighters could not 
get additional resources and had to abandon blocks of houses. The Division Chiefs were 
unable to communicate with units under their command without physically locating them. 
All of this slowed down perimeter control. 


1 


In some cases, strike teams or division supervisors, did not arrive at their assigned 
divisions because they became involved in other areas that needed direction. Command was 
unaware that they had not reached their assigned area. The Division Supervisors were 
unable to communicate with command part of the time. This resulted in some portion of 
the perimeter having little or no suppression action until late in the day. When the winds 
began to die down and more resources reported to the Fire Command Center, the Incident 
Commander was able to develop a strategy and assign Strike Teams and resources where 
they were needed. 


The Command Center, Incident Commander and Operation Section Chief were able 
to provide direction only when they established radio contact with their Division Supervisor. 
Sometimes this was accomplished only when the Division Supervisor physically went to the 
Command Center. 


During the last 12 to 15 years, Berkeley and Oakland fire departments have cut 
personnel, about 30 and 40 percent, respectively. Each department has reduced both the 
number of in-service fire companies and company level personnel. A reduction from five 
to four company members is a 25% reduction in it’s fireground personnel complement with 
a corresponding reduction in tactical effectiveness. A reduction from four to three company 
members reduces by one-third its fireground personnel complement. One company member 
is always assigned to the engine operation. The fewer firefighters available, the greater the 
time to deploy effective streams. It is more often necessary to call additional alarms just 
for staffing. Both departments reinforced operating companies as quickly as possible. 


To complete a strategic assignment firefighters often had to drive past threatened 
homes, sometimes ignoring a home owner’s plea for help. 


C. TACTICS 


Throughout the fire-fighting period, individual and grouped companies did 
outstanding fire control work. Positions were held to the last possible moment. Hose lines, 
including S-inch, were advanced through narrow and often very steep side yards, backyards, 
pathways up public stairways, and over roofs. Firefighters utilized available labor: residents, 
military, visiting firefighters, off-duty school teachers and others. 


Typically, as companies moved into an area, first efforts were directed to evacuating 
citizens still there and using handline streams to wet down threatened areas. Most handline 
nozzles employed were of more than 100 GPM capacity and, where personnel capabilities 
permitted, of more than 200 gpm. In areas where water supply was sufficient, multiple 
master streams (+500 GPM) were employed. Direct fire fighting was carried on in 
conjunction with exposure protection when and where possible and for a number of tactical 
reasons: (1) some structures could be saved, (2) reduction of heat and flame front, and (3) 
a reduction in production of large flaming pieces of airborne material. 


Boeke 


The heavier the stream, the more effective it was for either area coverage OF 
structural penetration. Streams of less than 75 GPM were not effective in most situations, 
they lacked both reach and heat absorption capacity. There are several accounts of 500 and 
greater GPM streams being bent 90° by the wind. Several officers commented that smooth 
bore nozzles (play pipes) outperformed combination nozzles, particularly where reach was 
a factor. Handlines of 1-3/4’ with 150 to 200 GPM nozzles provided a good screen for 
firefighters advancing lines through narrow side yards alongside burning structures. 


There were a few circumstances -- pressure by owner/occupants, frustration, 
exhaustion -- in which individual engine companies concentrated their efforts on a single 
house. Some even went to the point of extensive interior operations, pulling ceilings, 
working on ventilation and overhaul. During the time they spent within, other houses on 
either side began burning. 


Landscape irrigation systems, lawn sprinklers, and garden hoses (with and without 
nozzles) were utilized by firefighters to help combat flaming embers and, in at least one 
case, to provide some exposure protection. 


There was success with master streams for both exposure protection and direct attack. 
Where water supplies were sufficient to support several large streams, in general, perimeter 
lines were held. In those areas in which water supplies were lost or the distribution system 
was weak, heavy reliance was placed upon tankers for water supply and heavy streams 
simply could not be sustained. Preconnected deck guns were the most effective large 
stream device. 


Some type 3 and 4 engine crews were subjected to very high working-space 
temperatures and high concentrations of fire gases because their hose and nozzle capacity 
afforded such little thermal displacement. The styles of the nozzles did not permit 
firefighters to place a cheek alongside to get a breath of cooler-cleaner air. 


In one situation, a group of firefighters and civilians tore shingles from a burning roof 
to halt the fire’s spread. Removing fuel from the path of fire is an effective control 
mechanism. It worked; however, we would not recommend the adoption of this somewhat 
hazardous technique as SOP. 


Wildland tactics were employed wherever advantageous and/or feasible. A fire break 
(dozer line) was cut from Grizzly Peak Boulevard, to the bottom of Claremont Canyon. 
CDF and Contra Costa Task Forces worked Claremont Canyon hot spots during both fire 
fighting and mop-up operations. Trees were felled along upper Marlborough, behind 7235 
Buckingham and in several Upper Rockridge area locations to remove burning fuel, enhance 
exposure protection and to create fuel breaks. The fire’s spread rate precluded any 
consideration of fire break construction by dozers and/or handcrews other than along the 
east and west flanks until evening. 


Narrow crowded roads, steep and narrow side yards, downed power lines, and water 
supply problems were cited as the most difficult tactical problems to overcome. Several 
officers mentioned narrow tree-canopied streets as a factor in fire spread and made it 


BoLve 


difficult to direct streams for effective exposure control. One fire officer described flames 
shooting horizontally across Tunnel Road about five feet above the surface and sounding 
like a jet aircraft on its take-off run. There were a number of hose line failures due to the 
burning or melting of three and five-inch hose. 


1. Perimeter Lines 


By 11:30 a.m., the fire had spread into the Parkwood Apartments, had passed through 
Hiller Highlands and crossed Highway 24 below Lake Temescal. Structures along Contra 
Costa Road on the south side of Highway 24 were beginning to burn. It is estimated the 
fire traveled about one mile in 15 to 20 minutes. There was not sufficient time to establish 
perimeters. The fire continued to spread rapidly. It is difficult to evaluate the initial attack 
and tactical action during this period because of the fire’s extreme rate of spread. 


2. Air Attack 


Wildland fire agencies utilize air attack for "holding action" until ground resources 
can arrive on location or to slow the rate of spread in inaccessible areas. Water, with an 
admixture to increase viscosity, is the fire control medium. The largest air tanker can 
deliver only 3000 gallons per flight. The average fire department pumper can deliver a like 
amount of water in three minutes. 


The East Bay Regional Parks radio log recorded a message from one of their fire 
personnel on the fire at 10:52 a.m. asking for Oakland to request air support. The specific 
request from the EBRP fire person (5669) was, "Talk to Oakland and have them get a 
helicopter up here and get this area wet down. We are having all kinds of rekindles." This 
request was followed up at 11:19 a.m., when the EBRP fire person (5675) called EBRP 
Dispatch and asked them to, "Contact CDF and tell them we’re gonna need helicopters out 
here." 


Alma Helitac (a CDF resource) dispatched at 11:26 a.m., and arrived over the fire 
at approximately 11:55 a.m. Two air tankers and an air attack aircraft were dispatched to 
the Franklin Canyon fire in Contra Costa County at 11:26 a.m. This fire was six miles 
northeast of the Oakland hills fire. Tanker 92 departed Fresno with an estimated ETA at 
Franklin Canyon of 12:26 p.m. Air Tanker 94 and Air Attack 460 departed Salinas with an 
ETA of 12:18 p.m. for Air Attack 460, and 12:23 p.m. for Air Tanker 94 at the Franklin 
Canyon fire. At 12:38 p.m., Tankers 92, 94 and the Air Attack were diverted to the 
Oakland hills fire. Air Attack 460 had to coordinate and gain approval from Oakland radar 
approach control to enter the area and establish a restricted area. It also had to establish 
radio contact with Oakland City Fire Department to get directions for the air tankers. This 
created a time delay. 


At 1:02 p.m. and 1:03 p.m., Air Tankers 94 and 92 dropped their respective loads of 


retardant on the fire and departed for Sonoma County Airport at Santa Rosa to reload and 
return. They landed at the Sonoma County Airport at 1:27 p.m. and 1:29 p.m., respectively. 


DAG 


At approximately 12:35 p.m., the Oakland Fire Department requested a third air 
tanker and at 12:39 p.m. Tanker 77 was dispatched from Ukiah Airport with an ETA over 
the fire of 1:16 p.m. At 2:30 p.m., Oakland Fire Department requested four additional air 
tankers, and four CDF air tankers were immediately diverted from the Geysers fire north 
of Santa Rosa. At 3:52 p.m. Oakland Fire Department requested one more air tanker, and 
the order was filled immediately by CDF. At 4:04 p.m. Oakland requested an additional 
air tanker and the order was filled by CDF. 


Seven helicopters worked on the fire dropping water. An East Bay Regional Park 
Police helicopter was used over the fire to direct some of the air traffic and provide 
intelligence. It was unable to communicate over the radio, so it had to land several times 
in order to pass on information to the Command Center. An Oakland Fire Department 
captain was used as an observer in this aircraft, as were EBRP personnel. An Oakland 
Police helicopter was also used, with an Oakland Battalion Chief flying as an observer. This 
Oakland Police Helicopter’s primary function turned out to be evacuation, as it was unable 
to communicate with the Command Center. 


The seven helicopters dropping water dipped it from several locations: Lake 
Temescal, when they could see to get into it; Lake Merritt; and a pond in the Mountain 
View Cemetery. The helicopter water drops were used in the Contra Costa Road area near 
Lake Temescal and along Broadway Terrace--both lower and upper. There was 
questionable success as many of the drops were observed vaporizing before reaching the fire. 
Early air tanker drops were made along Swainland Ridge southeast of Highway 24. 


Aircraft were largely ineffective during the first three hours (11:00 a.m. to 2:00 p.m.) 
of the fire, except on the heel of the fire where the fire spread was limited, the visibility was 
good, and there were no structures. The first three hours of the fire accounted for 60% to 
70% of the damage. 


The ineffectiveness of aircraft was due to the strong, turbulent winds, low humidities, 
and continuous fuel chain of tinder-dry vegetation intermixed with structures which created 
intense heat. The heavy smoke in the fire area made many potential targets difficult to 
locate for drops. There is debate whether air tankers should be used in such a congested 
area. The air tankers had to fly out over the city at low elevation after they dropped. 


3. Division Assignment 


Captain Wylie, Engine 19, was Incident Commander and Division "A", and 
Lieutenant Dick was Division "B" Sunday morning for the overhaul mop-up of the Saturday 
fire, beginning at about 8:30 a.m. When the fire on Sunday began to expand at about 11:00 
a.m., Battalion Chief Riley was assigned to Division "A" by Incident Commander Don 
Mathews. Division "A" was loosely located from the Gwin tank down Malbrough Terrace 
to Buckingham Boulevard. It is not clear if there was a Division "B" at that time. 


When the fire expanded and overran the forces on Buckingham Boulevard, the 
division identity was lost for a period. 


O52 


When the Command Center was moved to Highway 24 and Broadway, Assistant 
Chief John Baker became the Incident Commander and Don Mathews was the Operations 
Chief. The fire had crossed Highway 24. Battalion Chief Neil Honeycutt became Division 
"A", which was located from Highway 24 to the Rockridge area south of Highway 24, and 
eventually was expanded through the Claremont Country Club, Clarewood Drive to 
Hermosa and Arron Street and Broadway Terrace. Division "B" was assigned to Battalion 
Chief Garcia and was located between Highway 24 and Roble Road. 


The Berkeley Fire Department had a Division from Roble Road, across Tunnel Road 
and up Alvarado Drive to approximate Eucalyptus Path above the Claremont Hotel. This 
fact was not included as part of the Oakland Command Center division assignment. This 
did not create problems on the fire scene. 


Division "C" was originally assigned to Oakland Fire Captain Parker, and was 
primarily the Claremont Hotel. A San Francisco Strike Team, under Battalion Chief Paul 
Tabacco, assigned to this division moved his forces up onto Alvarado and advanced 5" lines 
up Eucalyptus Path to assist Berkeley along Alvarado and Sunset. This division was later 
expanded up Claremont Avenue to the junction of Alvarado Road. 


Division "D" was from Broadway Terrace to Highway 13; Oakland Fire Department 
Captain Ready, and Livermore Lab Fire Department Assistant Chief Magee acted as 
Division Chiefs for this division. There was little contact with the Command Center, so it 
was unclear who the Division Supervisor on Division "D" was at any given time. 


John Eliff, CDF Battalion Chief, was assigned Branch II from Highway 13 to Skyline 
Grizzly Peak Road. This assignment was not made until late Sunday afternoon around six 
o’clock. Eliff was under the impression he was Branch Chief for Branch II from Highway 
13 to Grizzly Peak; however, he wasn’t able to get beyond Skyline and Grizzly Peak Road. 
Eliff was assisted in this assignment by retired Oakland Fire Department Assistant Chief Al 
Sigwart. 


D. SAFETY AND EQUIPMENT 


1. Length of Shift 


During the first 24 hours, fire line assignments were long. For example, Engine 24 
with Lieutenant Eugene Dick and his "A" shift from station 24 were assigned the Saturday 
fire on Buckingham Boulevard. They then arrived back on the fire line at 8:30 a.m. Sunday. 
They remained actively involved on the fire until 1:00 p.m. Monday, when they were told 
to return to their station to rest. Most of the Oakland Fire Department "A" Shift, on 
Sunday, had the same lengths of shift. 


This was also true of the Berkeley and Piedmont Fire Departments, as well as 
Mutual Aid strike teams assigned to the October 20, fire. 


Sela 


2. Firefighter Safety 


There were 25 fatalities -- 23 civilians, one Oakland Fire officer and one Oakland 
Police officer. Credit is due to the Oakland Police and the Oakland and Berkeley Fire 
Departments that there were not more fatalities. 


The need for a Safety Officer position was not identified or assigned as part of the 
Command Structure until after the CDF Incident Management Team arrived at 5:30 p.m. 
The potential for injuries and accidents was very high due to the incident circumstances and 
location: the narrow restricted access, destroyed and damaged utilities, the large volume 
of extremely hazardous, dry fuels, the extreme fire behavior, and rapidly spreading fire. 


There was repeated exposure to flames, smoke, downed power lines and hazardous 
driving conditions at the fire scene. It is amazing that there weren’t more accidents and 
injuries during the period from 11:00 a.m. to 6:00 p.m. 


3. Equipment Compatibility and Effectiveness 


In most cases, equipment worked well. There were a few reports of fire engine 
breakdown. Piedmont Engine 3 had to be taken out of service briefly at the Claremont 
Hotel Division "C", as did Oakland Engine 1 at the Parkwood Apartments. The Piedmont 
Engine was repaired and returned to service to Division "D" at about 1:30 p.m. 


Oakland fire hydrants are each equipped with one or more three-inch national 
standard thread outlets. Other communities throughout California utilize hydrants with one 
or more 2-1/2 inch national standard thread outlets. Since 2-1/2 inch is the accepted 
standard, few of California’s engines carry 3" x 2-1/2" adapters. A more expedient means 
of adapting hydrant outlets from three to 2-1/2 inch NST is needed. This is particularly 
important on those hydrants not equipped with pumper (steamer) outlets. The group 
recommends investigating the feasibility of installing 3" F to 2-1/2" M adapter with a break- 
away cap, the adapter staying on the hydrant at all times. This would solve the adapter 
problem and allow Oakland to retain the advantages of the three-inch outlets. 


There were some operational problems because Mutual Aid engine companies which 
were supplied by hydrant adapters had to abandon them at some locations. They had to 
leave hose and hardware or be overrun by the fire. When they needed to hook to hydrants 
at another location they sometimes couldn’t get adapters. 


E. WATER AVAILABILITY 


Discussions with East Bay Municipal Utility District revealed that nine pressure zones 
were affected by the fire on October 20, 1991. There are one or more reservoirs within 
each pressure zone. The reservoirs vary in capacity from 400,000 gallons to over 1,000,000 
gallons. The reservoirs are linked by pumping stations which are activated by draw-downs 
from the individual reservoirs. The basic design of the system capacity is based on three 


eT = 


factors: the operational storage, emergency reserve, and fire flow reserve. The operational 
storage is based on 0.5 x the maximum daily demand; the emergency reserve is based on 
1.0 x the maximum daily demand; and the fire flow reserve is based on supplying 1500 
gallons per minute for two hours. 


The rapid spread in the early stages of the fire caused power failures and, as houses 
were destroyed, individual house water service was ruptured. The ruptured water service 
lines caused a heavy drain on reservoirs. These reservoirs were in the same pressure zone 
in which hydrant water was essential for fire fighting. There was no auxiliary power supply 
at any pumping station. 


The first power failure within the pressure zones was recorded at 11:35 a.m. in the 
Amito Cascade pressure zone. This affected the water supply to the Parkwood Apartments 
complex, and the upper Alvarado, Siler, Rispin and Claremont Avenue areas. The Amito 
Reservoir was not logged as empty until 2:25 p.m. The Strathmoor and Gwin Reservoirs, 
which supplied Marlborough Terrace, Norfolk, Strathmoor, and Buckingham Boulevard 
hydrants, were not reported empty until 3:30 p.m. 


When the Parkwood Apartments complex burned, with subsequent ruptured water 
pipes, there was a major drain on reservoirs in the Amito Pressure Zone. It would be 
impractical to plan a system that would handle such a demand. Suppression efforts had to 
be abandoned in the Marlborough Terrace, Norfolk area when hydrants stopped flowing. 
This was approximately 12:30 p.m. 


Fire suppression efforts in the upper Alvarado, Siler, and Rispin areas were slowed 
when hydrants went dry. Water had to be transported by water tenders and other fire 
engines to the engine company working in this area. 


The fire-fighting efforts in the Buena Vista, Golden Gate, Ocean View, and upper 
Broadway Terrace areas were slowed by the heavy draw-down on the four-inch main grid. 
The water supply was not sufficient to maintain the suppression effort. It was necessary to 
back off block by block until water supply resources were adequate to support necessary 
heavy fire fighting streams. 


Most of the water supply problems experienced in this fire were predictable. Some 
could have been avoided with automatic standby power or auxiliary pumping installations. 
The old water mains in upper Rockridge should have been upgraded before building 
densities reached that which existed at the time of the fire. The rupturing of the hundreds 
of service connections which drained the Amito Gwin and Strathmore reservoirs could not 
reasonably have been predicted. 


F. RECOMMENDATIONS 


= Oakland’s and Berkeley’s operational level command staffs are overextended 
even without a large-scale emergency. The recognized standard for span of control in the 


ete 


fire service is one chief officer for each five to eight operational companies. Berkeley 
currently operates seven engines, three trucks, and three ambulances with only one chief 
officer on duty outside normal business hours. Oakland operates 23 engines, seven trucks, 
and six tank wagons deployed in three battalions each commanded by a chief officer. 
Clearly, within each, there is a need for another battalion level division. 


m Oakland should consider appointing a Deputy Chief. Currently, Oakland’s 
battalion two is commanded by an assistant chief who also serves as duty chief for the entire 
city and as department head in the absence of the chief of the department. A deputy chief 
level position would enhance inter-platoon coordination to insure and better preserve unity 
of command concepts. 


E Investigate the feasibility of installing 3" F to 2-1/2" M adapters with a 
breakaway cap on all hydrants. 


ial Agencies providing air tankers and water dropping helicopters should provide 
urban fire departments with guidelines for safe air operations. These guidelines should spell 
out the limitations of the aircraft during high winds, smokey conditions and difficult 
topography. 


a Before reconstruction is permitted in the upper Rockridge area, the water grid 
should be upgraded sufficiently to produce a fire flow consistent with building size and 
density with no single fire hydrant flowing less than 750 GPM when any two hydrants are 
flowed simultaneously. Emergency back-up for refilling upper water zones should be 
changed to a permanently installed auxiliary pumping system. Reliance upon 
portable/transportable pumps is not realistic for the Oakland-Berkeley hills area. Access 
cannot be assured. 


2 All fire departments should maintain, at dispatch center operating positions, 
a list of locally available water tankers (contractors, aggregate and concrete suppliers). 


720 2 


IV. MUTUAL AID SYSTEM 


A. BACKGROUND 


The provision of mutual aid is an evolutionary process. The jurisdiction in which an 
emergency arises first commits its own resources. It the obtains additional resources first 
from neighboring jurisdictions, and then (sequentially) from the Operational Area, Region 
and Inter-region system until there are resources sufficient to deal with the emergency. 
Inter-regional resources are mobilized through the State Fire and Rescue Coordinator, 
Office of Emergency Services. 


Mutual Aid is mobilized in accordance with the California Fire and Rescue Mutual 
Aid Plan. The state is divided into six Mutual Aid Regions. Each of the several counties 
within a region is an Operational Area. Fire chiefs within each Operational Area elect a 
fire chief from among them to serve as the Operational Area Coordinator. The fire 
department of which the Operational Area Coordinator is Chief is generally the area’s 
Dispatch Center. Regional Coordinators are chosen by the Area Coordinators within each 
region. 


The statewide mutual aid system is structured in a manner which insures mobilization 
of sufficient resources without reducing to an unacceptable level of risk the fire and rescue 
resources within any Operational Area. All mutual aid requests are channeled through the 
Operational Area Coordinator. Chief John Sharry, Lawrence Livermore Laboratory Fire 
Department, is the Operational Area Coordinator for Alameda County. That Department’s 
Dispatch Center serves as the Operational Area Dispatch Center (LAB). 


Requests for fire and rescue resources must specify the quantity, classification (kind), 
and type (capacity/capability) of each resource, a specific reporting location, reporting 
frequency and travel directions. Resource classification and typing are in accordance with 
the FIRESCOPE-developed Incident Command System (ICS) Operations Guide. The most 
commonly requested fire mutual aid resources are engine companies. Mobilization of 
engine companies is normally in groups of five, each with a Chief Officer in command. Such 
a resource group is designated a Strike Team and the group’s Chief Officer is the Strike 
Team Leader. When dissimilar resources are grouped for mobilization or deployment 
purposes, they are designated a Task Force. The officer in command of a task force is the 
Task Force Leader. 


To speed the mobilization process, most Operational Areas have predesignated Strike 


Team composition and Strike Team Leader sources. Each zone in Alameda County has 
developed predesignated strike teams. 


a8 (2 


B. SYSTEM USE ON OCTOBER 20 


The first request to mutual aid coordinator dispatch on October 20 was received at 
11:40 a.m., from Oakland’s Fire Communication Office. The request stated "We have a 
major wildland fire out of control and we need five strike teams." There followed a four- 
minute exchange between the coordinator and Oakland in order for the dispatcher to get 
information sufficient to start mobilization, i.e., classification, type, and reporting location. 


Due to radio and telephone traffic and established mutual aid mobilization protocol, 
there followed a seven-minute time lapse before the mutual aid coordinator started notifying 
resource suppliers. It is noteworthy that the mutual aid coordinator instituted protocol 
changes to speed mobilization while this emergency was unfolding. 


During the period between 11:40 a.m., October 20th, and 5:00 p.m., October 23rd, 
the mutual aid coordinator processed 17 requests. Requests included 88 engine strike teams 
(440 engine companies and 88 Chief Officers), six air tankers, 16 helitac units, eight 
communication resources, two management teams and support, two mechanics and two 
search and rescue teams. This is the largest mobilization of mutual aid resources for a 
single fire in the history of the system. 


Alameda County East and South Zone provided six engine strike teams. Mutual Aid 
Regions II, III, IV AND V provided engine strike teams as follows: Region II - 33; Region 
III - 10; Region IV - 18; and Region V - 10. 


Regional and inter-regional mobilization included resources from 244 local; 4 military 
and two statewide agencies. The total number of personnel responding with these resources 
was 1,539. Thirty of the strike teams mobilized were for "planned need." The period from 
the time of request to the time of assembly at rendezvous varied from 51 minutes to two 
hours and 51 minutes. Travel time from rendezvous to reporting location ranged from 34 
minutes to six hours and 50 minutes. Distance traveled from home town to reporting 
location ranged from 12 to 365 miles. 


Twenty-seven strike teams responded directly to the fire. Thirty-eight reported to a 
Staging area and nine reported to the Mobilization Center. Those reporting directly to the 
incident responded Code 3 (emergency, red lights and sirens). Of those reporting directly, 
two reported to Division Commands, seven received assignments at the Incident Command 
Post, and two reported to Branch Managers. Other teams received assignments by radio, 
at time of departure from the rendezvous point, or by direct contact with a host 
department’s representative upon or shortly after arrival. 


Of the individual units responding, 204 (697%) were assigned a travel frequency. One 
hundred seventy-one (59%) were provided with an incident reporting frequency. Two 
hundred fifty-nine (907%) were able to communicate with the Strike Team Leader by radio. 
Two hundred forty-four were equipped for WHITE-1 communication. Thirty-six of the 
responding units felt their assignment instructions were not clearly stated. Twenty-nine units 
had radio communication difficulty resulting from poor radio procedure; 46 units reported 


el ee 


radio communication problems as a result of not having the proper frequencies. Sixteen 
units reported radio equipment failure. 


Seventeen of the responding units had difficulties within their strike team. A variety 
of factors contributed to these few difficulties: exhaustion, rumors, confusion, injuries, and 
failure to follow instructions. 


Eighty-eight percent of the engine companies actively engaged in fire fighting and 
were able to complete their assignment. Downed power lines were the most common 
operational problems (185), with water supply (165) and narrow steep roadways (132) 
running a close second and third. Lack of proper adapters and hydrants without sufficient 
residual pressure or running dry were, in that order, the most commonly voiced water supply 
problems. Many companies reported no contact with command structure after initial 
assignments. 


At least one strike team was not given an assignment for more than 24 hours after 
arrival. Many reported three to nine-hour waits. 


There were a few incidents in which Strike Team Leaders would not allow one or 
more of their engine companies to be utilized as single resource(s). In crossing an area 
enroute to assignment, this is a commendable and totally correct posture for a Strike Team 
Leader; however, when the Strike Team has reported to a Division or Sector Chief and 
particular objectives can best be accomplished by deployment in other than strike team 
configuration, it is important that Division and Sector Chiefs have the latitude to order the 
change. It is the responsibility of both officers to reunite strike team components at the 
earliest practical moment. 


A number of Strike Team Leaders were puzzled that more of them were not given 
Sector or Division Chief roles in those areas which could not be adequately covered by the 
host department. 


Despite difficulties experienced, mutual aid resources were effectively deployed. 


Where necessary, strike team leaders took the initiative to organize and coordinate 
perimeter defense operations. Cooperation between individuals and groups was exemplary. 


C. RECOMMENDATIONS 


as All fire service agencies, even the largest, must develop protocols and plan for 
"worst case" scenarios. 


a There is a universal need for more frequent mutual aid mobilization exercises. 
Exercises need to be real time. Rendezvous inspection, travel frequency assignment, and 
in-transit communication practice should be included. 


Loe 


a The prearranged strike team commitments should include a strike team leader 
designee. A rotating schedule among operational area/zone providers should be developed. 


& OES should develop procedures and technology to optimize the speed and 
capability of the state’s mutual aid systems, particularly in catastrophic situations. 


a Improve inter-regional alerting protocols. More lead time is needed for 
resources likely to be mobilized. 


8 When specialized resources are requested, those receiving such requests should 
begin moving the resource(s) immediately, clarifying details with the requestor only after 
initiating response. 


al All fire departments need to plan for receiving massive mutual aid, including 
ordering, reporting, staging, deployment, supporting and demobilization protocols. 


= Interagency multiple company exercises for wildland-structural mix fire 
operations must become part of the regular training schedule. All operational level 
personnel should attend at least one such exercise each year. Exercise should include a 
briefing of company level personnel on what to expect on a large scale incident. 


= Cities and state agencies should establish automatic mutual aid, boundary 
drops, and interagency response protocols for mutual threat zones. 


= All agencies should become thoroughly familiar with the protocols, procedures 
and terminology used to request air support. 


eee 


AHWANEE FD 

ALAMEDA CFW 
ALAMEDA FD 

ALAMEDA NAS 

ALBANY FD 

ALTO RICHDSON BAY FPD 
AMADOR FPD 
AMERICAN CANYON FPD 
AMERICAN RIVER FPD 
ANDERSON FPD 
APTOS/LA SELVA FPD 
AROMAS TRI CO FPD 
ARTOIS FPD 

BELLEVUE FPD 

BENICIA FD 

BETHEL ISLAND FPD 
BOULDER CREEK FPD 
BRANCIFORTE FPD 
BURBANK-PARADISE FPD 
BURLINGAME FD 
BURNEY FPD 

BUTTE CO FD 

BYRON FD 

CALAVERAS FD 
CALAVERAS CO FD 
CAMPBELL FD 

CASTRO VALLEY FPD 
CDF-MAD/MERCED/MAR 


CLEMENTS RURAL FPD 
CLOVIS FD 
COLMA FPD 
COLOMA LOTUS FPD 
COLUSA RURAL FPD 
CONTRA COSTA CO FD 
COPPEROPOLIS FPD 
CORDELIA FPD 
CORTE MADERA FD 
COTATI FPD 
COTTONWOOD FPD 
COURTLAND FPD 
CROCKETT-CARQ FPD 
DALY CITY FD 
DEFENDER FD 
DELTA FPD 

(SACRAMENTO CO) 
DELTA FPD 

(SAN JOAQUIN CO) 
DIXON FD 
DORRIS FD 
DOUGHTERY REG FA 
DRY CREEK VOL FPD 


EAST BAY REGIONAL PARK 


EAST DIABLO FPD 
EL CERRITO FD 

EL DORADO CO FPD 
EL MEDIO FPD 

ELK GROVE CSD 
ESCALON CONS FPD 
EXETER FD 

FAIR OAKS FPD 


EAST BAY HILLS FIRE 
MUTUAL AID RESPONDERS 


FAIRFIELD DPS 
FAIRVIEW FPD 

FIG GARDEN FPD 
FLORIN FPD 

FOLSOM FD ee 
FOLSOM PRISON FD 
FOSTER CITY FD 
FREMONT FD 
FRESNO FD 

GALT FD 
GEORGETOWN FPD - 
GILROY FD 
GUSTINE VOL FD 
HALF MOON BAY FPD 
HAMILTON CITY FD 
HAPPY CAMP FPD 
HAYWARD FD 
HEALDSBURG FD 
HILLSBOROUGH FD 
HUGHSON FPD 
INDUSTRIAL FPD 
ISLETON FD 
JACKSON FD 
JACKSON VALLEY FPD 


KINGS CO FD 
KLAMATH RIVER VOL FD 
LAKE VALLEY FPD 
LARKSPUR FD 
LAWRENCE-BERK LAB FD 
LAWRENCE-LIV LAB FD 
LIBERTY RURAL FPD 
LINDA FD 

LIVE OAK FD 

LIVE OAK, CSA #A 
LIVERMORE FD 
LOCKHEED FD 

LOS ALTOS FD 

MADERA FD 

MADERA CO FD 
MANTECA FD 
MANTECA-LATHROP FPD 
MARE ISLAND FD 
MARIN CO FD 
MARINWOOD FD 
MARYSVILLE FD 
MAXWELL FPD 

MENLO PARK FPD 
MERCED CO FD 
MERCED FD 
MERIDIAN FD 
MID-VALLEY FPD 

MILL VALLEY FD 
MILLBRAE FD _ 
MILLVILLE VFC 
MILPITAS FD 

MODESTO FD 

MOFFETT FIELD FD 
MORAGA FPD 

MORGAN HILL CITY FD 
MOUNTAIN GATE FD 


MOUNTAIN VIEW FD 
MT SHASTA VISTA FC 
MURPHYS FPD 

NAPA CO FD 

NAPA FD 

NAVAL AIR STATION FD 
NAVAL SUPPLY CENTER 
NEWARK 
NEWCASTLE FPD 
NORTH CENTRAL FPD 


. NOVATO FPD 


OAKDALE FPD 
OAKHURST FD 
OAKLEY FPD 
OLIVEHURST PUD 
ORINDA FPD 
OROVILLE FD 
OSWALD-TUDOR FD 
PACIFIC FPD 
PACIFICA FD 

PALO ALTO FD 
PARADISE FD 
PENNGROVE FPD 
PETALUMA FD 
PIEDMONT FD 

PINE GROVE CSD 
PINOLE FD 

PLACER FOOT CO FPD 
PLACER HILLS FPD 
PLEASANTON FD 
PLUMAS-BROPHY FPD 
POINT MONTARA FPD 
POLLOCK PINES FD 
PORTERVILLE FD 
QUINCY FPD 
REDDING FD 
REDWOOD CITY FD 
RICHMOND FD 
RINCON VALLEY FPD 
RIO VISTA FD 
RIVERVIEW FPD 
RODEO-HERCULES FPD 
ROHNERT PARK DPS 


ROSS VALLEY FD 
SACRAMENTO CFPD 
SACRAMENTO FD 
SALIDA FPD 
SALSIPUEDES FPD 
SAN ANTONIO FD 
SAN BENITO CO FD 
SAN BRUNO FD 

SAN FRANCISCO FD 
SAN JOSE FD 

SAN LEANDRO FD 
SAN MATEO CO FD 
SAN MATEO FD 

SAN RAFAEL FD 

SAN RAMON VALLEY FPD 
SANGER FD 

SANTA CLARA CO FD 
SANTA CLARA FD 


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SANTA CRUZ CSA #48 
SANTA ROSA FD 
SARATOGA FPD 
SAUSALITO FD 
SCOTTS VALLEY FD 
SELMA FD 
SKYWALKER RANCH FB 
SONORA FD 

SOUTH COUNTY FA 
SOUTH PLACER FPD 
SO SAN FRANCISCO FD 
SO SANTA CLARA CFD 
ST HELENA FD 
STANISLAUS CFSD 
STOCKTON FD 

SUISUN CITY FD 
SUISUN FPD 
SUNNYVALE DPS FD 
SUTTER CFD 

SUTTER CREEK FPD 


TIBURON FPD 

TRACY FD 

TRUCKEE FPD 

TULARE CFD 

TULARE FD 

TULELAKE MULTI CO FD 
TUOLUMNE CO FD 
TWAIN HARTE FPD 

TWO ROCK USCG FD 

UC DAVIS FD 

US NAVY SEC GRP 
UNION CITY FD 

UNITED TECH CENTER 
VACAVILLE FD 
VACAVILLE FPD 
VALLEJO FD 

VISALIA FD 

WALNUT GROVE FPD 
WATERFD-HICKMAN FPD 
WATERLOO-MORADA FPD 
WATT PARK FPD 
WEAVERVILLE VFD 
WEST CO FPD 

WEST STANISLAUS FPD 
WESTSIDE FPD 
WILLIAMS VOL FD 
WILLOW OAK FPD 
WILLOWS FD 


WOODBRIDGE FPD 
WOODLAND AVE FPD 
WOODLAND FD 
WOODSIDE FPD 
YOSEMITE LAKES FD 
YUBA CITY FD 

YUBA CO FD 


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V. INCIDENT COMMAND SYSTEM 


The Incident Command System (ICS) was developed by the U.S. Forest Service and 
participating fire agencies in Southern California during the 1970s. The California 
Department of Forestry, Office of Emergency Services, Los Angeles City and the County 
of Los Angeles, Orange, Santa Barbara, and Ventura Fire Departments all participated. 
This system resulted in unification and coordination between multiple jurisdictions and 
agencies. It was designed to function in all-risk emergency incident situations such as floods, 
earthquakes, and chemical spills and has been adopted by most local government fire 
agencies. This fact is shown in the results of the survey of the fire agencies that took part 
in the October 20 fire. 


The departments that responded to the fire report that 97% have adopted ICS and 
use it routinely in their daily responses. The departments all show that they received basic 
training in ICS, and that many departments have expanded their training into other areas 
of the ICS. However, most of the training at local government level has been in the area 
of day-to-day operations. Most local jurisdictional incidents are of a short duration and do 
not require the need for the prolonged planning and logistics support that is often required 
on major wildland fires and other types of major disasters. 


It is unusual for local government agencies to have an incident such as the East Bay 
Hills fire which requires a total effort for several days. In such situations, local government 
agencies ordinarily request assistance through the Office of Emergency Services (OES) 
Master Mutual Aid Agreement, as was done in this incident. As the magnitude of the fire 
became apparent, an incident management team was requested to assist in the management; 
this was not fully in-place until late on Sunday afternoon. Below is a breakdown of each 
function of ICS, with indications of strengths and weaknesses on October 20. 


A. COMMAND FUNCTION 


In Berkeley and Oakland, transition of command was an evolutionary process. Each 
utilized the Incident Command System which prescribes that the Incident Commander is the 
first arriving company officer, then the first arriving Chief Officer, then the Senior Chief 
Officers in order of rank. The Tunnel Fire transition was: 

OAKLAND: Lt. Wylie --> A/C Mathews --> A/C Baker --> Chief Ewell 

BERKELEY: Lt. Corrigan --> Capt Orth --> A/C Dismuke --> Chief Cates 


The final evolution was to establish the joint command about 5:30 p.m. when the 
California Department of Forestry management team arrived. 


Berkeley’s transition was relatively smooth. Operating units were aware of command 
shifts. The area of operations was not extensive. 


35a 


Oakland’s transition was complex and somewhat confusing during the half-hour 
following the blow-up. Lt. Wylie used "Tunnel Command", "Engine 19" and "Pumper 19 
interchangeably as his identifier depending upon his function at the time of a transmission. 
The command post location selected by A/C Mathews was overrun before it could be fully 
established, radio frequencies were completely overloaded, and both the second and third 
command post sites proved untenable shortly after people arrived. 


The organizational Incident Command Post was located on Highway 24 just west of 
the Caldecott Tunnel. The chiefs or their representatives from the cities involved were at 
the Incident Command Post operating together when the CDF Incident Management Team 
arrived, at approximately 1730 hours on October 20, 1991. At that time the incident was 
already organized into three branches and approximately nine divisions. When all members 
of the management team had arrived, they conferred with the chiefs of the respective 
agencies involved to determine the needs and priorities necessary to organize and manage 
the incident under a unified command system. 


Prior to 1730 hours on October 20, 1991, the incident command function operated 
with the Incident Commander and the Operations Section Chief. During this period, some 
of the duties of the Planning Section Chief and Logistics Section Chief were done by the 
Incident Commander and the Operations Section Chief, with the assistance from company 
officers. These positions were not filled until the CDF incident management team arrived. 


There were two apparent problems to deal with. The first was the need to provide 
accurate and timely information to the public, media, members of the city councils, mayors’ 
offices, and other legislative bodies. It was necessary to appoint an Incident Information 
Officer immediately to work for the Incident Commander so that information could be 
supplied to the media and other people involved in an efficient and timely manner. This 
information office was established in the City of Oakland. All requests for information were 
routed through the unified information system in order to maintain legitimacy and accuracy 
until the incident was demobilized. 


The second need was for a Safety Officer. Due to the narrow and/or restricted 
streets and access, destroyed and damaged utilities, aerial fuels, and the fast- moving wind- 
driven fires, a large number of fire service accidents, injuries or deaths were possible. To 
remedy this situation, the Safety Officer was given authority to stop any incident activity he 
deemed unsafe. 


B. OPERATIONS SECTION 


When the Incident Management Team arrived, the Operations Section Chief was 
located with the Incident Commander and was verifying all of his moves with the Incident 
Commander. It was necessary to order additional overhead staff to provide relief for people 
who had been on scene since the beginning of the incident. The Operations Chiefs, Branch 
Directors, and Division Supervisors were all relieved by late evening on the 20th and most 
of these positions were filled by CDF overhead staff. When local government personnel 
were rested, they returned to their assignments. Within three shifts, the cities had staffed 
all line overhead positions and were satisfied with the interaction of the other incident 
management sections. 


236). 


> 


C. PLANNING SECTION 


The Planning Section was set up once the Incident Management Team was in place. 
This section was staffed by CDF personnel during the first three shifts. Local personnel 
were also assigned to the Planning Section and through a training process learned the 
function and duties of the Section. By the third shift, the city personnel took on the 
responsibility of formulating and documenting the plan and conducting all meetings. The 
incident was basically managed by the cities from that point on. However, CDF continued 
to handle the demobilization process because of the number of resources assigned to the 
incident, and CDF’s recognized capability in this regard. 


A major obstacle encountered by the Planning Section was the scarcity of information 
on initial attack resources, i.e., what resources had been ordered, and by whom. Since the 
bulk of the resources came through the mutual aid system, the Planning Section was 
eventually able to find and account for all resources by the end of the second shift. The 
perimeter map of the fire was easy to establish, but the collection of data on lost and 
damaged structures required a large commitment of personnel. An accurate assessment 
proved to be the largest hurdle for the planning section’s situation status unit. 


D. LOGISTICS SECTION 


The logistics needs for this incident were especially difficult. The Incident Command 
Post and Base Camp had to be moved during the incident and 375+ engines and 2,000+ 
personnel had to be cared for. CDF staff were assigned to the Logistics Section since most 
local government agencies do not have personnel that are trained for that assignment in a 
major incident. Routinely, they do not have the need to provide long-term housing, bedding, 
and maintenance of equipment in the quantities required. 


Local government agencies, including public works and other city/county 
departments, should be provided with ICS logistics training. This would provide a trained 
cadre that would be available to support the logistics functions of major incidents in a much 
more efficient manner. 


E. FINANCE SECTION 


Determining who pays for what and who has the authority to decide was likewise 
difficult. When numerous entities are required to work together, there is a critical need 
to establish a clear and concise procedure for determining who pays for what and who has 
the authority to authorize those payments. Local government agencies, both fire and non- 
fire, should make ICS Finance Section training mandatory for personnel who are in positions 
that may involve working with financial commitments between agencies. 


To further complicate this function, a thorough knowledge of state and federal 
disaster proclamations and accompanying funding requirements is necessary. 


== 


F. RECOMMENDATIONS 


= In this incident the ICS functioned as it should. However, more training on 
major incident management is required. More inter- and intra-departmental training 
sessions and drills using the ICS are indicated. 


a Incompatible communications systems reduced the overall effectiveness of the 
Incident Command System. While not specifically a function of ICS, communications 
capabilities always play a major part in successful command and control of any incident. 


a The ICS organizational structure should include a communications function 
with responsibility for frequency allocation and management. 


w Frequent exercises in the transition from single resource to large multi-agency 
incidents are needed to hone the skills of both command and support staff. Particular 
attention should be directed toward establishment and staffing of operations, logistics, 
finance and planning sections and to internal command post communication. 


i Exercises should include establishment of branches, division, and sectors within 
the operations section to provide an opportunity for officers to gain practical experience in 
those operational roles. 


a More attention should be paid to the critical interface between the field 


functions (Incident Command, Incident Command Post) and the Emergency Operating 
Center. Information and intelligence must be shared as it is gathered. 


- 38 - 


VI. EVACUATIONS 


Residents evacuated for three reasons: the fire department ordered them; the police 
department ordered them; or they decided on their own. During the early stages of the 
incident in the City of Oakland, evacuation was primarily initiated by the Fire Department 
personnel. However, the intensity of the situation motivated a number of residents in the 
immediate area to leave their homes of their own accord. 


Within the three cities involved, evacuation is the primary responsibility of the local 
Police Department. As the incident progressed and the dangers became apparent, the 
Police Departments assumed this role. 


Both fire and police personnel would benefit from joint training centered around 
Statutes and authority to effect evacuation. The public believes the Fire Department is 
responsible for fire evacuation. 


Evacuations were done on a one-on-one basis by residents and officials, door-to-door. 
Public address systems were used where available and practical. During the early stages of 
the incident in Oakland, Fire and Police Field Commanders had to make decisions between 
concentrating on evacuation or fire control efforts. Most chose fire control efforts in an 
attempt to abate the immediate danger. Non-ambulatory residents had to be identified by 
word of mouth and transported to a safe area by passing motorists. By late Sunday 
afternoon, evacuation efforts were more organized. Areas were blocked off and perimeter 
control established by the Police. Entry was denied to all but emergency personnel. 
Residents were evacuated to pre-identified areas. 


Although fire personnel are not primarily responsible for evacuation, the fact remains 
that they will have continued involvement. The public address system is an effective tool, 
but some engine companies did not have public address systems. 


A. WHAT HINDERED EVACUATIONS 


1. Fire Behavior 


Fire and Police Department personnel, as well as residents, were not accustomed to 
dealing with such extreme fire conditions. High winds moving dense smoke made it 
extremely difficult to determine exactly where the fire was. Residents did not know which 
way to go to get out of danger. Fire personnel could see only what was burning in their 
immediate area, which made it difficult to know where to send residents and where to move 
to their next assignment. 


2. Ingress/Egress 


The fire was in a mountainous area with limited access. Most of the roads leading 
into the fire area were narrow and winding, and many terminated in cul-de-sacs. In some 


ee 


cases, fire apparatus could not pass one another on the same road. Around large apartment 
complexes, where roads were considered to be fully adequate, traffic jams resulted from the 
mass of people moving to a safe area. Downed power lines significantly impeded 
evacuation efforts. In some cases, fire apparatus and private vehicles were trapped in areas 
for several hours. Smoke severely limited vision and further complicated any movement 1n 
the fire area. These conditions, coupled with the fact that many fire personnel from out 
of the area were not familiar with the complex road system, caused a number of people to 
become disoriented and lost in their attempts to evacuate or find their next assignment. 


3. Public Perceptions 


Some residents simply did not understand the gravity of the situation, refusing to 
evacuate until the last possible moment. Evacuees were not instructed before, during, or 
after how to leave their homes--whether to lock doors, leave windows open or leave keys 
in vehicles. 


4. Communications 


During the early stages of the fire, communications between Oakland operational 
level fire and police personnel was on a one-on-one basis. Having no common radio 
frequency significantly affected the evacuation process. Adjustments to the evacuation 
efforts in anticipation of the fire movement therefore were slow and irregular. It should be 
noted the common frequencies are available at the Chief Officer level. 


Because of the firespread pattern, Berkeley and Piedmont had more time to 
anticipate evacuation needs and put plans in effect. Discussions with representatives from 
all three departments make it evident that there was very little if any communication before 
or during the incident regarding plans or need for evacuation. 


All entities would benefit from an informational exchange meeting well in advance 
of the next disaster. Such a meeting should include levels of responsibility, authorities, local 
procedures, automatic/mutual aid agreements, and plans. 


The Emergency Broadcast System (EBS) was not used by any entity involved in the 
fire. After discussions with representatives from all three cities, it is apparent there is a 
need for more training in this area. (See the EBS discussion in the Emergency Management 
section.) 


5. Re-entry into Restricted Areas 

After initial evacuation some people returned to their residences despite the efforts 
of public officials to keep them out. The residents wanted to check on lost or unaccounted- 
for friends or relatives, remove additional items from their homes, or see if their homes had 
burned. This increased the number of people in the area and required re-evacuation. 


6. Unauthorized Observers 


Despite efforts by police and fire officials, on-lookers became a problem. The fire 
activity was highly publicized on local television and radio stations. The knowledge of the 


A) 2 


activity was enough to attract curious folks from outside the area. These people had no 
specific destination and added to the traffic congestion in the fire area. 


7. Limited Resources 


Both Police and Fire Department resources were overwhelmed. When personnel 
were available to commit to a given area, evacuation and security efforts were successful. 
But the rapidly changing fire conditions made it extremely difficult to distribute resources 
effectively. 


8. Security/Looters 


Fire Department personnel observed a few civilians posing as volunteers to gain 
access to the fire area, then taking the opportunity to commit robbery/burglary. When 
possible, fire or police officials took action to remove the offenders. 


B. EXISTING PLANS 


The City of Oakland has an evacuation plan written in 1980. The Cities of Berkeley 
and Piedmont did not have a written evacuation plan in place at the time of the incident. 
City officials utilized a general disaster preparedness plan as a foundation for evacuation 
efforts. 


C. RECOMMENDATIONS 


= Both fire and police personnel would benefit from joint training on statutes 
and authority to effect evacuation. 


a Though fire personnel are not primarily responsible for evacuation, the fact 
remains they will continue to have involvement. A loud speaker system should be on fire 
apparatus to accomplish this. 


si Oakland and Berkeley operational level police and fire personnel should 


jointly resolve issues of responsibility, authority, local procedures, automatic mutual aid 
agreements and plans. 


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Vil. VOLUNTEERS 


Firefighters, police officers, and individual members of the community responded 
with inspiring dedication and heroism to fire-related tasks on October 20, 1991. To examine 
the role and actions of those who volunteered their skills and services during the initial 
operational period of the fire, random interviews were conducted. 


Several California statutes govern the use of volunteer firefighters during local 
emergencies. The legal liabilities that are assumed and the various protections provided 
under California law are designed to protect the service requester and individual volunteer. 
These statutes may be found in the Califomia Labor Code and Government Codes. 
Volunteers historically have been used during major emergencies. 


A. OFFICIAL VOLUNTEERS 


The Alameda County Sheriffs Department administers the County Office Of 
Emergency Services Volunteer Fire Department. The Sheriffs Search and Rescue 
Organization also operates under this organizational structure. The firefighters are classed 
as volunteers and the search and rescue members are considered disaster workers under the 
Government Code. Both of these organizations were called to respond to the fire shortly 
after noon October 20, 1991. 


The Alameda County OES Volunteer firefighters responded as parts of three 
separate Task Forces drawn from the county East Mutual Aid Zone. The volunteers 
supplied two wildland patrols and a structural engine. They made a significant contribution 
to the early fire control efforts in the Broadway Terrace area of Oakland and in the City 
of Berkeley. 


Members of the Alameda County Sheriffs Department Search and Rescue 
Organization were dispatched to Oakland, where they worked to establish the main "Incident 
Staging Area" in Raimondi Park at 18th and Wood Street. They staffed the "check-in" 
function at staging supporting several Oakland Fire Department personnel from 1430 Hrs 
through 2400 Hrs, October 20, 1991. They were then relieved by elements of the Overhead 
Management Team. During the early phase of the incident, a massive influx of resources 
was organized, inventoried, and assigned to provide for the final containment of the Fire. 


Several jurisdictions within Alameda County have enhanced their Emergency 
Dispatching Function through the application of Computer Aided Dispatching Systems. The 
cities of Oakland and Livermore use a common manufacturer’s hardware and software 
system in their geographically separate emergency dispatching activities for fire departments. 
Several "CAD-Qualified Emergency Dispatchers" offered to go to Oakland and assist the 
Oakland Fire Department dispatchers with the "Call Taker Function" the afternoon of 
October 20, 1991. 


B45 


B. SPONTANEOUS VOLUNTEERS 


Spontaneous volunteers from the threatened communities also came forward to help 
with fire-fighting at the engine company level. They worked on the fire perimeter, receiving 
guidance from members of the Oakland, Berkeley, and Piedmont Fire Departments. 


A Berkeley Fire Department Officer recognized the need for immediate assistance 
to supplement the city’s on-duty firefighters. At the Berkeley Staging Area he assigned a 
significant number of "spontaneous volunteers" to assist in the fire control efforts. ‘The news 
media photographically documented their stand to slow the westerly spread of fire on 
Alvarado Road. 


When the fire threatened to spread through the neighborhood located along 
Florence, Modoc and Morpeth Street, south of Broadway Terrace, five additional 
spontaneous volunteers came forward to help in slowing the fire’s progress. Four of them 
were from the Alameda Naval Air Station and one was a Marine Corps officer related to 
a resident. They worked collectively and separately to extinguish at least five separate roof 
and landscaping fires with borrowed garden hoses and shovels. Any one of the spot fires 
would have significantly increased the number of dwellings lost. Firefighters in this area had 
no one else to turn to for additional help. 


C. RECOMMENDATIONS 


a The Incident Commander and command structure must be prepared to deal 
with the spontaneous voluntary offers of help and resources early in an incident. 


a Planning for how to organize and where to focus the profuse outpouring of 
spontaneous help should create an incident organizational element to accept the voluntary 
resources. 


& A policy should be developed and widely communicated throughout each 
emergency organization providing for the successful use of volunteers during major incidents. 


ord dee 


e 


Vill. MOP-UP 


A. SATURDAY 


In reviewing mop-up operations, it is necessary to examine both the conflagration of 
October 20th and the fire of Saturday, October 19th. The Saturday fire was discovered and 
reported by an East Bay Regional Park (EBRP) helicopter pilot on an overflight about 
11:45 a.m. In his report to EBRP, he described a fire in what appeared to be a pile of scrap 
lumber. The exact location turned out to be in the rear of 7151 Buckingham Boulevard. 
The fire went from one to five alarms within 30 minutes. It burned off an area of no more 
than three acres before being brought under control in about three hours by an aggressive 
attack from 16 engine companies, four patrol wagons, and a helitac unit. All engines were 
released by 6:30 p.m. Both Oakland and East Bay Park District personnel returned to the 
fire during the course of the evening to check for hot spots. 


In controlling the Saturday fire, great reliance was placed upon wet lines around the 
perimeter. Only one section of fire line (cold trail) construction was undertaken about 350 
feet downward from Grizzly Peak Boulevard along the eastern flanks (CDF helitac crew). 
The rest of the perimeter was thoroughly soaked with hose lines and helicopter water drops. 
Within and just outside the burn along the east, south and west flanks there was fairly dense 
coverage by Monterey pines. Duff under these pine trees was cited by firefighters as having 
been a foot or more deep. 


After having suffered the heat of fire, pine trees produce greater than normal needle 
cast, which adds fresh kindling to the accumulated duff. When a fire moves through duff, 
the top layer burns freely. As the fire penetrates into the more compacted material, it 
begins to starve for oxygen and is reduced to smoldering. When water is applied to the 
surface, flames are extinguished. The water combines with ash and charcoal to form a crust, 
but smoldering continues under the crust. Smoldering in such crust-protected material may 
continue for days, and sometimes weeks. 


There were several flare-ups during Sunday morning’s mop-up in heavy duff under 
trees. Crews were treating (mixing duff, water, and soil) these areas when the flare-up 
started the conflagration outside the Saturday burn. 


B. MONDAY AND THEREAFTER 


Mop-up operations commence when the fire is pronounced "contained"--usually at 
a point when new ignitions appear unlikely and perimeter control lines are well-established. 
Mop-up operations were coordinated through the relocated Incident Command Post at 
Alameda Naval Air Station. The ICS was kept intact. Operations were divided among 
three Branches, eight Divisions, with 12 Strike Teams assigned to each 12-hour work period. 
Operations were well-organized and coordinated. Division chiefs were briefed, radio 
frequency assignments made, safety hazards identified, and weather conditions discussed. 
Objectives for each work period were explained and, insofar as could be determined, met. 


ead de 


Mop-up was an orderly site-by-site operation to locate and extinguish remaining hot 
spots. Considerable digging through and movement of debris was involved. Anything 
salvageable found was carefully set aside and called to the attention of patrol officers. In 
a few circumstances, salvageable items were given to, or left in the custody of an identified 
owner or Occupant. 


From 8:00 a.m., October 21, through demobilization of mutual aid resources on 
October 24, Strike Team leaders and company officers expressed approval of the mop-up 


operations management. Reports simply stated "operations went smoothly and without 
incidents." 


C. RECOMMENDATIONS 


a Mop-up techniques and standard practices should be incorporated in the 
training of all companies in areas with wildland intermix fire zones. 


5 


o 


IX. DEMOBILIZATION 


Demobilization actually commenced while fire fighting was still very heavy. A few 
in-county resources were released between 9:00 p.m., October 20th and 8:00 a.m., the 21st 
as more mutual aid became available. This normal action is taken to restore depleted 
resources in nearby communities. Those first released were committed early in the fire fight 
and had been working hard. 


A formalized Demobilization Center was established as an extension of the base 
camp operation at N.A.S. Alameda. All out-of-county resources were processed through the 
center. The demobilization process includes: 


(1)  Ascertaining that personnel are properly rested for the trip home, 
(2) | Determining need for any medical attention, 
(3)  Inventorying to discover damaged or lost equipment, 


(4) Inspecting of vehicles to determine whether or not they are roadworthy. Making 
needed repairs when necessary and practicable, 


(S) Inspecting safety and emergency warning devices to insure proper operation, 
(6) | Checking fuels and lubricants, replenishing as needed, and 
(7) Offering stress counseling, if available. 


On a large-scale operation such as the East Bay hills fire, demobilization is both 
necessary and time-consuming. It is an invariably frustrating process to firefighters who are 
ready to go home. There are also inevitable differences of opinion between vehicle 
inspectors/mechanics and unit officers as to the operational safety/reliability of a particular 
unit. 


During the Demobilization Center’s period of operation, it inspected, serviced and 
fueled 424 vehicles. Release dates: 


October 20: 2 Engine Strike Teams 

October 21: 1 Engine Strike Team 

October 22: 12 Engine Strike Teams 

October 23: 34 Engine Strike Teams, 1 Water Tanker 
October 24: 22 Engine Strike Teams 

October 27: 1 Support Unit 

October 28: 1 Support Unit 

October 29: 2 Engine Strike Teams 


FAG < 


The most common comment from Strike Team officers was, "considering the 
magnitude of the task, demobilization went fairly quick and appeared to be well-organized. 
Some of the complaints expressed were "held too long in demob," "not on a more distance- 
first basis," "release time takes too long," “damaged hose not replaced,” "releases not based 
upon provider’s need," and "demobilization not well-organized, difficult to get a mechanic." 


The safety check discovered problems in 151 units; 146 mechanical problems were 
corrected, and 72 non-safety related problems were deferred. One hundred five (46%) units 
were surveyed for damage before release. Fourteen units were not able to travel home with 
their strike team because of mechanical problems which couldn’t be resolved by release 
time. Thirty-five units necessitated repair arrangements by the provider. 


Of those surveyed, 174 officers felt demobilization was smooth and orderly, and 20 
felt it was not well-organized. Twenty-one had no opinion. 


eA]. 


X. EMERGENCY PUBLIC INFORMATION 


The problems in disseminating emergency public information during the East Bay 
hills fire were not new, nor were they unique to the incident. The following is based on 
interviews with public information officers and the media involved in the fire. They had 
much to suggest about information coordination and local agency response. 


According to both the media and Oakland Public Information Officers, the City of 
Oakland has an excellent plan for the dissemination of information in a crisis. However, 
in the East Bay hills fire, there were very few people who were trained in, or knew and 
understood the plan. The plan was not followed during the course of the fire. Almost all 
the activities were reactive. 


A. AS IT HAPPENED 


Because the fire started on a Sunday, a day in which there were no Public 
Information Officers on duty, an Oakland fire captain (whose normal job is Communications 
Officer) was appointed Public Information Officer by the Incident Commander. He was 
designated early (about a half an hour into the operation), but he was the only person 
involved for quite some time. He had no crisis communications training. City of Oakland 
Public Information Officers reported to the Oakland EOC from their homes, and this took 
considerable time. 


The public information effort is often indicative of the efficient flow of information 
within an operation. Since communication and coordination were major problems in the 
operation, public information suffered also. It was very difficult for Public Information 
Officers to obtain and verify information. Calls from the media into Oakland Dispatch 
flooded telephone lines. A Fire Captain said the calls affected Oakland’s ability to deal with 
the emergency. It was difficult to release available information through normal channels 
because phone lines were jammed. 


An Information Center was set up at Fire Station #19, a couple of blocks from the 
main Command Post, about 6:00 a.m. the second day. This decision was made because the 
Public Information Officers were concerned that the Command Post might have to be 
moved and the Information Center would have to be moved also. It was also selected 
because it had telephones, bathrooms and other amenities. Cellular-1 brought in 20 cellular 
phones. Public Information Officers then called the major media outlets and provided them 
with the numbers. One captain said he didn’t feel there were enough Public Information 
Officers at the Information Center and that contradictory information was released. 
However, reporters complained that there was no information available at the Information 
Center: 


The first news conference was first held between 4:00 and 5:00 p.m. The Public 


Information Officer said he got most of his information from listening to Fire Department 
frequencies. He also faxed Incident Command System information forms to the media, but 


aioe 


some information was incorrect. In his words, "Everything that could go wrong, went 
wrong." 


A California Department of Forestry firefighter trained as a Public Information 
Officer was sent to the fire about 2:00 p.m. the first day. He was first put in Operations, 
but about midnight he was asked to help the Oakland Fire Department Public Information 
Officer. The California Department of Forestry’s first course of action was to ask for more 
Public Information Officers. 


Oakland Public Information Officers who reported to the Emergency Operations 
Center were greeted by pandemonium. They also found the flow of communications 
frustrating. Furthermore, the city had a new mayor and staff, none of whom were familiar 
with the Oakland plan or had training. Briefings for reporters were held on the sidewalk 
in front of the EOC. Oakland’s plan does not address mutual aid for Public Information 
Officers. Mutual aid coordination from San Mateo County was offered, but no response was 
received from Oakland. 


Elected officials were briefed by staff able to get information quickly, but when 
information was presented by the Mayor at a news conference it was the first many Public 
Information Officers had heard of it. All Public Information Officers should be in the 
communication and information loop. City Public Information Officers tried to schedule 
regular briefings, using the Coroner’s Office as the sole source of information on number 
of fatalities. 


B. MEDIA ACCESS 


Unlike the Cypress freeway collapse in the Loma Prieta earthquake, the fire was not 
contained to a relatively small area. There were many information sources for reporters. 
Various cities were releasing information and denying access to the media. Oakland Public 
Information Officers said the media were generally ignorant of the type and level of fire. 
Members of Bay Area media organizations complained of many roadblocks in their effort 
to broadcast life-saving information. One radio news director said he felt there was no 
organized effort to get information to the media. He also felt the City’s Emergency Public 
Information plan was not followed. He also said his reporters were not allowed access to 
the Command Post, Highway 24, and other areas, as allowed under 409.5 (d) of the 
California Penal Code. The news director also said he heard dispatch tapes of the Police 
Department saying reporters will not be allowed access; he also heard callers to 9-1-1 asking 
for information and being told to listen to radio and television. 


The radio news director said he felt the Public Information Officers were kept out 
of the loop of information and that emergency public information was not high enough 
priority. He didn’t think the Emergency Broadcast System should have been activated, but 


that the newer, Emergency Digital Information System should have been. He would have 
liked to have had updates every 15 minutes. 


A television news director said his station had information gathering problems right 
away. He said the public had a need to know, not a right to know. He felt better 
information flow could have saved lives and that section 409.5 (d) of the California Penal 


240% 


a 


Code needs to be explained to the troops in the field. (It allows media access to disaster 
scenes.) 


Beyond the requirements of the media, these comments accentuate the need for 
rapid, accurate sharing of incident information among and between all parties involved or 
impacted. 


C. RECOMMENDATIONS 


= Part of the initial dispatch of resources to any major incident should 
automatically be a trained Public Information Officer team. The quicker a Public 
Information Officer team can get to a scene and set up operations, the better the 
information effort will be. 


s A 25-30 person trained Public Information Officer team should be in the plan 
for every city and county. Team members will typically work in the field, at the EOC, the 
Command Post, phone banks, and in dispatch, answering media and public inquiries. 


w An equipped mobile and EOC Information Center is critical as a base of 
operations for the team. Adequate staff, cellular phones, fax machines and ham radio 
operators are important. 


5 Media should have access to information. Whether that access is by phone, 
fax, or by entrance into the disaster area (under 409.5(d) PC), reporters must be able to 
obtain information. 


o Most importantly, emergency public information must be given a high priority 
by all involved. A coordinated effort, by a trained team able to obtain information from all 
involved, is the key. 


= An attorney representing the media reported that both Oakland and Berkeley 
have written "letters of understanding" to the media that state law enforcement personnel 
from those cities will respect the spirit of 409.5 (d) of the Penal Code. Enhanced training 
is required statewide. 


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XI. LAW ENFORCEMENT OPERATIONS 


This report is partially derived from recorded logs, reports, transcriptions, and other 
printed information from the City of Oakland Police Department, the City of Berkeley 
Police Department, the Alameda County Sheriffs Department, and the Governor’s Office 
of Emergency Services, Law Enforcement Division. Ranking officers on duty during the 
period of the firestorm were also interviewed. 


A. IMMEDIATE RESPONSE 


1. Departments Involved 


The City of Oakland Police Department is comprised of 652 sworn officers and 359 
non-sworn civilians. The department serves a highly urbanized area. The Patrol Division 
forms three watch platoons which provide law enforcement services for five designated 
districts. 


The City of Berkeley Police Department is one of only four California law 
enforcement agencies accredited by the nationally recognized Commission on Accreditation 
for Law Enforcement Agencies, Inc. The department’s 132 sworn officers and 12 non-sworn 
employees provide the citizens of Berkeley with programs focused on its unique suburban, 
residential, university environment. Those services include patrol requiring four shifts daily 
to service the city’s 11.4 square miles and 102,724 residents. 


2. Fire Event 


The fire was noted by an Oakland patrol unit investigating a traffic accident and 
fatality in the Marlborough Terrace area of the Oakland Hills at approximately 10:58 a.m. 
Sunday morning. Fire units from the Oakland Fire Department had been working early 
Sunday morning to drown hot spots and embers within the burned areas of Saturday’s brush 
fire. Darkened skies over the East Bay Hills area had been observed by a Berkeley Patrol 
Division Lieutenant on his arrival at the Berkeley Hall of Justice at approximately 11:00 
a.m. This Lieutenant passed on these observations to the Berkeley Communications Center. 
The Lieutenant was told that the rekindled fire was confined to the city of Oakland. At 
about the same time, the Oakland Patrol Unit in the Marlborough Terrace area heard radio 
reports that the Oakland Fire Department was dispatching additional units to the vicinity 
of Saturday evening’s brush fire along Grizzly Peak and Tunnel Road. 


3. Initial Law Enforcement Activities 


By noon, the police departments and fire services of both cities were still actively 
trying to assess the scope of the fire. The City Manager of Berkeley confirms the early 
call-out for the Chief of Police, City Manager, and other off-duty department personnel. 
By 12:11 p.m., all available on-duty patrol units were staging and being deployed to control 
heavy vehicle and pedestrian traffic which had rapidly grown in the area of the Claremont 


te 


Hotel. The Fire Department ordered the evacuation of homes in the affected area of 
Berkeley at 12:17 p.m., ten minutes following the first telephone call for 911 assistance. By 
12:38 p.m. all of Berkeley’s law enforcement and fire-fighting personnel were fully 
committed to combating the fire and carrying out evacuation orders. 


In the city of Oakland, police patrol units were being dispatched to District II, the 
area of the fire’s origin, to control traffic and crowds. Several patrol units with officers 
unfamiliar with the street layout became lost. One such unit, descending the area through 
dense smoke, stopped to pick up two elderly females with their pets. The unit then inched 
its way to safety assisted by radio communications with Oakland Dispatch and other nearby 
mobile police units. An Oakland Police Officer perished during the first hour of 
evacuations. 


Getting an overview of the devastating fire was a real problem for the Oakland 
Police Department. Deputy Chief Tom Donahue, in charge of Oakland Police Department 
Operations, stated that had he had a total picture of the fire from the air, it would have 
greatly assisted law enforcement’s initial response to affected areas. 


The Oakland Police Department evacuated over 5,000 people during the first hours 
of the fire. Officers made door-to-door evacuation orders. Motor units were especially 
useful in maneuvering through the logjam of abandoned vehicles and fleeing pedestrians. 
The added missions of traffic and access control, perimeter security depleted the 
department’s personnel resources by late afternoon. The Alameda County Sheriffs 
Department, having mutual aid coordination responsibilities, responded to Chief Hart’s 
request for assistance immediately upon request. 


B. LAW ENFORCEMENT MUTUAL AID 


The Law Enforcement Operational Area Coordinator, Sheriff Plummer, provided 
initial mutual aid responders from his own department along with officer elements from 
several Alameda County police departments. Access control and anti-looting patrol 
activities became primary tasks for mutual aid responders. The influx of these fresh 
resources allowed Oakland Police Department to relieve its personnel, some of whom had 
been on line since the beginning of the morning shift. The City of Berkeley Police 
Department was also augmented by mutual aid forces. 


The common missions of access control, anti-looting, perimeter security and further 
evacuations transcended jurisdictional lines. Units of responding mutual aid officers could 
be observed in both Oakland and Berkeley supplanting the beleaguered police forces of 
both cities. 


Staging and briefings of mutual aid responders were accomplished at the Convention 
Center. This facility was distant from the firestorm scene and afforded some advantages for 
arriving responder units and the Oakland Police Department: 


mw No added traffic within the fire area; 
m No interference with on-going fire fighting and evacuations; 
mw Provided necessary shelter for off-duty elements. 


+ Cp le 


Alameda Co Sheriffs’s Department 280 State OES, Region II 
nee Contra Costa County 
Police Departments - Alameda County Marin County 
Alameda Ce San Francisco Police 
Emeryville & ee San Mateo County 
Fremont oe Santa Clara County 
Hayward ee Solano County 


Livermore oe Sonoma County 

Newark oe | | SUB-TOTAL 

Pleasanton | oo 

San Leandro = Alameda Co Sheriffs Dept 

Union City : : Alameda Co Cities 

B.A.R.T. _6  Out-of-County Departments 
SUB-TOTAL TOTAL 


1. Command and Control 


Maintaining direction and control of law enforcement and other response resources 
was an initial problem. This was largely due to a lack of information and the flow of 
information in the first hours of the fire. This was especially true in the City of Oakland. 
Radio frequencies used by fire services and police elements were taxed to maximum 
capacity. As is the case in most emergencies, those radio frequencies specifically set aside 
for emergency/disaster use are generally used daily for non-emergency purposes; their 
primary function as an emergency response frequency is negated when most needed. 


A common Emergency Operation Center (EOC) was not established early during the 
firestorm. In Oakland, the fire services Field Command Post was mobile and changed 
location several times. The Oakland Police Department retained its operations from 
headquarters until eventually moving its field base of operations to the Rockridge B.A.R.T. 
Station. It was later moved again to a local school building. The City of Oakland EOC, 
which opened at Fire Station #1, was yet a third point of coordination. Direction and 
control becomes complicated, at best, with such wide-flung locations attempting resources 
coordination and decision-making. 


In Berkeley the EOC was fully activated by mid-afternoon, though some of the EOC 
staff, including the City Manager and the Chief of Police, had been there earlier as the fire 
was evolving. 


Communication was a continual problem and presented an obstacle throughout the 
event. Personal liaison among agencies provided some assistance in information flow and 
exchange. 


2. Coroner Operations 


The Alameda County Sheriff's Department mission includes coroner responsibilities. 
The Sheriff's Coroner’s Bureau was solely responsible for the task of recovering the remains 


ise 


of victims of the Oakland hills fire in the Cities of Berkeley and Oakland. The coroner is 
responsible for the dignified recovery of the dead; securing personal belongings; and 
determining the cause, mode, and manner of death. 


The Sheriffs Coroner’s Bureau was alerted to the fire by Alameda County Dispatch 
at 1400 hours on Sunday afternoon, October 20, 1991. On-duty staff at the bureau were 
ordered to remain on duty and call-out was begun for off-duty personnel to form 12 hour 
shifts. Call-out and response occurred without problems; facilities equipment and supplies 
on hand were considered adequate at the time of notification. The morgue’s refrigeration 
unit capacity was at 66%. The usual capacity of 45 spaces could be doubled, if need be, 
with slight alteration to the available floor space. 


The bureau’s emergency event staff needs were met by on-duty bureau personnel, all 
of whom participated in emergency operations during the Loma Prieta earthquake two years 
earlier. Commander Cain and staff supervisors implemented standing bureau plans which 
included: 


a Contact with contract pathologists, odontologists, and anthropologists, 
notifying them of the possibilities for their services. 


a Requesting additional deputies for the exterior security of the 4th Street 
coroner’s facility. 


a Added photographers for on-site recoveries; courier function for dental 
records or odontology reports deliveries from dentists offices and hospitals. 


a Continuity of normal Public Administrator duties during the emergency event. 


Field operations were conducted exceptionally well. There was no shortage of 
supplies or equipment, and all recovery equipment functioned properly. No delays were due 
to lack of staff or needed equipment. Replacement consumable supplies were ordered as 
on-hand items were used. Due to the nature of the recoveries, a special requirement 
developed for sieve equipment for use in the fire’s rubble. The department’s carpenter 
shop constructed several archaeological field sieves on short notice. These improvised items 
proved invaluable in uncovering identifiable remains. From October 20 through 28 the 
Coroner’s Bureau completed 71 deceased recoveries: 


i 25 fire victims 
a 12 non-human remains recovered from the incident 
z 34 non-fire deceased recoveries 


Crisis counselors were at the bureau throughout the emergency period. The focus 
of their attention was toward victim families. They were extremely busy on some days; the 
service they provided freed coroner personnel from these duties. In addition to assisting in 
mitigating families’ immediate grief, they also established themselves as a source for 
follow-up counseling for many victims’ families. 


_ Mobile radio for coroner’s operations is confined to the local government frequency. 
During normal operations, day-to-day use of this frequency is heavy. During the emergency, 


aSAe 


the frequency was described as congested. Static feedback also added to mobile radio 
communication difficulty. Cellular phones offered the best alternative to mobile radio 
outside of a dedicated coroner’s frequency. The phones worked very well except battery 
power placed a limit on availability. The inadequate number of cellular phones also limited 
their effective use. 


Power was interrupted for a short while on October 20; this posed no significant 
threat to operations. Lacking adequate data base and spread sheet software programs made 
access to on-hand information take longer than was necessary. 


Sequencing of forensic services became a concern for pathologists. In a few 
instances, odontologists and anthropologists examined remains before pathology services 
were concluded. While this did not present major problems or delays in the identification 
process, it did raise questions of procedure. 


3. Victim Recovery 


The bodies of the first known victims were recovered and identities determined the 
first evening of the fire. With the memory of the Loma Prieta earthquake and the Cypress 
Street freeway structure collapse still fresh, the Alameda County Sheriff and Coroner 
requested mutual aid assistance ‘» the thorough search of the burned area. 


Search and rescue units, iargely a volunteer force, were alerted to the task as early 
as Sunday night. Full planning for recovery was undertaken by a combined group of sheriff's 
deputies and department volunteers. Inter-regional resources were identified and requested 
for search operations to begin on Tuesday, October 22, 1991. Units and departments 
included are set forth in the following table. 


x55\6 


LIST OF PARTICIPANTS IN SEARCH OPERATIONS 


AGENCY STAFF HOURS 


ALAMEDA COUNTY —_79 (volunteers) 893.75 
oe e _45 (paid) 438,25 


SUB-TOTAL | 1,331.00 


BAMRU | ee ae : S125 
Cal ESAR Cs 43 437.00 
CARDA oe 70 /33 dogs 697.25 
Contra Costa : 30 285.25 
EBRPD 350.00 
E] Dorado County 134.75 
Marin County 93.00 
Placer County 296.25 
San Mateo County 700.75 
Santa Clara County 1,007:25 
Santa Cruz County 3510 
Sonoma County 406.25 
WOOF 14 /14 dogs 131.50 
Fire Services 71 588.25 
State OES 15 111.00 


MISC 2135.75 
TOTALS 7,374.00 


As outlined in the plan, the charred residences of persons listed as missing would be 
searched first. An extensive base of operation was established on lands of East Bay 
Regional Parks. This Command Post, established at Lake Temescal, provided a command 
center, staging area, and all the needed functions of a base camp. These facilities would be 
used through Saturday, October 26, 1991. 


Aided with search dogs trained in disaster recoveries, ground searchers labored on 
hands and knees for four consecutive days, sifting through ash, soot and debris. By October 
26, the remains of the last victim of the firestorm were recovered. The Sheriffs Coroner 
function was completed Monday, October 28. 


56 - 


a 


Xlil. EMERGENCY MANAGEMENT 


The fire unfolded so rapidly that it was difficult for the emergency management 
system, despite plans, training and professional personnel, to keep up. The command, 
control and coordination mechanisms at the intra and inter-governmental levels were not 
fully functional until well into the emergency. 


A. NOTIFICATIONS 


Inter-agency notification appears to have been problematic. Due to the speed of the 
fire’s spread, interagency notifications were often slow. Some agencies first became aware 
of the fire’s destruction through media accounts, rather than through official notification 
channels. This led to staff and agencies attempting telephone contact with emergency 
dispatch centers which were already overloaded with emergency calls. More effective 
notification systems, capable of rapid reaction, should be developed. 


In an attempt to gather timely, accurate information, the State Office of Emergency 
Services (OES) sent liaison representatives to local Emergency Operations Centers (EOCs). 
These individuals functioned as "eyes and ears" to better understand the nature of the 
emergency, and the types of assistance required to deal with the emergency. Some 
Tepresentatives were also dispatched to field command posts, again due to lack of 
information flow among sites and agencies. 


B. EMERGENCY BROADCAST SYSTEM 


Oakland chose not to use the Emergency Broadcast System due to its perceived 
inefficiency. The capability existed for Oakland to put out a single announcement or 
evacuation order. Individual stations may decline to broadcast local EBS messages; 
however, federal regulation stipulates that every broadcast station must be equipped and 
ready to receive an EBS message. 


Completely overhauled in 1990, the EBS system was specifically authorized for this 
particular type of use. Oakland was authorized to activate local EBS directly without having 
to go through either the county or the state. 


C. SHELTERING NOTIFICATION 


Within 24 hours of the event, approximately 5,000 persons were evacuated and in 
need of shelter. Eleven shelters were set up by the American Red Cross. Some residents 
were allowed to return to inspect damage after evacuating the area. Having dealt with 
similar problems in the past, Oakland and the Red Cross worked around the clock to place 
evacuees into shelters. The process was slow because setting up evacuation centers takes 
time and it was difficult to remove persons from the fire area. 


S79 


D. RECOVERY 


Because of Oakland’s experience during Loma Prieta, the city established separate 
groups to deal with recovery issues. Six policy groups were established to streamline 
operations; clean-up, erosion, economics, public safety, rebuilding, and communications. 
These groups met daily and involved six or more representatives of the 18 departments that 
were involved in these policy groups. 


E. RECOMMENDATIONS 


To a great extent, the early functions of emergency management were handled by law 
enforcement and fire services. Overall emergency coordination is, however, a shared 
responsibility, among and between departments and disciplines. Key aspects requiring 
improvement are the development and sharing of information, including provision of timely 
and appropriate emergency information to the public, and the facilitation of coordinated, 
multi-disciplinary response to large-scale emergencies. 


cs Another issue is the need for the fire service and law enforcement decision 
and coordination centers to better communicate and coordinate with the overall emergency 
management function. Comments and observations indicate that the systems, though inter- 
related, often failed to coordinate information, activities and planning with other agencies 
in different disciplines. 


= Local emergency management staff from each community were overwhelmed. 
Oakland responded by accepting emergency managers from Santa Clara and Contra Costa 
as mutual aid staffing. This concept has been employed on a limited basis in other 
emergencies, and should be expanded statewide. A more formal process for tasking and 
assignments is needed. 


iy The Emergency Broadcasting System (EBS) and Emergency Digital 


Information System (EDIS) need to be marketed so that they are used to their fullest 
benefit. 


258 . 


ANNEX A 


CALIFORNIA’S LARGEST 
RESIDENTIAL WILDLAND FIRE LOSSES 


(Losses in Excess of 50 Structures) 


ACRES STRUCTURES 


YEAR NAMES OF FIRE COUNTY BURNED DESTROYED 
1923 City of Berkeley Alameda 130 584 
1961 Harlow Mariposa 41,200 106 
1961 Bel-Air Los Angeles 6,090 484 
1964 Hanley Series Napa-Sonoma 71,601 174 
1964 Coyote Santa Barbara 61,000 94 
1967 Paseo Grande Riverside 48,639 61 
1970 “California Series Statewide 576,508 722 
1970 Bear San Bernardino 53,100 54 
1977 Sycamore Santa Barbara 804 234 
1978 Creighton Ridge Sonoma 11,405 64 
1980 Stable San Bernardino 5,482 65 
1980 Summit Series San Bernardino 41,472 355 
1981 Atlas Peak Napa 22,000 69 
1982 Dayton Haul Ventura/L.A. 57,000 65 
1985 Lehr San Diego 200 64 
1988 49’er Nevada 33,500 Siz 
1988 Fern Shasta 7,800 58 
1990 Painted Cave Santa Barbara 4,900 641 
1990 "A" Rock Mariposa 12,136 66 


SUB-TOTAL 4,272 
1991 Oakland Hills Alameda 1,600 3,354 


TOTAL: 7,172 


"A series of 773 separate fires located throughout the length of California occurred over an 
approximate 10 day period. 


50 e 


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OAKLAND/BERKELEY HILLS 
FIRE OF ANE 


ESTIMATED 
OCA Wier UOT. FIRE SPREAD 


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DIVISION 


MOUNTAIN VIG 
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CITY BOUNDARY 
Mmmm FIRE BOUNDARY 


@ me ; . MAP 
ame A PREPARED BY 
' ‘ DAVID KEHRLEIN 
G1S/MAPP ING 
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PIEDMONT “3 CRAIG CASTANEDA 
x ASSISTANT 


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CALIFORNIA 


fee Aa oI 
Culifornta Office of 
Emerpency Services 


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pte Z PREPARED BY 
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if METERS \ G G1S/MAPP ING 


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_ eee ono PIEDMONT \ CRAIG CASTANEDA ———j 300-399 


ate x ASSISTANT USERS 200-290 


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5:00 


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INCIDENT COMMAND ORGANIZATION 


INCIDENT COMMANDER 


INFORMATION 
SAFETY 


LIAISON 


OPERATIONS PLANNING LOGISTICS FINANCE 
SECTION SECTION SECTION SECTION 
STAGING 
AREAS RESOURCES SERVICE TIME 
UNIT BRANCH UNIT 
BRANCHES AIR 
OPERATIONS SITUATION pe ae 
BRANCH UNIT 
PROCUREMENT 
MEDICAL UNIT 
DIVISIONS DOCUMENTATION UNIT 
AND UNIT 
GROUPS COMPENSATION 
FOOD CLAIMS 
AIR AIR 
UNIT 
SUPPORT ATTACK “ae ace oN 
GROUP GROUP 
SINGLE 
RESOURCES sae SUPPORT 
BRANCH COST 
SPECIALISTS a 
HELIBASES 
HELICOPTER 
TASK FORCES COORDINATION SUPPLY 
HELISPOTS shit! 
FACILITIES 
UNIT 
STRIKE AIR TANKER zs 
TEAMS COORDINATION 
za 
FIIXED WING GROUND SUPPORT wu. 
BASES [COOR.] UNIT 
Mm 


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13; 


14. 


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16. 


BIBLIOGRAPHY 


"Hazard Mitigation Report - East Bay Fire," Office of Emergency Services, 
Nov 26, 1991. 


Berkeley, California Conflagration, National Board of Fire Underwriters, 
Sept by. 1923: 


Wildland Fire Operations and Mutual Aid Procedures, Berkeley Fire Department, 
Feb, 1991 


Berkeley Fire Department, Radio Logs and CFIRS, Oct 20, 1991. 
"California, The Endangered Dream," Special Issue. TIME, Nov 18, 1991. 


"Report - Urban Interface," 1982 Blue Rrbbon Fire Prevention Committee. East 
Bay Regional Parks, Feb 1982. 


OES State Fire and Rescue Emergency Mutual Aid Plan, Revised Sept 1988. 

OES Fire and Rescue Mutual Aid System, Revised April 198%. 

"Neighbors Bordering on Anger," Oakierd Tribune, Nov 20, 1991. 

Oakland Fire Department Radio Logs, Oct 20, 1991. 

OES Situation Summary, 1300, Oct 21, 1991. 

"Wildland Fires and Flooding in California," Recommendations of Governor’s Task 
Force on Chaparral Fire and Flood Risk Management, California Department 


of Forestry, April 198f!. 


"The Fire Siege of 1987: Lightning Fires Devastate the Forests of California," 
California Department of Forestry, Sept 1988. 


"Conflagrations in California, Committee Recommendations," California Disaster 
Office, May 1966. 


"Fire Prevention Programs of Counties and Cities with a Wildland Fire Potential", 
Report to Legislature, California Department of Forestry, Feb 1980. 


"An Evaluation of Efforts to Provide Fire Safety to Development and Occupancy 


Within Wildlands of California," California Department of Forestry, 
April 1973. 


605 


We 


18. 


19: 


ZV: 


PEN 


22. 


2a: 


24. 


"Recommendations to Solve California’s Wildland Fire Problem," Task Force on 
California Wildland Fire Problem, June 1972. 


"Loma Prieta Earthquake," Fire and Rescue Operations, April 8, 1991. 


"Fires in Southern California," Hazard Mitigation Survey Team Report, 
June 26 - 30, 1985. 


"California’s Conflagrations, June 27 - July 20, 1985," California Department of 
Forestry, May 1986. 


"California Aflame, September 22 - October 4, 1970," California Department of 
Forestry, Nov 1971. 


"Law Enforcement Operations, Loma Prieta," OES Law Division, May 1990. 
Fireline Handbook 410-1, National Wildfire Coordination Group. 


Field Operations Guide - ICS 420-1, FIRESCOPE, Aug 1989. 


“65a 


BERKELEY LIBRARIES 


C12490 


0

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