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The Waldbaum’s Supermarket Fire and Collapse FDNY 1978
The Waldbaum Super market fire, Brooklyn, New York occurred on August 2, 1978. Six firefighters died in the line of duty when the roof of a burning Brooklyn supermarket collapsed, plunging 12 firefighters into the flames. The fire began in a hallway near the compressor room as crews were renovating the store, and quickly escalated to a fourth-alarm. Less than an hour after the fire was first reported, nearly 20 firefighters were on the roof when the central portion gave way.
Thirty-four firefighters, one emergency medical technician and one Emergency Services police officer were injured in the fire and the tragedy is remembered as one of the worst disasters in the New York City Fire Department’s 143-year history.
The FDNY members killed in the Waldbaum’s fire included:
• Lt. James E. Cutillo, Battalion 33
• Firefighter Charles S. Bouton, Ladder Company 156
• Firefighter Harold F. Hastings, Battalion 42
• Firefighter James P. McManus, Ladder Company 153
• Firefighter William O’Connor, Ladder Company 156
• Firefighter George S. Rice, Ladder Company 153
The fire started at 8:40 am in Waldbaum’s supermarket located at 2892 Avenue Y and Ocean Avenue in the Sheepshead Bay section of Brooklyn. Nearly 23 electricians, plumbers and contractors were renovating the building when the fire was discovered in mezzanine area. Box 3300 was transmitted at 08:39 hours and the All hands transmitted at 08:49 and subsequently a 2nd alarm at 09:02 hrs. Shortly after 09:20 with 20 firefighters operating on the bowstring truss roof a crackling sound was heard and the center portion of the roof fell into the smoke and flames. Some of the firefighters were seen running toward the edge of the roof; some made it, others nearby fell into the gaping hole. The third alarm was transmitted at 09:18 3rd alarm and subsequently escalated to a Fifth alarm assignment during the rescue and recovery operations.
Laborers and firefighters managed to pull out some who were near walls, some crawled out. Several holes were made into the wall to pull out injured survivors and victims.
The Building
The approximately 120 ft. x 120 ft. primary building was originally built in 1952 as a supermarket and at the time of the fire was undergoing extensive renovations and was open and operating. Constructed with exterior masonry bearing walls of with timber roof trusses with a 100-foot clear span, supported on pilaster columns embedded in the exterior walls, it was classical Type III construction. The truss system supported an ornamental tin ceiling and 18 inches below that concealed space a conventional suspended acoustic ceiling tile panel system was present. Reports indicated the tin ceiling was attached directly to the bottom cord of the truss system. A two story mezzanine and machine room was located at the north wall of the original building. Access through the truss loft area was accessible through man-doors at the plane of each truss.
The heavy timber bowstring arch roof consisted of seven (7) truss units constructed of 4-5 bundled 3 inch x 12 inch attached assemblies. Two factors contributed to the collapse of the bowstring arch truss system; double roof (rain roof) alterations with concealed spaces and the extent and severity of the fire within the concealed spaces affecting the assembly’s structural stability. The presence of the double concealed ceiling systems; the truss system supported an ornamental tin ceiling and 18 inches below that concealed space a convential suspended acoustic ceiling tile panel system was present. Reports indicated the tin ceiling was attached directly to the bottom cord of the truss system. The failure of operating companies and command personnel to recognize the signs of an unchecked concealed fire that was propagating at a rapid pace impinging upon critical structural assembly points was a significant contributing factor in the incident outcome.
This roof collapsed 32 minutes after the initial units arrived. The immediate collapse occurred approximately 85 feet inward from the Alpha side (Ocean Avenue) and approximately 50 feet from the Bravo side (Avenue Y). The immediate failure and loss of structural stability and collapse of truss unit #5 was followed with the subsequent collapse of truss units #6 and #4 that were interdependent on the roof rafter and purlin system to maintain thier structural stability and vertical orientation. This type of interdependent structural system of structural trusses, rafters and roof deck (membrane) result in large area collapses since the primary truss will usually cause the adjacent two truss systems (on either side of the primary compromised truss) to fail by pulling downward.
The effects of direct flame impingement on the truss assessmblies, thier connection points of bearing at the outter masonry walls, coupled with the tactical trench cut that had been comopleted by the operating ladder companies resulted in 4,000 sf section of roof to collapse in the truss #5, 6 and 4 bay areas. Rapid and progressing fire travel within the concealed spaces and the degradation of the roof assembly and structural support system, failure to recognize the inherent opertaional risks associated with roof and interior operations on heavy timber truss roof systems and the failure to correlate continued interior suppression operations with simultaneous roof ventilation operations with no significant change in operational progress or mitigation contributed to the tragic outcome of the incident.
A short ten years would pass and the lessons from the Waldbaum Fire would soon be forgotten when on July 2, 1988 operations in a Type III building consisting of an auto dealership would lead to the deaths of five (5) Firefighters in Hackensack, New Jersey when operations were being conducted in the truss loft storage area when an 80 foot heavy timber truss collapsed trapping the firefighters. The Hackensack Ford Fire occured less than four weeks short of the tenth anniversary of the Waldbaum Fire right across the Hudson River. More on the Hackensack Ford Fire HERE.
Additional References :http://stevespak.com/waldbaums.html
Fire Investigation: An Analysis of the Waldbaum Fire, Brooklyn, New York, August 3, 1978. Quintiere, J. G. NISTIR 6030; June 1997 http://www.nfpa.org/itemDetail.asp?categoryID=442&itemID;=18676&
NFPA Fire Command Magazine, Brooklyn Roof Collapse Claims six Lives. Demers, David P.; December 1978
Waldbaum Fire Facebook page, HERE with numerous photos and recollections honoring those that lost their lives and those that operated at FDNY Brooklyn Box 3300.
The lessons learned in the years following the Walbaum’s fire in 1978 and the subsequent Hackensack Ford Fire, NJ in 1988 focused on understanding building construction systems, occupancies and structural assemblies, in both of these cases the timber bowstring truss systems. Over the years the foundation of knowledge necessary to build competencies and knowledgeable firefighters, fire officers and commanders cognizant in the science and technology of building construction has waned and at time has been less than an area of focus.
Take the time to learn about the FDNY Walbaum’s fire, its history repeating significance as a major fire service LODD event, the lessons learned from the Hackensack Ford Fire (July 2, 1988) and other related case studies that can be found on the NIOSH, USFA and NFPA web sites.
Look at your buildings within your response areas and jurisdiction. Understand how they’re built and more importantly how they are affected by the exposure and impingement of fire and its byproducts. Understand key building performance indicators and appropriate strategic and tactical actions based upon building profiles, occupancies, fire loading, construction features and fire service resources. Take the time to honor the brave brother firefighters from FDNY who made the supreme sacrifice thirty two years ago, and gave a legacy to learn from in this and in future fire service generations.
It’s time to think; BUILDING KNOWLEDGE = FIREFIGHTER SAFETY
Taking it to the Streets had its premier July 21st on Firefighter Netcast.com with a lively and provoking discussion on “What’s on YOUR Radar Screen?” The program theme aligned with a recent posting on the same topic. Join me on the program were two prominent and nationally recognized fire service leaders, who I’m honored to have known for many years, Chief Billy Hayes and Chief Doug Cline; the program explored leading fire service issues affecting firefighter safety, training, credentialing and education; fireground operational variables related to the continuing changes in building construction, engineered systems and extreme fire behavior, and the emerging need for “Tactical Patience” as I’ve been exploring the relationships towards the need for tactical enhancements to our current fire suppression theory and firefighting models.
Conversations expanded on the NFFF/Everyone Goes Home Campaign and programs, the newest EGH initiatives on Behavioral Health and the successes achieved through the Courage to be Safe Programs and the Advocacy Program.
Both our guests provided cutting edge perspectives and commentary on the key issues that the fire service needs to have on their radar screen and the need for emerging and practicing fire officers and commanders to continually strive to increase skill sets and maintain a pulse on the leading issues affecting the fire service and apply emerging research and studies to increase operational capabilities, improve performance and enhance and promote firefighter safety and survival and operational integrity.
Although technical difficulties from the live feed coming from the Inner Harbor in Baltimore at the Firehouse Expo, precluded the ability to have the call-in segments of the program to work, the 120 minute program gave the listeners a wealth of information to talk over in the firehouse, at the kitchen table or in the apparatus bays.
The program is a Buildingsonfire.com Series and a Fire Fighter Netcast.com production, produced by John Mitchell and Rhett Fleitz. The live program segment will be edited and available for iTunes download soon. You can check out the other programming and shows produced by Fire Fighter Netcast.com HERE. Stay tuned for announcements on the next program date for Taking it to the Streets coming to you live from the IAFC Fire Rescue International Conference in Chicago in August.
Taking it to the Streets; Advancing Fire Fighter Safety and Operational Integrity for the Fire Service through provocative insights and dynamic discussions dedicated to the Art and Science of Firefighting and the Traditions of the Fire Service.
- Firefighter Netcast.com HERE
- Taking it to the Streets, HERE, HERE
- “What’s on your Radar Screen?” July 21, 2010 Program, HERE
- “What’s on your Radar Screen?” post on Commandsafety.com, HERE
The Colerain Township (OH) Fire and EMS Department under the leadership of Director and Chief G. Bruce Smith recently released its final report Investigation Analysis of the Squirrels nest Lane Firefighter Line of Duty Deaths related to the April 4, 2008 Double Line of Duty Death of a Captain and Firefighter. This investigative analysis and report, although specific to the events and conditions encountered during the conduct of operation at the residential occupancy at 5708 Squirrels nest Lane has pertinent and relevant insights, recommendations and factors that all Fire Service personnel, regardless of rank should read.
This is one of those distinctive reports that has influential and critical operational, training and preparedness elements embedded throughout the report. Following my review of the report, having previously read the preliminary report findings, it is apparent there continues to be common threads shared by this and other events and incidents where a single of multiple firefighters have lost their lives due to similarities in the apparent and common cause deficiencies and short comings identified.
All company and command officers should read and comprehend the lessons learned. Then, take these new found insights and see what the gaps are at the personal level (yours or those you supervise) as well as the shift, group, station, battalion, division or department as a whole. If there are gaps, then identify a way to implement timely changes as necessary so there are No History Repeating (HRE) events.
I have provided a comprehensive synopsis of the report for your review. Take the time to read the entire report, make the time to improve where you need to.
On Friday, April 4, 2008 at 06:13:02 hours, what began as a routine response for Colerain Township Fire and EMS Engine 102 to investigate a fire alarm activation at 5708 Squirrels nest Lane, Colerain Township, Ohio resulted in the deaths of Colerain Township Captain Robin Broxterman and Firefighter Brian Schira.
Upon their arrival at the scene of the two-story wood framed, residential building working fire conditions existed in the basement. The initial attack team consisted of Broxterman, Schira, and one other firefighter. The team advanced a 1¾-inch attack hose line through the interior of the building for fire control.
Even though, they were provided with some of the most technologically advanced protective clothing for structural firefighting and self-contained breathing apparatus, it appeared that Broxterman and Schira were overwhelmed by severe fire conditions in the basement.
During their attempt to evacuate the building, the main-level family room flooring system in which the two were traveling on collapsed into the basement trapping the firefighters. Eleven minutes elapsed from time of arrival to the catastrophic chain of events.
The investigation of this incident provided a number of findings and recommendations that should be considered by Colerain’s fire department, as well as other fire department organizations. The examination encompassed issues that related to building construction, firefighting tactics, command and control, situational awareness, communications, training, firefighting equipment and the individual responsibility of firefighters of the Colerain Township Department of Fire and Emergency Medical Services (Colerain Fire & EMS). In addition, a segment of the examination included a review of the individual and group affects following such an event, and the measures initiated that attempted to ensure individual, family and organizational wellness.
The following factors were believed to have directly contributed to the deaths of Captain Broxterman and Firefighter Schira:
- A delayed arrival at the incident scene that allowed the fire to progress significantly;
- A failure to adhere to fundamental firefighting practices; and
- A failure to abide by fundamental firefighter self-rescue and survival concepts
Although the aforementioned factors were believed to have directly contributed to their deaths, they might have been prevented if:
- Some personnel had not been complacent or apathetic in their initial approach to this incident;
- Some personnel were in a proper state of mind that made them more observant of their surroundings and indicators;
- The initial responding units were provided with all pertinent information in a
- timely manner relative to the incident;
- Personnel assigned to Engine 102 possessed a comprehensive knowledge of their first-due response area;
- A 360-degree size-up of the building accompanied by a risk – benefit analysis
- was conducted by the company officer prior to initiating interior fire suppression operations;
- Comprehensive standard operating guidelines specifically related to structural
- firefighting existed within the department;
- The communications system users (on-scene firefighters and those monitoring the incident) weren’t all vying for limited radio air time;
- The communications equipment and accessories utilized were more appropriate for the firefighting environment;
- Certain tactical-level decisions and actions were based on the specific conditions;
- Personnel had initiated fundamental measures to engage in if they were to become disoriented or trapped inside a burning building; and
- Issued personal protective equipment was utilized in the correct manner.
Incident Reported
On Friday, April 4, 2008, at 06:11:23, the Hamilton County Communications Center (HCCC) received notification of an automatic alarm activation (smoke detector and carbon monoxide) at 5708 Squirrels nest Lane (LN).
- An automatic fire alarm response complement of two engine companies (Engines 102 & 109), one ladder company (Ladder 25), and the Battalion Chief (District 25) were dispatched to investigate at 06:13:02.
- At 06:13:43, a second notification was received from the female homeowner reporting a fire in the basement of the building.
- At 06:20:43, a third notification by means of a cellular phone from the female homeowner to HCCC routed through the City of Cincinnati’s Fire and Police Communications Center was received.
- At 06:22:41, the initial response complement was then upgraded to a building fire, also known as a structure fire response complement to include one additional engine company (Engine 25), one rescue company (Rescue 26), and one basic life support transport unit (Squad 25).
Property and Building Description: The building at 5708 Squirrels nest LN was a single-family residence that set back approximately 450-feet from the street at the end of a private driveway on a heavily wooded lot.
- The building was two-stories in height, approximately 45-feet wide by 30-feet deep with a finished below-grade (basement) living space and attached two-car garage.
- For simplicity, the report refers to the living space under the main-level of the building as a basement.
- From the front (side Alpha), the building was two-stories above grade. The vertical distance between floors was approximately eight-feet. The exterior main entrance was located in the front middle of the building approximately one-foot above grade level.
- Additional entrances to the first-floor living space were by means of a rear entry door from an upper-level deck area and through the garage area.
- The interior stairway to the basement was located approximately 15-feet from the front main entry door towards the rear of the building. There were no exposed buildings on the adjacent sides of the fire building.
The building was located approximately 450-feet from the curb and a driveway leading to the front entrance. The nearest fire hydrant was located approximately 500- feet from the front entrance. To provide for uniform identification of locations and operationalforces at the incident scene, the scene was divided geographically into smaller parts, which were designated as sectors. Specific areas of the incident scene were designated as follows:
- The side of the building that bears the postal address of the location was designated as Side Alpha or front by the Incident Commander;
- The property sloped downward towards the rear (side Charlie) of the building with an approximate 13-foot elevation difference from side Alpha to Charlie. The
- Charlie side of the building was three-stories above the rear grade level with the building’s basement floor approximately five-feet above grade level. The exterior entrance to the building’s’ basement area, also known as a walk-out was by means of a stairway that led to a wooden deck on the Charlie side adjacent to the Delta side. A second stairway led to an upper level deck that served the main level of the building.
Initial Fire Attack Operation: Upon arrival at the incident address, Engine 102 (E102), assigned four personnel (one captain, one fire apparatus operator [FAO], and two firefighters) entered and proceeded down the driveway deploying a five-inch supply hose line.
- With their apparatus positioned in front of the building Captain (Capt.) Broxterman radioed, “Moderate smoke showing. E102 will be Squirrelsnest Command.” at 06:24:01.
- Verification was made by the E102’s FAO through face-to-face communication with the male homeowner that all occupants were out of the building, which was then relayed to Capt. Broxterman.
District 25 (D25) arrived at the scene at 06:26:35 and assumed Command from Capt. Broxterman. Capt. Broxterman, Firefighter (Ffr.) Schira and E102’s Ffr. #2 advanced a 1¾-inch pre-connected hose line through the front main entrance. The fire was determined to be located in the basement of the building.
- At 06:27:52, Capt. Broxterman radioed, “E102 making entry into the basement, heavy smoke”.
- At 06:30:35, E109′s captain radioed, “Command from E109, contact 102,have them pull out of the first floor, redeploy to the back. It’s easy access. Conditions are changing at the front door.”
- At 06:34:48, Engine 25 (E25), the designated Rapid Assistance Team, had just completed their 360-degree size-up around the building, and encountered E102’s Ffr. #2 in front of the building, whom reported that he had lost contact with his crew.
- During the time period between 06:29:24 and 06:34:48, the investigation committee believed that one or more catastrophic events occurred including a failure of the main-level flooring system near the Beta – Charlie corner of the building.
Rescue and Recovery Operations
- At 06:35:34, the Incident Commander (IC) identified a potential Mayday operation, which indicates a life threatening situation to a firefighter.
- RAT25 was deployed at 06:36:48. The actual Mayday operation was initiated by the IC at 06:37:41 followed by a request at 06:37:53 to the HCCC for a second alarm complement of firefighting resources.
- At 06:42:01, RAT25 entered the basement from the rear of the building. At 07:00:27, E26’s personnel entered through the front main entrance of the building and into the basement by means of the interior stairway.
- Both missing firefighters were located in the basement near the Charlie side wall adjacent to the Beta side following a floor collapse. Capt. Broxterman and Ffr. Schira were obviously deceased as a result of their injuries.
Fire Origin and Cause: Information from the property owners was that the female had smelled an odor in the house. She told her husband, who went to investigate. Neither of them observed any smoke or flames at that time. The husband went to the basement, and located a fire near a cedar wood lined closet used to cultivate orchids in the unfinished utility room. He attempted to extinguish the fire with portable fire extinguishers and pans of water. As the fire alarm activated, the husband had his wife call 9-1-1 to report the fire. The state of Ohio Fire Marshal’s Office Fire and Explosion Investigation Bureau ruled the fire to be accidental in nature. The fire was determined to have originated in the unfinished utility room of the basement level in or near the cedar closet. This area was directly below the family room on the first floor. The probable ignition source for this fire was determined to be at and about a plastic air circulation fan and the associated electrical wiring.
Cause of Deaths
Capt. Broxterman was a 37-year old employee of the Colerain Fire & EMS with approximately 17-years of certified firefighting experience. Capt. Broxterman became trapped in the basement area for a prolonged amount of time following the sudden floor collapse. Capt. Broxterman was found positioned face down over top of Ffr. Schira. The majority of her protective clothing ensemble and equipment were heavily damaged as a result of exposure to heat and direct flame impingement. She was pronounced deceased following her removal from the building. Her body was transported to the Hamilton County Coroner’s Office for autopsy. The Coroner’s report cited the manner of death as “accidental” and the cause of death as “burns and inhalation of smoke and superheated and noxious gases.” Capt. Broxterman sustained burns to 100% of her body surface, which ranged from first to fourth degree in severity as described in the coroner’s autopsy report. Postmortem carboxyhemoglobin (COHb), which is a measure of carbon monoxide exposure, was measured at 22% saturation and soot was observed in portions of her upper and lower respiratory system.
- Based on the injuries sustained and the damage to Capt. Broxterman’s protective clothing ensemble and equipment, it is likely that she was exposed to a rapid intensification of heat and flames in the building’s basement that overwhelmed her protective ensemble and equipment, exposing her body and respiratory system to intense heat and toxic products of combustion.
Ffr. Schira was a 29-year old employee of Colerain Fire & EMS with approximately 3½-years of certified firefighting experience. He also became trapped in the basement area for a prolonged amount of time following the sudden floor collapse. Ffr. Schira was found positioned on his right side and back, face-up beneath Capt. Broxterman. The majority of his protective clothing ensemble and equipment was heavily damaged as a result of exposure to heat and direct flame impingement. Ffr. Schira was pronounced deceased following his removal from the building. His body was transported to the Hamilton County Coroner’s Office for autopsy. The Coroner’s report cited the manner of death as “accidental” and the cause of death as “burns and inhalation of smoke and superheated and noxious gases”. Ffr. Schira sustained burns to 100% of his body surface, which ranged from first to fourth degree in severity as described in the coroner’s autopsy report. Postmortem COhb was measured at 8% saturation and soot was observed in portions of his upper and lower respiratory system.
- Based on the injuries sustained and the damage to Ffr. Schira’s protective equipment, it is likely that that he was exposed to a rapid intensification of heat and flames in the building’s basement that overwhelmed his protective ensemble and equipment, exposing his body and respiratory system to intense heat and toxic products of combustion.
Select Findings and Recommendations
Findings, Discussions and Recommendations
FINDING #3.1: The area of fire origin had no finished ceiling, which exposed the floor joists and the underside of the floor decking to direct fire impingement causing rapid deterioration and failure of the flooring system directly underneath the main-level family room.
During this incident, based on communications transcripts (telephone and radio) it’s probable that the fire had advanced from its incipient stage to a free burning stage in approximately 18 to 20-minutes by the time Capt. Broxterman radioed that they were making entry into the basement.
- As stated in the Incident Overview section, during the time period between 06:29:24 and 06:34:48, it is believed that one or more catastrophic events occurred within the building, which included a failure of the flooring system near the Beta-Charlie corner of the building’s first floor.
It has been widely believed in the firefighting profession that traditional sawn lumber is far superior to some of the more innovative lightweight construction components (e.g., wood I-joist) in use today. With dimensional lumber, two-inch by eight-inch and larger, there is a greater surface to mass ratio to resist the damaging effects of fire and the structural components will maintain their integrity for a longer period of time. While this has traditionally been accurate, this incident clearly shows that this may not always be the case. Heavy charring was evident to structural members in the fire area of origin. Notice the burn damage shows how the wooden floor joists had been burned to and away from the band joist. A band joist is a vertical member that forms the perimeter of a floor system in which the floor joists tie in to. Also known as the rim joist. Early platform framed homes very likely used solid, dimensional lumber and plywood, which provided a reasonable surface to mass ratio. But the later the home was built, the less mass even dimensional lumber has due to the reduction in the actual thickness of solid dimensional lumber provided by the lumber industry through the mid-1900’s. As the years go by, building materials will likely keep getting lighter and lighter and introduce more resins and other chemicals.
Laboratory tests that exposed structural wood components to the American Society for Testing and Materials (ASTM) E119 Assembly Test indicated that a traditional two-inch by ten-inch structural member failed in 12-minutes and six-seconds. ASTM E119 test is the standard test method for evaluating building and construction materials exposed to fire. Unlike the standardized ASTM test fires, it is widely recognized that real building fires are highly variable in their size, rate of growth and intensity. Responding firefighters are unlikely to know when a given fire started, how hot it had been prior to arrival, how long it had been at any given temperature, the design capacity and actual loads on the floors over the fire or the amount of actual damage that the fire may have done to the joists. All of these factors make it impossible to predict the remaining capacity of a floor by even the most knowledgeable, professional fire experts.
RECOMMENDATION #3.1a: Fire departments should ensure that firefighters and incident commanders are aware that unprotected floor and ceiling joist systems, no matter the type, may fail at a faster rate when exposed to direct fire impingement.
Unfinished basement ceilings and other areas that have exposed joists or trusses jeopardize flooring and roof systems unnecessarily during a fire, causing premature failure. Often, a weakened floor and ceiling joist system can be difficult to detect from above as the floor surface above may still appear intact. Firefighters operating on floors above fire-damaged joist systems may fall through a weakened area and become trapped in a fire below. IC’s and firefighters must be aware that these systems can fail rapidly and without warning, and plan interior operations accordingly.
Firefighters must also be aware that while floor sag may be a widely accepted warning of an impending structural failure, floor sag is not always present or visible prior to a catastrophic collapse in a fire, regardless of the joist type, due to floor coverings, the fire’s intensity, the combination of joist spans and loads present, the location of serious structural fire damage or simply because it is too dark and smoky to see a sag in the floor. This is true for all types of structural joists, including materials such as sawn lumber, wood I-joists, and open web wood trusses and noncombustible members such as lightweight steel joists. The floor covering in this area was carpeting that transitioned to ceramic tile. When unprotected, any traditional or lightweight residential floor or ceiling assembly material, either combustible or noncombustible, may fail within several minutes of the fire’s ignition. It makes sense, therefore, that when there is a serious fire beneath a floor, there is no predictable safe amount of time that anyone can remain on that floor. Any floor system protected or not, can fail unpredictably when exposed to a substantial fire beneath.
FINDING # 4.2: E102′s officer failed to properly analyze the scene by not performing a 360-degree scene size-up to determine an overall strategy, and implement safe and effective firefighting tactics.
After the apparatus was positioned in front of the building, E102’s FAO was ordered by Capt. Broxterman to, “Ask the homeowner where the fire [location] was”, which was indicated to be in the basement by the male homeowner. As this was taking place, Capt. Broxterman continued donning her protective clothing ensemble (coat, helmet and self-contained breathing apparatus). Although E102′s officer provided a brief radio report of conditions observed upon arrival, she did not properly evaluate the scene so as to develop a basic strategy for implementation of safe and effective firefighting tactics. Had the officer visually evaluated the Charlie side of the building, the advanced fire conditions may have been noted, and that the lower level fire area was accessible by means of an exterior entry door for a more direct fire attack from the interior unburned side.
This means that firefighters enter a building and position the attack hose line between the fire and the uninvolved portions of the building. This direction of fire attack is preferred because it is likely to contain the fire, protect occupants, and push heat and gases out of the building if ventilation has been performed. On the other hand, danger increases significantly when attacking from the unburned side and is not always practical based on fire location, intensity, and building construction.
It cannot be conclusively known as to why Capt. Broxterman and Ffr. Schira proceeded into the area of the building that eventually collapsed resulting in their deaths. The investigation committee has concluded that the most probable explanation is that E102′s three-person interior team was successful in advancing their uncharged attack hose line into the basement recreation room area; reaching a point approximately 10 to15-feet from the bottom of the basement stairway as shown in the Incident Overview chapter. Once the team reached this area, it was realized they did not have sufficient hose line to continue advancing towards the seat of the fire. The team’s third member (Ffr. #2) reversed his travel and made his way back to the exterior of the building to advance additional hose line. As the team of two waited for additional hose line to be stretched and the hose line to be charged by the pump operator, the interior conditions rapidly deteriorated to a stage that it became untenable for them to hold their position.
The team evacuated back-up the stairway without following the hose line, which by all indications was tight up against the stairway wall and tightly wrapped around the stairway door entry. Once at the top of the stairway, one of the two deceased, if not both were likely in some form of distress; became disoriented and proceeded into the family room in a direction opposite the route of travel from which they entered the building. As the two moved across the family room floor, the flooring system collapsed into the utility room area of the basement. When the third team member re-entered the building, he was unable to locate the other two members.
The inability of Ffr. #2 to locate his team and the loss of radio communications contact with the interior team prompted the IC to declare a Mayday and activation of the RATs. This incident resulted in tragedy primarily due to the concealment of several burned-through floor joists under the carpet covered flooring system, which was nearly impossible to recognize due to heavy smoke conditions inside the burning building.
The following factors are believed to have directly contributed to the deaths that occurred in this incident:
- The delayed arrival at the incident scene allowed the fire to progress significantly and the hazardous conditions to exponentially increase;
- The failure to adhere to fundamental firefighting practices (e.g., entry into an enclosed building with obvious working fire conditions without a charged attack hose line)
- The failure to abide by the fundamental concepts of fire fighter self-rescue and survival (e.g., following of the hose line in the direction of travel back to the building’s entrance or exit).
Although the aforementioned factors are believed to have directly contributed to the deaths reported here, they might have been prevented if:
- Some personnel had not been complacent or apathetic in their initial approach to this incident which eventually led to being overwhelmed in their response to their initial findings;
- Some personnel were in a proper state of mind that made them more observant of their surroundings and indicators, and the potential threats and risks that presented themselves;
- The initial responding units were provided with all pertinent information in a
- timely manner relative to the incident, especially critical was the information given to the emergency communications center from the homeowners reporting an actual fire
- Personnel assigned to E102 possessed a comprehensive knowledge of their firstdue response area specifically related to road and street locations, and any particular characteristics related to those areas.
- A 360-degree size-up of the building accompanied by a risk – benefit analysis was conducted by the company officer prior to initiating interior fire suppression operations; the risk of an action must be weighed against the probable benefit that may be reasonably and realistically expected.
- Comprehensive standard operating guidelines specifically related to structural firefighting existed within the department;
- The communications system users (on-scene firefighters and those monitoring the incident) weren’t all vying for limited radio air time. This competition led to missed and distorted messages and less than efficient use of resources, which exacerbated the problems of already taxed communications.
- The communications equipment and accessories utilized were more appropriate for the firefighting environment;
- Certain tactical-level decisions and actions were based on the specific conditions as encountered with an emphasis placed on fire ground tactical priorities (i.e., life safety, incident stabilization and property conservation);
- Personnel had initiated fundamental measures to engage in if they were to become disoriented or trapped inside a burning building; and
- Issued personal protective equipment was utilized in the correct manner.
In Memory
The Colerain Township (OH) Department of Fire and Emergency Medical Services’s report examined the events of April 4th, 2008 with the benefit of hindsight, while seeking to be independent, impartial, and thorough. From the beginning, Colerain Fire & EMS has been committed to share our findings with others in the hope that it may prevent another such event.
The deaths of Captain Robin M. Broxterman and Firefighter Brian Schira had a profound loss not only to their parents, family and this organization, but also to the larger fire service community. In order to prevent these tragic losses in the future, we must first understand how and why our sister and brother firefighters died. We must learn from their incident and take that knowledge forward. If it was possible, what would these firefighters tell us today that might prevent a similar death of a firefighter in the future? What would they want us as firefighters, company officers and chief officers to know about the circumstances that lead to their deaths and the things we (and they) might have done to alter the most tragic of outcomes?
From the information that was made available for review, it was evident that these two individuals were well-loved in life, and greatly missed in death. Every line of duty death of a firefighter in the United States is significant. This investigative analysis document is dedicated to Captain Broxterman and Firefighter Schira, their families, friends and the community whose lives were forever changed. In working to improve the health and safety of all United States firefighters, we have much to learn from the supreme sacrifice of these two individuals, who they were in life and in death. We honor their memories.
References
- Colerain Township Department of Fire and Emergency Medical Services, Web Site HERE
- Investigation Analysis of the Squirrels nest Lane Firefighter Line of Duty Deaths April, 2010 Full Report HERE
- NIOSH Fire Fighter Fatality Investigation Report F2008-09| CDC/NIOSH July, 2009, Report HERE
- WLTW.com news report Summary HERE
- WLTW.com Previous Stories:
- November 18, 2009: Firefighter’s Parents File Wrongful Death Suit
- August 8, 2009: Report On Fatal Colerain Twp. Fire Released
- April 3, 2009: Service Planned For Anniversary Of Firefighter’s Death
- July 11, 2008: Report On Fire That Killed Firefighters Released
- June 28, 2008: Firefighters Hold Benefit For Fallen Friends
- June 12, 2008: Owner Of Home Where 2 Firefighters Died Sentenced On Pot Charges
- May 21, 2008: Firefighter Recalls Fiancee Killed In Colerain Twp. Fire
- May 13, 2008: Burned Home’s Owner Pleads No Contest To Drug Charge
- May 6, 2008: Tri-State Residents Reach Out To Families Of Fallen Firefighters
- April 20, 2008: Deaths Of Firefighters Lead To New Proposed Regulations
- April 18, 2008: Fatal Fire Home’s Owner Indicted On Drug Charge
- April 14, 2008: Prosecutor: Homeowners Won’t Be Charged In Firefighters’ Deaths
- April 11, 2008: Coroner: Fire, Smoke, Heated Air Killed Firefighters
- April 11, 2008: Firefighters Make Emotional Return To Work
- April 10, 2008: Fallen Firefighters Memorialized By Comrades, Family
- April 9, 2008: Sources: Marijuana Growing Operation Found In Burned Home
- April 9, 2008: Firefighters At Visitation For Fallen Comrades Called To Fight Fire
- April 9, 2008: Thousands Attend Colerain Firefighters’ Visitation
- April 8, 2008: Firefighters Pour In, Pay Tribute To Two Of Their Own
- April 8, 2008: Sources: ‘Hidden’ Marijuana Grow Room Found At Fatal Fire Scene
- April 8, 2008: Officials Adjust Fallen Firefighters’ Funeral Procession Plans
- April 8, 2008: Candlelight Vigil Held For Fallen Firefighters
- April 7, 2008: Sources: Plant Containers, Grow Room Found In Burned Home
- April 7, 2008: Blaze That Killed Firefighters Ruled Accidental
- April 7, 2008: Families Of Firefighters Thank Community For Support
- April 7, 2008: Candlelight Vigil Planned For Two Fallen Firefighters
Today commemorates the anniversary of the Sofa Superstore fire in Charleston, South Carolina, in which nine firefighters lost their lives while engaged in aggressive interior operations at a commercial building occupied and operating as a furniture store and warehouse. On the evening of June 18, 2007, units from the Charleston Fire Department responded to a fire at the Sofa Super Store, a large retail furniture outlet in the West Ashley district of the city. Within less than 40 minutes, the fire claimed the lives of nine firefighters and changed the lives of countless others. The incident galvanized the nation’s fire service and to this day continues to generate commentary and observations within wide latitude of functional areas. What has changed since that day, three years ago?
The publication of the Routley Report was a wake-up call to the fire service, but did we hit the snooze button and roll back over? Are we catching those extra forty winks at the expense of what we should be jumping out of our bunks and engaging in? If you haven’t taken the time to read the authoritative reports, now is the time to do so. Make it one of your definitive activities for the weekend. Reflect upon its insights, recommendations and suggestions and think about your organization, department or agency.
Stop and think about where the fire service is today; where is your department today? Any measurable changes that reflect the front page news of past events or reports? Or is it business as usual? More importantly; where are YOU today? What have you done based upon the lessons learned or insights expressed to make you a better prepared and knowledgeable firefighter, officer or commander?
During the past twelve months of travels around the country presenting programs on building construction and command risk management and firefighter safety, there continues to be a common thread within the Fire Service that resonates loudly (at times and in some regions); “were’ just not getting it”. Dialog and discussion, ranting and challenges; sometimes on the verge of aggression and hostility at times continue to punctuate and permeate program conversation and debate. We argue about the merits of operational aggressiveness at the expense of looking (and understanding) the ways to increase our proficiency and knowledge that can translate into refined and intelligent tactical operations.
I continue to suggest that it’s no longer just brute force and sheer physical determination that define structural fire suppression operations, although any seasoned firefighter and company officer knows that at times; it is what gets the job done under the most arduous and demanding of circumstances. However, from a methodical and disciplined perspective, aggressive firefighting must be redefined and aligned to the built environment and associated with goal oriented tactical operations that are defined by risk assessed and analyzed tasks that are executed under battle plans that promote the best in safety practices and survivability within know hostile structural fire environments.
We can still meet the demands of the job, as firefighters; but do it with Tactical Patience and not at the expense of Command Compression and Tactical Entertainment or worst Operational Recklessness.
The traditional attitudes and beliefs of equating aggressive firefighting operations in all occupancy types coupled with the correlating, established and pragmatic operational strategies and tactics must be adjusted and modified to include intelligent risk assessment, calculated risk analysis, safety and survivability profiling, and strategic operational and tactical value. The demands and requirements of modern firefighting will continue to require the placement of personnel within situations and buildings that carry risk, uncertainty and inherent danger. As a result, risk management must become fluid and integrated with intelligent tactical deployments and operations recognizing the risk problematically and not fatalistically, resulting in safety conscious strategies and tactics. We need to think about the Predicative Strategic Process, refined Tactical Deployment Models integrating intelligent Structural Anatomy and Predictive Occupancy Profiling. ( more on these in upcoming posts…)
Take the time today to remember and honor the Charleston Nine.
Comprehend the sacrifice and grasp the essence of our noble profession and the tradition of the Fire Service. Remember the past and learn from it and improve the future so that that the cycle of potential history repeating events is disrupted and eventually broken.
Work conscientiously and diligently to improve our profession and yourself; identifying gaps, correcting the deficiencies and improving the job, through a legacy of operational excellence and safety- for tomorrow’s firefighters.
Honor and Remembrance- The Charleston Nine
- Bradford Rodney “Brad” Baity – Engineer 19
- Theodore Michael Benke – Captain 16
- Melvin Edward Champaign – Firefighter 16
- James “Earl” Allen Drayton – Firefighter 19
- Michael Jonathon Alan French – Engineer 5
- William H. “Billy” Hutchinson, III – Captain 19
- Mark Wesley Kelsey – Captain 5
- Louis Mark Mulkey – Captain 15
- Brandon Kenyon Thompson – Firefighter 5
Urban search-and-rescue (US&R) involves the location, rescue (extrication), and initial medical stabilization of victims trapped in confined spaces. Structural collapse is most often the cause of victims being trapped, but victims may also be trapped in transportation accidents, mines and collapsed trenches. Urban search-and-rescue is considered a “multi-hazard” discipline, as it may be needed for a variety of emergencies or disasters, including earthquakes, hurricanes, typhoons, storms and tornadoes, floods, dam failures, technological accidents, terrorist activities, and hazardous materials releases. The events may be slow in developing, as in the case of hurricanes, or sudden, as in the case of earthquakes.
In the event of a National disater of event, FEMA deploys the three closest task forces within six hours of notification, and additional teams as necessary. The role of these task forces is to support state and local emergency responders’ efforts to locate victims and manage recovery operations. Each task force consists of two 31-person teams, four canines, and a comprehensive equipment cache. US&R task force members work in four areas of specialization: search, to find victims trapped after a disaster; rescue, which includes safely digging victims out of tons of collapsed concrete and metal; technical, made up of structural specialists who make rescues safe for the rescuers; and medical, which cares for the victims before and after a rescue.
In addition to search-and-rescue support, FEMA provides hands-on training in search-and-rescue techniques and equipment, technical assistance to local communities, and in some cases federal grants to help communities better prepare for urban search-and-rescue operations. The bottom line in urban search-and-rescue – someday lives may be saved because of the skills these rescuers gain. These first responders consistently go to the front lines when America needs them most. We should be proud to have them as a part of our community. Not only are these first responders a national resource that can be deployed to a major disaster or structural collapse anywhere in the country. They are also the local firefighters and paramedics who answer when you call 911 at home in your local community.
National Response Plan: Under the National Response Plan, US&R teams will provide urban search and rescue and life-saving assistance following major domestic incidents.
US&R History
In the early 1980s, the Fairfax County Fire & Rescue and Metro-Dade County Fire Department created elite search-and-rescue (US&R) teams trained for rescue operations in collapsed buildings. Working with the United States State Department and Office of Foreign Disaster Aid, these teams provided vital search-and-rescue support for catastrophic earthquakes in Mexico City, the Philippines and Armenia. The Federal Emergency Management Agency (FEMA) established the National Urban Search and Rescue (US&R) Response System in 1989 as a framework for structuring local emergency services personnel into integrated disaster response task forces. In 1991, the Federal Emergency Management Agency (FEMA) incorporated this concept into the Federal Response Plan (now the National Response Plan), sponsoring 25 national urban search-and-rescue task forces. Events such as the 1995 bombing of the Alfred P. Murrah building in Oklahoma City, the Northridge earthquake, the Kansas grain elevator explosion in 1998 and earthquakes in Turkey and Greece in 1999 underscore the need for highly skilled teams to rescue trapped victims.
The terrorist attacks on the World Trade Center and the Pentagon on September 11, 2001 thrust FEMA’s Urban Search and Rescue (US&R) teams into the spotlight. Their important work transfixed a world and brought a surge of gratitude and support. Today there are 28 national task forces staffed and equipped to conduct round-the-clock search-and-rescue operations following earthquakes, tornadoes, floods, hurricanes, aircraft accidents, hazardous materials spills and catastrophic structure collapses. These task forces, complete with necessary tools and equipment, and required skills and techniques, can be deployed by FEMA for the rescue of victims of structural collapse.
Refer to the FEMA Web Site for expanded information from which this preceding excerpt was posted from.
FEMA USAR Task Force System Team Web sites, HERE
Google Earth Before and After Aerial Images of Haiti Extent of Damage, HERE
RESCUE OPERATIONS STRATEGY AND TACTICS
Search and rescue operations in the urban disaster environment require the close interaction of all task force elements (search, rescue, medical and technical personnel) for safe and successful victim extrications. Once one or more entrapped live victims have been located, rescue extrication, coupled with appropriate medical treatment and victim removal operations, must be conducted in an organized and safe manner. This outlines current tactical considerations and general strategies that constitute a foundation for productive rescue operations. Task force supervisory personnel must tailor the strategy and tactics to fit the general situation and specific problems encountered.
It is incumbent on the Task Force Leader (TFL) and task force supervisory personnel to implement coordinated search tactics and strategy, collect and collate related information, and develop an effective overall rescue plan of action.
Standardized rescue strategy and tactics will promote the following:
- Effective management and coordination of rescue operations.
- Better task force resource utilization and coordination.
- Proper integration of all task force disciplines (i.e., medical, hazardous materials, and structures specialists, etc.) in the rescue operations.
- The incorporation of assistance from entities outside the task force.
- Simultaneous, multiple-site rescue operations.
- Standardize training and increase efficiency within the task force prior to deployment and during mission operation.
- Increase safety for all task force members involved in rescue operations.
- Provide around-the-clock (24-hour) operations.
- Organized and rapid victim extrication.
The Office of U.S. Foreign Disaster Assistance (OFDA) is the office within USAID responsible for facilitating and coordinating U.S. Government emergency assistance overseas. As part of USAID’s Bureau for Democracy, Conflict, and Humanitarian Assistance (DCHA), OFDA provides humanitarian assistance to save lives, alleviate human suffering, and reduce the social and economic impact of humanitarian emergencies worldwide. USAID Fact Sheet on the Haiti Earthquake, HERE
As reported on January 13th, the USAID reported the following:
USAID/OFDA has deployed a Disaster Assistance Response Team (USAID/DART) to Haiti—comprising up to 17 members—and activated a Washington D.C.-based Response Management Team to support the USAID/DART. The USAID/DART will assess humanitarian needs and coordinate assistance with the U.S. Embassy in Port-au- Prince, the international community, and the Government of Haiti (GoH). Urban Search and Rescue (USAR) team, and four support staff had arrived in Port-au-Prince. As of 1615 hours local time on January 13, seven members of the USAID/DART, the 72-member Fairfax County composed of approximately 72 personnel, 6 search and rescue canines, and up to 48 tons of rescue equipment, are also deploying to Haiti. USAID/OFDA expects to support up to two additional heavy USAR teams from Florida. USAID/OFDA has also authorized the deployment of a three-person Americas Support Team (AST) to Haiti. The AST, staffed by additional Fairfax County USAR members and funded by USAID/OFDA, will supplement the U.N. Disaster Assessment Country (UNDAC) team in Haiti. In addition, both the Fairfax County and Los Angeles County Fire Departments are seconding staff members to directly support the UNDAC team. Two USAID/OFDA-supported heavy USAR teams from Fairfax County, VA, and Los Angeles County, CA.
Check out the Firegeezer’s latest Updates on Virginia Task Force 1 from Fairfax County Team Deployment, Here and Dave STATter’s911 coverage update on USAR Team rescue ops in Haiti, HERE
STRATEGIC CONSIDERATIONS
Excerpts taken from the USAR Response Systems Operations Manual
The most effective rescue strategy should blend all viable tactical capabilities into a logical plan of operation. The general strategic considerations are outlined as follows:
Rescue Team Composition: A task force rescue team is comprised of four, 6-person rescue squads. Two Rescue Team Managers are assigned to provide continuous supervision for the rescue team. A squad is composed of a Rescue Squad Officer and five Rescue Specialists.
Personnel Deployment: One of the most important strategic considerations for the task force supervisory personnel (the Rescue Team Manager in particular) is the deployment of task force personnel at the start of mission operations. When the task force arrives at the assigned location, it may be best to commit all task force personnel to the initial objectives that must be addressed. This would include Base of Operations (BoO) set-up, search and reconnaissance activities, equipment cache set-up, rescue operations, etc. Depending upon the general conditions present, it may be most appropriate to attempt the following deployment guideline:
As the task force moves into alternating 12-hour operational periods, there should be an overlap of the shifts to allow for briefings and information exchange to promote the continuity of operations. As the operations near the end of the initial 8 to 12-hour time frame, it may be necessary to scale back to handling only one or two simultaneous operations. This reduction in rescue operations is the trade off for allowing sleep rotations for each half of the task force. Deviations from the suggested guideline might be required, depending upon the conditions that are present. There is the possibility that the ongoing size-up and planning information could indicate there being a specific number of viable rescue opportunities that could be accomplished. In that case it may be most appropriate to deploy all task force personnel for a full-scale “blitz” of the planned 24 to 30-hour duration. This would necessitate the full stand down of the task force at the conclusion of this blitz.
Task Force Equipment Cache Management: The overall effectiveness of the task force depends upon the prompt availability of the tools, equipment, and supplies in the task force cache. The organization and management of the cache is important. The equipment cache requires immediate attention once the BoO has been identified. The cache set-up must be addressed before significant rescue operations can be supported. Rescue personnel must be effectively trained in, and adhere to, all procedures related to equipment issue, tracking, and retrieval, as outlined in the Property Accountability and Resource Tracking System. The limited number of specialized tools may require them to be shared between one or more rescue sites during simultaneous operations. It is incumbent upon the task force Logistics Specialists, in conjunction with the Rescue Team Managers and Squad Officers, to coordinate the sharing and movement of these tools between the rescue sites.
Assistance with Search Activities: It may be necessary to assign additional task force personnel to search operations to identify, assess, and prioritize rescue opportunities.
Rescue Site Management and Coordination: Each rescue work site must have one person in charge to maintain unity of command. The Rescue Squad Officer of each rescue squad is responsible for all activities of the assigned rescue site including safety when a single squad operates alone. At large or complex rescue operations that require the commitment of two or more rescue squads to a single operation, the Rescue Team Manager may assume command or assign one of the Rescue Squad Officers to be in charge of the site. A Safety Officer should be identified at each rescue site.
Rescue Site Communications: Communication is fundamental to effective operation of the task force. The task force should be provided with radio channels for command and control, logistics, and tactical operations as needed.
Rescue Site Engagement/Disengagement: A standardized method of engaging and disengaging a rescue site should be followed.
TACTICAL CONSIDERATIONS
Rescue Integration in Search Activities: Task force rescue personnel may be required to assist the canine and technical search personnel with search and reconnaissance activities. This may include safety assessments at collapse sites, gaining access to voids and other difficult areas, deploying equipment, and conducting physical search operations. Individual void inspections, or combined listening operations may require shoring and stabilization prior to entry. Rescue personnel may be used to staff search and reconnaissance teams. There are specific protocols for Search Strategy and Tactics and Structure Triage, Assessment, and Marking System. These combined operations would be coordinated between the Search Team and Rescue Team Managers, the Rescue Squad Officers, or other appropriate task force personnel.
Rescue Site Management and Coordination: Size-up and site control activities should be completed before rescue operations begin.Once the size-up is completed and the plan of action developed, a short team briefing should be conducted to include safety considerations, structural concerns, hazard identification, and emergency signaling and evacuation procedures. As rescue opportunities are identified, it is important that rescue personnel adhere to a consistent, formalized site management procedure to ensure the safe, effective operation of the rescue squads. The following considerations should be addressed:
- Hazard assessment and mitigation. This could include removing trip hazards, boards with exposed nails, shutting off utilities, etc.
- A collapse hazard zone (hot zone) should be established and clearly defined along with the operational work area.
- All bystanders should be excluded from the operational work area.
- An equipment assembly area and cutting workstation should be organized at an advantageous location.
Rescue Site Set-Up: In order to ensure safe and effective rescue operations, the area immediately surrounding the selected work site should be secured. A collapse hazard zone is established for the purpose of controlling all access to the immediate area of the collapse that could be impacted by further building collapse, falling debris, or other dangers. The only individuals allowed within this area are authorized personnel involved in search or extrication of victims. The collapse hazard zone will be identified by an X-type cordon of flagging or rope (criss-crossed) as outlined in protocols for Structural Triage, Assessment, and Marking. When establishing the perimeter of the operational work area, the needs of the following activities must be provided for and properly identified:
- Medical treatment area
- Personnel staging area
- Rescue equipment staging area
- Cribbing/shoring working area
- Access/entry routes
- Security and environmental protection.
Inter-discipline Coordination: As the Rescue Team Managers and Squad Officers focus on the appropriate tactics and procedures related to victim extrication, they may also utilize other task force disciplines in the ongoing operations.
Site/Personnel Safety: Safety of the task force personnel is the single most important consideration during mission operations. As a minimum, the following considerations should be addressed for rescue operations:
- The safety of personnel operating around collapsed/compromised structures.
- Emergency signaling and evacuation procedures.
- Hailing devices shall be used to sound the appropriate signals as follows:
- Cease Operation/All Quiet 1 long blast (3 seconds)
- Evacuate the Area 3 short blasts (1 second each)
- Resume Operations 1 long and 1 short blast.
- Personnel Rest and Rehabilitation (R&R).
- Critical incident stress debriefing or defusing may be required.
- Personnel hygiene. Considerations would be the exposure and/or contact with victim body fluids, inhalation or ingestion of dusts and contaminated atmospheres, water, etc., and minor injuries.

CNN recently presented an informative piece on the continuing trends in the design and use of engineered structural systems (ESS) . CNN correspondant Gerri Willis provides an informative and insightful look at something the fire service knows all too well. Here’s some additional information for you; According to the Wood Truss Council of America (WTCA), wooden trusses are used in roof systems in more than 60% of all buildings in the United States [SBCMAG 2004]. Truss and related engineered wooden floor systems are also becoming more common. Today, more engineered structures use lighter weight materials, producing …larger spans and clear openings. Trusses can be designed to carry expected loads, be produced economically, be safely handled, and reduce construction costs.
Engineered building components may provide adequate strength under normal loading; but under fire conditions, these truss systems can become weakened and fail, leading to the collapse of roofs, floors, and possibly the entire structure. Truss systems are usually hidden, and fires within truss systems may go unnoticed for long periods of time, resulting in loss of integrity.
Structural design codes often do not factor in this decreased system integrity, as fire degrades the structural members. Fire fighters typically rely on warning signs to indicate imminent truss failure such as roofs and floors that feel spongy or are visibly sagging. Quite often, these warning signs are not good predictors of truss system failures. The United States Fire Administration (USFA) reports that during 1990-2000, structural fires and explosions accounted for 46.1% of all reported fire fighter fatalities (500 of 1,085) [USFA 2002]. Statistics compiled by the WTCA suggest that 4.7% of the total fatalities (108 of 2,286) during 1980-2001 were due to structural collapse [Grundahl 2003b]. Fifteen separate incidents investigated by NIOSH identified at least 20 fatalities and 12 injuries that have occurred from 1998-2003 during fire-fighting operations in buildings containing truss systems.
http://us.cnn.com/video/?/video/living/2009/12/18/willis.new.housing.fire.danger.cnn CNN Reports on ESS Dangers
At least three scenarios can occur in which fire fighters suffer fatalities and injuries while operating at fires involving truss roof and floor systems:
1. While fire fighters are operating above a burning roof or floor truss , they may fall into a fire as the sheathing or the truss system collapses below them.
2. While fire fighters are operating below the roof or floor inside a building with burning truss floor or roof structures , the trusses may collapse onto them.
3. While fire fighters are operating outside a building with burning trusses , the floor or roof trusses may collapse and cause a secondary wall collapse.
December 27, 1983 Buffalo, New York Five Firefighter Line-of-Duty Deaths
As Buffalo (NY) firefighters arrived at the scene of a reported propane leak in a three-story radiator warehouse (Type III ordinary and Type IV heavy timber construction), a massive explosion occurred, killing five firefighters instantly and injuring nine others, three of them critically. The force of the blast blew BFD Ladder 5′s tiller aerial 35 feet across the street into the front yard of a dwelling. BFD Engine 1′s pumper was also blown across the street with the captain and driver pinned in the cab with burning debris all around them. Engine 32′s engine was blown up against a warehouse across a side street and covered with rubble.
Two civilians were also killed and another 60 to 70 were injured. While operating at the rescue effort, another 19 firefighters were injured. The blast and ensuing fire ignited 14 residences and damaged as many as 130 buildings over a four block area. The explosion occurred when an employee was moving an illegal 500-lb. propane tank with a forklift truck and dropped it, breaking off a valve. The gas leaked out, found an ignition source, and the explosion occurred.
At 20:23 hours, a full assignment was dispatched to North Division & Grosvenor streets. The three engines, two trucks, rescue and 3rd Battalion were responding to a report of a large propane tank leaking in a building. Engine 32 arrived and reported nothing showing, but they were talking to some workmen from the four-story, heavy-timber warehouse (approx. 50′ x 100′). Truck 5, Engine 1 and BC Supple arrived right behind E-32. Thirty-seven seconds after the chief announced his arrival, there was a tremendous explosion. It completely leveled the four-story building. It demolished many buildings on four different blocks. It seriously damaged buildings that were over a half a mile away. The ensuing fireball started buildings burning on a number of streets. A large gothic church on the next block had a huge section ripped out of it as if a great hand carved out the middle. A ten-story housing projects a couple blocks away had every window broken and some had even more damage. Engine 32 and Truck 5′s firehouse, which was a half mile away or so, had all its windows shattered.
Killed in the line of duty were all assigned to Buffalo FD Ladder Company 5;
- Firefighter Michael Austin,
- Firefighter Michael Catanzaro,
- Firefighter Matthew Colpoys,
- Firefighter James Lickfield and
- Firefighter Anthony Waszkielewicz.
Remember to think about occupancy risk and not occupancy type and the factors related to the occupancy usage and the nature of the call. Nothing is ever routine.
WKBW.com Cached video clip, HERE
Buffalo, NY Propane Gas Explosion, Dec 1983, HERE
Propane blast death affects son of fireman, HERE and HERE
PROPANE EXPLOSION 25th ANNIVERSARY IN BUFFALO,NEW YORK, HERE
A million dollar Baltimore County, Maryland home was destroyed Sunday December 13, 2009 by a fire that tore through the 4,700-square-foot structure with such intensity that firefighters were forced to battle the flames from the exterior. Shortly after 21:00 hours, Baltimore County Fire Dispatch alerted crews for Fire Box 50-2 at 12607 Nancy Lee Court in the Worthington Trace subdivision in the Chestnut Ridge area. As firefighters were responding, dispatch advised they were receiving multiple calls to 911, with some reporting the entire house was on fire. While en route to the scene, Chestnut Ridge Volunteer Fire Company Captain Dan Uddeme reported heavy fire was visible and requested a 2nd alarm and a Tanker Strike Team as the house sits in an area without fire hydrants. Upon arrival, Capt. Uddeme reported fire had consumed the entire 2nd floor and roof area and was spreading. Firefighters were forced to use exterior operations due to the heavy volume of fire. Responding units set up for rural water operations, shuttling more than 17,000 gallons of water from an underground tank on Greenspring Avenue and Walnut Avenue near the scene. Reisterstown Volunteer Fire Companys Engine 412 was also utilized for its Compressed Air Foam System, with several handlines and the ladder pipe from Glyndon Volunteers Truck 404 flowing foam. The Baltimore County Fire Investigation Division is investigating to determine the fires cause and origin. Video and data was obtained from Michael Schwartzberg’s Firepix1075 . Additional photos, HERE and newsreports, HERE
While watching the video, take the time to listen to the wind howling across the mic and observe the intesity level of the fire severity and propogation in the Charlie side. This provides an opportunity for those that are not familiar with the NIST Wind Driven Fire Studies or the PWC (VA) Kyle Wilson LODD to take some time to read about the affects of wind on incident operations, strategies and tactical personnel safety. This was a 4,700 SF large volume residential structure. Think about the performance and your deparment’s capabilities? Remember, it’s not “just” a house fire
Take a look at the Prince William County (VA) Fire & Rescue case study information related to Technician I Kyle Wilson – LODD Report. This event: Technician Kyle Wilson died in the line of duty on April 16, 2007 while performing search and rescue operations at a house fire on Marsh Overlook Drive, located in the Woodbridge area of Prince William County. On that day, Technician Wilson was part of the firefighter staffing on Tower 512 which responded to the house fire that was dispatched at 0603 hours. The Prince William County area was under a high wind advisory as a nor’eastern storm moved through the area. Sustained winds of 25 mph with gusts up to 48 mph were prevalent in the area at the time of the fire dispatch to Marsh Overlook Drive. Initial arriving units reported heavy fire on the exterior of two sides of the single family house and crews suspected that the occupants were still inside the house sleeping because of the early morning hour. A search of the upstairs bedroom commenced for the possible victims. A rapid and catastrophic change of fire and smoke conditions occurred in the interior of the house within minutes of Tower 512’s crew entering the structure. Technician Wilson became trapped and was unable to locate an immediate exit out of the hostile environment. Mayday radio transmissions were made by crews and by Technician Kyle Wilson of the life-threatening situation. Valiant and repeated rescue attempts to locate and remove Technician Wilson were made by the firefighting crews during extreme fire, heat and smoke conditions. Firefighters were forced from the structure as the house began to collapse on them and intense fire, heat and smoke conditions developed. Technician Wilson succumbed to the fire and the cause of death was reported by the medical examiner to be thermal and inhalation injuries.
- LODD Report Fact Sheet (29.3 kb)
- LODD Investigative Report (9.16 mb)
- LODD Report Presentation (6.65 mb)
- LODD Report Basic House Model (Section 1) (1.87 mb)
- LODD Report Fire Model (Section 3) (5.16 mb)
- LODD Flashover Chart (60 kb)
National Institute of Standards and Technology – NIST Wind Driven Fire Research HERE Smoke and heat spreading through the corridors and the stairs of a building during a fire can limit building occupants’ ability to escape and can limit fire fighters’ ability to rescue them. Changes in the building’s ventilation or presence of an external wind can increase the energy release of the fire. This can also increase the spread of fire gases through the building. In some cases, such as the Cook County Administration Building fire in October 2003, the fire gas flow, into the corridors and the stairway prevented fire fighters from suppressing the fire from inside the structure. This fire resulted in 6 building occupant fatalities and fire fighter injuries in the stairway. The Fire Department of New York City has experienced many wind driven fire incidents which have resulted in fire fighter fatalities and injuries.
What tactics or tools are appropriate for use with a wind driven fire and how should the tactics or tools be implemented? Positive Pressure Ventilation (PPV) is being used by fire departments on smaller structures, such as single family homes, to control the fire flow by introducing pressure from the front door and venting the house through a strategic exit opening. If done correctly, this tactic can remove significant amounts of heat and smoke from the structure, thus improving the fire fighters’ working environment and improving the chances of survival for the building occupants. NIST has completed several studies which have a two fold impact: 1) providing guidance on the safe use of PPV and 2) characterizing and validating the modeling of PPV with a computational fluid dynamics (CFD) computer model, so that the model can be used as a training tool for the fire service. Fire Chief Magazine article HERE
December 3, 2009 marks the 10th anniversary of the Worcester Cold Storage Warehouse fire that resulted in the line of duty death of six courages brother firefighters.
The Worcester Six;
Firefighter Paul Brotherton Rescue 1
Firefighter Jeremiah Lucey Rescue 1
Lieutenant Thomas Spencer Ladder 2
Firefighter Timothy Jackson Ladder 2
Firefighter James Lyons Engine 3
Firefighter Joseph McGuirk Engine 3
Overview
On Friday, December 3, 1999, at 1813 hours, the Worcester, Massachusetts Fire Department dis¬patched Box 1438 for 266 Franklin Street, the Worcester Cold Storage and Warehouse Co. A motor¬ist had spotted smoke coming from the roof while driving on an adjacent elevated highway. The original building was constructed in 1906, contained another 43,000 square feet. Both were 6 stories above grade. The building was known to be abandoned for over 10 years. Due to these and other factors, the responding District Chief ordered a second alarm within 4 minutes of the initial dispatch.
The first alarm assignment brought 30 firefighters and officers and 7 pieces of apparatus to the scene. The second provided an additional 12 men and 3 trucks as well as a Deputy Chief. Firefighters encountered a light smoke condition throughout the warehouse, and crews found a large fire in the former office area of the second floor. An aggressive interior attack was started within the second floor and ventilation was conducted on the roof. There were no windows or other openings in the warehousing space above the second floor.
Eleven minutes into the fire, the owner of the abutting Kenmore Diner advised fire operations of two homeless people who might be living in the warehouse. The rescue company, having divided into two crews, started a building search. Some 22 minutes later the rescue crew searching down from the roof became lost in the vast dark spaces of the fifth floor. They were running low on air and called for help. Interior conditions were deteriorating rapidly despite efforts to extinguish the blaze, and visibility was nearly lost on the upper floors.
Investigators have placed these two firefighters over 150 feet from the only available exit.
An extensive search was conducted by Worcester Fire crews through the third and fourth alarms. Suppression efforts continued to be ineffective against huge volumes of petroleum based materials, and ultimately two more crews became disoriented on the upper floors and were unable to escape. When the evacuation order was given one hour and forty-five minutes into the event, five firefighters and one officer were missing. None survived.
A subsequent exterior attack was set up and lasted for over 20 hours utilizing aerial pieces and del¬uge guns from Worcester and neighboring departments. Task force groups from across the State of Massachusetts responded to initial suppression and subsequent recovery efforts. During this time, the four upper floors collapsed onto the second which became known as “the deck”. Over 6 million gallons of water were used during the suppression efforts.
According to NFPA records, this is the first loss of six firefighters in a structure fire where neither building collapse nor an explosion was a contributing factor to the fatalities. (Excerpt from USFA report )
Take a moment to reflect on the events of December 3, 1999 and what they may mean to you. Consider your knowledge and understanding of buildings and structures within your district and surrounding response areas. Remember; “Building Knowledge = Firefighter Safety”. For those of you who do not know about this incident, attached is the USFA Incident Report that provides insights into the event and the lessons learned. Also check out the NIOSH Report and numerous archived articles on the web and within various journals.
Take at look at The Worcester Telegram & Gazette which has an archived webpage; http://www.telegram.com/static/fire/video.html
HERE ARE THE LESSONS LEARNED FROM THE 1999 USFA REPORT
1. Abandoned buildings remain a serious threat to the fire service and a danger to the communities in which they stand.
Fire departments have long recognized the danger of abandoned buildings in their communities, and fires in these structures have to be approached with a certain amount of caution and restraint. If questionable structural integrity, unknown hazardous materials, unusual dangers to firefighters, or other extreme risks exist, the buildings should not be entered. It is paramount that the fire service apply tactical risk assessment in its daily operations.
Because of the building design, the fire’s magnitude and location could not be ascertained from the exterior, and the Incident Commander had to assess the risks of sending in teams to evaluate the fire and sending in firefighters for suppression. Initial interior reports did not indicate a serious threat to personnel, and operations were conducted accordingly. To assist arriving crews, a placard system should be instituted which clearly defines the risks at an abandoned building. Subsequent to the fire, Worcester Fire put such a system in place. The process has an added benefit of placing firefighters and/or inspectors on locations which might be at risk and where prefire planning should be initiated.
Risks are not limited to the fire service. Homeless people and drug addicts have been known to inhabit such buildings out of necessity. Ordinary citizens can be impacted by increased crime, and these properties can become a very dangerous playground for inquisitive children. Efforts should be made to renovate or demolish such places even if public funding is not required.
2. Firefighters must make a concerted effort to know the buildings in their response districts.
Commercial buildings, by their very nature, pose additional dangers to firefighters, and their familiarity with any given fire building will help to lower these dangers. Company tours are an excellent way to accomplish this goal, and can serve to strengthen the bonds between firefighters and business owners. Such efforts must be conducted with sensitivity, and observed conditions or problems within a business should be conveyed in a helpful rather than confrontational manner.
3. Fire prevention efforts should be maximized in abandoned and temporarily vacated building to avoid fires in the first place.
Even temporarily vacated properties can be at risk if utilities like water for a sprinkler system or electricity for an alarm system are disconnected. Although service cessation often occurs when properties are the subject of financial problems it may also take place at the end of a lease or during the sale or renovation of a commercial building. Every effort should be made to forward change of occupancy or use information to first response stations.
4. Fire departments should continue to grown their file information on buildings in their communities.
Through the use of mobile computer systems, much information can be forwarded to responding companies and Incident Command during an emergency. Data could include floor plans, occupancies, hazardous materials, water supplies, special hazards, and much more. A system of this type would certainly not be limited to abandoned buildings, but it could be invaluable at such a scene since the probability of an owner showing up is unlikely.
Although this is laborious process, it may also be a valid use of on duty personnel who can gather information during regular shift time and either forward it to fire prevention or enter it themselves on provided computer terminals. Data could be gathered during in-service inspections and tours.
5. Delayed reporting allowed the fire growth to exceed the capabilities of aggressive interior attack suppression.
The exact time of ignition remains an unknown, but it has been established that the fire was burning for a minimum of 25 minutes before smoke was observed venting from the roof. It could have been burning for over an hour and a half. The huge volume of air in the warehouse could supports a large fire without any additional air from the outside.
Because flames weren’t visible from the exterior, passers-by did not recognize the presence of the fire, and it wasn’t discovered until smoke vented from the roof. Even that was apparently not enough to motivate the hundred of average citizens driving on I-290 that evening to call 9-1-1.
The trained eyes of public safety professionals were needed to separate this from “the ordinary” and then react appropriately. By this time, however, most of the second floor of B-building was burning, and few barriers were present to prevent further growth.
The initial report from Ladder 1 on the second floor describes a “room full of fire” in B-building beyond the door in the party wall. This location is some 30 feet from the room or origin, so a one room fire had enough time to engulf the entire floor. A sustained flow of 1000 GPM for 20 minutes had virtually no effect on the fire, and conditions deteriorated around attack crews.
6. Combustible interior finishes contributed to the rapid fire spread.
The concept of having 18 inches of combustible materials on the inside of all exterior walls of a building is almost unthinkable to firefighters. The original cork insulation which appears to have been attached with a tar-like substance provided a large volume of fuel, and additional layers of polystyrene and polyurethane with there ferocious burn characteristics gave this fire enormous intensity.
The area of origin was office space converted from a cold storage area. Under its original design and intent, insulation would only have been placed on exterior walls since the third floor was also cooled. Large amounts of insulation were put into place during the transition and would have included heavy insulation above the suspended ceiling on the underside of the third floor deck. An easily applied insulation would have been sprayed-on polyurethane foam which would have adhered to the wood joists and girders. Once the ceiling tiles were in place, it would not be noticed. The southern wall of the office space would have also required substantial insulation to keep out the cold and to retain the forced hot water heat from the radiators.
The fire fed on ordinary combustibles during its initial growth, but once the ceiling tiles were breached, flame contacted combustible wire insulation and ceiling insulation. The stubborn flames observed by fire crews and the smoke conditions described on upper floors are consistent with the sustained burning of petroleum based products including rigid polystyrene, polyurethane, tar, and glass board.
Proper permitting and on going inspections for construction changes within business occupan¬cies can help reduce non-complaint interior finishes.
7. The fire service should initiate life safety activities early on at a fire scene.
The concept of a Rapid Intervention Team was known to the Worcester Fire Department and was being implemented before the Worcester Cold Storage Fire, but it was not put into place until the 5th alarm on December 3rd. Firefighters had entered an unknown structure over one hour before the team was assigned. It is now standard procedure in Worcester to assign a RIT at the onset of each structure fire attack.
The first radio transmission by the Safety Officer was 10 minutes after the RIT was assigned. For control and monitoring of personnel, structural integrity, and other safety concerns, this position should also be filled early on. In an ideal fire scene, the Safety Officer and RIT would be in place before the first firefighters enter the building. Command should strive to have these jobs filled as early as possible even if doing so escalates the event to a higher alarm level to provide sufficient personnel. A system of personnel accountability should be in place. Someone should be tracking who enters the building, the time of entry, and time of exit. Firefighters who are nearing expected times of air exhaustion could then be contacted to ascertain their safety. The establishment of a Safety Officer at the onset of an event can work towards the goal of accountability. The Safety Officer need not be a department officer but could be a chief’s aide or available firefighter familiar with the duties and responsibilities of the assignment.
8. Large buildings such as warehouses and highrise merit unique search techniques and tools.
While the standard air bottle for SCBA has a 30 minute capacity, it might be necessary to have available 60 minute bottles for extended search situations and/ or RIT use. Some fire depart¬ments have obtained 60 minute systems for use in confined space rescues or other unusually long events. The 30 minute system has remained the norm in recent years as the necessity of Rehab time has gained prominence, and it would not be advisable to use longer air supplies on a regular basis.
In high rise incidents, it is common practice to carry in extra SCBA bottles. The same can be done in large space searches. Development of equipment and techniques to change bottles in a hot environment would give extra range to rescuers, and it could prolong their survival should their own rescue be required.
Long lifelines should be maintained for entry crews in these types of structures as well as marking devises for the interior. These devices include luminescent stickers to show direction, labels to signify searched areas, and other commercially available products. Their effectiveness, how¬ever, depends on their use. And the fire service should incorporate these procedures into more common firegrounds, such as single family houses. The time to try out a new technique is not during a major fire scene.
For searches involving extended distances, it might be helpful to position secondary search teams part way into a search area. They can wait in reserve in case they are needed, and they can serve as a rescue team for civilians or firefighters.
Finally, all firefighters who enter a structure must be wearing an SCBA. Worcester Fire has such a policy. Although the facemask and air may not be needed, it must be available. This includes chief officers, aides, and ladder personnel. Even firefighters who are outside structure like apparatus drivers should have SCBA protection available in case of wind shifts or air born particles and debris. With the preponderance of hazardous materials in businesses and residences, SCBA’s use is an essential.
9. Techniques must be improved to better track the movements of firefighters within a structure.
Under current technology limitations, Incident Command is essentially limited voice communication/radio to track the movements of firefighters once they enter a building and disappear from sight. IC normally knows where a crew entered and possibly what their destination is, but without good radio reports, the exact movements and locations of crews are uncertain at best.
Rescue 1’s crew and Engine 3’s Lieutenant both had difficulty communicating their positions which complicated and delayed rescue attempts. Crews continued to search multiple floors in the warehouse because of this uncertainty tying up precious personnel resources and adding more congestion to Stairway 3.
Despite all lost firefighters wearing integral PASS alarms on their SCBA’s, no surviving firefighters recalled hearing them at any time. The building insulation may have absorbed much of their sound, and the ever present background noise of the fire scene itself may have obscured the rest.
10. Radio channels are often overloaded at multiple alarm fires, and alternatives must be explored.
The 800 Mhz trunked radio system used by the Worcester Fire Department had several major failures during this event. Mechanical failure of individual units occurred when the “emergency alert” button on the hand microphone shorted out on contact with water. Fire Alarm repeatedly ordered individual radio operators to shut down, and this took precious air time during an escalating multiple alarm event. In some cases the microphones were detached in the field at which time they functioned normally. Microphones without the alert button were placed on all radios after the conclusion of this fire. During interior operations, there were 1,000 “push-to-talks” registered for the Operations A talk group, the assigned fireground channel.
Like many progressive fire departments, Worcester has taken steps to insure that all crews enter¬ing a fire building have radio communications. A typical piece of apparatus carries one portable for the officer and one for a second firefighting crew. All members of the Rescue Company carry portables. Having multiple radios is good for safety, but their use requires significant training and discipline. It is all too easy to clog up the air with nonessential transmissions.
In some events it may even be necessary to use more than one radio and frequency to properly manage the incident. This would require someone to assist the Incident Commander and keep communications in order. If nothing else, a fireground frequency must be adopted by Command and all working units. One possible way to limit talk time would be to have a staging officer communicate with, and pass along assignments to incoming companies on a frequency other than those used for dispatch and fireground command. Once an assignment was initiated, the company would switch over to the fire- ground channel.
Departments must also choose their radio equipment carefully. The band used must be the best for the standard physical environment in which operations are conducted. Urban departments working inside cement buildings have requirements that contrast greatly with a rural department operating over long geographical distances. If transmission quality continues to suffer, the use of mobile repeaters or other devices might need to be explored.
11. The use of Thermal Imaging Cameras should be further developed.
The Thermal Imaging Camera has become a useful rescue and investigative tool for the fire ser¬vice over the past six years. Although early models had some operational problems, the latest versions are reliable and offer more options such as transmission capabilities. It is a device that belongs in every fire department, but its high cost has prevented the purchase by many agencies. Sales volume will hopefully bring down the price of this beneficial tool.
The camera used at the Worcester fire failed to operate properly, and the manufacturer attributed the problem to thermal overload. This was an early model, and the rescue crew using it was nearly prevented from entering the warehouse by the high heat. Their attempt to enter was one of the last, and no other crews made significant interior progress.
Under this high heat, the effectiveness of the device is questionable. Thermal imaging devices work well in cooler environments where the body temperature of a victim is higher than the surrounding air or a hot spot within a wall is warmer than the abutting construction. At high heat levels, these cameras will often “white out” because everything in its view is hot enough to affect the imager. If a victim was down in elevated heat, he would absorb the thermal energy of his environment. The turnout gear, for instance, would get hotter and the camera would not be able to differentiate between it and its surrounds. The survivability of a person in high heat for an extended time is negligible.
NIOSH investigators concluded that, to minimize the risk of similar occurrences, fire departments should
ensure that inspections of vacant buildings and pre-fire planning are conducted which cover all potential hazards, structural building materials (type and age), and renovations that may be encountered during a fire, so that the Incident Commander will have the necessary structural information to make informed decisions and implement an appropriate plan of attack
ensure that the incident command system is fully implemented at the fire scene
ensure that a separate Incident Safety Officer, independent from the Incident Commander, is appointed when activities, size of fire, or need occurs, such as during multiple alarm fires, or responds automatically to pre-designated fires
ensure that standard operating procedures (SOPs) and equipment are adequate and sufficient to support the volume of radio traffic at multiple-alarm fires
ensure that Incident Command always maintains close accountability for all personnel at the fire scene
use guide ropes/tag lines securely attached to permanent objects at entry portals and place high-intensity floodlights at entry portals to assist lost or disoriented fire fighters in emergency escape
ensure that a Rapid Intervention Team is established and in position upon their arrival at the fire scene
implement an overall health and safety program such as the one recommended in NFPA 1500, Standard on Fire Department Occupational Safety and Health Program
consider using a marking system when conducting searches
identify dangerous vacant buildings by affixing warning placards to entrance doorways or other openings where fire fighters may enter
ensure that officers enforce and fire fighters follow the mandatory mask rule per administrative guidelines established by the department
explore the use of thermal imaging cameras to locate lost or downed fire fighters and civilians in fire environments
In addition,
manufacturers and research organizations should conduct research into refining existing and developing new technology to track the movement of fire fighters on the fireground.
http://www.cdc.gov/niosh/fire/reports/face9947.html
Derelict buildings marked after Mass. LODDs
Haunting memories spurred Mass. chief to positive action
Buildingsonfire.com
Launching January 2010
An Informational, Reference and Training web site Dedicated to the Art & Science of Building Construction, Firefighting and Command Risk Management to promote Firefighter Safety
Advancing Training, Knowledge, Skill Development and Safety Focus for the Fire Service, and Supporting the NFFF Firefighter Life Safety Initiatives & EGH program
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Building Knowledge = Firefighter Safety
During this week, there were on average, over 10,173 structure fires in the United States. According to NFPA statistics the following occur on average in the U.S;
• A fire department responded to a fire every 20 seconds.
• One structure fire was reported every 59 seconds.
• One home structure fire was reported every 79 seconds
• One civilian fire injury was reported every 30 minutes.
• One civilian fire death occurred every 2 hours and 33 minutes.
• One outside fire was reported every 41 seconds.
• One vehicle fire was reported every 122 seconds.
There are on average of Eight to Ten Firefighter Line-of-duty Deaths each month. There have been two LODD’s reported this first week of November alone.
The fire service continues to struggle with the challenges, opposition and merits in adjusting, altering, and changing our strategic and tactical ways of doing business in the streets. Some disagree others are indifferent, but regardless of your positions; the business of firefighting is changing, to some it’s just not being recognized or acknowledged. The traditional attitudes and beliefs of equating aggressive firefighting operations in all occupancy types coupled with the correlating, established and pragmatic operational strategies and tactics MUST not only be questioned, they need to be adjusted and modified; risk assessment, risk-benefit analysis, safety and survivability profiling, operational value and firefighter injury and LODD reduction must be further institutionalized to become a recognized part of modern firefighting operations.
Fire suppression tactics must be adjusted for the rapidly changing methods and materials impacting all forms of building construction, occupancies and structures. The need to redefine the art and science of firefighting continues to be a passionate discussion point.
The demands and requirements of modern firefighting will continue to require the placement of personnel within situations and buildings that carry risk, uncertainty and inherent danger. As a result, risk management must become fluid and integrate all personnel. We must manage dynamic risks with a balanced approach of effective assessment, analysis and probability within command decision making that results in safety conscious strategies and tactics.
Don’t mistake determined, effective and proactive firefighting with that of reckless, baseless and risk-preferring and self-indulging firefighting. There is a difference, a big difference! When we address relationships of Building Construction, Command Risk Management and Firefighter Safety with the occupancy and structural environment, all personnel, regardless of rank, need to equate the occupancy risk with strategic and tactical incident action plans.
These safely compliment the identified firefighting operation risk, with the projected building risk profile and interface appropriate behavioral characteristics in the task level firefighting activities. Again, equating building, occupancy risk profiles with determined, effective and proactive firefighting.
Stop and reflect today, where do you stand? What are your true beliefs and convictions in regards to the developing safety culture that is being forged and institutionalized within our fire service?
A recent posting by Chief Ben Waller on the Candle-Moth Syndrome and the reference to Target Fixation brings to light some very important insights related to buildings, occupancies and the risk assessment process.
The relationship of target fixation and faulted size-up that ultimately progresses to faulted tactics and the potential for detrimental incident outcomes is typically overlooked and seldom discussed.Target fixation is a process by which the brain is focused so intently on an observed object that awareness of other obstacles or hazards can diminish.
Also, in an avoidance scenario, the observer can become so fixated on the target that the observer will end up colliding with the object. How many times have you been “drawn” towards a specific tactical sortie, or have disregarded mission critical indicators that were so obvious, after the incident that you wondered what came over you in the heat of the battle? The Candle-Moth Syndrome is just the start of it.
In the realm of building construction, occupancy profiling and risk assessment, company and command officers must strive to develop astute and clear observation skills to quickly scan for key visual indicators that provide validation points on possible inherent building and construction type and systems, looking beyond the obvious at times and quickly processing that data and assumptions into definable strategic plans and tactical assignments-all with the appropriate balance of risk.The ability to move past target fixation attributes; and the skills to balance presumptive or validated past experience, street level assumptions and intuitive decision-making whether it’s recognition primed decision-making modeling and approach (RPD) or naturalistic decision Making (NDM), scan your operational field broadly and look over your buildings and occupancies with a wider field of vision and beyond.
Recognize that some “target fixation” points are very important in the overall processing and assessment of an incident, but are a part of the overall sum of the equating and evolving incident scene. I’ve spoken about the Predictability of Performance in building construction and occupancies a few times, and the challenge it presents in the context of present day fire suppression operations. Although experience drives a lot, there are times in which past experiences may not be the only recommended force that drives the incident action plan.
Be cognizant of the fact that similar building types can perform differently under what may be derived as similar fire conditions. Don’t get caught in target fixation and above all, have an understanding of building construction systems, their correlation to occupancy configurations and ultimately how they perform under fire (conditions). Know your buildings, expand your knowledge, develop your operational skills and enhance your tactical capabilities. It all starts with the structure….at a structure fire.
NFPA Responds to Flawed Justifications for Proposals RB53, RB54, RB56 and RB57 from IRC Fire Sprinkler Coalition. The National Fire Protection Association has analyzed substantiation statements by anti-sprinkler interests in their proposals to diminish or delete the IRC’s fire sprinkler requirements.
The following are quotes from Fire Chief Anthony Aiellos (ret) Hackensack (NJ) Fire Department, Fire Chief during the Hackensack Ford Fire, July, 1988…
“If you don’t fully understand how a building truly performs or reacts under fire conditions and the variables that can influence its stability and degradation, movement of fire and products of combustion and the resource requirements for fire suppression in terms of staffing, apparatus and required fire flows, then you will be functioning and operating in a reactionary manner.”
“This places higher risk to your personnel and lessens the likelihood for effective, efficient and safe operations. You’re just not doing your job effectively and you’re at RISK. These risks can equate into insurmountable operational challenges and could lead to adverse incident outcomes. Someone could get hurt, someone could die, it’s that simple, it’s that obvious.”
Risk Based Response Assignments
The buildings, structures and occupancies that comprise typical response districts pose unique and consistent challenges during structural fire attack. The variety of occupancies and building characteristics establish varying degrees of risk potential, with defined and recognizable strategic and tactical measures to be taken-sometimes uniquely to each occupancy type. Although each occupancy type presents variables that dictate how a particular incident is handled, most company operations evolve from basic principles rooted in past performance and operations at similar structures. This is based on what I define as; “predictability of performance.”
When we look at various buildings and occupancies, past operational experiences; those that were successful, and those that were not, give us experiences that define and determine how we access, react and expect similar structures and occupancies to perform at a given alarm in the future. Naturalistic (or recognition-primed) decision-making forms much of this basis. We predicate certain expectations that fire will travel in a defined (predictable) manner that fire will hold within a room and compartment for a given duration of time, that the fire load and related fire flows required will be appropriate for an expected size and severity of fire encountered within a given building, occupancy, structural system.
We used to know with a measured degree of predictability, how our buildings would perform, react and fail under most fire conditions. This is what our years of fireground experience provided us, and how we ultimately would predict, assess, plan and implement our incident action plans and ultimately deploy our companies-based upon the predictable performance expected. Conventional Construction Structures (CCS) had this “predictably of performance.” You know, that typical residential structure, the 2-1/2 story wood frame, the three story brick and joist type III occupancy, the four story frame multiple occupancy, etc., etc.
Unlike Engineered System Structures (ESS) whose predictability is rooted in the fact that they are unpredictable.The emerging fire service issues affecting buildings, occupancies and structural systems related to ESS is only beginning to take hold a prominent role and level of significance that is long overdue. The fire service has been dealing with the operational issues and line-of-duty deaths related to ESS since the 1980s and now in 2009, we’re finally raising these ESS issues to a dialog point that is influencing firefighter safety, survival and operations. ( Refer to the Underwriters Laboratory’s (UL) UL University on-line training module for a state-of-the art presentation on Structural Stability of Engineered Lumber in Fire Conditions and performance results that correlate towards redefining fire suppression operations)
The fire service is beginning to fully recognize the merits in adjusting, altering, and changing our strategic and tactical ways of doing business in the streets. It’s becoming self evident in the fire service that it’s no longer acceptable to think that ESS buildings and occupancies will perform in the same manner as CCS buildings and occupancies and that tactics deployed in both CCS and ESS buildings and occupancies will react under similar strategic and tactical plans and tasks. These unique and inherent factors within the ESS profiles must give us a new standard for operational deployment; strategies and tactics that are defined by the risk profile of the building, its engineered structural systems, materials and methods of construction and the fire loading present.
Considerations for changing fire flow rates, the sizing of hose line and the adequacies for fire flow demand and application rates, staffing needs for safe operations, considerations for defensive positioning and defensive operating postures must be considered, and it warrants repeating again; Reckless-Aggressive firefighting must be redefined in the built environment and associated with goal oriented tactical operations that are defined by risk assessed and analyzed tasks that are executed under battle plans that promote the best in safety practices and survivability within know hostile structural fire environment- with determined, effective and proactive firefighting.
I’ve commented with more than a few postings on the issues related to engineer building construction components and assemblies. I posed some questions related to Engineered Structural Assemblies & Systems (ESS) and asked if you knew what they represent and how these components, assemblies and systems may affect or influence incident operations.
I also presented some information on the pioneering efforts and quantitative results of the Underwriters Laboratory (UL) engineers and fire service representatives from the Chicago Fire Department, HERE and HERE.
If you’ve spent any amount of time reading through the NIOSH Fire Fighter Fatality Investigation and Prevention Program, LODD Reports or have invested time and effort to look through the data base of near miss reports and ROTW at the National Firefighter Near-Miss Reporting System, you’d recognize the magnitude of the issues and multi-faceted challenges confronting the U.S. Fire Services in the areas of engineered structural assemblies, components and building features.
Paul Comb’s editorial image provides a poignant and distressing reality that the fire service needs to come to terms with, addressing and implementing the necessary components that assimilating refined combat firefighting techniques and methodologies; that align with the risks and hazards presented by current and emerging construction techniques, materials and consumer lifestyles that comprise our buildings and occupancies. We need to start looking over our shoulders; we need redefined strategies and tactics for today’s buildings and occupancies. When we do have the opportunity to engage in firefighting with the dragon; we may not recognize the dragon has changed, it has evolved. Yet we stand poised to engage or take-on the dragon with faulted incident operations, strategic plans and tactical intentions that provide less than adequate results.
In those situations where we are deficient or we achieved less than expected results, we continue to miss the apparent or root causes and fall back on perceived notions and excuses. Building Knowledge = Firefighter Safety; Understanding today’s building construction, fire dynamics, fire loading and behaviors and instituting appropriate firefighting methodologies, we can achieve safe and successful fireground operations. Remember, the Predictability of Performance and the combat firefighting based upon Occupancy Risk not Occupany Type.
Have you and your company, battalion or department discussed limiting factors, enhanced firefighting tactics or operational experiences related to engineered systems, past fires, observed new construction or renovations and what it all means to your assigned duties or company assignments?
Are you and your company adequately trained to address “modern” construction, occupancies and conditions or is a much bigger dragon lurking in the shadows?
With continued emphasis on alternative energy systems and applications, the newest feature to hit the American market place is thin film amorphous solar products. These products are individual solar panels that look like standard shingles, but are actually solar cell panels that can produce electricity. A recent posting from Firegeezer brought these units to the fire service attention.
UniSolarUnited Solar Ovonic LLC is the world’s largest manufacturer of thin film amorphous solar products. In plain English, Uni-Solar makes roofing shingles that look like standard shingles, but that are actually individual solar panels. When installed, you can network these shingles together to generate electricity to power a house or other occupancy setting. These shingles do not require support structures and are installed like conventional asphalt shingles to blend with existing shingles when installed.
The Dow Chemical Company announced on October 5, 2009 its line of DOW™ POWERHOUSE™ Solar Shingle, revolutionary photovoltaic solar panels in the form of solar shingles that can be integrated into rooftops with standard asphalt shingle materials. The solar shingle systems are expected to be available in limited quantities by mid-2010 and projected to be more widely available in 2011, putting the power of solar electricity generation directly and conveniently in the hands of homeowners.
Groundbreaking technology from Dow Solar Solutions (DSS) integrates low-cost, thin-film CIGS photovoltaic cells into a proprietary roofing shingle design, which represents a multi-functional solar energy generating roofing product. The innovative product design reduces installation costs because the conventional roofing shingles and solar generating shingles are installed simultaneously by roofing contractors. DSS expects an enthusiastic response from roofing contractors since no specialized skills or knowledge of solar array installations are required.
A little research reveals a number of similar products making their way into the market place and in a variety of applications. As with any building and occupancy, stay alert to building and architectural features that “look” different or don’t appear to be conventional in what you may have experienced prior. Although there is little fire service experience to draw from in these particular applications, operational issues related to roof area footing, ladder placement and integrity, penetration and cutting factors related to tactical assignments on roof decks all present additional situational awareness and hazard assessment when confronted with these or similar features during incident operations.
Stay alert and make sure you get out in the street and examine construction sites for potential installations as well as individual residential or commercial renovations that may have retrofitting installations on roof systems by adding these solar shingle systems in these challenging economic times.
Here’s a few additional sites to check into:
- http://www-personal.umich.edu/~bgoodsel/solar/2005/06/solar-shingles-installed.html
- http://hubpages.com/hub/Solar-ShinglesMultitasking-for-the-Off-Grid-Lifestyle
- http://www.dowsolar.com/
- http://www.alphasolar.com/alpha_solar_005.htm
- http://www.roofery.com/shingles/brands/uni-solar.html
- http://www.solar-components.com/pvshingl.htm
- http://greeninc.blogs.nytimes.com/2009/10/07/dow-unveils-solar-shingles/?em
Remembering the One Meridian Plaza High-rise Fire,1991
Ceremonies took place on Wednesday October 21 in Philadelphia, PA unvieling a memorial honoring PFD Fire Capt. David P. Holcombe, Firefighter Phyllis McAllister and Firefighter James A. Chappell who died in the line of duty while conducting operations at a high-rise fire in what is known as the One Meridian Plaza Fire which occurred on February 23, 1991.
A fire on the 22nd floor of the 38-story Meridian Bank Building, also known as One Meridian Plaza, was reported to the Philadelphia Fire Department on February 23, 1991 at approximately 2040 hours and burned for more than 19 hours.
· The fire caused three firefighter fatalities (LODD) and injuries to 24 firefighters.
· The 12-alarms brought 51 engine companies, 15 ladder companies, 11 specialized units, and over 300 firefighters to the scene.
· It was one of the largest high-rise office building fire in modern American history –completely consuming eight floors of the building –and was controlled only when it reached a floor that was protected by automatic sprinklers.
· The Fire Department arrived to find a well-developed fire on the 22nd floor, with fire dropping down to the 21st floor through a set of convenience stairs.
· Heavy smoke had already entered the stairways and the floors immediately above the 22nd.
· Fire attack was hampered by a complete failure of the building’s electrical system and by inadequate water pressure, caused in part by improperly set pressure reducing valves on standpipe hose outlets.
The USFA published a technical report (USFA-TR-049) on the One Meridian Plaza fire that is still available for download from the USFA web site, HERE. The report clearly defined the need in 1991, for built-in fire protection systems and reiterated the fact that fire departments alone cannot expect or be expected to provide the level of fire protection that modem high-rises demand. That fire protection must be built-in to the structures. This was clearly illustrated in this event when the One Meridian Plaza fire was finally stopped when it reached a floor where automatic sprinklers had been installed.
One Meridian Plaza was a 38-story high-rise office building, located in the heart of downtown Philadelphia, in an area of high-rise and mid-rise structures. The building had three underground levels, 36 above ground occupiable floors, two mechanical floors (12 and 38), and two rooftop helipads. The building was rectangular in shape, approximately 243 feet in length by 92 feet in width (approximately 22,400 gross square feet), with roughly 17,000 net usable square feet per floor. Site work for construction began in 1968, and the building was completed and approved for occupancy in 1973.
Construction was classified by the Philadelphia Department of Licenses and Inspections as equivalent to BOCA Type 1B construction which requires 3-hour fire rated building columns, 2-hour fire rated horizontal beams and floor/ ceiling systems, and l-hour fire rated corridors and tenant separations. Shafts, including stairways, are required to be 2-hour fire rated construction, and roofs must have l-hour fire rated assemblies.
The building frame was structural steel with concrete floors poured over metal decks. All structural steel and floor assemblies were protected with spray-on fireproofing material. The exterior of the building was covered by granite curtain wall panels with glass windows attached to the perimeter floor girders and spandrels. The building utilized a central core design, although one side of the core is adjacent to the south exterior wall. The core area was approximately 38 feet wide by 124 feet long and contained two stairways, four banks of elevators, two HVAC supply duct shafts, bathroom utility chases, and telephone and electrical risers.
SUMMARY OF KEY ISSUES
· Origin and Cause: The fire started in a vacant 22nd floor office in a pile of linseed oil-soaked rags left by a contractor. Fire Alarm System The activation of a smoke detector on the 22nd floor was the first notice of a possible fire. Due to incomplete detector coverage, the fire was already well advanced before the detector was activated.
· Building Staff Response Building employees did not call the fire department when the alarm was activated. An employee investigating the alarm was trapped when the elevator opened on the fire floor and was rescued when personnel on the ground level activated the manual recall. The Fire Department was not called until the employee had been rescued.
· Alarm Monitoring Service The private service which monitors the fire alarm system did not call the Fire Department when the alarm was first activated. A call was made to the building to verify that they were aware of the alarm. The building personnel were already checking the alarm at that time.
· Electrical Systems Installation of the primary and secondary electrical power risers in a common unprotected enclosure resulted in a complete power failure when the fire-damaged conductors shorted to ground. The natural gas powered emergency generator also failed.
· Fire Barriers Unprotected penetrations in fire-resistance rated assemblies and the absence of fire dampers in ventilation shafts permitted fire and smoke to spread vertically and horizontally.
· Ventilation openings in the stairway enclosures permitted smoke to migrate into the stairways, complicating firefighting.
· Unprotected openings in the enclosure walls of 22nd floor electrical closet permitted the fire to impinge on the primary and secondary electrical power risers.
· Standpipe System and Pressure Reducing Valves (PRVs): Improperly installed standpipe valves provided inadequate pressure for fire department hose streams using 1 3/ 4-inch hose and automatic fog nozzles. Pressure reducing valves were installed to limit standpipe outlet discharge pressures to safe levels. The PRVs were set too low to produce effective hose streams; tools and expertise to adjust the valve settings did not become available until too late.
· Locked Stairway Doors: For security reasons, stairway doors were locked to prevent reentry except on designated floors. (A building code variance had been granted to approve this arrangement.) This compelled firefighters to use forcible entry tactics to gain access from stairways to floor areas.
· Fire Department Pre-Fire Planning: Only limited pre-fire plan information was available to the Incident Commander. Building owners provided detailed plans as the fire progressed. · Firefighter Fatalities: Three firefighters from Engine Company 11 died on the 28th floor when they became disoriented and ran out of air in their SCBAs.
· Exterior Fire Spread: “Autoexposure” Exterior vertical fire spread resulted when exterior windows failed. This was a primary means of fire spread.
· Structural Failures: Fire-resistance rated construction features, particularly floor-ceiling assemblies and shaft enclosures (including stair shafts), failed when exposed to continuous fire of unusual intensity and duration.
· Int
erior Fire Suppression Abandoned: After more than 11 hours of uncontrolled fire growth and spread, interior firefighting efforts were abandoned due to the risk of structural collapse.
· Automatic Sprinklers: The fire was eventually stopped when it reached the fully sprinklered 30th floor. Ten sprinkler heads activated at different points of fire penetration. · The three firefighters who died were attempting to ventilate the center stair tower: They radioed a request for help stating that they were on the 30th floor. After extensive search and rescue efforts, their bodies were later found on the 28th floor. They had exhausted all of their air supply and could not escape to reach fresh air. At the time of their deaths, the 28th floor was not burning but had an extremely heavy smoke condition.
· After the loss of three personnel, hours of unsuccessful attack on the fire, with several floors simultaneously involved in fire, and a risk of structural collapse, the Incident Commander withdrew all personnel from the building due to the uncontrollable risk factors. The fire ultimately spread up to the 30th floor where it was stopped by ten automatic sprinklers.
Take the time to review this report and examine some of similar issues affecting the fire service today in the areas of staffing and resources, construction and materials, building codes, built-in fire suppression systems, training, pre-fire planning, fire load, fire dynamics and the current methodologies on wind-drive fire theory. Also take a look at the issues that affected operations at the 1988 Interstate Bank Fire in downtown Los Angeles, California.
Have you dropped in on the EGH web site recently and made use of the vast array of resources and media that can support a wide latitude of firefighter safety, health and survival initiatives?
Everyone Goes Home® is a national program by the National Fallen Firefighters Foundation to prevent line-of-duty deaths and injuries. In March 2004, a Firefighter Life Safety Summit was held to address the need for change within the fire service. Through this meeting, the 16 Firefighter Life Safety Initiatives were produced and a program was born to ensure that Everyone Goes Home®.
Have you made use of the Firefighter Life Safety Learning Media Center?Using variations of the Courage to Be Safe…So Everyone Goes Home® field program, along with material from the Firefighter Life Safety Initiatives Resource Kit the EGH program develops and deploys a new online learning segment each month. These online learning segments allow personnel to expand upon thier personal and professional development on demand. For more information regarding the EGH presentations or if you have additional comments please write to Robert Colameta, National Courage To Be SafeSM Program Manager at bobc@publicsafetyedu.com
Check out the NFFF’s Firefighter Life Safety Initiatives (FLSI) Research DatabaseThis database was created to support NFFF/FLSI goal of reducing firefighter deaths and injuries and, more specifically, partial fulfillment of FLSI Initiative 7: “Create a national research agenda and data collection system that relates to the initiatives.” There is a wealth of information available to support a wide range of firefigher safety, health and survival initiatives and programs within your organization.
If this is new to you, become aware of the 16 Firefighter Life Safety Initiatives , increase your knowledge and understanding of the efforts needed to support the injury and LODD reduction efforts that all begin at the department level and extend to the company level and ultimately to the individual firefighter level. YOU have the power to progress change and to support making the job safer. Take advantage of the opportunites before you, each and every day.
It’s all in your hands…
Here’s another prominent and important program that each of you should be visiting on a regular basis, The National Firefighter Near-Miss Reporting System.
The National Fire Fighter Near-Miss Reporting System is a voluntary, confidential, non-punitive and secure reporting system with the goal of improving fire fighter safety. Submitted reports will be reviewed by fire service professionals. Identifying descriptions are removed to protect your identity. The report is then posted on this web site for other fire fighters to use as a learning tool.
Check out the 2009 October Calendar Module on Decision Making on the resources page under 2009 Near-Miss Calendar or click on the featured resources on the NMR homepage. This interactive PowerPoint was created by Program Advisor John Tippett and can be used along with the case study and photo provided in the offical calendar. HERE
Did you know that the NMRS publishes a Report of the Week?ROTW 100809: What flashover? (09-171)ROTW 100109: The 35’ Ladder Raise Gone Wrong. (09-355)Past Reports Of The Week
Featured ReportsReport 09-433: Coupling disengages during hose testingAll Featured Reports
Featured ResourcesOctober Module: Decision MakingSeptember Module: Operational Readiness PowerPoint
There are three main goals of the reporting system:
1. To give firefighters the opportunity to learn from each other through real-life experiences;
2. To help formulate strategies to reduce the frequency of firefighter injuries and fatalities; and 3. To enhance the safety culture of the fire and emergency service.
The information is used in a variety of ways. Fire fighters can use submitted reports as educational tools. Analyzed data will be used to identify trends which can assist in formulating strategies to reduce fire fighter injuries and fatalities. Depending on the urgency, information will be presented to the fire service community via program reports, press releases and e-mail alerts.
What is a near-miss event?
A near-miss event is defined as an unintentional unsafe occurrence that could have resulted in an injury, fatality, or property damage. Only a fortunate break in the chain of events prevented an injury, fatality or damage.
Why should you submit a near-miss report?
A near miss experienced by a firefighter can improve the knowledge, skills and abilities of everyone who is made aware of it. Reporting your near-miss event to http://www.firefighternearmiss.com/ will help prevent an injury or fatality of a firefighter. Near-miss reporting has worked effectively in other industries, especially aviation, since team members have more knowledge. Industries using near-miss reporting systems have lower injury rates and fewer worker fatalities.
These are the kinds of questions that are asked on the report;
Section 1: 7 questions about the reporter (title, years of fire service experience, department type, etc.)
Section 2: 9 questions about the event (type, cause, etc.)
Section 3: Event description: Describe the event in your own words.
Section 4: Lessons Learned: Describe the lessons learned, suggestions to prevent a similar event, etc.
Section 5: Contact Information (OPTIONAL and CONFIDENTIAL)
Looking for Resources, take a look at the materials HERE
Each year a NMR Calendar is published and distributed nationally, the NMR web site provides monthly power point programs and references that align with each month’s near-miss case study report to provide you with training materials that can use to support training programs and drills at the local level to increase awareness and support injury and LODD reduction, HERE and HERE.
Look for the 2010 calendar coming out in December 2009.
For more insights on the NMRS, HERE


















































