The Strand Theater | Brockton, MA
March 10, 1941: The Strand Theater Fire turned from a routine fire into one of the worst tragedies in Brockton and Massachusetts history when the west section of the roof collapsed, killing 13 firefighters and injuring 20 firefighters.
Check out the comprehensive past post from CommandSafety.com from 2011
On December 3, 1999, a five-alarm fire at the Worcester Cold Storage & Warehouse Co. building claimed the lives of six brave firefighters who responded to the call. These six heros, The Worcester 6, sacrificed their lives to try and rescue two individuals who were believed to be trapped inside the inferno. May the Worcester 6 always be remembered; “Fallen Heroes Never Forgotten.”
 Firefighter Paul A. Brotherton |
 Firefighter Timothy P. Jackson |
 Firefighter Jeremiah M. Lucey |
 Firefighter James F. Lyons |
 Firefighter Joseph T. McGuirk |
 Lieutenant Thomas E. Spencer |
Tribute
Today December 3, 2011 marks the 12th anniversary of the Worcester Cold Storage Warehouse fire that resulted in the line of duty death of six courages brother firefighters.
For those of you who remember this event, take the time to reflect and honor the sacrifice made this day; to those of you who have not heard about the fire before- take the time to learn about the incident, the firefighters, the building, the operational factors and challenges, the courage, fortitude and convictions that define the American Fire Service, it’s honor, tradition and brotherhood.
The Worcester Six;
On Friday, December 3, 1999, at 1813 hours, the Worcester, Massachusetts Fire Department dispatched Box 1438 for 266 Franklin Street, the Worcester Cold Storage and Warehouse Co. A motorist 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.
Accessed from FDNY - Remembering the "23rd Street Fire" October 17, 1966, Facebook Page
On October 17th 1966, Manhattan Box 598 was struck at 21:36 hours for the report of a building fire at 7 East 22nd Street, an art dealer in a four story brownstone. On arrival, the heat and smoke was so intense companies could not make entry through the art dealer, and so attempted to make entry by way of the abutted building 6 East 23rd Street, The Wonder Drug store.
Crews were dealing with a very intense and spreading fire. With companies operating above the fire, little indication of a catastrophic collapse was present. Suddenly, a 16×35 foot section of the floor collapsed at around 22:39 hours causing ten firefighters to fall into the burning cellar. Two other firefighters on the first floor were killed in a burst of heat.
Firefighters evacuated immediately, except for some whom were trapped on the roof with direct flame impingement. Hand lines from the ground and a truck company ladder was able to rescue the group in time. Rescue operation ensued long into the morning. Several evacuations were ordered, and further collapses occurred. Aside from 9/11, this was the largest single line of duty death event in the FDNY’s history.
Stored in the basement of the art dealer were large quantities of highly flammable lacquer, paint, and finished wood frames. The first floor was supported by 3″ x 14″ wood beams. 3/4″ wood planking atop these beams was covered with five inches of concrete finished with terrazzo and insulated against all heat to the firefighters operating above. As part of a recent project, a common cellar under the two buildings was renovated, removing a load-bearing dividing wall that had supported the floor above. The cellar of the art dealer extended under the drug store illegally from this renovation.
The fire burned unknowingly in the Wonder Drug basement for over an hour when it finally collapsed. It took 14 hours to locate all downed firefighters in the rubble; the cause of the fire is unknown.
Building Construction Insights
Fire Building Construction:
Collapse Building Construction:
Diagram NY Times (2006) Accessed from the internet 10.18.2011
Building Alteration
(1) The fire building, 7 East 22 St, had a two story extension which abutted the rear of 6 East 23 St.
(2) The Cellar of 7 East 22 St extended under the first floor of 6 East 23 St for approximately 35 feet.
(3) The floor construction of 6 East 23 St was 3″ x 14″ wood beams topped by 3/4″ wood planking. On top of this, five inches of concrete with a terrazzo finish was added.
The firefighters in exposure 3, (6 East 23 St), killed in the collapse did not know they were operating directly over the cellar fire in 7 East 22 St. The five inch concrete terrazzo floor acted as an insulator.
It concealed the severe fire and heat below. The 3 inch x 14 inch floor beams spaced 16 inches on center were reduced in size and strength by the fire.
The first sign of weakness was the sudden collapse of a 15 x 35 foot section, which plunged the ten firefighters to their deaths. Two other firefighters were killed on the first floor by a ball of flame.
The 5-alarm fire wasthe single worst loss of New York City firefighters in the line of duty prior to Sept. 11, 2001.
FDNY LODD Twelve Members of Every Rank
Twelve members of every rank, from a probationary firefighter to a deputy chief, made the Supreme Sacrifice when the ground floor of the Wonder Drug store collapsed. The fire originated in a basement storage area, which was concealed by a four-inch thick cinderblock wall, illegally constructed by the building’s previous owner.
From NYFD.com http://nyfd.com/history/23rd_street/23rd_street.html
FDNY – Remembering the “23rd Street Fire” October 17, 1966, Facebook Page, HERE
Personal Account: http://nyfd.com/history/23rd_street/box598.pdf
New York Times (2006): Oct. 17, 1966, When 12 Firemen Died HERE
A wreath is laid at the new plaque honoring the 12 FDNY members killed at the 23rd Street fire on Oct. 17, 1966. © FDNY Photo Unit.
Woonsocket mill fire courtesy Matt Gregiore Providence Fire Video
Aerial Overview
Fire suppression operations on Alpha side prior to collapse. Firefighter is seen in the immediate collapse zone
The NIOSH Fire fighter Investigation and Prevention Program, Fire Fighter Fatality Investigation Reports recently released Report # F2009-12 for a Near-Miss event that seriously injured a firefighter wih significant learnings; HERE
Through the Fire Fighter Fatality Investigation and Prevention Program, NIOSH conducts investigations of fire fighter line-of-duty deaths to formulate recommendations for preventing future deaths and injuries. The program does not seek to determine fault or place blame on fire departments or individual fire fighters, but to learn from these tragic events and prevent future similar events.
On May 21, 2009, a 36-year-old male career fire fighter was seriously injured while operating in a non-designated collapse zone of a commercial structure when an overhang of a bowstring truss roof system collapsed and struck him. The first arriving company officer reported a working fire in a single story Type II warehouse.
The officer looked under a steel roll-up door that was raised approximately three feet off of the ground and saw heavy fire towards the rear of the structure from floor to ceiling. Per department procedures, the first arriving companies went into a “Fast Attack” mode. Crews attempted but were unable to enter the structure because the steel roll-up door wasn’t functioning and the man door was heavily secured.
The department’s Deputy Chief arrived on the scene 9 minutes after the initial crew and determined that the fire should be fought defensively, however, this command was not relayed over the radio or verified with all crews. A crew was operating a 2 ½-inch handline just outside the structure approximately 20 minutes after the first apparatus arrived when the overhang collapsed and trapped the nozzleman.
Key contributing factors identified in this investigation include:
The building was constructed in 1954 and was a single-story warehouse of Type IV construction. The dimensions of the building were 110 feet deep by 50 feet wide, covering approximately 5,500 square feet. The height of the building was approximately 20 feet. The occupancy use of the building was commercial and it operated as a warehouse. The building’s structural system consisted of masonry block bearing walls with four heavy timber wood bowstring trusses for a roof system.
The heavy timber wood trusses had a 50-foot clear span to the bearing walls and were located 19 feet 9 inches on center. The heavy timber wood truss assemblies were 48 feet 7 inches in depth and were constructed of 4-inch x 6-inch timber cords and webs connected with bolt fasteners with a metal splice plate and bolt configuration at the bottom chord span. Solid 2-inch x 10-inch wood purlins located on 24-inch centering spanned perpendicular to the truss assembly with a ¾-inch plywood roofing deck. The roofing system assembly was exposed and did not have a membrane or other passive fire protection features.
Aerial view of Building
Structural stability to the heavy timber truss units was provided by 2-inch x 6-inch wood cross bracing in conjunction with the stability provided by the wood purlins and plywood deck roofing membrane. The structure contained six skylights that were 3 feet by 6 feet .
The overall integrity and structural stability of this type of structural support and roofing system is contingent upon all components maintaining their connections and load bearing or load transferring capacity.
The A-side was a non-load bearing wall that showed the traditional arched roof profile that is consistent with bowstring roof construction. The A-side wall also consisted of what appeared to be an overhanging or cantilevered façade that was covered by stucco. The overhang was part of the original construction that tied back into the bowstring truss system. The fire building was integrated into a block of commercial occupancies so that only the A-side was accessible for interior fire fighting activities.
The B-side exposure of the building was adjacent to a parking lot and was of masonry construction without any windows or doors. The C-side and D-side exposures were of similar size and construction and shared party walls between their respective sides. A pre-plan had not been completed for this structure.
Similar Interior Construction Features
At the time of the fire, the building was used as a place to grow marijuana illegally. The man door was heavily barricaded and a false wall was constructed to shield the operations from the exterior when the roll-up door was lifted. The electric service was severed and rerouted to circumvent the electric meter in order to conceal the operations.
The state requires all career fire fighters to complete training equivalent to NFPA, 1001 Standard for Fire Fighter Professional Qualifications, Fire Fighter 1. The department provides up to 17 months of training to certify fire fighters to NFPA Fire Fighter 1 and 2 qualifications, and a one year probationary period of supervised training for department fire fighter certification. The additional training during this probationary time focuses on driver training, pump operations, aerial ladder operations, and specialized equipment training.
Alpha Side
Injured Fire Fighter
The injured fire fighter had more than six years of experience and had completed department provided classroom/field training on topics such as: live fire training, rapid intervention crew (RIC) procedures, and hazardous materials.
Initial Incident Commander (IC)
The first due company officer had more than 15 years of experience with the department. Six of those years were as a fire fighter, seven years as a cross-trained paramedic, and 18 months as a lieutenant in an acting and permanent appointment at the time of the incident. The initial IC had completed the department provided five four-day sessions on critical fireground topics that were required for newly appointed lieutenants. This training included the following topics: building construction, incident management system (IMS), size-up, company operations, and rapid intervention company (RIC) operations.
Incident Commander (IC)
The IC had more than 30 years of experience and had completed department provided classroom/field training in topics such as: health and safety 1, 2, 3 & 4; fire command; fire instructor; fire investigation; fire management; fire officer; fire prevention; incident command; incident safety officer; and RIC procedures.
Incident Safety Officer (ISO)
The battalion chief who was assigned as the ISO for this incident had more than 20 years of experience and had completed department provided classroom/field training in topics such as: health and safety 1,2,3,and 4; fire command; fire instructor; RIC procedures; hazardous materials; heavy rescue 1 and 2; training officer development; wildland training; and emergency vehicle operations.
At 0446 hours central dispatch received an alarm for a reported structure fire with fire and smoke showing at a commercial occupancy. Engine 42 (E42) was the first apparatus on the scene at 0449 hours and the officer reported on the radio a working fire in a single story Type II warehouse. Note: The classification of Type II was incorrect. This building was a Type IV construction due to the heavy timber bowstring trusses.
The E42 Lieutenant and a fire fighter ran to a steel garage roll-up door that was raised approximately three feet off of the ground on the left of the A-side wall. The E42 Lieutenant looked under the door and saw heavy fire towards the rear of the structure from floor to ceiling. The E42 Lieutenant and the fire fighter attempted to raise the door but could not due to the door being dislodged from its track. Note: The door frame had been compromised by the fire and the tracks were not attached to the wall. They immediately went to a man door to the right of the A-side. It was locked and had heavy security bars. The E42 Lieutenant called Battalion Chief 6 for a truck company to perform forcible entry.
The E42 Lieutenant ordered the crew to prepare the multiversal, which is a master stream appliance that can be used on the ground, and 2 ½-inch handlines to attempt to attack the fire through the roll-up door. Note: Per department policy, all first arriving companies and officers go to work in a “fast attack” mode. At approximately 0452 hours Engine 32 (E32) and Engine 17 (E17) pulled onto the road leading to the structure within a block from the structure.
Both the E32 and E17 officers immediately radioed dispatch and requested a second alarm due to the heavy fire self-venting from the roof of the structure. E32 proceeded to the front of the structure, dropped off two 3-inch supply lines for E42, and went to hook up to a hydrant to supply E42. E32 used a 10-foot section of 3-inch supply line to hook up to one side of the hydrant. They used another 50-foot section of 3-inch supply line to hook up to the other side of the hydrant.
During this same time, at approximately 0452 hours, BC6 arrived on the scene, called to ensure a second alarm, and conducted a size-up of the front of the building and the operations taking place. A division chief arrived on the scene at 0453 hours, assumed incident command (IC), and ordered BC6 to protect Exposure D. The E17 officer and fire fighters [including the injured fire fighter (IFF)] walked up to the front of the structure and saw the E42 and E32 crews attempting to deploy the multiversal and two 2 ½-inch handlines off of E42. Note: The crews were having difficulty due to having to assemble the three 50-foot sections of 2 ½-handlines from a bag stored on top of each apparatus. The crew also removed the multiversal from on top of E42 and placed it on the ground for operation.
The IFF took the nozzle of one of the 2 ½-inch handlines and was backed up by an E17 fire fighter. Two additional fire fighters manned the other 2 ½-inch handline and were protecting the D-exposure by shooting water onto the roof from over 20 feet away from the structure. The E17 officer and E17 fire fighter operated the multiversal over 20 feet back from the roll-up door and attempted to shoot water through the opening where the door had pulled away from the wall. The E17 officer noticed that both handlines were ineffective and he went to check on the IFF. The IFF’s handline stream was ricocheting off of the man door and the four windows above it.
The L7 crew had assembled handtools on the ground in front of the Command Post. The E17 officer took a saw to the man door in an attempt to open it so that the handline could be effective. He quickly determined that the saw would not work due to the door being so heavily protected. Battalion Chief 09 arrived on the scene at 0500 hours and was designated by the IC as the Incident Safety Officer (ISO) at approximately 0504 hours. He instructed the E17 officer to attempt to open the door with a rabbit tool; the E17 officer informed the ISO he wasn’t sure where the truck company kept it. Immediately after, BC6 ordered the E17 officer to take his saw to the roll-up door and cut an opening for access.
He cut a three foot by six foot hole in the door and was attempting to cut across the door when he was tapped on the shoulder by the Deputy Chief which he assumed meant he was to quit. During this time, BC6 had received orders from the Deputy Chief to pull everyone back from the front of the building and to ensure that no one went inside. Note: According to interviews conducted by NIOSH investigators, this is the first time that anyone on the scene communicated the need to go defensive to the initial arriving officers. It was reported to the NIOSH investigators that every officer who reported to the command post was given face-to-face directions that the fire was defensive and that no one was to enter the building. This tactical decision was not relayed over the radio.
BC6 ordered the crews from E42 and E17 to set up and direct a master stream into the hole through the roll-up door from a distance. The crews fought fire from a distance with the master stream for several minutes. The IFF and the E17 fire fighter continued to fight fire with the handline moving from the roll-up door to the man door several times. Note: This crew, along with many other members that were interviewed, reported not receiving any orders regarding a defensive operation.
BC6 noticed that the fire had compromised an electrical weather head and that the power lines were going to come down soon. He turned to order crews to vacate the area where the power lines would possibly fall when he heard a large crash. He turned back and saw that the roof overhang had fallen onto the sidewalk. The collapse trapped the IFF who was operating the handline into the windows along with the E17 fire fighter. Members immediately rushed to the scene to rescue the trapped fire fighter.
Collapse into the street on Alpha Side
NIOSH investigators concluded that, to minimize the risk of similar occurrences, fire departments should:
NIOSH RECOMMENDATIONS
BECOME SAFE by CJ Naum
In this incident, the presence of the bowstring truss presented an elevated life safety consideration in the event of a fire. A thorough building inspection and pre-incident plan for a single-story, bowstring truss occupancy in this area could have potentially identified the hazards typically associated with this type of construction such as: ceiling voids, fuel loads, non-permitted renovations, roof construction, HVAC location, and exit locations. Evaluating the construction features and layout of the structure allows the fire department the opportunity to determine a response protocol for the specific identified hazards and to develop fireground strategies and tactics (ventilation strategies, avenues of fire spread, proper attack line selection, etc.) before an incident occurs.
The construction features of occupancy (bowstring truss), possible commercial fuel loads and access restrictions suggested large volumes of water would be necessary to fight a major fire at the site. A more complete pre-planning process, involving individual fire companies within their response territory could have noted this information which may have aided the IC in developing a safer and more effective offensive or defensive strategy. In order to facilitate open communication, fire department personnel and building code officials should be cross-trained on each-others’ duties and responsibilities.
Fire fighters should have a basic understanding of what a code violation is and how to report them during a pre-plan, and building code inspectors should have a basic understanding of fire fighter safety issues during their inspections. The relay of this information could be used to facilitate dynamic risk management and enhanced command and control.
Today December 3, 2010 marks the 11th anniversary of the Worcester Cold Storage Warehouse fire that resulted in the line of duty death of six courages brother firefighters.
For those of you who remember this event, take the time to reflect and honor the sacrifice made this day; to those of you who have not heard about the fire before- take the time to learn about the incident, the firefighters, the building, the operational factors and challenges, the courage, fortitude and convictions that define the American Fire Service, it’s honor, tradition and brotherhood.
The Worcester Six;
On Friday, December 3, 1999, at 1813 hours, the Worcester, Massachusetts Fire Department dispatched Box 1438 for 266 Franklin Street, the Worcester Cold Storage and Warehouse Co. A motorist 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.
Copywrite 1999 Roger B. Conant All Rights Reserved
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 deluge 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.
Fireground Operations
KEY ISSUES
Abandoned building left unprotected and unsecured.
No barriers to prevent the spread of fire and smoke in a large space.
Fire spread via combustible interior finishes.
Delayed fire reporting
Access limitations for fire suppression and rescue.
Unusually long interior travel distances.
Exterior Circa 1998
BUILDING HISTORY AND CONSTRUCTION
The Worcester Cold Storage and Warehouse building was a six story structure at 266 Franklin Street in the heart of Worcester’s former warehousing and cold storage district. In the first half of the 21st century, cold storage was vital to the preservation and delivery of food before refrigerators became commonplace in American kitchens. The location was ideal with rail service provided by the former Boston and Albany Railroad which had a siding against the south end of the warehouse.
Even after the post-WWII decline in railroads, truck traffic was easily accommodated over nearby roads and later on the abutting Interstate 290 which was built in the late 1960’s.
The original warehouse (called “A-building” in previous reports) was constructed in 1906, faced due north onto Franklin Street and bordered Arctic Street to the east. There were six storage levels as well as a basement. The building measured 88 feet by 88 feet and had over 7,000 square feet of floor space on each level. The warehouse had an approximate exterior height of 80 feet.
An addition (called “B-building”) was constructed in 1912 against the west wall of A-building and measured 72 feet by 120 feet on the third floor and above. The 72 foot wall faced Franklin Street. The first and second floors were 88 foot and 101 foot deep respectively to accommodate railroad sidings and other structures on the southern on “C” side. Other investigations have referred to the former western exterior wall of A-building as “the fire wall” but there is no indication that this was a planned function. At least one opening was cut through this party wall on each level to access the new addition. B-building provided an additional 7,000 square feet of storage on the third floor and over 8,000 on floors four through six.
The Worcester Cold Storage complex involved additional structures to the south, but these were physically separate buildings and were not involved in this incident. The known openings between the warehouse and the southern structures were for utilities and refrigerants. The only effect was to block aerial access from the south during the fire.
NOTE: For the balance of this report the entire fire building will be referred to as the “warehouse” which consists of “A-building” on the east and “B-building” on the west. The A and B terminology was adopted early on in other investigations and should not be confused with fireground identifications of sides “A, B, C, & D”. In a large complex such as this, other terminology could have been created such as “Building 1”, “Building Z”, etc. (refer to the USFA Report for diagrams)
BUILDING USE
Worcester Cold Storage, a business, occupied the warehouse from 1906 until 1983 when it was sold to Chicago Dressed Beef. In 1987, CDB Realty Trust purchased the warehouse. CDB moved its operations to Millbrook Street in 1988 and shut down the refrigeration system in 1989 at which time the building was abandoned.
During its use, various petroleum based insulation materials were incorporated into the building including rigid expanded polystyrene boards and blown on polyurethane foam. These were applied to improve the temperature performance of the buildings Additionally, condensation along the exterior walls lead to the decay of some floor joists. Steel beams or angle brackets were added against the brick walls to pick up the floor load in several places.
After it’s closing in 1989, the building was illegally entered on many occasions, resulting in vandalism, occupancy by homeless individuals, and a number of small “campfires.” At the time the fire occurred, there were no utility services in operation. Significant amounts of garbage and human wastes were scattered around the warehouse. The homeless woman involved in this incident said the interior smelled like a sewer.
VERTICAL PENETRATIONS
There were three stairways in the warehouse. Stairway 1 was in the northwest corner of B-building and went from the first floor (approximate street level) up to the second floor office area. Stairway 2 was located in the southern portion of B-building and went from the first floor to the third. It may have also accessed the basement. Stairway 3 was on the east side of A-building and ran from the basement to the roof. This was the only means of egress from the upper floors and was used heavily during the fire.
Two elevators were adjacent to stairway 3, and two more were adjacent to Stairway 2. At the time of the fire, all had been disabled, and the cars were in the basement. It is unknown if individual access doors were open or closed. The elevator shaft in B-building had a reinforced glass canopy at the roof level.
HORIZONTAL PENETRATIONS
There was one opening on each level through the party wall dividing A-building from B-building. There were numerous doors and windows on the first floor, and several were forced open by firefighters to gain access. All windows on this level were secured with plywood to prevent entry. Windows on the second floor of B-building were limited to the office area in the northwest section and were also covered with plywood. There was a window on each of the second, third, and fourth floors in stairway 3 on the east side of A-building. A window opened into the adjacent elevator shaft on each of these floors also. All were blocked with plywood.
INTERIOR FINISH
Because the warehouse was used for cold storage, the insides of exterior walls and the roof were heavily insulated. Barriers between office space and freezer space were also heavily insulated. The original material of choice was cork which was impregnated or secured with tar. The thickness has been described from 6 inches to 18 inches depending on the location. Evidence was also found of additional layers of expanded polystyrene sheets and blown on polyurethane. In many places the finished surface was “glass board”. A recovered piece of this glass board was ignited by Worcester Fire personnel after this incident. The sample sustained combustion and gave off stringy black smoke not unlike pure styrene.
It was reported that all the interior partitions were made of corkboard, but it was probably a covering rather than a structural element. The office walls on the second floor were paneling installed over drywall. Many photographs of the cold storage areas taken before the fire show interior surfaces with a clean outer appearance consistent with the glass board. This would have provided a cleanable and wear resistant surface as opposed to bare cork or foam insulation.
INTERIOR LAYOUT
Since the fire did not extend to the basement or first floor, the layout of these spaces is less important. The first floor did, however, provide the access to the rest of the building for fire operations. All space above the first floor was used for cold storage or moving goods with the exception of the second floor office area on the northern half of B-building.
NIOSH released it’s report on the August 24, 2009 three alarm fire at 1815 Genesee Street in Buffalo, New York that resulted in the LODD of Lt. Charles McCarthy and FF Jonathan Croom. On August 24, 2009, 45-year-old career Lieutenant Charles McCarthy died following a partial floor collapse into a basement fire, and 34-year-old career fire fighter Jonathan Croom was fatally injured while attempting to rescue the Lieutenant. The Buffalo Fire Department was dispatched for “an alarm of fire” with reported civilian(s) entrapment. Arriving units discovered a heavily secured mixed commercial/residential structure with smoke showing. Following failed initial attempts to locate an entry to the basement, crews located a door on Side 2 that provided access down a flight of stairs to a basement entry door. Repeated attempts were made to force open this basement door in order to search for trapped civilians, but crews had difficulty gaining access through this door because it was made of steel and locked and dead-bolted on both sides. Other crews on scene performed primary searches of the 1st and 2nd floors with no civilians found.
Approximately 30 minutes into the basement fire, command ordered all interior crews to exit the structure to regroup because crews were still unable to gain access into the basement from Side 2. Additional manpower was sent with special tools to assist in breaching the basement door on Side 2. Lieutenant Charles McCarthy and two fire fighters from his crew entered into the structure from Side 1 to verify all fire fighters had exited a 1st floor deli. Lt. McCarthy following a hoseline into the structure, was well ahead of the other two fire fighters when the 1st floor partially collapsed beneath him. McCarthy fell with the floor into the basement, exposing him to the basement fire. The other two fire fighters immediately exited the deli after fire conditions quickly changed and shelving and displays fell on them; they were unaware of what had just occurred. Lt. McCarthy made several Mayday calls from within the structure and activated his PASS device. Confusion erupted exteriorly on scene when trying to verify who was calling the Mayday, their exact location, and how they got into the basement.
The incident commander was aware that he had crews attempting to gain access into the basement from Side 2 but was unaware that there had been a floor collapse within the deli section of the structure. Simultaneously, FF Croom, a member of the fire fighter assistance and search team (FAST), was standing by outside Lieutenant McCarthy’s point of entry when the Mayday calls came out. It is believed that FF Croom knew where the Lt., was since he had gone in the structure with him earlier in the incident. FF Croom grabbed a tool, went on air, and rushed into the structure. The FAST and additional personnel on scene concentrated on Side 2 initially while other fire fighters followed an unmanned hoseline into the deli. Crews within the deli quickly discovered a floor collapse and reported hearing a PASS device alarming. Lt. McCarthy was immediately identified as missing during the first accountability check, but FF Croom was not accounted for as missing until the third accountability check, more than 50 minutes after Lt. McCarthy’s Mayday. After the fire was controlled, both victims were discovered side-by-side in the basement where the 1st floor had partially collapsed. They were found without their facepieces on and with SCBA bottles empty. the Lt’s. PASS device was still alarming. They were pronounced dead on scene. Four fire fighters and one lieutenant suffered minor injuries during the incident. No civilians were discovered within the structure.
Key contributing factors identified in this investigation include working above an uncontrolled, free-burning basement fire; interior condition reports not communicated to command; inadequate risk-versus-gain assessments; and, crew integrity not maintained.
NIOSH has concluded that, to minimize the risk of similar occurrences, fire departments should:
1815 Genesee StreetCONTRIBUTING FACTORS
Occupational injuries and fatalities are often the result of one or more contributing factors or key events in a larger sequence of events that ultimately result in the injury or fatality. NIOSH investigators identified the following items as key contributing factors in this incident that may have led to the fatalities:
Time Line from the Buffalo (NY) Fire Department Investigative Report
3:51 a.m. – fire crews were sent to 1815 Genesee Street in Buffalo. When they arrived, they were met by a resident who said he heard people trapped inside. Crews began searching the building, but were eventually ordered out as conditions deteriorated.
4:22 a.m. – Members of Rescue 1 entered the building to make sure all firefighters had evacuated the building. Less than two minutes later the floor in the rear of the building collapsed. Lt. McCarthy of Rescue 1 fell into the basement as the floor collapsed. according to the report, other members of Rescue 1 were unaware of the collapse and only reported hearing a loud noise. McCarthy began calling for help on his radio, but other members of Rescue 1 were unable to determine where the calls were coming from and left the building unaware that Lt. McCarthy was trapped.
4:23 a.m. – Firefighter Croom entered the building after hearing the calls for help. the report says he did not exit the building, apparently falling into the basement near Lt. McCarthy.
4:31 a.m. – An emergency head count was ordered to determine the identity of the missing firefighter. Lt. McCarthy was reported missing at that time, but FF Croom was not. Firefighters in the front of the store reported hearing a pass alarm, but could not reach it due to extreme fire conditions, a weakened floor and continuing collapse.
4:48 a.m. – all crews were ordered out of the building because it had become unsafe.
Later, concerns began to arise that FF Croom was missing. the report says he was erroneously reported in a remote area.
5:46 a.m. – On scene personal realize FF Croom is missing and likely inside the building.
6:10 a.m. – Another head count is taken and FF Croom is reported missing.
9:18 a.m. – the Recovery Group reports that the two missing firefighters had been located in the basement, covered in fallen debris.
9:32 a.m. – the debris is cleared and Recovery Group firefighters reach Lt. McCarthy and FF Croom.
Buffalo (NY) Fire Department Investigative Report, issued December 2, 2009, HERE
For a comprehensive Power Point Program on Operational Safety at Heavy Timber and Ordinary Construction Occupancys that you can down load, go to the National Firefighter Near Miss Reporting Web Site HERE.
I produced an informational training PPT program and support information that aligned with a previoulsy reported Near Miss Event Report. You can download the PPT Training Program HERE and the PDF File HERE
NIOSH Fire Fighter Fatality Investigative Report 2009-23, HERE
httpv://www.youtube.com/watch?v=8F_rSeUQQYM
A multiple alarm fire consumed the county courthouse in downtown Pittsboro, North Carolina yesterday. The building was undergoing renovations at the time of the fire and was occupied and operational. The fire started in the clock tower of the 130-yr.-old building and is believed to have been caused by welders. The entire building was undergoing renovation with the outside enclosed with scaffolding.
The clock tower had a protective tarp wrapped around it that preventing outside hose streams from reaching the seat of the fire. The fire broke out at 4:45 p.m., according to county and court officials, shortly after court sessions had ended. All who worked in the building were evacuated safely, according to county officials, and no injuries had been reported late Thursday. According to published reports, the courthouse, the centerpiece of the Pittsboro downtown, was built in stages. It was initially constructed in 1881 at a cost of $10,666, according to Paul Shield Crane’s first edition of “North Carolina Taproots: Courthouses of North Carolina.” In 1930, another story was added to the brick building and, in 1959, there was an extensive renovation that cost $130,000.
Bottom line, buildings undergoing construction, alterations, deconstruction, demolition and renovations can pose significant risk to suppression operations and lead to firefighter injuries and fatalities. This can not be stressed enough.
The unique and dangerous elements confronting incident commanders, company officers and operating forces demands a clear understanding that fire suppression operations in buildings during construction, alterations, deconstruction, demolition and renovations present significant risks and consequences, requires a methodical and conservative approach towards incident stabilization and mitigation. You cannot implement conventional tactical operations in these structures. Doing so jeopardizes all operating personnel and creates unbalanced risk management profiles that are typically not favorable to the safety and wellbeing of firefighters.
The following are assessment considerations that may provide insights in the assessment, risk profile and development of pre-fire plans, operational procedures and field directives to prevent history repeating events (HRE) with similar conditions and attributes;
Construction Type
Site conditions and accessibility
Exposures
Resources
Operating procedures
Again, response and operations at these types of structures demands that pre-fire plan considerations, dialog, discussions, communications and what ever else is appropriate to you organization is identified and disseminated BEFORE an alarm response occurs. Take advantage of pre-gaming and table top a target occupancy, to increase preparedness and reduce risk potential.
Knowledge and Situational Awareness
Communications
Special and Unique Conditions
Contingency Plans
The magnitude and complexity of an incident involving a structure undergoing construction, alterations, deconstruction, demolition and renovations will be directly proportional to the size of the building/construction site and corresponding age profile (vintage) of the existing building, if under renovation, and degree of construction. Operational deployment and the Incident Action Plan- IAP must be addressed during strategic and tactical incident management, risk profiling and pre-incident and on-scene intelligence, reconnaissance and planning considerations: More HERE
Maintaining focused situational awareness while recognizing and processing a wide latitude of incoming information and observations at complex and multiple alarm incidents is a significant challenge to even the most experienced of incident command teams. However, things can go wrong and they can go wrong in a rapidly escalating manner with little time to recover. A prominent double LODD incident from six years ago provides poignant lessons learned as does another history repeating event (HRE) from 1972.
The Ebenezer Baptist Church fire in Pittsburg, PA (2004) and the Hotel Vendome Fire in Boston, MA (1972) have a number of commonalities related to extended multi-alarm operations, building compromise and collapse and multiple line-of-duty deaths of operating fire service personnel. Although building type, construction features and systems are unique for each incident as are the circumstances that lead to the events, there are mission critical lessons to be reexamined or newly introduced if you’re not familiar with either event. This is especially true when we talk about operational challenges and adverse conditions that result in firefighter injuries and fatalities during overhaul and take-up phases of an incident.
Remember Situation Awareness, [SA], is the perception of environmental elements within a volume of time and space, the comprehension of their meaning, and the projection of their status in the near future. It is also a field of study concerned with perception of the environment critical to decision-makers in complex, dynamic situations and incidents.
Both the 2006 and 2007 Firefighter Near-Miss Reporting System Annual Reports identified a lack of situational awareness as the highest contributing factor to near misses reported. Situation Awareness (SA) involves being aware of what is happening around you at an incident to understand how information, events, and your own actions will impact operational goals and incident objectives, both now and in the near future. Lacking SA or having inadequate SA has been identified as one of the primary factors in accidents attributed to human error (Hartel, Smith, & Prince, 1991) (Nullmeyer, Stella, Montijo, & Harden, 2005). Situation Awareness becomes especially important in work related domains where the information flow can be quite high and poor decisions can lead to serious consequences.
To the Incident commander, Fire Officer or firefighter, knowing what’s going on around you, and understanding the consequences is mission critical to incident stabilization and mitigation and profoundly crucial in terms of personnel safety. The integration of Situational Awareness and Dynamic Risk Assessment is a mission critical element in strategic incident command management and company level tactical operations as we go forward into the next decade. We’ll expand on some posting in the near future and address Dynamic Risk Assessment in the context of building and occupancy profiling and operations. Additionally, maintaining a heightened sense of risk and safety integrity when operating within non-combat fire suppression modes or phases also requires due diligence, focused and fluid situational awareness coupled with concise monitoring of building conditions, indicators (both evident and projected) and taking conservative actions and postures to ensure personnel are not placed in high risk, no value positions that have a high potential for error likely outcomes.
Check out the detailed posting at our sister site TheCompanyOfficer.com for insights into both the Ebenezer Baptist Church fire in Pittsburg, PA (2004) and the Hotel Vendome Fire in Boston, MA (1972) HERE. Think about the questioned posed related to complex multi-company operations, command safety and operational integrity of compromised buildings and structural systems. Remember; Building Knowledge=Firefighter Safety.
Buffalo Box 191
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;
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
Rememberance, HERE and History Repeating Events, HERE
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