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The Ides of March: Learning and Remembrance

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Operational Safety

Here are five (5) NIOSH Firefighter LODD Event report summaries for incidents that occurred in the March 4th through the 8th time frame in the years 1998, 2001, 2002, 2008.

Take the time to look over the event summaries, discuss and comment on the factors that lead to the events and the recommendations formulated from the subsequent investigations.

Take the opportunity to identify the common themes and apparent causes that were identified and discuss with your company, team or station, relevant considerations that may have a direct or indirect relationship to your organization, past incident calls or district risk profile.

What are your capabilities?

What are your gaps?

How can you prevent a similar situation from occurring?

Promote questions and dialog related to operational issues such as these;

  • Coordinated multi-company operations; how “coordinated” is your incident scene?
  • Do rapidly changing incident conditions get identified promptly and communicated to Command in rapid succession for actions?
  • How effective is the base line knowledge and skill set of company and command officers in “reading the building”?
  • What is the adequacy of your training for conducting operations above the fire floor?
  • When was the last time you “tested” the effectiveness of your RIT/FAST Team? Can they truly perform under the most demanding of incident conditions?
  • When was the last time you trained or drilled on Fire Behavior or on Building Construction?
  • Are you training on calling the mayday and personal survival techniques?
  • Have you implemented and trained on procedures for rapid and efficient transition in operational modes on the fireground?
  • Do you implement a 360 when applicable and delegate when needed?
  • What parameters are you operating under when assuming risk on the fireground?
  • What drives your incident operations: Are they Tactically Drive or Risk Managed?

Down load the complete NIOSH Reports and expand on the lessons learners and their applicably to your organization and capabilities.

Manlius, New York

Floor Collapse and Fire Conditions:
On March 7, 2002, a 28-year-old male volunteer fire fighter and a 41-year-old male career fire fighter died after becoming trapped in the basement. One firefighter manned the nozzle while second firefighter provided backup on the handline as they entered the house. After entering the structure, the floor collapsed, trapping both victims in the basement.

A career fire fighter captain joining the fire fighters near the time of the collapse was injured trying to rescue one of the fire fighters. Crew members responded immediately and attempted to rescue the victims; however, the heat and flames overcame both victims and eliminated any rescue efforts from the garage entrance.

NIOSH investigators concluded that, to minimize the risk of similar occurrences, fire departments should;

  • Ensure that the Incident Commander is clearly identified as the only individual responsible for the overall coordination and direction of all activities at an incident
  • Ensure that the Incident Commander conveys strategic decisions to all suppression crews on the fireground and continually reevaluates the fire condition
  • Ensure that Incident Command conducts an initial size-up of the incident before initiating fire fighting efforts and continually evaluates the risk versus gain during operations at an incident
  • Ensure that fire fighters from the ventilation crew and the attack crew coordinate their efforts
  • Ensure that fire fighters report conditions and hazards encountered to their team leader or Incident Commander
  • Ensure fire fighters are trained to recognize the danger of operating above a fire

NIOSH REPORT: http://www.cdc.gov/niosh/fire/reports/face200206.html

Wall Collapse and Fire Conditions
On March 7, 2008, two male career fire fighters, aged 40 and 19 were killed when they were trapped by rapidly deteriorating fire conditions inside a millwork facility in North Carolina. The captain of the hose line crew was also injured, receiving serious burn injuries.

The victims were members of a crew of four fire fighters operating a hose line protecting a firewall in an attempt to contain the fire to the burning office area and keep it from spreading into the production and warehouse areas. The captain attempted to radio for assistance as the conditions deteriorated but fire fighters on the outside did not initially hear his Mayday. Once it was realized that the crew was in trouble, multiple rescue attempts were made into the burning warehouse in an effort to reach the trapped crew as conditions deteriorated further.

Three members of a rapid intervention team (RIT) were hurt rescuing the injured captain. One firefighter was located and removed during the fifth rescue attempt. The second firefighter could not be reached until the fire was brought under control.

The fourth crew member had safely exited the burning warehouse prior to the deteriorating conditions that trapped his fellow crew members. Key contributing factors identified in this investigation include radio communication problems (unintelligible transmissions in and out of the fire structure that may have led to misunderstanding of operational fireground communications), inadequate size up and incomplete pre-plan information, a deep-seated fire burning within the floor of the office area that was able to spread into the production and warehouse facility, the procedures used in which operational modes were repeatedly changed from offensive to defensive, lack of crew integrity at a critical moment in the event, and weather which restricted fireground visibility.

NIOSH investigators concluded that, to minimize the risk of similar occurrences, fire departments should:

  • Ensure that detailed pre-incident plan information is collected and available when needed, especially in high risk structures
  • Limit interior offensive operations in well-involved structures that are not equipped with sprinkler systems and where there are no known civilians in need of rescue
  • Develop, implement, and enforce clear procedures for operational modes. Changes in modes must be coordinated between the Incident Command, the command staff and fire fighters
  • Ensure that Rapid Intervention Crews (RIC) / Rapid Intervention Teams (RIT) have at least one charged hose line in place before entering hazardous environments for rescue operations
  • Ensure that the incident commander establishes the incident command post in an area that provides a good visual view of the fire building and enhances overall fireground communication
  • Ensure that crew integrity is maintained during fire suppression operations
  • Encourage local building code authorities to adopt code requirements for automatic protection (sprinkler) systems in buildings with heavy fire loads.

NIOSH REPORT http://www.cdc.gov/niosh/fire/reports/face200807.html

Floor Collapses in Residential Fire - North Carolina

 

Floor Collapse
On March 4, 2002, a 22-year-old male career fire fighter was injured and subsequently died and a 25-year-old male Captain was injured when the floor collapsed while they were fighting a residential fire.

The Captain was transported by ambulance to an area hospital where he was admitted overnight for first- and second-degree burns. The victim was conscious and was transported by medical helicopter to a State medical center where he died 2 days later.

NIOSH investigators concluded that, to minimize the risk of similar occurrences, fire departments should;

  • Ensure that each Incident Commander conducts a size-up of the incident before initiating fire-fighting efforts, after command is transferred, and continually evaluates the risk versus gain during operations at an incident
  • Ensure fire fighters are trained to recognize the dangers of searching above a fire
  • Ensure that an Incident Safety Officer, independent from the Incident Commander, is appointed
  • Ensure that ventilation is closely coordinated with fire attack
  • Ensure that a Rapid Intervention Team is established and in position immediately upon arrival
  • Ensure that adequate numbers of staff are available to operate safely and effectively

NIOSH REPORT http://www.cdc.gov/niosh/fire/reports/face200211.html

 

Fall Through Floor Fighting a Structure Fire at a Local Residence - Ohio

 

Floor Collapse
On March 8, 2001, a 38-year-old male career fire fighter fell through the floor while fighting a structure fire, and died 12 days later from his injuries. At 1231 hours, Central Dispatch notified the career department of a structure fire with reports of the occupants still inside. The Assistant Chief arrived on the scene along with Engine 70 and assumed Incident Command (IC).

The IC immediately called for the second alarm, began conducting the initial size-up of the structure, and confirmed heavy fire in the left front section. At that time, the neighbors approached the IC and informed him that the occupants were trapped inside. The IC ordered the fire fighters on scene to commence search and rescue efforts, and then verified the stability of the structure through radio and face-to-face communications.

Engine 68 arrived on the scene at approximately 1250 hours with an Assistant Chief and the victim. The Assistant Chief provided tactical command of the fire ground, and along with the victim, conducted search and rescue operations. Other crews conducted searches with a thermal imaging camera of the first floor and basement level of the residence with no sign of any occupants. During these searches the stability of the structure was diminishing due to the intense fire that was now venting through the roof.

Fire fighter #3 and the victim were at the front entrance conducting a defensive attack as the third emergency evacuation signal was sounded. The neighbors were still insisting to the IC and fire fighters that the occupants were trapped inside, and one of the occupants was handicapped. The victim and one other fire fighter conducted another search of the structure.

The heat and flames were now extending from the basement level to the first floor when the fire fighter’s low air alarm sounded. The victim and the fire fighter were backing out of the structure when the floor beneath the victim gave way, causing him to fall through the floor and become trapped in the basement.

Attempts were made from the first floor to rescue the victim by utilizing a handline and an attic ladder, but they were unsuccessful due to the intense heat and flames. Two Rapid Intervention Teams (RIT #1 & RIT #2) were deployed simultaneously from separate entrances into the basement to perform a search and rescue operation for the downed fire fighter. The RITs were able to locate and remove the victim on their initial entry. He sustained third degree burns to over half of his body and died 12 days later.

NIOSH investigators concluded that to minimize the risk of similar occurrences, fire departments should;

  • Ensure that Incident Command continually evaluates the risk versus gain during operations at an incident
  • Ensure that a separate Incident Safety Officer independent from the Incident Commander is appointed
  • Ensure that fire fighters are trained in the tactics of defensive search
  • Ensure that fire fighters performing fire fighting operations under or above trusses are evacuated as soon as it is determined that the trusses are exposed to fire
  • Ensure consistent use of Personal Alert Safety System (PASS) devices at all incidents and consider providing fire fighters with a PASS integrated into their Self-Contained Breathing Apparatus which provides for automatic operation
  • Ensure that personnel equipped with a radio, position the radio to receive and respond to radio transmissions

NIOSH REPORT: http://www.cdc.gov/niosh/fire/reports/face200116.html

 

Roof Collapse and Fire Conditions
On March 8, 1998, one male fire fighter, the Captain on Engine 57, died while trying to exit a commercial structure after his egress was cut off by the wooden trussed roof that collapsed. Task Force 66 was the first on scene and reported light smoke showing from a one-story commercial building. A ventilation team from Truck 66 proceeded to the roof of the building and commenced roof ventilation. Forcible entry into the building required about 7 ½ to 9 ½ minutes from arrival on scene to force open the two metal security doors in the front. While fire companies waited for the security doors to be opened, fire conditions changed dramatically on the roof.

Fire was coming from the ventilation holes opened by the ventilation crew. As soon as the security doors were opened, three engine crews (Engine 66, Engine 57, and Engine 46) advanced hand lines through the front door in an attempt to determine the origin of the fire. Approximately 15 feet inside the front door, the fire fighters encountered heavy smoke with near zero visibility conditions. The engine crews advanced their hose lines approximately 30 to 40 feet inside the building.

As conditions continued to deteriorate inside the building, the members from the four engine companies involved in the fire attack began to withdraw. During this time the victim became separated from his crew and remained in the building. The victim was subsequently located by the Rapid Intervention Team and cardiopulmonary resuscitation was performed immediately and en-route to the hospital, where the victim was pronounced dead.

NIOSH investigators conclude that, to prevent similar occurrences, fire departments should:

  • Ensure that incident command conducts an initial size up of the incident before initiating fire fighting efforts, and continually evaluate the risk versus gain during operation at an incident
  • Ensure that incident command always maintains close accountability for all personnel at the fire scene
  • Ensure communications are established between the interior and exterior attack crews, e.g., the ventilation crew and the interior fire attack crew should communicate conditions among themselves and back to incident command
  • Ensure that Rapid Intervention Teams are in place before conditions become unsafe
  • Ensure that some type of tone or alert that is recognized by all fire fighters be transmitted immediately when conditions become unsafe for fire fighters
  • Ensure sufficient personnel are available and properly functioning communications equipment are available to adequately support the volume of radio traffic at multiple-responder fire scenes
  • Consider placing a bright, narrow-beamed light at the entry portal to a structure to assist lost or disoriented fire fighters in emergency egress.

NIOSH REPORT: http://www.cdc.gov/niosh/fire/reports/face9807.html

 

Taking it to the Streets on Firefighternetcast.com

Taking it to the StreetsTM

Download the program from March 16th, 2011  Program

Featured a two part program on Near Miss Firefighter Reporting with Lt. Steve Mormino, FDNY (ret) and Capt. CJ Haberkorn, Denver (CO) Fire Department and  special guest, Captain Michael Long, who provided a personal Near-Miss Event account you won’t want to miss.

Check out the latest downloads of recent programs in the archives by visiting Taking it to the Street’s webpage on Firefighternetcast.com or for program insights at CommandSafety.com.

  • Download the program from March 16th, 2011  Program on Firefighternetcast.com HERE
  • Taking it to the Streets Radio Programs, HERE and HERE

Taking it to the StreetsTM is a monthly radio show featured on BlogTalk Radio and is hosted by Christopher Naum and is a Buildingsonfire.com Series and FireFighternetcast.com Production, © 2010-2012 All Rights Reserved

The Worcester 6

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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
Paul A. Brotherton
Firefighter Timothy P. Jackson
Firefighter
Timothy P. Jackson
Firefighter Jeremiah M. Lucey
Firefighter
Jeremiah M. Lucey
Firefighter James F. Lyons
Firefighter
James F. Lyons
Firefighter Joseph T. McGuirk
Firefighter
Joseph T. McGuirk
Lieutenant Thomas E. Spencer
Lieutenant
Thomas E. Spencer

 

Mission Critical Reports, Links and Reading for the Company and Command Officer:

The Perfect Fire

It started with a candle in an abandoned warehouse. It ended with temperatures above 3,000 degrees and the men of the Worcester Fire De- partment in a fight for their lives.

Read more: http://www.esquire.com/features/perfect-fire-0700#ixzz1fUAOvMsZ

 

Near-Miss Report of the Week

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Firefighternearmiss.com The Report of the Week

As an officer, you need to stay abreast of operational issues and situations in order to be knowledgeable and conversant with the variables that may affect company deployments and subsequent operations. The National Fire Fighter Near Miss Reporting System (FFNMRS) has a vast collection of resources that are a few keystrokes and links away.

One of the most useful tools in the FFNMRS Tool Box of resources is the Near-Miss Report of the Week (ROTW). The direct link to the page is here.

Take some time to look over the content and subject matter available to you in the form of the weekly publication. The information provides insights and examples of situational near miss events and close calls that provide the lessons learned so that, when confronted with similar precursors or subtle indications, you may be able to draw from the ROTW and the from the lessons and insights of other Near Miss Reports that may prevent a similar close-call/near miss event or from escalating into a more serious event.

Take the time to review the ROTW, sign up for the weekly email delivery and most importantly- read the reports and integrate them into your training, drills, discussions, tabletops, chalk board or podcast talks. Get the FFNMRS reports embedded into your psyche.

Here’s what was sent out this week….

Multiple units responding to the same incident from different directions creates the potential for unscheduled arrivals at intersecting points. These points are most frequently intersections that are in one form or another controlled by devices ranging from stop signs to traffic lights. In this week’s ROTW, report 11-179, reminds us that a green light does not necessarily guarantee the way is safe to proceed.

[ ] Brackets denote reviewer de-identification.

“A municipal ALS equipped engine and a third service county ALS ambulance were dispatched by the same dispatch, on the same radio channel, to a local park for a trauma patient. While enroute, and less than two miles from our station, we approached a heavy traffic intersection, which is blind to the south side. Upon approach, the [brand deleted] signal preemption system (which both the engine and ambulance are equipped with) was delayed in capturing the light. The driver of the engine began to reduce speed and decelerate toward the intersection. As we approached the intersection we captured the light with the signal preemption system, giving us a GREEN light, but for whatever reason, the driver of the engine made a complete stop at the intersection. Just then the ambulance blew through the intersection, not stopping for the RED light. To our surprise, we didn’t hear or see this ambulance until they were in the intersection. Only because of the driver’s situational awareness and intuition (gut feeling) did we come to a complete stop to avoid a collision.”

Right of way rules, line of sight approaches, traffic light pre-emption devices and emergency response SOPs all support apparatus arriving at the scene of an emergency call. Despite all these efforts, human factor plays a role in the safe arrival of all units to their dispatched destination.

Once you have read the entire account of 11-179, and the related reports, consider the following with your colleagues.

  1. Many departments now have specific rules requiring units to stop at all red lights during emergency response. If your department has such rules in effect, are there any other recommendations for intersection travel to consider?
  2. The reporter states the driver’s “situational awareness and intuition” contributed to collision avoidance. How large of a role do you believe the two factors played? How do you promote/teach the effect of the “gut feeling” in your driver training sessions?
  3. How often do you encounter intersection situations with crossing emergency vehicle traffic? Given your estimate, what is your assessment of the likelihood of a collision based on the frequency?
  4. If your agency uses traffic pre-emptive signaling, how often is the system calibrated/fault-checked to ensure accuracy?
  5. How many “blind side” intersections exist in your response area? What is the significance of knowing where they are?

Emergency response ranges from high frequency, high risk to low frequency and high risk depending on how many calls for service a department receives. Reducing the risk associated, whether the frequency is high or low is an essential element of keeping our promise to the communities we serve. Doing your part by keeping your speed under control and being on the lookout for hazardous situations like intersections, will promote getting you to the scene quickly and returning for the next run.

Related Reports – Topical Relation: Driving: Intersections   

Experience a near miss with another piece of apparatus while responding? Submit your report to www.firefighternearmiss.com today.

Note: The questions posed by the reviewers are designed to generate discussion and thought in the name of promoting firefighter safety. They are not intended to pass judgment on the actions and performance of individuals in the reports.

To Sign up to receive the Near-Miss Report of the Week by email, forward  your request to atippett@iafc.org

Firefighternearmiss.com is funded by a grant from the U.S. Department of Homeland Security’s Assistance to Firefighters Grant program. Founding dollars were also provided by Fireman’s Fund Insurance Company. The project is managed by the International Association of Fire Chiefs and supported by FireFighterCloseCalls.com in mutual dedication to firefighter safety and survival.

We’ve provided some direct links from the ROTW webpage here, but there is a lot more on the firefighternearmiss.com site.

Firefighternearmiss.com

FFNMR – Report of the Week Archives  [Direct Link, HERE]

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File Title File Size File Description
  • ROTW Binder, Cover and Spine Label
  • 990 KB Cover and Spine Label to make your own ROTW Binder.
  • 2006 Report of the Week Library
  • 14.8 MB Complete 2006 Report of the Week Library. ZIP File.
  • ROTW 122107: What’s in your pockets? (07-1116)
  • 35 KB FF becomes entangled in wires.
  • ROTW 121407: The deafening silence of culture. (07-1142)
  • 38 KB Safety issues overlooked during emergency response.
  • ROTW 120707: ‘Sun’ and ‘Block’ take on a new meaning. (07-1119)
  • 36 KB Sunshine fould driver’s vision.
  • ROTW 113007: Use 3D for vacant and burning: distance, defensive, deluge. (05-618)
  • 49 KB Fighting fire in a vacant structure, concerns addressed.
  • ROTW 111607: Probies are not expendable. (07-776)
  • 35 KB Aerial stabilizer narrowly misses firefighter.
  • ROTW 110907: Nearly done in by our own kind. (07-1108)
  • 35 KB Re-opening a roadway requires coordination.
  • ROTW 110207: The importance of using wheel locks and its effects. (06-173)
  • 37 KB Wildland/urban interface fire reveals personnel/equipment needs.
  • ROTW 102607: Contractor Mishap. (07-1043)
  • 37 KB Apparatus electrified during test by contractor.
  • ROTW 101907: Asleep at the wheel and no one noticed. (07-752)
  • 35 KB Driver falls asleep on EMS call.
  • ROTW 101207: Faster than you can call a Mayday… (05-567)
  • 38 KB Roof collapse ignites bedroom injuring firefighter.
  • ROTW 100507: It’s not ‘just a car fire…’ (07-800)
  • 28 KB Engine contacts downed powerline at accident scene.
  • ROTW 092807: Intuition adverts danger. (05-553)
  • 38 KB Structure fire in concealed ceiling causes collapse, nearly trapping interior crews.
  • ROTW 092107: Blowout on the front apron. (07-910)
  • 34 KB Tire blows following apparatus check.
  • ROTW 091407: Leave your eyes to Z87.1. (07-964)
  • 35 KB Safety glasses do their job during extrication.
    Page 1 of 7 1  2  3  4  5  6  7  

     For some Program insights, check out the recent posting on CommandSafety.com: National Firefighter Near-Miss Reporting System; Untapped Resource

    or go Directly to the Firefighternearmiss.com site, HERE

    Clip from Home Page

     These are some of the Site File Categories;

    National Firefighter Near Miss Reporting System on Facebook, HERE

    For a direct point of contact at the NFFNMRS;

    Rynnel Gibbs, Program Coordinator
    National Fire Fighter Near-Miss Reporting System
    4025 Fair Ridge Drive    Fairfax, VA 22033
    P: 703-537-4858     F: 703-273-0920    rgibbs@iafc.org      www.firefighternearmiss.com

    Mayday and Rapid Intervention Realities: The Phoenix Perspective

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    Southwest Supermarket Fire March 14, 2001

    This year’s Fire/EMS Safety, Health and Survival Week focused on Surviving the Fire Ground: Fire Fighter, Fire Officer and Command Preparedness. One of the major objectives of this year’s theme was addressing a variety of functional areas for the Mayday event. For many of you, the conditions, outcome and lessons learned from the Southwest Supermarket Fire, maydays and the Line of Duty Death of Phoenix (AZ) firefighter Bret Tarver in 2001 are as fresh today as they were ten years ago and certainly as relevant as when many of us first read the Final Report issued by the Phoenix FD.

    However, to many others in the Fire Service the Bret Tarver LODD and the Southwest Supermarket fire along with the lessons learned that were identified and the research that was instituted may not have made it onto your radar screen. In this the final days of the 2011 Fire/EMS Safety week, it is very appropriate to provide some insights on this mayday event and more importantly provide you with the opportunty to learn from the past, to understand operational parameters, capabilites, fallacies, misconceptions and limitations when we talk about Mayday, RIT and FAST activities and operational deployments.

    Here’s an overview of the event;

    On March 14, 2001 the Phoenix (AZ) Fire Department lost firefighter Brett Tarver at the Southwest Supermarket fire.

    In that event, it was 5:00 in the afternoon, the grocery store was full of people and fire was extending through the building. Phoenix E14 was assigned to the interior of the structure to complete the search, get any people out, and attempt to confine the rapidly spreading fire to the rear of the structure. Shortly after completing their primary search of the building the Captain decided it was time to get out. Tarver and the other members of Engine 14 were exiting the building when Tarver and his partner got lost.

    The engineer (driver) was leading the group following the attack line they had brought into the supermarket fire, followed by Tarver and his partner, with the company officer being the last person to begin the long crawl out of the smoke filled structure. At some point Tarver and his partner got off the hose line and moved deeper in the supermarket fire away from their only exit. Early on during the exit attempt through maze like conditions Tarver and his partner basically turned left instead of right. Not knowing this the company officer continued to crawl out of the building thinking his whole crew was ahead of him on the attack line. Tarver and his partner crawled deeper into the fire occupancy eventually ending up in the butcher shop area where they eventually became separated.

    Based on radio reports of deteriorating conditions inside the building from E14 and other companies the Incident Commander (IC) considered a switch to a defensive strategy and started the process of pulling all crews out of the structure. During this process Tarver radioed the IC telling him that he was lost in the back of the building. The IC deployed two companies as Rapid Intervention Crews (RICs) through the front access point to no avail.
    Other companies coming to their rescue through the back room area of the supermarket later rescued Tarver’s partner. After several unsuccessful rescue attempts, Tarver succumbed to carbon monoxide poisoning from the acrid smoke and was eventually removed from the building as a full code. Trying to remove the 260-pound firefighter was nearly impossible for rescue team members. Outside, the resuscitation efforts failed.

    During the rescue efforts there were more than twelve (12) mayday’s issued by firefighters trying to make the rescue. On this tragic day, one other firefighter (attempting to rescue Tarver) was removed in respiratory arrest and was later resuscitated by fire department paramedics on the scene.

    Over the next year (The Recovery), the department systematically reviewed its standard operating procedures and fireground operational activities at the strategic (command), tactical (sector) and task (company) levels of the entire organization in an attempt to prevent such a tragic event from ever happening again to the Phoenix Fire Department. One of the many significant questions that was asked was why didn’t the rapid intervention concept work? Immediately after the fire the Phoenix Fire Department reviewed its Rapid Intervention and Mayday standard operating procedures (SOPs). Based on drills, training and the data acquired through those drills, in the year following the incident the standard concept of a rapid intervention is now being challenged.

    It is now evident that rapid intervention isn’t rapid. (Reference: Excerpts from the original article by Steve Kreis and FireTimes.com, LLC. http://www.firetimes.com/printStory.asp?FragID=8399 )

    In the wake of the 2001 Southwest Supermarket Fire and LODD of FF Brett Tarver, the Phoenix (AZ) Fire Department issued a comprehensive report of the incident and the lessons learned and research conducted by the FD.

    Beyond 2011 Fire/EMS Safety, Health and Survival Week; Fire Fighter, Fire Officer and Command Training and Preparedness

    • If you have never heard about the Southwest Supermarket Fire and the Bret Tarver LODD and incident and never read the report;
      • take the time to do so and understand that the concepts of RIT and FAST are made up of far more elements, considerations and more importantly realities of what you think you can do versus what you may actually be able to do.
      • if you’ve read it in the [past], take a few minutes to review and refresh;
      • see where your organization, department and RIT/FAST training and capabilities are today-
      • what are the capabilities of your fire fighters, officers and commanders?
    • Take a look at the NIOSH report and the recommendations contained; how does your deparment stack up today?
    • After reading the reports, take a close look at your organization, your personnel and your training and your capabilities and
    • ask yourself if you are truly able to perform the necessary RIT/FAST operations or
    • do you have a ways to go to better prepare, train and ensure you’re able to undertake the job and address the fireground survival needs when a mayday is called.
    • did you take the time during this safety week to make some progress, identify some new insights, gaps or renewed interests and desire to enhance on your capabilities and strengths?
    • Are your Mayday, RIT and FAST capabilites, skills and knowledge better today in 2011 than they were in 2001?

     

    References:

    The following is an article piece posted by my good friend Mike Ward and posted a number of years ago from www.thewatchdesk.com written by: Mike Ward

    Rapid Intervention Reality – from Phoenix
     

    Subject: Rapid Intervention Reality Check By Michael Ward   

    The Phoenix Fire Department’s Deployment Committee has a sobering message to their firefighters operating in large buildings, like a 7,500 square foot warehouse: “If you extend an attack line 150′, get 40 feet off the line and then run out of air, it will take us 22 minutes to get you out of the structure.” The lesson to remember is not to get off the fire attack line.  The statement is based on 200 rapid intervention drills conducted by PFD as part of their recovery process after Firefighter/paramedic Brett Tarver  died in the March 14, 2001 Southwest Supermarket fire.

    PFD obtained three vacant commercial buildings: a warehouse, a movie theatre and a country-western bar. The RIT drill was for the first alarm companies to respond to a report of two firefighters in trouble. One is disoriented and the other one is unconscious. The buildings were sealed from outside light and the facemasks were obscured to simulate heavy smoke conditions. The RIT teams were equipped and deployed as if this is was a working fire. The department ran through about 200 RIT drills with 1144 PFD firefighters participating. Their activities were monitored and timed. An Arizona State University statistician analyzed the data.

    The results show that rapid intervention is not rapid:

    • Rescue crew ready state 2.50 minutes
    • Mayday to RIC entry 3.03 minutes
    • RIC contact with downed firefighter 5.82 minutes
    • Total time inside building for each RIC team 12.33 minutes
    • Total time for rescue 21 minutes

    The evolutions also revealed three consistent ratios:

    • It takes 12 firefighters to rescue one
    • One in five RIC members will get into some type of trouble themselves.
    • A 3000-psi SCBA bottle has 18.7 minutes of air (plus or minus 30%)
       

    The results of the RIC drills reflects the experience Phoenix had during the efforts to rescue Firefighter/paramedic Brett Tarver. There were a dozen maydays sounded during the rescue effort, and one PFD firefighter was removed from the supermarket in respiratory arrest.

    The Phoenix experience is not unique. Houston Fire Chief Chris Connealy participated in a discussion about the Phoenix RIC drills during the 2003 Change in the Fire Service Symposium. On October 13, 2001, Houston Engine 2 Captain Jay Jahnke died on the fifth floor of Four Leaf Towers, a 41 story residential high-rise. During the Houston RIC operation, two heavy rescue company firefighters became disoriented, low on air and had to rescue themselves. An engine company captain and firefighter run out of air and collapsed on the fire floor. Chief Connealy said that the Houston experience is similar to Phoenix.

    Phoenix is changing its approach to rapid intervention crews in three procedural ways: increase suppression units assigned to RIC, increased in command officers, and considering a two-part RIC process.

    There is a scalar approach to RIC dispatch assignments in Phoenix. For a “3-1 Assignment” (three engines and one ladder), a fourth engine and an ems transport (rescue) is added to the assignment to function as the rapid intervention team. For a 1st alarm assignment, two engines, one ladder, one rescue and a battalion chief are the RIC team. A second alarm includes an additional two engines and ladder for RIC. Beyond a second alarm, the incident commander can call additional companies as needed.

    The recovery process also looked at the utilization of company and command officers on the fireground. A company officer core competency is to command a fire company. A core chief officer competency is to command fire companies. It is a function of the fire department hierarchical structure, not of personality.  For example, a captain filling-in as a battalion chief does a better job as a West Sector officer than she would have if she was commanding Engine 2 AND in charge of West Sector. At the sector level of the incident management system, company officers are required to wear two hats. There are too many levels of tasks. Phoenix suggests that it would be more effective to send more command officers to a fire event to function as sector and division commanders and allow the company officers to command their companies. It is a waste of talent and experience to allow command officers to stay in their fire stations while a low-frequency, high risk event like a structure fire is occurring
    in the city.

    A third change in rapid intervention crews is using a two-phase approach.  Many of the RIC team members ran out of air during the training evolutions.  The drills showed that a 3000-psi SCBA bottle was good for 13.09 to 24.31 minutes of air. The average SCBA time was 18.7 minutes. The average time from mayday to removal was 21 minutes. RIC teams were running out of air during the firefighter removal phase. In addition, it was taking a crew of 12 firefighters to remove one firefighter. Phase one of a RIC response is to send a team in to locate the firefighters in trouble. Once located, a second RIC team enters to remove the firefighter.

    You are welcome to share this with everyone. Please include the following: taken from www.thewatchdesk.com written by:
    Michael Ward, Fire Science Program Head, Northern Virginia Community College.  

     

     Other recent postings and references from CommandSafety.com

    Day One: Fire/EMS Safety, Health & Survival Week 2011: Day One- Are You Ready?

    Day Two: Fire/EMS Safety, Health and Survival Week: Day Two- Building Knowledge = Fire Fighter Safety

    Day Three: Fire/EMS Safety, Health and Survival Week: Day Three-The New Rules of Engagement

    Day Four: Fire/EMS Safety, Health and Survival Week: Day Four -The New Fire Ground

    Day Five: Fire/EMS Safety, Health and Survival Week 2011: Day Five: Near-Misses, Maydays and Floor Collapses

    Day Six: Fire/EMS Safety, Health and Survival Week 2011, Day Six; From Waldbaum’s to Hackensack-Worcester to Charleston; Legacies for Operational Safety

    Day Seven: Fire/EMS Safety, Health and Survival Week 2011, Day Seven; Fire Fighter, Fire Officer and Command Training and Preparedness

    World Trade Center Bombing-1993

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    1993 WTC Bombing

      

    At 18 minutes after noon on February 26, 1993, a huge bomb went off beneath the two towers of the World Trade Center. This was not a suicide attack. The terrorists parked a truck bomb with a timing device on Level B-2 of the underground garage, then departed. The ensuing explosion opened a hole seven stories up. Six people died. More than a thousand were injured. An FBI agent at the scene described the relatively low number of fatalities as a miracle.Eight and one half years prior to the devastatingly fatal blows to the World Trade Center in New York, a Ryder truck carrying approximately 1,200 to 1,500 pounds of a homemade fertilizer-based explosive detonates at 12:18 in the afternoon. 

    The blast produced a crater stretching over 150 feet through five floors on the 26th of February 1993. Let it also be noted that this was the second anniversary of the ending of the first Gulf War. Initial reports suggested that the blast was the result of an exploded generator, but evidence gathered shortly thereafter suggested that it was clearly a malicious act that resulted in the injuries of over 1,000 people, and the deaths of six others. 

    The mastermind behind this terrorist attack was Ramzi Ahmed Yousef, a previously sought criminal who was suspected for the formulation of criminal plots against Pope John Paul II, President Bill Clinton, and potentially fatal attacks against numerous flights in 1995. Yousef’s capture later that year lead to the discovery of al Qaeda, Osama bin Laden’s network of loosely tied Islamic militants. Yousef was convicted of the WTC bombing on November 12, 1997; however, a concrete analysis of the 1993 WTC attack must include an in depth examination of this figure, which will be discussed further. 

    On that fateful day in 1993, dispatcher Frank Raffa, of the FDNY, recalls the sentiment of the initial emergency phone call. “The working theory was that a transformer vault explosion had occurred in the basement of the World Trade Center Complex.” 

    However, as Raffa Writes, “Normally, when a fire or emergency occurs that generates numerous phone calls, the phones stop ringing once an apparatus arrives. This time the phones never stopped.” This was the sign that a major catastrophe was developing.” Such calls indicated that smoke spread through the first thirty-three floors of the WTC towers, as well as the Vista Hotel, within only three minutes. With such a mass volume of telephone calls from panicking personnel in need of immediate help, the incident command was divided into three zones, one for each affected building. 

    Even still, due to the sheer numbers of callers and absent the responders to field these calls, the acts of milling, rumors, and keynoting, the basic components to human interaction during a collective behavior situation, resulted in poor advice from certain actors and mediums. Such an event is described by Raffa: 

    “One of the newscasters went on the air and advised people in the towers that if they were having trouble breathing, they should break out the glass window. This was the worst thing they could have done. By now the entire tower was filled with smoke and was acting like a 110 story smokestack. About that time I answered a call from someone seeking instructions. By now, we were told to tell all callers to stay where they are, block all air vents with whatever rags they could find, stay calm, and wait. ”

    “The caller told me he was going to break out a window. He was on the 54th floor. I advised him not to stating that there are over 500 emergency personnel on the ground and he’d kill someone with the falling debris. Not to mention the fact that the open window will allow smoke to enter the area and vent itself. He hung up and went to break the window. I advised the radio dispatcher to let the command post know to expect falling glass from the 54th floor. Later, the newscaster was “admonished” by his supervisors.” 

    The bombing was noted as having been the largest incident ever handled in the City of New York Fire Department’s 128-year history prior to September 11, 2001. In toll, based on the number of units that responded, the incident resulted in the equivalent of a 16-alarm fire. 

    On February 26, 1993, a 1,000-pound nitrourea bomb was detonated inside a rental van on the B2 level of the WTC parking garage, causing massive destruction that spanned seven levels, six below-grade. The L-shaped blast crater on B2 at its maximum measured 130 feet wide by 150 feet long. 

    The blast epicenter was under the northeast corner of the Vista Hotel  

    • FDNY ultimately responded to the incident with;
    • 84 engine companies,
    • 60 truck companies,
    • 28 battalion chiefs,
    • 9 deputy chiefs,
    • 5 rescue companies and
    • 26 other special units (representing nearly 45 percent of the on-duty staff of FDNY)
    • The department units maintained a presence at the scene for 28 days
    • It is estimated that approximately 50,000 people were evacuated from the WTC complex over a course of eleven hours, including nearly 25,000 from each of the two towers
    • Six people died and 1,042 were injured.
    • Of those injured;
    • 15 received traumatic injuries from the blast itself
    • Nearly 20 people complained of cardiac problems, and nearly 30 pregnant women were rescued. Eighty-eight firefighters (one requiring hospitalization),
    • 35 police officers, and one EMS worker sustained injuries
    • Fire alarm dispatchers received more than 1,000 phone calls, most reporting victims trapped on the upper floors of the towers
    • Search and evacuation of the towers were finally completed some 11 hours after the incident began

    Major structural damage to the buildings, absent the five-level crater, included partition walls blown out onto the PATH train mezzanine, damaged fire alarm and public address systems, as well as temporary termination of elevator service for several weeks. 

    There also resulted the almost complete termination of power to the complex, as primary circuitry was extensively damaged by the initial blast; in addition, water-cooled emergency generators shut down as a result of overheating when water supply was cut, thus disabling building-wide emergency lighting. 

       

        

    THE WORLD TRADE CENTER-1993

    The 16-acre World Trade Center site was bounded by Vesey Street to the north, Church Street to the east, Liberty Street to the south, and West Street to the west. Seven buildings (1 WTC through 7 WTC) were situated around a five-acre plaza. The complex included also the Port Authority-Trans-Hudson (PATH) and Metropolitan Transit Authority (MTA) WTC stations and Concourse areas. Underneath a sizable portion of the main WTC Plaza and 1 WTC, 2 WTC, 3 WTC, and 6 WTC was a six-story subterranean structure.The WTC complex was designed by Minoru Yamasaki and Associates of Troy, Michigan; Emery Roth and Sons of New York acted as the architect of record. The Port Authority of New York and New Jersey (PA) was the original developer. Excavation of the site began in August 1966. The complex, which offered about 12 million square feet of rentable floor space, was occupied by various government and commercial tenants. The PA had transferred the entire WTC project to a private individual, under a 99-year capital lease, prior to 9-11.The seven complex buildings included the following:

    1. WTC, the 110-story North Tower. Its first tenant took occupancy in December 1970.
    2. WTC, the 110-story South Tower. Occupancy commenced in January 1972.
    3. WTC , the 22-story Marriott Hotel (west of the South Tower).
    4. WTC, a nine-story office building.
    5. WTC, a nine-story office building.
    6. WTC, the eight-story U.S. Customs House building.
    7. WTC, a 47-story office building (north of the WTC site; it housed the New York City Mayor’s Office of Emergency Management facility).

    The World Financial Center (WFC) complex, built in the early 1980s, was to the west, across West Street. To the south were the building designed by Cass Gilbert, at 90 West Street, and the Bankers Trust building at 130 Liberty Street. The 1 Liberty Plaza building was to the east and the Verizon building directly to the north.

     

     

     

    Who would have imagined in 1993 what events would unfold in 2001 at the WTC complex and for the nation….

    Buffalo Box 191 North Division & Grosvenor Streets; December 27, 1983

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    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;

    • Firefighter Michael Austin,
    • Firefighter Michael Catanzaro,
    • Firefighter Matthew Colpoys,
    • Firefighter James Lickfield and
    • Firefighter Anthony Waszkielewicz.

    Memorial
    A memorial to the five members of Buffalo Fire Department Ladder Co. 5 and the two civilians who were killed sits at fire call box 191 at the intersection of N. Division and Grosvenor streets. Each year on Dec. 27, at 2020 HRS, the fire department rings out the alarm 1-9-1 to honor the five firefighters of Ladder 5.


    Remembering Brackenridge 1991 Floor Collapse and LODD

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    Remembering Brackenridge, Pennsylvania December 20, 1991: Four Firefighters Killed, Trapped by Floor Collapse

    Four volunteer firefighters died when they were trapped by a partial floor collapse during a structure fire in Brackenridge, Pennsylvania, on the morning of December 20, 1991. All four were members of a mutual aid truck company that had responded to the early morning incident and were assigned to prevent fire extension from the basement to the ground floor of a 2-story building.

    Although they were wearing full protective clothing and using self-contained breathing apparatus, it appears that they were overwhelmed by the severe fire conditions that erupted when a section of the ground floor collapsed into the basement.

    The collapse cut off their primary escape path, and the fire burned through their hose line, leaving them without protection from the flames.  

    • For more on the incident and links to a series of incident reports, link here to Commandsafety.com
    • Current issues related to recent trends in floor collapse incidents, HERE

    Honor and Remembrance

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    FDNY Citywide Tour Commander Asst Chief Gerard Barbara moments before the first collapse

    For many of us, the events of September 11th, 2001 will forever be etched into our minds and hearts. The magnitude and severity of the sacrifices made that day by the FDNY as well as the NYPD, EMS and PANY/NJ uphold the tradition, beliefs, values and ideals that the Fire, Rescue, EMS and Law Enforcement professions embrace. The tragic loss of lives, the promise of the future; the unfulfilled opportunities and contributions that were yet to be recognized or made by many of those killed and the subsequent loss of completing life’s journey with their families, loved ones and comrades further magnifies the senselessness and grief many of us share to this day. FDNY Assistant Chief Gerard Barbara , the Citywide Tour Commander on the morning of September 11th (Remembrance HERE) whose image was profoundly captured standing in the street within the shadow of the twin towers moments before the first collapse provides a poignant reminder of our sworn duty, obligation and responsibilities as firefighters.

    As I was preparing to capture some thoughts that reflected upon this, the ninth anniversary of 911, I came across an article that I had written within the subsequent days of September 11th that was published shortly thereafter.

    As I began rereading the narrative, the vivid emotions and sentiments that were present in such a raw manner on that day and in the days and weeks that followed came rushing back to the surface. I reflected on the thought that sharing this narrative once again would echo upon some of what we all shared that day and give rise to where we’ve been in our own personal journeys. This is why we must remember, this is why we must never forget.

    The First Steps of Our Journey (originally written and published September, 2001)

    Tuesday September 11th began unremarkably like many others. I began my instructional delivery of a course of instruction on Incident Command Management for Structural Collapse Rescue Operations as part of the National Fire Academy’s field delivery programs in Ft. Myers, Florida. The class was comprised of Special Operations Battalion Chiefs, Command and Line Officers from throughout the region.  As we began our discussion on the needs for urban search and rescue preparedness and its relationship to strategic incident command management and tactical company level capabilities, the Ft. Myers Chief of Department came into the classroom and directed us immediately to the station day room. The time was 08:55 hours, and so began our journey.

    The class immediately became transfixed upon the televised images streaming before us. The live coverage of the evolving sequence of events, the fire and emergency services responses and the devastation inflicted both in New York City and later in Washington, D.C., and the realization that this was a terrorist attack. For the next three hours we watched in disbelief the unfolding events in New York City at the World Trade Center, each of us fully realizing the magnitude and severity of the incident and the impact inflicted upon the fire, rescue, ems and law enforcement personnel operating at the scene.

    The transmission of Manhattan Box 55-8087 to the World Trade Center Towers brought New York City’s Bravest and Finest. We witnessed the evolving events of the initial high-rise fires in WTC Tower #1, the vivid images of the second aircraft impacting WTC Tower #2 and shortly thereafter, the horrendous collapse of both towers.

    We watched in silence, fully cognizant of the potential toll the resulting collapses could have on the operating personnel and civilians alike. Following numerous telephone calls home and to my fire station, with the impending arrangements and planning being undertaken for our fire department’s possible deployment to NYC, I began a twenty-two hour trek back home. The journey back was consumed with the constant reports filtering through the radio speakers of the ever increasing descriptions of the magnitude and levels of destruction at what has become known as Ground Zero.

    The turnpikes I traveled were filled with the passing images of the initial public outpouring of emotions to the day’s tragic events. Lone individuals on overpasses and bridges, waving our nation’s flag. The flags drawn to half staff throughout the communities I passed through and the electronic message boards along the highway, with words of condolence and encouragement in this time of national grief. Still in my Fire Academy shirt with the embroidered words of the NFA and Structural Collapse, I was recognized as a firefighter and approached by numerous people along my route back who questioned the events of the day, who were seeking some sense of understanding for what was becoming recognized as a significant loss of life to unaccounted for fire, rescue, law enforcement and civilians.

    There were the unsolicited words of thanks expressed by people at gas pumps and rest areas up the entire east coast, who acknowledged my fire service affiliation and connected to what they may have seen or heard in terms of the of the missing F.D.N.Y. firefighters and N.Y.P.D. law enforcement officers. This level of acknowledgement, seemed so strange, when any other time, we seem to blend into the back ground of everyday life. All for having a fire service emblem on.

    During my travel back to Syracuse, New York I listened to every report, every update and the ever increasing numbers of potential missing on the radio. Well after midnight I ran into a colleague of mine at a gas station, an Assistant Fire Chief from the Metro Dade Fire & Rescue Department, Florida who, along with four other urban search and rescue specialists were making their way to Washington, D.C. as part of the deployed FEMA USAR Task Force Team from South Florida. We shared in our grief over the immediate notification at a mayoral press briefing that our close friend FDNY Battalion Chief Ray Downey was identified as one of three chief FDNY Officers who died during the tower collapses.

    We also shared in our grief in the initial reports of the over forty FDNY fire, rescue and support companies unaccounted for as a result of the fire suppression, rescue and collapse efforts. The continuing ride gave way to the thoughts and concerns of many of my friends within the FDNY. Were they on shift, are they accounted for, are they safe? I thought about everything that we have tried to prepare for, the years of developing our national urban search and rescue task force system, collapse-rescue training, terrorism preparedness and the images of the WTC events of the morning. I thought deeply of my twenty-six years of fire service involvement, my brother & sister firefighters, and again- the fate of my FDNY brothers and sisters in New York City.

    Subsequently in the days that followed, I became glued to the live televised images from Ground Zero and ever increasing reports of the search and rescue efforts deployed at the incident scene. As I watched alone into the early morning hours the images pouring across my television screen or at the fire station with my brother and sister firefighters, I began to contemplate the journey that lay ahead for our nation’s fire and emergency services. We will be forever changed by the events of 9-11. The most recent accounts have identified over three hundred thirty seven confirmed or unaccounted for firefighters, twenty-three law enforcement officers and over five thousand four hundred missing civilians. Rescue efforts remain the focus, with the realization that the probability of live rescues diminishes with each passing hour as the first week of Herculean efforts draws to a close.

    The fabric that binds us within the fire and emergency services, the true bonds of brother and sisterhood in this proudest of professions can not be more poignantly depicted than the image of the three brother FDNY firefighters raising the American flag amidst the mountains of rubble and debris where once stood the World Trade Center. Each and every one of us understands the undertakings during the initial stages of operations at the WTC. We, the fire and emergency service providers protect the heart and soul of our respective communities. We understand the risks and challenges affecting our commitment to protect life and property and to meet those challenges armed with our training, preparedness and tools of our trade. We are the first ones in and the last ones out. The challenges ahead will be immense as the rescue efforts at Ground Zero evolve into the recovery mode of operation, and the continued efforts to bring home- back to quarters these missing firefighters.

    In the days, weeks and months ahead, we will be witness to ever changing events in this continuing journey. We will share in the pain, grief and emotions that have become so deeply rooted inside of all of us in the course of these events in NYC and in our nations’ capital. For those who provided direct or support service to the events at the WTC, and those who may yet be called upon to render aide in the weeks and months ahead, each of us understands the calling and we also understand the pain. For each and everyone firefighter, rescue and ems provider would, if they could, would be side by side with those working at Ground Zero.

    We must remain vigilant to our own community’s risk potential for future events and incidents and must strive to reduce the gap between our capabilities and those identified deficiencies. We must plan and train for the worst, for it’s not a matter of IF , it’s just a matter of WHEN. Our nation’s fire and emergency services have begun a journey, one that no one could have imagined, yet one that each will meet head- on. Remain safe, stay strong, and meet the challenges of your next alarm, with faith and the foundation of principles that have made our fire services what they are. We are all part of a brotherhood, we share a common belief and mission-we know our duty, we are firefighters, and will answere the call.  (September, 2001)

    Honor and Remembrance

    Remember and honor the sacrifices of 09.11.01 and the continuing sacrifices that are being made today by those fire, law enforcement and emergency services workers, support personnel and civilians that worked the recovery efforts at Ground Zero in the weeks and months afterwards who are dying or are afflicted by the lingering effects of exposure at the site. Remember the surviving families of those lost, remember the firefighters; who they were and remember who we are, and what we do each and every day in the streets of America. May We Never Forget. Honor and Remembrance 343…

    Remembrance FDNY; Brooklyn Box 3300 August 2, 1978

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    FDNY Waldbaum Fire August 2, 1978

    The Waldbaum’s Supermarket Fire and Collapse FDNY 1978 

    The Waldbaum Super market fire, Brooklyn, New York occurred on August 2, 1978, thirty two years ago. 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

    Take the time to head over to Commandsafety.com for the complete posting with incident details, photos, a memorial video clip and diagrams.

    The following are a series of photographs of the incident and operations.

    Check out the 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.
     

     

    3*4*3 Reports

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    I recently posted an article on CommandSafety.com that addressed a series of Major Influencing Fire Service Reports, Issues and Focus areas that should be on your radar screen. This was also the theme at the premiere of Taking it to the Streets on Fire Fighter Netcast.com . As an emerging, practicing or upward mobile fire officer, commander or leader; those are but a few key ares that you must be  knowledgeable in, have insights and proficiency based technical skills to function with a level of competencies demanded of, in today’s  fire service.

    After a recent training program, we discussed in a smaller group setting common, contributing and apparent causes related to three prominent fire incidents and reports that were shared both within the lecture program and also within the CS post. Based upon that dialog, the dynamic and passionate discussion and the frank, straight forward opinions I’m suggesting you take the time; three hours to read three reports and focus on the lesson learned, the gaps that were identified and the recommendations AND actions that were implemented to limit, if not eliminate the likely hood that a similar event could happen in that organization.

    The continuing challenge is not allowing the circumstances and situations that were present at those events, cause you and your organization to have a History Repeating Event (HRE).

    Set aside three hours for three reports; invest the time appropriately and focus your undivided attention. Think about those firefighters who answered that call, in the same manner and fashion as all of us do, when we board the apparatus and the company rolls out of quarters on the way to the alarm. The only difference…..they didn’t come home- you did. Learn, understand, comprehend, relate and apply.

    Then take the time to share your insights with those within your inner circle and start recognizing that there’s likely something that you can go in your house or station, or organization that honors the sacrifices made by those LODD events your read about, so those lessons can be moved forward to make the job, a little bit safer.

    Three for Three (343)

    Prince William County (VA) Fire Rescue Kyle Wilson LODD Report

    • The Prince William County (VA) Department of Fire and Rescue published a comprehensive line of duty death report for Technician I Kyle R. Wilson on Saturday, January 26, 2008. Technician I Wilson was the first line of duty death in the Department’s 41-year history. The Department is sharing the LODD Investigative Report to honor Kyle, and in an effort to reduce and prevent firefighter line of duty deaths at the local, region, state, and national levels.
    • Technician Kyle Robert Wilson was 24-years old and was born in Olney, Maryland. He grew up in Prince William County and graduated from Hylton High School and George Mason University. He was an avid baseball and softball player. Technician Wilson joined the Prince William County Department of Fire and Rescue on January 23, 2006. 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.
    • The Department of Fire and Rescue immediately formed a multi-dimensional investigation team following the incident. The investigation team was comprised of five Department of Fire and Rescue uniform personnel and two external members from area fire departments. For eight months, the team thoroughly examined the events that occurred at the Marsh Overlook fire incident and identify the factors involved with the line of duty death of Technician I Kyle Wilson. The resulting report represents thousands of hours of effort to analyze fire and rescue operations and is a factual representation of the events that occurred. The report also provides a frame work for organizational level improvements.
    • The major factors in the line of duty death of Technician I Wilson were determined to be:
      • The initial arriving fire suppression force size.
      • The size up of fire development and spread.
      • The impact of high winds on fire development and spread.
      • The large structure size and lightweight construction and materials.
      • The rapid intervention and firefighter rescue efforts.
      • The incident control and management.
      • The Marsh Overlook fire incident was an immense fire fueled by extremely flammable building material products and a vicious wind. It was an environment where information gathering and decision making had to be performed in the time measurement of seconds. During the chain of events that occurred and under severe circumstances, fire and rescue personnel performed at exceptional levels.
    • During the repeated attempts to reach and rescue Technician I Wilson, personnel displayed heroic efforts and jeopardized their own safety. The Department will never forget the sacrifice that Technician Wilson made in an attempt to ensure others were safe. By sharing the knowledge gained from this very tragic and painful incident, the Department will ensure his sacrifice was not in vain and hope that other fire and rescue departments can avoid another similar occurrence.
    • Resources and Report

    Loudoun County (VA) Fire Rescue  Significant Near Miss Event Report

    • On May 25, 2008, fire and rescue personnel from Loudoun County responded to a structure fire at 43238 Meadowood Court in Leesburg, Virginia. During the course of the incident, seven responders were injured. Of those injured, four firefighters received significant burn injuries, two firefighters sustained orthopedic injuries, and one EMS provider was treated for minor respiratory distress. To date, five of the injured personnel have returned to duty. Two firefighters continue to recover from their injuries, including one who was severely burned.
    • Given the severity of the injuries and magnitude of the event, an independent Investigative Team was assembled to review the incident. The Team was comprised of four Loudoun County personnel, three external members from area fire departments, and two resource/support personnel. The Team was tasked with reviewing “the events leading up to the incident, the incident operation(s), the firefighter MAYDAY(s), and incident mitigation.”
    • For three months, the Team thoroughly examined the events surrounding the Meadowood Court fire incident and identified the factors associated with the injury of personnel.
    • The Report contains the results of the Investigative Team’s comprehensive review and analysis.
    • Fact Sheet, HERE
    • SIGNIFICANT INJURY INVESTIGATIVE REPORT 43238 MEADOWOOD COURT MAY 25, 2008 Report HERE

    Colerain Township (OH) Fire and EMS Department Final Report Investigation Analysis of the Squirrels Nest Lane Firefighter Line of Duty Deaths

    • 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.
    • Incident Overview, HERE
    • NIOSH Report, HERE
    • Investigative Report, HERE

    In the Streets; On the Air

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    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

    Nontraditional Classroom Education

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    Over the years I have sat in many of classroom, participated in countless hands on training drills and evolutions, but I have found that the education that was gained from talking and listening to people who have been in the business for many years has proven to be one of the best learning experiences ever. It has often been said that after the class or sitting at the bar after a conference program is when the real education begins. Some would argue, but I have found it to be true. This is when you can get one-on- one with the instructor or other mentors and hear information “uncensored”. You get to hear the war stories often not told, the times when things didn’t go as planned and even some really good advice.
    As I begin to share this information with you, I want you to know what inspired this blog. On January 2, 2010 I was enjoying time with my family when the wonderful world of blackberry communications provided me with a truly saddening email. It was one from a good friend in Vermont informing me that Chief Ralph Jackman had passed away earlier that morning. Now as you scratch your head and wonder where I am going with this, I want to share the significance of the first paragraph with you. Chief Jackman was a unique fire chief. First of all he served the Citizens and firefighters of Vergennes, Vermont and Addison County for over 50 years as fire chief. He was unique in that he continued to keep himself progressing, constantly learn yet ever sharing his experiences and knowledge with anyone who wanted to learn. He was a progressive minded person who served everyone tirelessly. So what has this got to do with training?
    Let’s explore many of the items that truly relate to training. Chief Jackman was always searching for knowledge. I was witnessed this as he graced my classroom as an evaluator at the Addison County Fire School several years ago. He stayed an excessive time and seemed to not stop writing, which made me think initially that I had done a poor job and had fallen short of his expectations. Later that night, I was able to spend some quality one-on-one time with him over one of his famous three figure drinks. With an inquiring mind I had to ask how I did. His reply was, “well I took about 3 pages of notes from your class today.” My heart sunk at this point thinking I really messed this one up and here it comes. He continued, “I knew several of my people had gone to another class and I wanted to be able to share what you were talking about with them, it will help them.” At this point I was feeling better about the program and the door opened. We began sharing and learning together in a conversation that lasted throughout the evening. As I boarded the aircraft the next day to return home I was so inspired and excited I could have exploded. What I shared with Chief Jackman was really insignificant as compared to what he taught and shared with me.
    Moral to this story is that training is available in a lot of ways. Classroom and hands on are super important. But even more important is learning from each other’s experiences.
    • We rarely take time to truly find the lessons in war stories.
    • We often time continue to do the same things over and over again expecting different results. We must learn from others experiences and we must share our experiences with others.
    • We can’t just write off the old guys, they are a wealth of knowledge waiting to share it with you.
    • This nontraditional classroom and dynamic of learning is not traditional by any means. However, it provides a tremendous amount of real world knowledge that just may hold the answers too many of your questions. Chief Ralph Jackman, thank you for the education of a life time. Rest in Peace Brother!

    BURN

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    BURN is a documentary about Detroit, told through the eyes of Detroit firefighters, who are on the front lines charged with the thankless task of saving a city — and an American Dream — that many have written off as dead. We made a 10-minute trailer. Please SHARE, ASK QUESTIONS, DONATE so we can start production on the film as soon as possible. Take the time to watch the video trailer…..it will speak for itself.

    Check out the web site, HERE   BURN Trailer from Tremolo Productions on Vimeo.

    Taking it to the Streets

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    Taking it to the Streets

    Premiering Wednesday July 21st  9:00pm ET

    Live on Firefighter Netcast.com

    Premiering “What’s on YOUR Radar Screen”?

    Check out what’s on of off your radar screen on CommandSafety.com

    If you’ve never listened to a FirefighterNetcast, visit the site now, sign up for a new user account for BlogTalkRadio, and be prepared to join in the conversation Wednesday night.

    Listen in via the Internet, listen and/or participate by calling in, and join in the live chat that takes place amongst listeners while the show is going on. In case you miss the live show, you can even download the recording after the fact on FirefighterNetcast and iTunes too. It’s free, it’s fun and it’s easy.

    Taking it to the Streets is a Buildingsonfire.com Series and Fire Fighter Netcast.com Production

    Check out Buildingsonfire on Facebook and Twitter

    Remembering Hackensack and Gloucester City

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    Hackensack (NJ) Ford Fire July 1, 1988

     As we approach the July 4th holiday period, two significant LODD incidents previously occurred during this time frame that hold a number of lessons learned related to command management, operations, building construction principles and building performance, fire behavior and the ever present dangers of the job. Take the opportunity to learn more about these events, and expand your insights and knowledge base. Take a moment to reflect upon the supreme sacrifice made by these heroic firefighters and the messages that lay within the pages of the incident case studies, reports and summaries. 

    There’s a lot of practical safety and operational information on these events along with a tremendous volume of information in the various text books on strategy and tactics, incident command and building construction. 

    Learn from the past so we don’t repeat it. Remember- NO MORE HISTORY REPEATING EVENTS! 

    The Hackensack Ford Fire & Collapse occurred nearly ten years AFTER another tragic LODD event involving a bowstring truss roof collapse; the August 2nd, 1978 FDNY Waldbaum’s Fire, Brooklyn, New York that took the lives of six FDNY firefighters. 

    Street Smarts for Safety and Survival…………Stay safe.
    Additional Relevant Safety considerations, HERE and HERE 

    Twenty-Two Year Anniversary Hackensack Ford Fire and Truss roof collapse, Hackensack Fire Department. July 1st, 1988 

    Pause to remember our brothers who made the ultimate sacrifice twenty-one years ago, on July 1st, 1988 and the lessons learned from this event. 

    On July 1, 1988 Hackensack’s Captain RICHARD L. WILLIAMS, Lieutenant RICHARD REINHAGEN, Firefighter WILLIAM KREJSA, firefighter LEONARD RADUMSKI, and Firefighter STEPHEN ENNIS lost their lives at Hackensack Ford when a bowstring arch truss collapsed entrapping them in the area below. The five firefighters were in the structure, a bowstring truss building, when the roof suddenly collapsed a 60-foot square section of the building’s wood bowstring truss roof collapsed, and an intense fire immediately engulfed the area. Williams, Kresja and Radumski were killed instantly, and four other firefighters escaped. Reinhagen and Ennis survived the initial collapse and found refuge in a tool room where they spent the next 13 minutes calling for help.. . despite heroic rescue attempts, succumbed to carbon monoxide poisoning. Approximately 90 minutes after the collapse, firefighters located the bodies of their fallen comrades. 

    Three (3) building factors contributed to the collapse of this bowstring trussed roof: 

    • Alterations that consisted of a heavy ceiling of cementitious material on wire lathe;
    • Auto parts storage in the attic; and
    • The Fire burned for a significant length of time and was well advanced prior to detection.
    • This roof collapsed 35 Minutes after the initial units arrived. 

    Remember:
    • CAPT. RICHARD L. WILLIAMS, Engine Co. No. 304
    • LIEUT. RICHARD REINHAGEN, Engine Co. No. 302
    • F/F WILLIAM KREJSA, Engine Co. No. 301
    • F/F LEONARD RADUMSKI, Engine Co. No. 302
    • F/F STEPHEN ENNIS, Rescue Co. No. 308
     

    NFPA SUMMARY
    Hackensack, New Jersey Fire Fighter Fatalities July 1, 1988 

    Five fire fighters from the Hackensack, New Jersey Fire Department were killed while they were engaged in interior fire suppression efforts at an automobile dealership when portions of the building’s wood bowstring truss roof suddenly collapsed. The incident occurred on Friday, July 1, 1988, at approximately 3:00 p.m., when the fire department began to receive the first of a series of telephone calls reporting “flames and smoke” coming from the roof of the Hackensack Ford Dealership. 

    Two engines, a ladder company, and a battalion chief responded to the first alarm assignment. The first arriving fire fighters observed a “heavy smoke condition” at the roof area of the building. Engine company crews investigated the source of the smoke inside the building while the truck company crew assessed conditions on the roof. For the next 20 minutes, the focus of the suppression effort was concentrated on these initial tactics. 

    During this time, however, little headway appeared to have been made by the initial suppression efforts, and the magnitude of the fire continued to grow. The overall fire ground tactics were shifted to a more “defensive” posture (exterior operation) and the battalion chief gave the order to “back your lines out.” However, before suppression crews could exit form the interior, a sudden partial collapse of the truss roof occurred, trapping six fire fighters. An intense fire immediately engulfed the area of the collapse. One trapped fire fighter was able to escape through an opening in the debris. The other five died as a result of the collapse. This incident and several others before and since, provide important lessons to the fire service regarding the fire ground hazards of wood truss roof assemblies. 

    This NFPA Summary may be reproduced in whole or in part for fire safety educational purposes as long as the meaning of the summary is not altered, credit is given to NFPA and the copyright of the NFPA is protected. 

    Following is an excerpt from the New York Times article:
    Demers contended that Chief Williams, primarily because of the volume of fire on the rooftop, should have ordered nine firefighters out of the garage within 7 minutes of his arrival. The order to pull out was given at 3:34 p.m., about 30 minutes after his arrival, the report said. 

    • “This radio message was not acknowledged by any companies,” the report said.

    The roof collapsed at 3:36 p.m. Three firefighters were hit by burning debris and killed, four escaped, and two, Lieut. Richard R. Reinhagen and Stephen Ennis, took refuge in the tool room. 

    • At 3:39 p.m., Lieutenant Reinhagen began to radio his location and appeal for help, the report said.

    In one of the major communications flaws cited by Mr. Demers at the fire scene, all departmental communications were transmitted on a single channel, or frequency. Consequently, Lieutenant Reinhagen’s appeals for help were intermingled with orders for deploying men and hoses and instructions to arriving companies. 

    • “You have to hurry, we’re running out of air,” Lieutenant Reinhagen said at 3:42 p.m.

    Headquarters then radioed to Chief Williams: “Expedite on that, they’re running out of air.” The transcript did not show any response from Chief Williams.Over the next 6 minutes, through 3:48 p.m., Lieutenant Reinhagen made 10 more calls. None was answered. For three of the minutes, bells indicating depletion of his air tanks’ supply were ringing repeatedly. At one point, a civilian who overheard the ringing on a radio scanner called fire headquarters to tell officials of the noise. 

    At 3:49 p.m., the Lieutenant radioed: “Chief, this is Lieutenant Reinhagen. I’m still stuck back in the right rear of the building in the closet. We are out of air in a closet. We’re out of air.”
    “What’s your location?” Chief Williams said. The response was inaudible and the Chief began ordering water from a truck. 

    At 3:50 p.m., the Lieutenant got the Chief directly and repeated that they were “stuck in a closet” and “out of air.” 

    • “Stuck in a closet?” Chief Williams asked.

    Twelve seconds later, the Chief Williams asked: “Where you at?” 

    • “Right there in the closet,” came the response.
    • Fourteen seconds later, Lieutenant Reinhagen radioed again: “Help. The right rear. Out of air. Anybody out there? Stuck in the closet, right rear. No air. Help.”

    The Lieutenant was asked if he was on the first or second floor. “First floor, underneath the collapsed ceiling,” the Lieutenant said at 3:52 p.m. It was his last transmission. Firemen eventually punched a hole through an exterior wall about 10 feet from the tool room, but saw only a mass of flame, Mr. Demers said. The burning timbers were leaning against the tool room, he said, but neither fireman was burned. 

    Learn from the past so we don’t repeat it. Remember- NO MORE HISTORY REPEATING EVENTS!  

    Some Open Questions; 

    • What impact did the Hackensack Ford Fire & Collapse have upon you in your career?
    • Were you aware of this event and its lessons learned prior to this posting?
    • What do you feel you need to learn related to Building Construction, Fire Behavior or Strategy and Tactics related to various occupancies and construction types?
    • What is you knowledge base on Truss Construction related to Timber Bow String or Engineered Structural Systems?

    Additional References:
    NFPA REPORT, HERE 

    Dave STATter’s 2008 Coverage, HERE 

    Fire Rescue Magazine  Article, A Failure in Command;  HERE 

    Lessons Learned from Tim Sendelbach, Editor-in-Chief, FireRescue magazine, HERE 

    Other Resource Links:
    http://www.wusa9.com/news/columnist/blogs/2008/06/hackensack-ford-20-years-later.html
    http://query.nytimes.com/gst/fullpage.html?res=940DE3D6143FF931A357
    http://www3.gendisasters.com/new-jersey/6534/hackensack-nj-fire-aut
    http://www.nfpa.org/itemDetail.asp?categoryID=442&itemID=18676&;…;… 

    Memorial Park, Hackensack, NJ (http://www.cyberonic.net/~mikef6/p0000120.htm

    Three Firefighters and Three Sisters Killed in Gloucester City, New Jersey Building Collapse during Fire Attack, Rescue Operation, July 4th, 2002 

    Gloucester City (NJ) Collapse 2002

    On July 4th, 2002 at 0136 hrs.,The Gloucester City Fire Department was dispatched to 200 North Broadway for a reported house fire. Responding units were advised that occupants may be trapped. First arriving units were on location in less than three minutes. 

    They found heavy fire on all exposures of a three-story multi-family dwelling and initiated a search for entrapped occupants. (Various reports from bystanders were at times conflicting regarding the number and location of victims). While providing an aggressive interior attack and rescue operation, an occupant was rescued from the dwelling. Due to the severity of their injuries they were unable to give direction regarding the whereabouts of any other occupants. 

    While all hands were operating by continuing an aggressive interior attack and rescue, a partial collapse of the structure occurred. An emergency evacuation signal was sounded and while that was commencing a further and much more substantial collapse occurred trapping eight firefighters inside the burning debris. 

    Additional specialized collapse rescue resources were requested, firefighter accountability was initiated and rescue efforts were intensified. Five of the eight trapped firefighters were rescued. Three of the eight gave the ultimate sacrifice in service to their fellow man. Unfortunately these three children did not survive. A total of nine victims were transported to area hospitals, one civilian and eight firefighters. 

    Remember:
    • James Sylvester
    Fire Chief, Mount Ephraim Fire Department
    Sylvester, 31, a 17 year veteran, was survived by his wife, who was pregnant with the couple’s first child
    • John West
    Deputy Chief, Mount Ephraim Fire Department
    West, 40, a 23-year veteran, was survived by his wife and three children
    • Thomas G. Stewart III
    Paid Firefighter, Gloucester City Fire Department
    Stewart, 30, a 13 year veteran, was survived by his fiancée and their son. Stewart publicly proposed to his girlfriend, hours before the fire while they watched the city’s fireworks from high atop a fire truck ladder at Gloucester City High School. 

    NIOSH REPORT: Structural Collapse at Residential Fire Claims Lives of Two Volunteer Fire Chiefs and One Career Fire Fighter – New Jersey, HERE 

    Philadelphia Inquirer Posting, HERE 

    Everyone Goes Home Newsletter Article by Chris Collier, HERE 

    New Jersey Division of Fire Safety LODD Report, HERE 

    SUMMARY
    On July 4, 2002, a 30-year-old male volunteer fire chief, a 40-year-old male volunteer deputy fire chief, and a 30-year-old male career fire fighter died when a residential structure collapsed, trapping them, along with four fire fighters and an officer who survived. At 0136 hours, a combination fire department and a mutual-aid volunteer fire department were dispatched to a structure fire. Local law enforcement radioed Central Dispatch reporting a fully involved structure with three children trapped on the second floor. The first officer on the scene assumed incident command and reported to Central Dispatch that the incident site was a three-story structure with fire showing and that people could be seen at the windows. Note: The female resident (survivor) was the person seen in the window. 

    The three children that were reported as being trapped did not survive and were later found in the debris. Additional units were requested, including a mutual-aid ladder company from a career department. Crews were on the scene searching for occupants and fighting the fire for approximately 27 minutes when the building collapsed. 

    NIOSH investigators concluded that, to minimize the risk of similar incidents, fire departments should;
    • Ensure that the department’s structural fire fighting standard operating guidelines (SOGs) are followed and refresher training is provided
    • Ensure that the Incident Commander (IC) formulates and establishes a strategic plan for offensive and defensive operations
    • Ensure that the incident commander (IC) continuously evaluates the risk versus gain during operations at an incident
    • Ensure that a separate Incident Safety Officer, independent from the Incident Commander, is appointed
    • Ensure that fire fighters conducting interior operations (e.g., search and rescue, initial attack, etc.) provide progress reports to the IC
    • Ensure that accountability for all personnel at the fire scene is maintained
    • Ensure that a Rapid Intervention Team (RIT) is established and in position
    • Ensure that the officer in charge of an incident recognize factors (e.g., structural defects, large body of fire in an old structure, etc.) when analyzing potential building collapse
    • Ensure, when feasible, that fire fighters should respond together, in one emergency vehicle, as a crew
    Additionally, municipalities should consider
    • Establishing and maintaining regional mutual-aid radio channels to coordinate and communicate activities involving units from multiple jurisdictions 

    In order to minimize the risk of similar incidents, the New Jersey Division of Fire Safety identified key issues that must be addressed and remedies that should be implemented within all departments.  

    1. FACTOR: There appears to be a disconnect between career and volunteer personnel in the Gloucester City Fire Department (GCFD). Many personnel expressed the concern that the GCFD operated as separate fire departments rather than as one. 

    REMEDY: It is essential that all firefighters put individual differences aside in order to work together successfully as a team to achieve their common goal of saving lives and property. 

     2. FACTOR: The GCFD, faces a common dilemma associated with combination fire departments: staffing levels may be unpredictable depending on how many volunteers are available to respond to any one incident. This unpredictability can result in insufficient staff to perform required tasks until additional staff arrives. 

    REMEDY: Elected or appointed municipal officials need to make a commitment to the adequate staffing of the fire department and staffing levels must allow for compliance with the two-in / two-out provisions of the Public Employees Occupational Safety and Health (PEOSH) Standard 29CFR1910.134. The New Jersey Division of Fire Safety can provide assistance to the municipalities and provide examples of how this can be accomplished 

    3. FACTOR: Due to the limited number of firefighting personnel who arrived at this incident, all initial efforts were focused on the rescue of occupants. This postponed fire suppression operations until additional resources arrived. Because rescue and fire suppression operations were performed sequentially rather than simultaneously, the fire may have spread more quickly resulting in the early failure of the structure. 

    REMEDY: Sufficient personnel are critical to ensure that all necessary operations can be performed at the appropriate time. Furthermore, a continual size-up assessment must be maintained so that the Incident Commander (IC) can be kept aware of the conditions as the incident progresses. This continual size-up will allow the IC to modify the strategy and / or tactics as deemed necessary. 

    4. FACTOR: Although the GCFD was equipped with a thermal imaging camera (TIC), firefighters failed to utilize it for the initial search for victims. The TIC was also not used properly to analyze the scope of the incident and determine what tactics to employ. 

    REMEDY: Fire departments that possess TIC units should use them regularly during routine operations such as training, scene size up, search and rescue and structural fire fighting. 

    5. FACTOR: From the onset of operations, the Incident Management System (IMS) was not properly expanded as the incident progressed. Given the scale of this incident, the span of control quickly became too large for the IC to effectively manage and additional functions were not delegated to subordinates. Critical tasks such as safety and accountability were not effectively implemented. 

    REMEDY: N.J.A.C. 5:75 mandates that all fire departments utilize an IMS. It is a modular system, which allows the IC to apply only those elements that are necessary at a particular incident, and allows elements to be activated or deactivated as incidents escalate or decline. Fire departments are required to adopt written plans, or Standard Operating Guidelines (SOG’s) based on the IMS, to address different types of incidents. The NJ Division of Fire Safety distributed suggested SOGs upon adoption of this regulation and they continue to be available to all fire departments. 

    6. FACTOR: The GCFD did not assign a dedicated safety officer (SO) to observe operations and terminate potentially unsafe actions. 

    REMEDY: IMS regulations under N.J.A.C. 5:75 mandate the use of safety officers (SO’s) at all incidents. An SO is required to observe operations on the fire scene, identify next steps and order the correction of safety hazards to personnel. Given the scope of this incident, the IC should have assigned at least one SO. 

    7. FACTOR: The GCFD did not designate accountability officers to monitor each area of entry into the structure. Nor was a Personal Accountability Report (PAR) or roll sheet utilized to track personnel and monitor their functions. Therefore, the concept of accountability of personnel location, function, and time failed. 

    REMEDY: Although not enforceable at the time of this incident, the regulations for the NJ Personal Accountability System (NJPAS) under N.J.A.C 5:75 now require that fire departments utilize an accountability system. This system includes the designation of accountability officers and the use of PAR’s / roll calls, all within the framework of the IMS that is required to be utilized at all incidents. The NJ Division of Fire Safety is in the process of finalizing suggested SOGs and will distribute them to all fire departments when complete. 

    8. FACTOR: Although firefighters Sylvester and Stewart were equipped with Personal Alert Safety System (PASS) devices, they did not activate them prior to entering the structure. It should be further noted that their PASS devices were not automated; they had to be manually activated by the user. Firefighter West was not equipped with a PASS device. 

    REMEDY: PASS devices must be provided, used, and maintained in accordance with PEOSH regulations under N.J.A.C. 12:100-10 et seq. Although many departments still rely on PASS devices that must be activated manually, – devices that are acceptable by PEOSH regulations – they are not ideal because the firefighter must remember to activate the PASS device. For this reason, fire departments should strongly consider upgrading their SCBA to those employing automatic activating PASS devices. 

    9. FACTOR: The GCFD did not specifically designate the required personnel for the rescue of distressed firefighters through the establishment of Rapid Intervention Teams (RIT) or Firefighter Assist and Search Teams (FAST). Consequently, when the building collapsed, there was not a properly equipped team in place for immediate rescue operations. 

    REMEDY: IMS regulations under N.J.A.C. 5:75 require that fire departments utilize RIT or FAST to rescue distressed firefighters when operating in a hazardous atmosphere. The IC should request a RIT or FAST as soon as possible after dispatch to allow the team to arrive quickly. 

    10. FACTOR: Not all fire departments operating on the fire ground were communicating on the same radio frequency, which resulted in communication failures. Although, the Camden Fire Department (CFD) did have the capability to communicate on the GCFD “Fire 5” frequency they chose not to. 

    REMEDY: IMS regulations under N.J.A.C. 5:75 require that a communication system allow for inter-agency communication during mutual aid responses by providing a direct communication link between companies. Fire departments should work with other departments that are used routinely for mutual aid to ensure radio interoperability. 

    11. FACTOR: An emergency evacuation signal was sounded upon reports of a firefighter missing inside the structure before the impending collapse, however, the signal was never sounded at any other time prior to the collapse, nor was it sounded immediately after the collapse. 

    REMEDY: In the event an emergency evacuation becomes necessary and an emergency signal is required, N.J.A.C. 5:75 requires that fire departments utilize an emergency evacuation signal that is easily recognizable and distinguishable from all other fireground noises. The signal must be utilized when conditions on the fireground indicate an imminent and extreme risk to firefighters. At this time NJ DFS is finalizing a proposal that would establish a statewide emergency evacuation signal. 

    12. FACTOR: During this incident, fireground conditions were not properly analyzed, which led to the failure to recognize an impending building collapse. 

    REMEDY: Firefighters and officers need to learn the warning signs and causes of building collapses. Often following a collapse, as was the case with this incident, personnel on the scene report that the structure collapsed “without warning”. However, this is usually not the case; the reality is that the IC and firefighters simply failed to identify the indicators that were present prior to the collapse. 

    13. FACTOR: After removal of all victims, the remaining structure was demolished and the incident scene was cleared of all debris within 48 hours of law enforcement concluding their origin and cause investigation. This prevented a thorough assessment of the remaining structure in order to identify the cause and contributing factors of the collapse. 

    REMEDY: A protocol should be adopted to ensure that fire scenes are secured in a manner that not only allows for public safety, but also prevents immediate demolition. This will provide agencies with an opportunity to conduct any investigations that may be necessary. 

    14. FACTOR It was difficult to gauge the amount of training for all GCFD personnel due to insufficient record keeping. Although it was determined that the GCFD firefighters and officers met the minimum regulatory training requirements, many members did not possess a great deal of supplemental training with regard to structural firefighting. Additionally, the volunteer firefighters and officers often did not attend the scheduled departmental drills and rarely trained with the career personnel despite having frequent opportunities to participate. 

    REMEDY: Standards such as NFPA 1500 recommend that fire departments establish a regular training and education program that is commensurate with the duties and functions that firefighters are expected to perform. Additionally, proper record keeping is essential to certify that all personnel have received both required and supplemental training or education. 

    15. FACTOR: Qualifications of volunteer officers were difficult to judge and there were serious concerns voiced by the career members of the department regarding the suitability of some of the volunteer officers. This resulted in a lack of confidence by several career personnel in the volunteer officers and reluctance to take direction from them. 

    REMEDY: In addition to the NJ DFS requirement that all fire service supervisors obtain incident management certification; municipal officials need to establish uniform minimum qualifications for fire officers in order to ensure the effective provision of fire suppression services to the public. The NJ DFS recently adopted voluntary fire officer standards and will be developing a training curriculum to meet those standards. 

    16. FACTOR: It was not possible to determine if a smoke detector inspection was conducted in the building after a change in occupancy in October of 2001 as required by the NJ Uniform Fire Code. The city’s housing department, who has the responsibility for these inspections, was unable to provide documentation of such an inspection to either the Division of Fire Safety or to the Camden County Prosecutor’s Office. It was not clear whether smoke detectors were activated during this fire incident. 

    REMEDY: It is recommended that the responsibility for smoke detector inspections be transferred to the fire department to ensure complete and documented inspections. 

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    Discovery Channel Special on the Gloucester City Incident. A must see for all Company and Command Officers…

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