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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

 

FDNY Chief Joseph Pfeifer on Leadership During 9-11

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Ten years ago, on September 11, 2001, New York City Fire Department Battalion Chief Joseph Pfeifer saw the first aircraft hit the North Tower and radioed the alarm, the first FDNY fire chief to take command.

Today, Pfeifer is the New York City Fire Department’s Chief of Counterterrorism and Emergency Preparedness and a Citywide Command Chief. Wharton management professor Michael Useem talked with Pfeifer recently about his leadership during the 9/11 rescue efforts and what the New York City Fire Department and other cities are doing to prepare for the unexpected. This was originally posted on Firefighternation.com, HERE. For a Complete overview and remembrance on this tenth anniversary of 9|11, go HERE at FFN

 

 
 
 

 

The Waldbaum’s Supermarket Fire and Collapse FDNY 1978-2011

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The Waldbaum’s Supermarket Fire and Collapse FDNY 1978  

The Waldbaum Super market fire, Brooklyn, New York occurred on August 2, 1978. Six firefighters died in the line of duty when the roof of a burning Brooklyn supermarket collapsed, plunging 12 firefighters into the flames. The fire began in a hallway near the compressor room as crews were renovating the store, and quickly escalated to a fourth-alarm. Less than an hour after the fire was first reported, nearly 20 firefighters were on the roof when the central portion gave way.  

Read the insights at CommandSafety.com HERE

No more History Repeating Events….

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

Another Multiple Alarm Fire in Camden, NJ

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An Eight Alarm Fire Hit Camden on Saturday morning

A huge fire early this morning has engulfed a three-story warehouse in downtown Camden, two days after another massive blaze in the city. The Camden County Fire dispatch office says about 20 fire companies were  fighting the eight-alarm blaze at the Howland Croft and Sons warehouse in the 400 block of Winslow Street. There have been no reports of any injuries. Firefighters took the call on the fire at 2:24 a.m. Saturday. The building  takes up a large part of a block on Winslow Street. Reports are the fire was brought under control at about 6 a.m. Thursday’s 12-alarm fire leveled an abandoned tire business and most of the two surrounding city blocks, leaving about 50 people homeless.

Photo by Ted Aurig

  • Eight Alarm Fire in Camden Saturday morning Photo gallery, HERE
  • PhillyFireNews.com Photo Coverage HERE

 

 

12-alarm Camden inferno: http://www.courierpostonline.com/apps/pbcs.dll/gallery?Avis=BZ&Dato=20110609&Kategori=NEWS01&Lopenr=106090805&Ref=PH

Related Links
  • Union: More staff could have helped contain fire
  • Camden warehouse owner is delinquent on taxes
  • Fire Aftermath
  • SFFD Firefighter Memorials and Updates

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    More details emerged Monday about last week’s fatal Diamond Heights blaze, as fire officials said an emergency alert accidentally went off on a nearby fire engine about the same time two firefighters’ personal alarms sounded inside the burning building according to published reports.

    Lt. Vincent Perez, 48, and firefighter-paramedic Anthony Valerio, 53, of Engine Company 26 both died from injuries they suffered while battling a blaze at a four-story home at 133 Berkeley Way on Thursday morning.

    While fighting the fire, one or both of Valerio and Perez’s personal alert safety system devices went off.  Around the same time, a firefighter on Engine Company 20 — which had yet to arrive on the scene — had inadvertently hit the emergency button on the engine.

    Firefighter memorials

    A joint funeral for fire Lt. Vincent Perez and firefighter-paramedic Anthony Valerio will be held at 12:30 p.m. Friday at St. Mary’s Cathedral, 1111 Gough St. in San Francisco. A vigil for the two men will be held at 7 p.m. Thursday, also at St. Mary’s.

    San Francisco Fire Fighters Local 798 has established trust accounts at the San Francisco Fire Credit Union for the families of Perez and Valerio. Donations can be made to SFFCU, 3201 California St., San Francisco, CA 94118.

    Condolence messages can be sent to Fire Station 26, 80 Digby St., San Francisco, CA 94131.

    Eleven Minutes to Mayday; What You Need to Know

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    The Colerain Township (OH) Fire and EMS Department under the leadership of Director and Chief G. Bruce Smith 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 in April 2010 coinciding with the two year anniversary of the event.

    This investigative analysis and report, although specific to the events and conditions encountered during the conduct of operation at the residential occupancy at 5708 Squirrelsnest Lane has pertinent and relevant insights, recommendations and factors that all Fire Service personnel, regardless of rank should read.

    I recently lectured on this incident and the lessons learned at a regional seminar on occupancy profiling and tactical operations, which resulted in significant discussions and dialog pertaining not only to this event but also to the adverse trend and series of  incidents reported nationally in the later part of 2010 and early into 2011 related to comprised or collapsed floor systems and a number of firefighter close calls. There continues to be a number of prevailing philosphies and points of view related to the level of fire ground aggressiveness, tactical patience and level of preparedness demanded on today’s fire ground. I’ve previously posted some insights on these events and these points of view on our Commandsafety.com site and other eMedia sites.

    There still appears to be so much that needs to said; lectured, taught, reinforced or just plain introduced to get company and command officers “insightful” into the operational issues affecting modern fire suppression theory, methodologies, operational safety at basement fires or lower elevation fires, compromise and collapse situational awareness, being combat ready during the response and into arrival sequencing and being able to read the building  and fire more effectively and accurately.

    I recently had the honor to facilitated an insightful radio program on Taking it to the Streets related to a close-call resulting from a catastrophic and complete floor system collapse in a residential occpancy(HERE) during fire suppression operations and the lessons learned and insights from that event and its recording in the National Firefigher Near Miss Reporting System. Take the time to read about the event ( NMR Report #10-1072) or download the program.

    There are tremendous lessons to be shared and learned from the Colerain Township incident, and its one of the required readings that all command and company officers should have on their radar screen (see Commandsafety.com, HERE)

    This is one of those distinctive reports that has influential and critical operational, training and preparedness elements embedded throughout the report. Following my review of the report, having previously read the preliminary report findings, it is apparent there continues to be common threads shared by this and other events and incidents where a single of multiple firefighters have lost their lives due to similarities in the apparent and common cause deficiencies and short comings identified.

    All company and command officers should read and comprehend the lessons learned. Then, take these new found insights and see what the gaps are at the personal level (yours or those you supervise) as well as the shift, group, station, battalion, division or department as a whole.

    If there are gaps, then identify a way to implement timely changes as necessary so there are No History Repeating (HRE) events. Learn from these events….

    Thank you to the firefighters, officers and leadership of the Colerain Township (OH) Fire and EMS Department for the comprehensive insights that this report provides and towards the promise that these lessons-learned may one day help a firefighter, crew, company or fire ground in their combat engagement and mission. Do not take any run or response for granted; be combat ready at all levels.

    I have provided a comprehensive synopsis of the report for your review. Take the time to read the entire report, make the time to improve where you need to.  

    On Friday, April 4, 2008 at 06:13:02 hours, what began as a routine response for Colerain Township Fire and EMS Engine 102 to investigate a fire alarm activation at 5708 Squirrels nest Lane, Colerain Township, Ohio resulted in the deaths of Colerain Township Captain Robin Broxterman and Firefighter Brian Schira.

    Upon their arrival at the scene of the two-story wood framed, residential building working fire conditions existed in the basement. The initial attack team consisted of Broxterman, Schira, and one other firefighter. The team advanced a 1¾-inch attack hose line through the interior of the building for fire control.

    Even though, they were provided with some of the most technologically advanced protective clothing for structural firefighting and self-contained breathing apparatus, it appeared that Broxterman and Schira were overwhelmed by severe fire conditions in the basement.

    During their attempt to evacuate the building, the main-level family room flooring system in which the two were traveling on collapsed into the basement trapping the firefighters. Eleven minutes elapsed from time of arrival to the catastrophic chain of events.

    The investigation of this incident provided a number of findings and recommendations that should be considered by Colerain’s fire department, as well as other fire department organizations. The examination encompassed issues that related to building construction, firefighting tactics, command and control, situational awareness, communications, training, firefighting equipment and the individual responsibility of firefighters of the Colerain Township Department of Fire and Emergency Medical Services (Colerain Fire & EMS). In addition, a segment of the examination included a review of the individual and group affects following such an event, and the measures initiated that attempted to ensure individual, family and organizational wellness.

    The following factors were believed to have directly contributed to the deaths of Captain Broxterman and Firefighter Schira:

    • A delayed arrival at the incident scene that allowed the fire to progress significantly;
    • A failure to adhere to fundamental firefighting practices; and
    • A failure to abide by fundamental firefighter self-rescue and survival concepts

    Although the aforementioned factors were believed to have directly contributed to their deaths, they might have been prevented if:

    • Some personnel had not been complacent or apathetic in their initial approach to this incident;
    • Some personnel were in a proper state of mind that made them more observant of their surroundings and indicators;
    • The initial responding units were provided with all pertinent information in a
    • timely manner relative to the incident;
    • Personnel assigned to Engine 102 possessed a comprehensive knowledge of their first-due response area;
    • A 360-degree size-up of the building accompanied by a risk – benefit analysis
    • was conducted by the company officer prior to initiating interior fire suppression operations;
    • Comprehensive standard operating guidelines specifically related to structural
    • firefighting existed within the department;
    • The communications system users (on-scene firefighters and those monitoring the incident) weren’t all vying for limited radio air time;
    • The communications equipment and accessories utilized were more appropriate for the firefighting environment;
    • Certain tactical-level decisions and actions were based on the specific conditions;
    • Personnel had initiated fundamental measures to engage in if they were to become disoriented or trapped inside a burning building; and
    • Issued personal protective equipment was utilized in the correct manner.

    Incident Reported

    On Friday, April 4, 2008, at 06:11:23, the Hamilton County Communications Center (HCCC) received notification of an automatic alarm activation (smoke detector and carbon monoxide) at 5708 Squirrels nest Lane (LN).

    • An automatic fire alarm response complement of two engine companies (Engines 102 & 109), one ladder company (Ladder 25), and the Battalion Chief (District 25) were dispatched to investigate at 06:13:02.
    • At 06:13:43, a second notification was received from the female homeowner reporting a fire in the basement of the building.
    • At 06:20:43, a third notification by means of a cellular phone from the female homeowner to HCCC routed through the City of Cincinnati’s Fire and Police Communications Center was received.
    • At 06:22:41, the initial response complement was then upgraded to a building fire, also known as a structure fire response complement to include one additional engine company (Engine 25), one rescue company (Rescue 26), and one basic life support transport unit (Squad 25).

    Property and Building Description: The building at 5708 Squirrels nest LN was a single-family residence that set back approximately 450-feet from the street at the end of a private driveway on a heavily wooded lot.

    • The building was two-stories in height, approximately 45-feet wide by 30-feet deep with a finished below-grade (basement) living space and attached two-car garage.
    • For simplicity, the report refers to the living space under the main-level of the building as a basement.
    • From the front (side Alpha), the building was two-stories above grade. The vertical distance between floors was approximately eight-feet. The exterior main entrance was located in the front middle of the building approximately one-foot above grade level.
    • Additional entrances to the first-floor living space were by means of a rear entry door from an upper-level deck area and through the garage area.
    • The interior stairway to the basement was located approximately 15-feet from the front main entry door towards the rear of the building. There were no exposed buildings on the adjacent sides of the fire building.

    The building was located approximately 450-feet from the curb and a driveway leading to the front entrance. The nearest fire hydrant was located approximately 500- feet from the front entrance. To provide for uniform identification of locations and operationalforces at the incident scene, the scene was divided geographically into smaller parts, which were designated as sectors. Specific areas of the incident scene were designated as follows:

    • The side of the building that bears the postal address of the location was designated as Side Alpha or front by the Incident Commander;
    • The property sloped downward towards the rear (side Charlie) of the building with an approximate 13-foot elevation difference from side Alpha to Charlie. The
    • Charlie side of the building was three-stories above the rear grade level with the building’s basement floor approximately five-feet above grade level. The exterior entrance to the building’s’ basement area, also known as a walk-out was by means of a stairway that led to a wooden deck on the Charlie side adjacent to the Delta side. A second stairway led to an upper level deck that served the main level of the building.

    Initial Fire Attack Operation: Upon arrival at the incident address, Engine 102 (E102), assigned four personnel (one captain, one fire apparatus operator [FAO], and two firefighters) entered and proceeded down the driveway deploying a five-inch supply hose line.

    • With their apparatus positioned in front of the building Captain (Capt.) Broxterman radioed, “Moderate smoke showing. E102 will be Squirrelsnest Command.” at 06:24:01.
    • Verification was made by the E102’s FAO through face-to-face communication with the male homeowner that all occupants were out of the building, which was then relayed to Capt. Broxterman.

    District 25 (D25) arrived at the scene at 06:26:35 and assumed Command from Capt. Broxterman. Capt. Broxterman, Firefighter (Ffr.) Schira and E102’s Ffr. #2 advanced a 1¾-inch pre-connected hose line through the front main entrance. The fire was determined to be located in the basement of the building.

    • At 06:27:52, Capt. Broxterman radioed, “E102 making entry into the basement, heavy smoke”.
    • At 06:30:35, E109′s captain radioed, “Command from E109, contact 102,have them pull out of the first floor, redeploy to the back. It’s easy access. Conditions are changing at the front door.”
    • At 06:34:48, Engine 25 (E25), the designated Rapid Assistance Team, had just completed their 360-degree size-up around the building, and encountered E102’s Ffr. #2 in front of the building, whom reported that he had lost contact with his crew.
    • During the time period between 06:29:24 and 06:34:48, the investigation committee believed that one or more catastrophic events occurred including a failure of the main-level flooring system near the Beta – Charlie corner of the building.

     Rescue and Recovery Operations

    • At 06:35:34, the Incident Commander (IC) identified a potential Mayday operation, which indicates a life threatening situation to a firefighter.  
    • RAT25 was deployed at 06:36:48. The actual Mayday operation was initiated by the IC at 06:37:41 followed by a request at 06:37:53 to the HCCC for a second alarm complement of firefighting resources.  
    • At 06:42:01, RAT25 entered the basement from the rear of the building. At 07:00:27, E26’s personnel entered through the front main entrance of the building and into the basement by means of the interior stairway.  
    • Both missing firefighters were located in the basement near the Charlie side wall adjacent to the Beta side following a floor collapse. Capt. Broxterman and Ffr. Schira were obviously deceased as a result of their injuries.

    Fire Origin and Cause: Information from the property owners was that the female had smelled an odor in the house. She told her husband, who went to investigate. Neither of them observed any smoke or flames at that time. The husband went to the basement, and located a fire near a cedar wood lined closet used to cultivate orchids in the unfinished utility room. He attempted to extinguish the fire with portable fire extinguishers and pans of water. As the fire alarm activated, the husband had his wife call 9-1-1 to report the fire. The state of Ohio Fire Marshal’s Office Fire and Explosion Investigation Bureau ruled the fire to be accidental in nature. The fire was determined to have originated in the unfinished utility room of the basement level in or near the cedar closet. This area was directly below the family room on the first floor. The probable ignition source for this fire was determined to be at and about a plastic air circulation fan and the associated electrical wiring.

    Cause of Deaths

    Capt. Broxterman was a 37-year old employee of the Colerain Fire & EMS with approximately 17-years of certified firefighting experience. Capt. Broxterman became trapped in the basement area for a prolonged amount of time following the sudden floor collapse. Capt. Broxterman was found positioned face down over top of Ffr. Schira. The majority of her protective clothing ensemble and equipment were heavily damaged as a result of exposure to heat and direct flame impingement. She was pronounced deceased following her removal from the building. Her body was transported to the Hamilton County Coroner’s Office for autopsy. The Coroner’s report cited the manner of death as “accidental” and the cause of death as “burns and inhalation of smoke and superheated and noxious gases.” Capt. Broxterman sustained burns to 100% of her body surface, which ranged from first to fourth degree in severity as described in the coroner’s autopsy report. Postmortem carboxyhemoglobin (COHb), which is a measure of carbon monoxide exposure, was measured at 22% saturation and soot was observed in portions of her upper and lower respiratory system.

    • Based on the injuries sustained and the damage to Capt. Broxterman’s protective clothing ensemble and equipment, it is likely that she was exposed to a rapid intensification of heat and flames in the building’s basement that overwhelmed her protective ensemble and equipment, exposing her body and respiratory system to intense heat and toxic products of combustion.

    Ffr. Schira was a 29-year old employee of Colerain Fire & EMS with approximately 3½-years of certified firefighting experience. He also became trapped in the basement area for a prolonged amount of time following the sudden floor collapse. Ffr. Schira was found positioned on his right side and back, face-up beneath Capt. Broxterman. The majority of his protective clothing ensemble and equipment was heavily damaged as a result of exposure to heat and direct flame impingement. Ffr. Schira was pronounced deceased following his removal from the building. His body was transported to the Hamilton County Coroner’s Office for autopsy. The Coroner’s report cited the manner of death as “accidental” and the cause of death as “burns and inhalation of smoke and superheated and noxious gases”. Ffr. Schira sustained burns to 100% of his body surface, which ranged from first to fourth degree in severity as described in the coroner’s autopsy report. Postmortem COhb was measured at 8% saturation and soot was observed in portions of his upper and lower respiratory system.

    • Based on the injuries sustained and the damage to Ffr. Schira’s protective equipment, it is likely that that he was exposed to a rapid intensification of heat and flames in the building’s basement that overwhelmed his protective ensemble and equipment, exposing his body and respiratory system to intense heat and toxic products of combustion.

    Select Findings and Recommendations

    Findings, Discussions and Recommendations

    FINDING #3.1: The area of fire origin had no finished ceiling, which exposed the floor joists and the underside of the floor decking to direct fire impingement causing rapid deterioration and failure of the flooring system directly underneath the main-level family room.

    During this incident, based on communications transcripts (telephone and radio) it’s probable that the fire had advanced from its incipient stage to a free burning stage in approximately 18 to 20-minutes by the time Capt. Broxterman radioed that they were making entry into the basement.

    • As stated in the Incident Overview section, during the time period between 06:29:24 and 06:34:48, it is believed that one or more catastrophic events occurred within the building, which included a failure of the flooring system near the Beta-Charlie corner of the building’s first floor.

    It has been widely believed in the firefighting profession that traditional sawn lumber is far superior to some of the more innovative lightweight construction components (e.g., wood I-joist) in use today. With dimensional lumber, two-inch by eight-inch and larger, there is a greater surface to mass ratio to resist the damaging effects of fire and the structural components will maintain their integrity for a longer period of time. While this has traditionally been accurate, this incident clearly shows that this may not always be the case. Heavy charring was evident to structural members in the fire area of origin. Notice the burn damage shows how the wooden floor joists had been burned to and away from the band joist. A band joist is a vertical member that forms the perimeter of a floor system in which the floor joists tie in to. Also known as the rim joist. Early platform framed homes very likely used solid, dimensional lumber and plywood, which provided a reasonable surface to mass ratio. But the later the home was built, the less mass even dimensional lumber has due to the reduction in the actual thickness of solid dimensional lumber provided by the lumber industry through the mid-1900’s. As the years go by, building materials will likely keep getting lighter and lighter and introduce more resins and other chemicals.

    Laboratory tests that exposed structural wood components to the American Society for Testing and Materials (ASTM) E119 Assembly Test indicated that a traditional two-inch by ten-inch structural member failed in 12-minutes and six-seconds. ASTM E119 test is the standard test method for evaluating building and construction materials exposed to fire. Unlike the standardized ASTM test fires, it is widely recognized that real building fires are highly variable in their size, rate of growth and intensity. Responding firefighters are unlikely to know when a given fire started, how hot it had been prior to arrival, how long it had been at any given temperature, the design capacity and actual loads on the floors over the fire or the amount of actual damage that the fire may have done to the joists. All of these factors make it impossible to predict the remaining capacity of a floor by even the most knowledgeable, professional fire experts.

    RECOMMENDATION #3.1a: Fire departments should ensure that firefighters and incident commanders are aware that unprotected floor and ceiling joist systems, no matter the type, may fail at a faster rate when exposed to direct fire impingement.

    Unfinished basement ceilings and other areas that have exposed joists or trusses jeopardize flooring and roof systems unnecessarily during a fire, causing premature failure. Often, a weakened floor and ceiling joist system can be difficult to detect from above as the floor surface above may still appear intact. Firefighters operating on floors above fire-damaged joist systems may fall through a weakened area and become trapped in a fire below. IC’s and firefighters must be aware that these systems can fail rapidly and without warning, and plan interior operations accordingly.

    Firefighters must also be aware that while floor sag may be a widely accepted warning of an impending structural failure, floor sag is not always present or visible prior to a catastrophic collapse in a fire, regardless of the joist type, due to floor coverings, the fire’s intensity, the combination of joist spans and loads present, the location of serious structural fire damage or simply because it is too dark and smoky to see a sag in the floor. This is true for all types of structural joists, including materials such as sawn lumber, wood I-joists, and open web wood trusses and noncombustible members such as lightweight steel joists. The floor covering in this area was carpeting that transitioned to ceramic tile. When unprotected, any traditional or lightweight residential floor or ceiling assembly material, either combustible or noncombustible, may fail within several minutes of the fire’s ignition. It makes sense, therefore, that when there is a serious fire beneath a floor, there is no predictable safe amount of time that anyone can remain on that floor. Any floor system protected or not, can fail unpredictably when exposed to a substantial fire beneath.

    FINDING # 4.2: E102′s officer failed to properly analyze the scene by not performing a 360-degree scene size-up to determine an overall strategy, and implement safe and effective firefighting tactics.

    After the apparatus was positioned in front of the building, E102’s FAO was ordered by Capt. Broxterman to, “Ask the homeowner where the fire [location] was”, which was indicated to be in the basement by the male homeowner. As this was taking place, Capt. Broxterman continued donning her protective clothing ensemble (coat, helmet and self-contained breathing apparatus). Although E102′s officer provided a brief radio report of conditions observed upon arrival, she did not properly evaluate the scene so as to develop a basic strategy for implementation of safe and effective firefighting tactics. Had the officer visually evaluated the Charlie side of the building, the advanced fire conditions may have been noted, and that the lower level fire area was accessible by means of an exterior entry door for a more direct fire attack from the interior unburned side.

    This means that firefighters enter a building and position the attack hose line between the fire and the uninvolved portions of the building. This direction of fire attack is preferred because it is likely to contain the fire, protect occupants, and push heat and gases out of the building if ventilation has been performed. On the other hand, danger increases significantly when attacking from the unburned side and is not always practical based on fire location, intensity, and building construction.

    It cannot be conclusively known as to why Capt. Broxterman and Ffr. Schira proceeded into the area of the building that eventually collapsed resulting in their deaths. The investigation committee has concluded that the most probable explanation is that E102′s three-person interior team was successful in advancing their uncharged attack hose line into the basement recreation room area; reaching a point approximately 10 to15-feet from the bottom of the basement stairway as shown in the Incident Overview chapter. Once the team reached this area, it was realized they did not have sufficient hose line to continue advancing towards the seat of the fire. The team’s third member (Ffr. #2) reversed his travel and made his way back to the exterior of the building to advance additional hose line. As the team of two waited for additional hose line to be stretched and the hose line to be charged by the pump operator, the interior conditions rapidly deteriorated to a stage that it became untenable for them to hold their position.

    The team evacuated back-up the stairway without following the hose line, which by all indications was tight up against the stairway wall and tightly wrapped around the stairway door entry. Once at the top of the stairway, one of the two deceased, if not both were likely in some form of distress; became disoriented and proceeded into the family room in a direction opposite the route of travel from which they entered the building. As the two moved across the family room floor, the flooring system collapsed into the utility room area of the basement. When the third team member re-entered the building, he was unable to locate the other two members.

    The inability of Ffr. #2 to locate his team and the loss of radio communications contact with the interior team prompted the IC to declare a Mayday and activation of the RATs. This incident resulted in tragedy primarily due to the concealment of several burned-through floor joists under the carpet covered flooring system, which was nearly impossible to recognize due to heavy smoke conditions inside the burning building.

    The following factors are believed to have directly contributed to the deaths that occurred in this incident:

    • The delayed arrival at the incident scene allowed the fire to progress significantly and the hazardous conditions to exponentially increase;
    • The failure to adhere to fundamental firefighting practices (e.g., entry into an enclosed building with obvious working fire conditions without a charged attack hose line)
    • The failure to abide by the fundamental concepts of fire fighter self-rescue and survival (e.g., following of the hose line in the direction of travel back to the building’s entrance or exit).

    Although the aforementioned factors are believed to have directly contributed to the deaths reported here, they might have been prevented if:

    • Some personnel had not been complacent or apathetic in their initial approach to this incident which eventually led to being overwhelmed in their response to their initial findings;
    • Some personnel were in a proper state of mind that made them more observant of their surroundings and indicators, and the potential threats and risks that presented themselves;
    • The initial responding units were provided with all pertinent information in a
    • timely manner relative to the incident, especially critical was the information given to the emergency communications center from the homeowners reporting an actual fire
    • Personnel assigned to E102 possessed a comprehensive knowledge of their firstdue response area specifically related to road and street locations, and any particular characteristics related to those areas.
    • A 360-degree size-up of the building accompanied by a risk – benefit analysis was conducted by the company officer prior to initiating interior fire suppression operations; the risk of an action must be weighed against the probable benefit that may be reasonably and realistically expected.
    • Comprehensive standard operating guidelines specifically related to structural firefighting existed within the department;
    • The communications system users (on-scene firefighters and those monitoring the incident) weren’t all vying for limited radio air time. This competition led to missed and distorted messages and less than efficient use of resources, which exacerbated the problems of already taxed communications.
    • The communications equipment and accessories utilized were more appropriate for the firefighting environment;
    • Certain tactical-level decisions and actions were based on the specific conditions as encountered with an emphasis placed on fire ground tactical priorities (i.e., life safety, incident stabilization and property conservation);
    • Personnel had initiated fundamental measures to engage in if they were to become disoriented or trapped inside a burning building; and
    • Issued personal protective equipment was utilized in the correct manner.

    In Memory

    The Colerain Township (OH) Department of Fire and Emergency Medical Services’s report examined the events of April 4th, 2008 with the benefit of hindsight, while seeking to be independent, impartial, and thorough. From the beginning, Colerain Fire & EMS has been committed to share our findings with others in the hope that it may prevent another such event.

    The deaths of Captain Robin M. Broxterman and Firefighter Brian Schira had a profound loss not only to their parents, family and this organization, but also to the larger fire service community. In order to prevent these tragic losses in the future, we must first understand how and why our sister and brother firefighters died. We must learn from their incident and take that knowledge forward. If it was possible, what would these firefighters tell us today that might prevent a similar death of a firefighter in the future? What would they want us as firefighters, company officers and chief officers to know about the circumstances that lead to their deaths and the things we (and they) might have done to alter the most tragic of outcomes?

    From the information that was made available for review, it was evident that these two individuals were well-loved in life, and greatly missed in death. Every line of duty death of a firefighter in the United States is significant. This investigative analysis document is dedicated to Captain Broxterman and Firefighter Schira, their families, friends and the community whose lives were forever changed. In working to improve the health and safety of all United States firefighters, we have much to learn from the supreme sacrifice of these two individuals, who they were in life and in death. We honor their memories.

     

    References

    • Colerain Township Department of Fire and Emergency Medical Services, Web Site HERE
    • Investigation Analysis of the Squirrels nest Lane Firefighter Line of Duty Deaths April, 2010 Full Report HERE
    • NIOSH Fire Fighter Fatality Investigation Report F2008-09| CDC/NIOSH July, 2009, Report HERE
    • WLTW.com news report Summary HERE

     

     

    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

    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

    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. 

    YouTube Preview Image

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

    Learning the Lessons from the Past

    2 comments

    Today is June 17th, to many of you, today is unlike so many other days. Whether it’s going on or off-shift, going to your “day” job; common rituals and activities define our day and are a part of your typical schedule or routine, activities, occupation, trade, leisure or everyday jobs. On any given day, we expect some fairly simple and basic things; Simple and basic from a firefighter’s perspective that is. Let’s clearly put this discussion into firefighter terms and context. We hope that we have a busy day, for the most part; that the alarms and incidents allow us to practice our skills and do what we do best. Deep down inside, we also hope that we have a good “job” come in that allows us to work the job, to fight the fight and put into practice all that we train and prepare to do, we the bell hits and we are called to duty.

    Not that we hope or wish undue miss-fortune, distress or sorrow on anyone, but, IF a fire is going to happen, let it happen on my shift, my tour or while I’m at the firehouse and able to make the first-due. It’s a pretty fundamental hierarchy of need, and it’s what makes us tick at times. Because of who we are and what we do. Right?

    But today is much more than that. June 17th marks the anniversary of two significant fire service incidents that resonate with the values, doctrine and philosophy that define the principles and tradition of the Fire Service.

    Both of these incidents resulted in firefighter line-of-duty deaths at seemingly routine fires, in relatively ordinary structures and occupancies, each with unusual building construction features and conditions that would contribute to the adverse circumstances of the incident operations, and ultimately contribute to the LODD events.

    Hotel Vendome Fire-1972
    On June 17th, 1972, a typical routine day was unfolding for the Jakes in the Boston Fire Department. At 14:35 hours, Box 1571 was received at Boston Fire Alarm Office. It would be the first of four alarms required to extinguish an intense fire at the former Hotel Vendome on Commonwealth Avenue at Dartmouth Street, City of Boston, Massachusetts. It took nearly three hours to contain the blaze. The four alarm fire required a compliment of 16 engine companies, 5 ladder companies, 2 aerial towers and 1 heavy rescue company, with all companies operating with a full complement of personnel staffing.

    Following extensive and strenuous suppression operations, the BFD commenced routine overhaul operation. Then, at 17:28 hours, without warning, all five floors of a 40 by 45 foot section southeast corner of the building collapsed, burying a ladder truck and 17 firefighters beneath a two-story pile of brick, mortar, plaster, wood and debris.

    More than any other event in the three hundred year history of the Boston Fire Department, the Vendome tragedy exemplifies the risk intrinsic to the firefighting profession and the accompanying courage required in the performance of duty. Nine firefighters were killed on that day, eight more injured; eight women widowed, twenty-five children lost their fathers; a shocked city mourned before the sympathetic eyes of the entire nation.

    The Hotel Vendome fire and the Nine Line-of-duty deaths, two Company Officers and seven firefighters
    • Lieutenant THOMAS J. CARROLL, E-32.
    • Lieutenant JOHN E. HANBURY, JR., L-13.
    • Firefighter THOMAS W. BECKWITH, E-32.
    • Firefighter JOSEPH E. BOUCHER, JR., E-22.
    • Firefighter CHARLES E. DOLAN, L-13.
    • Firefighter JOHN E. JAMESON, E-22.
    • Firefighter RICHARD B. MAGEE, E-33.
    • Firefighter PAUL J. MURPHY, E-32.
    • Firefighter JOSEPH P. SANIUK, L-13.

    Built in 1871 and massively expanded in 1881, the Hotel Vendome was a luxury hotel located in Boston’s Back Bay, just north of Copley Square. During the 1960s, the Vendome suffered four small fires. In 1971, the year of the original building’s centennial, the Vendome was purchased. The new owners opened a restaurant called Cafe Vendome on the first floor, and began renovating the remaining hotel into condominiums and a shopping mall.

    Although the cause of the original fire was not known, the subsequent collapse was attributed to the failure of an overloaded seven-inch steel column whose support had been weakened when a new duct had been cut beneath it, exacerbated by the extra weight of water used to fight the fire on the upper floors.

    References and Documents
    • Boston Fire Department, HERE
    • Vendome, Wikipedia, HERE
    • Building Photos and the Firefighter’s Memorial, HERE
    • Gendisasters, Historical Perspective, HERE
    • Boston Globe, HERE
    • Boston FD Ladder 15, HERE

    FDNY Father’s Day Fire-2001
    The relative calm of a quiet Sunday, Father’s Day, June 17th , 2001 was broken at 14:19 hours with a phone call to the FDNY Queens Central Office reporting a fire at 12-22 Astoria Blvd, in the Astoria Section of Queens, New York. For almost 80 years, the Long Island General Supply store has been a fixture in the Long Island City section of Queens serving local contractors and residents with all of their hardware needs. Unfortunately, that included propane tanks and other flammable liquids.

    Two structures were involved in this incident. Both buildings were interconnected on the first floors as well as the cellars.

    • Both structures were built prior to 1930 of ordinary (Type III) construction, and were two stories in height, each with a full cellar.
    • Building 1 measured 2035 square feet and was triangular in shape.
    • Building 2 measured 1102 square feet and was rectangular in shape.
    • Building 1 and Building 2 shared a common or party wall and were interconnected on the first floor and the cellar.Building to building access in the cellar was through a fire door. The fire door was blocked open to allow free movement between the cellars which were used for storage. The hardware stored occupied the first floor and cellars of both buildings. Building 1 had two apartments on the second floor.

    Building 2 had an office and storage space on the second floor. Note: A third uninvolved building was attached to the west side of Building 2. The flat roof system sheathing consisted of 5/8-inch plywood covered by felt paper and rubber roof membrane. The foundation was constructed out of stone and mortar. The support system was a combination of steel masonry posts/lolly columns and wooden support beams.

    FDNY Units arrived within 5 minutes of the dispatch and gave the signal for a working fire. Fire fighters were making good progress but at 14:48 hours something went terribly wrong. Witnesses on the scene report hearing a small explosion followed by a huge blast. The shock wave from the blast blew d
    own every fire fighter on the street and knocked down the exposure 1 wall onto the sidewalk, right on top of fire fighters venting the building.

    As members started sifting through the rubble, the chief ordered a second alarm followed almost immediately by a fourth alarm when a radio transmission was received from FF Brian Fahey from Rescue 4. He was in the basement under tons of collapsed material.

    “I’m trapped in the basement by the stairs. Come get me.” This was a battle cry to everyone on the scene. Every capable member frantically began removing debris to try and get to Brian and the others. The chief ordered more help. Numerous special calls were made.

    There were 144 pieces of apparatus at the scene: 46 engines, 33 ladders, 16 battalion chiefs, 2 deputy chiefs, all 5 rescues, 7 squads, and many more. In fact, with the exception of the fire boats, the JFK hose wagon, the Decon unit, and the thawing units, every type of special unit was at the scene.

    Even with the vast resources of the Department, the task took several hours. The members that were on the sidewalk were quickly recovered.
    • Fire fighters Harry Ford (R4) and John Downing (L163) were removed in traumatic arrest and brought to Elmhurst Hospital were they succumbed from their injuries.
    • Back at the scene members still were trying to get to Brian while others were trying to put out the smoky fire. The battle went through the afternoon and into the evening.
    • The fire was being fueled by some of the flammables in the building.
    • After about four hours they finally reached the basement, but again, it was too late. FDNY Firefighter Brian died in the Line-of-duty.

    Subsequent investigations revealed that two local kids were in the rear yard of the building when unbeknownst to them they knocked over a can of gasoline. The gasoline ran under the rear door, into the basement eventually finding an ignition source in the form of the water heater.

    When the water heater kicked in, it ignited the gasoline. As fire fighters began working in the building the fire caused the explosion of a large propane tank illegally stored in the basement. The resulting blast leveled the building and caused what will be forever known as the worst Father’s Day in FDNY’s history. (Excerpt of the event description published in www.fdnewyork.com).

    The supreme sacrifice was made that day by;
    • FDNY Firefighter Harry S. Ford, Rescue Co.4
    • FDNY Firefighter Brain D. Fahey, Rescue Co. 4
    • FDNY Firefighter John Downing, Ladder Co. 163

    Take the time to read the NIOSH Report, and learn the lessons from that event

    References
    NIOSH Report F2001-23, HERE
    FDNEWYORK, HERE
    Steve Spak, Photos, HERE
    The Late, FDNY Firefighter Andy Fredrick’s Account, HERE
    Online Service Accounts and Coverage, HERE
    Buffalo, NY FD North Division Street Explosion, HERE, HERE and HERE

    Note: The Buffalo, NY, Fire Department experienced a similar event on December 27, 1983 in North Division Street Fire and Explosion that resulted in five firefighter line-of-duty deaths.

    As BFD firefighters arrived at the scene of a reported propane leak in a three-story radiator warehouse (Type III ordinary 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. Killed in the line of duty were all assigned to Buffalo FD Ladder Company 5; F/F Michael Austin, F/F Michael Catanzaro, F/F Matthew Colpoys, F/F James Lickfield and F/F Anthony Waszkielewicz.

    Taking it to the Streets
    The adage that the fire service has more recently adopted states; “There are no “routine calls”; referring to the safety consciousness that all responding companies should endeavor to consider when responding to an incident, that all too often appears; upon our arrival to be routine in every sense of the word. Whether it’s an alarm system activation, a report of food on the stove, a report of a smoke detector alarming or a report of a gas odor or leak, we have a tendency to treat a lot of things as equal and very routine based upon the periodicity and frequency of the alarm type and the typical, inconsequential nature of the incident outcome or the commonality of the fire and suppression efforts that routinely are employed by our operating companies.

    We seem to do a lot of things at times out of common practice and repetition, you know; “We’ve always done it that way…” syndrome. There’s a resonating theme that is making its way around the fire service dealing with an apparent “culture of extinguishment” and the suggested and inaccurately described “diametrically opposing” fire service safety culture promoted by those on the “Dark Side”

    The daily experience, expectations, our comfort zone;
    • We’re pretty good at what we do-Regularly….
    • We develop profound habits and methods…
    • We treat a lot of things as equal in many respects…
    • We’ve grown accustomed to certain operational modes..
    • We don’t really think anything is going to happen to us, certainly nothing so adverse that I don’t go home after the call.

    Nothing is going to happen to YOU; it happens to someone else….
    BUT to everyone else-YOU are the other Guy!

    On any give day, at any give alarm, the dynamics around us at times may be in or out of our direct control. We may not be able to see what the cards have in store for us, BUT we must ensure we use every fragment of training, fortitude, knowledge, skills, courage, bravery, insights, luck and sometimes (other divine) intervention to get us through.

    Take the time today or this evening to visit and download selective reports from the NIOSH Fire Fighter Fatality Investigation and Prevention Program. The lessons learned from these reports and the important recommendations that are written as a direct result of the supreme sacrifices made by our brother and sister firefighters that died in the line of duty speaks volumes. In reality, the words written in these reports are the words from our fallen, they convey the messages to correct deficiencies, close gaps and increase and enhance our operations, training, education, administration, management, supervision, resources, equipment, protocols, preparedness, perspectives, culture and values.

    When you look over these events over the years, it doesn’t take long to identify that many LODD events share similarities, and that specific incident events, deficiencies, outcomes and recommendations are identical in every way, except for the fire department name and geographical location. In other words, we have History Repeating Events (HRE). Events that resonate with common issues, apparent and contributing causes and operational factors that share legacy issues that the fire service fails to identify, relate to and implement. In other words, we fail a times to learn from the past, or we make a deliberate chose to ignore those lessons due to other internal or external influences, pressures, authority, beliefs, values or viewpoints. We make choices and we determine our direction, path and destiny.

    History repeating itself is nothing new to society, it is apparent and self revealing in much of written history and recorded legacies, and as defined by a popular quote states; “Those who cannot learn from history are doomed to repeat it.”

    An interesting series of quotes from noted historian Gerda Lerner states the following;
    “What we do about history matters. The often repeated saying that those who forget the lessons of history are doomed to repeat them has a lot of truth in it. But what are ‘the lessons of history’? The very attempt at definition furnishes ground for new conflicts. History is not a recipe book; past events are never replicated in the present in quite the same way. Historical events are infinitely variable and their interpretations are a constantly shifting process. There are no certainties to be found in the past.”

    She goes on to state; “We can learn from history how past generations thought and acted, how they responded to the demands of their time and how they solved their problems. We can learn by analogy, not by example, for our circumstances will always be different than theirs were. The main thing history can teach us is that human actions have consequences and that certain choices, once made, cannot be undone. They foreclose the possibility of making other choices and thus they determine future events.”

    We must learn for the part, so that we limit or eradicate the opportunity for History Repeating events aligning themselves again and providing emergency incident circumstances to lead to another line-of-duty death, injuries or large loss incident.

    History Repeating Events share may common and familiar themes. Research exemplifies the following shared commonality causes related to History Repeating Events;
    • A lack of pre-incident planning
    • Ineffective or lack of risk management
    • No Incident action plan• Free-lancing
    • Inadequate Training/Skills• Faulted Strategies and/or Tactics
    • Deficient Resources/staffing
    • Lack of Accountability• Insufficient Fire Suppression versus Fire Loading affect• Ineffective or non-existent Supervisory oversight
    • No effective span of control / management
    • Not understanding Building Construction
    • Not understanding Structural Assemblies and Systems
    • Not understanding Construction & Occupancy factors• Not understanding Engineered Building Systems and relationship to Tactics
    • Lacking understanding of Fire Behavior and Fire Dynamics
    • Ineffective Company level supervision
    • Lack of Situational Awareness• Command Dysfunction
    • Failure to implement periodic in-situ reassessments

    Think about your actions, think about what you can do to make a difference or to alter or change the course of a situation. We sometimes have a greater hand in destiny and how the cards are dealt than we think. Take a look and discuss the HRE causal factors listed above, share these with you officers, with you company level personnel or the department as a whole. Pose the question, “What do these mean to you?” See what the different feedback might illustrate and how they may be viewed from a different set of perspectives, generations or rank and assignments.

    Safety Considerations for Operations involving Ordinary or Heavy Timber Type Construction.
    In support of the two (2) incident events discussed in this article related to the Hotel Vendome and the Astoria Queens Hardware Store Explosion. Both of these structures were Type III, Ordinary Construction. This is a good opportunity for you to introduce yourself to or refresh yourself on the Safety Considerations for Operations involving Ordinary or Heavy Ti…

    A comprehensive power point program is available for download from the Near Miss Reporting System web site, HERE

    An accompanying narrative report and its alignment with a Near Miss Report related to a type III occupancy and incident response and close call support the power point presentation, HERE

    Don’t forget, the Near Miss Reporting System, HERE, has exemplary resources, case studies, close calls and lessons to be learned and institutionalized. The same is true about the resources at the NFFF Everyone Goes Home Program, HERE and the IAFC Fire/EMS Safety week web site HERE.

    Take the time to learn something about Ordinary or Heavy Timber Type Construction. As I continue to advocate;  Building Knowledge = Firefighter Safety. No more History Repeating Events!
    Here’s a closing quote from the late Senator Robert F. Kennedy;“Few will have the greatness to bend history itself; but each of us can work to change a small portion of events, and in the total of all those acts will be written the history of this generation.”

    Be safe, have a great tour or stay at the firehouse today or this evening.

    Orginally published during  2009 Safety Health and Survival Week.

    Multi-Family / High Rise Structure Fires

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    highrise2In multi-story multifamily structures there is a lot more to consider than in single family structures. The population density increases significantly, the size of the structure increases and in high rise operations you have to be concerned with the rapid spread of heat, smoke, toxic gases and fire upward through the structure. The fact that the structural design is significantly different as the size if focused on going vertical verses horizontal.

    These structures have a high life hazard at regardless the time of day. This proposes unique problems as occupant evacuation often hampers fire department suppression operations. With this fact being in place it also changes the focus of operations due to the potential need for evacuation or rescue efforts. Many of these building were constructed with fire escapes on the exterior of the building. These are often in disrepair and become involved in fire as the fire has vented out of a window and prevents the use of the exterior fire escape. Many structures have limited internal stairwells. Often these internal stairwells are not secure from the effects of smoke and heat. These prevent for safe evacuation. It is important to also consider the age of the tenants. The elder population that could live in these structures creates a special need for assistance in evacuation or rescue as they are not able to ambulate efficiently enough to travel the potential distances required for evacuating.

    These structures require massive amounts of man power to be able to operate. It is recommended that for every position assigned a total of three (3) personnel be committed, one in operations, one in staging and one on deck ready for relief. This alone can make a significant impact on available resources.

    Construction features can create a series of fire-control tactical concerns with the stacking of apartments that creates chases that run the entire height of the building. This design feature creates an easy pathway for fire to extend and do so without showing significant signs of fire growth and spread until large quantities of fire exist. This type of feature provides for fast moving fire extension and can compound the loss of life potential.

    Larger buildings have design features that bring light and natural ventilation to rooms in the middle of the structure. These light and air shafts pose danger of allowing the fire to extend horizontally across the shaft. This feature allows the fire to sometimes by pass a fire wall or fire stop. This design will also allow fire to extend vertically as the exposures are increased and the ability to extend both via convection and direct flame contact due to lapping out of windows. The design of these windows being directing opposite or directly above each other contributes to the fire extension. One advantage is that there is not roof over these sections which eliminates the mushrooming concept and will slow the spread of fire to the upper floors.

    Learning from the Past: Five Alarm Church Fire and Collapse leads to two Line of Duty Deaths (LODD) and Twenty-Nine Fire Fighter Injuries three hours into the incident

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    200417P1Six years ago on March 13, 2004, two career firefighters with the City of Pittsburg (PA) Fire Bureau were fatally injured during a structural collapse of a bell tower at the Ebenezer Baptist Church fire. Battalion Chief Charles G. Brace (55 years of age) was acting as the Incident Safety Officer and Master Firefighter Richard A. Stefanakis (51 years of age) was performing overhaul, extinguishing remaining hot spots inside the church vestibule when the bell tower collapsed on them and numerous other fire fighters. Twenty-three fire fighters injured during the collapse were transported to area hospitals. A backdraft occurred earlier in the incident that injured an additional six fire fighters. The collapse victims were extricated from the church vestibule several hours after the collapse. The victims were pronounced dead at the scene. A total of twenty-nine other fire fighters were injured during the incident. 

    The Structure
    The church was a National Historic Landmark that was built in 1875. The building was still in use as a house of worship and school at the time of this incident. The exterior construction was masonry with several courses of red brick covered with stone. The building foundation was approximately 120 x 70 feet and approximately 50 feet to the roof line. The pitched roof was covered with asphalt shingles and supported by heavy timber roof trusses. The stone façade exterior of the structure was added during a renovation in the 1930s. This renovation also included the addition of a 115 foot bell tower capped with four spires. The bell tower was not a stand-alone structure, but was supported by steel I-beams with a brick and stone façade that was connected into the southwest corner of the original church.

    The church had four levels. The entry level or ‘Cay Cee Level’ had the main assembly area with a performance stage, a kitchen and two bathrooms. The top floor was the ‘Sanctuary Level’ which contained the pulpit, choir section, baptismal pool, and balcony. The basement or ‘King Level’ had several meeting rooms, three bathrooms, a computer room, a boiler room, and an electrical room. (Note: An unfinished sub-basement was also present with three rooms).

    The church had an attached annex added to the eastern side of the original structure in 1994. The annex was approximately 60 x 45 feet in size and the three story addition contained an elevator that served the entire church. The annex was attached to the original structure via hallways on each floor with a central elevator shaft. On the first floor was a chapel, five offices and a bathroom. The second floor had nine meeting rooms. The third floor contained a fellowship hall, a kitchen and bathrooms.

    The Fire

    The fire occurred on a Saturday morning as parishioners were preparing to have breakfast. The church staff noticed smoke coming from an electrical outlet. When the pastor went to investigate in the electrical room located in the basement, he found heavy smoke. Building occupants called 911 and reported an electrical fire. Building occupants had evacuated the church prior to the arrival of fire fighters.

    The origin of the fire was in the basement ceiling located in the front southwest corner of the church within an electrical/computer room. The actual ignition mechanism of the fire was unable to be determined. The fire spread horizontally through the concealed space between the basement ceiling and first floor. The fire then spread vertically via concealed wall spaces to the structural members, framing and interior furnishings.

    There were approximately 70 fire fighters and 13 apparatus on scene during the 4th alarm response when the bell tower collapse occurred at 1213 hours.

    At 0845 hours, an alarm was received for an electrical fire at a church. The 1st Alarm assignment included three engine companies, a truck company, another engine company to serve as the RIT team, an acting Battalion Chief as the IC, a Battalion Chief as the Incident Safety Officer (ISO), a Mobile Air Truck used to fill SCBA air tanks and a Safety Unit that maintains command status and fire fighter accountability boards.

    • Engine 4 (E4) was the first company on scene at 0850 hours. The apparatus was positioned in front of the church and the crew reported seeing light to moderate smoke inside the church. The church pastor told the crew that the building had been evacuated and that the smoke was coming from the electrical room in the basement.
    • The crew advanced a 1 ¾-in hand line through the front southeast entrance and down the stairs to the basement. Once in the basement, the crew was met with intense heat and thick black smoke. The crew could not see any flame but heard crackling sounds that they localized to the ceiling above them.
    • The crew then attempted to open the ceiling, but heavy plaster and lathe construction hindered their efforts.
    • Truck 4 (T4) also arrived on scene at 0850 hours and positioned the apparatus in the parking lot. The crew was preparing to raise the aerial ladder to the roof and begin ventilation when the IC ordered them to open the floor on the first floor above the fire.
    • Once on the first floor, the crew started using a chainsaw and immediately began to experience problems with the saw stalling. (Note: It is believed that the interior smoke conditions and a lack of oxygen caused the gas-powered saw to stall out rendering it unusable.)
    • The crew switched to axes and started chopping the floor. The E4 crew could hear the axe strikes above them from the basement below.
    • Engine 5 (E5) arrived on scene at 0851 hours and established water supply to E4. The crew advanced another 1 ¾-in hand line to the basement to back up the E4 crew.
    • Engine 10 (E10) arrived on scene at 0852 hours and established a second water supply. The crew advanced a 1 ¾-in hand line to the first floor to back up the T4 crew and assisted in opening the floor.
    • Both crews experienced heavy smoke conditions upon entering the church.

    A 2nd Alarm was requested for additional manpower by Victim #1 at 0900 hours and the assignment included two engine companies, a truck company and the Deputy Chief. Prior to the 2nd Alarm being dispatched, the Deputy Chief was already en-route and upon arrival at 0900 hours conducted a size-up and was briefed by Officers. The Deputy Chief assumed IC while the Acting Battalion Chief became the Operations Chief and Chief Brace became the ISO.

    A 3rd Alarm was requested by the IC at 0911 hours and the assignment included three additional engine companies and the Assistant Chief. Since the exact seat of the fire was still not located, the IC made a special request for Engine 29 (E29) to bring a thermal imaging camera (TIC) to the scene. (Note: At the time of this incident, the department had only one TIC, a unit that was on loan from the manufacturer.)

    At 0919 hours (approximately 30 minutes into the incident), the IC called for an evacuation and an accountability check based on the deteriorating interior conditions.

    • All firefighters on the interior attack crews reported outside to the Safety Unit for the accountability check. After all personnel were accounted for at 0925 hours, the IC continued the interior attack with crews located in the basement and on the first floor.
    • The E12 Officer reported to command that they had located the fire in the basement prior to the accountability check; they were ordered to continue fire suppression with E4 acting as back-up.
    • Both crews re-entered the basement and began to extinguish the fire.
    • The E12 Officer reported that soon after they began to spray water, the basement went “black, totally black, like the fire left.” He immediately yelled for everyone to back out. Some fire fighters reported hearing a “big, loud whistle” followed by a bang.

    At 0928 hours, a major backdraft occurred that injured six fire fighters. The E4 Officer who was standing at the top of the stairwell was blown out of the building into the street by the force of the backdraft. The E4 Officer suffered bruises and facial burns. The E12 crew in the basement was beginning to back out when roaring fire rolled over top of them knocking them down.

    • They quickly climbed the steps and exited the church with their bunker gear smoldering. The E12 Officer received burns on his back, hands and face; an E12 fire fighter received hand and facial burns and another E12 fire fighter received facial burns.
    • The E11 Officer and E11 fire fighter were venting windows from a ground ladder against the wall on the western exterior when they saw that smoke was puffing in and out of the windows. They heard a load roar and started to run, but the force of the backdraft blew them across the street.
    • Fire fighters immediately began administering first aid to the injured and the IC ordered an evacuation and accountability check. The accountability check was quickly conducted by the Safety Unit and all fire fighters were accounted for by 0929 hours. Five of the injured fire fighters were transported by ambulance to a metropolitan trauma/burn center.
    • Fire fighters from Truck 14 did not reenter the church but were ordered to set up a positive pressure ventilation fan in a window in the front of the church. (Note: This task was not completed prior to the backdraft.)

    A 4th Alarm was requested by the IC at 0931 hours and the assignment included two additional engine companies, the Chief, a Communications Officer, and another Battalion Chief as an additional ISO.

    • For the next several hours, both ISOs were working their sectors and updating the IC with progress reports.
    • At 0948 hours (approximately 1 hour into the incident), heavy smoke was reported throughout the church and the IC changed tactics to a defensive attack and removed all personnel from the building. Numerous master steam appliances and hand lines were operated from all exposure sides in an attempt to extinguish the fire in the church and protect the annex.
    • At 0949 hours, fire was present throughout the western side of the church.
    • At 1007 hours, heavy black smoke was observed in the eastern side and at 1009 hours, fire was breaking through the roof.
    • At 1031 hours, there was heavy fire throughout the church
    • At 1048 hours (approximately 2 hours into the incident), the roof was completely burnt away and companies were continuing with “surround and drown” operations.
    • At 1148 hours, the IC ordered all exterior hose streams shut down. One ISO left the immediate scene as instructed by the Assistant Chief to impound the fire gear of the fire fighters injured in the back draft. The IC met with company officers and discussed overhaul operations to extinguish the remaining pockets of fire.

    At 1213 hours (approximately 3½ hours into the incident), the church bell tower collapsed sending large chunks of stone, brick, heavy wooden timbers, and other debris crashing through the vestibule trapping both victims under debris.

    • Other fire fighters operating in the vestibule recall that heavy timbers and wood boards broke through the ceiling and then the entire ceiling came down. Several fire fighters reported narrowly escaping from the collapse. Fire fighters standing outside of the church were showered with falling debris that injured numerous fire fighters.
    • The collapse caused some of the heavy timber roof trusses to fail. Falling roof trusses struck several fire fighters and one fire fighter became trapped. The fire fighters made an urgent radio transmission for assistance and requested rescue equipment. Their call went unanswered due to command being incapacitated.
    • At 1214 hours, an arson Officer radioed to dispatch that a major collapse had occurred and requested a 5th alarm for additional manpower to assist with rescue efforts. The 5th alarm assignment included three additional engines and two additional truck companies. Fire fighters immediately began administering first aid and transporting injured fire fighters to ambulances. Upon hearing of the collapse over the radio, the other ISO returned to the immediate scene from impounding the fire gear from injured fire fighters.
    • The ISO, assisted by an officer of the Safety Unit, conducted an accountability check a short time after the collapse and verified that Victim #1 and Victim #2 were missing. Twenty three fire fighters were injured during the collapse and transported to area hospitals.

    According to the NIOSH Report F2004-017 (HERE) investigators concluded that, to minimize the risk of similar occurrences, fire departments should perform the following;

    • Ensure that an assessment of the stability and safety of the structure is conducted before entering fire and water-damaged structures for overhaul operations
    • Establish and monitor a collapse zone to ensure that no activities take place within this area during overhaul operations
    • Ensure that the Incident Commander establishes the command post outside of the collapse zone
    • Train fire fighters to recognize conditions that forewarn of a backdraft
    • Ensure consistent use of personal alert safety system (PASS) devices during overhaul operations
    • Ensure that pre-incident planning is performed on structures containing unique features such as bell towers
    • Ensure that Incident Commanders conduct a risk-versus-gain analysis prior to committing fire fighters to an interior operation, and continue to assess risk-versus-gain throughout the operation including overhaul
    • Develop standard operating guidelines (SOGs) to assign additional safety officers during complex incidents
    • Provide interior attack crews with thermal imaging cameras
    • Municipalities should enforce current building codes to improve the safety of occupants and fire fighters

    References and follow up;

    NIOSH Report F2004-017           March 13, 2004

    Career battalion chief and career master fire fighter die and twenty-nine career fire fighters are injured during a five alarm church fire – Pennsylvania

    NIOSH REPORT 2009-100: Fire Fighter Fatality Investigation and Prevention Program: Leading Recommendations for Preventing Fire Fighter Fatalities, 1998–2005

    NIOSH ALERT 2009-146: NIOSH Alert: Preventing Injuries and Deaths of Fire Fighters due to Structural Collapse (1999)

     
    Ebenezer tragedy scoured for whys of fire, fatalities. Read more: http://www.post-gazette.com/pg/04117/306737-85.stm#ixzz0iM1F6Zep
     

    Criminal negligence on the part of commanders?

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    img_5620South Carolina’s SLED is planning to review records for signs of negligence in the case of the June 18, 2007 Sofa Super Store fire in Charleston, SC. A team of State Law Enforcement Division agents is reviewing records from the Sofa Super Store blaze for signs of criminal negligence on the part of commanders who oversaw the attack on the inferno in which nine firemen died, authorities said.

    Ninth Circuit Solicitor Scarlett Wilson requested the review after meeting with relatives of two firefighters who died in the June 18, 2007, inferno. Family members of captains Louis Mulkey and William Hutchinson gave Wilson eight binders of materials they say prove that commanders exposed fire crews to unnecessary and deadly risks with insufficient training and leadership. Randy Hutchinson said his group has found people with crucial accounts of the fire who were never interviewed by police. From what they can tell, police seem to have focused on the cause and origin of the fire while ignoring questions raised about the commanders’ actions, he said.

    The city’s own experts concluded the Fire Department’s command system was virtually nonexistent at the blaze, leaving firefighters without supervision or clear instructions and leaving commanders with no idea of who was where and what they were doing. No one was monitoring who was in the building, how long they were inside or how much air they had left in their tanks. Key tasks were left undone and standby rescue teams were never established in the rush to funnel as many people inside as possible, according to the consultants’ report.

    For a complete reporting of the leading events go to the Post and Courier article HERE

    Fire in the United States Report 2003 to 2007

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    1-13-2010 4-59-50 PMFire in the United States

    Fire in the United States covers the 5-year period from 2003 to 2007

    The report focuses on the national fire problem and provides an overview of fires and losses in buildings, vehicles and other mobile properties, and other properties. The report also examines fire and fire loss trends, fire casualties by population characteristics, and fire cause profiles by property type. Detailed analyses of the residential and nonresidential building fire problems will be published as stand-alone reports.

    Fire in the United States is a statistical overview of fires in the United States, focusing on the latest year in which data were available at the time of preparation. The primary source of data is the National Fire Incident Reporting System (NFIRS), along with data from the National Fire Protection Association (NFPA), National Center for Health Statistics (NCHS), State Fire Marshals’ offices, U.S. Census Bureau, and the Consumer Price Index.

    Executive Summary

    Fire departments in the United States responded to nearly 1.6 million fire calls in 2007. The United States fire problem, on a per capita basis, is one of the worst in the industrial world. Thousands of Americans die each year, tens of thousands of people are injured, and property losses reach billions of dollars. There are huge indirect costs of fire as well—temporary lodging, lost business, medical expenses, psychological damage, and others. These indirect costs may be as much as 8- to 10-times higher than the direct costs of fire. To put this in context, the annual losses from floods, hurricanes, tornadoes, earthquakes, and other natural disasters combined in the United States average just a fraction of those from fires. The public, the media, and local governments generally are unaware of the magnitude and seriousness of the fire problem to individuals and their families, to communities, and to the Nation.

    Download the Report, HERE

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