HomeMy WebLinkAboutSpecial Inspection Fire Damage Report 2005-1-3
i'l S_ of Oregon Office of State F~"halln~ident Report I ,. , ':ALARM NO:
DISTRICT OF INCIDENT: COUNTY:
"
0347: SPRINGFIELD FIRE LIFE SFTY
ALARM DATE: 1I3l2OO5 I ALARM TIME: 8:02:00
20: LANE
1 ARRIVAL DATE: 11312005
OW2
DEPT. RESPONDING:
0347: SPRINGFIELD FIRE LIFE SFTY
EXPOSURE NO: 0
ARRIVAL TIME: 8:06:00
I BACK IN DATE: 11312005
IBACK IN TIME: 9:01:00
TYPE OF SITUATIONS FOUND:
121: Fire in mobile home used as fixed residence
INCOENTADDRESS: 2435 A ST 02
ClTYIZIP, SPRINGFIELD, OR 974n
OCCUPANTICOMPANY, DENNIS HIGGINS
BUSINESS OWNER:
ADDRESS:
1008,
DOB:
9/12/1948
ZONE: 3
TELEPHONE: (541)N/A-N/A
TELEPHONE:
CENSUS TRACT: 34
BUILDING/MOBILE PROPERTY OWNER:
ADDRESS:
1008'
I TELEPHONE:
REPORTED BY:
ADDRESS:
I 008,
TELEPHONE:
CAREER FfF:
16 VOLUNTEERF1F:
o I ENGINES:
3 I AERIAL APPARATUS:
I OTHER VEHICLES:
3
MUTUAL AID: 0: None
ACTlONS TAKEN:
14: SALVAGE & OVERHAUL
98: NO ACTION TAKEN
98: NO ACTION TAKEN
METHOD OF EXTINGUISHMENT: ~: PORTABLE EXTINGUISHER
~:~~:~"n.USE' 411: ONE-FAMILY DWELLING, YEAR ROUND USE
MOBILE PROPERTY INVOLVED, 98: NO MOBILE PROPERTY INVOLVED
AGENT OF EXTINGUISHMENT:
;~~~~~ USE, 41: 1 OR 2 FAMILY RESIDENCE
ROOM/AREA OF ORIGIN:
24: KITCHEN, COOKING AREA
EQUIPMENT INVOLVED:
4521: RECEPTACLE, OUTLET,INTERIOR
I JUVEN~~: COU~T: I
IGNmON FACTOR:
FORM OF HEAT:
MATERIAL ARST IGNITED WAS MADE OF:
! ~.. ARST IGNITED:
BUILDING:
ESTIMATED VALUE $1,000.00
CONTENTS
$1,000.00
$0.00
MOBILE PROPERTY AND CONTENTS:
$0.00
$0.00
OTHER:
$0.00
$0.00
ESTIMATED LOSS $500,00
I COMPLETE FOR ALL STRUCTURE FIRES
DETECTOR TYPE: I DETECTOR POWER SUPPLY: I DETECTOR PERFORMANCE:
0: ALARM TYPE UNKNO 1: BATTERY ONLY 1: IN ROOM OF ORIGIN, ALERTED OCCU
SPRINKLER SYSTEM TYPE: I .. OF HEADS OPENED: I SPRINKLER PERFORMANCE:
8: NO SPRINKLERS PRESENT 0 8: NO SPRINKLER PROTECTION
COMPLETE FOR ALL INCIDENTS
IF YES, WHO WILL INVESTIGATE, Y: LOCAL FD PERSONNEL OR TEAM
REASON FOR DETECTOR FAILURE:
0: REASON FOR FAILURE UNKNOW
REASON FOR SPRINKLER FAILURE:
8: NO EXTING, SYSTEM FAILURE
FO~OW-UP INVESTIGATION REQUESTED:
Y
NUMBER OF INJURIES
ARE SERVK:E:
o OTHER:
o
NUMBER OF FATALITIES
nnE: AIC Captain
T1TLE:
FIRE SERVICE;
o OTHER: 0
DATE, 11312005
MEMBER MAKING REPORT; Bean, Curtis
ADDmONAL INFORMATION BY:
DATE:
~s .tm~
" , SFLS Supplemental Fire i.t Report
AlARM DATE: 1I3l2OO5 AlARM TIME: 8:02:00 ARRIVAL DATE: 1I3l2OO5
I , AlARM NO: 05*2 EXPOSURE NO: 0
ARRIVAL TIME: 8:06:00 -'INDATE: 1I3l2OO5 BACK IN TIllE: 9:01:00
'Personnel
Apparatus
803
811
811
811
824
824
824
831
831
831
835
839
839
841
841
841
Narratives
Apparatus
831
Position
BCO
Company Officer
Engineer
Engineer
Company Officer
Engineer
Firefighter
Company Officer
Engineer
Firefighter
FM
Firefighter
Firefi9hter
. Company Officer
Engineer
"Firefighter
Name
Bean, Curtis
Name
Hocking, Bruce
Deedon, Gregory
Ohm, Jason
Bryan, Jeffrey
Sweeney, Scott
Sabatka, Stuart
Phelps, John
Bean, Curtis
Berry, JDhn
Carson, Mathew
Wicks, Joseph
linden, K, Kenny
Lundberg, RDbert
Siennan, Curtis
Young, Andrew
Clark, David
We had a "Nothing Showing" on our anival, went to investigate. Fire was out on our anival, Dccupant had use a dry chern exl. Dn
the wall socket prior our arrival. Shut off the power and called for SUB to pull the meter. Opened the wall up to expose burnt
. area back to clean wood,
Called for FM, Mr Wicks responded and took over investigatiDn, Returned to quarters,
C Bean NCapl.
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