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Home My WebLink AboutFire Report 20-03157_RedactedNFIRS-1 Basic 40060 CA 07 18 2020 Fire Station 1 (FS1) 20-03157 0 FDID State Month Day Year Station Number Exposure Location Type Census tract: Street Address Intersection In Front Of Rear Of Adjacent To Directions US National Grid 893 ISLAY # B Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code Cross Street Incident Type 111-Structure Fire Aid Given Or Received 1 Mutual Aid Received 2 Auto. Aid Received 3 Mutual Aid Given 4 Auto. Aid Given 5 Other Aid Given None Santa Margarita Volunteer Fire Department (40070), CMC Fire Department (40410), Morro Bay Fire Department (40040), Five Cities Fire Authority (40027), CALFIRE (40080) California Their FDID Their State Their Incident Number Dates and Times Alarm 07 18 2020 03:00 Arrival 07 18 2020 03:05 Controlled 07 18 2020 04:03 Last Unit Cleared 07 18 2020 08:04 Shifts and Alarms B 2 FZ1 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value A B C D E1 E2 E3 Page 1 of 13 Actions Taken 11-Extinguishment by fire service personnel Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 5 14 EMS 0 0 Other 0 0 Resource counts include aid received resources. Estimated Dollar Losses and Values Losses:Required for all fires if known. Optional for all non-fires. None Property:$ 178,979.00 Contents:$ 111,862.00 Pre-Incident Values: Optional None Property:$ 298,298.00 Contents:$ 223,724.00 Completed Modules 2 - Fire 3 - Structure Fire 4 - Civilian Fire Cas. 5 - Fire Service Cas. 6 - EMS 7 - HazMat 8 - Wildland Fire 9 - Apparatus 10 - Personnel 11 - Arson Casualties None Deaths Injuries Fire Service 0 0 Civilian 0 0 Detector Required for Confined Fires 1 - Detector Alerted Occupants 2 - Detector Did Not Alert Them 3 - Unknown Hazardous Materials Release 1 - Natural Gas 2 - Propane Gas 3 - Gasoline 4 - Kerosene 5 - Diesel Fuel / Fuel Oil 6 - Household Solvents 7 - Motor Oil 8 - Paint 0 - Other None Mixed Use Property Not Mixed 10 - Assembly Use 20 - Education Use 33 - Medical Use 40 - Residential Use 51 - Row Of Stores 53 - Enclosed Mall 58 - Business and Residential 59 - Office Use 60 - Industrial Use 63 - Military Use 65 - Farm Use 00 - Other Mixed Use Property Use None Structures 131 Church, Place of Worship 161 Restaurant or Cafeteria 162 Bar/Tavern or Nightclub 213 Elementary School, Kindegarten 215 High School, Junior High 241 College, Adult Education 311 Nursing Home 331 Hospital 341 Clinic, Clinic-Type Infirmary 342 Doctor/Dentist Office 361 Prison or Jail, Not Juvenile 419 1- or 2-Family Dwelling 429 MultiFamily Dwelling 439 Rooming/Boarding House 449 Commerical Hotel or Motel 459 Residential, Board and Care 464 Dormitory/Barracks 519 Food and Beverage Sales 539 Household Goods, Sales, Repairs 571 Gas or Service Station 579 Motor Vehicle/Boat Sales/Repairs 599 Business Office 615 Electric-Generating Plant 629 Laboratory/Science Laboratory 700 Manufacturing Plant 819 Livestock/Poultry Storage (Barn) 882 Non-Residential Parking Garage 891 Warehouse Outside 124 Playground or Park 655 Crops or Orchard 669 Forest (Timberland) 807 Outdoor Storage Area 919 Dump or Sanitary Landfill 931 Open Land or Field 936 Vacant Lot 938 Graded/Cared for Plot of Land 946 Lake, River, Stream 951 Railroad Right-of-Way 960 Other Street 961 Highway/Divided Highway 962 Residential Street/Driveway 981 Construction Site 984 Industrial Plant Yard Property Use: Description Look up and enter a Property Use code and description only if you have NOT checked a Property Use box. Person/Entity Involved Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code F G1 G2 H1 H2 H3 I J K1 Page 2 of 13 Owner Mr., Ms., Mrs.First Name MI Last Name Suffix Number Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City State Zip Code Remarks: BC2 C3 with 1st alarm assignment to reports of a structure fire in an apartment complex, smoke visible from FS1, upon arrival BC2 found a single story, multifamily, residential structure with heavy smoke and fire showing from side B and D, attached exposure on threatened on side C, SLOPD on scene, PD and bystanders report all occupants out of the structures, BC2 established Islay IC and declared working incident with ICP located at Islay and Morro, City Tac 1 designated as Tac channel, IC performed walk around of fire scene, unable to complete 360 on side C, overhead powerlines identified on side A and B, communicated to incoming crews, no other life safety hazards noted, T1 arrived at scn and was assigned to initial fire attack on side D, water supply established, T2 assigned to fire attack on side B (initially misidentified as side A by BC2), E3 assigned as Div A with T2 working for him, 2 Out in place, E4 arrived at scene and was assigned to the exposure on side C, BC 3411 assigned Safety, utilities secured, E3385 assigned to assist E4 on exposure as 2 Out, fire knocked down on side D, Second Alarm requested, T1 reassigned to Roof Division, Div A reported fire knocked down and primary clear on sides A and B, Ambulance assigned as Medical group via face to face and staged near ICP, Chief 1 arrived at scn and was assigned as Div C, Investigator and Red Cross requested, secondary search all clear in all units, second alarm units arrived at level 1 staging for assignmen... Full primary narrative can be found in NFIRS 1S - Supplemental Authorization 35110 Fox II, Samuel Battalion Chief 07/18/2020 Officer In Charge ID Signature Position or Rank Assignment Date 35110 Fox II, Samuel Battalion Chief 07/18/2020 Member Making Report ID Signature Position or Rank Assignment Date K2 L M Page 3 of 13 NFIRS-2 Fire 40060 CA 07 18 2020 Fire Station 1 (FS1) 20-03157 0 FDID State Month Day Year Station Number Exposure Property Details B1 5 Not Residential Estimated number of residential living units in the building of origin whether or not all units became involved B2 1 Buildings Not Involved Number of buildings involved B3 None Less than 1 acre Acres burned (outside fires) On-Site Materials Or Products On-Site Materials Storage Use Ignition D1 14-Common room, den, family room, living room, lounge Area of Fire Origin D2 Undetermined Heat Source D3 Undetermined Item First Ignited D4 Type of Material First Ignited Cause of Ignition 1 - Intentional 2 - Unintentional 3 - Failure of Equipment or Heat Source 4 - Act of Nature 5 - Cause Under Investigation U - Cause Undetermined After Investigation Factors Contributing to Ignition Factor Contributing to Ignition Human Factors Contributing to Ignition Check all applicable boxes None 1 - Asleep 2 - Possibly impaired by alcohol or drugs 3 - Unattended person 4 - Possibly Mentally Disabled 5 - Physically Disabled 6 - Multiple Persons Involved 7 - Age Was A Factor Estimated Age of Person Involved Male Female Equipment Involved In Ignition None Equipment Involved Brand Model Serial # Year Equipment Power Source Equipment Power Source Equipment Portability 1 - Portable 2 - Stationary Portable equipment normally can be moved by one or two persons. Fire Suppression Factors A B C D E1 E2 E3 F1 F2 F3 G Page 4 of 13 Mobile Property Involved 1 - Not involved in ignition, but burned 2 - Involved in ignition, but did not burn 3 - Involved in ignition and burned None Mobile Property Type and Make Mobile Property Type Mobile Property Make Local Use Pre-Fire Plan Available Arson Report Attached Police Report Attached Coroner Report Attached Other Reports Attached Mobile Property Model Year State License Plate Number VIN _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ H1 H2 Page 5 of 13 NFIRS-3 Structure Fire Structure Type 1 - Enclosed Building 2 - Portable/Mobile Structure 3 - Open Structure 4 - Air-Supported Structure 5 - Tent 6 - Open Platform 7 - Underground Structure 8 - Connective Structure 0 - Other Building Status 1 - Under Construction 2 - In Normal Use 3 - Idle, Not Routinely Used 4 - Under Major Renovation 5 - Vacant and Secured 6 - Vacant and Unsecured 7 - Being Demolished 0 - Other U - Undetermined Building Height 1 Number of Stories At/Above Grade 0 Number of Stories Below Grade Main Floor Size 2800 Total Square Feet OR BY Length (ft) X Width (ft) Fire Origin 1 Below Grade Story of Fire Origin Fire Spread Confined to Object of Origin 2 - Confined to Room of Origin 3 - Confined to Floor of Origin 4 - Confined to Building of Origin 5 - Beyond Building of Origin Number of Stories Damaged By Flame Number of Stories w/Minor Damage (1-24%) Number of Stories w/Significant Damage (25-49%) Number of Stories w/Heavy Damage (50-74%) Number of Stories w/Extreme Damage (75-100%) *Count the roof as part of the highest story Type of Material Contributing Most to Flame Spread K1 Item Contributing Most to Flame Spread K2 Type of Material Contributing Most To Flame Spread Presence of Detectors N - None Present 1 - Present U - Undetermined Detector Type 1 - Smoke 2 - Heat 3 - Combination of Smoke and Heat 4 - Sprinkler, Water Flow Detection 5 - More Than One Type Present 0 - Other U - Undetermined Detector Power Supply 1 - Battery Only 2 - Hardwire Only 3 - Plug-In 4 - Hardwire With Battery 5 - Plug-In With Battery 6 - Mechanical 7 - Multiple Detectors & Power Supplies 0 - Other U - Undetermined Detector Operation 1 - Fire Too Small To Activate 2 - Operated 3 - Failed To Operate U - Undetermined Detector Effectiveness 1 - Alerted Occupants, Occupants Responded 2 - Alerted Occupants, Occupants Failed to Respond 3 - There Were No Occupants 4 - Failed to Alert Occupants U - Undetermined Detector Failure Reason 1 - Power Failure, Shutoff, or Disconnect 2 - Improper Installation or Placement 3 - Defective 4 - Lack of Maintenance, Dirty 5 - Battery Missing or Disconnected 6 - Battery Discharged or Dead 0 - Other U - Undetermined I1 I2 I3 I4 J1 J2 J3 K L1 L2 L3 L4 L5 L6 Page 6 of 13 Presence of Automatic Extinguishing System N - None Present 1 - Present 2 - Partial System Present U - Undetermined Type of Automatic Extinguishing System 1 - Wet-Pipe Sprinkler 2 - Dry-Pipe Sprinkler 3 - Other Sprinkler System 4 - Dry Chemical System 5 - Foam System 6 - Halogen-Type System 7 - Carbon Dioxide System 0 - Other U - Undetermined Required if fire was within designed range of AES Operation of Automatic Extinguishing System 1 - Operated/Effective 2 - Operated/Not Effective 3 - Fire Too Small To Activate 4 - Failed To Operate 0 - Other U - Undetermined Required if fire was within designed range Number of Sprinkler Heads Operating Required if system operated Reason for Automatic Extinguishing System Failure 1 - System Shut Off 2 - Not Enough Agent Discharged 3 - Agent Discharged But Did Not Reach Fire 4 - Wrong Type of System 5 - Fire Not In Area Protected 6 - System Components Damaged 7 - Lack of Maintenance 8 - Manual Intervention 0 - Other U - Undetermined Required if system failed or not effective M1 M2 M3 M4 M5 Page 7 of 13 NFIRS-9 Apparatus or Resources 40060 CA 07 18 2020 Fire Station 1 (FS1) 20-03157 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC2 Type:92-Chief officer car Dispatch:07/18/2020 03:00 Arrival:07/18/2020 03:07 Clear: Sent 1 Suppression EMS Other 81-Incident command ID:E3 Type:11-Engine Dispatch:07/18/2020 03:00 Arrival:07/18/2020 03:10 Clear: Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel 12-Salvage & overhaul ID:E4 Type:11-Engine Dispatch:07/18/2020 03:00 Arrival:07/18/2020 03:07 Clear: Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel ID:T1 Type:12-Truck or aerial Dispatch:07/18/2020 03:00 Arrival:07/18/2020 03:05 Clear: Sent 4 Suppression EMS Other 11-Extinguishment by fire service personnel 51-Ventilate 12-Salvage & overhaul 10-Fire control or extinguishment, other ID:T2 Type:12-Truck or aerial Dispatch:07/18/2020 03:00 Arrival:07/18/2020 03:07 Clear: Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel A Page 8 of 13 NFIRS-10 Personnel 40060 CA 07 18 2020 Fire Station 1 (FS1) 20-03157 0 FDID State Month Day Year Station Number Exposure A Page 9 of 13 B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC2 Type:92-Chief officer car Dispatch:07/18/2020 03:00 Arrival:07/18/2020 03:07 Clear: Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 35110 Fox II, Samuel Battalion Chief ID:E3 Type:11-Engine Dispatch:07/18/2020 03:00 Arrival:07/18/2020 03:10 Clear: Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel 12-Salvage & overhaul Personnel ID Name Rank Role Attend Actions Taken 57385 Larson, Jody Captain 14857 Barthel, Dustin Firefighter 73110 Reiss, Devin Engineer ID:E4 Type:11-Engine Dispatch:07/18/2020 03:00 Arrival:07/18/2020 03:07 Clear: Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken 50826 Johnston, Kenneth Firefighter 46955 Hoover, Nicholas Captain 92335 Williams, Joseph Engineer ID:T1 Type:12-Truck or aerial Dispatch:07/18/2020 03:00 Arrival:07/18/2020 03:05 Clear: Sent 4 Suppression EMS Other 11-Extinguishment by fire service personnel 51-Ventilate 12-Salvage & overhaul 10-Fire control or extinguishment, other Personnel ID Name Rank Role Attend Actions Taken 92892 Woods, Mitchell Firefighter 73250 Renner, David Engineer 70100 Polkow, Matthew Engineer 38890 Gonzalez, Steven Captain ID:T2 Type:12-Truck or aerial Dispatch:07/18/2020 03:00 Arrival:07/18/2020 03:07 Clear: Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken 74579 Robertson, Travis Firefighter 50050 Jeckell, Matthew Engineer 44555 Hasch, Nathan Captain Page 10 of 13 NFIRS-1S Supplemental 40060 CA 07 18 2020 Fire Station 1 (FS1) 20-03157 0 FDID State Month Day Year Station Number Exposure Primary Narrative: BC2 C3 with 1st alarm assignment to reports of a structure fire in an apartment complex, smoke visible from FS1, upon arrival BC2 found a single story, multifamily, residential structure with heavy smoke and fire showing from side B and D, attached exposure on threatened on side C, SLOPD on scene, PD and bystanders report all occupants out of the structures, BC2 established Islay IC and declared working incident with ICP located at Islay and Morro, City Tac 1 designated as Tac channel, IC performed walk around of fire scene, unable to complete 360 on side C, overhead powerlines identified on side A and B, communicated to incoming crews, no other life safety hazards noted, T1 arrived at scn and was assigned to initial fire attack on side D, water supply established, T2 assigned to fire attack on side B (initially misidentified as side A by BC2), E3 assigned as Div A with T2 working for him, 2 Out in place, E4 arrived at scene and was assigned to the exposure on side C, BC 3411 assigned Safety, utilities secured, E3385 assigned to assist E4 on exposure as 2 Out, fire knocked down on side D, Second Alarm requested, T1 reassigned to Roof Division, Div A reported fire knocked down and primary clear on sides A and B, Ambulance assigned as Medical group via face to face and staged near ICP, Chief 1 arrived at scn and was assigned as Div C, Investigator and Red Cross requested, secondary search all clear in all units, second alarm units arrived at level 1 staging for assignment, E5191 assigned to work for Div A, E64, E15, and E7891 assigned to work for Div C, E5391 assigned to City coverage with BC1 and E21, M52 and BS62 assigned as Rehab, Five Cities BC assigned to relieve Div C, fire overhauled and salvage operations initiated, Chief 1 assisted with investigation and interview of occupants from apartment of origin, Prevention 23 arrived at scene and was assigned investigation, SLOPD performed Arson investigation, Prev 3428 arrived at scn to assist with investigation, damage noted to exposure on side D ith broken windows on apartments 1 and 8 on Divisions 1 and 2 of the A/B corner, paint damaged and blistered on the B side of structure, no interior fire extension noted, second alarm units rehabbed and released, occupants of apartment of origin at 1609 Morro ( given SAVE card occupant of given SAVE card and occupant of given SAVE card according to property owners occupants of were out of town and not at scene, occupant of Exposure C at , occupants of 1609 Morro, were put in contact with Red Cross, occupant of declined Red Cross assistance, salvage and overhaul complete, window on division 1 of exposure D by Truck 1 crew, all suppression units released, scene turned over to Prev 23 and Prev 3428, command terminated and BC2 avail. Person/Entity Involved Suffix Number Prefix Street or Highway Street Type Suffix City of San Luis Obispo Post Office Box Apt./Suite/Room City CA 93401 State Zip Code A Page 11 of 13 Person/Entity Involved Street or Highway Street Type Suffix City of San Luis Obispo Post Office Box Apt./Suite/Room City CA 93401 State Zip Code Person/Entity Involved Number Prefix Street or Highway Street Type Suffix City of San Luis Obispo Post Office Box Apt./Suite/Room City CA 93401 State Zip Code Person/Entity Involved Mr., Ms., Mrs.First Name MI Last Name Suffix 1607 Morro Number Prefix Street or Highway Street Type Suffix City of San Luis Obispo Post Office Box Apt./Suite/Room City CA 93401 State Zip Code Page 12 of 13 Person/Entity Involved Number Prefix Street or Highway Street Type Suffix City of San Luis Obispo Post Office Box Apt./Suite/Room City CA 93401 State Zip Code Additional Narrative (#1 of 4 ): T-1 arrived on scene to find working structure fire of 4 unit complex with multiple exposures threatened. Heavy fire and smoke showing. T-1 initiated fire attack on Islay (side C) and transitioned to Roof Division per IC. Truck objective completed by constructing two vertical ventilation holes. One 4x4 over Morro and one 4x8 over Morro T-1 Rehab T-1 Salvage and overhaul two apt units on Islay. Contact made by Property found (JBL earbuds) IFO Islay unit and handed over to Officer Womak. Additional Narrative (#2 of 4 ): T-2 arrived on scene of a multi family residence with heavy fire showing from side A (later clarified as side B). Islay IC assigned T-2 to fire attack on DIV A, working for E-3. T-2 pulled a cross lay and started transitional attack of the involved unit. T-2 also completed primary searches in exposures to the right and left of the involve unit on side A. T-2 noted moderate smoke coming from the gable vent of the exposure to the right of the primary unit. T-2 entered the unit and opened up the ceiling and noted fire in the attic. T-2 extinguished the fire in the attic and began over hall. T-2 was released to rehab after multiple SCBA bottles. T-2 returned to DIV A and assisted with completing overhaul. T-2 reloaded equipment and was released from the incident. Additional Narrative (#3 of 4 ): E4 arrived at scene and spotted behind T1, which had two crosslays deployed. E4 was assigned to exposure B, pulled a crosslay (both hoselines were deployed from T1), and made access to the back of the unit via a retaining wall. A door was opened leading to the subfloor, where heavy smoke was noted. No fire noted on TIC scan, E4 then forced the rear door later re-identified as exposure C, and noted fire damage in the bathroom. E4 pulled ceiling and checked for extension, none was located. E4 proceeded to overhaul the bathroom area. FF4 was assigned to rehab, E4 became accountability. After accountability assignment was complete, E4 escorted the property owner so he could assess the damage. E4 was then released by the IC. Additional Narrative (#4 of 4 ): E-3 arrived on scene to find working structure fire of 4 unit complex with multiple exposures threatened. Heavy fire and smoke showing. Islay I.C. assigned E-3 Division A which consisted of T-2 who was assigned fire attack on side B (Bravo). Operator 3 and FF-3 assited T-2 with fire attack and primary search of occupants from Sides B (Bravo) and A(Aplha). Page 13 of 13