HomeMy WebLinkAboutFredericks Fire Report_RedactedNFIRS-1 Basic
40060 CA 07 05 2023 Fire Station
2 (FS2)
23-04019 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
1739 FREDERICKS
Number Prefix Street or Highway Street Type Suffix
San Luis Obispo CA 93401
Apt./Suite/Room City State Zip Code
Cross Street
Incident Type
444-Power line down
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
Their FDID Their
State
Their Incident Number
Dates and Times
Alarm 07 05 2023 15:07
Arrival 07 05 2023 15:12
Controlled
Last Unit
Cleared
07 05 2023 16:46
Shifts and Alarms
A FZ2
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 7
Actions Taken
40-Hazardous condition, other
Primary Action Taken
Resources
Apparatus or Personnel Module is used.
Apparatus Personnel
Suppression 4 10
EMS 1 1
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:$
Contents:$
Pre-Incident Values: Optional None
Property:$
Contents:$
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.
Owner
Local Option Person/Entity Type Business Name (if applicable)Phone Number
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
K2
Page 2 of 7
Remarks:
T2 responded as part of a first alarm to power lines down at Love To Learn Preschool. Upon arrival T2 established command
and began investigating location. BC3 assumed command and established T2 as Div C at the preschool. T2 confirmed assisted
relocating children and teachers to a adjacent church for safety. Upon finding safe working location, T2 stretched hose line
to extinguish small smoldering fire in the leaves at the base of the power pole. No threat or other hazard from fire noted.
Upon other units being released, T2 remained at scene to isolate entry into area at house where cause originated from
weather-head being knocked over by construction crew. Upon PG&E deeming that area safe FF2 returned. T2 assisted
teachers, and parents retrieving their children's belongings. Upon completion of cutting power to drop T2 terminated
command, cleared incident.
Authorization
80947 Skove, Shayne Battalion Chief 07/05/2023
Officer In Charge ID Signature Position or Rank Assignment Date
34590 Flatos, Alec Fire Captain 07/05/2023
Member Making Report
ID
Signature Position or Rank Assignment Date
L
M
Page 3 of 7
NFIRS-9 Apparatus or Resources
40060 CA 07 05 2023 Fire Station
2 (FS2)
23-04019 0
FDID State Month Day Year Station Number Exposure
B
Apparatus/Resource Dates/Times Sent
Number
of People Apparatus Use Actions Taken
ID:BC3
Type:
92-Chief officer
car
Dispatch:07/05/2023 15:07
Arrival:07/05/2023 15:12
Clear:
Sent 1 Suppression
EMS
Other
81-Incident command
ID:E3
Type:11-Engine
Dispatch:07/05/2023 15:07
Arrival:07/05/2023 15:15
Clear:07/05/2023 15:15
Sent 3 Suppression
EMS
Other
92-Standby
ID:E4
Type:11-Engine
Dispatch:07/05/2023 15:07
Arrival:07/05/2023 15:15
Clear:07/05/2023 15:46
Sent 3 Suppression
EMS
Other
53-Evacuate area
55-Establish safe area
ID:MCU1
Type:75-BLS unit
Dispatch:
Arrival:
Clear:07/05/2023 15:16
Sent 1 Suppression
EMS
Other
93-Cancelled en route
ID:T2
Type:12-Truck or aerial
Dispatch:07/05/2023 15:07
Arrival:07/05/2023 15:12
Clear:07/05/2023 16:46
Sent 3 Suppression
EMS
Other
53-Evacuate area
11-Extinguishment by fire service
personnel
81-Incident command
A
Page 4 of 7
NFIRS-10 Personnel
40060 CA 07 05 2023 Fire Station
2 (FS2)
23-04019 0
FDID State Month Day Year Station Number Exposure
B
Apparatus/Resource Dates/Times Sent
Number
of People Apparatus Use Actions Taken
ID:BC3
Type:
92-Chief
officer car
Dispatch:07/05/2023 15:07
Arrival:07/05/2023 15:12
Clear:
Sent 1 Suppression
EMS
Other
81-Incident command
Personnel ID Name Rank Role Attend Actions Taken
80947 Skove, Shayne Battalion
Chief
ID:E3
Type:11-Engine
Dispatch:07/05/2023 15:07
Arrival:07/05/2023 15:15
Clear:07/05/2023 15:15
Sent 3 Suppression
EMS
Other
92-Standby
Personnel ID Name Rank Role Attend Actions Taken
54190 King, Michael Captain
99186 McAninch, Scott Engineer
30791 Doolin, Luke Firefighter
ID:E4
Type:11-Engine
Dispatch:07/05/2023 15:07
Arrival:07/05/2023 15:15
Clear:07/05/2023 15:46
Sent 3 Suppression
EMS
Other
53-Evacuate area
55-Establish safe area
Personnel ID Name Rank Role Attend Actions Taken
73250 Renner, David Captain
66265 Nason, William Engineer
99552 Morrison, Keanu Firefighter
ID:MCU1
Type:75-BLS unit
Dispatch:
Arrival:
Clear:07/05/2023 15:16
Sent 1 Suppression
EMS
Other
93-Cancelled en route
Personnel ID Name Rank Role Attend Actions Taken
99163 Martin, Ted 5588012-Firefighter
ID:T2
Type:
12-Truck or
aerial
Dispatch:07/05/2023 15:07
Arrival:07/05/2023 15:12
Clear:07/05/2023 16:46
Sent 3 Suppression
EMS
Other
53-Evacuate area
11-Extinguishment by fire
service personnel
81-Incident command
Personnel ID Name Rank Role Attend Actions Taken
34590 Flatos, Alec Captain
74579 Robertson, Travis Engineer
100070 Kaperonis, George Firefighter
A
Page 5 of 7
Page 6 of 7
NFIRS-1S Supplemental
40060 CA 07 05 2023 Fire Station
2 (FS2)
23-04019 0
FDID State Month Day Year Station Number Exposure
Primary Narrative:
T2 responded as part of a first alarm to power lines down at Love To Learn Preschool. Upon arrival T2 established command
and began investigating location. BC3 assumed command and established T2 as Div C at the preschool. T2 confirmed assisted
relocating children and teachers to a adjacent church for safety. Upon finding safe working location, T2 stretched hose line
to extinguish small smoldering fire in the leaves at the base of the power pole. No threat or other hazard from fire noted.
Upon other units being released, T2 remained at scene to isolate entry into area at house where cause originated from
weather-head being knocked over by construction crew. Upon PG&E deeming that area safe FF2 returned. T2 assisted
teachers, and parents retrieving their children's belongings. Upon completion of cutting power to drop T2 terminated
command, cleared incident.
Additional Narrative (#1 of 2 ):
E4 responded code 3 to dispatched address for a report of an unknown electrical fire. E4 arrived at scene to find BC3 and T2
on scene establishing command and sizing up the scene. BC3 assigned E4 to DIV A with primary objective to evacuate
structure, isolate area and protect exposures. E4 made contact with resident at structure where the down power lines were
on. Resident was escorted across the street to safe location. E4 extended a hose line to backyard where a small vegetation
fire was smoldering. E4 extinguished fire on DIV A side. Isolation tape was put up on A side. Once smoldering fire was
extinguished E4 was released by IC and returned to station without incident.
Additional Narrative (#2 of 2 ):
Reporting Party info:
Works on scene claimed that they were working around power line drop to house when the weather head fell over
unexpectedly then started sparking. Works evacuated area and called 911.
A
Page 7 of 7