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HomeMy WebLinkAbout1813 Gathe Fire ReportNFIRS-1 Basic 40060 CA 01 05 2025 Fire Station 4 (FS4) 25-00080 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 1813 GATHE 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 CALFIRE (40080) Their FDID Their State Their Incident Number Dates and Times Alarm 01 05 2025 10:33 Arrival 01 05 2025 10:38 Controlled 01 05 2025 10:55 Last Unit Cleared 01 05 2025 14:28 Shifts and Alarms C 1 FZ4 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 12 Actions Taken 11-Extinguishment by fire service personnel Primary Action Taken 12-Salvage & overhaul Additional 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:$ 12,439.00 Contents:$ 13,327.00 Pre-Incident Values: Optional None Property:$ 177,699.00 Contents:$ 133,274.00 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. 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 12 Remarks: E4 responded to above location with a first alarm assignment for a reported structure fire. On arrival E4 assumed Gathe IC and reported smoke coming from A-side of structure and was in a offensive mode. E4 operator pulled a crosslay and worked on water supply while E4 FF and Captain performed 360. On arrival, a local citizen was using a garden hose through the window of the bedroom on the A-D corner of the structure. E4 captain met with RP in front of residence and she stated that the fire started in bedroom and all occupants were out the residence but her animals were unaccounted for and possibly still inside. The bedroom she mentioned was the A-D corner of the residence. E4 completed 360 and determined fire was still contained to the room of origin and that we have a low victim profile. Still be working in offensive mode and entry will be made on delta side of structure. Entry was not made till 2 out conditions were met. All units were to switch to city tac 1. E4 made entry and found a closed bedroom door to the fire room. E4 FF extinguished remaining fire and heat sources within minutes. Additional crews were assigned to Division Alpha and helped assist with ventilation, extinguishment, and salvage/overhaul. A primary and secondary of the residence was performed. The animals that were unaccounted for had all been found and were with the residents. For more information on each apparatus, see each additional narratives. BC3 (Gathe IC) released all units... Full primary narrative can be found in NFIRS 1S - Supplemental Authorization 62800 MacDonald, John Battalion Chief 01/05/2025 Officer In Charge ID Signature Position or Rank Assignment Date 50050 Jeckell, Matthew Fire Captain 01/05/2025 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 12 NFIRS-2 Fire 40060 CA 01 05 2025 Fire Station 4 (FS4) 25-00080 0 FDID State Month Day Year Station Number Exposure Property Details B1 1 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 Undetermined 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 Undetermined 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 Undetermined Equipment Involved Brand Model Serial # Year Equipment Power Source Undetermined 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 12 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 12 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 1440 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 12 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 12 NFIRS-9 Apparatus or Resources 40060 CA 01 05 2025 Fire Station 4 (FS4) 25-00080 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:01/05/2025 10:33 Arrival:01/05/2025 10:41 Clear:01/05/2025 13:27 Sent 1 Suppression EMS Other 81-Incident command ID:E2 Type:11-Engine Dispatch:01/05/2025 10:33 Arrival:01/05/2025 10:42 Clear:01/05/2025 12:01 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel ID:E3 Type:11-Engine Dispatch:01/05/2025 10:33 Arrival:01/05/2025 10:43 Clear: Sent 3 Suppression EMS Other 10-Fire control or extinguishment, other ID:E4 Type:11-Engine Dispatch:01/05/2025 10:33 Arrival:01/05/2025 10:38 Clear:01/05/2025 14:28 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel ID:T1 Type:12-Truck or aerial Dispatch:01/05/2025 10:33 Arrival:01/05/2025 10:43 Clear:01/05/2025 11:55 Sent 4 Suppression EMS Other 51-Ventilate A Page 8 of 12 NFIRS-10 Personnel 40060 CA 01 05 2025 Fire Station 4 (FS4) 25-00080 0 FDID State Month Day Year Station Number Exposure A Page 9 of 12 B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:BC2 Type: 92-Chief officer car Dispatch:01/05/2025 10:33 Arrival:01/05/2025 10:41 Clear:01/05/2025 13:27 Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Battalion Chief ID:E2 Type:11-Engine Dispatch:01/05/2025 10:33 Arrival:01/05/2025 10:42 Clear:01/05/2025 12:01 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken 99163 Martin, Ted Firefighter 74579 Robertson, Travis Engineer 44555 Hasch, Nathan Captain ID:E3 Type:11-Engine Dispatch:01/05/2025 10:33 Arrival:01/05/2025 10:43 Clear: Sent 3 Suppression EMS Other 10-Fire control or extinguishment, other Personnel ID Name Rank Role Attend Actions Taken 99188 Thoele, Brendan Engineer 14845 Barrett, Richard Captain 99161 Hutslar, Dane Firefighter ID:E4 Type:11-Engine Dispatch:01/05/2025 10:33 Arrival:01/05/2025 10:38 Clear:01/05/2025 14:28 Sent 3 Suppression EMS Other 11-Extinguishment by fire service personnel Personnel ID Name Rank Role Attend Actions Taken 50050 Jeckell, Matthew Captain 100077 Greenelsh, Nathaniel Firefighter 99187 Sensenbach, Mickey Engineer ID:T1 Type:12-Truck or aerial Dispatch:01/05/2025 10:33 Arrival:01/05/2025 10:43 Clear:01/05/2025 11:55 Sent 4 Suppression EMS Other 51-Ventilate Personnel ID Name Rank Role Attend Actions Taken 61580 Mason, Ryan Engineer 100069 DeLeuw, Casey Firefighter 88690 Vasquez, Mark Captain 90841 Weis, Trevor Engineer Page 10 of 12 NFIRS-1S Supplemental 40060 CA 01 05 2025 Fire Station 4 (FS4) 25-00080 0 FDID State Month Day Year Station Number Exposure Primary Narrative: E4 responded to above location with a first alarm assignment for a reported structure fire. On arrival E4 assumed Gathe IC and reported smoke coming from A-side of structure and was in a offensive mode. E4 operator pulled a crosslay and worked on water supply while E4 FF and Captain performed 360. On arrival, a local citizen was using a garden hose through the window of the bedroom on the A-D corner of the structure. E4 captain met with RP in front of residence and she stated that the fire started in bedroom and all occupants were out the residence but her animals were unaccounted for and possibly still inside. The bedroom she mentioned was the A-D corner of the residence. E4 completed 360 and determined fire was still contained to the room of origin and that we have a low victim profile. Still be working in offensive mode and entry will be made on delta side of structure. Entry was not made till 2 out conditions were met. All units were to switch to city tac 1. E4 made entry and found a closed bedroom door to the fire room. E4 FF extinguished remaining fire and heat sources within minutes. Additional crews were assigned to Division Alpha and helped assist with ventilation, extinguishment, and salvage/overhaul. A primary and secondary of the residence was performed. The animals that were unaccounted for had all been found and were with the residents. For more information on each apparatus, see each additional narratives. BC3 (Gathe IC) released all units on the incident except for E4 to assist with fire investigation and securing the residence. E4 also assisted the residents with gathering some prersonal belongings before leaving the incident. E4 personnel assisted Investigator Koznek with his investigation. Servpro arrived on scene and E4 personnel assisted with boarding up window to secure the residence. Both the front and back doors were locked as well. At the time E4 left the incident everyone had left the incident. Additional Narrative (#1 of 4 ): On arrival, I took over Gathe IC from E4. I then assigned E4 fire attack, and primary search, T1 ventilation, and utilities, E2 DIV. Alph, assist with water supply, and two out, E3 backup fire attack, and E21 to assist occupants (who were out safely) and check for medical needs. I then requested a working incident. Once the fire was knocked down, I requested an investigator, and fire investigator Koznick responded. The crews continued with fully extinguishing the fire and completing a secondary search. The house was all clear. A board up company was requested and responded to board up one window in the A/D corner Additional Narrative (#2 of 4 ): On arrival E-2 was assigned Div. A and assist with water supply. Pump 2 assisted Pump 4 with water supply. Div. A made contact with E-4 and advised E-4 they were working for Div. A and had FF2 for a crew strength of 3. Div. A completed a 360 noting no additional hazards. Div. A coordinated ventilation, primary and secondary all clears, and gathered information for the investigation. E-2 completed the assignment and was released. Additional Narrative (#3 of 4 ): Upon arrival T1 was assigned ventilation and utilities, therefore Truck 1 personnel set up mechanical fans for horizontal ppv, and shut off the utilities to the structure. Additional Narrative (#4 of 4 ): Upon arrival E3 was assigned to assist E4 with Fire Attack. E3 face to face with E4, no further FA needed, Given assignment of 2secondary search of structure for animals. All animals accounted for. A Page 11 of 12 Apparatus Narrative for E2: N/A Page 12 of 12