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Home My WebLink About23-06664NFIRS -1 Basic 40060 CA 11 05 2023 Fire Station 4 (FS4) 23-06664 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 LOVR Number Prefix Street or Highway Street Type Suffix San Luis Obispo CA 93401 Apt./Suite/Room City State Zip Code CALLE JOAQUIN Cross Street Incident Type 322-Motor vehicle accident with injuries (not extrication) 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 11 05 2023 16:51 Arrival 11 05 2023 16:55 Controlled Last Unit Cleared 11 05 2023 18:08 Shifts and Alarms B NA FZ4 Shift or Platoon Alarms District Special Studies 9244 3 - No, COVID 19 was not a factor ID#Value Actions Taken 81-Incident command Primary Action Taken 00-Action taken, other Additional Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 3 8 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:$ Contents:$ Pre-Incident Values: Optional None Property:$ Contents:$ A B C D E1 E2 E3 F G1 G2 Page 1 of 6 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 Remarks: Engine 4, T1 and BC were dispatched to a vehicle accident near a local intersection. Upon our arrival there were 4 vehicles that were stopped in the middle of the road. One vehicle turned out to be a witness who was uninvolved. The other three vehicle had major damage. E4 blocked traffic to provide a safe working scene. One of the drivers who was ambulatory had a laceration to his face and swelling over his left eye. SLAS M2 was given this patient who had been driving the Nissan. The two other drivers of vehicles, (Toyota forerunner and Toyota truck) denied injury and assessment. E4's crew stabilized the vehicles and set a cone pattern to direct traffic around the scene. E4's crew then cleaned up the broken car parts that were on the ground. SLOPD had E4 remain on scene util tow trucks were able to remove the damaged vehicles. H1 H2 H3 I J K2 L Page 2 of 6 Authorization 70995 Pratt, Jason Fire Captain 11/05/2023 Officer In Charge ID Signature Position or Rank Assignment Date 70995 Pratt, Jason Fire Captain 11/05/2023 Member Making Report ID Signature Position or Rank Assignment Date M Page 3 of 6 NFIRS -9 Apparatus or Resources 40060 CA 11 05 2023 Fire Station 4 (FS4) 23-06664 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:11/05/2023 16:52 Arrival:11/05/2023 16:57 Clear:11/05/2023 17:06 Sent 1 Suppression EMS Other 70-Assistance, other ID:E4 Type:11-Engine Dispatch:11/05/2023 16:51 Arrival:11/05/2023 16:55 Clear:11/05/2023 18:08 Sent 3 Suppression EMS Other 81-Incident command 31-Provide first aid & check for injuries 00-Action taken, other 55-Establish safe area ID:T1 Type:12-Truck or aerial Dispatch:11/05/2023 16:51 Arrival: Clear: Sent 4 Suppression EMS Other 93-Cancelled en route A Page 4 of 6 NFIRS -10 Personnel 40060 CA 11 05 2023 Fire Station 4 (FS4) 23-06664 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:11/05/2023 16:52 Arrival:11/05/2023 16:57 Clear:11/05/2023 17:06 Sent 1 Suppression EMS Other 70-Assistance, other Personnel ID Name Rank Role Attend Actions Taken 62800 MacDonald, John Battalion Chief ID:E4 Type:11-Engine Dispatch:11/05/2023 16:51 Arrival:11/05/2023 16:55 Clear:11/05/2023 18:08 Sent 3 Suppression EMS Other 81-Incident command 31-Provide first aid & check for injuries 00-Action taken, other 55-Establish safe area Personnel ID Name Rank Role Attend Actions Taken 70995 Pratt, Jason Captain 99162 Kraemer, Luke Firefighter 99187 Sensenbach, Mickey Engineer ID:T1 Type:12-Truck or aerial Dispatch:11/05/2023 16:51 Arrival: Clear: Sent 4 Suppression EMS Other 93-Cancelled en route Personnel ID Name Rank Role Attend Actions Taken 100076 McClanahan, Maren Firefighter 25944 Child, Robert Engineer 54190 King, Michael Captain 99161 Hutslar, Dane Engineer A Page 5 of 6 NFIRS -1S Supplemental 40060 CA 11 05 2023 Fire Station 4 (FS4) 23-06664 0 FDID State Month Day Year Station Number Exposure Primary Narrative: Engine 4, T1 and BC were dispatched to a vehicle accident near a local intersection. Upon our arrival there were 4 vehicles that were stopped in the middle of the road. One vehicle turned out to be a witness who was uninvolved. The other three vehicle had major damage. E4 blocked traffic to provide a safe working scene. One of the drivers who was ambulatory had a laceration to his face and swelling over his left eye. SLAS M2 was given this patient who had been driving the Nissan. The two other drivers of vehicles, (Toyota forerunner and Toyota truck) denied injury and assessment. E4's crew stabilized the vehicles and set a cone pattern to direct traffic around the scene. E4's crew then cleaned up the broken car parts that were on the ground. SLOPD had E4 remain on scene util tow trucks were able to remove the damaged vehicles. A Page 6 of 6