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HomeMy WebLinkAboutNFIRS Report 2200249NFIRS-1 Basic 27113 MN 07 22 2022 Long Lake Fire Department Station 2 (2) 2200249 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 2815 Casco Point RD-Road Number Prefix Street or Highway Street Type Suffix City of Orono MN 55356 Apt./Suite/Room City State Zip Code Cross Street Incident Type 143-Grass 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 Their FDID Their State Their Incident Number Dates and Times Alarm 07 22 2022 02:22 Arrival 07 22 2022 02:32 Controlled 07 22 2022 02:40 Last Unit Cleared 07 22 2022 03:53 Shifts and Alarms Orono Shift or Platoon Alarms District Special Studies 1 No ID#Value A B C D E1 E2 E3 Page 1 of 11 Actions Taken 11-Extinguishment by fire service personnel Primary Action Taken Resources Apparatus or Personnel Module is used. Apparatus Personnel Suppression 4 8 EMS 0 0 Other 2 5 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:$ 0 Contents:$ 20,000.00 Pre-Incident Values: Optional None Property:$ 0 Contents:$ 20,000.00 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 11 Remarks: Arrived on scene to a grass fire that spread to a deck and dock. We applied water to extinguish the grass fire and the deck. After the fire was out we did overhaul to make sure that the fire had not spread. Authorization 180 Kanive, Ryan Lieutenant Long Lake Fire Department Station 1 07/22/2022 Officer In Charge ID Signature Position or Rank Assignment Date 180 Kanive, Ryan Lieutenant Long Lake Fire Department Station 1 07/22/2022 Member Making Report ID Signature Position or Rank Assignment Date L M Page 3 of 11 NFIRS-2 Fire 27113 MN 07 22 2022 Long Lake Fire Department Station 2 (2) 2200249 0 FDID State Month Day Year Station Number Exposure Property Details B1 Not Residential Estimated number of residential living units in the building of origin whether or not all units became involved B2 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 Area of Fire Origin D2 Heat Source D3 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 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 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 11 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 11 NFIRS-8 Wildland Fire 27113 MN 07 22 2022 Long Lake Fire Department Station 2 (2) 2200249 0 FDID State Month Day Year Station Number Exposure Alternate Location Specification North South East West Township Range Section Subsection Meridian Area Type 1 - Rural, Farms > 50 Acres 2 - Urban (Heavily Populated) 3 - Rural/Urban or Suburban 4 - Urban-Wildland Interface Area Wildland Fire Cause 1 - Natural Source 2 - Equipment 3 - Smoking 4 - Open/Outdoor Fire 5 - Debris/Vegetation Burn 6 - Structure (Exposure) 7 - Incendiary 8 - Misuse of Fire 0 - Other U - Undetermined Human Factors Contributing to Ignition 1 - Asleep 2 - Possibly Impared by Alcohol or Drugs 3 - Unattended Person 4 - Possibly Mental Disabled 5 - Physically Disabled 6 - Multiple Persons Involved 7 - Age Was a Factor None Factors Contributing to Ignition 74-Outside/open fire for warming or cooking Fire Suppression Factors Heat Source 83-Flying brand, ember, spark Mobile Property Type Equipment Involved In Ignition Weather Information NFDRS Weather Station ID Weather Type Wind Direction Wind Speed Negative Air Temperature (F)Relative Humidity (%) Fuel Moisture (%)Fire Danger Rating Number of Buildings Ignited None Number of Buildings Threatened None Total Acres Burned 0.1 Primary Crops Burned A B C D1 D2 D3 D4 E F G H I1 I2 I3 I4 Page 6 of 11 Property Management Owner % Acres Burned U - Undetermined Private 1 - Tax Paying 2 - Non-tax Paying Public 3 - City, Town, Village, or Other Locality 4 - County or Parish 5 - State or Province 6 - Federal 7 - Foreign 8 - Military 0 - Other NFDRS Fuel Model At Origin Person Responsible For Fire 1 - Identified Person Caused Fire 2 - Unidentified Person Caused Fire 3 - Fire Not Caused By Person Gender of Person Involved 1 - Male 2 - Female Age or Date of Birth OR Age Date of Birth Activity of Person Involved Type of Right-Of-Way Feet Horizontal Distance From Right-of-Way Type of Right-of-Way Fire Behavior Feet Elevation Relative Position on Slope Aspect Feet Flame Length Chains Per Hour Rate of Spread J K L1 L2 L3 L4 M N Page 7 of 11 NFIRS-9 Apparatus or Resources 27113 MN 07 22 2022 Long Lake Fire Department Station 2 (2) 2200249 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:CMD2 Type:92-Chief officer car Dispatch:07/22/2022 02:22 Arrival:07/22/2022 02:36 Clear:07/22/2022 03:53 Sent 1 Suppression EMS Other 81-Incident command ID:E11 Type:11-Engine Dispatch:07/22/2022 02:22 Arrival:07/22/2022 02:46 Clear:07/22/2022 03:53 Sent 4 Suppression EMS Other 10-Fire control or extinguishment, other ID:E22 Type:11-Engine Dispatch:07/22/2022 02:22 Arrival:07/22/2022 02:32 Clear:07/22/2022 03:53 Sent 3 Suppression EMS Other ID:STAT Type: 00- Station/Resource Dispatch:07/22/2022 02:22 Arrival: Clear:07/22/2022 03:53 Sent 2 Suppression EMS Other ID:U11 Type:16-Brush truck Dispatch:07/22/2022 02:22 Arrival:07/22/2022 02:40 Clear:07/22/2022 03:53 Sent 3 Suppression EMS Other 10-Fire control or extinguishment, other ID:U21 Type:16-Brush truck Dispatch:07/22/2022 02:22 Arrival:07/22/2022 02:32 Clear:07/22/2022 03:53 Sent 3 Suppression EMS Other A Page 8 of 11 NFIRS-10 Personnel 27113 MN 07 22 2022 Long Lake Fire Department Station 2 (2) 2200249 0 FDID State Month Day Year Station Number Exposure B Apparatus/Resource Dates/Times Sent Number of People Apparatus Use Actions Taken ID:CMD2 Type: 92-Chief officer car Dispatch:07/22/2022 02:22 Arrival:07/22/2022 02:36 Clear:07/22/2022 03:53 Sent 1 Suppression EMS Other 81-Incident command Personnel ID Name Rank Role Attend Actions Taken 180 Kanive, Ryan Lieutenant 5588005-IC 81-Incident command ID:E11 Type:11-Engine Dispatch:07/22/2022 02:22 Arrival:07/22/2022 02:46 Clear:07/22/2022 03:53 Sent 4 Suppression EMS Other 10-Fire control or extinguishment, other Personnel ID Name Rank Role Attend Actions Taken 49 Goman, David "D.J."Senior Captain 5588001-Driver 10-Fire control or extinguishment, other 154 Cotton, Patrick Firefighter 5588003-Crew 10-Fire control or extinguishment, other 9023 Johnsrud, Michael Probationary Firefighter 5588003-Crew 10-Fire control or extinguishment, other 1888 Loosbrock, Richard Firefighter 5588002-Officer 10-Fire control or extinguishment, other ID:E22 Type:11-Engine Dispatch:07/22/2022 02:22 Arrival:07/22/2022 02:32 Clear:07/22/2022 03:53 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 196 Palmer, Erik Firefighter 5588001-Driver 5064 Rioux, Shawn Firefighter 5588002-Officer 9993 Hinker, Justin Probationary Firefighter 5588003-Crew ID:STAT Type: 00- Station/Resource Dispatch:07/22/2022 02:22 Arrival: Clear:07/22/2022 03:53 Sent 2 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 93 Farley, Cole Deputy Chief of Training 5588008-Standby 212 Spinks, Scott Fire Captain 5588008-Standby ID:U11 Dispatch:07/22/2022 02:22 Sent 3 Suppression A Page 9 of 11 Type:16-Brush truck Arrival:07/22/2022 02:40 Clear:07/22/2022 03:53 EMS Other 10-Fire control or extinguishment, other Personnel ID Name Rank Role Attend Actions Taken 50 Aldrich, Thomas Firefighter 5588001-Driver 10-Fire control or extinguishment, other 223 Paszkiewicz, John Fire Captain 5588002-Officer 10-Fire control or extinguishment, other 222 Smiley, Matthew Firefighter 5588003-Crew 10-Fire control or extinguishment, other ID:U21 Type:16-Brush truck Dispatch:07/22/2022 02:22 Arrival:07/22/2022 02:32 Clear:07/22/2022 03:53 Sent 3 Suppression EMS Other Personnel ID Name Rank Role Attend Actions Taken 153 Adams, Christopher Battalion Chief 5588002-Officer 177 Gonsior, Ryan Deputy Chief of Administration 5588001-Driver 5490 Hayden, Adam Probationary Firefighter 5588003-Crew Page 10 of 11 NFIRS-1S Supplemental 27113 MN 07 22 2022 Long Lake Fire Department Station 2 (2) 2200249 0 FDID State Month Day Year Station Number Exposure Supplemental Special Studies Local Option 1 1 No 2 3 No 3 4 Yes 4 5 No Special Study ID# Special Study Value Special Study ID# Special Study Value Special Study ID# Special Study Value Special Study ID# Special Study Value 5 6 No 6 7 No 7 9244 3 - No, COVID 19 was not a factor 8 Special Study ID# Special Study Value Special Study ID# Special Study Value Special Study ID# Special Study Value Special Study ID# Special Study Value A E3 Page 11 of 11