Report Icon

Incident Report – 03/08/2015
1601 Moon Beam Trl, Appleton, WI 54915

Share

Download Full Report

Download Full Report
Price
$4.99
FeatureCheck
Includes Owner Information
FeatureCheck
Formatted for Commercial, Legal, and other Professional Usage
FeatureCheck
Download as PDF
Buy Report
Money-back Guarantee.

Summary

On March 8, 2015, Appleton Fire Department responded to an EMS call at 1601 Moon Beam Trl, Appleton, WI 54915, a non-mixed use, 1-or-2 family dwelling.

The alarm was received at 11:27 PM, 4 suppression personnel arrived at 11:33 PM, the incident was controlled at 11:33 PM, and the last unit was cleared at 11:50 PM. The time to arrive was 6 minutes and the total incident time was 23 minutes.

The following action was taken during the incident: provide basic life support (BLS).

As a result of the incident, there was 1 fire service injury.

Sponsored

Location

Type Street address
Address 1601 Moon Beam Trl, Appleton, WI 54915
County Outagamie County
State WI
City APPLETON
Zip Code 54915
Mixed Use Not mixed use
Property Use 1 or 2 family dwelling
Census Tract 020304
Detector Alerted Occupants Unknown
Hazardous Material Released None

Timeline

  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 6 minutes

  • Incident Controlled

    Incident controlled at

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 23 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 2
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift B
District AP2

Personnel

Support Personnel 4
EMS Personnel 0
Other Personnel 0

Fire Department

Name Appleton Fire Department
Department Type Career
Address 700 N Drew St
Appleton, WI 54911-5049
Phone (920) 832-5810

Actions Taken

First Action Taken Provide basic life support (BLS)

Injuries/Deaths

Fire Service Injuries 1
Fire Service Deaths 0

Metadata

Incident Key WI_44020_03082015_8000903_0
State Wisconsin
Fire Department ID 44020
Incident Date 03/08/2015
Incident Number 8000903
Exposure Number 0
NFIRS Version 5.0

Firefighter Casualty Report

Injured Person

Gender Male
Age 36
Career Career

Injury Date and Time

Injury Date and Time 03/08/2015 11:40 PM

Responses

Physical Condition

Physical Condition Ill or injured

Severity

Severity Report only, including exposure

Taken To

Taken To Not transported

Activity At Time Of Injury

Activity At Time of Injury Providing EMS care

Injury

Primary Apparent Symptom Strain or sprain
Primary Area of Body Injured Knee
Factor Contributing to Injury Slippery or uneven surfaces, other
Where Injury Occurred At scene, outside
Specific Location Outside at grade
Protective Equipment Contributed to Injury No
Sponsored