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Incident Report – 09/07/2018
3 Jay St Apt 1, Worcester, MA 01607

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Summary


On September 7, 2018, Worcester Fire Department responded to an EMS call at 3 Jay St Apt 1, Worcester, MA 01607, a non-mixed use, 1-or-2 family dwelling.

The alarm was received at 11:08 AM, 4 suppression personnel arrived at 11:13 AM, and the last unit was cleared at 12:01 PM. The time to arrive was 5 minutes and the total incident time was 53 minutes.

The following actions were taken during the incident: emergency medical services/other, provide first aid and check for injuries, and provide basic life support (BLS).

As a result of the incident, there were 3 fire service injuries.

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Location


Type Street address
Address 3 Jay St Apt 1, Worcester, MA 01607
County Worcester County
State MA
City Worcester
Zip Code 01607
Mixed Use Not mixed use
Property Use 1 or 2 family dwelling
Census Tract 2901
Hazardous Material Released None

Timeline


  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 5 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 53 minutes

Response


Incident Type EMS call, excluding vehicle accident with injury
Department Station zzz
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift 1
Alarms ST

Personnel


Support Personnel 4
EMS Personnel 0
Other Personnel 0

Fire Department


Name Worcester Fire Department
Department Type Career
Address 141 Grove St
Worcester, MA 01605-1707
Phone (508) 799-1818
Website https://www.worcesterma.gov/fire

Actions Taken


First Action Taken Emergency medical services, other
Second Action Taken Provide first aid & check for injuries
Third Action Taken Provide basic life support (BLS)

Injuries/Deaths


Fire Service Injuries 3
Fire Service Deaths 0

Metadata


Incident Key MA_27348_09072018_1829930_0
State Massachusetts
Fire Department ID 27348
Incident Date 09/07/2018
Incident Number 1829930
Exposure Number 0
NFIRS Version 5.0

Firefighter Casualty Report

Injured Person


Gender Male
Age 27
Career Career

Injury Date and Time


Injury Date and Time 09/07/2018 11:08 AM

Responses


Prior Responses During Past 24 Hours 0

Physical Condition


Physical Condition Rested

Severity


Severity Report only, including exposure

Taken To


Taken To Hospital

Activity At Time Of Injury


Activity At Time of Injury Activity, other

Injury


Primary Apparent Symptom Other symptom
Primary Area of Body Injured Arm-lower, not including elbow or wrist
Factor Contributing to Injury Other factor contributed to injury
Where Injury Occurred At scene, in structure
Injury Relation to Structure Inside/On Structure
Story of Injury 1
Specific Location In structure, excluding attic, roof, or wall
Protective Equipment Contributed to Injury No

Firefighter Casualty Report

Injured Person


Gender Male
Age 33
Career Career

Injury Date and Time


Injury Date and Time 09/07/2018 11:08 AM

Responses


Prior Responses During Past 24 Hours 0

Physical Condition


Physical Condition Rested

Severity


Severity Report only, including exposure

Taken To


Taken To Hospital

Activity At Time Of Injury


Activity At Time of Injury Activity, other

Injury


Primary Apparent Symptom Other symptom
Primary Area of Body Injured Arm-lower, not including elbow or wrist
Factor Contributing to Injury Other factor contributed to injury
Where Injury Occurred At scene, in structure
Injury Relation to Structure Inside/On Structure
Story of Injury 1
Specific Location In structure, excluding attic, roof, or wall
Protective Equipment Contributed to Injury No

Firefighter Casualty Report

Injured Person


Gender Male
Age 42
Career Career

Injury Date and Time


Injury Date and Time 09/07/2018 11:08 AM

Responses


Prior Responses During Past 24 Hours 0

Physical Condition


Physical Condition Rested

Severity


Severity Report only, including exposure

Taken To


Taken To Hospital

Activity At Time Of Injury


Activity At Time of Injury Activity, other

Injury


Primary Apparent Symptom Other symptom
Primary Area of Body Injured Arm-lower, not including elbow or wrist
Factor Contributing to Injury Other factor contributed to injury
Where Injury Occurred At scene, in structure
Injury Relation to Structure Inside/On Structure
Story of Injury 1
Specific Location In structure, excluding attic, roof, or wall
Protective Equipment Contributed to Injury No
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