Incident Report – 09/12/1991 3211 E Canary St, Appleton, WI 54915
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Summary
On September 12, 1991, a fire department near Appleton, WI responded to a fire incident at 3211 E Canary St, Appleton, WI 54915, a residential use, 1-or-2 family dwelling.
The alarm was received at 5:06 AM and 15 suppression personnel arrived at 5:09 AM. The time to arrive was 3 minutes.
The following action was taken during the incident: extinguish.
As a result of the incident, there was 1 fire service injury.
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Location
| Address | 3211 E Canary St, Appleton, WI 54915 |
| County | Outagamie County |
| State | WI |
| City | Appleton |
| Zip Code | 54915 |
| Mixed Use | Residential use |
| Property Use | 1 or 2 family dwelling |
| Census Tract | 010600 |
| Detector Alerted Occupants | Detector did not alert occupants |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 3 minutes
Response
| Incident Type | Structure fire, other |
| Mutual Aid Given/Received | None |
| Shift | 1 |
| Alarms | 1 |
| District | 002 |
Personnel
| Support Personnel | 15 |
| EMS Personnel | Unknown |
| Other Personnel | Unknown |
Actions Taken
| First Action Taken | Extinguish |
Injuries/Deaths
| Fire Service Injuries | 1 |
| Other Fire Injuries | 0 |
| Fire Service Deaths | 0 |
| Other Fire Deaths | 0 |
Metadata
| Incident Key | WI_44021_091291_038425_00 |
| State | Wisconsin |
| Fire Department ID | 44021 |
| Incident Date | 09/12/1991 |
| Incident Number | 038425 |
| Exposure Number | 00 |
| NFIRS Version | 4.1 |
| Priority Cause Code | Natural 2 |
Legacy Fields
| Estimated Dollar Loss | 15,000 |
| Day of Week | Thursday |
| Zip Code | 54915 |
| Method of Alarm | Telephone direct to fire department |
| Type of Situation Found | Structure fire |
| Type Action Taken | Extinguishment |
| Number of Aerial Apparatus | 1 |
| Complex | Dwelling complex (one-and two-family) |
| Fixed Property Use | Two-family dwelling: year-round use |
| Mobile Property type | Mobile Property Type not applicable |
| Area of Fire Origin | Garage, carport, vehicle storage area |
| Level of Fire Origin | Grade level to 9 feet above grade |
| Number of Stories | 2 |
| Equipment Involved in Ignition | No equipment involved |
| Form of Heat of Ignition | Spontaneous ignition, chemical reaction |
| Type of Material Ignited | Cotton, rayon, cotton fabric, finished goods |
| Form of Material Ignited | Goods not made up |
| Ignition Factor | Spontaneous heating |
| Construction Type | Protected Wood Frame |
| Extent of Flame Damage | Confined to room of origin |
| Extent of Smoke Damage | Confined to floor of origin |
| Form of Material Generating Most Smoke | Goods not made up |
| Detector Performance | Detector(s) not in the room or space of fire origin, and they operated |
| Sprinkler Performance | No equipment present in room or space of fire origin |
| Type of Material Generating Most Smoke | Cotton, rayon, cotton fabric, finished goods |
| Avenue of Smoke Travel | Corridor |
| Method of Extinguishment | Preconnected hose line(s) with water from hydrant, draft, standpipe |
| Property Damage Classification | 10,000-24,999 dollars |
| Occupancy Type | Single or double occupancy |
| Occupancy Code | ONE- AND TWO-FAMILY DWELLING |
Fire Report
Ignition
| Heat Source | Chemical reaction |
| Item First Ignited | Goods not made up, including fabrics & yard goods |
| Type of Material | Fabric, fiber, cotton, blends, rayon, wool |
| Cause of Ignition | Unintentional |
| Factor Contributing To Ignition | Natural condition, other |
Structure
| Number of Residential Units | 2 |
Number of Stories With Damage
| Story of Fire Origin | 47 |
Automatic Extinguishing System
| AES Presence | None Present |
Detector
| Detector Presence | Detectors Present |
| Detector Operation | Operated |
| Detector Effectiveness | Undetermined |
Mobile Property Involved
| Mobile Property Type | Barge, petroleum balloon, towable water vessel |
Firefighter Casualty Report
Injured Person
| Gender | Male |
Responses
| Prior Responses During Past 24 Hours | 0 |
Physical Condition
| Physical Condition | Rested |
Severity
| Severity | Report only, including exposure |
Taken To
| Taken To | Not transported |
Activity At Time Of Injury
| Activity At Time of Injury | Moving tools or equipment around scene |
Injury
| Primary Area of Body Injured | Back, except spine |
| Object Involved In Injury | Tools/equipment |
| Where Injury Occurred | At scene, outside |
| Specific Location | Outside at grade |
Legacy Fields
| Month of Injury | 09 |
| Day of Injury | 12 |
| Year of Injury | 91 |
| Time of Injury | 530 |
| Type of Casualty | Fireground injury after F.D. arrival |
| Age | 33 |
| Sex | Male |
| Severity | Minor - The patient is not in danger of death or permanent disability |
| Primary Apparent Symptom | No apparent symptom |
| Primary Part of Body Injured | Back-lower, surface only - see 61 for spine |
| Patient Taken To | Not transported |
| Assignment | Fire suppression |
| Physical Condition | Rested |
| Status Before Alarm | Asleep |
| Fire Fighter Activity | Moving tools or equipment around scene |
| Where Injury Occurred | Outside on ground level |
| Cause of Injury | While carrying hand tools, saws, etc |
| Protective Coat Worn | Nomex protective coat with liner |
| Protective Coat Status | Closed, collar up |
| Protective Coat Problem | No failure of the protective coat |
| Protective Trousers Worn | Nomex protective trousers with liner |
| Protective Trousers Status | Protective trousers worn properly |
| Protective Trousers Problem | No failure of the protective trousers |
| Boots/Shoes Worn | Boots, knee length (steel baseplate and steel toe) |
| Boots/Shoes Status | Knee length boots worn |
| Boots/Shoes Problem | No failure of boots/shoes |
| Helmet Worn | Polycarbonate helmet. Includes lexan, etc |
| Helmet Status | Chin strap and ear/neck protector in use |
| Helmet Problem | No failure of helmet |
| Face Protection Worn | Full face protection |
| Face Protection Problem | No failure of face protection |
| Breathing Apparatus Worn | Self-contained open circuit pressure-type apparatus |
| Breathing Apparatus Status | Face piece and regulator connected |
| Breathing Apparatus Problem | No failure of breathing apparatus |
| Gloves Worn | Leather |
| Gloves Problem | No failure of the gloves |
| Special Equipment Worn | No special equipment being used |
| Special Equipment Status | No special equipment being used |
| Special Equipment Problem | No special equipment being used |
| Ignition Factor | Spontaneous heating |
| Day of Week | 5 |
| Type Situation Found | Structure fire |
| Form Heat Ignition | Spontaneous ignition, chemical reaction |
| Alarm Time | 0506 |
| Type Material Ignited | Cotton, rayon, cotton fabric, finished goods |
| Area of Fire Origin | Garage, carport, vehicle storage area |
| Mobile Property Type | Mobile Property Type not applicable |
| Complex | Dwelling complex (one-and two-family) |
| Fixed Property Use | Two-family dwelling: year-round use |
| Equipment Involved in Ignition | No equipment involved |
| Census Tract | 010600 |
| Form Material Ignited | Goods not made up |
Equipment Failures
Equipment Failure
| Item | None (conversion only) |
Equipment Failure
| Item | None (conversion only) |
Equipment Failure
| Item | None (conversion only) |
Equipment Failure
| Item | None (conversion only) |
Equipment Failure
| Item | None (conversion only) |
Equipment Failure
| Item | None (conversion only) |
Equipment Failure
| Item | None (conversion only) |
Equipment Failure
| Item | None (conversion only) |
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