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Incident Report – 09/17/2007
4 Catherine Road, Milton, MA 02186

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Summary


On September 17, 2007, Milton Fire Department responded to a fire incident at 4 Catherine Road, Milton, MA 02186, a 1-or-2 family dwelling.

The following action was taken during the incident: extinguish.

As a result of the incident, there were 9 fire service injuries.

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Location


Type Street address
Address 4 Catherine Road, Milton, MA 02186
County Norfolk County
State MA
City Milton
Zip Code 02186
Property Use 1 or 2 family dwelling

Response


Incident Type Building fires
Department Station ALL
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift 2
Alarms 1
District 1

Personnel


Support Personnel 9
EMS Personnel 0
Other Personnel 0

Fire Department


Name Milton Fire Department
Department Type Career
Address 515 Canton Ave
Milton, MA 02186-3217
Phone (617) 898-4901

Actions Taken


First Action Taken Extinguish

Injuries/Deaths


Fire Service Injuries 9
Other Fire Injuries 0
Fire Service Deaths 0
Other Fire Deaths 0

Metadata


Incident Key MA_21189_9172007_0002898_0
State Massachusetts
Fire Department ID 21189
Incident Date 09/17/2007
Incident Number 0002898
Exposure Number 0
NFIRS Version 5.0

Fire Report

Ignition


Area of Origin Ceiling & floor assembly, crawl space b/t stories
Heat Source Heat source: other
Item First Ignited Structural member or framing
Type of Material Sawn wood, including all finished lumber
Cause of Ignition Unintentional
Factor Contributing To Ignition Heat source too close to combustibles

Spread


No Flame Spread/Same As First/Unknown Yes

Structure


Not Residential No
Number of Residential Units 1
Number of Buildings Involved 1
Structure Type Enclosed building
Structure Status In normal use
Building Height: Stories Above Grade 2
Building Height: Stories Below Grade 1
Total Square Feet 70 sqft
Number of Sprinklers Operating 0

Number of Stories With Damage


Story of Fire Origin 1
Number of Stories with Damage: Minor 1
Number of Stories with Damage: Significant 0
Number of Stories with Damage: Heavy 0
Number of Stories with Damage: Extreme 0

Acres


Acres Burned 0
Less Than One Acre Yes

Automatic Extinguishing System


AES Presence None Present

Detector


Detector Presence Detectors Present
Detector Type Smoke
Detector Power Battery Only
Detector Operation Fire too small to operate

Mobile Property Involved


Mobile Property Year 0

Equipment


Equipment Year 0

Firefighter Casualty Report

Injured Person


Gender Male
Age 54
Career Career

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 Extinguishing fire/neutralizing incident, other

Injury


Primary Apparent Symptom Undetermined
Primary Area of Body Injured Trachea and lungs
Object Involved In Injury Other object involved
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 41
Career Career

Responses


Prior Responses During Past 24 Hours 1

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 Incident investigation, during incident

Injury


Primary Apparent Symptom Undetermined
Primary Area of Body Injured Trachea and lungs
Object Involved In Injury Undetermined
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 49
Career Career

Responses


Prior Responses During Past 24 Hours 1

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 Incident investigation, during incident

Injury


Primary Apparent Symptom Undetermined
Primary Area of Body Injured Trachea and lungs
Object Involved In Injury Undetermined
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 51
Career Career

Responses


Prior Responses During Past 24 Hours 1

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 Incident investigation, during incident

Injury


Primary Apparent Symptom Undetermined
Primary Area of Body Injured Trachea and lungs
Factor Contributing to Injury Undetermined
Object Involved In Injury Other object involved
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 36
Career Career

Responses


Prior Responses During Past 24 Hours 1

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 Incident investigation, during incident

Injury


Primary Apparent Symptom Undetermined
Primary Area of Body Injured Trachea and lungs
Factor Contributing to Injury Undetermined
Object Involved In Injury Undetermined
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 34
Career Career

Responses


Prior Responses During Past 24 Hours 1

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 Incident investigation, during incident

Injury


Primary Apparent Symptom Undetermined
Primary Area of Body Injured Trachea and lungs
Factor Contributing to Injury Undetermined
Object Involved In Injury Undetermined
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 36
Career Career

Responses


Prior Responses During Past 24 Hours 1

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 Incident investigation, during incident

Injury


Primary Apparent Symptom Undetermined
Primary Area of Body Injured Trachea and lungs
Factor Contributing to Injury Undetermined
Object Involved In Injury Undetermined
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 35
Career Career

Responses


Prior Responses During Past 24 Hours 1

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 Incident investigation, during incident

Injury


Primary Apparent Symptom Undetermined
Primary Area of Body Injured Trachea and lungs
Factor Contributing to Injury Undetermined
Object Involved In Injury Undetermined
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 41
Career Career

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 Incident investigation, during incident

Injury


Primary Apparent Symptom Undetermined
Primary Area of Body Injured Trachea and lungs
Factor Contributing to Injury Undetermined
Object Involved In Injury Undetermined
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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