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Incident Report – 07/14/2021
4 Derne St, Everett, MA 02149

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Summary


On July 14, 2021, Everett Fire Department responded to a fire incident at 4 Derne St, Everett, MA 02149, a non-mixed use, 1-or-2 family dwelling.

The alarm was received at 3:48 PM, 22 suppression personnel arrived at 3:50 PM, and the last unit was cleared at 5:56 PM. The total incident time was 8 minutes.

The following actions were taken during the incident: investigate, extinguish, and salvage and overhaul.

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

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Location


Type Street address
Address 4 Derne St, Everett, MA 02149
County Middlesex County
State MA
City EVERETT
Zip Code 02149
Mixed Use Not mixed use
Property Use 1 or 2 family dwelling
Detector Alerted Occupants Unknown
Hazardous Material Released None

Timeline


  • Alarm

    Alarm received at

  • Arrived

    Arrived at

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 8 minutes

Response


Incident Type Building fires
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift B
Alarms 01
District 2

Personnel


Support Personnel 22
EMS Personnel 0
Other Personnel 0

Fire Department


Name Everett Fire Department
Department Type Career
Address 384 Broadway
Everett, MA 02149-3427
Phone (617) 394-2348
Website https://everettfirema.com/

Actions Taken


First Action Taken Investigate
Second Action Taken Extinguish
Third Action Taken Salvage & overhaul

Injuries/Deaths


Fire Service Injuries 1
Fire Service Deaths 0

Metadata


Incident Key MA_17093_07142021_138112_0
State Massachusetts
Fire Department ID 17093
Incident Date 07/14/2021
Incident Number 138112
Exposure Number 0
NFIRS Version 5.0

Fire Report

Cause


Priority Cause Unknown 1

Ignition


Area of Origin Common room, den, family room, living room, lounge
Heat Source Undetermined
Item First Ignited Undetermined
Type of Material Undetermined
Cause of Ignition Cause under investigation
Factor Contributing To Ignition Undetermined

On-Site Materials


On-Site Material Construction & home improvement products

Spread


No Flame Spread/Same As First/Unknown No
Item Contributing Most To Spread Undetermined
Type Material Contributing Most To Spread Undetermined

Structure


Not Residential Yes
Number of Buildings Involved 0
Structure Type Enclosed building
Structure Status In normal use
Building Height: Stories Above Grade 0
Building Height: Stories Below Grade 0
Building Length 28 ft
Building Width 22 ft

Number of Stories With Damage


Story of Fire Origin 0
Number of Stories with Damage: Minor 0
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 No

Automatic Extinguishing System


AES Presence None Present

Detector


Detector Presence Detectors Present
Detector Type Undetermined
Detector Operation Operated
Detector Effectiveness Alerted Occupants

Firefighter Casualty Report

Injured Person


Gender Male
Age 0
Career Career

Injury Date and Time


Injury Date and Time 07/14/2021 5:30 PM

Responses


Prior Responses During Past 24 Hours 0

Physical Condition


Physical Condition Undetermined

Severity


Severity Lost time injury, moderate severity

Taken To


Taken To Hospital

Activity At Time Of Injury


Activity At Time of Injury Using hand tools in extinguishment activity

Injury


Primary Apparent Symptom Smoke inhalation
Primary Area of Body Injured Part of body undetermined
Factor Contributing to Injury Undetermined
Object Involved In Injury Undetermined
Where Injury Occurred Undetermined
Story of Injury 0
Specific Location Undetermined
Protective Equipment Contributed to Injury No
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