Incident Report – 01/21/2004 4 Payson Ave, Audubon, NJ 08106
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Summary
On January 21, 2004, Audubon Fire Department responded to a fire incident at 4 Payson Ave, Audubon, NJ 08106, a non-mixed use, mental retardation/development disability facility.
The following actions were taken during the incident: rescue/remove from harm, extinguish, and ventilate.
As a result of the incident, there were 1 fire service injury and 1 other fire injury.
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Location
| Type | Street address |
| Address | 4 Payson Ave, Audubon, NJ 08106 |
| County | Camden County |
| State | NJ |
| City | Audubon |
| Zip Code | 08106 |
| Mixed Use | Not mixed use |
| Property Use | Mental retardation/development disability facility |
| Detector Alerted Occupants | Detector alerted occupants |
| Hazardous Material Released | None |
Response
| Incident Type | Building fires |
| Department Station | 1-1 |
| Mutual Aid Given/Received | Automatic aid received |
| Resources Include Mutual Aid | No |
| Shift | 3 |
| Alarms | 1 |
| District | 1-1 |
Personnel
| Support Personnel | 30 |
| EMS Personnel | 0 |
| Other Personnel | 0 |
Fire Department
| Name | Audubon Fire Department |
| Department Type | Volunteer |
| Address | 221 W Merchant St Audubon, NJ 08106 |
| Phone | (856) 547-8220 |
| Website | https://audubonfd.com/ |
Actions Taken
| First Action Taken | Rescue, remove from harm |
| Second Action Taken | Extinguish |
| Third Action Taken | Ventilate |
Injuries/Deaths
| Fire Service Injuries | 1 |
| Other Fire Injuries | 1 |
| Fire Service Deaths | 0 |
| Other Fire Deaths | 0 |
Metadata
| Incident Key | NJ_04011_1212004_0000025_0 |
| State | New Jersey |
| Fire Department ID | 04011 |
| Incident Date | 01/21/2004 |
| Incident Number | 0000025 |
| Exposure Number | 0 |
| NFIRS Version | 5.0 |
Fire Report
Ignition
| Area of Origin | Bathroom, checkroom, lavatory, locker room |
| Heat Source | Cigarette lighter |
| Item First Ignited | Linen; other than bedding |
| Type of Material | Fabric, fiber, cotton, blends, rayon, wool |
| Cause of Ignition | Intentional |
Spread
| No Flame Spread/Same As First/Unknown | Yes |
Structure
| Not Residential | No |
| Number of Residential Units | 5 |
| 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 | 0 |
| Total Square Feet | 2400 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 | Hardwire with battery |
| Detector Operation | Operated |
| Detector Effectiveness | Alerted Occupants |
Mobile Property Involved
| Mobile Property Year | 0 |
Equipment
| Equipment Year | 0 |
Civilian Casualty Report
Injured Person
| Gender | Male |
| Age | 27 |
| Race | White |
| Ethnicity | Other |
| Affiliation | Civilian |
Cause of Injury
| Cause of Injury | Exposed to fire products |
Activity When Injured
| Activity When Injured | Irrational act |
Location
| General Location At Time of Injury | In area of origin |
| Location At Time of Incident | In area of origin and involved |
Story
| Story At Start of Incident | 0 |
| Story When Injury Occurred | 0 |
Disposition
| Disposition | Transported to emergency care facility |
Firefighter Casualty Report
Injured Person
| Gender | Male |
| Age | 50 |
| Career | Volunteer |
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 | Rescuing fire victim |
Injury
| Primary Apparent Symptom | Burns only: thermal |
| Primary Area of Body Injured | Ear |
| Factor Contributing to Injury | Fire progress, including smoky conditions |
| Object Involved In Injury | Person: victim |
| 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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