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Incident Report – 12/08/2022
4013 E Benvalley Dr, Appleton, WI 54913

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Summary


On December 8, 2022, Appleton Fire Department responded to an EMS call at 4013 E Benvalley Dr, Appleton, WI 54913, a 1-or-2 family dwelling.

The alarm was received at 6:38 AM, 4 suppression personnel arrived at 6:45 AM, and the last unit was cleared at 7:35 AM. The time to arrive was 7 minutes and the total incident time was 57 minutes.

The following action was taken during the incident: provide basic life support (BLS).

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

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Location


Type Street address
Address 4013 E Benvalley Dr, Appleton, WI 54913
County Outagamie County
State WI
City Appleton
Zip Code 54913
Property Use 1 or 2 family dwelling
Census Tract 013300

Timeline


  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 7 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 57 minutes

Response


Incident Type EMS call, excluding vehicle accident with injury
Department Station FS
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift B
Alarms 1
District 6

Personnel


Support Personnel 4
EMS Personnel 0
Other Personnel 0

Fire Department


Name Appleton Fire Department
Department Type Career
Address 700 N Drew St
Appleton, WI 54911-5049
Phone (920) 832-5810

Actions Taken


First Action Taken Provide basic life support (BLS)

Injuries/Deaths


Fire Service Injuries 1
Fire Service Deaths 0

Metadata


Incident Key WI_44020_12082022_226823_0
State Wisconsin
Fire Department ID 44020
Incident Date 12/08/2022
Incident Number 226823
Exposure Number 0
NFIRS Version 5.0

Firefighter Casualty Report

Injured Person


Gender Male
Age 52

Injury Date and Time


Injury Date and Time 12/08/2022 6:48 AM

Physical Condition


Physical Condition Rested

Severity


Severity Treated by physician, not a lost-time injury

Activity At Time Of Injury


Activity At Time of Injury Lifting/carrying patient without carrying device

Injury


Primary Apparent Symptom Dizziness/fainting/weakness
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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