Report Icon

Incident Report – 03/06/1994
47233 Corkscrew, Lake Harbor, FL 33459

Download Full Report

Download Full Report
Price
$4.99
FeatureCheck
Includes Owner Information
FeatureCheck
Formatted for Commercial, Legal, and other Professional Usage
FeatureCheck
Download as PDF
Money-back Guarantee.

Summary


On March 6, 1994, a fire department near Lake Harbor, FL responded to a fire incident at 47233 Corkscrew, Lake Harbor, FL 33459, a residential use property.

The alarm was received at 9:53 PM and 16 suppression personnel arrived at 10:07 PM. The time to arrive was 14 minutes.

The following action was taken during the incident: extinguish.

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

Sponsored

Location


Address 47233 Corkscrew, Lake Harbor, FL 33459
County Palm Beach County
State FL
City Lake Harbor
Zip Code 33459
Mixed Use Residential use
Property Use Undetermined
Detector Alerted Occupants Unknown

Timeline


  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 14 minutes

Response


Incident Type Structure fire, other
Mutual Aid Given/Received None
Shift B
Alarms 2
District 005

Personnel


Support Personnel 16
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 FL_06012_030694_940567_00
State Florida
Fire Department ID 06012
Incident Date 03/06/1994
Incident Number 940567
Exposure Number 00
NFIRS Version 4.1
Priority Cause Code Unknown 2

Legacy Fields


Estimated Dollar Loss 1,000
Day of Week Sunday
Zip Code 33459
Method of Alarm Telephone direct to fire department
Type of Situation Found Structure fire
Type Action Taken Extinguishment
Number of Aerial Apparatus 0
Complex Dwelling complex (one-and two-family)
Fixed Property Use Vacant property
Mobile Property type Mobile Property Type not applicable
Area of Fire Origin Area of Origin undetermined or not reported
Level of Fire Origin Grade level to 9 feet above grade
Number of Stories 1
Equipment Involved in Ignition Equipment Involved in Ignition undetermined or not reported
Form of Heat of Ignition Form of Heat of Ignition undetermined or not reported
Type of Material Ignited Type of Material undetermined or not reported
Form of Material Ignited Form of Material undetermined or not reported
Ignition Factor Ignition Factor undetermined or not reported
Construction Type Unprotected wood frame not qualifying for 7
Extent of Flame Damage Confined to structure of origin
Extent of Smoke Damage Confined to structure or origin
Form of Material Generating Most Smoke Structural member, framing
Detector Performance Performance of Fire Detection Equipment undetermined or not reported
Sprinkler Performance Performance of Automatic Sprinklers undetermined or not reported
Type of Material Generating Most Smoke Sawn wood
Avenue of Smoke Travel No significant avenue of smoke travel
Method of Extinguishment Preconnected hose line(s) with water from hydrant, draft, standpipe
Property Damage Classification 1,000-9,999 dollars
Occupancy Type Single or double occupancy
Occupancy Code CONSTRUCTION, UNOCCUPIED PROPERTY

Fire Report

Ignition


Heat Source Undetermined
Item First Ignited Undetermined
Type of Material Undetermined
Cause of Ignition Cause undetermined after investigation
Factor Contributing To Ignition Undetermined

Structure


Structure Status Vacant and unsecured

Number of Stories With Damage


Story of Fire Origin 00

Automatic Extinguishing System


AES Presence None Present

Detector


Detector Presence None Present

Mobile Property Involved


Mobile Property Type Undetermined (conversion only)

Firefighter Casualty Report

Injured Person


Gender Male

Responses


Prior Responses During Past 24 Hours 3

Physical Condition


Physical Condition Fatigued

Severity


Severity Lost time injury, moderate severity

Taken To


Taken To Hospital

Activity At Time Of Injury


Activity At Time of Injury Handling charged hose lines

Injury


Primary Area of Body Injured Body part, other
Object Involved In Injury Hose, not charged
Where Injury Occurred At scene, outside
Specific Location Outside at grade

Legacy Fields


Month of Injury 03
Day of Injury 06
Year of Injury 94
Time of Injury 1050
Type of Casualty Fireground injury after F.D. arrival
Age 36
Sex Male
Severity Moderate - There is little danger of death or permanent disability
Primary Part of Body Injured Part of Body not classified above
Patient Taken To Hospital, emergency room or general admission
Assignment Fire suppression
Number of Responses Prior to Injury Three
Physical Condition Fatigued
Status Before Alarm Awake
Fire Fighter Activity Handling charged hose lines
Where Injury Occurred Outside on ground level
Cause of Injury While carrying hose
Medical Care Provided Hospital emergency room
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, 3/4 length (steel baseplate and steel toe)
Boots/Shoes Status 3/4 length boots pulled up (full length)
Boots/Shoes Problem No failure of boots/shoes
Helmet Worn Helmet Being Worn When Injured not classified above
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 demand-type apparatus
Breathing Apparatus Status Air supply turned off
Breathing Apparatus Problem Detached
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 Ignition Factor undetermined or not reported
Day of Week 1
Type Situation Found Structure fire
Form Heat Ignition Form of Heat of Ignition undetermined or not reported
Alarm Time 2153
Type Material Ignited Type of Material undetermined or not reported
Area of Fire Origin Area of Origin undetermined or not reported
Mobile Property Type Mobile Property Type not applicable
Complex Dwelling complex (one-and two-family)
Fixed Property Use Vacant property
Equipment Involved in Ignition Equipment Involved in Ignition undetermined or not reported
Form Material Ignited Form of Material undetermined or not reported

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)
Sponsored