Incident Report – 08/16/1991 540 Hockory, Carrollton, MI 48724
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Summary
On August 16, 1991, a fire department near Carrollton, MI responded to a fire incident at 540 Hockory, Carrollton, MI 48724, a 1-or-2 family dwelling.
The alarm was received at 11:29 AM and 12 suppression personnel arrived at 11:35 AM. The time to arrive was 6 minutes.
The following action was taken during the incident: extinguish.
As a result of the incident, there were 2 fire service injuries.
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Location
| Address | 540 Hockory, Carrollton, MI 48724 |
| County | Saginaw County |
| State | MI |
| City | Carrollton |
| Zip Code | 48724 |
| Property Use | 1 or 2 family dwelling |
| Census Tract | 000000 |
| Detector Alerted Occupants | Unknown |
Timeline
Alarm received at
Arrived at
Alarm to arrival: 6 minutes
Response
| Incident Type | Structure fire, other |
| Mutual Aid Given/Received | Mutual aid received |
| Alarms | 0 |
| District | 000 |
Personnel
| Support Personnel | 12 |
| EMS Personnel | Unknown |
| Other Personnel | Unknown |
Actions Taken
| First Action Taken | Extinguish |
Injuries/Deaths
| Fire Service Injuries | 2 |
| Other Fire Injuries | 0 |
| Fire Service Deaths | 0 |
| Other Fire Deaths | 0 |
Metadata
| Incident Key | MI_73060_081691_000047_00 |
| State | Michigan |
| Fire Department ID | 73060 |
| Incident Date | 08/16/1991 |
| Incident Number | 000047 |
| Exposure Number | 00 |
| NFIRS Version | 4.1 |
| Priority Cause Code | Smoking |
Legacy Fields
| Mutual Aid | Yes |
| Estimated Dollar Loss | 50,000 |
| Day of Week | Friday |
| Zip Code | 48724 |
| Method of Alarm | Telephone tie-line to fire department |
| Type of Situation Found | Structure fire |
| Type Action Taken | Extinguishment |
| Number of Aerial Apparatus | 1 |
| Complex | No complex |
| Fixed Property Use | One-family dwelling: year-round use |
| Mobile Property type | Mobile Property Type undetermined or not reported |
| Area of Fire Origin | Lounge area |
| 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 | Cigarette |
| Type of Material Ignited | Cotton, rayon, cotton fabric, finished goods |
| Form of Material Ignited | Upholstered sofa, chair, vehicle seats |
| Ignition Factor | Abandoned, discarded material |
| Construction Type | Protected Wood Frame |
| Extent of Flame Damage | Extended beyond structure of origin |
| Extent of Smoke Damage | Extended beyond structure of origin |
| Form of Material Generating Most Smoke | Structural member, framing |
| Detector Performance | Performance of Fire Detection Equipment not classified above |
| Sprinkler Performance | Performance of Automatic Sprinklers undetermined or not reported |
| Type of Material Generating Most Smoke | Hardboard, plywood |
| 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 | 50,000-249,999 dollars |
| Occupancy Type | Single or double occupancy |
| Occupancy Code | ONE- AND TWO-FAMILY DWELLING |
Fire Report
Ignition
| Heat Source | Cigarette |
| Item First Ignited | Upholstered sofa, chair, vehicle seats |
| Type of Material | Fabric, fiber, cotton, blends, rayon, wool |
| Cause of Ignition | Unintentional |
| Factor Contributing To Ignition | Abandoned or discarded materials or products |
Structure
| Number of Residential Units | 1 |
Number of Stories With Damage
| Story of Fire Origin | 14 |
Automatic Extinguishing System
| AES Presence | None Present |
Detector
| Detector Presence | Detectors Present |
| Detector Type | Undetermined |
| Detector Operation | Undetermined |
| Detector Effectiveness | Undetermined |
| Detector Failure Reason | Undetermined |
Mobile Property Involved
| Mobile Property Type | Motor home, camper, bookmobile |
Firefighter Casualty Report
Injured Person
| Gender | Male |
Responses
| Prior Responses During Past 24 Hours | 0 |
Physical Condition
| Physical Condition | Rested |
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 Area of Body Injured | Multiple body parts - whole body |
| Where Injury Occurred | At scene, in structure |
| Story of Injury | 1 |
| Specific Location | In structure, excluding attic, roof, or wall |
Legacy Fields
| Month of Injury | 08 |
| Day of Injury | 16 |
| Year of Injury | 91 |
| Time of Injury | 1230 |
| Type of Casualty | Fireground injury after F.D. arrival |
| Age | 26 |
| Sex | Male |
| Severity | Moderate - There is little danger of death or permanent disability |
| Primary Part of Body Injured | Multiple body parts-whole body |
| Patient Taken To | Hospital, emergency room or general admission |
| Assignment | Fire suppression |
| Physical Condition | Rested |
| Status Before Alarm | Asleep |
| Fire Fighter Activity | Using hand tools in extinguishment activity |
| Where Injury Occurred | Grade level |
| Cause of Injury | Cause of Fire Fighter Injury, undetermined or not reported |
| Medical Care Provided | Medical Care Provided undetermined or not reported |
| 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, knee length (steel baseplate and steel toe) |
| Boots/Shoes Status | Knee length boots worn |
| Boots/Shoes Problem | No failure of boots/shoes |
| Helmet Worn | Glass fiber helmet |
| Helmet Status | Chin strap and ear/neck protector in use |
| Helmet Problem | No failure of helmet |
| Face Protection Worn | Partial face protection |
| Face Protection Problem | No failure of face protection |
| Breathing Apparatus Worn | No breathing apparatus being used when injured |
| Breathing Apparatus Status | No breathing apparatus |
| Breathing Apparatus Problem | No breathing apparatus being used |
| 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 | Abandoned, discarded material |
| Day of Week | 6 |
| Type Situation Found | Structure fire |
| Form Heat Ignition | Cigarette |
| Alarm Time | 1129 |
| Type Material Ignited | Cotton, rayon, cotton fabric, finished goods |
| Area of Fire Origin | Lounge area |
| Mobile Property Type | Mobile Property Type undetermined or not reported |
| Complex | No complex |
| Fixed Property Use | One-family dwelling: year-round use |
| Equipment Involved in Ignition | Equipment Involved in Ignition undetermined or not reported |
| Census Tract | 000000 |
| Mutual Aid | 1 |
| Form Material Ignited | Upholstered sofa, chair, vehicle seats |
Equipment Failures
Equipment Failure
| Item | None (conversion only) |
Equipment Failure
| Item | None (conversion only) |
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| Item | None (conversion only) |
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Firefighter Casualty Report
Injured Person
| Gender | Male |
Responses
| Prior Responses During Past 24 Hours | 0 |
Physical Condition
| Physical Condition | Rested |
Severity
| Severity | Lost time injury, moderate severity |
Taken To
| Taken To | Hospital |
Activity At Time Of Injury
| Activity At Time of Injury | Overhaul |
Injury
| Primary Area of Body Injured | Multiple body parts - whole body |
| Object Involved In Injury | Heat or flame |
| Where Injury Occurred | At scene, in structure |
| Story of Injury | 1 |
| Specific Location | In structure, excluding attic, roof, or wall |
Legacy Fields
| Month of Injury | 08 |
| Day of Injury | 16 |
| Year of Injury | 91 |
| Time of Injury | 1300 |
| Type of Casualty | Fireground injury after F.D. arrival |
| Age | 21 |
| Sex | Male |
| Severity | Moderate - There is little danger of death or permanent disability |
| Primary Part of Body Injured | Multiple internal parts |
| Patient Taken To | Hospital, emergency room or general admission |
| Assignment | Fire suppression |
| Physical Condition | Rested |
| Status Before Alarm | Asleep |
| Fire Fighter Activity | Overhaul |
| Where Injury Occurred | Grade level |
| Cause of Injury | Heat |
| 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, knee length (steel baseplate and steel toe) |
| Boots/Shoes Status | Knee length boots worn |
| Boots/Shoes Problem | No failure of boots/shoes |
| Helmet Worn | Glass fiber helmet |
| 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 pressure-type apparatus |
| Breathing Apparatus Status | Face piece and regulator connected |
| Breathing Apparatus Problem | No failure of breathing apparatus |
| 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 | Abandoned, discarded material |
| Day of Week | 6 |
| Type Situation Found | Structure fire |
| Form Heat Ignition | Cigarette |
| Alarm Time | 1129 |
| Type Material Ignited | Cotton, rayon, cotton fabric, finished goods |
| Area of Fire Origin | Lounge area |
| Mobile Property Type | Mobile Property Type undetermined or not reported |
| Complex | No complex |
| Fixed Property Use | One-family dwelling: year-round use |
| Equipment Involved in Ignition | Equipment Involved in Ignition undetermined or not reported |
| Census Tract | 000000 |
| Mutual Aid | 1 |
| Form Material Ignited | Upholstered sofa, chair, vehicle seats |
Equipment Failures
Equipment Failure
| Item | None (conversion only) |
Equipment Failure
| Item | None (conversion only) |
Equipment Failure
| Item | None (conversion only) |
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| Item | None (conversion only) |
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