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Incident Report – 01/12/2016
543 Ruby Lane, Bolivar, TN 38008

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Summary


On January 12, 2016, Bolivar Fire Department responded to a fire incident at 543 Ruby Lane, Bolivar, TN 38008, a 1-or-2 family dwelling.

The alarm was received at 11:43 AM, 13 suppression, 2 EMS, and 1 other personnel arrived at 11:47 AM, and the last unit was cleared at 12:11 PM. The time to arrive was 4 minutes and the total incident time was 28 minutes.

The following action was taken during the incident: extinguish.

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

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Location


Type Street address
Address 543 Ruby Lane, Bolivar, TN 38008
County Hardeman County
State TN
City Bolivar
Zip Code 38008
Property Use 1 or 2 family dwelling
Detector Alerted Occupants Unknown

Timeline


  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 4 minutes

  • Last Unit Cleared

    Last unit cleared at

    Alarm to last unit cleared: 28 minutes

Response


Incident Type Building fires
Department Station 1
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift A
Alarms 1
District 178

Personnel


Support Personnel 13
EMS Personnel 2
Other Personnel 1

Fire Department


Name Bolivar Fire Department
Department Type Mostly volunteer
Address 210 W Jackson St
Bolivar, TN 38008-2006
Phone (731) 658-9545
Website https://www.cityofbolivar.com/

Actions Taken


First Action Taken Extinguish

Injuries/Deaths


Fire Service Injuries 0
Other Fire Injuries 1
Fire Service Deaths 0
Other Fire Deaths 0

Losses *


Property Loss $3,500
Contents Loss $500
Property Value $63,700
Contents Value $19,110
  • Losses are approximate and are considered less reliable than other data elements per NFIRS fire data analysis guidelines.

Metadata


Incident Key TN_35213_01122016_0000004_0
State Tennessee
Fire Department ID 35213
Incident Date 01/12/2016
Incident Number 0000004
Exposure Number 0
NFIRS Version 5.0

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Fire Report

Ignition


Area of Origin Cooking area, kitchen
Heat Source Heat from powered equipment, other
Item First Ignited Cooking materials, including edible materials
Type of Material Fat, grease, butter, margarine, lard
Cause of Ignition Unintentional
Factor Contributing To Ignition Equipment unattended

Spread


No Flame Spread/Same As First/Unknown Yes

Structure


Not Residential No
Number of Residential Units 1
Number of Buildings Involved 0
Structure Type Enclosed building
Structure Status In normal use
Building Height: Stories Above Grade 1
Building Height: Stories Below Grade 0
Total Square Feet 1365 sqft

Number of Stories With Damage


Story of Fire Origin 1

Acres


Less Than One Acre No

Automatic Extinguishing System


AES Presence None Present

Detector


Detector Presence None Present

Equipment


Equipment Power Electrical line voltage (>= 50 volts)
Equipment Portability Stationary

Civilian Casualty Report

Injured Person


Gender Male
Age 40
Race Black
Ethnicity Other

Injury Date and Time


Injury Date and Time 01/12/2016 11:43 AM

Severity


Severity Death

Cause of Injury


Cause of Injury Struck by or contact with object

Activity When Injured


Activity When Injured Fire control

Location


General Location At Time of Injury In area of origin
Location At Time of Incident In area of origin and not involved

Disposition


Disposition Transported to emergency care facility
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