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Incident Report – 04/30/2019
918 Mayfair Pl, Rockford, IL 61107

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Summary

On April 30, 2019, Rockford Fire Department responded to an EMS call at 918 Mayfair Pl, Rockford, IL 61107, a 1-or-2 family dwelling.

The alarm was received at 3:46 PM, 6 EMS personnel arrived at 3:50 PM, and the last unit was cleared at 4:02 PM. The time to arrive was 4 minutes and the total incident time was 16 minutes.

The following actions were taken during the incident: provide basic life support (BLS), provide advanced life support (ALS), and transport person.

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

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Location

Type Street address
Address 918 Mayfair Pl, Rockford, IL 61107
County Winnebago County
State IL
City ROCKFORD
Zip Code 61107
Property Use 1 or 2 family dwelling

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: 16 minutes

Response

Incident Type EMS call, excluding vehicle accident with injury
Department Station 010
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift A
Alarms 1
District 002

Personnel

Support Personnel 0
EMS Personnel 6
Other Personnel 0

Fire Department

Name Rockford Fire Department
Department Type Career
Address 204 S 1ST St
Rockford, IL 61104
Phone (779) 500-6501
Website https://rockfordil.gov/city-departments/fire/

Actions Taken

First Action Taken Provide basic life support (BLS)
Second Action Taken Provide advanced life support (ALS)
Third Action Taken Transport person

Injuries/Deaths

Fire Service Injuries 1
Fire Service Deaths 0

Metadata

Incident Key IL_WJ111_04302019_0009533_0
State Illinois
Fire Department ID WJ111
Incident Date 04/30/2019
Incident Number 0009533
Exposure Number 0
NFIRS Version 5.0

Firefighter Casualty Report

Injured Person

Gender Male
Age 27
Career Career

Injury Date and Time

Injury Date and Time 04/30/2019 3:50 PM

Responses

Prior Responses During Past 24 Hours 1

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 EMS/rescue, other

Injury

Primary Apparent Symptom Strain or sprain
Primary Area of Body Injured Shoulder
Where Injury Occurred At scene, outside
Injury Relation to Structure Outside of structure
Story of Injury 0
Protective Equipment Contributed to Injury No
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