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Incident Report – 12/05/2003
9215 Dover Way, Westminster, CO 80021

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Summary


On December 5, 2003, Westminster Fire Department responded to an EMS call at 9215 Dover Way, Westminster, CO 80021, a non-mixed use, 1-or-2 family dwelling.

The alarm was received at 7:17 PM, 3 suppression and 2 EMS personnel arrived at 7:21 PM, and the last unit was cleared at 7:52 PM. The time to arrive was 4 minutes and the total incident time was 35 minutes.

The following actions were taken during the incident: provide first aid and check for injuries, transport person, and incident command.

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Location


Type Street address
Address 9215 Dover Way, Westminster, CO 80021
County Jefferson County
State CO
City Westminster
Zip Code 80021
Mixed Use Not mixed use
Property Use 1 or 2 family dwelling
Detector Alerted Occupants Unknown
Hazardous Material Released None

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: 35 minutes

Response


Incident Type EMS call, excluding vehicle accident with injury
Department Station 3
Mutual Aid Given/Received None
Resources Include Mutual Aid No
Shift A
Alarms 1
District 3

Personnel


Support Personnel 3
EMS Personnel 2
Other Personnel 0

Fire Department


Name Westminster Fire Department
Department Type Career
Address 9110 Yates St
Westminster, CO 80031-2540
Phone (303) 658-4500
Website https://www.ci.westminster.co.us/Safety/FireDepartment.aspx

Actions Taken


First Action Taken Provide first aid & check for injuries
Second Action Taken Transport person
Third Action Taken Incident command

Metadata


Incident Key CO_00190_12052003_3007042_0
State Colorado
Fire Department ID 00190
Incident Date 12/05/2003
Incident Number 3007042
Exposure Number 0
NFIRS Version 5.0

EMS Report

Patient Description


Provider Impression/Assessment Trauma
Patient Age 43
Patient Gender Male

Human Factors


Human Factor Possibly impaired by alcohol

Injury Types


Cause of Illness/Injury Fall

Procedures Used


Procedure Used No treatment
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