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Incident Report – 11/22/1996
Co.26 Number C3134, Rochert, MN 56578

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Summary


On November 22, 1996, Carsonville Fire and Rescue Department responded to a fire incident at Co.26 Number C3134, Rochert, MN 56578, a residential use, 1-or-2 family dwelling.

The alarm was received at 11:32 AM and 20 suppression personnel arrived at 12:00 PM. The time to arrive was 28 minutes.

The following action was taken during the incident: extinguish.

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

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Location


Address Co.26 Number C3134, Rochert, MN 56578
County Becker County
State MN
City Rochert
Zip Code 56578
Mixed Use Residential use
Property Use 1 or 2 family dwelling
Detector Alerted Occupants Unknown

Timeline


  • Alarm

    Alarm received at

  • Arrived

    Arrived at

    Alarm to arrival: 28 minutes

Response


Incident Type Fire in mobile home used as fixed residence
Mutual Aid Given/Received Mutual aid received
Alarms 1
District sl

Personnel


Support Personnel 20
EMS Personnel Unknown
Other Personnel Unknown

Fire Department


Name Carsonville Fire and Rescue Department
Department Type Volunteer
Address 48465 STATE HWY 225
Ponsford, MN 56575
Phone (218) 573-3099

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 MN_03108_112296_009671_00
State Minnesota
Fire Department ID 03108
Incident Date 11/22/1996
Incident Number 009671
Exposure Number 00
NFIRS Version 4.1
Priority Cause Code Unknown 2

Legacy Fields


Mutual Aid Yes
Estimated Dollar Loss 45,000
Day of Week Friday
Time In Service 18:00
Zip Code 56578
Method of Alarm Telephone tie-line 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 One-family dwelling: year-round use
Mobile Property type Mobil home, mobil building
Area of Fire Origin Sleeping room for under 5 persons
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 Not classified above
Extent of Flame Damage Confined to structure of origin
Extent of Smoke Damage Confined to structure or origin
Form of Material Generating Most Smoke Form of Material undetermined or not reported
Detector Performance Performance of Fire Detection Equipment undetermined or not reported
Sprinkler Performance No equipment present in room or space of fire origin
Type of Material Generating Most Smoke Type of Material undetermined or not reported
Avenue of Smoke Travel Most Significant Avenue of Smoke Travel undetermined or not reported
Method of Extinguishment Preconnected hose line(s) with water from hydrant, draft, standpipe
Property Damage Classification 25,000-49,999 dollars
Occupancy Type Single or double occupancy

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


Number of Residential Units 1
Structure Type Fixed portable or mobile structure

Number of Stories With Damage


Story of Fire Origin 21

Automatic Extinguishing System


AES Presence None Present

Detector


Detector Presence None Present

Mobile Property Involved


Mobile Property Type General use truck, dump truck, fire apparatus

Firefighter Casualty Report

Injured Person


Gender Male

Responses


Prior Responses During Past 24 Hours 0

Physical Condition


Physical Condition Rested

Severity


Severity Report only, including exposure

Taken To


Taken To Hospital

Activity At Time Of Injury


Activity At Time of Injury Overhaul

Injury


Primary Area of Body Injured Foot and toes
Object Involved In Injury Glass
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 11
Day of Injury 22
Year of Injury 96
Time of Injury 1422
Type of Casualty Fireground injury after F.D. arrival
Age 37
Sex Male
Severity Minor - The patient is not in danger of death or permanent disability
Primary Apparent Symptom Disorientation
Primary Part of Body Injured Foot
Patient Taken To Hospital, emergency room or general admission
Assignment Fire suppression
Physical Condition Rested
Status Before Alarm Status of Injured Prior to Alarm at which Injury Occurred undetermined or not reported
Fire Fighter Activity Overhaul
Where Injury Occurred Grade level
Cause of Injury Glass
Medical Care Provided Hospital outpatient
Protective Coat Worn Nomex protective coat with liner
Protective Coat Status Closed, collar down
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 Punctured
Helmet Worn Polycarbonate helmet. Includes lexan, etc
Helmet Status Chin strap in use
Face Protection Worn Full 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
Alarm Time 1132

Equipment Failures


Equipment Failure

Item None (conversion only)

Equipment Failure

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Equipment Failure

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Equipment Failure

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Equipment Failure

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Equipment Failure

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Equipment Failure

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