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Home My WebLink AboutMilton Fire Report 12-2-2016X A FDID State Delete Change No Activity NFIRS -1 Basic MM DD YYYY Station Incident Number ExposureIncident Date* **** ,,$ , , B Location Street address Intersection In front of Rear of Adjacent to Directions Check this box to Indicate that the address for this incident is provided on the Wildland Fire Module In Section B "Alternative Location Specification". Use only for Wildland fires. *-Census Tract Number/Milepost Prefix Street or Highway Street Type Suffix Apt./Suite/Room City State Zip Code - Cross street or directions, as applicable C D Incident Type * Incident Type Aid Given or Received Mutual aid received Automatic aid recv. Mutual aid given Automatic aid given Other aid given None * 1 2 3 4 5 N Their FDID Their State Their Incident Number E E E 1 2 3 Date & Times Midnight is 0000 Check boxes if dates are the same as Alarm Date. ALARM always required Month Day Year Hr Alarm Arrival Controlled Last Unit Cleared Min * * ARRIVAL required, unless canceled or did not arrive CONTROLLED Optional, Except for wildland fires LAST UNIT CLEARED, required except for wildland fires Shift & Alarms Local Option Shift or Platoon Alarms District Special Studies Local Option Special Study ID# Special Study Value F Actions Taken * Primary Action Taken (1) Additional Action Taken (2) Additional Action Taken (3) G1 G 2Resources*Estimated Dollar Losses & Values Check this box and skip this section if an Apparatus or Personnel form is used. Apparatus Personnel Suppression Other EMS Check box if resource counts include aid received resources. LOSSES:Required for all fires if known. Optional for non fires. $ ,,$ ,,$ PRE-INCIDENT VALUE:Optional None Property Property Contents Contents Fire-2 Structure-3 Civil Fire Cas.-4 Fire Serv. Cas.-5 EMS-6 HazMat-7 Wildland Fire-8 Apparatus-9 Personnel-10 Arson-11 Completed Modules H1 H2 H 3Casualties*None Fire Service Civilian Deaths Injuries Detector Detector alerted occupants Detector did not alert them Unknown 1 2 U Required for Confined Fires. Not Mixed Assembly use Education use Medical use Residential use Row of stores Enclosed mall Bus. & Residential Office use Industrial use Military use Farm use Other mixed use Mixed Use PropertyI NN 10 20 33 40 51 53 58 59 60 63 65 00 Natural Gas: Propane gas: Gasoline: Kerosene: Diesel fuel/fuel oil: 1 2 3 4 5 Household solvents: Motor oil: Paint: Other: 6 7 8 0 NoneN Property Use *StructuresJ Clinic,clinic type infirmary Doctor/dentist office Prison or jail, not juvenile 1-or 2-family dwelling Multi-family dwelling Rooming/boarding house Commercial hotel or motel Residential, board and care Dormitory/barracks Food and beverage sales 341 342 361 419 429 439 449 459 464 519 Household goods,sales,repairs Motor vehicle/boat sales/repair Gas or service station Business office Electric generating plant Laboratory/science lab Manufacturing plant Livestock/poultry storage(barn) Non-residential parking garage Warehouse 539 579 571 599 615 629 700 819 882 891 Church, place of worship Restaurant or cafeteria Bar/Tavern or nightclub Elementary school or kindergarten High school or junior high College, adult education Care facility for the aged Hospital 131 161 162 213 215 241 311 331 Hazardous Materials Release Playground or park Crops or orchard Forest (timberland) Outdoor storage area Dump or sanitary landfill Open land or field 124 655 669 807 919 931 Vacant lot Graded/care for plot of land Lake, river, stream Railroad right of way Other street Highway/divided highway Residential street/driveway 936 938 946 951 960 961 962 Construction site Industrial plant yard 981 984 Outside Property Use 06014 16-0002191 000 41 114 Chimney or flue fire, confined X 850 FREEMANWOOD LN Milton GA 30004 X 20:01:02 20:29:59 20:09:21 B 01 MF41 X X 0005 0011 GA X X X X 419 1 or 2 family dwelling 87 Investigate fire out on 12 02 2016 12 12 12 02 02 02 2016 2016 2016 slow leak, no evauation or HazMat actions <21 lb. tank (as in home BBQ grill) vehicle fuel tank or portable container fuel burning equipment or portable storage vehicle fuel tank or portable home/office spill, cleanup only from engine or portable container from paint cans totaling < 55 gallons Special HazMat actions required or spill > 55gal., Please complete the HazMat form NFIRS-1 Revision 03/11/99 000000 000 000 000 000 000 000 Sec X X Lookup and enter a Property Use code only if you have NOT checked a Property Use box: Milton Fire Department 16-000219112/02/201606014 Check Box if same as Officer in charge. K 1 Person/Entity Involved Local Option K 2 Owner Local Option Business name (if applicable)Area Code Phone Number -- Mr.,Ms., Mrs.First Name MI Last Name Number Prefix Street or Highway Street Type Suffix Apt./Suite/Room City State Zip Code - Suffix Post Office Box More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary Business name (if Applicable)Area Code Phone Number -- Mr.,Ms., Mrs.First Name MI Last Name Number Prefix Street or Highway Street Type Suffix Apt./Suite/Room City State Zip Code - Suffix Post Office Box Same as person involved? Then check this box and skip The rest of this section. Check this box if same address as incident location. Then skip the three duplicate address lines. Check This Box if same address as incident location. Then skip the three duplicate address lines. L Remarks Local Option Milton Rescue 42 (R42) dispatched along with a full alarm on a possible chimney fire. R42 arrived on scene and found nothing showing on a two story residential structure. R42 established Freemanwood Lane Command. R42 met with the home owner outside and gathered information. Command (R42) assigned E43 to investigate the interior of the structure and conducted a 360 degree walk around of the structure. Milton E41 was assigned to also inspect the exterior of the structure. Milton Battalion 4 arrived on scene and assumed Command after a face to face verbal report. R42 was released by Command and returned to service. Milton Engine 43 (E43) dispatched along with a full alarm on a possible chimney fire. E43 responded emergency from fire station 43 on a clear night with lite traffic conditions. E43 arrived on scene second behind Milton Rescue 42 (R42) who completed an initial sized up of a two story residential structure with nothing showing. R42 established Freemanwood command. E43 was assigned to investigate the interior of the structure. Upon entry E43 found no fire or smoke on the first floor. E43 was escorted to the up stairs attic access by the home owner. E43 investigated the attic area with use of a thermal imaging camera. No sign of smoke, fire, or heat. The max temperature on the chimney flue was less than 100 degrees. After investigation of the full interior of the residence no hazards identified. E43 gathered information from the home owner. Home owner advised that they have had approximately four fires in the fire place this season. However they have not had the chimney cleaned or inspected in approximately ten years. E43 recommended that they do not use the fire place until they have it cleaned and inspected. A recommendation was also made for the home owner to have a smoke detector installed in the attic area. Upon completion E43 gathered all equipment and personnel before returning to service. L Authorization Officer in charge ID Signature Position or rank Assignment Month Day Year Member making report ID Signature Position or rank Assignment Month Day Year Dan Seaman GA 30004 Milton 850 FREEMANWOOD LN 770 335 9483 108 BC 88 CP 12 02 2016 12 02 2016 X Bourn, William Moss Bushman, Richard Milton Fire Department 16-000219112/02/201606014 FDID State Complete Narrative MM DD YYYY Station Incident Number ExposureIncident Date* **** 06014 16-0002191 000 41GA 2 2016 12 Milton Rescue 42 (R42) dispatched along with a full alarm on a possible chimney fire. R42 arrived on scene and found nothing showing on a two story residential structure. R42 established Freemanwood Lane Command. R42 met with the home owner outside and gathered information. Command (R42) assigned E43 to investigate the interior of the structure and conducted a 360 degree walk around of the structure. Milton E41 was assigned to also inspect the exterior of the structure. Milton Battalion 4 arrived on scene and assumed Command after a face to face verbal report. R42 was released by Command and returned to service. Milton Engine 43 (E43) dispatched along with a full alarm on a possible chimney fire. E43 responded emergency from fire station 43 on a clear night with lite traffic conditions. E43 arrived on scene second behind Milton Rescue 42 (R42) who completed an initial sized up of a two story residential structure with nothing showing. R42 established Freemanwood command. E43 was assigned to investigate the interior of the structure. Upon entry E43 found no fire or smoke on the first floor. E43 was escorted to the up stairs attic access by the home owner. E43 investigated the attic area with use of a thermal imaging camera. No sign of smoke, fire, or heat. The max temperature on the chimney flue was less than 100 degrees. After investigation of the full interior of the residence no hazards identified. E43 gathered information from the home owner. Home owner advised that they have had approximately four fires in the fire place this season. However they have not had the chimney cleaned or inspected in approximately ten years. E43 recommended that they do not use the fire place until they have it cleaned and inspected. A recommendation was also made for the home owner to have a smoke detector installed in the attic area. Upon completion E43 gathered all equipment and personnel before returning to service. Engine 41 responded to the above address on a possible structure fire (chimney). Upon arrival Rescue 42 was on scene out investigating with nothing showing. Engine 43 was on scene checking the interior of the house. Engine 41 checked the outside of the structure with no signs of smoke or fire. Engine 41 was then released by command and returned to service. Upon arrival B4 had a face to face verbal report from R42 (Command) before assuming command. E42, T41. E85 released due to the incident being handled by units already on scene. E43 reported that the interior of the structure was clear of any smoke, fire, or heat. E41 and R42 released. B4 transferred the scene to E43 before returning to service. 12/02/2016 21:07:43 Richard.bushman Narrative: Milton Fire Department 16-000219112/02/201606014 A FDID State Delete Change NFIRS - 9 Apparatus or Resources MM DD YYYY Station Incident Number ExposureIncident Date* **** 06014 16-0002191GA 2 2016 12 B Apparatus or Resource *Date and Times X Number of People * Use Actions Taken Check ONE box for each apparatus to indicate its main use at the incident. Check if same as alarm date Month Day Year Hour Min 41 000 Sent Arrival Clear Dispatch X X XType ID SuppressionX EMS Other BATT 4 92 12 2 2016 20:01 12 12 2 2 2016 2016 20:10 20:25 1 1 2 3 4 5 6 7 8 9 X Arrival Clear Dispatch X X XType ID SuppressionX EMS Other ENG41 11 12 2 2016 20:01 12 12 2 2 2016 2016 20:09 20:25 3X Dispatch Clear Arrival X Other EMS X SuppressionID Type X X 20:29 20:09 2016 2016 2 2 12 12 20:01 2016 2 12 11 ENG43 3X Arrival Clear Dispatch X X XType ID SuppressionX EMS Other RES42 71 12 2 2016 20:01 12 12 2 2 2016 2016 20:09 20:22 1X Dispatch Clear Arrival X Other EMS X SuppressionID Type X X 20:14 20:12 2016 2016 2 2 12 12 20:01 2016 2 12 12 TRK 41 3X Arrival Clear Dispatch Type ID Suppression EMS Other Dispatch Clear Arrival Other EMS SuppressionID Type Arrival Clear Dispatch SuppressionID Type EMS Other Dispatch Clear Arrival Other EMS SuppressionID Type Type of Apparatus or Resources Ground Fire Suppression 11 Engine 12 Truck or aerial 13 Quint 14 Tanker & pumper combination 16 Brush truck 17 ARF (Aircraft Rescue and Firefighting) 10 Ground fire suppression, other Heavy Ground Equipment 21 Dozer or plow 22 Tractor 24 Tanker or tender 20 Heavy equipment, other Aircraft 41 Aircraft: fixed wing tanker 42 Helitanker 43 Helicopter 40 Aircraft, other Marine Equipment 51 Fire boat with pump 52 Boat, no pump 50 Marine apparatus, other Support Equipment 61 Breathing apparatus support 62 Light and air unit 60 Support apparatus, other Medical & Rescue 71 Rescue unit 72 Urban Search & rescue unit 73 High angle rescue unit 75 BLS unit 76 ALS unit 70 Medical and rescue unit,other Other 91 Mobile command post 92 Chief officer car 93 HazMat unit 94 Type 1 hand crew 95 Type 2 hand crew 99 Privately owned vehicle 00 Other apparatus/resource NN None UU Undetermined More Apparatus? Use Additional Sheets NFIRS-9 Revision 11/17/98 Milton Fire Department 16-000219112/02/201606014 A Delete Change NFIRS - 10 Personnel B Apparatus or Resource * Use codes listed below Date and Times X Number of People* Use Actions Taken Check ONE box for each apparatus to indicate its main use at the incident. Check if same as alarm date Month Day Year Hours/mins FDID State MM DD YYYY Station Incident Number ExposureIncident Date* **** 06014 16-0002191GA 2 2016 12 41 000 Sent List up to 4 actions for each apparatus and each personnel. Bourn, William Personnel ID Name Rank or Grade Attend Action Taken Action Taken Action Taken Action Taken Arrival Clear Dispatch Type ID Suppression EMS Other 2 Arrival Clear Dispatch Type ID Suppression EMS Other 3 Sent Sent Sent X X Personnel ID Name Rank or Grade Attend Action Taken Action Taken Action Taken Action Taken Action Taken Action Taken Action Taken Action Taken AttendRank or Grade NamePersonnel ID Other EMS SuppressionID Type Dispatch Clear Arrival X X X X XBATT 4 92 12 2 2016 20:01 12 12 2 2 2016 2016 20:10 20:25 1 1X 108 BC X X X X XENG41 11 12 2 2016 20:01 12 12 2 2 2016 2016 20:09 20:25 3X 107 121 60 FF FAO FAO X X X Mickens, Thomas Sweeting, Chad Addison, Glenn X X X X 3 20:29 20:09 2016 2016 2 2 12 12 20:012016212 11 ENG43 X 167 168 88 Murray, Timothy Carter, Gregory Bushman, Richard CP FAO BC X X X NFIRS-10 Revision 11/17/98 Milton Fire Department 16-000219112/02/201606014 A Delete Change NFIRS - 10 Personnel B Apparatus or Resource * Use codes listed below Date and Times X Number of People* Use Actions Taken Check ONE box for each apparatus to indicate its main use at the incident. Check if same as alarm date Month Day Year Hours/mins FDID State MM DD YYYY Station Incident Number ExposureIncident Date* **** 06014 16-0002191GA 2 2016 12 41 000 Sent List up to 4 actions for each apparatus and each personnel. Foster, Gregory Personnel ID Name Rank or Grade Attend Action Taken Action Taken Action Taken Action Taken Arrival Clear Dispatch Type ID Suppression EMS Other 2 Arrival Clear Dispatch Type ID Suppression EMS Other 3 Sent Sent Sent X X Personnel ID Name Rank or Grade Attend Action Taken Action Taken Action Taken Action Taken Action Taken Action Taken Action Taken Action Taken AttendRank or Grade NamePersonnel ID Other EMS SuppressionID Type Dispatch Clear Arrival X X X X XRES42 71 12 2 2016 20:01 12 12 2 2 2016 2016 20:09 20:22 1 1X 97 FAO X X X X XTRK 41 12 12 2 2016 20:01 12 12 2 2 2016 2016 20:12 20:14 3X 105 146 147 CP FAO FAO X X X Brown, Thom Champion, Joseph Campbell, James NFIRS-10 Revision 11/17/98 Milton Fire Department 16-000219112/02/201606014 FDID State Responding Units/PersonnelStation Incident Number ExposureIncident Date 06014 16-0002191 000 41GA 2 201612 Unit Enroute Time Arrival Time Cleared TimeNotify Time BATT 4 Battalion 4 20:01:02 20:01:02 20:10:17 20:25:42 Staff ID\Staff Name RankActivity Position Role Bourn, William Moss108 Battalion C Incident Activi Battalion Ch Upon arrival B4 had a face to face verbal report from R42 (Command) before assuming command. E42, T41. E85 released due to the incident being handled by units already on scene. E43 reported that the interior of the structure was clear of any smoke, fire, or heat. E41 and R42 released. B4 transferred the scene to E43 before returning to service. Unit Narrative ENG41 Engine 41 20:01:02 20:03:00 20:09:57 20:25:42 Staff ID\Staff Name RankActivity Position Role Mickens, Thomas Sweeting, Chad Kent Addison, Glenn Elliott 107 121 60 Firefighter Fire Appara Fire Appara Incident Activi Incident Activi Incident Activi Fire Fighter Fire Apparat Fire Fighter Firefighter Fire Apparar Firefighter Engine 41 responded to the above address on a possible structure fire (chimney). Upon arrival Rescue 42 was on scene out investigating with nothing showing. Engine 43 was on scene checking the interior of the house. Engine 41 checked the outside of the structure with no signs of smoke or fire. Engine 41 was then released by command and returned to service. Unit Narrative ENG43 Engine 43 20:01:02 20:02:45 20:09:51 20:29:59 Staff ID\Staff Name RankActivity Position Role Murray, Timothy Colin Carter, Gregory Bushman, Richard 167 168 88 Captain Fire Appara Battalion C Incident Activi Incident Activi Incident Activi Fire Apparat Captain Fire Apparar Captain Para Milton Engine 43 (E43) dispatched along with a full alarm on a possible chimney fire. E43 responded emergency from fire station 43 on a clear night with lite traffic conditions. E43 arrived on scene second behind Milton Rescue 42 (R42) who completed an initial sized up of a two story residential structure with nothing showing. R42 established Freemanwood command. E43 was assigned to investigate the interior of the structure. Upon entry E43 found no fire or smoke on the first floor. E43 was escorted to the up stairs attic access by the home owner. E43 investigated the attic area with use of a thermal imaging camera. No sign of smoke, fire, or heat. The max temperature on the chimney flue was less than 100 degrees. After investigation of the full interior of the residence no hazards identified. E43 gathered information from the home owner. Home owner advised that they have had approximately four fires in the fire place this season. However they have not had the chimney cleaned or inspected in approximately ten years. E43 recommended that they do not use the fire place until they have it cleaned and inspected. A recommendation was also made for the home owner to have a smoke detector installed in the attic area. Upon completion E43 gathered all equipment and personnel before returning to service. 12/02/2016 21:06:42 Richard.bushman Unit Narrative Milton Fire Department 16-000219112/02/201606014Page 1 FDID State Responding Units/PersonnelStation Incident Number ExposureIncident Date 06014 16-0002191 000 41GA 2 201612 Unit Enroute Time Arrival Time Cleared TimeNotify Time RES42 Rescue / Service 42 20:01:02 20:03:15 20:09:21 20:22:03 Staff ID\Staff Name RankActivity Position Role Foster, Gregory Wayne97 Fire Appara Incident Activi Captain Captain Para Milton Rescue 42 (R42) dispatched along with a full alarm on a possible chimney fire. R42 arrived on scene and found nothing showing on a two story residential structure. R42 established Freemanwood Lane Command. R42 met with the home owner outside and gathered information. Command (R42) assigned E43 to investigate the interior of the structure and conducted a 360 degree walk around of the structure. Milton E41 was assigned to also inspect the exterior of the structure. Milton Battalion 4 arrived on scene and assumed Command after a face to face verbal report. R42 was released by Command and returned to service. Unit Narrative TRK 41 Truck 41 20:01:03 20:02:37 20:12:57 20:14:14 Staff ID\Staff Name RankActivity Position Role Brown, Thom Paul Champion, Joseph Randall Campbell, James Robert 105 146 147 Captain Fire Appara Fire Appara Incident Activi Incident Activi Incident Activi Captain Fire Apparat Fire Fighter Captain EMT- Fire Apparar Firefighter Truck 41 responded to the topic location on a report of a possible structure fire. Prior to arrival Battalion 4 canceled Truck 41. Unit Narrative Milton Fire Department 16-000219112/02/201606014Page 2 FDID State Responding Personnel MM DD YYYY Station Incident Number ExposureIncident Date* **** 06014 16-0002191 000 41GA 2 2016 12 Staff ID\Staff Name Unit RankActivity Position HrsPayScl HrsPd Pts BATT 4 BC108 Bourn, William Moss INCACTIVITY 0.41 0.41 0.00 ENG41 FF107 Mickens, Thomas INCACTIVITY FF 0.41 0.41 0.00 ENG41 FAO121 Sweeting, Chad Kent INCACTIVITY AO 0.41 0.41 0.00 ENG41 FAO60 Addison, Glenn Elliott INCACTIVITY FF 0.41 0.41 0.00 ENG43 CP167 Murray, Timothy Colin INCACTIVITY AO 0.48 0.48 0.00 ENG43 FAO168 Carter, Gregory INCACTIVITY 0.48 0.48 0.00 ENG43 BC88 Bushman, Richard INCACTIVITY CP 0.48 0.48 0.00 RES42 FAO97 Foster, Gregory Wayne INCACTIVITY CP 0.35 0.35 0.00 TRK 41 CP105 Brown, Thom Paul INCACTIVITY CP 0.48 0.48 0.00 TRK 41 FAO146 Champion, Joseph INCACTIVITY AO 0.48 0.48 0.00 TRK 41 FAO147 Campbell, James INCACTIVITY FF 0.48 0.48 0.00 Total Participants:11 Total Personnel Hours:4.87 An 'X' next to the unit denotes driver. Milton Fire Department 16-000219112/02/201606014 FDID State NFIRS - Involvement User Fields MM DD YYYY Station Incident Number ExposureIncident Date 06014 16-0002191 000 41GA 2 2016 12 Seaman, Dan Involvement Name: Involvement Type: Owner: Occupant: X Milton Fire Department 16-000219112/02/201606014