Collapse kills three firefighters, injures four in 2016
NIOSH Fire Fighter Fatality Investigation and Prevention Program
On September 24, 2016, a 41-year-old lieutenant and a 51-year-old senior fire fighter died due to a floor collapse in a row house at a structure fire. Two other fire fighters were critically injured. One of the injured fire fighters, a 48-year-old female died on December 1, 2016, due to injuries sustained from the collapse and exposure to fire in the basement.
Another fire fighter spent 40 days in a metropolitan hospital before being released. Two other fire fighters received burns during fireground operations and one fire fighter sustained an ankle injury. All three were treated and released from the hospital on the same day.
At 0256 hours, Engine 1, Engine 5, Squad 4, Ladder 2, Battalion 2, and Battalion 1 were dispatched to a report of a residential structure fire with persons trapped. Ladder 2 arrived on-scene at 0301 hours and reported heavy fire showing from the rear of the structure. The Ladder 2 Officer requested a 4th engine be dispatched. Engine 1 and Engine 5 arrived and both laid supply lines from different directions. Battalion 2 arrived on-scene and assumed Command.
Crews from Engine 1, Engine 5, and Ladder 2 went to the front door and entered the 1st floor at approximately 0307 hours. At approximately 0309 hours, the Ladder 2 Officer, a fire fighter from Engine 1, and a fire fighter from Engine 5 fell into the basement.
At 0310 hours, a Mayday was transmitted for a floor collapse and fire fighters in the basement. Fire fighters were able to get the fire fighter from Engine 1 (Engine 1B) out of the basement at 0318 hours.
Crews were able to get the fire fighter from Engine 5 (Engine 5B) to the base of an attic ladder placed in the basement. Crews in the basement were also searching for the Ladder 2 Officer, plus fire fighters were exiting and entering the basement. The injured fire fighter from Engine 5 moved away from the attic ladder and crews were unable to locate her.
Two fire fighters from Squad 4 (Squad 4C and Squad 4D entered the basement from Side Charlie and found the lieutenant from Ladder 2 near the Side Alpha/Side Delta corner. The two fire fighters from Squad 4 pulled the Ladder 2 Officer toward the doorway on Side Charlie. They got 4 – 6 feet from the doorway when a second collapse of the 1st floor occurred at approximately 0320 hours. One fire fighter from Squad 4 (Squad 4C) and the lieutenant from Ladder 2 were covered by debris.
Squad 4D was pushed toward the doorway and pulled out by a fire fighter from Engine 5 (Engine 5C). Squad 4C was removed from the structure at 0329 hours. He was transported to a trauma center and pronounced deceased.
The fire fighter from Engine 5 (Engine 5B) was located and removed from the structure at 0348 hours and transported by air ambulance to a trauma center and then a medical burn center.
At 0430 hours, the Ladder 2 Officer was located in the debris pile and pronounced deceased by a paramedic.
He was removed from the structure and transported to a trauma center.
The fire was declared under control at 0550 hours.
- Sliding glass door open on Side Charlie
- Lack of scene size-up and risk assessment
- Lack of incident management and Command Safety
- Lack of an incident action plan
- Inappropriate fireground tactics for below grade fire
- Lack of company/crew integrity
- Lack of personnel accountability system
- Lack of rapid intervention crew(s)
- Ineffective fireground communications
- Lack of professional development for fire officers and fire fighters
- As part of the strategy and incident action plan, the incident commander should ensure a detailed scene size-up and risk assessment occurs during initial fireground operations, including the deployment of resources to Side Charlie. Scene size-up and risk assessment should occur throughout the incident.
- Fire departments should develop and implement a standard operating procedure/guideline for tactical operations involving below grade fires.
- Fire departments should ensure that the incident commander develops and communicates the strategy and incident action plan (tactics) during the initial stages of the incident.The incident action plan should be updated when benchmarks are met/not met.
- Fire departments need to ensure that critical incident benchmarks are communicated to the incident commander throughout the incident.
- Fire departments should integrate current fire behavior research findings developed by the National Institute of Standards and Technology (NIST) and Underwriter’s Laboratories (UL) into operational practices by developing standard operating procedures, conducting live fire training, and revising fireground tactics.
- Fire departments should ensure adequate staffing and deployment of resources based on the community’s risk assessment.Fire departments should ensure adequate staffing and deployment of resources based on the community’s risk assessment.
- Fire departments should ensure that once Command is established at an incident, the incident commander maintains control of situation status, resource status, and fireground communications and ensures the completion of the tactical objectives.
- Fire departments should ensure that the Incident Commander establishes a stationary command post for effective incident management, which includes the use of a tactical worksheet, effective fireground communications, and a personnel accountability system.
- Fire departments should incorporate the principles of Command Safety into the incident management system during the initial assumption of command. This ensures that the strategic-level safety responsibilities are being incorporated into the command functions throughout the incident.
- Fire departments should review their personnel accountability system standard operating procedure/guideline. The resource status function should account for all resources throughout an incident.
- Fire departments should develop and implement a standard operating procedure/guideline on the deployment and use of rapid intervention crew(s).
- Fire departments should ensure that all fire fighters and fire officers are trained in managing a Mayday.
- Fire departments should provide a checklist for the incident commander regarding procedures in the event of a Mayday.
- Fire departments should ensure that their radio communication system is capable of providing adequate coverage based upon the demands of an incident and complies with NFPA 1561, Standard on Emergency Services Incident Management System and Command Safety.
- Fire departments should ensure that a communication standard operating procedure is in place for dispatchers to support fireground operations and the incident commander.
- Fire departments should ensure adequate incident scene rehabilitation is established in accordance with NFPA 1584, Standard on the Rehabilitation Process for Members during Emergency Operations and Training Exercises.
- Fire departments should ensure that all members engaged in emergency operations receive annual proficiency training and evaluation on fireground operations.
- Fire departments should provide battalion chiefs with a staff assistant or incident command technician to manage communications, resource status, and information management.
- Fire departments should develop and implement a professional development plan to ensure for career enhancement plus maintaining knowledge, skills, abilities, and competencies for emergency response.