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Home My WebLink AboutPark Meadows 11 25 07 (2).pdf A MM DD yyyy �vE�e�e �03745 � CO 11 � �294Z� 002 �07-0329007 � 000 ��,,z�ge NFIRS -1 FDID State Incident Date Station Incident Number. BdS1C * * * * Exposure * ❑No Activity ❑CI- I-_i; n x to I�dira_e th� I- j . ,s for �I-i 'd ._ ' � t- 4d 1�1 �i �ire C2*t5u5 TrdCt BLOC3tl OI1* �,a�iP z, �e�c,o� � �Aicer�a_�-e no�tic�o, � �,f��c �, �s_ _�i� for�w�iai..�u f�re� ��-�� Street address 472 �� MATTERHORN � CIR �� IIIt.EZ'SECt.lOII Number/Milepost Prefix Street or Highway Street Type Suffix ❑In front of � �Vail � CO �81657 �-�� REdx' Of npt./Suite/ROOm City StaCe 2ap Code ❑Adjacent to I I �Direetions Cross street or directions, as applicable C Incident Type * E1 Date & Times Midnight is o00o E2 Shift & Alarms 111 �Buildinq fire �h��x boxes ;:� Loca1 Option I d3tes are thE Month Day Year Hr Min Sec Incident Type same as Alarm nLARM always equired Date. B oo� D A i d G i v e n o r R e c e i ved* A1arm �k 11� 25 2007 �19:55:22 � s,,�ft or �.�ar,as D�str��t P��too� ARRIVAL requi.xed, un].ess cance]ed or did not arrive 1 ❑Mutual aid received �I CO Q Arrival * 11 25 2007 �20:03:00 � 2 �Automatic aid recv. Tneir FoTO Tneir E3 State CONTROLLED Optional, Except for w_ldland fires Special Studies 3 ❑Mutual aid given Loca1 Option 4 ❑Automatic aid given I I �Controlled �� rJ ❑Other aid given The1r LasT oNiT cLFARen, reqvirEa exoePC �or w�taia�a tires �� incident Number Last UIIlt Special Special N ❑NOne X❑ Cleared 11 25 2007 I22:14:00 I ct��Y I�� stuaY v3i,�e F' Actions Taken * G1 Resources * G2 Estimated Dollar Losses & Values Check this box and skip this ge aired for all fires if knewn. O ticnal X section i.f. zn Apparatus or LOSSES: g' p for non fires. Personne] form i.s used. NORE 11 IExtinguishment by fire s� vice perso App ratus Personnel property $�� , 000 , 000 � Primary Acllion Taken (1) suppression 0005 0011 Contents �`�� , 000 , 000 � �� i�dditional action Taken (2) EMS �I �I pgg-INCIDENT VALUE: optional �I I I Other �I �� property $�� , 000 , 000 � Additional Action Taken (3) � Check box if resource cou�ts include aid received resources. (]OIItEIItS $� � �� i ��QI � Completed Modules gl*Casualties❑rrone �j3 Hazardous Materials Release I Mixed Use Property �Fire-2 Deaths Injuries N �None NN Not Mixed X❑Structure-3 Fire � � 1 ❑Natural Gas: 1� Assembly use siow ieak, „o e„avat�o�or xa�Mat a�t�o„s 20 Edueation use Service ❑Civil Fire Cas.-4 2 ❑Propane gas: <z� 16. tank �a� ��nome seQ g�� 33 Medical use ❑Fire Serv. Cas.-5 Civilian�l �� 3 ❑Gasoline: �eh=�le f�ei ta�k o=portable �onta�ne� 40 Residential use ❑EMS-6 4 ❑Kerosene: fuel b�=�=� t o t�,ie stora 51 Row of stores q equipmen r por ge � Detector 53 Enclosed mall ❑HazMat-7 Req„ire� for Confined F�res. 5 ❑Diesel £uel/£uel oil:�en��ie a�ei na�k or Porewie 58 Bus. & Residential ❑Wildland Fire-8 l�petector alerted occupants 6 ❑Household solvents: nomeioff��e spill, cleanup oniy 59 Office use �Apparatus-9 7 ❑Motor oil: f=om e�e=�e o=Po=t�le �onta�ne= 6� Industrial use �Personnel-10 2�Detector did not alert them 8 �Paint: f=om ea��t=ans tota1=�s< ss yaiions 63 Military use ❑Arson-11 s i HazMat a�e�o�s a or ii >ss 1., 65 Farm use U�Unknown 0 ❑Other: PeO1d Le�"'�e �P' sa 00 Other mixed use Please c m lete the HazMat£ocm J Property USE* StruCtures 341❑Clinic,clinic type infirmary rj39 ❑Household goods,sales,repairs 342 Q Doctor/dentist office 57 9 ❑Motor vehicle/boat sales/repair 131 ❑Church, place o£ worship 3 61�Prison or jail, not juvenile 57 1 ❑Gas or service station 1 61 ❑Restaurant or cafeteria 4 1 9❑ 1-or 2-family dwelling 5 99 ❑ Business office 1 62 ❑Bar/Tavern or nightclub 42 9 Q Multi-family dwelling (],�j ❑Electric generating plant 2 13 ❑Elementary school or kindergarten 43 9 Q Roominq/boarding house 62 9 ❑Laboratory/science lab 215 ❑High school or junior high 4490Commercial hotel or motel 700 ❑Manu£acturing plant 2 41 ❑College, adult education 4rJ 9❑Residential, board and care 81 9 ❑Livestock/poultry storage(barn) 311 ❑Care facility for the aged 4 64❑Dormitory/barracks $$2 ❑Non-residential parking garage 33], ❑Hospital 519 Q Food and beverage sales $91 ❑Warehouse Outside 93 6 ❑Vacant lot 981 ❑Construction site ZZ 4 ❑Playground or park 93$ ❑Graded/care for plot of land 984 ❑ Industrial plant yard 65�J ❑Crops or orchard 946 ❑Lake, river, stream I�ookup and enter a Property Ose code onl.y :f 669 ❑Forest (timberland) 951 ❑Railroad L1CJ$t Of Wd17 you have NOT checked a Property Ose box: 807 ❑outdoor storage area 960 ❑Other street Property Use 429 91 9 ❑Dump or sanitary landfill 9(1 �Highway/divided highway 931 ❑Open land or field 962 �Residential street/driveway �Multifamily dwelling � NFIRS-1 Revision 03 11 99 Vail Fire 03745 11/25/2007 07-0329007 K1 Person/Entity Involved � � �� - ��-�� Local. Opti.on �usiness name (i`. applicable) Area Code Phone Number Check This Box ii � I I � I I � same address as Mr.,MS., Mrs. FirSt Name MI LaSt Name Suffix incident location. �I I I I I �I � Then skip the three duplicate address Num er Prefix Street or Hi hwa Street T e lines. g- y yp Suffix I I U I I Post Office IIox Apt./Sui�te/ROOm City U I I—U State Zip Ccde �More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary K2 Owner � Same as person involved? Then check this box and skip I I I I _ I I—�I The rest oF this section. �� Local Option IIusiness namc (if App7.icablc) Area Code Phone Number I� I I I� I I U OCheck tnis box i.f Mr.,Ms., Mrs. i'irst Name MI Last Name Suf.fix same address as i.ncident location. I I � I I �I I I Then skip the three � �_� dup].icate address Number Prefix Street or F[�gnway Street Type Suffix li.nes. I I � I I Post Offi.ce Box Apt./SUiCe/ROOm Citv U I I—I� State Zip Code L Remarks Local Option FIRE COMING OUT OF THE CHIMNEYIS IN THE FLUE IN THE CHIMNEYRP IS MANAGER, IS GOING TO TURNING THE FIRE OFFPER 225 ADV IS FIRE NEEDS ASSTUPDATED RESPONDING UNITSMAY NEED PD FOR CROWD CONTROLAT CENTER PARKING LOT OF PARK MEADOWSE9 WAITING FOR S9 TO ARRIVE FOR SHUT OFF225 ASST FIRE LOOKING FOR RESIDENCENOT MANY PEOPLE THERE, DOES NOT NEED ASSTWILL NEED HOSE LINE & CHAIN SAW UP HEREINTERIOR TEAM 1 REPORT TO ICALL TRAFFIC TAKEN TO ES1 ON THIS CALLACTIVE WORKING ROOF FIRE4 ACTICS, 25 FEET FROM THE CORETRA�IEL BY CORE SPACE IN THE ROOF, OR BY RADIANT HEATNEED CHAINSAW TO CUT OPEN THE ROOFHAVE SMOKE COMING OUT BY A POINT BY THE CHIMNEYNEED THE LINE CHARGED, THAT IS UP HERE ON THE ROOFHAVE WATER NOW, IN THE LINEACTIVE FIRE INSIDE THE TRIANGLE, DUE NORTH OF CHIMNEY, ABOUT A FOOTWITH FALLING EMBERS, WILL NEED HOSE LINE INSIDECOMMITTING 2ND HOSE LINE W/3" HOOKUP402 CALLING IN, HAVE MCGEE CALL ON ES1, 460376-0738 LEFT MESSAGE FOR 460NEED 1ST ALARM, NEED HELP FROM EAGLE RIVERFOR EAGLE RIVER FIRE460 NOTIFIED AT HOME, WILL GO DIRECT ON ESIBAT 7 ALSO ENROUTE TO ASSISTTEAM 1 REPORT TO MANAGEMENT, GET HEADS INTO ATTIC OPENINGTAKE A LOOK, HAVE CHARGED LINE ON STANDBYNORTH, EAST, SOUTH, WEST ATTICS TO CHECKCENTER ATTIC AREA, IS THE COLD ROOF WHERE ACTUALCHIMNEY FLUE IS LOCATED, NEED TO CONFIRM THERE IS NOSPREAD IN THE FALSE ATTIC TO THE OTHER FOUR AREASMODEST EXTENSION ABOVE THE FLUE SYSTEMPUFFS OF SMOKE INDICATE IT HAS BEEN GOING FOR SOME TIMEA MATTER OF DRENCHING & FINDING THE FIREIC ADVISING E5 TO COMMIT THEMSELVES UP TO LADDER 1CHECKING FOR HOT SPOTS & EXTENSION, PRETTY MUCH UNDER CONTROLSTARTING TO MAKE IT'S WAY THRU THE ROOFON THE NORTHEAST SIDE OF THE CHIMNEYCONFIRMING EXTENSION, THAT NO OTHER ATTIC'S HAVE BEEN AFFECTEDROOF TEAM, STOP CHOPPING, UNTIL BOTTOM DOWNSTAIRS IS SECUREHURRY UP, A LOT OF FALLOUT ON FURNITURE DOWNSTAIRSNEED TWO MINTUES, HAVE ACTIVE FLAME ON THE ROOF460/461 IN SERVICE FROM EAGLEEAGLE RIVER CREWS ARE CHECKING ATTICS FOR ANY EXTENSIONEAGLE RIVER, TEAM 3 ATTIC EXTENSIONTHEY ARE LEAVING W/MANAGEMENT TO CHECK EXTENSION IN ATTICCALLING 200 TO ADVISE OF SITUATIONE2 -- FO - FIRE OUTPER 402 FIRE OUT, NOW AT SALVAGE AND OVERHAULEAGLE RIVER HAS BEEN RELEASED BY 402E5 -- RQ - RETURNING TO QUARTERSBAT7 -- RQ - RETURNING TO QUARTERSPER 402 SALVAGE AND OVERHAUL COMPLETEINVESTIGATION BEING DONE Authorization Inves�Si�Lt�}��1 statemer�tl 5��edJ�r�'ie�•GVaughan: I ICP � � � � 11 � 26 � 2007 Officer in charge ID Signature Pos:t'_on or rank Assignment Month Day Year This fire was �� 'ELi�nj��]�quate c}e�r�-�i�� t��g�n}�stibles b i��en the el�m�nts of roofl �orr�s1 r�ic�t�, �n a�gip� �'��,� i��, �„�„g r ��} �,n t �� pene� ion assem l��t��P�re=a�rea ��test fi��*nda��ge =�� at '�l�`ia�g� enetration. Examination of the flue did reveal exterior lines of demarcation on the flue, however, this demarcation is beleived to be a result of long term use and not directly related to this event. Vai r,e 03745 11/25/2007 07-0329007 �Ad��itionally, at the point of connection of the flue and firebox there is visible creosote buildup which did not show signs of ignition. Creosote buildup is MM DD YYYY � 03745 � CO 11 25 2007 002 � 07-0329007 � 000 complete roro * state* r��de�t oate * stat;on I-,��ae,t N;�mber * F,xPos„r� * Narrative Narrative: FIRE COMING OUT OF THE CHIMNEYIS IN THE FLUE IN THE CHIMNEYRP IS MANAGER, IS GOING TO TURNING THE FIRE OFFPER 225 ADV IS FIRE NEEDS ASSTUPDATED RESPONDING UNITSMAY NEED PD FOR CROWD CONTROLAT CENTER PARKING LOT OF PARK MEADOWSE9 WAITING FOR S9 TO ARRIVE FOR SHUT OFF225 ASST FIRE LOOKING FOR RESIDENCENOT MANY PEOPLE THERE, DOES NOT NEED ASSTWILL NEED HOSE LINE & CHAIN SAW UP HEREINTERIOR TEAM 1 REPORT TO ICALL TRAFFIC TAKEN TO ES1 ON THIS CALLACTIVE WORKING ROOF FIRE4 ACTICS, 25 FEET FROM THE CORETRAVEL BY CORE SPACE IN THE ROOF, OR BY RADIANT HEATNEED CHAINSAW TO CUT OPEN THE ROOFHAVE SMOKE COMING OUT BY A POINT BY THE CHIMNEYNEED THE LINE CHARGED, THAT IS UP HERE ON THE ROOFHAVE WATER NOW, IN THE LINEACTIVE FIRE INSIDE THE TRIANGLE, DUE NORTH OF CHIMNEY, ABOUT A FOOTWITH FALLING EMBERS, WILL NEED HOSE LINE INSIDECOMMITTING 2ND HOSE LINE W/3" HOOKUP402 CALLING IN, HAVE MCGEE CALL ON ES1, 460376-0738 LEFT MESSAGE FOR 460NEED 1ST ALARM, NEED HELP FROM EAGLE RIVERFOR EAGLE RIVER FIRE460 NOTIFIED AT HOME, WILL GO DIRECT ON ESIBAT 7 ALSO ENROUTE TO ASSISTTEAM 1 REPORT TO MANAGEMENT, GET HEADS INTO ATTIC OPENINGTAKE A LOOK, HAVE CHARGED LINE ON STANDBYNORTH, EAST, SOUTH, WEST ATTICS TO CHECKCENTER ATTIC AREA, IS THE COLD ROOF WHERE ACTUALCHIMNEY FLUE IS LOCATED, NEED TO CONFIRM THERE IS NOSPREAD IN THE FALSE ATTIC TO THE OTHER FOUR AREASMODEST EXTENSION ABOVE THE FLUE SYSTEMPUFFS OF SMOKE INDICATE IT HAS BEEN GOING FOR SOME TIMEA MATTER OF DRENCHING & FINDING THE FIREIC ADVISING E5 TO COMMIT THEMSELVES UP TO LADDER 1CHECKING FOR HOT SPOTS & EXTENSION, PRETTY MUCH UNDER CONTROLSTARTING TO MAKE IT'S WAY THRU THE ROOFON THE NORTHEAST SIDE OF THE CHIMNEYCONFIRMING EXTENSION, THAT NO OTHER ATTIC'S HAVE BEEN AFFECTEDROOF TEAM, STOP CHOPPING, UNTIL BOTTOM DOWNSTAIRS IS SECUREHURRY UP, A LOT OF FALLOUT ON FURNITURE DOWNSTAIRSNEED TWO MINTUES, HA�IE ACTIVE FLAME ON THE ROOF460/461 IN SERVICE FROM EAGLEEAGLE RIVER CREWS ARE CHECKING ATTICS FOR ANY EXTENSIONEAGLE RIVER, TEAM 3 ATTIC EXTENSIONTHEY ARE LEAVING W/MANAGEMENT TO CHECK EXTENSION IN ATTICCALLING 200 TO ADVISE OF SITUATIONE2 -- FO - FIRE OUTPER 402 FIRE OUT, NOW AT SALVAGE AND OVERHAULEAGLE RIVER HAS BEEN RELEASED BY 402E5 -- RQ - RETURNING TO QUARTERSBAT7 -- RQ - RETURNING TO QUARTERSPER 402 SALVAGE AND OVERHAUL COMPLETEINVESTIGATION BEING DONE BY 460 AND 461ES1 CLEARED Investigation statement posted by M. Vaughan: This fire was caused by inadequate clearance to combustibles between the elements of roof construction and the fireplace flue and thimble penetration assembly. The area of greatest fire damage is at this penetration. Examination of the flue did reveal exterior lines of demarcation on the flue, however, this demarcation is beleived to be a result of long term use and not directly related to this event. Additionally, at the point of connection of the flue and firebox there is visible creosote buildup which did not show signs of ignition. Creosote buildup is not believed to be a causal factor in this fire. The flue assembly and thimble were replaced in March of 2006. The reciept provided by management did not include a cover sheet which would identify contractor. While a permit would have been required, search of TOV permitting system does not show a permit being issued for this work. Vai1 Fire 03795 11/25/2007 07-0329007 pj MM DD yyyy �De�Ete �03745 � CO 11 25 2007 002 �07-0329007 � 000 ❑�,,a„gp NFIRS -2 FDID State Tncident Date Stati.on Incident [VUmber Fx osurc Fire * * * * P * �No Activity $ Pro ert Details C On-Site Materials❑xone Complete if there were any significant P y amounts of mmmercial,industrial, energ,y or OZ' Produets P9oi�c�ultural products or materiais on the p y, whether or not they became involved Enter up to three codes. Check one B 1 I 0 0 3 6� ❑Not ReSideRtidl or more boxes for each code entered. 1 Bulk storage or warehousing Estimated Number of residential living units in �I I I 'Z Processing Or manufacturing building of origin whether or not all units on-siee material (1) 3 Packaged goods fox sale became involved 4 Repair or service 1 Bulk storage or warehousing B2 I ��ll �Buildings not involved �I I I 2 Processing or manufacturing on-sicE ma�eriai (2� Packa ed oods for sale Number of buildings involved 3 g g 4 Repair or service B3 � � X❑None 1 Bulk storage or warehousing Acres burned �I I I 2 Processing or manufacturing (outside fires) ❑Less than one acre on-si�E maceriai (s) 3 Packaged goods for sale 4 Repair or service E Cause of Ignition E xuman Factors D Ignition 1 �check box if tnis is an exposure report. 3Contributing To Ignition Skip to section G Check all applicable boxes DZ ']'] I IROOf surface: exterior I 1 ❑Intentional 1 ❑Asleep �None Area of fire origin * 2 ❑Unintentional 2 ❑Possibly impaired by 3 ❑Failure of equipment or heat source alcohol or drugs D2 81 Heat from direct flame onve��ori currents 3 ❑Unattended person �I 4 ❑Possibly mental disabled Heat source * Cause under investiqation jj ❑Cause undetermined after investigation 5 ❑Physically Disabled � FactoXs Cpntributing To Ignition 6 ❑Multiple persons involved D3 11 � Exterior roof coverin ace, finish ltem ;irst i nited ec ox i ire sprea 9 7k }{None 7 �Age was a factor 1, was confined to object af oriqin �� None � Factor Contributing 'I'o Ignition (1) Estimated age O£ �I D4 65 � �Fiberboard, particleboa , and hardboard person envolved Type of material Require on y i item irst I I I I first ignited ignited code is 00 or <70 U Factor Contributi.ng To Igni.tion (2) ], ❑Male 2 �Female �,1 Equipment Involved In Ignition F''2 Equipment Power G Fire Suppression Factors �NOnE If Equipment was not involved,Skip to Section G �� I I Enter up to three codes. �None � I I Equipment Power Source Equipment Involved �� None I FEquipment Portability 3 Fire sappression factor (1) Brand I I 1 ❑Portable Stationar �I I I Model � � 2 � y Fire suppressioa factor (2) Serial #I I Portable equipment normally can be moved by one person, is designed t �I I I � I be use in multiple locations, and Fire suppressicn factor (3) Year requires no tools to install. Local Use �jl Mobile Property Involved H2 Mobile Property Type & Make ❑Pre-Fire Plan Available �NORE Some of the information presented in �I I I this report may be based upon reports from other Agencies 1 �Not involved in iqnition, but burned Mobile property type 2 ❑Involved in ignition, but did not burn ❑Arson report dttachEd 3 ❑Involved in ignition and burned �� I I ❑Police report attached mob-ie propPrty a,akP ❑Coroner report attached ❑Other reports attached � � � � Moblie property mod�l Yeal' I I U I I License PlaLe Number State VIN Number NFIRS-2 Revision O1/19/99 Vail Fire 03795 11/25/2007 07-0329007 I1 Structure Type * 22 Building Status * 13 Building* I4 Main Floor Size* NFIRS-3 If Fire was In enclosed building or a portable/mobile structure complete Height Structure the rest of this form Count the ROOF as part Fire 1 �Under construction of the highest story 1 ❑X Enclosed Building 2 ❑}{ Occupied & operating 2 ❑Portable/mobile structure � �I ' � ' � 3 ❑ Idle, not routinely used 002 800 3 ❑Open structure 4 ❑ Under major renovation xotai �,nwer of stonies Total square feet 4 ❑Air supported structure at o=�o�e e=aae �J ❑Vacant and secured �J ❑Tent QR 6 ❑Vacant and unsecured • 6 ❑Open platform �e.g. P�.ers� 001 7 �Underground structure(work a=eas) � �Being demolished beloW,,,,,,,�,e�of sto��e� $ ❑Connective structure (e.�. fences) O❑other '�a u r �� $Y u i �� U❑Undetermined Lenght in feet Width in feet � ❑Other type of structure J1 Fire Origin �r J3 Number of Stories K Material Contributing Most Damaged By Flame To Flame Spread 0 O 2 ❑Below Grade Count the ROOF as part of the highest story ❑ check if no flame spread Skip TO OR same as material first ignited Story Of fire origin I I Number of stories w/ minor damage OR unable to determine $ECtlOII L U (1 to 29� flame damage) JZ Fire Spread* � Number of stories w/ significant damage �1 � I I (25 to 498 flame damage) Item contributi.ng most co flamc sprcad 1 ❑Confined to object of origin 2 �ConfinEd i0 xoOm Of OTiCJin � Number of stories w/ heavy damage �n � I I (50 to 79� flame damage) L 3 ❑Confined to floor of origin , Type of materia7. contrlbuting Reqe�.red only :f it�n 4 �COnfined to buildinq of oriqin � Number of stories w/ extreme damage most of f7.ame spread contr'_bnt:ng 'rJ ❑Beyond building of origin (75 to 100$ flame damage) code is 00 or<70 L1 Presence of Detectors * L3 Detector Power Supply I,5 Detector Effectiveness (in area of tne fire) Required if detector operated N ❑None Present Skip to 1 ❑Battery only section M 2 ❑Hardwire only 1 ❑Alerted Occupants, occupants responded 1 Q Present 3 ❑Plug in 2 ❑Occupants failed to respond 4 Q Hardwire with battery 3 ❑There were no occupants U ❑Undetermined 4 ❑Failed to alert occupants rJ ❑Plug in with battery 6 ❑Mechanical U QX Undetermined L2 Detector Type 7 ❑Multple detectors & power suppiies L6 Detector Failure Reason 1 ❑X Smoke 0 ❑Other Required if detector failed to operate 2 ❑Heat U ❑Undetermined 1 ❑Power failure, shutoff or disconnect 3 ❑combination smoke - heat L4 Detector Operation 2 ❑Improper installation or placement 4 ❑Sprinkler, water flow detection 1 ❑Fire too small 3 ❑Defective to activate 4 ❑Lack of maintenance, includes cleaning 5 �More than 1 type present 2 Q pperated 5 ❑Battery missing or disconnected (complete section L5) 6 ❑Battery discharged or dead O ❑Other 3 ❑Failed to Operate (Complete Section L6) O ❑Other U ❑Undetermined U ❑Undetermined U ❑Undetermined M1 Presence of Automatic Extinguishment System �k M3 Automatic Extinguishment � Automatic Extinguishment N ❑X None Present System Operation System Failure Reason Required if fire was within designed range Required if system failed Complete rest 1 ❑Present of Section M 1 ❑�Perated & effective (Go to M4 1 ❑System shut off T e of Automatic Extin uishment S stem * 2 �Operated & not effective (M4) 2 � g y 3 ❑Fire too small to activate 2 �Not enough agent discharged Required if fire was within designed range of AES 3 �Aqent discharged but did 1 Wet i e s rinkler 4 ❑Failed to operate (Go to MS) ❑ P P P not reach fire 2 Dr i e s rinkler � ❑Other 4 ❑ y p p p ❑Wrong type of system 3 ❑Other sprinkler system U ❑Undetermined 5 ❑Fire not in area protected 4 ❑Dry chemical system 6 ❑System components damaged 5 Foam s stem M4 Number of Sprinkler � y Heads Operating 7 ❑Lack of maintenance 6 ❑Aalogen type system $ �Manual Intervention '] �Carbon dioxide (COZ) system Required if system operated O ❑Other 0 ❑Other special hazard system �� U ❑Undetermined U Undetermined Number of sprinkler heads operating NFIRS-3 Revision O1/19/99 Vail Fire 03795 11/25/2007 07-0329007 A MM DD yyyy NFIRS - 9 � 03745 � CO 11 25 2007 002 � 07-0329007 � 000 ❑De1�Le Apparatus or FDID * State* Incident Uate * Station Incident Number * Exposure * �Change Resources B Apparatus or * Date and Times Sent Number Use Actions Taken ResOUrL'e Check i£ same as alarm daCe �f * Cneck ONF. box for each X apparatus to _ndi.cate its main use at tne Month Day Year Hour Min People :.n�,aenc. 1❑ zD 460 Dispatch � 11 25 2007 19:55 �suppression �� Arrival � 11 25 2��7 20:3� a �Q� �EMS Type u Clear � 11 25 2��7 22:0$ �Other u u 2� u Dispatch � 11 25 2007 19:55 �� ID 461 �Suppression Arrival � 11 2�J 2��7 20:30 a �Q� �EMS Type 11 Clear � 11 25 2007 22:13 �other �� 3 Dispatch � 11 25 2007 19:55 �� ID E2 �Suppression Arrival � 11 25 2��7 2�:�3 a �Q� �EMS Type 12 clear � 11 25 2007 22:15 �other �� 4� �� Dispatch � 11 25 2007 19:55 �� ID LZ �Suppression Arrival � 11 2rJ' 2��7 20:�5 � �Q� �EMS Type 71 Clear � 11 25 2007 22:13 �other �� 5❑ zD R2 �ispatch � 11 25 2007 19:55 �suppression �� u Arrival � 11 25 2��7 2�:1'rJ � �� EMS Type �� Clear ❑��J �� Other � `-' � ID � Dispatch ❑ �� I �� Suppression �� Arrival ❑ u u �J �� EMS Type �� Clear ❑ �� Other � � � ID u Dispatch ❑ �� I �� Suppression �� Arrival � �� ❑ �� EMS Type �� Clear ❑ ��J �� ❑Other � � ID � Dispatch ❑ �� I �� Suppression Arrival � u u u �� ❑ �� EMS Type �� Clear ❑ �� Other � � ❑ ID � Dispatch ❑ u u �I �� Suppression �� Arrival � �� ❑ �� EMS Type u Clear ❑ ��J �� Other `-' � Type of Apparatus or Resources Ground Fire Suppression Marine Equipment More Apparatus? 11 Engine 51 Fire boat with pump Use Additional 12 Truck or aerial 13 Quint 52 Boat, no pump Sheets 14 Tanker & pumper combination 50 Marine apparatus, other 16 Brush truck Support Equipment Other 17 ARF (Aircraft Rescue and Firefighting) 61 Breathing apparatus support 10 Ground fire suppression, other 62 Light and air unit 91 Mobile command post Heavy Ground Equipment 60 Support apparatus, other 92 Chief officer car 93 HazMat unit 21 Dozer or plow Medical & Rescue 94 Type 1 hand crew 22 Tractor 71 Rescue unit 95 Type 2 hand crew 29 Tanker or tender 72 Urban Search & rescue unit 99 Privately owned vehicle 20 Heavy equipment, other 73 High angle rescue unit 00 Other apparatus/resource Aircraf t 75 BLS unit 41 Aircraft: fixed wing tanker 76 ALS unit NN None 42 Helitanker 70 Medical and rescue unit,other UU Undetermined 43 Helicopter 40 Aircraft, other NFIRS-9 Revision 11/17/98 Vai1 Fire 03795 11/25/2007 07-0329007 pj MM DD YYYY NFIRS - 10 � 03745 � CO 11 25� 2007 002 � 07-0329007 � 000 ❑°P1Pte rD1D * SL.aLe* Incident DatE * SCation Incident Number * p * �Change Personnel Ex oSUrP B Apparatus or * Date and Times Sent Number Use Actions Taken Resouree Check iP same as alarm date ❑ X O f * Check ONE box for each List up to 9 actions apparatus to indicate f�r each apparatus Use codes listed below People its main use aL the and each personnel. Month Da Year Hours/mins i„ciaent. 1❑ rD 460 Dispatch � 11 25 2007 19:55 Sent �suppression �� u Arrival � 11 25 2��7 20:3� � �Q� �EMS Type �� Clear � 11 25 2007 22:07 �Other �� Personnel Name Rank or Attend Action Action Action Action ID Grade �X Taken Taken Taken Taken ❑ ❑ ❑ ❑ ❑ ❑ 2� �� Dispatch � 11 25 2007 19:55 Sent �� ID 461 �Suppression Arrival � ].1 25 20�7 2�:3� a �Q� �EMS Type �� Clear � 11 Z�J 2�07 22:�7 �Other u u Personnel Name Rank or Attend Action Action Action Action ID Grade �X Taken Taken Taken Taken 3� �� Dispatch � 11 25 2007 19:55 Sent �� ID E2 �Suppression Arrival � 11 25 2007 2�:�3 a 11 �EMS Type 11 Clear Q 11 25 2007 22:12 �Other u u Personnel Name Rank or Attend Action Action Action Action ID Grade �X Taken Taken Taken Taken BOSW0001 Bosworth, Alan ENG X BURT0001 Burtar, Todd X CASH0001 Cash, Bryan X EICH0001 Eich, David ENG X GEAR0001 Geary, Joel X HODG0001 Hodgson, Peter FFE X KNUT0001 Knudsen, Richard FFE X LOFA0001 LoFaro, John X SPEL0001 Spell, James CP X SUTT0001 Sutter, Ryan FFE X WOLF0001 Wolfe, Jeff X NFIRS-10 Revision 11/17/98 Vai1 Fire 03795 11/25/2007 07-0329007 pj MM DD YYYY NFIRS - 10 � 03745 � CO 11 25� 2007 002 � 07-0329007 � 000 ❑°P1Pte rD1D * SL.aLe* Incident DatE * SCation Incident Number * p * �Change Personnel Ex oSUrP B Apparatus or * Date and Times Sent Number Use Actions Taken Resouree Check iP same as alarm date ❑ X O f * Check ONE box for each List up to 9 actions apparatus to indicate f�r each apparatus Use codes listed below People its main use aL the and each personnel. Month Da Year Hours/mins i„ciaent. 1❑ rD L1 Dispatch � 11 25 2007 19:55 Sent �suppression �� u Arrival � 11 25 2��7 20:�5 � �Q� �EMS Type 12 Clear � 11 25 2007 22:14 ❑other �� Personnel Name Rank or Attend Action Action Action Action ID Grade �X Taken Taken Taken Taken ❑ ❑ ❑ ❑ ❑ ❑ 2� �� Dispatch � 11 25 2007 19:55 Sent �� ID R2 �Suppression Arrival � ].1 25 20�7 2�:15 a �Q� �EMS Type 71 Clear � 11 Z�J 2�07 22:13 �Other u u Personnel Name Rank or Attend Action Action Action Action ID Grade �X Taken Taken Taken Taken � ID � Dispatch ❑ �� I �� Sent �Suppression �� Arrival � �� a �� ❑EMS Type �� Clear ❑��LJ �� Other � � Personnel Name Rank or Attend Action Action Action Action ID Grade �X Taken Taken Taken Taken ❑ ❑ ❑ ❑ ❑ ❑ NFIRS-10 Revision 11/17/98 Vai1 Fire 03795 11/25/2007 07-0329007 � 03745 � CO 11 25 2007 002 � 07-0329007 � 000 Responding r�r� state r�c�de�c eace ;cac�or, r-,c�ae,c N;,mber ex�osure Units/Personnel Unit Notify Time Enroute Time Arrival Time Cleared Time 460 Deputy Chief/ Fire Marshall 19:55:22 20:00:00 20:30:00 22:07: 00 Staff ID\Staff Name Activity Rank Position Role 461 Fire Prevention Officer 19:55:22 20:00:00 20:30:00 22:07: 00 Staff ID\Staff Name Activity Rank Position Role E2 Engine 2 (411) 19:55:22 19:56:00 20:03:00 22:12: 00 Staff ID\Staff Name Activity Rank Position Role BOSW0001 Bosworth, Alan F Fire At Scene Driver/Oper BURT0001 Burtar, Todd Fire At Scene CASH0001 Cash, Bryan A Fire At Scene EICH0001 Eich, David L Fire At Scene Driver/Oper GEAR0001 Geary, Joel Fire At Scene HODG0001 Hodgson, Peter Fire At Scene Firefighter KNUT0001 Knudsen, Richard Fire At Scene Firefighter LOFA0001 LoFaro, John Fire At Scene SPEL0001 Spell, James G Fire At Scene Captain SUTT0001 Sutter, Ryan A Fire At Scene Firefighter WOLF0001 Wolfe, Jeff Fire At Scene L1 Ladder One (430) 19:55:22 19:56:00 20:05:00 22: 14:00 Staff ID\Staff Name Activity Rank Position Role R2 Rescue Truck 19:55:22 20:00:00 20: 15:00 22:13:00 Staff ID\Staff Name Activity Rank Position Role Vai1 Fire Page 1 03795 11/25/2007 07-0329007 MM DD YYYY � 03745 � CO 11 25 2007 002 � 07-0329007 � 000 Responding roro * state* r��de�t oate * stat;o:, I-,��ae,t N:�mber * F,xPos„r� * Personnel Staff ID\Staff Name Unit Activity Position Rank PayScl Hrs HrsPd Pts BOSW0001 Bosworth, Alan F E2 FX Fire At Scene ENG 2 .32 2.32 1.00 BURT0001 Burtar, Todd E2 FX Fire At Scene 2 .32 2.32 1.00 CASH0001 Cash, Bryan A E2 FX Fire At Scene 2 .32 2.32 1.00 EICH0001 Eich, David L E2 FX Fire At Scene ENG 2 .32 2.32 1.00 GEAR0001 Geary, Joel E2 FX Fire At Scene 2 .32 2.32 1.00 HODG0001 Hodgson, Peter E2 FX Fire At Scene FFE 2 .32 2.32 1.00 KNUT0001 Knudsen, Richard E2 FX Fire At Scene FFE 2 .32 2.32 1.00 LOFA0001 LoFaro, John E2 FX Fire At Scene 2 .32 2.32 1.00 SPEL0001 Spell, James G E2 FX Fire At Scene CP 2 .32 2.32 1.00 SUTT0001 Sutter, Ryan A E2 FX Fire At Scene FFE 2 .32 2.32 1.00 WOLF0001 Wolfe, Jeff E2 FX Fire At Scene 2 .32 2.32 1.00 Total Participants: ll Total Personnel Hours: 25.52 An 'X' next to the unit denotes driver. Vai1 Fire 03795 11/25/2007 07-0329007