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Accident Investigation Guide: 2005 Edition

Exhibit 8-2

Wildland Fire Fatality and Entrapment
Initial Report

Complete this report for fire-related entrapment and/or fatalities. Timely reporting of wildland-related entrapments or fatalities is necessary for the rapid dissemination of accurate information to the fire management community. It will also allow fire safety and equipment specialists to quickly respond to these events as appropriate. This initial report does not replace agency reporting or investigative responsibilities, policies, or procedures. Immediately notify the National Interagency Coordination Center (NICC). Submit this written report within 24 hours—even if some data are missing—to the address given below.

NICC—National Interagency Fire Center
3833 South Development Ave.
Boise, ID 83705-5354

Phone: 208–387–5400
Fax: 208–387–5414

NICC Intelligence Section
E-mail: nicc_intel@nifc.blm.gov

Submitted by:
Agency:
Phone:
Position:
Location:
E-mail:

1. General Information
   
   
   • Date of event
   • Time
   • Number of personnel involved
   • Number of:
     • Injuries
     • Fatalities
   • Fire name, location, agency, etc.
     
     
2. Fatalities
   
   
   • Type of accident:

   Aircraft

   Natural (lighting, tornado, etc.)

   Medical (heart, stroke, heat, etc.)

   Struck by falling object

   Vehicle

   Smoke

   Entrapment

   Other

   • Where fatality/entrapment occured:

   Fire site

   Incident base

   In transit

   Other

   • Employing agency
   • Unit name
   • Address
   • For further information, contact
   • Home unit address
   • Phone
     
     
3. Fire Related Information
   
   
   • Fuel model
   • Temperature
     • RH
     • Wind
     • mph
   • Topography
     • Slope %
   • Fire size at the time of the incident/accident___acres
   • Incident management type at the time of the incident/accident (circle one): 1 2 3 4 5
   • Urban/wildland intermix? Yes No
   • Cause of Fire: Natural Incendiary Accidental Unknown
     
     
4. Entrapment Information

A situation where personnel are unexpectedly caught in a fire-behavior-related, life-threatening position where escape routes or safety zones are absent, inadequate, or have been compromised. An entrapment may or may not include deployment of a fire shelter. Note: Engine and dozer burnovers also constitute entrapments.

Brief description of the accident

Entrapment Description

• Person trapped: With fire shelter Without fire shelter
• Burns/smoke injuries incurred while in fire shelter Yes No
• Burns/smoke injuries incurred while escaping entrapment Yes No
• Burns/smoke injuries incurred while fighting fire Yes No
• Fire shelter performed satisfactorily Yes No
• Fire shelter was available, but not used Yes No

Personal Protective Equipment Used

• Fire shelter Yes No
• Protective pants Yes No
• Protective shirt Yes No
• Face/neck protection Yes No
• Gloves Yes No
• Hardhat Yes No
• Boots Yes No
• Goggles Yes No

E-mail: wo_mtdc_webmaster@fs.fed.us	Technology & Development Center

since July 21, 2005