Posts Tagged ‘Extreme Fire Behavior’

Introduction

While formal learning is an essential part of firefighters’ and fire officers’ professional development, informal learning is equally important, with lessons frequently shared through the use of stores. Stories are about sharing knowledge, not simply about entertainment. It is their ability to share culture, values, vision and ideas that make them so critical. They can be one of the most powerful learning tools available (Ives, 2004). “Only by wrestling with the conditions of the problem at hand and finding his own way out, does [the student] think” (Dewey, 1910, p. 188).

Developing mastery of the craft of firefighting requires experience. However, it is unlikely that we will develop the base of knowledge required simply by responding to incidents. Case studies provide an effective means to build our knowledge base using incidents experienced by others. This case is particularly significant as the circumstances could be encountered by almost any firefighter.

Aim

Firefighters and fire officers recognize and respond appropriately to the hazards of ventilation controlled fires in small, Type V (wood frame), single family dwellings.

References

National Institute for Occupationsl Safey and Health (NIOSH). (2010). Death in the line of duty: Report F2010-10. Retrieved October 22, 2010 from http://www.cdc.gov/niosh/fire/pdfs/face201010.pdf.

Ives, B. (2004) Storytelling and Knowledge Management: Part 2 – The Power of Stories. Retrieved May 6, 2010 from http://billives.typepad.com/portals_and_km/2004/08/storytelling_an_1.html

Dewey, J. (1910) Democracy and education. New York: McMillan

Learning Activity

Review the incident information and discuss the questions provided. Focus your efforts on understanding the interrelated impact of ventilation and fire control tactics on fire behavior. Even more important than understanding what happened in this incident is the ability to apply this knowledge in your own tactical decision-making.

The Case

This case study was developed using NIOSH Death in the Line of Duty: Report F2010-10 (NIOSH, 2010).

On the evening of March 30, 2010, while operating at a fire in a small single family dwelling, Firefighter/Paramedic Brian Carey and Firefighter/Paramedic Kara Kopas were assigned to assist in advancement of a 2-1/2” handline for offensive fire attack and to support primary search. Shortly after entering the building conditions deteriorated and they were trapped by rapid fire progression. Firefighter Kopas suffered 2^nd and 3^rd degree burns to her lower back, buttocks, and right wrist. Firefighter Carey died from carbon monoxide poisoning and inhalation of smoke and soot. A 84 year old male civilian occupant also perished in the fire.

Figure 1. Side A Post Fire

Note: National Institute for Occupational Safety and Health (NIOSH)

Building Information

This incident involved a 950 ft² (88.26 m²), one-story, single family dwelling constructed in 1951. The house was of Type V (wood frame) construction with a hip roof covered with asphalt shingles. The roofline of the hip roof provided a small attic space. Sometime after the home was originally constructed an addition C was built that attached the house to a garage located on Side C. Compartment linings were drywall. The house, garage, and addition were all constructed on a concrete slab.

There were several openings between the house and addition, including two doors, and two windows (see Figure 3).

Note: The number and nature of openings between the garage and addition is not reported, but likely included a door and possibly a window (given typical garage construction). NIOSH investigators did not determine if the doors and windows between the house, addition, and garage were open or closed at the time of the fire as they were consumed by the fire and NIOSH did not interview the surviving occupant (S. Wertman, personal communication, November 17, 2010). The existence and position of the door shown in the wall between the addition and garage is speculative (based on typical design features of this type of structure).

Figure 2. Plot Plan and Apparatus Positioning

Figure 3. Floor Plan 17622 Lincoln Avenue

The Fire

Investigators believe that the fire originated in an addition that was constructed between the original home and the two-car garage. The surviving occupant reported that she observed black smoke and flames from underneath the chair that her disabled husband was sitting in.

The addition was furnished as a family room and fuel packages included upholstered furniture and polyurethane padding. The civilian victim also had three medical oxygen bottles (one D Cylinder (425 L) and two M-Cylinders (34 L). It is not know if the oxygen in these cylinders was a factor in fire development. The garage contained a single motor vehicle in the garage and other combustible materials.

After calling 911 and attempting to extinguish the fire, the female occupant exited the building. NIOSH Death in the Line of Duty Report 2010-10 did not specify this occupants egress path or if she left the door through which she exited open or closed (NIOSH did not interview the occupant, she was interviewed by local fire and law enforcement authorities). The NIOSH investigator (personal communications S. Wertman, November 17, 2010) indicated that the occupant likely exited through the exterior door in the addition or through the door on Side A. Give rapid development through flashover in the addition, it is likely that the exterior door in the addition or door to the garage was open, pointing to the likelihood that the occupant exited through this door. Subsequent rapid extension to the garage was likely based on design features of the addition and garage or some type of opening between these two compartments. As similar extension did not occur in the house, it is likely that the door and windows in the Side C wall of the house were closed.

In the four minutes between when the incident was reported (20:55 hours) and arrival of a law enforcement unit (20:59), the fire in the addition had progressed from the incipient stage to fully developed fire conditions in both the addition and garage.

Dispatch Information

At 2055 hours on March 30, 2010, dispatch received a call from a resident at 17622 Lincoln Avenue stating that her paralyzed husband’s chair was on fire and that he was on oxygen. The first alarm assignment consisting of two engines, two trucks, a squad, and ambulance, and fire chief was dispatched at 2057.

Table 1. On-Duty and Additional Unit Staffing of First Alarm Resources

Note: This table was developed by integrating data from Death in the Line of Duty Report 2010-10 (NIOSH, 2010).

Weather Conditions

The weather was clear with a temperature of 12^o C (53^o F). Firefighters operating at the incident stated that wind was not a factor.

Conditions on Arrival

A law enforcement officer arrived prior to fire companies and reported that the house was “fully engulfed” and that the subject in the chair was still in the house.

Truck 1220 (T-1220) arrived at 2101, observed that the fire involved a single family dwelling, and received verbal reports from law enforcement and bystanders that the male occupant was still inside. Note: The disabled male occupant’s last known location was in the addition between the house and garage, but it is unknown if this information was clearly communicated to T-1220 or to Command (E-534 Lieutenant).

Engine 534 (E-534) arrived just behind T-1220 and reported heavy fire showing. E-534 had observed flames from Side C during their response and discussed use of a 2-1/2” (64 mm) handline for initial attack.

Firefighting Operations

Based on the report of a trapped occupant, T-1220B (Firefighter and Apparatus Operator) prepared to gain entry and conduct primary search. Note: Based on data in NIOSH Death in the Line of Duty Report 2010-10, it is not clear that this task was assigned by the initial Incident Commander (Engine 534 Lieutenant). It appears that this assignment may have been made by the T-1220 Lieutenant, or performed simply as a default truck company assignment for offensive operations at a residential fire.

Upon arrival, the E-534 Lieutenant assumed Command and transmitted a size-up report indicating heavy fire showing. The Incident Commander(E-534 Lieutenant) assisted the E-534 Firefighter with removal of the 1-3/4” (45 mm) skid load from the solid stream nozzle on the 2-1/2” (64 mm) hose load and stretching the 2-1/2” (64 mm) handline to the door on Side A. The E-534 Apparatus Operator charged the line with water from the apparatus tank and then hand stretched a 5” supply line to the hydrant at the corner of Lincoln Avenue and Hawthorne Road with the assistance of a Firefighter from T-1220.

Figure 4. Initiation of Primary Search

The Incident Commander (E-534 Lieutenant) assisted T-1220B in forcing the door on Side A. T-1220B made entry without a hoseline and began a left hand search as illustrated in Figure 4, noting that the upper layer was banked down to within approximately 3’ (0.9 m) from the floor).

Arriving immediately after E-534, the crew of A-564 donned their personal protective equipment and reported to the Incident Commander at the door on Side A, where he and the E-534 Firefighter were preparing to make entry with the 2-1/2” hoseline. The Incident Commander then assigned A-564 to work with the E-534 Firefighter to support search operations and control the fire.

T-1220 initiated roof operations and began to cut a ventilation opening on Side A near the center of the roof. Note: Based on data in NIOSH Death in the Line of Duty Report 2010-10, it is not clear that this task was assigned by the initial Incident Commander (Engine 534 Lieutenant). It appears that this assignment may have been made by the T-1220 Lieutenant, or performed simply as a default truck company assignment for offensive operations at a residential fire.

As illustrated in Figure 5, a large body of fire can be observed on Side C and a bi-directional air track is evident at the point of entry on Side A with dark gray smoke pushing from the upper level of the doorway at moderate velocity. All windows on Sides A and B were intact, with evidence of soot and/or condensed pyrolizate on the large picture window adjacent to the door on Side A.

Figure 5. Conditions Viewed from the Alpha/Bravo Corner at Approximately

Note: Warren Skalski Photo from NIOSH Death in the Line of Duty Report F2010-10.

The Firefighter from E-534 took the nozzle and assisted by Firefighters Carey and Kopas (A-564) stretched the 2-1/2” (64 mm) handline through the door on Side A and advanced approximately 12’ (3.66 m) into the kitchen. As they advanced the hoseline, they were passed by T-1220B, conducting primary search. The E-534 Firefighter, Firefighter Kopas (A-564), and T-1220B observed thick (optically dense), black smoke had dropped closer to the floor and that the temperature at floor level was increasing.

Figure 6. Primary Search and Fire Control Crews

Questions

Take a few minutes and consider the answers to the following questions. Remember that it is much easier to sort through the information presented by the incident when you are reading a blog post, than when confronted with a developing fire with persons reported!

1. What B-SAHF (Building, Smoke, Air Track, Heat, & Flame) indicators were observed during the initial stages of this incident?
2. What stage(s) of fire and burning regime(s) were present in the building when T-1220 and E-534 arrived? Consider potential differences in conditions in the addition, garage, kitchen, bedrooms, and living room?
3. What would you anticipate as the likely progression of fire development over the next several minutes? Why?
4. How might tactical operations (positively or negatively) influence fire development?

Ed Hartin, MS, EFO, MIFireE, CFO

Finally! It has been quite some time since my last post, but the CFBT-US web site and blog have been attacked twice by hackers WordPress and ISP upgrade issues have been a major challenge and it has taken some time to get things back to normal.

A Big Improvement, But More Work is Needed

The Fire Service in the United States saw a considerable reduction in firefighter line-of-duty deaths in 2009. However, our efforts to improve firefighter safety must persist. Recent events reinforce the need to ensure understanding of practical fire dynamics and have the ability to apply this understanding on the fireground.

Three recent incidents involving extreme fire behavior present an opportunity to examine and reflect on the hazards presented by fires and accumulation of excess pyrolizate and unburned products of combustion in attics and other void spaces.

Minneapolis, MN Residential Fire

At 1130 hours on Saturday, July 3, 2010 Minneapolis firefighters responded to a residential fire at 1082 17th Avenue SE. First arriving companies observed light smoke and flames showing from a two and one-half story wood-frame home. A crew opening up the kneewall on the A/D corner of Floor 3 was trapped on the third floor by rapid fire progress.

Note: Photo by Steve Skar

A department spokesperson indicated that as they opened up the walls “it flashed over on them”. News reports indicated that the blast threw Firefighter Jacob LaFerriere, across the room and that he was able to locate a window, where he exited and dropped to the porch roof, one floor below. Capt. Dennis Mack was able to retreat into the stairwell where he was assisted to the exterior by other crews operating on the fireground (Mathews, 2010; Radomski & Theisen, 2010).

News reports also reported that a witness stated that the “flashover was quite loud and within seconds heavy fire was venting from the attic area” (Mathews, 2010). A later statements by department spokespersons indicated introduction of oxygen when the wall was opened resulted in the flashover (Porter, 2010) and that a burst of flames blew out the south side of the roof (Radomski & Theisen, 2010).

Firefighter Jacob LaFerriere suffered third degree burns on his arms and upper body. Capt. Dennis Mack suffered second degree burns (Radomski & Theisen, 2010) and are as of Sunday, July 4 were in satisfactory condition in the Hennepin County Medical Center Burn Unit.

Harrisonburg, VA Townhouse Fire

On June 24, 2010 Harrisonburg, Virginia firefighters responded to an apartment fire off Chestnut Ridge Drive. First arriving companies encountered a fire in a townhouse style, wood frame apartment. Investigating possible extension into Exposure Bravo, Firefighters Chad Smith and Bradly Clark observed smoke and then flames in the attic. They called for a hoseline, but when the pulled the ceiling, conditions worsened as the room ignited. Both firefighters escaped through a second floor window (head first, onto ladders placed by exterior crews). Four other firefighters were inside Exposure B when the extreme fire behavior occurred. Two received second degree burns, one was treated for heat exhaustion, and the fourth was uninjured (Firehouse.com News, 2010; WHSV, 2020). Department spokespersons indicated that a backdraft occurred when fire gases built up in the attic.

Note: Photo by Allen Litten

Sandwich MA Residential Fire

At around noon on Memorial Day, Sandwich, Massachusetts firefighters responded to a residential fire at 15 Open Trail Road. On arrival they found a 5,000 ft² (464 m²) wood frame single-family dwelling with a fire on Side C (exterior) with extension into the home. Firefighters Daniel Keane and Lee Burrill stretched a handline through the door on Side A, knocking down the fire and extending the line out onto a deck on Side C. Fire was extending through a void containing a metal chimney flue on the exterior of the building. The crew on the hoseline was making good progress until they hit the soffit with a straight stream and an explosion occurred. The force of the blast knocked the crew over the deck railing and caused significant structural damage. Firefighter Keane suffered fractures of his neck and back while Firefighter Burrill experienced a severely fractured ankle (Fraser, 2010; D LeBlanc personal communication June 2010).

Note: Photos by Britt Crosby (http://www.capecodfd.com/)

Questions

One of these fires occurred in an older home of legacy construction, the other two occurred in relatively new buildings. One was a large contemporary home, likely with an open floor plan and large attic/trussloft voids. The other two occurred in buildings with smaller void spaces in the attic/trussloft.

1. What is similar about these incidents and what is different?
2. Based on the limited information currently available, what phenomena do you think occurred in each of the cases? What leads you to this conclusion?
3. What indicators might have pointed to the potential for extreme fire behavior in each of these incidents?
4. How might building construction have influenced fire dynamics and potential for extreme fire behavior in these incidents?
5. What hazards are presented by fires in attics/trusslofts and what tactics may be safe and effective to mitigate those hazards?

Late Breaking Information

Two firefighters and an officer from the Wharton Fire Department were trapped by rapid fire progress in a commercial fire at the Maxim Production Company in Boling, TX on July 3, 2010. The crew had advanced a hoseline into the 35,000 ft² (3252 m²) egg processing plant to cut off fire extension when they encountered rapidly worsening fire conditions. The two firefighters were able to escape, but Captain Thomas Araguz III was trapped and killed (Statter, D., 2010). More information will be provided on this incident as it becomes available.

References

Mathews, P. (2010). Two Minn. ffs burned in flashover. Retrieved July 4, 2010 from http://www.firehouse.com/news/top-headlines/two-minneapolis-firefighters-burned-flashover

Radomski, L & Theisen, S. (2010). Firefighters hospitalized after flashover identified. Retrieved July 4, 2010 from http://kstp.com/news/stories/S1637495.shtml?cat=1

Porter, K. (2010). 2 firefighters burned in Mpls. fire ID’d. Retrieved July 5, 2010 from http://www.kare11.com/news/news_article.aspx?storyid=856556&catid=396

WHSV. (2010) Harrisonburg firefighters talk about their close call. Retrieved July 5, 2010 from http://www.whsv.com/home/headlines/97127924.html

Firehouse.com News. (2010). Harrisonburg, Va. firefighters forced to bail out. Retrieved July 5, 2010 from http://www.firehouse.com/showcase/photostory/harrisburg-va-firefighters-have-bail-out

Fraser, D. (2010). Mass. firefighters thrown more than 30 Ft. by blast. Retrieved July 5, 2010 from http://www.firehouse.com/news/top-headlines/blast-throws-mass-firefighters-more-30-feet

Statter, D. (2010). Update: Captain Thomas Araguz III killed during 4-alarm fire at egg plant in Boling, Texas. http://statter911.com/2010/07/04/firefighter-killed-during-4-alarm-fire-at-egg-plant-details-from-wharton-county-texas/

Last night I returned from The International Fire Instructors Workshop and OTTAWA FIRE 2010 Symposium. The workshop was started in 2008 by Dr. Stefan Svensson of the Swedish Civil Contingency Agency who wanted to see what would happen if he put a number of operational fire officers, instructors, scientists and engineers, in a room together for discussion of ideas of mutual interest. Since then, the workshop has continued to provide a forum for a loosely organized network of operational firefighters and fire officers, engineers, and scientists with a passionate interest in fire dynamics and firefighting. However, despite the looseness of our organization, we have had a tremendous impact on one another and continue efforts to positively influence our respective fire services understanding of fire dynamics.

OTTAWA FIRE 2010

At the closing of OTTAWA FIRE 2010 symposium, our host, and symposium organizer, Captain Peter McBride of Ottawa Fire Services rephrased the oft repeated sentiment that the fire service has seen 100 (or more) years of tradition, unimpeded by progress. He stated that the symposium was five days of progress, unimpeded by tradition. As stated on the symposium web site:

The OTTAWA FIRE 2010 symposium was conceived to address the needs of Ottawa Fire Services personnel in response to the recommendations of the Workers’ Report on Critical Injuries as a result of the Forward Avenue Fire on February 12, 2007.

Over the last week, the Ottawa Professional Firefighters Association in partnership with the Ottawa Fire Services, the National Research Council of Canada and Carleton University’s Industrial Chair in Fire Safety Engineering hosted this international symposium which was held in Ottawa at Carleton University. The partners sought to examine the issues facing the fire service through relationships, education, discovery and advocacy. This effort was a rousing success!

Purposeful Action

Firefighter Carissa Campbell-Darmody opened the symposium with a presentation entitled First One Out, giving a first person account of her traumatic experience in the Forward Avenue fire. On February 12, 2007 the members of Ottawa Fire Services Station 11, D Platoon (Pumps 11A, 11B, and Ladder 11) responded to a reported structure fire at 187 Forward Avenue. Within 9 minutes, they would be fighting to survive wind driven rapid fire progression that cut off their means of escape from the third floor of an apartment building.

Note: Photo by Jean Ladonde from Workers Report Critical Injuries: Forward Avenue Fire Ottawa Fire Services Incident # 07-8038, February 2007.

Three members of Pump 11B (Lieutenant John Chatterton, Firefighter Robert Witham and Probationary Firefighter Carissa Campbell) were trapped on the third floor of Exposure Delta while conducting primary search. Two members of Ladder 11 (Lieutenant Tim Taylor and Firefighter Gerald Barrett) were trapped on the third floor of the fire unit after rescuing an occupant and continuing primary search operations. All of these members were forced to jump from the third floor (fourthlevel including basement which was substantively above grade) to escape untenable conditions and suffered burns and musculoskeletal trauma.

As with most investigations into significant injuries or fatalities, the Workers’ Investigation conducted by the Ottawa Professional Firefighters Association identified multiple causal and contributing factors related to the tragic outcome of this incident.

Carissa’s presentation of the sequence of events and the experiences of her crew during this incident were incredibly detailed, insightful, and provided a powerful focus for the purpose of the symposium.

Connections

The symposium included a wide range of presentations focused on the importance of science and engineering to the firefighters’ work. Of particular significance were discussion of Managing the Mayday by Battalion Chief George Healy of the Fire Department of the City of New York (FDNY), Understanding the Fire Environment and Ventilating Today’s Residential House Fires by Steve Kerber from Underwriters Laboratories (UL), Wind Driven Fires by Dan Madryzkowski from the National Institute for Standards and Technology (NIST) and a historical look at the evolution of Ventilation Tactics by Battalion Chief Gerry Tracy of FDNY (retired).

Symposium participants also had the opportunity to observe how scientific research impacts the fire service with a visit to the Canadian National Research Council’s fire research facility.

Quantitative and Qualitative Research

On the last day of the symposium, I delivered a presentation on the use of case studies which emphasized the importance of both quantitative and qualitative research to the fire service. As frequent readers of this blog are aware, case studies can be a useful method of gaining insight into both the events involved in a particular event as well as identifying commonality with similar events. This presentation will be incorporated into several subsequent posts.

Ed Hartin, MS, EFO, MIFireE, CFO

References

Ottawa Professional Firefighters Association, International Association of Firefighters Local 162. (2007). Workers Report Critical Injuries: Forward Avenue Fire Ottawa Fire Services Incident # 07-8038, February 2007. Retrieved May 23, 2010 from http://www.ottawafirefighters.org/ottawafire2010/docs/ForwardAvenue_24_01_10.pdf

As a critical friend of the NIOSH Firefighter Fatality Investigation and Prevention Program, I have provided testimony at public hearings and engaged in discussions with NIOSH staff regarding improvement of the quality of information provided in Death in the Line of Duty Reports, particularly in incidents involving extreme fire behavior. In addition, I have provided expert review on a number of Death in the Line of Duty Reports (including F2009-11). The discussion of fire dynamics, fire behavior indicators, and influence of ventilation and wind effects in Report F2009-11 is evidence that this feedback has been heard! I would like to thank Tim Merinar and the other NIOSH staff for their efforts in this area.

However, more work is needed. Just over a year ago, I read a news report about the deaths of Captain James Harlow and Firefighter Damion Hobbs of the Houston Fire Department during operations at a residential fire. I recalled Houston had seen a number of fatalities during structural firefighting over a reasonably short period of time. Curious, I reviewed reports on these incidents developed by NIOSH and the Texas State Fire Marshal�s Office. Seeing some commonality in the circumstances surrounding these incidents, I called a colleague at NIOSH and recommended that the investigation of the incident in which Captain Harlow and Firefighter Hobbs lost their lives, include review of prior incidents (and near miss data if available) to identify underlying causal or contributing factors that may not be evident from examination of a single incident.

While we often want to know the cause of a tragic event, the reality is that it is often much more complicated that we would like. Investigative reports such as those prepared by NIOSH focus a bright light on the what and how, but often leave the question of why hidden in the shadows. Observations and questions in this post are not presented as an indictment of the Houston Fire Department, or to question the commitment and bravery of Captain Harlow and Firefighter Hobbs, but simply to encourage each and every one of us to look more deeply; more deeply at our profession, at our own organizations, and at ourselves.

Epidemiology

Epidemiology is the study of factors affecting the health and illness of populations. Epidemiological research is the foundation of public health intervention and preventative medicine. This research is focused at identifying relationships between exposures and disease or death. Identification of causal relationships between exposures and outcomes is critical. However, correlation does not determine cause, and identification of causality is often complex and tentative.

For the fire service, epidemiological study has and continues to focus on heart disease, stress, and cancer (see USFA, NIOSH Launch Cancer Study). However, these same concepts can be applied to traumatic fatalities as well.

R-Fire 7811 Oak Vista, Houston TX

On April 12, 2009 Captain James Harlow and Firefighter Damion Hobbs lost their lives in a residential fire at 7811 Oak Vista in Houston, Texas. On April 9, 2010, the National Institute for Occupational Safety and Health released Death in the Line of Duty Report F2009-11 summarizing their investigation of this incident. Overall, this report is well written and provides an excellent examination of the events involved in this incident. The Texas State Fire Marshal�s Office also conducted an investigation of this incident and released a report a short time prior to release of NIOSH Report F2009-11.

• NIOSH Death in the Line of Duty F2009-11
• Texas State Fire Marshal�s Office Firefighter Fatality Investigation FY09-01

Contributing Factors

NIOSH identified eight items as key contributing factors in the deaths of Captain Harlow and Firefighter Hobbs:

• An inadequate size-up prior to committing to tactical operations
• Lack of understanding of fire behavior and fire dynamics
• Fire in a void space burning in a ventilation controlled regime
• High winds
• Uncoordinated tactical operations, in particular fire control and tactical ventilation
• Failure to protect the means of egress with a backup hose line
• Inadequate fireground communications
• Failure to react appropriately to deteriorating conditions.

What is missing from this list? Six of the seven items on this list relate to human action or inaction. The report points out the need for policy, procedures, and additional training to address the contributing factors. While this is undoubtedly necessary, does this provide the entire answer?

The Remaining Question

As with all NIOSH firefighter fatality investigations, the focus of this report is on the circumstances and events surrounding a single incident. In this report, there is a brief mention of investigation of the deaths of other firefighters from this department, but no analysis of commonality or underlying contributing factors is provided. This leaves the question, to what extent did organizational culture impact on the circumstances and events involved in this tragic incident?

In his keynote presentation at the 2010 Fire Department Instructor�s Conference, Lieutenant Frank Ricci of the New Haven (CT) Fire Department indicated that the culture of the fire service is wrongly blamed for many of it�s problems. Lieutenant Ricci indicated that a large percentage of firefighter injuries and deaths are not due to inherent risks, but to an �unwillingness to take personal responsibility for safety� (Thompson, 2010). I would ask, why are firefighters unwilling to take personal responsibility? What factors influence this pattern of behavior? I suspect that it is our unquestioned assumptions about the way that things are (part of our culture). In this sense, culture is not to blame, but is simply one of a number of contributing and causal factors in many firefighter fatalities.

Common Elements

A cursory examination of the facts presented in the reports of NIOSH investigation of traumatic fatalities in the Houston Fire Department since 2000 shows a distinct pattern. Each of the fatalities involved members of the first arriving company where a fast attack was initiated without adequate size up and in most (and likely all) cases failure to assess risk versus gain. A more detailed examination of these events would likely provide a more finely grained picture of organizational expectations that make extremely aggressive fire attack without adequate size-up and risk assessment the norm, rather than the exception.

Table 1. Traumatic Line-of-Duty-Deaths in Houston, Texas 2000-2009

A Comparison

On September 11, 1991, Continental Express Flight 2574 crashed in Eagle Lake Texas killing all 14 people aboard. As with all commercial aircraft accidents, this incident was investigated by the National Transportation Safety Board.� The board identified the cause as failure of maintenance and inspection personnel to adhere to proper maintenance and quality assurance procedures. However, the board also identified failure of management to ensure compliance with approved procedures and failure of Federal Aviation Administration to detect and correct this problem as contributing factors. Board member John K. Lauber, filed a dissenting statement. �It is clear based on this record alone, that the series of failures which led directly to the accident were not the result of an aberration, but rather resulted from the normal accepted way of doing business at Continental Express� (NTSB, 1992, p. 53). Lauber advocated restating the probable cause of this accident as �the failure of Continental Express management to establish a corporate culture which encouraged and enforced adherence to approved maintenance and quality assurance procedures� (NTSB, 1992, p. 54).

It is essential to look at the five events identified in reports F2000-13, F2001-33, F2004-14, F2005-09, and F2009-11 (NIOSH, 2001, 2002, 2005a, 2005b, 2010) from a longitudinal perspective to identify in greater detail and understand the common elements and potential systemic cultural issues that influenced the actions of those involved. While the influence of organizational culture is more difficult to identify than failure to comply with good practice, failure to recognize a hazardous condition, or an error in decision-making, it has a far more pervasive influence on fire fighter safety than these specific, individual acts.

Based on limited research, it is apparent that the Houston Fire Department (like many others) places an extremely high value on rapid and aggressive offensive firefighting operations. While the outcome of this incident resulted from a wide range of interrelated contributing factors, organizational culture and lack of knowledge regarding fire behavior and the influence of tactical operations were likely the most significant.

Identification of organizational culture as a contributing factor in this incident is based on data included in the DRAFT report as well as review of NIOSH Reports F2000-13, F2001-33, F-2004-14, F2005-09, and F2009-11 (NIOSH, 2001, 2002, 2005a, 2005b, 2010) as well as review of the Houston Fire Department Strategic Plan FY2008-2012 (n.d., HFD) and Philosophy of Firefighting (2003, HFD).

A memorandum from the Office of the Fire Chief defining the Houston Fire Department�s philosophy of firefighting (HFD, 2003) after the McDonald�s (NIOSH, 2001) and Four Leaf Tower (NIOSH, 2002) fires reinforced the importance of risk assessment in selecting strategies and tactics. In this memo, the chief identified the importance of organizational culture, stating �we pride ourselves in being very aggressive interior fire fighters and look down on those that fight fire from the street� (p. 1). While this memorandum was written in 2003, lack of adequate size up and risk assessment was a contributing factor in three incidents resulting in four line-of-duty deaths involving Houston Fire Department members in subsequent six years.

The Houston Fire Department Strategic Plan for FY2008-2012 (n.d., HFD) identifies safety as a core organizational value, stating: �preservation of life remains the number one goal of the HFD beginning with the responder and extending to the public� (p. 5). This focus continues with enhancement of the health and safety of HFD members as the first goal within the strategic plan. However, while the strategic plan provides a detailed blueprint for action, no objective or action plan element addresses the predominant contributory factors that are common in the seven line-of-duty deaths of Houston Fire Department members resulting from traumatic cause between 1999 and 2009. For example, Objective 1.5 of the strategic plan focuses on National Fallen Fire fighter Initiative #1 which states �define and advocate the need for cultural change within the fire service relating to safety; incorporating leadership, management, supervision, accountability and personal responsibility (HFD, n.d., p. 8). However, the sub elements of this objective focus on near miss reporting, roadway emergency safety, and response to violent incidents.

In the incident that took the lives of Captain Harlow and Firefighter Hobbs, several elements point to the focus on speed and aggressive action. Despite his seniority and experience, the captain of the first arriving engine quickly initiated an interior attack without adequate size-up and risk assessment (or performed a size-up and failed to recognize critical fire behavior indicators). In addition, he left his portable radio on the apparatus, E-26s thermal imaging camera (TIC) was left outside the front door. Any one of these elements alone might indicate a simple error, but in combination along with the context provided by previous LODD incidents (NIOSH, 2001, 2002, 2005a, 2005b) this is likely evidence of the cultural value of speed and aggressive action over deliberate assessment of conditions and decision-making based on risk assessment.

While increased protection through the use of the reed hood has significant potential benefits (similar technology is used by the Swedish fire service), it is quite possible that this type of personal protective clothing (which is somewhat unique to the Houston Fire Department) is used to permit fire fighters to penetrate deeper into hostile environments, rather than simply to provide improved protection with the ordinary or hazardous range of conditions encountered during structural firefighting.

Recommendation

Based on these factors identified in NIOSH Report F2009-11 (2010) as well Reports F2000-13, F2001-33, F2004-14, F2005-09 (2001, 2002, 2005a, 2005b), I recommend that fire service organizations assess the impact of their organizational culture on fire fighter safety and operational performance.

Note that this recommendation is not simply focused on the Houston Fire Department. It is a global recommendation, that each of us examine the influence of culture within our respective organizations.

Ed Hartin, MS, EFO, MIFireE, CFO

References

Houston Fire Department. (2003) Philosophy of firefighting. Retrieved January 24, from http://www.houstontx.gov/fire/reports/philoff.pdf

Houston Fire Department. (n.d.) Houston Fire Department Strategic Plan FY2008-2012. Retrieved January 24 from http://www.houstontx.gov/fire/reports/SP0811.pdf

National Transportation Safety Board (NTSB). Aircraft accident report: Britt Airways, Inc. d/b/a/ Contenental Express Flight 2474 in flight structural breakup, EMB-120RT, N33701, Eagle Lake, Texas, September 11, 1991, NTSB/AAR-92/04. Washington, DC: Author.

National Institute for Occupational Safety and Health (NIOSH). (2001). Death in the line of duty, Report F2000-13. Retrieved January 24, 2010 from http://www.cdc.gov/niosh/fire/pdfs/face200013.pdf.

National Institute for Occupational Safety and Health (NIOSH). (2002). Death in the line of duty, Report F2001-33. Retrieved January 24, 2010 from http://www.cdc.gov/niosh/fire/pdfs/face200133.pdf.

National Institute for Occupational Safety and Health (NIOSH). (2005a). Death in the line of duty, Report F2004-14. Retrieved January 24, 2010 from http://www.cdc.gov/niosh/fire/pdfs/face200414.pdf.

National Institute for Occupational Safety and Health (NIOSH). (2005b). Death in the line of duty, Report F2005-09. Retrieved January 24, 2010 from http://www.cdc.gov/niosh/fire/pdfs/face200509.pdf.

National Institute for Occupational Safety and Health (NIOSH). (2010). Death in the line of duty, Report F2009-11. Retrieved April 25, 2010 from http://www.cdc.gov/niosh/fire/pdfs/face200911.pdf

Thompson, J. (2010) FDIC keynote: Fire service culture not to blame for problems. Retrieved May 3, 2010 from http://www.firerescue1.com/firefighter-safety/articles/810852-FDIC-keynote-Fire-service-culture-not-to-blame-for-problems/

It has been a number of months since the last Reading the Fire post. It is essential to continue the process of deliberate practice in order to continue to improve and refine skill in Reading the Fire.

As we start the New Year it is a good time to reaffirm our commitment to mastering our craft. Developing and maintaining proficiency in reading the Fire using the B-SAHF (Building, Smoke, Air Track, Heat, and Flame) organizing scheme for fire behavior indicators, requires practice. This post provides an opportunity to exercise your skills using a video segment shot during a residential fire.

Residential Fire

In mid-January 2010, the Gary, Indiana Fire Department was dispatched to a residential fire on Massachusetts Street at East 24^th Avenue, on arrival Battalion 4 advised of a working fire in a 2 story dwelling. While the first arriving engine was laying a supply line from a nearby hydrant, the first in truck forced entry.

Download and the B-SAHF Worksheet.

Watch the first 35 seconds (0:35) of the video. This segment was shot from Side A. �First, describe what you observe in terms of the Building, Smoke, Air Track, Heat, and Flame Indicators; then answer the following five standard questions?

1. What additional information would you like to have? How could you obtain it?
2. What stage(s) of development is the fire likely to be in (incipient, growth, fully developed, or decay)?
3. What burning regime is the fire in (fuel controlled or ventilation controlled)?
4. What conditions would you expect to find inside this building? If presented with persons reported (as the first arriving companies were) how would you assess potential for victim survival?
5. How would you expect the fire to develop over the next two to three minutes

Now watch the remainder of the video clip and answer the following questions:

1. Did fire conditions progress as you anticipated?
2. A voice heard in the video states that this was a backdraft. Do you agree? Why or why not?

It is likely that the first in truck company in this incident made entry to search for occupants and to locate the fire. Regardless of your perspective on search with or without a hoseline, this video clip provides lessons.

• It is essential to read the fire, recognize the stage(s) of fire development and burning regime(s) in the involved compartments.
• In addition to reading current conditions, anticipate likely fire development and potential for extreme fire behavior.
• Making entry (and leaving the door fully open) creates a ventilation opening (inlet, exhaust, or both). Recognize the potential influence of changes to the ventilation profile on fire behavior.
• To borrow a phrase from a number of National Institute for Occupational Safety and Health Death in the Line of Duty reports; �Ventilation and fire attack must be closely coordinated�. One key element in this coordination is that charged lines must be in place before completion of ventilation openings. This is critical when dealing with a ventilation controlled fire.

Ed Hartin, MS, EFO, MIFIreE, CFO

Quick Review

The previous post in this series presented a video clip of an incident on the afternoon of February 18, 2010 that injured four Chicago firefighters during operations at a residential fire at 4855 S. Paulina Street.

First arriving companies discovered a fire in the basement of a 1-1/2 story, wood frame, single family dwelling and initiated fire attack and horizontal ventilation of the floors above the fire. Based on news accounts, the company assigned to fire attack was in the stairwell and another firefighter was performing horizontal ventilation of the floors above the fire on Side C when a backdraft or smoke explosion occurred. Two firefighters on the interior, on at the doorway and the firefighter on the ladder on Side C were injured and were transported to local hospitals for burns and possible airway injuries.

In analyzing the video clip shot from inside a nearby building, we have several advantages over the firefighters involved in this incident.

Time: We are not under pressure to make a decision or take action.

Reduced Cognitive Workload: Unlike the firefighters who needed to not only read the fire, but also to attend to their assigned tactics and tasks, our only focus is analysis of the fire behavior indicators to determine what (if any) clues to the potential for extreme fire behavior may have been present.

Repetition: Real life does not have time outs or instant replay. However, our analysis of the video can take advantage of our ability to pause, and replay key segments, or the entire clip as necessary.

Perspective: Since the field of view in the video clip is limited by the window and the fidelity of the recording is less than that seen in real life, it presents a considerably different field of view than that of the firefighters observed in operation and does not allow observation of fire behavior indicators and tactical operations on Sides A, B, and D.

Initial Size-Up

What B-SAHF indicators could be observed on Side C up to the point where firefighters began to force entry and ventilate the basement (approximately 02:05)?

Figure 1. Conditions at 01:57 Minutes Elapsed Time in the Video Clip

Building: The structure is a 1-1/2 story, wood frame, dwelling with a daylight basement. The apparent age of the structure makes balloon frame construction likely, and the half story on the second floor is likely to have knee walls, resulting in significant void spaces on either side and a smaller void space above the ceiling on Floor 2. One window to the left of the door on Side C appears to be covered with plywood (or similar material). Given the location of the door (and door on Side A illustrated in the previous post in this series), it is likely that the stairway to the basement is just inside the door in Side C and a stairway to Floor 2 is just inside the door on Side A.

Smoke: A moderate volume of dark gray smoke is visible from the Basement windows and windows and door on Floor 1 as well as a larger volume from above the roofline on Side B. While dark, smoke on Side C does not appear to be thick (optically dense), possibly due to limited volume and concentration while smoke above the roofline on Side B appears to be thicker. However smoke on Side C thickens as time progresses, particularly in the area of the door on Floor 1. The buoyancy of smoke is somewhat variable with low buoyancy on Side C and greater buoyancy on Side B. However, smoke from the area of the door on Floor 1 Side C intermittently has increased buoyancy.

Air Track: Smoke on Side C appears to have a faintly pulsing air track with low velocity which is masked to some extent by the effects of the wind (swirling smoke due to changes in low level wind conditions). Smoke rising above the roofline on Side B appears to be moving with slightly greater velocity (likely due to buoyancy).

Heat: The only significant heat indicators are limited velocity of smoke discharge and variations in buoyancy of smoke visible from Sides B and C. Low velocity smoke discharge and low buoyancy of the smoke on Side C points to relatively low temperatures inside the building. The greater buoyancy and velocity of smoke observed above the roofline on Side B indicates a higher temperature in the area from where this smoke is discharging (likely a basement window on Side B).

Flame: No flames are visible.

Initial Fire Behavior Prediction

Based on assessment of conditions to this point, what stage(s) of development and burning regime(s) is the fire likely to be in?

Dark smoke with a pulsing air track points to a ventilation controlled, decay stage fire.

What conditions would you expect to find inside the building?

Floors 1 and 2 are likely to be fully smoke logged (ceiling to floor) with fairly low temperature. The basement is likely to have a higher temperature, but is also likely to be fully smoke logged with limited flaming combustion.

How would you expect the fire to develop over the next few minutes?

As ventilation is increased (tactical ventilation and entry for fire control), the fire in the basement will likely remain ventilation controlled, but will return to the growth stage as the heat release rate increases. Smoke thickness and level (to floor level) along with a pulsing air track points to potential for some type of ventilation induced extreme fire behavior such as ventilation induced flashover (most likely) or backdraft (less likely). Another possibility, would be a smoke explosion; ignition of premixed gas phase fuel (smoke) and air that is within its flammable range (less likely than some type of ventilation induced extreme fire behavior)

Ongoing Assessment

What indicators could be observed while the firefighter was forcing entry and ventilating the daylight basement on Side C (02:05-02:49)?

There are few changes to the fire behavior indicators during this segment of the video. Building, Heat, and Flame indicators are essentially unchanged. Smoke above the roofline appears to lighten (at least briefly) and smoke on Side C continues to show limited buoyancy with a slightly pulsing air track at the first floor doorway.

What B-SAHF indicators can be observed at the door on Side C prior to forced entry (02:49-03:13)?

Figure 2. Conditions at 03:06 Minutes Elapsed Time in the Video Clip

Figure 3. Conditions at 03:08 Minutes Elapsed Time in the Video Clip

Building, Smoke, Heat and Flame indicators remain the same, but several more pulsations (03:05-03:13) providing a continuing, and more significant indication of ventilation controlled, decay stage fire conditions.

What indicators can be observed at the door while the firefighter attempts to remove the covering over the window adjacent to the door on Floor 1 (03:13-13:44)?

No significant change in Building, Heat, or Flame Indicators. However, smoke from the doorway has darkened considerably and there is a pronounced pulsation as the firefighter on the ladder climbs to Floor 2 (03:26). It is important to note that some of the smoke movement observed in the video clip is fire induced, but that exterior movement is also significantly influenced by wind.

What B-SHAF indicators do you observe at the window on Floor 2 prior to breaking the glass (03:44)?

Figure 4. Conditions at 03:43 Minutes Elapsed Time in the Video Clip

The window on Floor 2 is intact and appears to be tight as there is no smoke visible on the exterior. It is difficult to tell due to the angle from which the video was shot (and reflection from daylight), but it would be likely that the firefighter on the ladder could observe condensed pyrolizate on the window and smoke logging on Floor 2. It is interesting to note limited smoke discharge from the top of the door and window on Floor 1 in the brief period immediately prior to breaking the window on Floor 2.

What indicators are observed at the window on Floor 2 immediately after breaking the glass (03:44-03:55)?

Figure 5. Conditions at 03:52 Minutes Elapsed Time in the Video Clip

No significant changes in Building, Heat, or Flame indicators. Dark gray smoke with no buoyancy issues from the window on Floor 2 with low to moderate velocity immediately after the window is broken.

What B-SAHF indicators were present after the ventilation of the window on Floor 2 Side C was completed and 04:08 in the video clip (03:44-04:08)?

Buoyancy and velocity both increase and a slight pulsing air track develops within approximately 10 seconds. In addition, the air track at the door on Floor 1 shifts from predominantly outward with slight pulsations to predominantly inward, but with continued pulsation (possibly due to the limited size of the window opening on Floor 2, Side C.

Anticipating Potential Fire Behavior

Unlike the firefighters in Chicago who were operating at this incident, we can hit the pause button and consider the indicators observed to this point. Think about what fire behavior indicators are present (and also consider those that are not!).

Initial observations indicated a ventilation controlled decay stage fire and predicted fire behavior is an increase in heat release rate with potential for some type of extreme fire behavior. Possibilities include ventilation induced flashover (most likely) or backdraft (less likely), or smoke explosion (less likely than some type of ventilation induced extreme fire behavior).

Take a minute to review the indicators of ventilation controlled, decay stage fires as illustrated in Table 1.

Table 1. Key Fire Behavior Indicators-Ventilation Controlled, Decay Stage Fires

Which of these indicators were present on Side C of 4855 S. Paulina Street?

Building: The building appeared to be unremarkable, a typical single family dwelling. However, most residential structures have more than enough of a fuel load to develop the conditions necessary for a variety of extreme fire behavior phenomena.

Smoke: The dark smoke with increasing thickness (optical density) is a reasonably good indicator of ventilation controlled conditions (particularly when combined with air track indicators). Lack of buoyancy indicated fairly low temperature smoke, which could be an indicator of incipient or decay stage conditions or simply distance from the origin of the fire. However, combined with smoke color, thickness, and air track indicators, this lack of buoyancy at all levels on Side C is likely an indicator of dropping temperature under decay stage conditions. This conclusion is reinforced by the increase in buoyancy after ventilation of the window on Floor 2 (increased ventilation precipitated increased heat release rate and increasing temperature).

Air Track: Pulsing air track, while at times quite subtle and masked by swirling smoke as a result of wind, is one of the strongest indications of ventilation controlled decay stage conditions. While often associated with backdraft, this indicator may also be present prior to development of a sufficient concentration of gas phase fuel (smoke) to result in a backdraft.

Heat: Velocity of smoke discharge (air track) and buoyancy (smoke) are the only two heat indicators visible in this video clip. As discussed in conjunction with smoke indicators, low velocity and initial lack of buoyancy which increases after ventilation is indicative of ventilation controlled, decay stage conditions.

Flame: Lack of visible flame is often associated with ventilation controlled decay and backdraft conditions. However, there are a number of incidents in which flames were visible prior to occurrence of a backdraft (in another compartment within the structure). Lack of flames must be considered in conjunction with the rest of the fire behavior indicators. In this incident, lack of visible flames may be related to the stage of fire development, but more likely is a result of the location of the fire, as there is no indication that flames were present on Side C prior to the start of the video clip.

What Happened?

Firefighters had entered the building for fire attack while as illustrated in the video clip, others were ventilating windows on Side C. It is difficult to determine from the video if a window or door at the basement level on Side C was opened, but efforts were made to do so. A window on Floor 2 had been opened and firefighters were in the process of removing the covering (plywood) from a window immediately adjacent to the door on Floor 1. At 04:12, an explosion occurred, injuring two firefighters on the interior as well as the two firefighters engaged in ventilation operations on Side C.

Starting at approximately 03:59, velocity of smoke discharge from the window on Floor 2 Side C increases dramatically. At 04:08 discharge of smoke begins to form a spherical pattern as discharged from the window. This pattern becomes more pronounced as the sphere of smoke is pushed away from the window by increasing velocity of smoke discharge at 04:12, immediately prior to the explosion. Velocity of smoke discharge at the door increases between 03:59 and -4:12 as well, but as the opening is larger, this change is less noticeable. As pressure increases rapidly during the explosion a whooshing sound can be heard. After the explosion, there was no noticeable increase in fire growth.

Figure 6. Conditions at 04:08 Minutes Elapsed Time in the Video Clip

Figure 7. Conditions at 04:09 Minutes Elapsed Time in the Video Clip

Figure 8. Conditions at 04:10 Minutes Elapsed Time in the Video Clip

Figure 9. Conditions at 04:11 Minutes Elapsed Time in the Video Clip

Figure 10. Conditions at 04:12 Minutes Elapsed Time in the Video Clip

Figure 11. Conditions at 04:13 Minutes Elapsed Time in the Video Clip

Based on observation of fire behavior indicators visible in the video clip, we know that a transient extreme fire behavior event occurred while a crew was advancing a hoseline on the interior and ventilation operations were being conducted on Side C. What we don�t know is what firefighting operations were occurring on the other sides of the building or in the interior. In addition, we do not have substantive information from the fire investigation that occurred after the fire was extinguished.

The Ontology of Extreme Fire Behavior presented in an earlier post classifies these types of phenomena on the basis of outcome and conditions. As a transient and explosive event, this was likely a backdraft or smoke explosion. In that this occurred following entry and during ongoing ventilation operations, I am inclined to suspect that it was a backdraft.

Indicators visible on Side C provided a subtle warning of potential for some type of ventilation induced extreme fire behavior, but were likely not substantially different from conditions observed at many fires where extreme fire behavior did not occur.

As the title of the wildland firefighting course S133 states; Look Up, Look Down, Look Around! Anticipation of fire development and extreme fire behavior requires not only recognition of key indicators, but that these indicators be viewed from a holistic perspective. Firefighters and/or officers performing a single task or tactical assignment may only see part of the picture. It is essential that key indicators be communicated to allow a more complete picture of what is occurring and what may occur as incident operations progress.

Ed Hartin, MS, EFO, MIFireE, CFO

Updated March 7, 2010 with Longer Video Clip of this Incident

On the afternoon of February 18, 2010, firefighters in Chicago responded to a residential fire at 4855 S. Paulina Street. First arriving companies discovered a fire in the basement of a 1-1/2 story, wood frame, single family dwelling and initiated fire attack and horizontal ventilation of the floors above the fire.

Based on news accounts, the company assigned to fire attack was in the stairwell and another firefighter was performing horizontal ventilation of the floors above the fire on Side C when a backdraft or smoke explosion occurred. Three firefighters on the interior and the firefighter on the ladder on Side C were injured and were transported to local hospitals for burns and possible airway injuries.

Figure 1. Consider Key Fire Behavior Indicators

B-SAHF Indicators

Recognizing subtle fire behavior indicators during incident operations can be difficult and important indicators are often only visible from one location (other than where you are). What Building, Smoke, Heat, and Flame (B-SAHF) indicators would you anticipate seeing if potential backdraft conditions exist (or may develop as the incident progresses)? How would this differ from the indicators that conditions may present risk of a smoke explosion?

For more information on key fire behavior indicators related to ventilation controlled burning regime, decay stage fires, backdraft, and smoke explosion, see the following posts:

• Recent Extreme Fire Behavior
• Decay Stage Fires: Key Fire Behavior Indicators
• Real �Backdraft�
• Hazard of Ventilation Controlled Fires
• Smoke Explosion or Backdraft?
• Language & Understanding: Extreme Fire Behavior
• 15 Years Ago: Backdraft at 62 Watts Street
• 62 Watts Street: Modeling the Backdraft
• Extreme Fire Behavior: An Organizational Scheme (Ontology)
• Fires and Explosions
• Gas Explosions
• Gas Explosions Part 2
• Extreme Fire Behavior: An Organizational Scheme
• Fuel and Ventilation

Incident Video

A video of the incident at 4855 S. Paulina Street was recently posted on YouTube (a shorter version is posted on Firevideo.net). It appears that the video may have been shot through a window by an occupant of the D2 exposure. The title of this video is �Chicago Smoke Explosion�. After watching the video and answering the questions posed in this post, do you think that this was a backdraft or smoke explosion? Why?

One of the great assets of using video as a learning tool is the ability to stop the action and go back to review key information. Watch the video and stop the action as necessary to answer the following questions�

• Pause at 02:05. What B-SAHF indicators could be observed on Side C up to this point in the video clip?
• Pause at 02:49. What indicators could be observed while the firefighter was forcing entry and ventilating the daylight basement on Side C?
• Pause at 03:13. What B-SAHF indicators can be observed at the door on Side C prior to forced entry?
• Pause at 03:35. What indicators can be observed at the door after forcing the outer door (prior to ventilation of the window on Floor 2)?
• Pause at 03:44. What B-SHAF indicators do you observe at the window on Floor 2 prior to breaking the glass?
• Pause at 03:55. What indicators are observed at the window on Floor 2 immediately after breaking the glass?
• Pause at 04:08. What B-SAHF indicators were present after the ventilation of the window on Floor 2 Side C was completed and 04:08 in the video clip?

After answering the questions, watch the complete clip. Do you think that this was a backdraft or smoke explosion? If you thought that this was a backdraft: Did you see potential indicators? If so what were they? If not, why do you think that this was the case? If you think that this was a smoke explosion, what indications lead you to this conclusion? What indicators were present?

You may want to watch this video clip several times and give some thought to what factors were influencing the B-SAHF indicators (particularly smoke, air track, and heat). Were these indicators consistent with your perception of backdraft indicators? Is so, how? If not, what was different? What indicators may have been visible from other vantage points. Remember that the video provides a view from a single perspective (and one that is considerably different than the crews working at this incident).

The next post in this series will take a closer look at the video and key fire behavior indicators.

Ed Hartin, MS, EFO, MIFireE, CFO

A Quick Review

As discussed in the previous posts in this series, military battle drills are an immediate response to enemy contact that requires fire and maneuver in order to succeed. Battle drills are initiated with minimal commands from the unit leader. Soldiers or marines execute preplanned, sequential actions in response to enemy contact (see Figure 1).

Figure 1. Battle Drill

Battle Drill Part 2 addressed the appropriate reaction of a team of firefighters on a primary hoseline when confronted with rapidly worsening fire conditions that are not readily controllable once they occur (e.g., flashover, wind driven fire conditions). As when a military unit is ambushed, the fire and maneuver of battle drill involves more than one weapon. This post will address the role and reaction of backup lines in the extreme fire behavior battle drill.

Backup Lines

Once a hoseline has been deployed for fire attack it is good practice to stretch a backup line. Klaene and Sanders (2008) observe that backup lines are needed to protect the crew on the initial attack line and to provide additional flow if needed (p. 216). Unfortunately, many firefighters see the backup line as simply another attack line and miss the first and primary function of this hoseline to protect crews on primary hoselines.

The first priority in fire attack operations is to get a hoseline in position to apply water effectively to the fire. To this end, hoselines are deployed in series (attack line first, then backup line) not in parallel, where both lines are attempting to advance and maneuver in the same space. The crew of the backup line can often assist in pulling up additional hose for the attack line (particularly when crews are lightly staffed). As illustrated in Figure 2, the backup line is positioned to protect the means of egress and if necessary support fire attack.

Figure 2. Attack and Backup Line Placement

Extreme Fire Behavior Battle Drill

As discussed in Battle Drill Part 2, the thermal insult experienced in an extreme fire behavior event is dependent on temperature (of gases and compartment linings) and flow of hot gases. The higher the temperature and faster the speed of gas flow, the higher the heat flux. Survival requires that crews on hoselines extinguish or block the flames, cool hot gases, and maneuver out of the flow path to a point of egress or area of safer refuge.

Crews engaged in fire attack or search are often first to encounter rapidly deteriorating fire conditions. Hose Handling and Nozzle Technique Drill 8 outlined the immediate actions that should be taken to support a tactical withdrawal under severe fire conditions. In these circumstances, the crew staffing the backup line has a critical role in supporting withdrawing crews.

Fire conditions that are beyond the capability of a single hoseline may be controlled by the higher flow rate from multiple lines. As noted by Klaene and Sanders (2008) one of the functions of backup lines is to provide additional flow if needed (p. 216). The attack line and backup line operating in a coordinated manner may be able to control fire conditions and allow continuation of fire attack. If this is the case, these lines should be reinforced by deployment of one or more additional backup lines.

If fire conditions cannot be controlled, and the attack line must be withdrawn while maintaining water application to protect the crew, the crew on the backup line can aid in withdrawal of attack and/or search hoselines. If the hoseline is not withdrawn as the firefighter on the nozzle retreats, the hose may kink or become exposed to flames (either of which may result in loss of water supply to the nozzle).

While the attack or search crew is likely to be first to encounter worsening fire conditions, this is not always the case. Depending on fire location and building configuration, fire spread may cut off the attack or search line from behind. In this situation, the backup line becomes the primary means of defense for operating crews.

Regardless of how deteriorating conditions develop, safe and effective tactical withdrawal requires a coordinated effort between interior crews and as soon as possible, report of conditions to Command and if necessary transmit a Mayday message.

Drill 9-Extreme Fire Behavior Battle Drill-The Backup Line: Key hose handling and nozzle techniques when faced with extreme fire behavior are the ability to apply long pulses of water fog or maintaining a continuous flow rate while maneuvering backwards. However, the backup line may initially need to advance to support fire attack, and then if necessary cover and support other crews as they withdraw.

Hose Handling & Nozzle Technique Drill 9 Instructional Plan

Skill in operation and maneuver of a single hoseline is a foundational firefighting skill. However, in the extreme fire behavior battle drill, coordinated operation of the attack and backup line is essential, making Hose Handling & Nozzle Technique Drill 9 an important step in skill development.

References

Klaene, B. & Sanders, R. (2008) Structural Firefighting Strategy and Tactics (2^nd ed.). Sudbury, MA: Jones & Bartlett.

A Quick Review

As discussed in the last post in this series, military battle drills are an immediate response to enemy contact that requires fire and maneuver in order to succeed. Battle drills are initiated with minimal commands from the unit leader. Soldiers or marines execute preplanned, sequential actions in response to enemy contact.

This post discusses application of the battle drill concept in training firefighters to react appropriately on contact with our enemy (the fire) which requires fire (application of water) and maneuver (movement to a safer location) in order to succeed.

Remember: The key elements of a battle drill are fire and maneuver! This requires the ability to operate and maintain control of the hoseline while moving backward.

Working Without a Hoseline

In the United States, it is common for some companies working on the fireground to operate inside burning buildings without a hoseline (particularly when performing search). While common, this practice places firefighters at considerable risk when faced with extreme fire behavior. Without a hoseline your only defense against rapid fire progress is recognition of developing conditions and immediate reaction to escape to a safer location (see video below); which is not always possible. In some cases, firefighters fail to recognize developing conditions or the speed with which conditions will change. In other cases, firefighters are unable to escape or take refuge outside the flow path of hot gases and flames quickly enough.

Cl

If your department’s operational doctrine includes companies working on the interior without a hoseline (or without being directly supported by a hoseline), it is essential that firefighters are trained to 1) recognize early indicators of potential for extreme fire behavior and 2) maintain a high level of awareness regarding locations which may provide an area of refuge. When confronted by rapidly worsening conditions, action to escape must be immediate and without hesitation.

Extreme Fire Behavior Battle Drill

Regardless of their assignment (e.g., fire attack, primary search), firefighters with a hoseline have a solid means of maintaining orientation, a defined primary escape route, and the ability to actively control the fire environment through application of water. However, as always, safe and effective operation in the fire environment is dependent on a solid size-up, dynamic risk assessment, maintenance of a high level of situational awareness, and proactively controlling the fire environment. The best way to deal with extreme fire behavior is to avoid it or prevent it from occurring. For more information on reading the fire and key fire behavior indicators related to potential for extreme fire behavior, see:

• How to Improve Your Skills
• Building Factors
• Building Factors Part 2
• Building Factors Part 3
• Smoke Indicators
• Smoke Indicators Part 2
• Air Track Indicators
• Air Track Indicators Part 2
• Heat Indicators
• Heat Indicators Part 2
• Heat Indicators Part 3
• Flame Indicators
• Flame Indicators Part 2
• Reading the Fire: Putting it all Together
• Incipient Stage Fires: Key Fire Behavior Indicators
• Growth Stage Fires: Key Fire Behavior Indicators
• Fully Developed Fires: Key Fire Behavior Indicators
• Decay Stage Fires: Key Fire Behavior Indicators

In situations where you were unable to recognize potential for extreme fire behavior or you have been unable to control the fire environment, immediate action is required!

This is my nozzle, there are many like it but this one is mine. My nozzle is my best friend. It is my life. I must master it as I master my life. Without me it is useless, without my nozzle I am useless.

I will use my nozzle effectively and efficiently to put water where it is needed. I will learn its weaknesses, its strengths, its parts, and its care. I will guard it against damage, keep it clean and ready. This I swear.

As stated in the first paragraph of this adaptation of the United States Marine Corps Riflemans’ Creed, Without my nozzle I am useless.

The extent of thermal insult experienced in an extreme fire behavior event is dependent on both radiant and convective heat flux. Total radiant heat flux is dependent on temperature (of gases and compartment linings) and flow of hot gases. The higher the temperature and faster the speed of gas flow, the higher the heat flux. These scientific concepts drive the key elements of the extreme fire behavior battle drill. Extinguish or block the flames, cool hot gases, and maneuver out of the flow path to a point of egress or area of safer refuge.

Drill 8-Extreme Fire Behavior Battle Drill: Key hose handling and nozzle techniques when faced with extreme fire behavior are the ability to apply long pulses of water fog or maintaining a continuous flow rate while maneuvering backwards. This requires a coordinated effort on the part of the nozzle operator, backup firefighter, and potentially other firefighters working on the hoseline or at the point of entry.

Hose Handling & Nozzle Technique Drill 8 Instructional Plan

While this drill focuses on single company operations, it is important to extend this training to include crews operating backup lines. The importance, function, and operation of the backup line will be the focus of the next post in this series.

Not all That is Learned is Taught

When training to operate in a hazardous environment, avoid the mindset that it’s only a drill. As often observed, you will play the way that you practice. Extreme stress can activate inappropriate routine responses. For example, a Swedish army officer suddenly stood up while his unit was under fire while engaged in peacekeeping efforts in Bosnia. When asked about this response, he explained that in training, he often stood up while leading exercises (Wallenius, Johansson, & Larsson, 2002).

“A simple set of skills , combined with an emphasis on actions requiring complex and gross motor muscle operations (as opposed to fine motor control), all extensively rehearsed, allows for extraordinary performance levels under stress” (Grossman, 2008, p. 38).

When developing skill in nozzle technique and hose handline, and in particular the critical skills required to effectively perform this extreme fire behavior battle drill, it is essential to maintain critical elements of context such as appropriate use of personal protective equipment, position, and technique.

Ed Hartin, MS, EFO, MIFireE, CFO

References

Grossman, D. (2008). On-combat: The psychology and physiology of deadly conflict in war and peace. Millstadt, IL: Warrior Science Publications.

Wallenius, C. Johansson, C. & Larsson, G. (2002). Reactions and performance of Swedish peacekeepers in life-threatening situations. International Peacekeeping, 9(1), 133-152.

The Problem

NIOSH has investigated a number of incidents in which firefighters trapped by rapid fire progress did not take appropriate survival action. Last September, I was reading NIOSH Report F2007-02, which outlined the circumstances surrounding the death of Firefighter Steven Solomon in Atlanta, Georgia. Firefighter Solomon was severely burned after being caught by rapid fire development while advancing an attack line in a vacant structure (see Figure 1).

Figure 1. Rapid Fire Development

Note: Atlanta Fire Department photo from NIOSH Report F2007-02

Firefighter Solomon was on the nozzle as the first arriving truck removed the plywood covering the front door and thick, black smoke came rolling out the top of the doorway. Firefighter Solomon and the crew of Engine 16 advanced the line into the building as the truck continued horizontal ventilation. After advancing a short distance, fire conditions quickly worsened and the crew attempted to back out, but collided with another company who was advancing a backup line. After exiting the building the crew of Engine 16 realized that Firefighter Solomon was still inside. Crews outside the door on Side A observed the silhouette of a firefighter running through the flames inside the building.

As I read the report, I asked myself how a firefighter on a hoseline that was just a short distance could have been killed by rapid fire development. The NIOSH report identified four contributing factors:

• Initial size-up not conducted.
• Failure to recognize the signs of an impending flashover/flameover.
• Inadequate communication on the fireground.
• Possibility of ventilation induced rapid fire progression.

While these factors likely contributed to Firefighter Solomon’s death, I still did not have a solid answer to my question of how a firefighter on a hoseline just a short distance inside the doorway could have died in this type of event.

Predictability

The best way to avoid being injured or killed in an extreme fire behavior event is to read the fire, anticipate likely fire behavior, and control your operating environment. A majority of our effort should be spent on mastering these skills.

There is no unpredictable fire behavior. Under the same conditions, a compartment fire will develop and behave consistently. However, conditions are not always the same! In addition, firefighters operate with limited information, imperfect skill in anticipating likely fire behavior, and often under pressure to take rapid action. When making decisions under pressure, in a complex and dynamic environment, and with limited information, potential for error increases.

Improved understanding of fire dynamics and development of a high level of skill reduces, but does not eliminate your risk of encountering extreme fire behavior. When this occurs it is essential that firefighters understand the fire behavior, their own reactions to stress, and have well practiced (to automaticity) responses to increase the chance of survival.

Training for Survival

What exactly are firefighter survival skills? Firefighters may encounter a number of life threatening problems while operating in the hazardous environment of as structure fire. Threats include breathing apparatus emergencies (e.g., malfunctions, running out of air), becoming disoriented, and being trapped by collapse or rapid fire progress.

A quick survey of survival skills training programs from around the United States shows a fair degree of consistency in curriculum content:

• Emergency Communications Procedures (Mayday, Radio Emergency Distress Button)
• Personal Alert Safety System (PASS) Activation
• Reorientation, Searching for an Exit & Following a Hoseline to Safety
• Air Conservation Techniques
• Assuming a Horizontal Position to Enhance Thermal Protection and Audibility of the PASS
• Escape to a Place of Refuge
• Use of Visual and Audible Signals (Flashlight, Tapping with a Tool)
• Reduced Profile Maneuvers to Escape Through Small Openings
• Emergency Window Egress (Ladder Bail, Rope Systems)

These techniques may provide useful in dealing with a number of the threats that may be encountered in a structure fire. Taking refuge in an uninvolved compartment (with the door closed) may buy time for firefighters to escape through a window. However, the other elements will have little impact on increasing survival potential when encountering extreme fire behavior phenomena.

What is the missing element in the typical survival skills curriculum? In some cases, firefighters are taught breathing techniques to control their respiratory rate and conserve air, but little emphasis is provided on the psychological and physiological effects of the stress encountered in life threatening situations. This is critical to survival regardless of the nature of the threat. When faced with extreme fire behavior, particularly wind driven flames, flashover, and flash fire, appropriate nozzle technique and immediate tactical withdrawal to a safer area is absolutely critical. However, most survival skills curriculums do not address these critical skills.

When was the last time you practiced withdrawing a hoseline while operating the nozzle in the context of offensive, interior firefighting operations?

Performance Under Stress

There has been little if any research has been done to identify factors influencing firefighters’ performance under the extreme stress of a life threatening situation. However, there has been considerable investigation in other domains, particularly in the military and law enforcement

Increased psychological and physiological arousal prepare the human body for action. As this occurs, the sympathetic nervous system increases heart rate and blood pressure to maximize the body’s physical capacity. However, extreme levels of stress can result in significant deterioration in performance.

In On-Combat: The Psychology and Physiology of Deadly Conflict in War and Peace, LT COL Dave Grossman (2008) identifies five levels of arousal designated Conditions White, Yellow, Red, Grey, and Black. While cautioning against fixing specific heart rate numbers (or other precise physiological measures) to these levels of arousal, heart rate can be used as an indicator (see Figure 2).

Figure 2. Effects of Hormonal or Fear Induced Increases in Heart Rate

Note. Adapted from On-Combat: The Psychology and Physiology of Deadly Conflict in War and Peace (p. 31), by Dave Grossman, 2008, Millstadt, IL: Warrior Science Publications Copyright 2008 by David A. Grossman.

When face with an immediately life threatening situation, the resulting stress can significantly impact an individual’s ability to respond appropriately. In addition to the physiological responses (e.g. increased heart rate, visual and auditory distortion) decreased cognitive processing may delay appropriate response or result in freezing, with the inability to act (Wallenius, Johansson, & Larsson, 2002).

Recently a colleague related the experience of a firefighter who had been trapped by a wind driven fire. The firefighter dropped to the floor, went into the fetal position, said goodby to his wife and children and thought he was dead. Fortunately, the firefighter was rescued, but this illustrates the potentially incapacitating effects of stress in life threatening situations.

What is the answer? Military research points to the need for a highly trained (to automaticity) response. Battle drills integrate these immediate individual actions in the context of small unit operations.

Battle Drill

In a military context, battle drills are an immediate response to enemy contact that requires fire and maneuver in order to succeed. Battle drills are initiated with minimal commands from the unit leader. Soldiers or marines execute preplanned, sequential actions in response to enemy contact.

The battle drill concept has direct applicability to training firefighters to react appropriately on contact with our enemy (the fire) which requires fire (application of water) and maneuver (movement to a safer location) in order to succeed.

Unless a barrier (such as a door) is available to block the flow of flames and hot gases towards the firefighters position, attempts to escape without protection from a hoseline are likely to fail as fire can spread far more quickly than you can move.

Remember: The key elements of a battle drill are fire and maneuver! This requires the ability to operate and maintain control of the hoseline while moving backward.

The next post in this series will return to hose and nozzle drills with development of a battle drill for response to rapid fire progression.

Ed Hartin, MS, EFO, MIFireE, CFO.

References

Grossman, D. (2008). On-combat: The psychology and physiology of deadly conflict in war and peace. Millstadt, IL: Warrior Science Publications.

Wallenius, C. Johansson, C. & Larsson, G. (2002). Reactions and performance of Swedish peacekeepers in life-threatening situations. International Peacekeeping, 9(1), 133-152.