Chicago Fire Department Operations Orders (PDF)

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Chicago Fire Department

2000

James A. Connolly, Jr.

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fire department operations order emergency procedures safety protocols

Summary

The document contains Chicago Fire Department (CFD) Operations Orders. It details emergency procedures for various scenarios, including fires in places of worship, portable radio use, second truck response, and electrical power outages. It also outlines responsibilities and duties for officers and personnel.

Full Transcript

CHICAGO FIRE DEPARTMENT BUREAU OF OPERATIONS Operations Order: 00-006...

CHICAGO FIRE DEPARTMENT BUREAU OF OPERATIONS Operations Order: 00-006 October 25, 2000 SUBJECT: FIRES IN CHURCHES, MOSQUES, OR SYNAGOGUES AND OTHER PLACES OF WORSHIP Effective immediately, whenever there is a fire in a church, mosque, synagogue, other places of worship, or on property belonging to such institutions, the Office of Fire Investigation (OFI) shall be called for through the appropriate Fire Alarm Office by the incident commander. BY ORDER OF: James A. Connolly, Jr. Deputy Fire Commissioner Bureau of Operations TO BE READ AT ROLL CALL AND POSTED Distribution: A -- CHICAGO FIRE DEPARTMENT BUREAU OF OPERATIONS - Operations Order: 00-011 December 1, 2000 SUBJECT: USE AND DESIGNATIONS OF PORTABLE RADIOS I. POLICY Proper portable radio communications on the scene of an emergency must be kept as a priority to help establish accountability and maintain the safety of all members. IT. PURPOSE This order outlines the procedures to be followed regarding the assignment and signatures of portable radios. ill. PROCEDURE A. Company officers shall be responsible for the operations of the primary portable radio assigned to their company. 1. The designated signature for this radio shall be the same as the company (i.e., "Truck 6", "Engine 87", etc.). B. On truck, tower ladder and aerial tower companies, two additional portable radios are assigned. 1. The driver ofthe apparatus will be assigned one ofthe these radios. The designated signature for this radio shall be the company number, followed by "A" (i.e., "Truck 6 A"). The duties assigned to this firefighter shall be determined at roll call by the company officer. They may include, but are not limited to, ventilation or forcing entry in other sectors of the structure, elevator management at high rise fires or being part of the search and rescue team. 2. The third radio shall be assigned to a firefighter at roll call by the company officer. The designated signature for this radio shall be the company number followed by "B" (i.e., "Truck 6 B"). The duties assigned to this firefighter shall be determined at roll call by the company officer. They may include, but are not limited to, ventilation or forcing entry in other sectors of the structure, elevator management at bigh rise fires or being part of the search and rescue team. Page 1 of 2 3. When operating on the roof of a building the firefighter assigned the radio shall change his/her designated signature to the company number followed by "Roof' (i.e., "Truck 6 Roof'). This is done so that company officers and chief officers are aware that roof operations are in progress. Upon leaving the roof, the firefighters assigned to the roof operations will notify the incident commander that they are off the roof and they will revert to using their designated signature that was assigned at morning rolL C. On squads and specialized units, the additional radios shall be assigned to firefighters at roll call by the company officer. The duties performed by the members assigned to these radios shall be assigned at roll call by the company officer. The designated signature for these radios shall be the company designation followed by a letter (i.e., "Squad 6 "A" or "B"). D. The use of portable radios shall be to convey pertinent information. Messages shall be kept brief and concise to prevent excess radio traffic. IV. RESPONSffiiLITIES A It shall be the responsibility of all chief officers and company officers to ensure that the above procedures are adhered to. B. It shall still be the responsibility of all chief officers, company officers and members assigned the custody of a portable radio, to follow all other current General Orders, Special Directives, pertinent Bureau Orders and Memos regarding the custody, care and use of portable radios. By Order of: Deputy Fire Commissioner Bureau of Operations TO BE READ AT ROLL CALL AND POSTED Distribution: B Page 2 of 2 CHICAGO FIRE DEPARTMENT BUREAU OF OPERATIONS Operations Order: 04-001 April 15,2004 SUBJECT: SECOND TRUCK RESPONSE I. PURPOSE This order: A. redefines the duties of the second truck dispatched to non high-rise still alarm fires, B. rescinds FS&R Order #94-001, dated February 25, 1994, and C. becomes effective at 0800 hours on May 3, 2004. II. RESPONSIBILITIES/DUTIES The company officer shall: A. at morning roll call, designate duties to members should they be assigned as the second truck; B. ensure that the apparatus is positioned in such a manner as to leave sufficient room to allow the second engine to be used to its fullest advantage; C. ensure that the apparatus is positioned in such a manner that sufficient room is left to allow the aerial ladder, tower ladder, squad and/or snorkel to be use to its fullest advantage, should the need arise; D. normally, not locate the truck on the same street as the first truck company; I. Park at the alley and bring ground ladders to the rear via the alley, 2. Park on the adjacent block and bring ground ladders. E. unless ordered otherwise by the incident commander, initiate operations at the rear of the incident; F. direct all necessary personnel to respond to the rear with all personal protective clothing, appropriate ladders from their apparatus and the apparatus tools; Page 1 of 2 Operations Order: 04-001 Second Truck Response AprillS, 2004 G. as a primary responsibility of the second truck, provide a secondary means of egress for members operating on the roof, the interior of the structure, and for occupants, by responding to the rear and raising the appropriate ladders; 1. Once extended, these ladders will extend 3 to 5 rungs above the roof lines, so that they are plainly visible to the roof teams. 2. If fire or other obstructions restricts these ladders from being raised in the rear of the building, then they will be raised in other sectors of the structure. H. remain vigilant of comer addresses, as they will allow the truck/tower ladder to be positioned on the adjacent street permitting optimal usage of the aerial ladder; I. maintain communication with the incident commander at all times appraising him/her of the conditions, progress and problems encountered; J. in conjunction with the first truck, provide a means of egress with the use of ground ladders for civilians and firefighters; 1. The location of the ground ladders will be made known to the incident commander and all other members by the use of the fire ground channel; (i.e., Truck 90 to Battalion 21, there are ground ladders raised in Sectors 2 and 4). 2. Additional ground ladders may be obtained from the still alarm truck. 3. This does not in anyway excuse the first truck of its responsibilities to raise an adequate number of ground ladders upon it ani val. K. It is the responsibility of chief and company officers, or those acting in that capacity, to ensure strict compliance with this order. James A. Connolly, Jr. Deputy Fire Commissioner Bureau of Operations TO BE READ AT SIX (6) ROLL CALLS AND POSTED. Distribution: B Page 2 of 2 CHICAGO FIRE DEPARTMENT BUREAU OF OPERATIONS Operations Order: 05-001 June 16, 2005 SUBJECT: BATTALION STAFF MEETINGS All Battalion Chiefs are required to hold a monthly Battalion Staff meeting with company officers under their command. The staff meeting can be held with battalion companies at Battalion Headquarters or at a fire house in their battalion. The purpose of this meeting is to discuss procedures and to review and critique recent fires or incidents. Battalion staff meetings are not meant to replace company drills but can be combined together so long as they are related. Upon completion of the Battalion Chiefs tour of duty, the completed form will be sent to district headquarters. Each district will maintain a file of all the forms submitted. Training aides, such as videos and printed material can be obtained from the Fire Academy and can be requested directly from them at least one (1) week prior to your meeting by contacting Commander Richard Ford at 747-7244. E:a::x-- Deputy Fire Commissioner Bureau of Operations TO BE READ AT ALL ROLL CALLS AND POSTED. Distribution: A CHICAGO FIRE DEPARTMENT BUREAU OF OPERATIONS Operations Order: 05-004 Date: July 1, 2005 SUBJECT: ELECTRICAL POWER OUTAGE PLAN I. PURPOSE: The Electrical Power Outage Plan is an operational plan consisting of a set of descriptions and actions to be taken by the Chicago Fire Department (CFD) in response to specific emergency situations. This plan has progressive stages with each stage specifying actions to be taken during a power outage. The specific actions to be outlined in each stage are based on the nature of the emergency and are designed to provide minimum adverse impact on our citizens. The Fire Commissioner, or his designee, will coordinate implementation of this plan. II. PROCEDURES: Notifications and Initial Actions: Power outages that affect, or have the potential to affect sensitive population sites, listed below, shall require implementation of this procedure. A high-rise structure; A senior citizen's structure; A health care facility; Any substantial geographical area, affecting a residential community, Or any combination of the above. The CFD will implement the following stages of this procedure when specified parameters of a Energy Alert: The CFD will be put on an alert status making sure that all required command personnel are notified of the affected outages and approximate time to restoration. During business hours, the Office of Emergency Management and Communications (OEMC) will provide the deputy and assistant deputy fire commissioners/district chiefs/deputy chief paramedics with updates as to the status of Page 1 of6 Operations Order 05-004 Date: July 1, 2005 Electrical Power Outage Plan the power outage and affected area. After business hours and on the weekends, the OEMC will provide the deputy and assistant deputy fire commissioners/duty 2-11 chief/ duty EMS chiefwith updates as to the status of the power outage and affected area. Energy Warning: Once notified by the OEMC, the CFD will take appropriate action to increase readiness which may include canceling all company schools that may be in session and all companies that are out on inspections or company drills will be directed to return to quarters. Energy Emergency: Once notified by the OEMC, the CFD will take appropriate action to mobilize the necessary resources to respond to the affected areas. During an energy emergency, variances may be canceled and if necessary emergency recall procedures may be initiated. III. RESPONSE: Power outages will be classified for response in one of three stages regardless of the energy alert status. Also dependant to the circumstances it may be necessary for the CFD to establish a Field Operations Center to manage the affected area(s) including task force response group and staging area for localized response. Field Operations Center will be composed of a minimum of one deputy district chief, one battalion chief, one field officer and one communication van. The task force is assembled using a minimum of three engines, two trucks, and one battalion chief which are staged in the affected area. In the case with major incidents, the Fire Alarm Office channels communications to a fire department communication van. The communication van then directs communications to the units in the task force on the scene. The OEMC would send calls for service to the communications van and the communications van dispatches the task force units. The task force operation will operate on the CFD administrative frequency (154.22) thus reducing the radio traffic on the Main and Englewood channels for regular fire operations. The set up is similar to what police would do when they move operations from a zone over to a city wide channel and operate with a mobile command post. Page 2 of6 Operations Order 05-004 Date: July 1, 2005 Electrical Power Outage Plan STAGE I - Power Outage Response A Stage 1 Power Outage Response is initiated upon notification of a power outage that is not expected to last longer than two hours in duration. Battalion chiefs and/or field officers will identify sensitive population sites in their response district that are affected by the power outage. Battalion chiefs and/or field officers may make a site visit, at the direction of the battalion chief, send a fire company to these locations to make a site visit to determine their operating status as deemed necessary. Battalion chiefs, field officers and/or companies may be directed to respond to sensitive population sites in their response district that are affected by the power outage by the Fire Alarm Office. If necessary, establish a Field Operations Center to manage the affected area(s) STAGE II- Power Outage Response When the outcome of repairs are in question, or the length oftime for repair is greater than two hours but less than eight hours, the CFD will initiate a Stage II Power Outage Response and take necessary actions to assure sensitive population sites are protected; i.e., hospitals, nursing homes, etc. During a Stage II Power Outage Response it may be necessary to cancel all company schools that may be in session and all companies that are out on inspections or company drills will be directed to return to quarters. Battalion chiefs and/or field officers that have sensitive population sites in their response district that are affected by the power outage will make a site visit to determine their operating status. Battalion chiefs and/or field officers, if necessary, will request additional resources as needed and may establish a Field Operations Center to manage the affected area(s). Battalion chiefs, field officers and/or companies may be directed to respond to sensitive population sites in their response district that are affected by the power outage, by the Fire Alarm Office. Page 3 of6 Operations Order 05-004 Date: July 1, 2005 Electrical Power Outage Plan STAGE III- Power Outage Response When efforts to make repairs or curtail energy use have failed, when the outcome of repairs are in question, or the length of time for repair is greater than eight hours, the CFD will take necessary actions to assure sensitive population sites are protected; i.e., hospitals, nursing homes, etc. Field Operations Center(s) will be established to manage the affected area(s). During a Stage III - Energy Emergency, variances may be canceled and if necessary, emergency recall procedures may be initiated. BATTALION CHIEF/ FIELD OFFICER DUTIES AND RESPONSIBILITIES Upon their arrival, they will locate responsible parties and determine the following: 1. Extent of the power outage (area involved or is it only one location)? 2. Is it a total or a partial power outage? 3. Is there an estimate as to how long before power will be restored? 4. Are any high-rise buildings involved? 5. Are any health care facilities involved? 6. Are any senior citizen's facilities involved? 7. Do any of the above have some type of emergency back-up power operating? If in the battalion chiefs or field officer's determination that a sufficient life safety hazard exists, the proper notification will be made to the Fire Alarm Office to implement a "Power Outage Type I or II Response" based on the type of building they are investigating. Type I Power Outage Response (High-Rise Building, Senior Care Facility, Medical Facility) 1 -engine 1 -truck 1 - battalion chief (if not already on the scene) 1 - field officer (if not already on the scene) The incident commander may request additional equipment as is deemed necessary. Page 4 of6 Operations Order 05-004 Date: July 1, 2005 Electrical Power Outage Plan Type II Power Outage Response (Multiple High-Rise Buildings, Senior Care Facilities, Medical Facilities) 1 - deputy district chief 1 - additional battalion chief (total of two) 1 - field officer (if not already on the scene) 1 -squad 1 -additional truck (total oftwo) 1 - ambulance 1 - communications van 1 - OEMC representative The incident commander may request additional equipment as is deemed necessary. If the incident commander determines that the power outage will be in affect for a long period of time or the incident has become a large scale operation, a Field Operations Center will be established. In addition to the companies on the Type II Power Outage Response, a minimum of two additional engines (total of three) dispatched and added to the task force. During business hours the OEMC will provide the deputy and assistant deputy fire commissioners I district chiefs I deputy chief paramedics with notification as to the status ofthe power outage, location of the Field Operations Center, staging area and affected area. After business hours and on the weekends, the OEMC will provide the deputy and assistant deputy fire commissioners/duty 2-11 chief I duty ems chiefwith the notification. COMPANIES ON THE SCENE: The Fire Department incident commander on the scene will establish a command post close to the location (inside the building or facility if possible), calling for a communications van to respond to the scene if necessary. The primary concern of the CFD at such an incident is the well-being of the affected citizens. To ensure that, the following must be determined: 1. Are there any citizens trapped in elevators? 2. Are there any citizens with serious medical conditions that would require their evacuation from their building? 3. Are there other citizens in need of assistance in exiting their building? Page 5 of6 Operations Order 05-004 Date: July 1, 2005 Electrical Power Outage Plan The Incident Commander shall request any additional resources needed for the fire department operation. This can include the utilization of personnel and resources from other city agencies; i.e., police department, human services, etc. Progress reports must be given to the Fire Alarm Office at regular intervals as at any emergency. ADDITIONAL RESOURCES The following additional fire department resources are available for use at Power Outage Responses: Support and Logistics Divisions 30 Stair Chairs Mass Causality Units Command Support Vehicle 8-8-7 (tents, tables, generators, lighting, etc.) Air Mask Service - Oxygen "D" Cylinders Each Breathing Apparatus truck contains 35 "D" size oxygen cylinders and two "K" tanks, for a total of 105 "D" cylinders and six "K"-tanks. III. RESPONSIBILITIES It is the responsibility of company officers and chief officers, or those acting in that capacity, to ensure strict compliance with this order. By order of: r-- Euget1e D. Ryi).. Deputy Fire Commissioner Bureau of Operations TO BE READ AT ALL ROLL CALLS AND POSTED Distribution: A Page 6 of6 CHICAGO FIRE DEPARTMENT BUREAU OF OPERATIONS Operations Order:07-010 August 27, 2007 SUBJECT: WATER RESCUE THROW BAGS I. PURPOSE This order: A. establishes the policy, procedures and responsibilities for department-issued Water Rescue Throw Bags, and B. becomes effective immediately. II. POLICY Each company will be issued a Water Rescue Throw Bag which will be used during water and/or ice rescues. Upon receipt, these throw bags shall be added to the permanent company inventory and documented in the company journal. III. PROCEDURES Procedures for the use of the throw bags are in the Chicago Fire Department Quick Drills (Multi-Operational Operations, #07-005). IV. RESPONSIBILITIES A. The company captain shall identify a location where the throw bag will be secured and carried on the apparatus at all times. B Company officers shall contact Support Services to replace the throw bag. C. It shall be the responsibility of all officers and supervisors, or members acting in that capacity, to ensure strict compliance with the provisions of this order. By Order of: EuZ.O Deputy Fire Commissioner Bureau of Operations Distribution: A CHICAGO FIRE DEPARTMENT · ·'· BUREAU OF OPERATiONS Operations Order 08-003 April25,2008 SUBJECT: STALLED CHICAGO TRANSIT AUTHORITY TRAIN RESPONSE I. PURPOSE This Order: A. Identifies the Chicago Fire Department (CFD) Subway Incident Response Manual as the reference guide when dealing with subway and elevated train incidents. B. Establishes procedures for companies when responding to incidents involving a stalled passenger train. C. Outlines responsibilities when responding to a stalled passenger train. D. Becomes effective immediately. II. GENERAL Stalled subway and elevated trains present complex life safety challenges for passengers and first responders. These incidents have occurred in our subway tunnels and on elevated rails, resulting in passenger evacuation. Due to this, the CFD has instituted a new dispatch protocol to respond to these incidents. III. POLICY It is the policy of the Chicago Fire Department to identify and implement a seamless system for the assessment of passengers who are located on stalled train(s). A. The CFD Subway Incident Response Manual is standard reference guide that can be used by CFD personnel to prepare for any emergency, which may occur on the Chicago Transit Authority (CTA) rail system. B. Upon notification from the CTA, the Office of Emergency Management and Communication (OEMC) shall dispatch a stalled train investigative response consisting of: Page 1 of3 One Battalion Chief One Engine One Truck One Ambulance C. Companies and Chief Officers shall become familiar with various access points, emergency exit locations, water supply availability, accessibility, and ventilation capabilities, which exist in the subway and elevated rail system. IV. PROCEDURE A. First arriving company officer or Battalion Chief on the scene will attempt to locate a CTA Supervisor or representative and determine the following: 1. Location( s) and number of train( s) involved. 2. Number of passenger cars involved. 3. Status of the 3rd rail power for the affected train(s). 4. Estimated duration of the outage. 5. Estimated number of people involved. B. If it is determined that service will be interrupted for more than 10 minutes, sufficient life safety hazard exists to enter the train or passengers are beginning to self- evacuate, the following actions shall be taken: 1. Locate entry point( s) and approximate location( s) of train( s). 2. Request a power shutdown of the system. 3. If informed that the power has been shutdown by CTA, request a secondary hold. 4. Deploy the following personnel and equipment a. Truck officer with hand-light and bullhorn (from Battalion Chief). b. A member of the truck with forcible entry tools and hand-lights. c. 2 Members from Engine with hand-light and. portable oxygen. d. 2 Ambulance Paramedics with QRB, portable oxygen, Lifepak 12 and stairchair. Page 2 of3 C. The well-being ofthe affected passengers and first responders is the primary concern of the CFD at such an incident. As such, the following actions shall be taken: 1. Inform passengers ofthe problem, expected duration ofthe delay and that the fire department's response is to ensure their well-being. 2. Conduct a well-being assessment and determine if any of the citizens would require immediate evacuation from the train. 3. Determine the need for additional passenger assistance, should a full evacuation become necessary. 4. Report findings to the Incident commander. D. The Incident Commander shall call for additional assistance as necessary, to include personnel from other city agencies, i.e., Police Department, Human Services, etc. E. Progress reports must be given to the OEMC at regular intervals, as at any emergency. V. RESPONSIBILITY A. Chief and Company Officers shall ensure that an assessment of the passengers on the train and surrounding environment is conducted. B. Chief and Company Officers shall ensure compliance with this order. C. All members will be familiar with the CFD Subway Incident Response Manual. BY ORDER OF: ;j]:;yan r Deputy Fire Commissioner Bureau of Operations TO BE READ AT (6) ROLL CALLS AND POSTED Distribution: B Page 3 of3 CHICAGO FIRE DEPARTMENT BUREAU OF OPERATIONS Operations Order: 08-009 September 26, 2008 SUBJECT: CLASSIFICATION OF A CHICAGO TRANSIT AUTHORITY (CTA) SHORT TERM AND LONG TERM RAIL INCIDENTS I. PURPOSE This order: A. defines the Chicago Fire Department's (CFD) description of a "Short Term CTA Rail Incident" and "Long Term CTA Rail Incident"; B. establishes the responsibilities of the incident commander for rail incidents; C. assists CTA in assessing and allocating resources required for a rail incident, and D. becomes effective immediately. II. DEFINITIONS A. A "Short Term CTA Rail Incident" is defined as an incident in which the CFD will be on the scene and affecting CTA rail operations for 30 minutes or less. Examples include: Investigation, Ambulance Assist, Rubbish Fire, etc. B. A "Long Term CTA Rail Incident" is defined as an incident in which the CFD will be on the scene and affecting CTA rail operations for greater than 30 minutes. Examples include: Crime Scene, Derailment, Accident, Rail Car Fire, Evacuation of Passengers, etc. III. RESPONSIBILITIES A. Upon completing the initial size-up, the incident commander will inform the Office of Emergency Management and Communications (OEMC) as to incident classification: short term or long term incident. B. Upon receiving the classification from the incident commander, the OEMC will notify the CTA Control Center of the incident classification. c. Upon notification from the OEMC the CTA will assess and allocate appropriate assets to assist the CFD in mitigation. Eugene n. Ryanr Deputy Fire Commissioner Bureau of Operations TO BE READ AT ROLL CALL AND POSTED Distribution: A CHICAGO FIRE DEPARTMENT BUREAU OF OPERATIONS Operations Order: 10-002 February 10,2010 SUBJECT: DEPUTY DISTRICT CIDEF FIRE DEATH REPORT 11.202 AND BATTALION CHIEF POTENTIAL FIRE DEATH REPORT 11.201 I. PURPOSE This order: A. establishes standard reporting documents, guidelines and official method of recording injuries caused by fire, utilizing the Deputy District Chief (DDC) Potential Fire Death Report 11.202 and the Battalion Chief (BC) Potential Fire Death Report 11.201; B. sets forth procedures and responsibilities for the Deputy District Chief, Battalion Chief, or members acting in the those positions, on the appropriate use of the DDC Fire Death Report 11.202 and the BC Potential Fire Death Report 11.201, and C. becomes effective immediately. II. PROCEDURES A. Deputy District Chief, or members acting in that position 1. The on-duty Deputy District Chief will complete a DDC Fire Death Report 11.202 when a civilian is triaged as a category Red or Black due to a burn as a result of one of the following: Electrical burn; Contact burn (direct flame); Contact with heated object; Steam burn as a result of fire; Smoke inhalation; Cardiac incident as a result of fire; Falls as a result of fire, or other injuries that are potentially life threatening or fatal as a result of a fire incident. 1 2. The DDC Fire Death Report 11.202 will be completed and e-mailed to the following as soon as possible: 2-1-3, Fire Commissioner 2-1-4, 1st Deputy Fire Commissioner 2-1-5, DFC Operations 2-1-12, ADFC Operations FS&R 2-1-13, ADFC Operations EMS 3. When all documentation is received from the still alarm/dispatched battalion chief (NFIRS 1 & 2, and BC Potential Fire Death Report 11-201 ), it must be faxed along with the completed DDC Fire Death Report 11.202 as a complete package to the following: 2-1-4, 1st Deputy Fire Commissioner 2-1-5, DFC Operations 2-1-12, ADFC Operations FS&R 4. The entire completed package (NFIRS 1 & 2, BC Potential Fire Death Report 11.201 (one per victim) and DDC Fire Death Report 11.202) must then be copied for the district's file and originals sent to the Director of Records located at 10 W. 35TH Street via interdepartmental mail, before the end ofyour tour duty. B. Battalion Chief, or members acting in that position 1. The on-duty Battalion Chief will complete a BC Potential Fire Death Report 11.201 when a civilian is triaged as a category Red or Black due to a burn as a result of one of the following: Electrical burn; Contact burn (direct flame); Contact with heated object; Steam burn as a result of fire; Smoke inhalation; Cardiac incident as a result of fire; Falls as a result of fire, or any other injury that is potentially life threatening or fatal as a result of a fire incident 2. In addition to the BC Potential Fire Death Report 11.201, the Battalion Chief will complete NFIRS 1 & 2 when dispatched to an incident involving a burn victim that meets the above criteria. 3. All documentation must be forwarded to the deputy district chief in whose district the incident occurred, before the end ofyour tour ofduty. III. RESPONSIBILITIES In accordance with current department policy, the required administrative duties of chief officers in regards to the DDC Fire Death Report 11.202 and the BC Potential Fire Death Report 11.201 are as follows: A. The Deputy District Chief, or members acting in that position, will assemble the required information regarding the DDC Fire Death Report 11.202 for the immediate dispersal per the supplied routing schedule in II, A, 1 & 2 of this document. B. The Battalion Chief, or members acting in that position, will assemble the required information for the completion of the BC Potential Fire Death Report 11.201. The completed document shall be forwarded to the Deputy District Chief in whose district the incident occurred, before the end oftheir tour ofduty. By order of: EJr.;;Ryr Deputy Fire Commissioner Bureau of Operations Distribution: B Engine Companies OFI Contacted (Yes/No) Truck Companies Photo Contacted (Yes/No) Squad Companies DC Contacted (Yes/No) Battalion Chief Pub Ed Contacted (Yes/No) Command Van Media Contacted (Yes/No) Name Age M/F Race Amb Hospital Name Age M/F Race Amb Hospital Name Age M/F Race Amb Hospital Name Age M/F Race Amb Hospital Name Age Gender (M/F) Race Name Age Gender (M/F) Race Name Age Gender (M/F) Race Name Age Gender (M/F) Race D.D.C. Name CFD 11.202 01/10 0BURN 0 POTENTIAL FIRE DEATH 0 FIRE DEATH REPORT D Partial Burn/2"d Degree D Full Thickness Burn/3rd Degree r- Date of Fire Injury /Death Fire Building Address Still Alarm Batt. Chief Batt. of Fire Platoon Event# Time of Still Time of Box Time of X-Aiarm 1st Engine on Scene 1st Truck on Scene Engine Officer in Charge Truck Officer in Charge Owner of Fire Building Owners Address Age Sex Race z Name of Victim 0 i= Adult Name Relation: Fire Res. Heavy Timber Noncom b. Ordinary Wood Frame Occupied Vacant No. of Floors ci....tn0:: D D D D D D D m 0z...J (.) Basement I Dimensions of Building: I Type of Roof I Type of Heat YesD NoD Width Depth Fixed D Portable D > (.) z

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