NIOSH Report Issued on Baltimore City Fire Department (BCFD) Racheal Wilson, February 9, 2007 LODD

Career Probationary Fire Fighter Dies While Participating in a Live-Fire Training Evolution at an Acquired Structure - Maryland

Put aside some time to read the recently issued NIOSH Report on the BCFD, Rachael Wilson LODD on February 9, 2007. There are numerous lessons to be learned from this incident related to Live Fire Training (NFPA 1403 Standard), Instructor Qualifications, Training Program Integrity and Leadership, Accountability and how fast things can go wrong. Also look at the end of the report related to the fire dynamics and behavior.

Think about how you conduct live fire training, look at the qualifications of your instructors and how you manage your programs, and also stop and think about the true capabilities of your recruit personnel as well as your "veterans". Also, If you're not familiar with the NFPA 1403 standard on Live Fire Training...you need to be.

SUMMARY
On February 9, 2007, a 29-year-old female, career probationary fire fighter died while participating in a live-fire training evolution at an acquired structure. The victim’s class was conducting a live-fire training drill that is required by the department’s training protocol for their NFPA 1001, Standard for Fire Fighter Professional Qualifications, Fire Fighter I. The victim was part of a four person engine company, led by an adjunct instructor, that made the initial attack on a training fire in a vacant, condemned, three-story, end-unit, townhouse. The scenario called for the victim’s crew to enter the front of the townhouse and proceed to the third floor to find and extinguish any fire on the third floor. They were to by-pass any fire on the second floor so that the second due engine could practice suppression on that floor. The victim’s crew encountered heavy fire on the second floor and third floor stairwell as they proceeded to the third floor.

The victim, operating the nozzle, and the adjunct instructor attempted to fight fire on the third floor, but conditions made it untenable. The adjunct instructor was able to exit through a window located on the third floor landing followed by a fire fighter who was backing up the victim on the hoseline. However, the victim got stuck attempting to exit the window which was 41-inches above the floor. The victim became unresponsive as the adjunct instructor and other fire fighters attempted to free her from the window.

After she had been freed, she was transported to a local trauma center where she was pronounced dead.

NIOSH investigators concluded that, to minimize the risk of similar occurrences, fire departments should:

conduct live-fire training exercises in accordance with the most recent edition of NFPA 1403, Standard on Live-Fire Training Evolutions

ensure all training and education, including live fire training, is conducted under the direct supervision of a qualified instructor(s) who meets the requirements of NFPA 1041, Standard for Fire Service Instructor Professional Qualifications

provide the Training Academy and Safety Division with adequate resources, personnel, and equipment to accomplish their training mission safely

screen recruits to ensure they meet the physical performance requirements as established by the fire department prior to entering a training program to become a fire fighter

develop and maintain a comprehensive respiratory protection program which complies with NFPA 1404, Standard for Fire Service Respiratory Protection Training

ensure all recruits meet the requirements of NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments prior to entering the training program

develop an inspection criteria to ensure that all protective ensembles meet the requirements of NFPA 1851, Standard on Selection, Care, and Maintenance of Structural Fire Fighting Protective Ensembles

ensure coordinated communication between the Instructor-in-charge and the live-fire training participants

utilize the incident command system and a personnel accountability system, for all incidents, including live fire training exercises, that meets the requirements of NFPA 1561, Standard on Emergency Services Incident Management System

create a training atmosphere that is free from intimidation and conducive to learning

Additionally;
States should develop a permitting procedure for live-fire training to be conducted at acquired structures and also ensure that all the requirements of NFPA 1403 have been met before issuing the permit

INTRODUCTION
On February 9, 2007, a 29-year-old, female career, probationary fire fighter (the victim) was fatally injured. On February 9, 2007, the U.S. Fire Administration notified the National Institute for Occupational Safety and Health (NIOSH) of this incident. On March 19-23, 2007, two Safety and Occupational Health Specialists and a Safety Engineer from the NIOSH Fire Fighter Fatality Investigation and Prevention Program investigated this incident. Meetings were conducted with the fire department; city safety office; representatives of the National Institute of Standards and Technology (NIST); the Bureau of Alcohol, Tobacco and Firearms (ATF); the State’s Occupational Safety and Health Administration (MOSHA); and, the International Association of Fire Fighters (IAFF). Interviews were conducted with fire fighters and officers who were involved with this incident, the training academy officials, and the fire department safety office. The investigators reviewed the victim’s training records, the department’s standard operating procedures (SOPs), autopsy reports, witness statements, the victim’s personal protective equipment, the manufacturer’s turnout gear inspection report, the training academy’s curriculum and instructor’s qualifications. The incident site was visited and photographed. The investigators also viewed a video of a previous live-fire training event.