Lessons Learned
“Safety
Zone” newsletter, July, 2004
Lessons Learned —
author, date unknown
One-Year Anniversary Letter
by Kelly Close, FBAN
Declaration on Cramer
Redactions, by James Furnish, April, 2005
FSEEE v. USFS, FOIA
Civil Lawsuit Order,
December, 2005
FOIA
Request to USFS, December, 2005
FOIA Appeal to USFS,
February, 2006
Management Evaluation Report
Investigation Team Information
Synopsis of the
Cramer Fire Accident Investigation
Causal Factors
Contributing Factors
Addendum
Factual Report
Executive Summary
Narrative
Background
(facts 1 - 57)
Preaccident
(facts 58 - 201)
Accident
(fact 202)
Postaccident
(facts 203 - 237)
Findings
Appendix A
Resources on the Fire
Appendix B
Cramer Fire Timeline
Appendix C
Fire Behavior and Weather
Prior Conditions
Initial Phase
Transition
Phase
Acceleration
Phase
Entrapment
Phase
Appendix D
Equipment Found at H-2 and the Fatalities Site
Appendix E
Fire Policy, Directives, and Guides
OIG Investigation
OIG FOIA Response,
February, 2005
2nd FOIA Request to OIG,
April, 2006
2nd OIG FOIA Response,
August, 2006, (1.4 mb, Adobe .pdf file)
OSHA Investigation
OSHA Cramer Fire Briefing Paper
• Summary and ToC
• Sections I-IV
• Sections V-VII
• Section VIII
• Acronyms/Glossary
OSHA South Canyon Fire
Briefing Paper
Letter to District
Ranger, June 19, 2003
OSHA Investigation Guidelines
OSHA News Release
• OSHA Citation 1
• OSHA Citation
2
• OSHA
Citation 3
USFS Response
OSHA FOIA Letter
Adobe PDF and Microsoft Word versions of documents related to
the Cramer Fire can be downloaded from the U.S.
Forest Service website.
|
News Release
U.S. Department of Labor
Office of Public Affairs
Seattle, Washington
#04-37 |
For Immediate Release
April 1, 2004
Contact: Jeannine Lupton
Phone: (206) 553-7620 |
OSHA Finds Safety Violations at Wildfire Site In Idaho
Notices Issued to U.S. Forest Service
SEATTLE - The U.S. Labor Department's
Occupational Safety and Health Administration (OSHA) has given its findings
to the U.S. Department of Agriculture Forest Service following the investigation
of last summer’s Cramer Fire near Salmon, Idaho. Two U.S. Forest
Service (USFS) helitack crew personnel died at the site on July 22, 2003.
OSHA issued notices to the USFS for alleged serious, repeat
and willful violations of safety standards. The willful notice listed
violations of all 10 “standard fire orders” and 14 of 18 “watch
out situations” listed in the Interagency Standards for Fire and
Fire Aviation Operations.
The notice for serious violations included:
-- Failure to conduct fire complexity analysis;
-- Failure to provide additional supervisory and suppression support;
-- Failure to maintain and calibrate automated weather stations; and
-- Failure to conduct inspections of fire operations for safety and
health hazards.
OSHA also noted that the USFS delegated inadequately trained
employees to identify, evaluate and correct hazards related to complex
wild land fire safety.
The notice of an alleged “repeat” violation
was issued because OSHA found that the USFS did not include elements related
to safety and health program performance in evaluations for fire supervisors,
fire program management officials and line officers. OSHA previously had
cited the USFS for this violation on Feb. 8, 2002.
OSHA found the violations during its fatality investigation
at the Cramer Fire site near Cache Bar on the north side of the Salmon
River, approximately 50 miles northwest of Salmon, Idaho. The USFS may
meet informally with OSHA to discuss the violation notices, including
methods of correction and length of abatement periods.
The Occupational Safety and Health Act defines a willful
violation as one committed with an intentional disregard of, or plain
indifference to, the requirements of the OSH Act and regulations. A serious
violation is one in which there is substantial probability that death
or serious physical harm could result and the employer knew, or should
have known, of the hazard. A repeat violation is an additional occurrence
of a violation for which the employer previously had been cited.
OSHA is dedicated to saving lives, preventing injuries and
illnesses, and protecting the health and safety of America’s workers.
In fiscal year (FY) 2002, the most recent year for which data have been
published, there was a 6.6 percent decline in work related fatalities
in the U.S. In FY 2003, OSHA conducted almost 40,000 inspections, and
more than half focused on high-hazard industries. For more information
visit www.osha.gov
###
U.S. Labor Department releases are accessible on the Internet at www.dol.gov.
The information in this news release will be made available in alternate
format upon request (large print, Braille, audio tape or disc) from the
COAST office. Please specify which news release when placing your request
at (202) 693-7765 or TTY (202) 693-7755.
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