Fire Instructor I
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Poinciana, Florida Live-Fire Training Deaths — July, 2002
Lt. John Mickel and
Dallas Begg Act
NIOSH Report, 2002-34
Florida State Fire Marshal Report
Preventing
Deaths and Injuries to Fire Fighters during Live-Fire Training in
Acquired Structures, CDC Workplace Solutions — November, 2004
Poinciana Video
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Colorado Fire
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FLORIDA DEPARTMENT OF INSURANCE
Division of State Fire Marshal
Bureau of Fire & Arson Investigations
SFM CASE NUMBER: 26-02-3753
DISPATCH INCIDENT NUMBER: 228086232
CONCLUSION
The Investigation Team reviewed the following evidence:
-
Scene examination:
- A legal fire for the purpose of firefighter training was set in
a closet (area of fire origin) of the bedroom in the northeast corner
of the structure.
- The remains of straw, wood pallets and mattress foam were found
in the area of fire origin.
- A flashover occurred in the room of fire origin during the training
exercise.
-
Evidence collected from the scene:
- Damaged firefighter equipment.
- Photographic documentation of the scene.
-
Medical Examiners Office Report:
- The death of John Mickel was a result of smoke inhalation and
thermal injuries suffered during the training exercise.
- The death of Dallas Begg was a result of smoke inhalation and
thermal injuries suffered during the training exercise.
-
SFM Laboratory Report – Did not find the presence of any flammable
materials within materials submitted for analysis.
-
Documents regarding the training exercise:
- Legal contract allowing OCFRD to conduct live fire training exercises
- NFPA 1403 – Had not been adopted by OCFRD in their SOP’s
but was used as a guide in planning the training exercise.
- Communications Records of radio transmissions during the training
exercise. The following are key events and are only a portion of
all of the transmissions during the exercise:
10:10:55 – Interior Safety notifies IC he is ready to begin
exercise
10:11:00 – IC orders SAR into Structure
10:13:09 – IC notifies AT-1 that NE window will be vented
10:14:02 – IC orders AT-2 into structure (Flashover had occurred)
10:14:41 – IC attempts radio contact with SAR
10:15:49 – AT1 reports water on the fire (Questionable)
10:15:59 – IC asks crews to advise if they need roof ventilation
10:17:34 – IC asks for SAR to report
10:18:40 – IC asks for SAR to report
10:19:33 – IC asks is someone inside missing a helmet
10:19:58 – IC asks for status of AT-1, AT-2 & SAR
10:20:04 – AT-2 reports water on the fire
10:20:45 – IC sends RIT into building and orders PAR
10:21:14 – IC acknowledges PAR on everyone except SAR
10:21:24 – AT-2 reports fire knocked down
10:23:09 – IC order evacuation of building
10:24:42 – Interior Safety Officer and AT-2 report firefighter
down
Information obtained from interviews of participants and witnesses.
- NFPA 1403 was used only as a guideline
- Training Officer gave a briefing prior to exercise and explained
goals/objectives and safety of participants (i.e., exits, evacuation
plan, tactics, ventilation, etc.)
- There were four Interior Safety Officers stationed inside
to monitor for safety.
- There was one hose line (AT-1) to make initial attack on fire
with a second hose line (AT-2) to back-up the first hose line
and there was a third hose line (RIT) with a separate water
supply to monitor for safety and intervene in the event of a
problem.
- All participants were certified firefighters and were equipped
with approved and rated personal fire protection clothing including
Self Contained Breathing Apparatus (SCBA) with Personal Alarm
Signaling System (PASS) devices.
- A foam mattress was placed on the fire to cause more smoke and
create a more realistic effect for the search and rescue training.
- There was a failure in communications between Interior Safety
Officers in accounting for the SAR Team (Victims) after they entered
the fire room. Two Interior Safety Officers heard the SAR Team talking
at the doorway indicating that the room had been searched and it
was assumed that the SAR Team left the fire room. It is also not
known if the SAR Team decided to research the room for the mannequin
or stay in the fire room to watch the extinguishment of the fire.
- AT-1 may have caused SAR Team to be pushed back into the fire
room with steam during their initial application of water through
the doorway. No one on the AT-1 crew ever saw fire during their
advance towards the fire room. There are some conflicting details
from statements and the radio transmissions as to the location of
the nozzle man in the hallway, the frequencies that water was applied
towards the fire room and how near he advanced to the fire room
before AT-1 moved back to the living room.
- All of the participants stated that from the beginning of the
exercise they did not have any concerns regarding the conditions
of the fire inside the structure and it appeared to them as normal
fire behavior. The only fire condition changes of concern occurred
when steam filled the hallway during the application of water from
AT-1 that caused the two Interior Safety Officers to evacuate.
- The Training Officer followed the rules of Incident Command and
maintained control of the scene during the operation. He continually
requested status reports from the crews operating inside the structure.
After not receiving a report from SAR after several attempts to
contact on the radio, the Training Officer utilized the RIT, ordered
PAR and evacuated the structure. He continued control of the scene
well into the rescue operation of the victims.
There was no evidence found that the deaths of John Mickel and Dallas
Begg were caused by an intentional act of a premeditated design. There
were no actions found that were imminently dangerous to another and evincing
a depraved mind regardless of human life nor was there evidence of any
intentional procurement to cause such harm.
In regard to culpable negligence, there was no evidence of negligence
that was gross and flagrant. Reckless conduct or disregard of human life,
or safety of persons exposed to its dangerous effects, or such an entire
want of care as to raise a presumption of a conscious indifference to
consequences, was not found. There were no actions that showed wantonness
or recklessness, or a grossly careless disregard of the safety and welfare
of the public, or such an indifference to the rights of others as is equivalent
to an intentional violation of such rights.
There was no evidence that any of the participants could foresee that
a flashover would occur during the training exercise. In fact some of
the participants that were inside the structure were surprised when they
saw the portion of the video recording of the training exercise where
the flashover occurs. The addition of the foam mattress to the fire load
is one of many variables that could contribute to a flashover but is not
exclusive.
There was no evidence that any of the participants could foresee that
the victims would be caught in the flashover. Some of the participants
that were searching for the victims expected to find them in another part
of the structure. The firefighters that found the body of the first victim
initially assumed it was the training mannequin.
I could not find evidence to cause for filing of criminal charges. I
submitted my investigation case file to be reviewed by the Office of the
State Attorney, Ninth Judicial Circuit of Florida. After review, the State
Attorney’s office concluded that the evidence and information of
circumstances and events surrounding the deaths of Lt. John Mickel and
Firefighter Dallas Begg, does not establish probable cause for prosecution
under Chapter 782 of the Florida Statutes, relative to homicide or culpable
negligence. I request that this case file be closed.
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