SAFENET


SAFENET

Wildland Fire Safety & Health Reporting Network

SAFENET Event Information
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SAFENET ID:
20171025-0001        [Corrective Actions]
Event Start Date:
09/03/2017 1400
Event Stop Date:
09/03/2017 2200 
Incident Name:
Railroad
Fire Number:
P5LA2M 
State:
California
Jurisdiction:
USFS
Local Unit:
CA-SNF
Incident Type:
Wildland
Incident Activity:
Line
Stage of Incident:
Extended Attack
Position Title:
AFEO, Sr Firefighter, and FFT1 
Task:
Structure Protection/Hose Lay 
Management Level:
2
Resources Involved:
Type 3 Engine 
Contributing Factors
Contributing Factors:
Fire Behavior, Communications, Human Factors
Human Factors:
Decision Making, Leadership, Risk Assessment, Performance, Situational Awareness  
Other Factors:
 
Narrative
Describe in detail what happened including the concern or potential issue, the environment (weather, terrain, fire behavior, etc), and the resulting health issue.
The events of this narrative focus on what occurred during the afternoon of September 3rd, 2017, while on Division Whiskey of the Railroad Fire, an extended attack wildland fire, on the Sierra National Forest in California, Region 5 of the USFS. Serving as members of a single resource, Type 3 U.S. Forest Service engine, we had been ordered up from our home unit, the Descanso Ranger District of the Cleveland National Forest for the incident on August 30th. We began our first operational shift on August 31st and the events occurred on Sunday, September 3rd, our fourth operational period on this incident. The numerous safety issues we present now in this SAFEnet were addressed on this day with our supervisor/module leader, and in the subsequent days that followed we debriefed as a crew the events that happened.

The primary focus for the first three shifts on Division Whiskey were structure protection and preparation in the Sugar Pine community of residential houses, prepping roads, and some hose lays along dozer and hand lines in support of burning operations.

On the afternoon of the 3rd, we had been prepping some structures along Poplar and Locust roads, when predicted thunderstorms developed over the fire area, and an Incident Meteorological announcement came out over the command channel alerting all resources of the possibility of lightning strikes, erratic and strong downdraft winds, as well as an overall possible wind shift from prevailing Western and Southerly winds to winds being out of the Northeast with gusts up to 40 m.p.h. The weather update was acknowledged was known to all members of our module, and our module leader who was with us, copied the weather update when asked by our Division Supervisor. Our immediate concern for the approaching weather system was the strong winds mixed with the large stands of beetle killed pines in the community, but additionally that the community of Sugar Pine laid in a valley with a Northeast to Southwest alignment, similar to the alignment of the predicted wind shifts.

Having completed our assignment of prepping structures and upon hearing the weather update, we proceeded to walk back to our engine parked nearby at the community center. Our module leader consulted with other module leaders in the area, face to face, including a hotshot superintendent. Our module leader told us at this time they believed the fire had changed directions, was heading towards us, and there were reports of 100 ft flame lengths. At this time, the Division Supervisor ordered all resources, except for our engine and two other U.S.F.S. engines, out of the Sugar Pines community and back to the 41 road. The Division reported over the radio that they wanted to keep the three U.S.F.S. engines in Sugar Pine in case an emergency burn operation was put into action. At this time, our engine crew began to discuss a number of safety concerns with this plan. Elements of L.C.E.S. were scrutinized by the crew; communications in the valley had been spotty, Lookout was unknown by our module leader, the proposed escape route to the safety zone was in alignment with the winds and topography with a possibility of being cut off in the event of the possible emergency burning operation, no alternative escape routes were identified and there was no adequate safety zone in the immediate area. Additionally, we were not in direct contact with anyone that had eyes on the fire and no trigger points for evacuating had been identified. We, as a crew, advised our module leader/supervisor of these serious concerns, and that we felt it best to disengage and return to the 41 road until a solid plan, with good intel, was in place and these L.C.E.S. concerns were mitigated. We were met with hesitation and our concerns at this time were dismissed by our module leader with a “It’ll be fine”. We continued to press the issue of L.C.E.S., lack of clearly identified trigger points (there were none), knowledge of current fire behavior (or lack thereof), and we were unsure of what the fire was doing, and our module leader was unable to definitively answer these questions. Our module leader continued to use words like: Probably, Maybe, and Should. We were then told that our “job is dangerous”. We assessed as a crew that it was at least 12 minutes drive from our current location, back to the 41 road, and then another 10 minutes to Oakhurst, our reported safety zone, which possibly lay in the path of the main fire.
Immediate Action Taken
Reporting Individual : please describe actions you took to correct or mitigate the unsafe/unhealthful event.
The corrective actions we took as a crew were convincing our module leader to allow us to disengage and postpone the plan. We waited out on the 41 road, becoming more familiar with the current fire behavior and situation. Around 18:00, the weather and fire behavior had calmed down, and our module leader agreed to scout the proposed hose lay from earlier. We as a crew waited while he and two CalFire captains scouted in the fading light of day. Our module leader had promised us he would return with info before committing us, however announced on the radio to a hotshot superintendent that the plan looked good, prior to returning. When our module leader returned, we discussed our concerns at this time: lack of a good safety zone, one escape route, poor communication/radio performance in the valley, the lack of daylight at this time and the fact that this hose lay was in heavy dead timber that had not been snagged by fallers, or even prepped by the hotshots.

Despite our concerns, we felt comfortable with the fire behavior, weather, though not the snags and the dark; and we relented to do the hose lay. All ended well, we completed the hose lay with the help of two CalFire engines quickly in the dark. After completing the hose lay, we were left waiting in the dark in snag country without our module leader sending us back to safety of the truck.

We discussed all the events several times as a crew with our module leader, each time met with resistance and excuses that were not valid in our mind. If we are to adjust our culture to make “Life First”, we should not have been out on the line at that time, it was no longer tactically necessary, or even feasible as it had not been prepped and need to be, and we should have waited til fallers came through and snagged it in daylight.

If we are as a profession to make changes and truly put the concept of “Life First”, changes must be made from the top down as well as from the bottom up. Line officers must begin to question the necessity of assignments and the timing of when they are to be best done, with safety at the forefront. Subordinates should feel empowered to speak up, not dismissed as being bothersome, disrespectful, or afraid and unwilling to work. Ego is a big part of this job, not enough and one will never succeed; too much and we risk putting ourselves in perilously unnecessary situations all because we are taking “slides” from the past and trying to make them fit the present. We must ultimately, practice what we preach. We must change.

We have hesitated as a crew to come forward with this SAFEnet, because of our concern over the fact that our supervisor is our module leader, and we need a good reference and to be able to work with him. But the weight of our individual career goals cannot be outweighed by our consciences and we feel that this must be shared. We began working on this shortly after our return while it was fresh in our minds.


Agency Response

20171025-0001-CA001

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