Health Care Facility Fires

First Arriving Engine Company

 * Approach scene cautiously, position apparatus appropriately, and consider attaching to water supply, especially if smoke is showing.
 * Transmit a brief initial report of conditions on arrival. If water supply is not established, relay information to the next arriving engine company.
 * Declare working incident if appropriate.
 * Assess incident priorities and identify potential problems.
 * Assume and announce command, establish an effective command post or pass command.
 * Choose an attack mode and implement based upon problems identified.
 * Stretch an initial 1-3/4” attack line to protect occupants and egress paths first if risk assessment permits entry.
 * Advise 2nd due engine overall priority (fire attack or life safety).
 * Coordinate incident priorities with all due engine.
 * Coordinate Truck Company Operations with first due truck.
 * Consider second alarm for additional resource needs.
 * For defensive operations consider 2-1/2” hose lines and solid streams applied to exposures.
 * If buildings are set back from the roadway, consider utilizing 2-1/2” lines supplying 1-3/4” attack lines on gated wyes. Allow adequate 1-3/4” line for interior operations.

Second Arriving Engine Company

 * Level One Staging
 * Assume Command if passed
 * Establish water supply
 * Position apparatus for tactical operations. If aerial equipped, consider the following:
 * 1) Rescue
 * 2) Exposure protection
 * 3) Attack support
 * Report to Command for additional tasks. These may include one or more of the following:
 * 1) RIT (Mandatory if not already established)
 * 2) Lay additional supply lines and supply FDC if indicated
 * 3) Use attack lines from the first engine company
 * 4) Assist the first company with their lines
 * 5) Perform search and rescue
 * 6) Perform truck company functions (rescue, ventilation, forcible entry, etc.)
 * 7) Perform other tasks as required by the Incident Commander.

Third Arriving Engine/Medic Company

 * Stage and wait for assignment from Command.
 * Stage and identify secondary water supplies. Consider alternate approach to the scene and access to the rear of the building.
 * Position apparatus for tactical operations. If aerial equipped, consider the following:
 * 1) Rescue
 * 2) Aerial Ladder Operations / Exposure protection
 * 3) Attack support

Note: Medic unit should be staged away from the scene, parked in the direction leaving the scene.


 * Report to Command for additional assignments. These may include one or more of the following:
 * 1) RIT (Mandatory if not already established).
 * 2) Lay additional supply lines and supply FDC if indicated.
 * 3) Establish attack lines/ back up lines / exposure lines.
 * 4) Provide relay pumping operation.
 * 5) Perform search and rescue.
 * 6) Perform truck company functions (rescue, ventilation, forcible entry, etc.).
 * 7) Provide Rehab.
 * 8) Perform other tasks as required by the Incident Commander.

Fourth Arriving Engine/Medic Company

 * Stage and wait for assignment from Command.
 * Stage and identify secondary water supplies. Consider alternate approach to the scene and access to the rear of the building.
 * Position apparatus for tactical operations. If aerial equipped, consider the following:
 * 1) Rescue
 * 2) Aerial Ladder Operations/ Exposure protection
 * 3) Attack support

Note: Medic unit should be staged away from the scene, parked in the direction leaving the scene.


 * Report to Command for additional assignments. These may include one or more of the following:
 * 1) RIT (Mandatory if not already established).
 * 2) Lay additional supply lines and supply FDC if indicated.
 * 3) Establish attack lines/ back up lines / exposure lines.
 * 4) Provide relay pumping operation.
 * 5) Perform search and rescue.
 * 6) Perform truck company functions (rescue, ventilation, forcible entry, etc.).
 * 7) Provide Rehab.
 * 8) Perform other tasks as required by the Incident Commander.

Truck Company

 * Position aerial for tactical operations; consider the following:
 * 1) Rescue
 * 2) Exposure protection
 * 3) Attack support
 * Report to Incident Command for assignment, this may include one or more of the following:
 * 1) Search and Rescue (T-6A)
 * 2) above fire
 * 3) adjacent units
 * 4) fire unit
 * 5) Forcible Entry (T-6B)
 * 6) Ventilation (T-6B)
 * Also Consider:
 * 1) Ground Ladders (egress/escape, roof)
 * 2) Utility Control (including water, gas, or electric as necessary)
 * 3) Salvage / Overhaul
 * 4) Emergency shoring of structural components
 * 5) Other tasks as indicated by the incident commander.