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Cramer Fire
Dedication


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


Gallery of Cramer Fire Report Images


Accident Prevention Plan


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


HFACS—"Swiss cheese" model of Accident Causation


Adobe PDF and Microsoft Word versions of documents related to the Cramer Fire can be downloaded from the U.S. Forest Service website.

 

Accident Investigation Factual Report

Cramer Fire Fatalities
North Fork Ranger District
Salmon-Challis National Forest
Region 4
Salmon, Idaho - July 22, 2003


Appendix A - Resources on the Fire

Daily Assignment and Responsibilities of Resources on the Cramer Fire

Sunday, July 20,2003

PERSONNEL [—————]................Moyer helitack crew
[—————]................Long Tom Lookout
Ferguson 18B.................Contract crew Type II
[—————]................Moyer helitack foreman
[—————]................Salmon-Cobalt fire management officer
[—————]................Forest fire management officer
[—————]................Moyer helitack crew, IC Type IV trainee
[—————]................Moyer helitack crew, IC Type IV
AVIATION Jumper 41..................... Smokejumpers
H-166........................... Moyer helicopter Type III
Tanker 454 (SEAT) ...... Fixed-wing retardant Type IV
61-N ............................ Cramer air attack
EQUIPMENT BLM engine 7157...........Engine crew
BLM engine 422.............Engine crew

Monday, July 21

PERSONNEL [—————]................North Fork district ranger
[—————]................Moyer helitack crew
[—————]................Long Tom Lookout
Ferguson 18B.................Contract crew Type II
[—————]................Indianola helitack assistant foreman
[—————]................Central Oregon regulars crew boss
[—————]................North Fork RD assistant fire management officer, IC Type III
[—————]................Forest operations staff officer
[—————]................Moyer helitack foreman
[—————]................Zone duty officer
[—————]................Forest aviation officer
[—————]................Forest fire management officer
[—————]................Indianola helitack crew
[—————]................Moyer helitack crew, IC Type IV trainee
[—————]................Central Idaho dispatch manager
[—————]................Moyer helitack crew, IC Type IV
AVIATION 133-KA........................ Helicopter Type I
H-166........................... Moyer helicopter Type III
H-193........................... Indianola helicopter Type III
Tanker 454 (SEAT) ...... Fixed-wing retardant Type IV
61-N ............................ Cramer air attack
EQUIPMENT BLM engine 7157...........Engine crew
BLM engine 422.............Engine crew

Tuesday, July 22

PERSONNEL Allen, Jeff.......................Indianola helitack crew
[—————]................North Fork/Middle Fork district ranger
[—————]................Moyer helitack crew
[—————]................Indianola helitack crew, helibase radio operator
[—————]................Long Tom Lookout
[—————]................Moyer helitack crew
Central Oregon Regulars ...... Forest Service crew Type II
[—————]................Moyer helitack crew
Ferguson 18A.................Contract crew Type II
Ferguson 18B.................Contract crew Type II
Ferguson 4B...................Contract crew Type II
[—————]................Indianola helitack assistant foreman, helibase manager
[—————]................Central Oregon regulars crew boss
[—————]................Logistics support
[—————]................IC Type III
[—————]................Strike team leader
Heath, Shane..................Indianola helitack crew
[—————]................Zone duty officer, IC Type III
[—————]................Forest aviation officer
[—————]................Forest fire management officer
[—————]................Moyer helitack crew, helibase manager trainee
[—————]................Moyer helitack crew
[—————]................Pilot (H-193)
AVIATION 133-KA........................ Helicopter Type I
H-166........................... Moyer helicopter Type III
H-193........................... Indianola helicopter Type III
Tanker 1........................ Fixed-wing retardant Type I
Tanker 26...................... Fixed-wing retardant Type I
61-N ............................ Cramer air attack
EQUIPMENT BLM engine 7157...........Engine crew
BLM engine 422.............Engine crew

Wednesday, July 23

PERSONNEL [—————]................Lemhi County sheriff
[—————]................Moyer helitack crew
[—————]................Indianola helitack crew
[—————]................Moyer helitack crew
[—————]................Moyer helitack crew
[—————]................Fatality site manager
[—————]................Lemhi County deputy sheriff
AVIATION 133-KA........................ Helicopter Type I
H-166........................... Moyer helicopter Type III

<<< continue reading—Appendix B>>>

 


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