Colorado Firecamp - Kates Basin Fatality Report

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Kates Basin Fatality Report

Cover and Contents
Executive Summary
Incident Overview
Investigation Process
Findings and Recommendations
Appendix 1 - Map of the Immediate Scene
Appendix 2 - Sketch Map of the Entrapment Area
Appendix 3 - Fire Behavior Analysis
Appendix 4 - Oklahoma Engine #2 Findings
Appendix 5 - Fire Orders and 18 Situations
Appendix 6 - Operations & Critical Decision Gates/LCES
Appendix 7 - Delegation of Authority

“How to Operate a Fire Apparatus Mechanic” — by Lt. Bill Dyer

KATES BASIN FATALITY REPORT

August 11, 2000

U.S. Department of Interior
Bureau of Indian Affairs
Wind River Agency
Fort Washakie, Wyoming

Kates Basin Investigation Team

Ed Shepard, Team Leader Bureau of Land Management Portland, OR	Roy Doore, Deputy Team Leader Bureau of Indian Affairs, Blackfeet Agency Browning, MT
Jim Roessler, Fire Behavior Analyst Bureau of Indian Affairs Billings, MT	Cameron Martinez, BIA Line Officer Bureau of Indian Affairs Espanola, NM
Stan Palmer, Chief Accident Investigator National Interagency Fire Center Boise, ID	Mark Goeller, Operations Section Chief Oklahoma Department of Agriculture Jay, OK
Paul Gleason, Operations Specialist National Park Service Denver, CO	Jim Spano, Safety/Health Manager U.S. Forest Service Atlanta, GA
Investigative Support:
John Wendt, Key Investigative Support	Mike McCourt, Key Investigative Support
April Friday, Documentation	Ted Tower, Writer/Editor and GIS Support

TABLE OF CONTENTS

EXECUTIVE SUMMARY	Page 1
INCIDENT OVERVIEW	Page 3
INVESTIGATION PROCESS	Page 7
FINDINGS AND RECOMMENDATIONS	Page 9
APPENDIX 1 - MAP OF THE IMMEDIATE SCENE	Page 16
APPENDIX 2 - SKETCH MAP OF THE ENTRAPMENT AREA	Page 18
APPENDIX 3 - FIRE BEHAVIOR ANALYSIS	Page 19
APPENDIX 4 - OKLAHOMA ENGINE #2 FINDINGS	Page 24
APPENDIX 5 - FIRE ORDERS AND 18 SITUATIONS	Page 26
APPENDIX 6 - OPERATIONS & CRITICAL DECISION GATES/LCES	Page 30
APPENDIX 7 - DELEGATION OF AUTHORITY	Page 35

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