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
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
Adobe PDF and Microsoft Word versions of documents related to
the Cramer Fire can be downloaded from the U.S.
Forest Service website.
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U.S. Department
of Labor
Occupational Safety and Health Administration
Inspection Number: 117886150
Inspection Dates: 07/23/2003-08/07/2003
Issuance Date: 03/26/2004
Notice of Unsafe or Unhealthful Working Conditions
Company Name: U.S. Forest Service, Intermountain
Region 4
Inspection Site: Cramer Fire, T23N, R15E, Section 20,
North Fork, ID 83466
Citation 3 Item 1 Type
of Violation: Repeat
29 CFR 1960.11: The agency did not ensure that the performance evaluation
of any management official in charge of an establishment, any supervisory
employee, or other appropriate management official, measure that employee’s
performance in meeting requirements of the agency’s occupational
safety and health program:
- Performance evaluations did not have elements relating to meeting
the requirements of the agency’s safety and health programs for
all fire supervisors, fire program management officials, and line officers.
Compliance with the Ten Standard Firefighting Orders and Eighteen Watch
Out Situations was not included as an element in the 2003 performance
evaluation criteria for line officers, fire managers, and fireline supervisors.
The U.S. Forest Service was previously cited for a violation of
this occupational safety and health standard, which was contained
in OSHA Inspection Number 303757231, Citation Number 01, Item Number
02, issued on 02/08/2002.
Note: Abatement certification and supporting documentation are required
for this item.
Date By Which Violation Must be Abated: 04/21/2004
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