Esperanza Fire
Accident Investigation
Factual Report
Cover & Table of Contents
Executive Summary
Narrative
Maps
Photographs
Timeline
Investigation Process Summary
Human Findings
Causal Factors and Contributing Factors
Appendix 1 — Fire
Behavior Analysis Summary
Appendix 2 — Fire Operations Analysis Summary
Appendix 3 — LCES Analysis Summary
Appendix 4 — Standards for Fire Operations Analysis Summary
Appendix 5 — Compliance Analysis Summary
Appendix 6 — Fire Weather Analysis Summary
Appendix 7 — Human
Factors Analysis Checklist Summary
Appendix 8 — Personal Protective Equipment Analysis Summary
Appendix 9 — Equipment Engine 57 Analysis Summary
Appendix 10 — Video Documentation Listing
Appendix 11 — Glossary and Acronyms
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Esperanza Fire
Accident Investigation
Factual Report
Riverside County, California
October 26, 2006 |
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Esperanza Investigation Team
Investigation Team Leaders:
______________________________________________________________
Randy Moore, Regional Forester Date
USDA Forest Service, Eastern Region, Milwaukee, WI
______________________________________________________________
Brad Harris, Unit Chief Date
California Department of Forestry and Fire Protection
Core Team Members
Michael Anderson, USFS Eastern & Southern Regional Offices, Safety
Officer
Jeff Brand, CAL FIRE NEU, Chief Investigator
Jon Brothers, CAL FIRE FKU, Documentation
Dave Cleaves, USFS Rocky Mountain Research Station, Deputy Team Leader
Joe Duran, USFS Pacific Southwest Region, Union Representative
Al Matecko, USFS Pacific Northwest Regional Office, Information & Liaison
Officer
Rick Moore, CAL FIRE FKU, Lead Investigator
Pete Munoa, CAL FIRE LNU - CDFFF-Documentation/Union Representative
Anthony Rose, USFS Cleveland National Forest, Law Enforcement Officer
Sheryl Shafer, USFS Washington Office, Documentation
Drew Smith, Los Angeles County Fire Department, Fire Behavior Analyst
George Solverson, USFS Boise National Forest, Chief Investigator
Paul Van Gerwen, CAL FIRE SLU –CDFFF, Union Investigator
Rita Wear, USFS Angeles National Forest, Law Enforcement Officer
Don Will, USFS Tahoe National Forest, Fire Operations Specialist
Marge Yarbrough, CAL FIRE SFM, Law Enforcement Officer
Technical Specialists
Mike Arias, USFS Equipment Specialist, Engine
Steve Beach, CAL FIRE RRU, Plans Section Chief
Alison Lara, CAL FIRE AEU, Procurement
Jay Donnelly, CAL FIRE SAC, Critical Incident Stress Management
Paul Flatt, National Weather Service, Meteorologist
Gordon Gholson, CSR-Chief -Mobile Equipment
Todd Hopkins, CAL FIRE RRU, Resource Unit Leader
Elsa Hucks, CAL FIRE SAC, GIS Analyst
Jim Little, USFS Equipment Specialist, Engine
Sandra Lopez, USFS Albuquerque Service Center-Human Capital Mgmt, Writer/Editor
Jon Mills, CAL FIRE RRU, Finance Chief
Tony Petrilli, Missoula Technology Development Center, Equipment Specialist
PPE
John Smith, Missoula Technology Development Center, Equipment Specialist
PPE
Bob Taylor, CAL FIRE BEU, Investigator
Table of Contents
Executive Summary……………………………………………………………….2
Narrative……………………………………………………………………………3
Maps………………………………………………………………………………..9
Photographs.……………………………………………………………………..21
Timeline …………………………………………………………………………..27
Investigation Process Summary….…………………………………………….34
Human Findings………..………………………………………………………...37
Causal Factors and Contributing Factors……………………………………..43
Appendices
Appendix 1 – Fire Behavior Analysis Summary………………..…………45
Appendix 2 – Fire Operations Analysis Summary………………….…….53
Appendix 3 – LCES Analysis Summary…………….……………………..57
Appendix 4 – Standards for Fire Operations Analysis Summary……….59
Appendix 5 – Compliance Analysis Summary……….…………………...62
Appendix 6 – Fire Weather Analysis Summary………………….……….65
Appendix 7 – Human Factors Analysis Checklist Summary.…………...78
Appendix 8 – Personal Protective Equipment Analysis Summary……..89
Appendix 9 – Equipment Engine 57 Analysis Summary……….………..91
Appendix 10 – Video Documentation Listing………………………....…100
Appendix 11 – Glossary and Acronyms……………..……………..…….101
The
U.S. Department of Agriculture (USDA) and California Department of
Forestry and Fire
Protection (CAL FIRE) prohibits discrimination in all its programs
and activities on the basis of
race, color, national origin, age, disability, and where applicable,
sex, marital status, familial
status, parental status, religion, sexual orientation, genetic information,
political beliefs, reprisal,
or because all or part of an individual’s income is derived
from any public assistance program.
(Not all prohibited bases apply to all programs.) Persons with disabilities
who require alternative
means for communication of program information (Braille, large print,
audiotape, etc.) should
contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD).
To file a complaint of
discrimination, write USDA, Director, Office of Civil Rights, 1400
Independence Avenue, S.W.,
Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202)
720-6382 (TDD). USDA
is an equal opportunity provider and employer.
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