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Home My WebLink AboutHAZMAT 02-3662 - 1073 ANDOVER PARK EAST - CARBON MONOXIDE INCIDENT ON 11/19/20021073 ANDOVER PARK EAST CARBON MONOXIDE INCIDENT HAZMAT # 02-3662 Incident Report 2002-0003662-000 3&@ Tukwila Fire Department -asap. C()Tl;- Basic Alarm Date and Time 11:36:00 Tuesday, November 19, 2002 Arrival Time 11:39:00 Controlled Time 11:42:00 Last Unit Cleared Time 13:58:00 Response Time 0:02:60 Priority Response Yes Fire Department Station ST51 Shift C Incident Type 424 - Carbon monoxide incident Aid Given or Received N - None Alarms 1 Action Taken 1 42 - Hazmat detection, monitoring, sampling, & analysis Action Taken 2 30 - Emergency medical services, other EMS Provided Yes Apparatus - Suppression 4 Personnel - Suppression Personnel 11 Property Loss $0.00 Contents Loss $0.00 Property Value $0.00 Contents Value $0.00 Hazardous Material Released N - None Property Use 700 - Manufacturing, processing Location Type Address Address 1073 Andover PARK E City, State Zip Tukwila, WA 98188 District 005 Census Tract 0262.00 Page: 1 Printed: 11/19/2002 21:27:00 4 Incident Report 2002-0003662-000 Tukwila Fire Department Page: 2 Printed: 11/19/2002 21:27:00 EMS Patient - McFarland, Cheryle Name Prefix First Name Last Name Street Address City, State Zip Gender Age Arrived At Patient Date and Time Provider Impression / Assessment Cause of Illness/Injury Highest Level of Care Patient Status Disposition Other Factors Initial Level of Care MS Cheryle McFarland 14309 145 AVE E Orting, WA 2 - Female 39 11:39:00 Tuesday, November 19, 2002 27 - Inhalation injury, toxic gases 10 - Chemical exposure 0 - Other health care provider 2 - Remained Same 2 - Non -FD transport 1 - Accidental 2 - EMT -B (Basic) EMS Patient - McFarland, Cheryle Flow Chart Procedures Used Other Page: 2 Printed: 11/19/2002 21:27:00 Incident Report 2002-0003662-000 Tukwila Fire Department Page: 3 Printed: 11/19/2002 21:27:00 EMS Patient - Herr, Benjamin Name Prefix First Name Last Name Street Address Apartment City, State Zip Gender Date of Birth Age Arrived At Patient Date and Time Provider Impression / Assessment Cause of Illness/Injury Highest Level of Care Patient Status Disposition Other Factors Initial Level of Care MR Benjamin Herr 15906 4th AVE S 286 Burien, WA 1- Male December 27, 1973 28 11:39:00 Tuesday, November 19, 2002 27 - Inhalation injury, toxic gases 10 - Chemical exposure 0 - Other health care provider 2 - Remained Same 2 - Non -FD transport 1 - Accidental 2 - EMT -B (Basic) EMS Patient - Herr, Benjamin Flow Chart Procedures Used Other Page: 3 Printed: 11/19/2002 21:27:00 Incident Report 2002-0003662-000 Tukwila Fire Department Page: 4 Printed: 11/19/2002 21:27:00 EMS Patient - Newman, Kevin Name Prefix First Name Last Name Street Address City, State Zip Gender Date of Birth Age Arrived At Patient Date and Time Provider Impression / Assessment Cause of Illness/Injury Highest Level of Care Patient Status Disposition Other Factors Initial Level of Care MR Kevin Newman 3224 S 204 ST SeaTac, WA 1 - Male October 22, 1978 24 11:39:00 Tuesday, November 19, 2002 27 - Inhalation injury, toxic gases 10 - Chemical exposure 0 - Other health care provider 2 - Remained Same 2 - Non -FD transport 1 - Accidental 2 - EMT -B (Basic) EMS Patient - Newman, Kevin Flow Chart Procedures Used Other Page: 4 Printed: 11/19/2002 21:27:00 Incident Report 2002-0003662-000 Tukwila Fire Department Page: 5 Printed: 11/19/2002 21:27:00 EMS Patient - Newman, Bob Name Prefix First Name Last Name Street Address City, State Zip Gender Date of Birth Age Arrived At Patient Date and Time Provider Impression / Assessment Cause of Illness/Injury Highest Level of Care Patient Status Disposition Other Factors Initial Level of Care MR Bob Newman 2211 S Star Lake RD Federal Way, WA 1 - Male June 11, 1958 44 11:39:00 Tuesday, November 19, 2002 27 - Inhalation injury, toxic gases 10 - Chemical exposure 0 - Other health care provider 2 - Remained Same 2 - Non -FD transport 1- Accidental 2 - EMT -B (Basic) EMS Patient - Newman, Bob Flow Chart Procedures Used Other Page: 5 Printed: 11/19/2002 21:27:00 Incident Report 2002-0003662-000 Tukwila Fire Department Apparatus ID Response Time Apparatus Dispatch Date and Time En route to scene date and time Apparatus Arrival Date and Time Apparatus Clear Date and Time Apparatus priority response Apparatus Personnel Amount 1 Apparatus Personnel Amount 2 Number of People Apparatus Use Apparatus Action Taken 1 Apparatus Action Taken 2 Apparatus Type Personnel 1 Personnel 2 Personnel 3 Apparatus - E51 E51 0:02:60 11:36:00 Tuesday, November 19, 2002 11:36:00 Tuesday, November 19, 2002 11:39:00 Tuesday, November 19, 2002 13:58:00 Tuesday, November 19, 2002 Yes $0.00 $0.00 3 1 42 - Hazmat detection, monitoring, sampling, & analysis 30 - Emergency medical services, other 11 - Engine 1125 - Sacha, Gary Position: LT Personnel Action Taken 1: 42 - Hazmat detection, monitoring, sampling, & analysis Personnel Action Taken 2: 31 - Provide first aid & check for injuries Amount 1: $0.00 Amount 2: $0.00 1135 - Beckman, Kenneth Position: FFI Amount 1: $0.00 Amount 2: $0.00 1134 - Morales, Mark Position: FFI Amount 1: $0.00 Amount 2: $0.00 Apparatus - E53 Apparatus ID Response Time Apparatus Dispatch Date and Time En route to scene date and time Apparatus Arrival Date and Time Apparatus Clear Date and Time Apparatus priority response Apparatus Personnel Amount 1 Apparatus Personnel Amount 2 Number of People Apparatus Use Apparatus Action Taken 1 Apparatus Action Taken 2 Apparatus Type Personnel 1 E53 0:02:60 11:36:00 Tuesday, November 19, 2002 11:36:00 Tuesday, November 19, 2002 11:39:00 Tuesday, November 19, 2002 13:58:00 Tuesday, November 19, 2002 Yes $0.00 $0.00 3 1 42 - Hazmat detection, monitoring, sampling, & analysis 30 - Emergency medical services, other 11 - Engine 1166 - Butler, Wesley Position: FFI Personnel Action Taken 1: 41 - Identify, analyze hazardous materials Page: 6 Printed: 11/19/2002 21:27:00 Incident Report 2002-0003662-000 Tukwila Fire Department Page: 7 Printed: 11/19/2002 21:27:00 Apparatus - E53 Personnel 2 Personnel 3 Personnel Action Taken 2: 31 - Provide first aid & check for injuries Amount 1: $0.00 Amount 2: $0.00 1165 - Brooks, James Position: FFI Amount 1: $0.00 Amount 2: $0.00 1122 - Peterson, Lavern Position: LT Amount 1: $0.00 Amount 2: $0.00 Apparatus - E52 Apparatus ID Response Time Apparatus Dispatch Date and Time En route to scene date and time Apparatus ArrivalDate and Time Apparatus Clear Date and Time Apparatus priority response Apparatus Personnel Amount 1 Apparatus Personnel Amount 2 Number of People Apparatus Use Apparatus Action Taken 1 Apparatus Action Taken 2 Apparatus Type Personnel 1 Personnel 2 Personnel 3 E52 0:02:60 11:36:00 Tuesday, November 19, 2002 11:36:00 Tuesday, November 19, 2002 11:39:00 Tuesday, November 19, 2002 13:58:00 Tuesday, November 19, 2002 Yes $0.00 $0.00 3 1 42 - Hazmat detection, monitoring, sampling, & analysis 30 - Emergency medical services, other 11 - Engine 1139 - Borden, John Position: FFI Personnel Action Taken 1: 42 - Hazmat detection, monitoring, sampling, & analysis Amount 1: $0.00 Amount 2: $0.00 1181 - Popejoy, Toby Position: FFIII Amount 1: $0.00 Amount 2: $0.00 1117 - Lyons, Philip Position: LT Amount 1: $0.00 Amount 2: $0.00 Apparatus - A54 Apparatus ID Response Time Apparatus Dispatch Date and Time En route to scene date and time Apparatus Arrival Date and Time A54 0:02:60 11:36:00 Tuesday, November 19, 2002 11:36:00 Tuesday, November 19, 2002 11:39:00 Tuesday, November 19, 2002 Page: 7 Printed: 11/19/2002 21:27:00 Incident Report 2002-0003662-000 Tukwila Fire Department incident. Four units were assigned to this incident. Eleven personnel responded. We arrived on scene at 1139 hours and cleared at 1358 hours. The incident occurred at 1073 Andover Park E, Tukwila in District 005. The local station is ST51. The general description of this property is manufacturing, processing. The primary task(s) performed at the scene by responding personnel were medical aid, material detection, monitoring, sampling, and analysis. No mutual/automatic aid was given or received. Thru elimination of other causes for this emergency, It is believed that a diesel truck left running outside a bay door may have caused the Co poisoning. The propane forklift at this address will be checked by an industrial hygenist on 11/20/02 to eliminate this as a possible source. E-51 stayed on the scene and monitored the Co levels in all of the building until a safe level was attained. At this time we released the building to occupants. Page: 8 Printed: 11/19/2002 21:27:00 Apparatus - A54 Apparatus Clear Date and Time Apparatus priority response Apparatus Personnel Amount 1 Apparatus Personnel Amount 2 Number of People Apparatus Use Apparatus Action Taken 1 Apparatus Action Taken 2 Apparatus Type Personnel 1 Personnel 2 13:58:00 Tuesday, November 19, 2002 Yes $0.00 $0.00 2 1 42 - Hazmat detection, monitoring, sampling, & analysis 30 - Emergency medical services, other 75 - BLS unit 1172 - Czuleger, Matthew Position: FFI Personnel Action Taken 1: 31 - Provide first aid & check for injuries Amount 1: $0.00 Amount 2: $0.00 1177 - Kronen, Marco Position: FFI Amount 1: $0.00 Amount 2: $0.00 Authority Reported By Officer In Charge Reviewer 1125 - Sacha, Gary 21:18:33 Tuesday, November 19, 2002 1125 - Sacha, Gary 21:18:36 Tuesday, November 9, 2002 , � _ C - - , r GI Narratives Narrative Name Narrative Type Narrative Date Author Author Rank Author Assignment Narrative Text New Narrative Incident 21:18:41 Tuesday, November 19, 2002 1125 - Sacha, Gary LT 1 At 1136 hours on Tuesday November 19, 2002 we were dispatched to a carbon monoxide • incident. Four units were assigned to this incident. Eleven personnel responded. We arrived on scene at 1139 hours and cleared at 1358 hours. The incident occurred at 1073 Andover Park E, Tukwila in District 005. The local station is ST51. The general description of this property is manufacturing, processing. The primary task(s) performed at the scene by responding personnel were medical aid, material detection, monitoring, sampling, and analysis. No mutual/automatic aid was given or received. Thru elimination of other causes for this emergency, It is believed that a diesel truck left running outside a bay door may have caused the Co poisoning. The propane forklift at this address will be checked by an industrial hygenist on 11/20/02 to eliminate this as a possible source. E-51 stayed on the scene and monitored the Co levels in all of the building until a safe level was attained. At this time we released the building to occupants. Page: 8 Printed: 11/19/2002 21:27:00 Incident Report 2002-0003662-000 Tukwila Fire Department Narratives Four patients were involved with this incident. Alarm number 0003662 has been assigned to this incident. End of Report Page: 9 Printed: 11/19/2002 21:27:00 11;/,21/Q2 09:23:59 PRINT REQUESTED BY TERMINAL TFT7 Incident History for:#TF02003458 CN: $TF02003662 ,Received 11/19/02 11:35:34 BY CR10 /VC5044 Entered 11/19/02 11:36:16 BY CR10 /VC5044 Dispatched 11/19/02 11:36:21 BY FD23 /VC4504 Enroute 11/19/02 11:37:23 Onscene 11/19/02 11:39:38 Closed 11/19/02 13:58:02 Initial Type:AID TG: Initial Alarm Level:1 Final Type:AID (AID CALL (2A))Pri:2Dispo:10R5 Alrm Lev: 1 Police TP1200 Fire TF5135 Group:T8Beat: Police Rms: Fire Rms: Medic Rms: B -#E Loc:1073 ANDOVER PARK E ST ,TUK -- GRAPHIC SCIENCES Name:MCFARLAND,CHERYL/EMP Addr:GRAPHIC SCIENCES Contact:Y /1136 VC5044 CR10 ENTRY /1136 CR10 $ASNCAS /1136 VC4504 FD23 /1136 VC4899 FD22 /1136 VC4504 FD23 /1137 VC4899 FD22 /1137 VC5044 CR10 /1137 TF2037 E51 /1138 VC5044 CR10 /1138 CR10 /1139 VC4899 FD22 /1139 FD22 /1142 /1142 /1142 FD22 FD22 FD22 Phone:2065752177 4 EMP'S ALL SICK, UNK REASON, SOME VOMITIN G $TF02003662 DISP E51 #TF2037 SACHA, GARY #TF3402 BECKMAN, KEN #TF0003 TUKWILA FIRE RADIO #TF0739 MORALES, MARK C/F2 TOWROT E51 AMB TUKTRI TUK TRI -MED AMBULANCE CONTRL GRP: T9 ---> T8. MISC E51 ,176/LINE TRI MED SUPP TXT: ALL EVACUATED BLDG OF STRIP MALL, UNK IF ANY PROBS IN OTHER BUSN'S, SYMPTOMS IN CLUDE VOMITING, NAUSEA, DIZZINESS, SOB, LI TEHEADEDNESS *ENROUT E51 SUPP GDISPO ONSCNE E51 ASSTOS E53 MISC E51 NEWLOC E53 NEWLOC E51 NAM: MCFARLAND,CHERYL/EMP CON: Y TXT: BUSN IS INK MANUFACTURING BUSN, ARE C HEM'S IN BLDG BUT RP DOES NOT THINK IS REL ATED, NO ODOR NOTICED AT THIS TIME , RP DI SC TO EVAC AS WELL D/10R5 [1073 ANDOVER PARK E ST ,TUK] #TF2065 PETE RSON, LAVERN #TF7597 BUTLER, WES #TF0003 TUKWILA FIRE RADIO #TF5221 BROOKS, JIM ,4 ILL PTS ODOR IN BLDG [GOING IN] [ANDOVER COMMAND ] /L143 FD22 MISC E51 ,TRI MED ONE MORE /1143 FD22 MISC E51 ,2ND TRI MED FROM BURIEN ,/1145 FD22 ASSTER A54 [ANDOVER COMMAND ] #TF2884 KRONEN, MARCO #TF4856 CZULEGER, MATT /1145 FD22 ONSCNE A54 /1200 FD22 MISC E51 ,NEED E52 WITH AIR MONITORING EQUIP /1201 FD22 ASSTER E52 [ANDOVER COMMAND ] #TF6713 LYONS, PHIL #TF4756 POPEJOY, TOBY #TF0002 TUKWILA FIRE RADIO #TF7775 BORDEN, JOHN /1202 FD22 CHGLOC E52 [1073 APE ] /1202 FD22 NEWLOC A54 [1073 ANDOVER PARK E ST ,TUK] /1202 FD22 ONSCNE A54 /1202 TF6713 E52 *ONSCNE E52 /1203 VC4899 FD22 NEWLOC E52 [S DRIVEWAY ] /1211 FD22 MISC E51 ,ELEVATED CO READING , NATURAL VENILATION , NO OTHER ODORS PRESET /1223 TF2065 E53 MOBINS E53 /1234 VC4899 FD22 MISC E51 ,CO READING OF 5 /1235 FD22 MISC E52 ,SOUTHERN MOST READING FOR CO IS 0 /1237 FD22 MISC E51 ,STACK CONNECTIONS INSIDE THE BAK DOORS FR OM SPACE HEATERS /1237 FD22 MISC E52 ,CREW ON THE ROOF ALSO /1237 FD22 MISC E52 ,STACKS ARE ATTATCHED TO SPACE HEATERS?? /1237 FD22 MISC E52 ,AFFIRM /1238 FD22 NEWLOC A54 [ROOF ] /1239 FD22 MISC E52 ,WORKING S TO NORTH ON SIDE C ... /1239 FD22 MISC E52 ,SHUT DOWN GAS CONNECTION IN BAK OF BLDG , LEAVE REST IN TAC /1241 FD22 MISC E51 ,1071 1075 SHUT DOWN THE GAS METERS AT THA T LOC /1241 FD22 MISC E5:1 ,STILL ELEVATED /1241 FD22 MISC E52 ,10 COUNT /1308 FD22 CLEAR A54 /1326 TF6713 E52 MOBINS E52 /1329 VC7406 FD22 OK E51 ,DISBAND ANDOVER CMD,E51 ON LOCATION OUT 0 F SERVICE /1358 TF2037 E51 MOBINS E51 /1358 E51 CLOSE E51 D/10R5 NOV-19-2002 TUE 05:03 PM PROLOGIS FAX NO. 2538591809 P. 01 ProLogis. Tho global Distribution Solution Facsimile Transmittal Sheet TO: Gary Sacha — Tukwila Fire Dept. 206-575-4439 Tony Ellis -- Graphic Sciences 503-480.0225 Kurt Oswell — Graphic Sciences 206-575-2178 Ben Peterson — ProLogls 503-685-6363 DATE: November 19, 2002 FAX NO: 11 ME: RE: 1073 Andover Park East, Tukwila, WA potential health and safety issue FROM: Kris Holman FAX COPY TO: # OF PAGES: 2 FAX NO: Original Documents) to followvis: 0 Mail 0 Courier D UPS 0 Will Not Follow COMMENTS: Gentlemen, Enclosed please find a report from Sea -Aire, the HVAC company that I hired to inspect the warehouse freeze protection heaters at the above reference location. I spoke with Tony Ellis of Graphic Sciences today and encouraged him to make arrangements to inspect the propane forklifts being used in the space for proper operation. Tony indicated that their company will have an industrial hygenist visit the space tomorrow to evaluate the situation and that they will provide me with a report on the outcome. If you have any questions, please do not hesitate to call nic at 253-520-0244. Thanks. Please call Kris Holman @ (253) 520-0244 if you do not receive all pages or if you hove transmission problems. When replying by facsimile, our number is (253) 859-1809 • • fs'WV 'net in' Minns .1• • • wa' eYw.rmy MN . Ira I. mow. emir oar., NOV-19-2002 TUE 05:04 PM PROLOGIS Nor -i9-02 05:36P Sia -Aird. Inc. aster SaWr&Mnaeao com FAX NO. 2538591809 206 575 0653 g�d.MkIJ i•N :•SMA • ;MMI*'ilitailkm • WIREMort FACSIMILE COVER LETTER To: Atte: Kristine Holman Fine Phare: tie: 1073 Andover Park E From: awe An„ pgp 'Phis is PS • 1 Ofpiwegs. tanto: 11-19-02 Respond se won as possible. regimes oluesearY• ... $.e nye b*tow. -_. Originr i to follow In not The Mien you requested will *Mow. Our Technician Phil. performed Visual inspection of unit heaters for cracks in heat exchangers and also checked With Carbon monoxide detector. He also checked flues to make sure they werc not plugged and made sure china caps were secured properly on roof. All heaters checked out okay. A possible source of carbon monoxide could be the pro - Pane forklift in the middle space. Alec, a truck was left' running near the building and exhaust could have infiltrated due to the Southwest wind*. P. 02 P_01 1'0r011.91•..�...y r•...•w. .w. .+...+Mere