Appendix 1: First Nations Fire Template
The First Nations Fire Template was used to collect data for this review. After the completion of this review, there will be opportunities to revise the template in order to improve the data collected and available for future analysis.
Template - Decedent information
Questions
1 - Last Name
2 - First Name
3 - Middle Name(s)
4 - Also Known As
5 - Address (Residence)
6 - Date of Birth
7 - Date of Death (Date death pronounced)
8 - Age
9 – Sex (Biological)
10 - Gender
11 - Positively Identified
- a If Yes
- b If Other
12 - Employment status
13 - Marital status
14 - Household characteristics (living situation)
15 - Self identified as Indigenous (First Nations/Metis/Inuit)
Template - community information
Questions
1 - First Nation Community Name
2 - Community On-Reserve Population Size
Geographic
3 - Geographic Size (square kilometres)
4 - Accessibility (Road Year Round/Road Only in the Winter (Ice Road)/Air Year Round)
Demographic
5 - Average age of the population
6 -Median age of the population
7 - Age characteristics - Total
- 0-4
- 5-9
- 10-14
- 15-19
- 20-34
- 35-49
- 50-64
- 65-74
- 75-84
- 85+
8 - Marital status (total Population 15 years and over)
- Married including Common-Law
- Separated
- Divorced
- Widowed
- Never Married
9 - Children in census families (as in sons, daughters or grandchildren) (childrens living situation)
- Living With 2 Parents (2 biological or adoptive;1 biological or adoptive and one step-parent)
- Living With Lone-Parent Families
- Living With Grandparents (without parents present)
- Living With Other Relatives
- Foster Children
- Living with non-relatives only or alone
10 - Total - Highest level of educational attainment of population aged 25 to 64 in private households
- No Certificate/Diploma/Degree
- Secondary
- Post Secondary
- Apprenticeship or trades certificate or diploma
- College
- University certificate or diploma below bachelor level
- University certificate, diploma or degree at bachelor level or above
11 - Elementary School Located in Community
12 - High School Located in Community
- If Yes, what is the highest level available
13 - Language(s) Spoken Most Often at Home
- 1st
- 2nd
- 3rd
- 4th
14 - Community Indicators of Substance Use/Alcohol Consumption and Smoking
15 - Addiction Services Readily Available in Community
- If yes, type of service (individual counselling, treatment centres, rehabilitation treatment programs, circles, land-based activities i.e. hunting trips or fishing, other...)
16 - Mental Health Services Readily Available in Community
17 - Community health issues at time of fire (ex. high rates of chronic or infectious disease)
18 - Primary Health Services Readily Available in Community
Economic (Income of individuals - population aged 15 years and over in private households for year prior to census)
19 - Average Income
20 - Median Income
21 - Unemployment Rate
22 - Number of individuals employed on reserve
23 - Number of individuals employed off reserve
Housing
24 - Number of Dwellings (defined as any place where people live including shack)
25 - Private Households Size (Total - Private households by household size)
- 1 Person
- 2 Persons
- 3 Persons
- 4 Persons
- 5-9 Persons
- f10-14 Persons
- 15+ Persons
26 - Total - Private households by housing suitability
- Suitable
- Not Suitable
27 - Total - Private households by number of persons per room
- One person or fewer per room
- More than 1 person per room
28 - Total Occupied private dwellings by dwelling condition
- Major repairs needed
29 - Total Occupied council owned dwellings by dwelling condition
- Major repairs needed
30 - Total Occupied private dwellings by period of construction
- Total constructed Prior to 2001
31 - Total number of dwellings with electricity
32 - Average number of doors/exits per dwelling
Fire Prevention and Response Capacity (FPRC)
33 - Fire Department Annual Budget
34 - Budget for Public Fire Safety Education
35 - Budget for Fire Safety Standards and Enforcement
36 - Budget for Emergency Response - Suppression
37 - Does the community have an established level of fire protection services
- If yes, describe
38 - Has the community conducted and maintain a current simplified risk assessment or other type of risk assessment
39 - Are formal community based fire suppression services provided
40 - If suppression services are provided are they interior/exterior or exterior only
41 - Does the community have an agreement in-place with another community for fire protection services
- If yes, Distance to community providing fire protection services
- If yes, Is the time to be on scene greater than 10 minutes
42 - Does the community have fire apparatus but no fire department
43 - Number of non-fatal fires in the community during the period of study
FPRC - Public fire safety education
44 - Are public fire safety education materials distributed in the community
45 - Is public fire safety education provided in school
46 - Are fire drills conducted by schools and documented
47 - Does the fire department/community have a public education program in place
48 - Has the fire department/community established smoke and carbon monoxide alarm programs
49 - what percentage of residential occupancies have smoke and carbon monoxide alarms
- How many are operational
FPRC - Fire safety standards and enforcement
50 - Does the community conduct inspections upon request or complaint
51 - Does the community conduct fire safety inspections as part of a regular inspection program
52 - If the community does inspect occupancies on a regular basis what occupancies are inspected
53 - Does the community conduct home visits to ensure smoke alarms are in-place
54 - Has the community adopted or utilize the National or Ontario building code
55 - Has the community adopted or utilize the National or Ontario fire code
56 - Does the community follow/enforce building codes
57 - Does the community follow/enforce fire codes
58 - Are fire safety inspections conducted in the community by any other agencies (federal government)
59 - What type of occupancies are inspected by other agencies
FPRC - Emergency response - suppression
60 - Does the community have a Fire Hall
- What is the condition of the Fire Hall
61 - Is fire apparatus in community maintained and operational
62 - Is the firefighting equipment maintained and operational
63 - Is personal protective equipment (eg. SCBA, bunker gear) maintained and operational at accepted standards
64 - What is the minimum level of training/certification of suppression Firefighters
- How many firefighters are trained/certified at this level
65 - Do firefighters have the necessary equipment including bunker gear, SCBA, and communications to conduct interior operations
66 - Water available to community for fire suppression
67 - Were hydrants available
- If not, are other water supply sources available i.e.water tanker shuttle
68 - Are first responders available in community
69 - Health services available in community to treat injuries
70 - Medical first response team readily available in community
Weather
71 - Nearest weather station
72 - Distance from nearest weather station to community
73 - Temperature conditions
- Day after commencement of fire
- Day of commencement of fire
74 - Precipitation conditions at time of fire
- Day after commencement of fire
- Day of commencement of fire
75 - Other Information Regarding Weather Conditions
Template - Fire Marshal information
Questions
1 - Fire Investigation Case Number
2 - Location of fire (address)
3 - Date of fire
4 - Time of fire alarm
5 - Jurisdictional Fire Department
6 - Jurisdictional Police Service
7 - Number of fire fatalities
8 - Date Fire Department on scene
9 - Time of Fire Department on scene
10 - How was the fire discovered
11 - Were there any identified Fire Safety Issues
12 - What was the fire cause
13 - What were the possible fire causes considered if a cause could not be determined
14 - What was the motive
15 - What was the property type
16 - What is the area of origin
17 - What was the ignition source
18 - What was the object first ignited
19 - What was the fuel of ignition source
20 - Was there an incendiary device
21 - What kind of complex was the structure
22 - What is the occupancy classification
23 - What is the status of the building
24 - What was the construction date
25 - Were there previous fire events in the building
26 - Number of storeys
27 - Does the dwelling unit have a crawlspace (heated areas containing gas furnace, etc.)
28 - Floor
29 - Roof
30 - Interior
31 - Ceiling
32 - Level of origin
33 - Flashover
34 - Fire spread if a multi unit dwelling
35 - Fire spread reasons if a multi unit dwelling
36 - Smoke spread if a multi unit dwelling
37 - Smoke spread reasons if a multi unit dwelling
38 - Fire spread and reason if not a multi unit
39 - Smoke spread and reason if not a multi unit
40 - Is the occupancy a complete loss
41 - Fatality status
42 - Structure familiarity
43 - Fatality location
44 - Egress prevented
45 - Reason for failure to escape
46 - Number of occupants who did escape
47 - Is the wood stove normally removed when not in use (eg. summer months)
48 - Is the wood stove normally situated in the centre area of the dwelling
49 - What was the source of heat in the house
- Other
50 - What was the construction material
- Other
51 - Were there any fire-resistant barriers / shields
52 - How many routes of exit were available
53 - How many routes of exit were accessible (eg not blocked off)
54 - Presence and Operation of Fire Detection Device (FDD) closest to area of origin
55 - Number of devices
For each device
56 - Device type
57 - Device location
58 - Alarm type
59 - Alarm power
60 - Alarm placement
61 - Device operation
62 - Reason for Inoperation
Emergency response
63 - Did road conditions negatively impact/affect response or ability of responding fire department to attend scene
64 - Did police attempt to suppress fire
65 - Did the police effect rescue prior to fire department arrival
66 - Did the fire department performed the search and rescue of occupants?
67 - Were hydrants available
68 - Was limited or inaccessible water supply a factor in the fire
69 - Were all responding apparatus fully serviceable
70 - How many fire apparatus responded
71 - Total number of firefighters on scene
72 - Number of firefighters on initial responding apparatus
73 - Did the fire department apply agent to the fire
- If yes, date and time the fire department applied agent
74 - Did the fire department perform an offensive or defensive initial attack
75 - Performance of fire department affected by weather conditions
76 - Building performance affected by weather conditions
77 - Time required to supress fire
78 - Mutual aid activated in this fire
79 - Was automatic aid initiated
Template - Coroner information
Questions
1 - Coroner's Investigation Case Number
Individual Factors (The Decedent):
2 - Was there any history of addiction and/or mental health issues
- If yes, describe
3 - Stressors (check all that apply)
- Estranged from family
- Others in household with history of addiction and/or mental health issues
- History of physical or sexual abuse (decedent or within household)
- Recent loss (children/siblings/parents/etc…)
- CAS involvement (with decedent or family)
- Domestic issues
4 - Was decedent intoxicated or using alcohol/ drugs at time of fire
- If yes, describe
5 - Were there others in the household intoxicated or using alcohol/ drugs at time of fire
- If yes, describe
6 - Was decedent a smoker
7 - Were there smokers within the household (not including decedent) present at time of fire
8 - Was decedent's mobility impaired
- If yes, describe
9 - Manner of Death
Scene factors:
10 - How many people lived in residence usually
11 - Describe their relationships
12 - How many people were present at time of fire
13 - What were they doing
14 - Did they have another residence (e.g. were they overnight guests / visitors)
Template – Forensic pathology & forensic anthropology information
Questions
1 - Pathology Case Number
2 - Date of Autopsy
3 - Location of Autopsy
4 - Cause of Death
5 - Soot present in airways
6 - Lividity
7 - Toxicology Completed
- Substances Found
8 - Comorbidities
9 - Burn Severity (by depth - 1st to 4th degree)
10 - Extent of Burns (Percent Body Surface Area)
11 - Antemortem Trauma
12 - Post-Mortem Fire Artefacts (check all that apply)
- Charring
- Skin splitting
- Skin blistering
- Thermal amputation
- Breach of thoracic/abdominal cavities/upper airways
- Heat epidural hematoma
- Singeing of the hair
- Pugilistic attitude
- Heat fractures
- Heat contractures
- Calcination
- Fragmentation
13 - Co-mingling
14 - Decedent Alive Before Fire
- If yes, describe