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RT-130, Wildland Fire Safety Training Annual Refresher (WFSTAR)
Lauder Fire - September 29, 1987
The Lauder Fire occurred on September 29, 1987 in the coast range mountains of north western California. The combination of dense fuel loading, poor communication, and human factors resulted in 1 firefighter fatality and 4 burn injuries.
Category: Case Studies
Core Component(s): Incident Reviews and Lessons Learned;
Fire and Aviation Operational Safety;
Human Factors, Communication and Decision Making;
Fire Shelters and Entrapment Avoidance
Estimated Delivery Time: 45 minutes; Video Length: 15:13
Category: Case Studies
Core Component(s): Incident Reviews and Lessons Learned;
Fire and Aviation Operational Safety;
Human Factors, Communication and Decision Making;
Fire Shelters and Entrapment Avoidance
Estimated Delivery Time: 45 minutes; Video Length: 15:13
Intent
Review the sequence of events that led to the Lauder Fire tragedy and discuss significant lessons learned.
Facilitator Preparation
- Review the video, module tools, and additional resources linked below.
- Consider additional activities and discussion questions pertinent to your location and agency.
- Guide discussion based on the Risk Management Process in the Incident Response Pocket Guide (IRPG), PMS 461. Provide copies of the IRPG for students to utilize and answer questions.
Facilitating the Discussion
- Show the video.
- Facilitate a discussion using the Discussion Questions below.
- (Optional) Conduct additional activities pertinent to your location.
- Discuss group responses.
Discussion Questions
Part 1
Identify Hazards (Situation Awareness)
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When did the involved personnel obtain the basic critical information?
- Objectives, communication, who’s in charge, previous fire behavior, weather forecast, and local factors.
- Was the assignment scouted?
Assess Hazards
- Were potential fire behavior hazards estimated?
- Which tactical hazards or Watch Out Situations were present?
- What other warnings or indicators were present prior to the entrapment?
Develop Controls and Make Risk Decisions
- Where was the fireline anchor point?
- Was there an established lookout?
- What communication links were in place between the involved personnel and their fireline supervisor or adjoining forces?
- What was the pre-identified escape route(s)?
- What was the pre-identified safety zone(s)?
- Was a Medical Plan in place?
Implement Controls
- Were the necessary hazard controls in place for this situation? If not, what was lacking?
- Were the strategies and tactics based on expected fire behavior? If not, why?
- Did all involved resources have an opportunity for feedback during the decision-making process? If not, why?
Supervise and Evaluate
- What individual or human factors existed that increased the potential for decision errors?
- What organizational factors existed that increased the potential for decision errors?
- As the fire and situation evolved, did the strategy, and tactics continue to work? Did the hazard controls evolve as the fire and situation evolved?
Part 2
- Consider the causal factors identified in Part 1; then summarize the significant lessons to be learned from this case study.
Resources
- Document: Lauder Fire Accident Investigation Report
- Publication: Incident Response Pocket Guide (IRPG), PMS 461
- Publication: Fire Shelter and PPE Performance on Lauder Fire (LLC)
Additional Video Information
The video and .srt file are available as a downloadable zip file. (Size 950 MB)
For information on how to add closed captioning to a video, see this how to page.
Note: For Chrome, Firefox, and Edge, right click the word downloadable and select Save Link As; For IE, right click and select Save Target As.
Page Last Modified / Reviewed:
2023-03-28