Att_5_Sample_Prescribed_Fire_Plan_and_Maps.pdf

PRESCRIBED FIRE PLAN

Shady Cove 9-1 Butte Falls Field Office

PRESCRIBED FIRE UNIT NAME ADMINISTRATIVE UNIT NAME

Medford District

Bureau of Land Management

3040 Biddle Road

Medford, OR 97504

541-618-2200

PREPARED BY:

Name (print): Qualification/Currency:

Signature: Date:

TECHNICAL REVIEW BY:

FMO REVIEW BY:

COMPLEXITY RATING:_________MODERATE______________________

MINIMUM BURN BOSS QUALIFICATION:_____RXB2__________

APPROVED BY:

Name - Agency Administrator (print):

Signature – Agency Administrator:

Date:

Attachment 5

TABLE OF CONTENTS(Contractor to prepare Highlighted sections)

Element 1 Signature page

2A Agency Administrator Ignition Authorization

2B Prescribed Fire Go/No-Go Checklist

3 Complexity Analysis Summary

4 Description of Prescribed Fire Area

5 Objectives

6 Funding

7 Prescription

8 Scheduling

9 Pre-burn Considerations and Weather

10 Briefing Checklist

11 Organization and Equipment

12 Communication

13 Public and Personnel Safety, Medical

14 Test Fire

15 Ignition Plan

16 Holding Plan

17 Contingency Plan

18 Wildfire Declaration

19 Smoke Management and Air Quality

20 Monitoring

21 Post-burn Activities/Mop-up Plan

APPENDICES:

A) MAPS: Vicinity and Project X

B) Technical Review Checklist X

C) Complexity Analysis X

D) Risk Management Worksheet X

E) Fire Behavior Modeling Documentation (i.e. BEHAVE runs) X

ELEMENT 2A: AGENCY ADMINISTRATOR IGNITION AUTHORIZATION

Instructions: The Agency Administrator Ignition Authorization must be completed before a prescribed fire can be implemented. If ignition of the prescribed fire is not initiated prior to expiration date determined by the agency administrator, a new authorization will be required.

Prior to signature the agency administrator should discuss the following key items with the fire management officer (FMO) or burn boss. Attach any additional instructions or discussion documentation (optional) to this document.

Key Discussion Items

A. Has anything changed since the Prescribed Fire Plan was approved or revalidated?

Such as drought or other climate indicators of increased risk, insect activity, new subdivisions/structures, smoke requirements, Complexity Analysis Rating.

B. Have compliance requirements and pre-burn considerations been completed?

Such as preparation work, NEPA mitigation requirements, cultural, threatened and endangered species, smoke permits, state burn permits/authorizations.

C. Can all of the elements and conditions specified in Prescribed Fire Plan be met?

Such as weather, scheduling, smoke management conditions, suitable prescription window, correct season, staffing and organization, safety considerations, etc.

D. Are processes in place to ensure all internal and external notifications and media releases will be completed?

E. Have key agency staffs been fully briefed about the implementation of this prescribed fire?

F. Are there circumstances that could affect the successful implementation of the plan?

Such as preparedness level restrictions, resource availability, other prescribed fire or wildfire activity

G. Have you communicated your expectations to the Burn Boss and FMO regarding if and when you are to be notified that contingency actions are being taken?

H. Have you communicated your expectations to the Burn Boss and FMO regarding decisions to declare the prescribed fire a wildfire?

Implementation Recommended by:

FMO or Prescribed Fire Burn Boss Signature: Date:

I am authorizing ignition of this prescribed fire between the dates of and . It is my expectation that the project will be implemented within this time frame and as discussed and documented and attached to this plan. If the conditions we discussed change during this time frame, it is my expectation you will brief me on the circumstances and an updated authorization will be negotiated if necessary.

Additional Instructions or Discussion Documentation attached (Optional): Yes ☐ No☐

Ignition Authorized by:

Agency Administrator Signature and Title: Date:

ELEMENT 2B: PRESCRIBED FIRE GO/NO-GO CHECKLIST

* Preliminary Questions Circle YES or NO

A. Have conditions in or adjacent to the ignition unit changed, (for example: drought conditions or fuel loadings), which were not considered in the prescription development?

If NO proceed with the Go/NO-GO Checklist below, if YES go to item B.

YES NO

B. Has the prescribed fire plan been reviewed and an amendment been approved; or has it been determined that no amendment is necessary?

If YES, proceed with checklist below.

If NO, STOP: Implementation is not allowed. An amendment is needed.

YES NO

GO/NO-GO Checklist Circle YES or NO

* Have ALL permits and clearances been obtained? YES NO

* Have ALL the required notifications been made? YES NO

* Have ALL the pre-burn considerations and preparation work identified in the prescribed fire plan been completed or addressed and checked?

YES NO

* Have ALL required current and projected fire weather forecast been obtained and are they favorable?

YES NO

* Are ALL prescription parameters met? YES NO

* Are ALL smoke management specifications met? YES NO

* Are ALL planned operations personnel and equipment on-site, available and operational?

YES NO

* Has the availability of contingency resources applicable to today’s implementation been checked and are they available?

YES NO

* Have ALL personnel been briefed on the project objectives, their assignment, safety hazards, escape routes, and safety zones?

YES NO

If all the questions were answered “YES” proceed with a test fire. Document the current conditions, location and results. If any questions were answered “NO”, DO NOT proceed with the test fire:

Implementation is not allowed.

After evaluating the test fire, in your judgment can the prescribed fire be carried out according to the prescribed fire plan and will it meet the planned objective? Circle: YES or NO

* Items required if checklist is modified *

Burn Boss Signature: Date:

Contractor Concurrence Signature: Date:

ELEMENT 3: COMPLEXITY ANALYSIS SUMMARY

ELEMENT

RISK

POTENTIAL

CONSEQUENCE

TECHNICAL

DIFFICULTY

1. Potential for escape

2 3 2

2. The number and dependence of activities

3. Off-site Values

4 On-Site Values

2 2 2

5. Fire Behavior

6. Management organization

7. Public and political interest

8. Fire Treatment objectives

9 Constraints

10 Safety

11. Ignition procedures/ methods

12. Interagency coordination

13. Project logistics

14 Smoke management

COMPLEXITY RATING SUMMARY

OVERALL RATING

RISK Moderate

CONSEQUENCES High

TECHNICAL DIFFICULTY Moderate

SUMMARY COMPLEXITY DETERMINATION MODERATE

RATIONALE: This burn unit is planned to be conducted during the spring/fall/winter depending on conditions. Chance of escape is moderate. The potential consequence of an escape onto private land with structures is rated high. A good plan with a coordinated effort should minimize the potential for an escape.

ELEMENT 4: DESCRIPTION OF PRESCRIBED FIRE AREA

LEGAL DESCRIPTION: Township: 34S Range: 1W Section: 9

LATITUDE: 42º 37.388 LONGITUDE: 122º 49.787

PRIMARY UNIT ACRES: 89 COUNTY: Jackson

HIGH ELEVATION: 1900 DRAINAGE: Rogue River

LOW ELEVATION: 1500 AVG. ASPECT: SE

PROJECT AREA: Shady Cove AVG. SLOPE: 30%

VEGETATION AND FUELS DESCRIPTION

ON-SITE FUELS DATA ADJACENT FUELS DATA

FUELS CATEGORY:

ACTIVITY

FUELS CATEGORY:

ACTIVITY

X NATURAL X NATURAL

FBPS FUELS MODEL(S) TL3 FBPS FUEL MODEL(S): GR2/TL3

FUEL MODEL

PERCENTAGE(S)

TL3 – 40%

GR2 – 60%

GENERAL DESCRIPTION OF ADJACENT FUELS

Outside fuels predominantly consist of a TL3 and GR2.

Outside fuels to the north are mainly untreated TL3. The remaining flanks are mainly GR2 on private lands. There are a few pockets of SH7 outside of the SW corner of the unit.

DEAD 0 – 1” 1.0

DEAD 1 – 3” 2.0

DEAD 3 – 9” 3.0

DEAD 9 – 20” 0

DEAD 20” + 0

LIVE WOODY: 0

LIVE HERBACEOUS: 0

FUELS DEPTH: 2.5”

DUFF DEPTH: 0.5”

TOTAL FUEL LOADING: <5.5

DESCRIPTION OF UNIQUE FEATURES, NATURAL RESOURCES, VALUES

The prescribed burn will consist of 89 acres of moderate fuel loading. This unit was treated with slashing, hand pile and hand pile burn in 2010-2011. The forest stands within this unit are oak woodland and conifer and mixed hardwood. Fuels within the unit are best described as a Fuel Model GR2 and TL3;

low to moderate loading of timber and hardwood litter beneath a forest canopy.

Description of Unique Features: None identified.

ELEMENT 5: OBJECTIVES

RESOURCE OBJECTIVES PRESCRIBED FIRE OBJECTIVES

Retain 40-60% of existing large woody debris >16” diameter.

Provide for reduction of fine surface fuels and reduction in surface fuel continuity by providing ground scorch and consumption of the litter layer across 60-80% of a given area.

Limit consumption of the duff and fine humus layer and minimize bare mineral exposure to, 10% to maintain soil nutrients.

Limit mortality in trees 8-14” in diameter to <10%

Limit mortality in trees >16” DBH to <5%

Limit mortality to <10% over any given acre.

Limit crown scorch to the lower 1/3 of the crown and/or maintain 30% live crown in an unscorched condition.

OBJECTIVES ARE S.M.A.R.T.

Specific

Measurable

Attainable

Reasonable

Time Related

IDENTIFY CONSTRAINTS

Dead and down surface fuels can have a consumption deviation of +/- 20%.

Mortality of trees less than 35’ tall can deviate up to 10% on each end.

Overstory mortality (DBH>16”), deviation of 5% is tolerable.

ELEMENT 6: FUNDING

Estimated Cost Per Acre: XX

Benefiting Activity(s): XX

ELEMENT 7: PRESCRIPTION

Environmental Prescription

OUTSIDE AREA AT

CRITICAL HOLDING

POINT

MINIMUM

ACCEPTABLE

MOISTURE

LOW DESIRED HIGH

TEMPERATURE (F°) 30-60 60-80 80-90

RELATIVE HUMITY (%) 40-60 25-40 20-25

MIDFLAME WIND SPEED (MPH) 2 or less 2 or less 2 or less

WIND DIRCTION (AZIMUTH°) All All All

1-HOUR FUEL MOISTURE (%) 9-14 8-12 6-8 6

10-HOUR FUEL MOISTURE (%) 12-16 11-14 9-12 9

100-HOUR FUEL MOISTURE (%) 15-20 13-16 11-13 11

1000-HOUR FUEL MOISTURE (%) >25 >22 >19 19

LIVE FUEL MOISTURE (%) n/a n/a n/a n/a DUFF FUEL MOISTURE (%) n/a n/a n/a n/a SOIL MOISTURE (%) n/a n/a n/a n/a

ADDITIONAL INFORMATION:

The prescribed fire prescription is a description of the fire behavior needed to obtain the fire treatment and resource objectives. The weather and fuels guidance parameters such as temperature and wind speed are used only to determine the fire behavior. Average of a 4 foot flame length or less is the fire behavior parameter that would be used to meet resource objectives. The fire behavior range was developed based upon control considerations, fire effects, and impacts to the residual stands of timber whereas the minimal acceptable levels established for “outside area at critical holding point” uses control considerations for establishment of the guidance parameters. Ignition patterns will be altered to compensate for any wind direction or slope influence to maintain the desired intensity and fire effects.

The unit could be burned Spring, Fall or Winter. The fuel conditions in the 100 and 1000 hour fuels could be variable depending on time of the year and could be different than the environmental conditions listed above. At the high end of the environmental prescription, 1000 hour fuels could range between 18-23% depending on weather conditions.

A spot weather forecast from the national weather service is required prior to ignition, on each day of the burn. Projected weather beyond the burn itself should be taken into account in order to minimize the risk of an escape following the ignition operation.

FIRE BEHAVIOR PRESCRIPTION

ACCEPTABLE FIRE BEHAVIOR RANGE

OUTSIDE

AREA AT

CRITICAL

HOLDING

POINT

MAXIUM

ACCEPTABLE

LOW DESIRED HIGH

FUEL MODELS(S) (FBPS) GR2 GR2 GR2 GR2/TL3

RATE OF SPREAD (CH/HR) <15 <25 <40 40/7

FLAME LENGTH (FEET) <1 <1-4 <4 4/2

PROBABILITY OF INGNITION (%) 30 40 60 60/60

SCORCH HEIGHT (FEET) <1 <5 <10 10/10

SPOTTING DISTANCE (MI) 0- 0.1 0-0.2 0-0.2 0.2/0.2

The Fire Behavior Prescription is the range of desired fire behavior needed to obtain the fire treatment and resource objectives. The Weather and Fuels Guidance Parameters are used only to determine the fire behavior. The Fire Behavior Prescription for “outside area at critical holding points” uses control considerations for establishment of the guidance parameters. Any combination of weather and fuels guidance parameters that results in an acceptable fire behavior range will be considered within prescription. An average of a 4 foot flame length or less is the fire behavior parameter that would be used to meet resource objectives.

FIRE BEHAVIOR NARRATIVE:

Actual Behave runs are located within the burn plan folder. Calculations for Fuel Model GR2 and

TL3 were derived from the Behave Plus 5.0 program. Outputs for fuel model GR2 (inside unit) were calculated using a head fire (worst case). Outputs for fuel model GR2 and TL3 (outside of unit) at the critical holding point were calculated using a head fire under the high RX range.

Flame lengths will vary throughout the units based on fuel concentrations and ignition pattern.

Some scorch heights not represented in the range can be anticipated in areas of higher fuel concentrations. An Average flame length of less than 4 feet is the fire behavior parameter used to meet the resource objectives. The actual flame length and rates of spread will vary if an escape occurs outside the units depending on the aspect and weather conditions during the time of the burn.

Parameters were selected so fuel consumption will meet resource objectives, RX objectives, and should not create extreme fire behavior or control problems. Weather observations will be taken periodically during ignition to insure conditions are within the parameters of the prescription. The burn boss has the flexibility to mix and match the weather parameters to generate the intensity and fire behavior (not to exceed what is listed above) to achieve the resource and prescribed fire objectives.

ELEMENT 8: SCHEDULING

SEASON(S) OF BURN: Spring/Fall/Winter

BLACKLINE PHASE LENGTH

(DAYS OR HOURS):

4hrs

EARLIEST DATE: October 1st

IGNITION PHASE LENTH

(MIN.):

LATEST DATE: June 15th

BURNOUT PHASE LENTH

(HOURS):

TIME OF DAY: Any Constraints: Smoke

ELEMENT 9: PRE-BURN CONSIDERATIONS AND WEATHER

To be completed by the Contractor.

C. NOTIFICATIONS

UNIT:

WHO WHEN* PHONE NUMBER BY WHOM DATE

Medford Interagency Fire Center Before & day of 541-618-2510 Burn Boss/Fuels Group Medford ODF Dispatch Center Before & day of 541-664-1213 Burn Boss/Fuels Group Butte Falls Resource Area Before & day of email Burn Boss/Fuels Group Rogue River City and Rural F.D Before & day of 541-582-4411 Burn Boss or designee Evans Valley Fire District #6 Before & day of 541-582-0678 Burn Boss or designee Rogue River City Burn Advisory Before & day of 541-774-8207 Burn Boss or designee Indian Hill (Bruno Meyer) Before & day of 541-476-7525 ext. 104 Burn Boss or designee

ELEMENT 10: BRIEFING

BURN ORGANIZATION BURN OBJECTIVES / PRESCRIPTION

To be completed by the

Contractor.

COMMUNICATIONS IGNITION / HOLDING PLAN

CONTINGENCY PLAN EXPECTED WEATHER / FIRE BEHAVIOR

SAFETY / MEDICAL PLAN PUBLIC SAFETY

OTHER CONSIDERATIONS AND NOTES ON BRIEFING

ELEMENT 11 ORGANIZATION AND EQUIPMENT

LOW PRESCRIPTION RANGE

TO BE COMPLETED BY THE CONTRACTOR

PERSONNEL

POSITION

ICS

CODE

TOTAL

AMOUNT

NEEDED

LINE

BUILDING

RATES

(Ch/Hr)

AMOUNT SUPPLIED BY

AGENCY

CONTRACTOR /

PURCHASER

Prescribed Fire Burn Boss RXB2

Ignition Specialist FIRB

Holding Specialist Function

(Crew Boss or higher)

CRWB

Engine Boss and Operator ENGB/ENOP

Ignition Crew FFT2

Holding Crew FFT2

EQUIPMENT

DESCRIPTION

UNIT OF

MEASURE

TOTAL

AMOUNT

NEEDED

LINE

BUILDING

RATES

(Ch/Hr)

AMOUNT SUPPLIED BY

AGENCY

CONTRACTOR /

PURCHASER

Engine – Type 6 (200 gal. minimum) Ea

Drip Torches Ea

Chain Saws Ea

Hand Tools Ea

Portable Water Tanks ( 1000 gal. or greater)

Or water tender (1000 gal. or greater) Ea

Hose ( 1½ inch ) Ea

LINE BUILDING CAPABILITY SUMMARY

Total line building capability at low end of prescription:

Ch/Hr. Expected line building capability needed during initial escape at critical holding area at low end of prescription:

Chains after one hour of Perimeter Growth. The line building rate of ON-SITE resources will exceed perimeter increase during initial escape if the wind speed is:

2 MPH or less.

DESIRED PRESCRIPTION RANGE

TO BE COMPLETED BY THE CONTRACTOR

PERSONNEL

POSITION

ICS

CODE

TOTAL

AMOUNT

NEEDED

LINE

BUILDING

RATES

(Ch/Hr)

AMOUNT SUPPLIED BY

AGENCY

CONTRACTOR /

PURCHASER

Prescribed Fire Burn Boss RXB2

Ignition Specialist FIRB

Holding Specialist Function

(Crew Boss or higher)

CRWB

Engine Boss and Operator ENGB/ENOP

UNIT OF

MEASURE

TOTAL

AMOUNT

NEEDED

LINE

BUILDING

RATES

(Ch/Hr)

AMOUNT SUPPLIED BY

AGENCY

CONTRACTOR /

PURCHASER

Engine – Type 6 (200 gal. minimum) Ea

Drip Torches Ea

Chain Saws Ea

Hand Tools Ea

Portable Water Tanks ( 1000 gal. or greater)

Or water tender (1000 gal. or greater)

Total line building capability at desired end of escape at critical holding area at desired end of prescription:

Chains after one hour of Perimeter Growth. The line building rate of ON-SITE resources will exceed perimeter increase during initial escape if the wind speed

HIGH PRESCRIPTION RANGE

TO BE COMPLETED BY THE CONTRACTOR

PERSONNEL

POSITION

ICS

CODE

TOTAL

AMOUNT

NEEDED

LINE

BUILDING

RATES

(Ch/Hr)

AMOUNT SUPPLIED BY

AGENCY

CONTRACTOR /

PURCHASER

Prescribed Fire Burn Boss RXB2

Ignition Specialist FIRB

Holding Specialist Function

(Crew Boss or higher)

CRWB

Engine Boss and Operator ENGB/ENOP

UNIT OF

MEASURE

TOTAL

AMOUNT

NEEDED

LINE

BUILDING

RATES

(Ch/Hr)

AMOUNT SUPPLIED BY

AGENCY

CONTRACTOR /

PURCHASER

Engine – Type 6 (200 gal. minimum) Ea

Drip Torches Ea

Chain Saws Ea

Hand Tools Ea

Portable Water Tanks ( 1000 gal. or greater)

Or water tender (1000 gal. or greater)

Total line building capability at high end of escape at critical holding area at high end of prescription:

Chains after half hour of Perimeter Growth. The line building rate of ON-SITE resources will exceed perimeter increase during initial escape if the wind speed

ELEMENT 12: COMMUNICATIONS

SYSTEM CHANNEL FUNCTION FREQUENCY ASSIGNMENT

TO BE

COMPLETED

BY CONTRACTOR

REMARKS:

ELEMENT 13: PUBLIC AND PERSONNEL SAFETY, MEDICAL PLAN

Safety Hazards:

Driving

Flammable Material

Smoke

Snags

Steep Slopes

Bees/Snakes

Poison Oak

Heat Stress/Cold Stress

Mitigation: Measures Taken to Reduce the Hazards:

Utilize defensive driving techniques, check loads, and use appropriate containers for hauling fuel.

Wear appropriate PPE. Use and properly label containers. Avoid spills and provide means of containment in the event of a spill. Change clothes if they become contaminated with fuel.

Avoid prolonged exposure to smoke. Rotate crew members.

Fall hazard snags prior to ignition. Pull fuel away prior to ignition. Avoid prolonged exposure within range of the snag(s).

Watch for loose material, sharp stobs, and rolling material.

Be alert for signs of bees’ nests and snakes. Communicate hazard to others.

Limit exposure, change clothes daily, and use appropriate cleansers for poison oak.

Remain hydrated, manage fatigue, and take frequent breaks. Dress appropriately for the conditions.

Risk Management Worksheet

See attached worksheet for additional information.

EMERGENCY MEDICAL PROCEDURES

In the event of serious accidents or injuries, the burn boss shall be notified immediately. The burn boss will initiate on-site response (if not already in progress) and coordinate additional response needs (listed below) through:

The first option is to transport the injured person(s) via on-site vehicles to (describe directions to emergency facilities):

The second option is to transport the injured person(s) to meet an ambulance at (describe a location known to both project personnel and emergency services):

The third option is to transport the injured person(s) to the nearest helispot to be evacuated via air ambulance. The helispot location is (describe the location relative to the project area and for the air ambulance; include a Lat/Long; list helitack qualified personnel (if any) on site):

The fourth option is to care for and protect the injured person(s) while emergency services respond on-site to extract and transport the injured. Send personnel to meet and lead emergency services to the site. The project area location is

(describe directions for responding emergency services and include a Lat/Long).

EMERGENCY EVACUATION METHODS

EMERGENCY FACILITIES

MEDICAL AID STATIONS / PERSONNEL

NAME LOCATION

PARAMEDICS?

YES NO

TRUAMA AND BURN KIT ON-SITE

EMERGENCY EVACUATION METHODS:

NAME TELEPHONE LOCATION

PARAMEDICS?

YES NO

MERCY FLIGHTS AIR & GROUND 541-779-6551 MEDFORD, OR. X

AMERICAN MEDICAL RESPONSE 541-474-6303 GRANTS PASS, OR. X

HELISPOT CLOSEST TO PROJECT LAT. LONG.

HOSPITALS

NAME ADDRESS

TRAVEL TIME

( MIN) PHONE

HELIPAD? BURN CENTER

AIR GROUND YES NO YES NO

ROGUE VALLEY

MEDICAL CENTER

2825 E. BARNETT ROAD

MEDFORD, OR

20 60 541-608-4144

541-608-4900 X

X

PROVIDENCE

MEDICAL CENTER

1111 CRATER LAKE AVE.

MEDFORD, OR. 20 60

541-732-5059

541-732-5000 X X

OREGON BURN

CENTER

3001 n GANTENBEIN AVE.

PORTLAND, OR. 90 330 503-413-4232 X X

THREE RIVERS

COMM. HOSPITAL

500 SW RAMSEY AVE

GRANTS PASS, OR

N/A 90 541-472-7000 X X

MEDICAL 9 LINE

Prescribed Burn:

Date: _____________ Time: _______________Unit: ________________

Line Information Notes:

1.

Level of Severity:

RED – (Airway obstruction, Difficulty breathing, Major blood loss Cardiac chest pain, Crush injury to the chest, Penetrated object, Open fracture, 2 O or

O burn more than 4 palm sizes)

YELLOW – (Closed fracture, Significant trauma; Lacerations and bleeding not controlled by direct pressure, Not able to walk, 2 O or 3

O burn, no more than 1 or 2 palm size)

GREEN – (Small area abrasions or lacerations, bleeding controlled by pressure, Minor sprain, General sickness)

Triage Page 48, IRPG – 2010

Code 3 ALS Ambulance or Medivac Helicopter.

Medical radio traffic has priority

Emergency radio traffic restricted to:

On scene IC, or Medical.

Ambulance or consider air transport if at remote location.

Medical radio traffic may have priority.

MEDICAL TRANSPORT via crew, ground support, field medic, or air if at remote location. Fire radio traffic unchanged.

2. Patient Assessment / Injuries & Treatment:

Patient #1 - ____________________________________________

Patient #2 - ____________________________________________

Assessment Page 42, IRPG – 2010

Treatment Page 41,43-47

Level of Consciousness

Breathing Rate – Breaths / min

Pulse Rate – Beats / min

Skin Condition – Pink or Pale, Warm or Cold

Injury:

Bleeding Heat

Fracture Burns

Head Injury Bee Sting

Eye

3. Patient Location:

Lat: _____ O

_____. _____’, Long: _____ O

Drop Point, Staging area, Division, Spike

Camp, Line area or GPS

4. Additional Equipment or Medic Needed:

Hoist, SKED, Backboard, Litter, Rope, Paramedic, Trauma Bag, O2, AED

5. On Scene Medic and IC: Crew medic, Field medic

Who is the IC for this incident?

6. Operational Channels:

Command CH _____ Incident emergency to Communications

EMS Helicopter air-to-ground.

Air Guard CH 16 - RX 168.625 TX 168.625 TX Tone 110.9

Use “Air Guard” Channel 16, for medical emergency, air-to-ground contact with Private

EMS helicopter ONLY.

7. LZ Location / GPS

Lat: _____

_____ . _____’ Long: ______

Ground Contact: __________________________________

LZ Area Selection Page 57, IRPG - 2010

Set GPS on WGS-84

Use Degrees, Minutes and Tenths of Minutes

(Lat 00 O 00.00’ - Long 000

O 00.00’)

8. LZ Special Hazards:

Trees, power lines, wind direction, slope

9. Patient Affiliation: Agency, Contractor, Military, Civilian

ELEMENT 14: TEST FIRE

PLANNED LOCATION:

A test fire is required at the start of each ignition operation. The test burn should be in a location that is easily extinguishable and representative of the fuels in the unit as a whole. Documentation of the test fire conditions and results will be made on a Unit Log and observations recorded on the Weather/Fuels/Fire

Behavior Observations sheet.

WEATHER RESULTS OF TEST FIRE

TEMPERATURE FLAME LENGTH

RELATIVE HUMIDITY RATE OF SPREAD

WIND SPEED

CLOUD COVER %

FINE DEAD FUEL

MOISTURE

The test fire meets prescription parameters YES NO

COMMENTS:

Prescribed Fire Burn Boss Signature: Date: Time:

ELEMENT 15: IGNITION PLAN

IGNITION PLAN:

POTENTIAL HOLDING PROBLEMS:

ELEMENT 16: HOLDING PLAN

GENERAL PROCEDURES FOR HOLDING:

WATER SOURCES:

MOP UP AND PATROL:

ELEMENT 17: CONTINGENCY PLAN

1. MANAGEMENTACTION POINTS (MAP)OR LIMITS:

2. ACTIONS NEEDED:

Identify containment opportunities and identify management action points at which the fire will be declared an escape.

3. MINIMUM CONTINGENCY RESOURCES AND MAXIMUM RESPONSE TIME(S):

Resource Agency / Contractor Mobilization

Time *

Confirmation of Availability

(Date & Time)

* Time it takes for mobilization and travel to site

ELEMENT 18: WILDFIRE DECLARATION

1. WILDFIRE DECLARED BY: Who will make the decision that the fire has escaped?

Burn Boss

2. IC ASSIGNMENT: Identify who will be the IC and what positions will be used to transition to an ICS organization.

Burn Boss will be the IC at the Type 4 incident level. If the escape becomes more complex, an ICT 3 will need to be ordered if a qualified individual is not present on the unit.

3. NOTIFICATIONS: Identify the notifications to be made and who will make them.

Medford Dispatch (541-618-2510) will be notified by the burn boss. Dispatch will then notify the District FMO

Agency Administrator, Butte Falls Resource Area manager, and other agencies.

4. RESOURCE ORDERING: Identify the dispatch center responsible for resource ordering.

Medford Dispatch (541-618-2510)

5. EXTENDED ATTACK ACTIONS AND OPPORTUNITIES TO AID IN FIRE SUPPRESSION:

If the escape becomes more complex, an ICT 3 will need to be ordered if a qualified individual is not present on the burn unit.

ELEMENT 19: SMOKE MANAGEMENT & AIR QUALITY

PERMITS TO BE OBTAINED: ODF Smoke Instructions SSRA NAME: Medford

WIND DIRECTION NEEDED: S, SE, E,

DISTANCE FROM SSRA: 11 Miles

DIRECTION FROM SSRA: North

POTENTIALLY IMPACTED AREAS:

RECEPTOR DIRECTION DISTANCE RECEPTOR DIRECTION DISTANCE

Shady Cove E 0.5 Miles

TRANSPORT WIND AND STABILITY CONDITIONS NEEDED

Unstable atmospheric conditions are desirable for adequate mixing and lofting of the smoke into higher elevations. Wind directions listed above with unstable atmospheric conditions are desirable for adequate mixing. Due to the distance from Medford, it is unlikely to have impacts to the smoke sensitive receptor area.

VISIBILITY HAZARDS (ROADS, AIRPORTS, ETC.) AND ACTIONS TO REDUCE HAZARDS

Local roads could be impacted by residual smoke if a strong inversion occurs in the evening hours.

Ignition timing will incorporate this possibility. Smoke mixing and dispersion will be forecasted by the

ODF smoke forecast. Smoke warning signs may be utilized.

MITIGATION STRATEGIES AND TECHNIQUES TO REDUCE SMOKE IMPACTS:

There is some concern for night time inversions and cold air drainage down into local residential areas. If weather forecasts indicate that smoke issues may develop due to inversions or minimal lifting of the air mass, the size of area to be burned will be evaluated. Burning in the fall/winter ensures that the fine fuels

(1 and 10 hour fuels) have lower fuel moisture so their consumption is quick which minimizes smoldering.

Overall impacts to the local area should be minimal and of short duration. In the event that smoke becomes a problem following completion of the ignition phase, rapid mop-up may occur to lessen the impact.

SPECIAL CONSTRAINTS / CONSIDERATIONS

Smoke Management Program Objective: To prevent smoke, resulting from burning on forest land, from being carried to or accumulating in smoke sensitive receptor areas and other areas sensitive to smoke; to provide maximum opportunity for essential forest land burning; to coordinate with other state smoke management programs; to conform with state and federal air quality and visibility requirements; to protect public health; and to encourage the reduction of emissions.

Definition of smoke intrusion: When smoke from RX burning enters a smoke sensitive receptor area or other smoke sensitive areas at ground level. Burning will be suspended if smoke is detected at ground level in the SSRA.

Verify smoke guidelines on the day of the burn.

Monitor existing smoke which may exist in local drainages from previous burning which may have occurred.

Guidelines in the Oregon Smoke Management Plan will be followed with smoke clearance provided by

Oregon Department of Forestry.

ELEMENT 20: MONITORING

BURN UNIT

DATE(S)

BURNED

ACRES

BURNED

TIME OF

IGNITION

IGNITION DURATION

(min)

OBSERVED FIRE EFFECTS

FUEL LOADING Before After SCORCH & MORTALITY Before After

1 Hr (0 – ¼”) Mature Overstory:

10 Hr ( ¼ – 1”) Conifers

100 Hr (1 – 3”) Hardwoods

1000 Hr (> 3”) Understory:

Duff Depth (inch) Conifers

Hardwoods Brush

SOIL IMPACT SMOKE IMPACTS Yes No

Percentage of unit visibly blackened Residual Smoke

Percentage of unit area sterilized (burned hot)

Smoke Sensitive Receptor Area (SSRA)

Impacted

ACCOMPLISHMENT OF FUEL TREATMENT OBJECTIVES

Short Term Results:

COST EVALUATION

Site Preparation &

Planning Burn Operation Total Burn Project Cost Cost / Acre

NARRATIVE – PRESCRIBED FIRE BURN BOSS

(i.e. operations, safety, fire behavior, personnel & equipment performance, logistics, smoke management)

OVERALL OBJECTIVES ACHIEVED: YES NO

Prescribed Fire Burn Boss: Date:

ELEMENT 20: MONITORING (Cont.)

WEATHER / FUELS/ FIRE BEHAVIOR OBSERVATIONS

OBSERVER NAME: PROJECT: DATE:

WEATHER AND FUELS

OBSERVATION TIME (24 Hr)

SLOPE (%)

ASPECT

ELEVATION (FEET)

FUEL MODEL (1-13)

SHADING (<50% OR >50%)

DRY BULB TEMPERATURE (°F)

WET BULB TEMPERATURE (°F)

RELATIVE HUMIDITY (%)

EYE LEVEL WIND SPEED (MPH)

WIND DIRECTION

CLOUD COVER (%)

1-HR FUEL MOISTURE (%)

10-HR FUEL MOISTURE (%)

100-HR FUEL MOISTURE (%)

1000-HR FUEL MOISTURE (%)

FIRE BEHAVIOR

FIRE TYPE (HEAD, FLANK, BACKING)

AVERAGE FLAME LENGTH (Feet) MAXIMUM FLAME LENGTH (Feet)

TORCHING / CROWNING (Y OR N)

FIRE WHIRLS (Y OR N)

SPOTTING OCCURRENCE (Y OR N)

SPOTTING DISTANCE (Feet) RATE OF SPREAD (Ch/Hr OR Ft/Min)

SMOKE DIRECTION

SMOKE RISE

NOTES:

ELEMENT 21: POST-BURN ACTIVITIES & DAILY MOP-UP SHIFT PLAN

WORFORCE & EQUIPMENT NEEDS

BURN DATE: SHIFT PLAN DATE:

MOP-UP BOSS: SHIFT START TIME:

PERSONNEL

POSITION

ICS

CODE

TOTAL

AMOUNT

NEEDED

AMOUNT SUPPLIED BY

AGENCY

CONTRACTOR /

PURCHASER

UNIT OF

MEASURE

TOTAL

AMOUNT

NEEDED

AMOUNT SUPPLIED BY

AGENCY

CONTRACTOR /

PURCHASER

SHIFT OBJECTIVE: SPECIAL CONSIDERATIONS / HAZARDS:

ATTACH MAP(S), WEATHER FORECAST FOR SHIFT PERIOD, WEATHER OBSERVATIONS, AND SHIFT ACTIVITY LOG.

APPENDIX B: TECHNICAL REVIEWER CHECKLIST

Fill out this checklist based on the guidance provided in the Technical Review section in the Interagency Prescribed Fire Planning and Implementation Procedures Guide, PMS 484.

Rate each element in the following table with an “S” for Satisfactory or “U” for Unsatisfactory. Use Comment field as needed to support the element rating.

PRESCRIBED FIRE PLAN ELEMENTS RATING COMMENTS

1. Signature page

2. A. Agency Administrator Ignition Authorization, PMS

2. B. Prescribed Fire GO/NO-GO Checklist, PMS 486

3. Complexity Analysis Summary

4. Description of Prescribed Fire Area

5. Objectives

6. Funding

7. Prescription: Prescription Narrative and Prescription

Parameters

8. Scheduling

9. Pre-Burn Considerations and Weather

10. Briefing

11. Organization and Equipment

12. Communication

13. Public and Personnel Safety, Medical

14. Test Fire

15. Ignition Plan

16. Holding Plan

17. Contingency Plan

18. Wildfire Declaration

19. Smoke Management and Air Quality

20. Monitoring

21. Post-Burn Activities

Appendix A: Maps

Appendix C: Complexity Analysis

Appendix D: Agency-Specific Job Hazard Analysis or Risk

Assessment

Appendix E: Fire Behavior Modeling Documentation or

Empirical Documentation

Appendix F: Smoke Management Plan and Smoke

Modeling Documentation (Optional)

Other

☐ Approval is recommended subject to the completion of all requirements listed in the comments section, or on the Prescribed Fire Plan.

☐ Recommendation for approval is not granted. Prescribed fire plan should be re-submitted for technical review subject to the completion of all requirements listed in the comments section, or on the Prescribed

Fire Plan.

Technical Reviewer Signature: Qualification and Currency:

Date Signed:

ACTIVITY LOG

PROJECT NAME: DATE PREPARED: TIME PREPARED:

PREPARED BY: TITLE: OPERATIONAL PERIOD:

PERSONNEL ASSIGNED

NAME ICS POSITION HOME UNIT

ACTIVITY LOG (INCLUDE TIME OF EACH ENTRY)