WHOS AT RISK? Research Report October 1998 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT FIRE FATALITIES: 1 2The centre photograph on the front cover has been supplied courtesy of the Toowoomba Chronicle. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT The authors of this report wish to acknowledge the support of the Australasian Fire Authorities Council and, in particular, Mr Laurie Lavelle, CEO and Mr Gary Tower; Dr Iraphne Childs, Queensland University of Technology; Chief Commissioner Wayne Hartley, Queensland Fire and Rescue Authority; the Public Safety Branch QFRA; the liaison officers of each State and Territory Fire Service; Mr Geoff Skerritt and the Queensland Coroners Office without whose support and cooperation this report would not have been possible. Acknowledgement is also given to the Director-General of the Department of Emergency Services, the former Department of Training and Industrial Relations Graduate Development Program for their generous support of this project. Our thanks to the members of the Queensland Association of Fire Investigators particularly Mr Terry Casey and Mr Charles Foley; and to Dr Caird Ramsay and Dr Peter Taylor, Scientific Services Laboratory; Mr Peter Surman FAI Insurance; and Mullins Builders for their assistance with this project. Strategic Management and Policy Unit Strategic & Executive Services Division Department of Emergency Services Level 3, Emergency Services Complex Cnr Park Rd and Kedron Park Rd, Kedron Qld 4031 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Acknowledgements 3 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 4 Table of Contents Page No. ACKNOWLEDGEMENTS ...................................................................................................................................3 EXECUTIVE SUMMARY ......................................................................................................................................7 SUMMARY OF RECOMMENDATIONS .......................................................................................................... 12 1. 1.1 1.2 1.3 1.4 1.5 2. Introduction and Project Overview 17 BACKGROUND .................................................................................................................................... 17 SCOPE ................................................................................................................................................... 19 PROJECT AIM ........................................................................................................................................20 PROJECT METHODOLOGY ..................................................................................................................20 PROJECT LIMITATIONS .........................................................................................................................22 Queensland 24 2.1 OVERVIEW ............................................................................................................................................ 24 2.2 TIME OF FATAL FIRES ...........................................................................................................................25 2.3 MONTH OF THE YEAR ......................................................................................................................... 27 2.4 TIME OF DAY ........................................................................................................................................28 2.5 DEMOGRAPHIC AND SOCIO-ECONOMIC CHARACTERISTICS OF THE VICTIMS ..........................29 2.6 PROPERTY TYPE AND OWNERSHIP ...................................................................................................33 2.7 MAJOR CAUSES OF FATAL FIRES .........................................................................................................34 2.8 SMOKE ALARMS ..................................................................................................................................35 2.9 LOCATION OF FATAL FIRES ..................................................................................................................36 2.10 AUSTRALIAN INCIDENT REPORTING SYSTEM AND FIRE INCIDENT REPORTING ......................... 37 3. 3.1 3.2 3.3 3.4 3.5 3.6 4. 4.1 4.2 4.3 4.4 4.5 4.6 New South Wales 38 OVERVIEW ............................................................................................................................................38 TIME OF FATAL FIRES ...........................................................................................................................38 DEMOGRAPHIC AND SOCIO-ECONOMIC CHARACTERISTICS OF THE VICTIMS ..........................40 PROPERTY TYPE AND OWNERSHIP ...................................................................................................43 MAJOR CAUSES OF FATAL FIRES .........................................................................................................44 SMOKE ALARMS ..................................................................................................................................45 Victoria 46 OVERVIEW ............................................................................................................................................46 TIME OF FATAL FIRES ...........................................................................................................................46 DEMOGRAPHIC AND SOCIO-ECONOMIC CHARACTERISTICS OF THE VICTIMS ..........................48 PROPERTY TYPE AND OWNERSHIP ...................................................................................................50 MAJOR CAUSES OF FATAL FIRES .........................................................................................................50 SMOKE ALARMS .................................................................................................................................. 51 5.1 5.2 5.3 5.4 5.5 5.6 6. 6.1 6.2 6.3 6.4 6.5 6.6 7. 7.1 7.2 7.3 7.4 7.5 7.6 8. 8.1 8.2 8.3 8.4 8.5 8.6 9. 9.1 9.2 9.3 9.4 9.5 9.6 Western Australia 52 OVERVIEW ............................................................................................................................................52 TIME OF FATAL FIRES ...........................................................................................................................52 DEMOGRAPHIC AND SOCIO-ECONOMIC CHARACTERISTICS OF THE VICTIMS ..........................54 PROPERTY TYPE AND OWNERSHIP ................................................................................................... 57 MAJOR CAUSES OF FATAL FIRES ......................................................................................................... 57 SMOKE ALARMS .................................................................................................................................. 57 South Australia 58 OVERVIEW ............................................................................................................................................58 TIME OF FATAL FIRES ...........................................................................................................................58 DEMOGRAPHIC AND SOCIO-ECONOMIC CHARACTERISTICS OF THE VICTIMS ..........................59 PROPERTY TYPE AND OWNERSHIP ...................................................................................................62 MAJOR CAUSES OF FATAL FIRES .........................................................................................................62 SMOKE ALARMS ..................................................................................................................................62 Tasmania 63 OVERVIEW ............................................................................................................................................63 TIME OF FATAL FIRES ...........................................................................................................................63 DEMOGRAPHIC AND SOCIO-ECONOMIC CHARACTERISTICS OF THE VICTIMS ..........................65 PROPERTY TYPE AND OWNERSHIP ...................................................................................................66 MAJOR CAUSES OF FATAL FIRES ......................................................................................................... 67 SMOKE ALARMS .................................................................................................................................. 67 Australian Capital Territory 68 OVERVIEW ............................................................................................................................................68 TIME OF FATAL FIRES ...........................................................................................................................68 DEMOGRAPHIC AND SOCIO-ECONOMIC CHARACTERISTICS OF THE VICTIMS ..........................70 PROPERTY TYPE AND OWNERSHIP ................................................................................................... 71 MAJOR CAUSES OF FATAL FIRES ......................................................................................................... 71 SMOKE ALARMS ..................................................................................................................................72 Northern Territory 73 OVERVIEW ............................................................................................................................................73 TIME OF FATAL FIRES ...........................................................................................................................73 DEMOGRAPHIC AND SOCIO-ECONOMIC CHARACTERISTICS OF THE VICTIMS ..........................75 PROPERTY TYPE AND OWNERSHIP ...................................................................................................75 MAJOR CAUSES OF FATAL FIRES .........................................................................................................75 SMOKE ALARMS .................................................................................................................................. 76 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 5. 5 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 6 10. 10.1 10.2 10.3 10.4 10.5 10.6 Australia 77 OVERVIEW ............................................................................................................................................77 TIME OF FATAL FIRES ...........................................................................................................................77 DEMOGRAPHIC AND SOCIO-ECONOMIC CHARACTERISTICS OF THE VICTIMS .......................... 81 PROPERTY TYPE AND OWNERSHIP ...................................................................................................88 MAJOR CAUSES OF FATAL FIRES .........................................................................................................88 SMOKE ALARMS ..................................................................................................................................89 Appendices APPENDIX 1 APPENDIX 2 APPENDIX 3 APPENDIX 4 APPENDIX 5 APPENDIX 6 QUESTIONNAIRE ........................................................................................................... 91 PROJECT MANAGEMENT AND OVERSIGHT ................................................................93 CARBOXYHAEMOGLOBIN (COHB) AND SMOKE INHALATION ................................94 SUMMARY OF SCIENTIFIC SERVICES LABORATORY REPORT .....................................95 BIBLIOGRAPHY .............................................................................................................. 97 GLOSSARY OF TERMS .................................................................................................... 98 Introduction The Fire Fatalities: Whos at Risk? project is a research initiative of the Department of Emergency Services Strategic Management and Policy Unit in cooperation with the Queensland Fire and Rescue Authority (QFRA). The project was conducted with the cooperation of the Australasian Fire Authorities Council (AFAC) and other Australian State and Territories Fire Services. The Fire Fatalities: Whos at Risk? project represents a critical step in the development of enhanced strategies to reduce the number of fire fatalities in Australia and, hence, the overall cost to the community of fires. The research project examined fire fatality data relating to all structural fires including mobile properties such as mobile homes, caravans, campervans and transportable buildings that have occurred in both urban and rural areas of Australia between 1 July 1991 and 30 June 1996. Fires occurring in selected water transport vessels, as identified in the Australian Assembly of Fire Authorities Incident Reporting System, Block J1 Division 4 Codes 41 and 42, were also examined. In terms of fire categories, all fatal structural fires either deliberate, accidental/preventable or undetermined, were examined and incorporated in the analysis. However, when examining cause of death in fatal fires, deaths not directly attributed to the fire such as heart attacks, self inflicted wounds or suicide were not incorporated directly into the analysis. Background Over the past five years, the QFRA (formerly the Queensland Fire Service) has placed increasing emphasis on preventive strategies as a means of further reducing the loss of life, level of injury and loss of property due to fires. Recent community surveys (1995 and 1997) in Queensland have indicated that a considerable majority of householders believe that early warning of smoke and fire is the most critical factor affecting their safety in the event of a fire. The community is, therefore, receptive to an increased emphasis on fire prevention service delivery strategies. The need for an increased emphasis to be placed on prevention strategies has been supported by suggestions that people who have died in fires were often dead before the alarm was raised. The Fire Fatalities: Whos at Risk? project was initiated to address the lack of quantitative research in this area, with the results of this project providing a basis for improving current Fire Service delivery strategies. Australia In Australia, 550 fire fatalities occurred in 451 structure fires between 1 July 1991 and 30 June 1996. Time of fatal fires A primary area of interest of the research project was the fire fatality time-related data. The three categories of data that were of most significance to this research for each fire death were: Project overview The Fire at Risk Groups project aimed to: assess any possible relationship between the estimated time of death of fire victims and the time the Fire Services were notified examine any common contributing factors to fire fatalities collect demographic and socio-economic characteristics of the fire victims in order to assist Fire Services with the targeting of fire education campaigns to groups in the community who were most at risk of fire make recommendations with the aim of reducing the incidence of deaths in structural fires. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Executive Summary the time of death relative to the alarm time of the Fire Service the month of the year the time of day when the fire death occurred. 7 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 8 Results arising from the analysis of these categories of data will be of importance to Fire Services service delivery strategies. Time of death analysis The data relating to victims time of death indicates that it is possible that up to 212 out of the 251 victims able to be examined were deceased prior to or coinciding with the Fire Service alarm time. This finding highlights the need for continued review of current fire service delivery strategies with a view to developing more effective and appropriate strategies with increased emphasis on fire prevention and other home fire safety strategies including early warning of fires such as that provided by smoke alarms, and practised evacuation drills. Time of death analysis involved identifying the time of death either from coroners, pathologists or police records and comparing this to recorded alarm time, or examining the level of involvement of the fire at the time the fire service unit arrived and making an estimation of the likely time of death relative to alarm time. Of the 251 fire death victims for whom sufficient information was available to conduct analysis: 136 victims were recorded as being dead either prior to or coinciding with the Fire Service alarm time 76 victims died in fires that were either well alight, fully involved, heavily smoked or at least 60 per cent involved at the time of arrival of the Fire Service 12 victims died in fires that were less than 60 per cent involved at the time of arrival of the Fire Service 27 victims did not have noted in their records a level of involvement of the structure at the time of arrival of the Fire Services. These assumptions are reinforced in the study conducted by Scientific Services Laboratory, Melbourne into a fire in a residential dwelling in which three people lost their lives. The body of evidence from this study indicates that the occupants of the house were dead before the fire brigade arrived. Month of the year Analysis of Australian data showed that the majority (62 per cent) of fire fatalities happened in the second half of the year. June, July and August were the most frequent months (33 per cent) when the fire fatalities occurred. However, this was not the case in South Australia as the winter months did not record a high number of fire fatalities. Victoria, South Australia and Queensland also experienced a distinct preChristmas peak in fire fatalities. Accidents involving heaters were one of the major causes of winter fires. A large number of the accidents involving heaters occurred by having combustibles too close to the heating unit. Many of these accidents occurred when either clothes were put too close to the heater or bedclothes fell onto the heater throughout the night. Discarded smoking materials were also a major cause of the winter fires in Australia. On the basis of these findings, it is recommended that Fire Services ensure that community-based fire safety campaigns address peak fire fatality periods to alert the community to common causes of domestic fires. Time of day In Australia, a large number of fire fatalities (49 per cent) occurred between midnight and 8.00 am. This finding was typical of most Australian States. Therefore, it is essential that fire prevention campaigns continue to reinforce the need for residential smoke alarms and evacuation plans, particularly to alert people to a fire when they are sleeping so they can safely evacuate the property. Between midnight and 8.00 am, people are less likely to observe the initial stages of a fire as they are usually asleep. As it was highly likely that most of the victims were asleep at the time of ignition and in the early stages of the fire when smoke was produced, the victims would have been exposed to a high concentration of gaseous carbon monoxide which would have affected their mental and physical behaviour. In Australia, where the cause of death was known and could be attributed to the fire, a large number of the victims died as a result of smoke inhalation. The report has found that the following groups are at greater risk than average of fatal fires: elderly people aged 65 years and older children aged between zero and four years adults affected by alcohol adults not in the workforce. Major demographic details of fire fatality victims were analysed in order to identify possible groups in the community which were most at risk from fire deaths. Fire incident data that related specifically to the circumstances surrounding the deaths of these identified at risk victims was also analysed. This information will enable Fire Services to develop promotional and educational programs specifically targeted to these groups highlighting appropriate and relevant fire safety practices. Of 514 fire death victims, the majority (62 per cent) of the victims were male. This finding was constant across all the Australian States. For 375 of the victims, the majority (76 per cent) were born in Australia. For those 311 victims who had an occupation listed and were not classified as children or students, 179 were not in the workforce, with their occupations being listed as either pensioner, retired, home duties or unemployed. This finding was replicated across all the individual Australian States and Territories. As a large number of the fire death victims were not employed at the time of their deaths and probably spent a large percentage of their time in the home, it is essential that Fire Services employ public education strategies that not only target home fire hazards but are also directed specifically to these at risk groups in their own home. From the research undertaken, it was identified that alcohol may have contributed to the deaths of 21 per cent of the victims aged over the legal drinking age of 18 years. The number of alcoholrelated fire deaths may be underestimated due to the current system of only testing the blood alcohol level of fatalities at the time of, or immediately following, a fire. However, if the victim dies some hours or days later, no blood alcohol reading will be recorded because the alcohol will have dissipated from the victims bloodstream. Similarly, the victims of the fire may not be responsible for causing the fire and other people involved in the fire who have not died may have been affected by alcohol, but no investigation or record is made. Property type and ownership Throughout Australia, residential properties (in particular one to two family dwellings) were the most frequently cited property type in which the fire fatalities occurred. This finding highlights the need for Fire Services to reinforce and strengthen their fire prevention efforts on domestic residences within Australia. Analysis of data determined both the type of property most commonly involved in fatal fires and the ownership of these properties. This information will enable Fire Services to develop strategies that maximise fire safety in at risk properties to ensure the incidence of fire fatalities is reduced. Fire prevention awareness campaigns also need to be specifically targeted at the public and private sector rental markets, and also to real estate agents in order to reduce the number of fires and fire deaths that occur in rental properties. In 279 cases where it was possible to determine the ownership of the properties, 159 of the fire fatalities occurred in rental properties. This finding was consistent across all the individual Australian States and Territories where the property ownership was identified, except for Tasmania, where the majority of fire fatalities occurred in owner-occupied premises. Where it could be determined, 69 of the rental properties were privately owned with 45 of the properties being owned by the Government. Major causes of fatal fires Information was collected from all Australian States and Territories through the Australian Incident Reporting System (AIRS) system and Fire Investigation Unit records to determine the major causes of fatal fires. The three areas of interest were the category of fire, (eg. if the fire was classified as being lit accidentally or deliberately), the factors that caused the fires and the major cause of death for victims. Fire Services can use this information to strengthen current educational programs, highlighting appropriate fire safety behaviours, to minimise the risk of fire. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Demographic and socioeconomic characteristics of the victims 9 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 10 Category of fire Of the cases examined during the research period, the following occurred: 256 accidental/preventable fires 71 fires that were deliberately lit with the intention to harm either the person lighting the fire or others 223 cases where there was insufficient information recorded to determine the category of the fire. The large number of accidental/preventable fires was consistently reported across all Australian States and Territories, except in Western Australia where no fire category was reported. A significant proportion of the fires were undetermined or not reported, suggesting that there is a need for more in-depth investigation to be carried out in order to determine the specific nature of the fires that cause death. Cause of fire In 254 of the cases, a fire cause was not reported. Of the other 296 cases where a fire cause was reported, it was not possible to determine the cause of the fires in 147 of the Australian cases. In the remaining 149 cases, the single biggest cause of fatal fires was accidents involving discarded smoking materials, lighters or matches. One of the major areas of concern with accidents of this nature is that a number of the victims were unaware of the fact that they had discarded their cigarette as they were either asleep or intoxicated with alcohol. Child fire play was also another cause of these fires involving discarded smoking materials, lighters and matches. Cause of death For 323 of the fire death victims, 181 died as a result of smoke inhalation, with a further 42 victims dying from the combined effects of burns and smoke inhalation. This finding further strengthens the need for Fire Services to continue to promote the need for smoke alarms to ensure people have adequate time to escape from the fire. Smoke inhalation was the major cause of death in the majority of the individual States and Territories, except for Queensland where the cause of death for the fire death victims was equally attributed to smoke inhalation (50 per cent) and burns/incineration (50 per cent). This anomaly may be due to the fact that a number of the Queensland victims who had their cause of death listed as being burns/incineration were either actively involved in the area of ignition at the time of the fire and/or, due to their immobility, may have found it difficult to rapidly escape from the fire. Smoke alarms Where the presence or absence of smoke alarms was recorded in fatal fire cases, only 7 out of 202 fatalities had smoke alarms present in the structure at the time of the fire. In one fire involving two victims, the alarms were present but failed to operate. In 195 cases, it was positively identified that there were no smoke alarms present in the structures. This clearly indicates that a lack of smoke alarms places people at an increased risk of death in the event of a fire. Therefore, there is a need to develop and implement strategies designed to reach the at risk groups with the smoke alarm message. In the remaining 348 cases, the presence or absence of smoke alarms was not established. In order to determine if smoke alarms were present in properties, data was collected through the AIRS system for all Australian States and Territories between 1 July 1991 and 30 June 1996. This information will enable Fire Services to determine the effectiveness of smoke alarm promotion to those people most at risk from fire deaths. Conclusion The findings of this investigation into fire fatalities in structures across Australia during the five year period include: an estimate that most fire death victims die before the fire brigade is notified that the elderly, the very young and adults affected by alcohol are at a greater risk of dying in the event of a fire that residential properties were the most frequently cited property in which fatal fires occurred (in particular rental properties) that the major cause of death was smoke inhalation that the absence of smoke alarms appear to contribute to the increased risk of death in the event of a fire. The combined effect of these findings adds significant weight to the need to increase the emphasis on fire safety and prevention strategies and to carefully target those groups identified as most at risk from fire deaths. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 11 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 12 Summary of Recommendations Australian recommendations (as detailed in Section 10). 10.1 Fire Services review current service delivery strategies to ensure an appropriate emphasis on prevention as part of overall service delivery strategies. 10.2 Fire Services ensure that the system collects meaningful data on the time of death for fire fatality victims. 10.3 Fire Services investigate and adopt, where appropriate, elements of other successful community awareness and education programs, such as those developed by Departments of Transport and other Commonwealth and State Government Departments. 10.4 Fire Services review community-based fire safety campaigns to ensure that they are appropriately timed, resourced and relate to the most common cause of fires. 10.5 Fire Services continue to emphasise in their respective community-based fire safety programs: - the need for smoke alarms in residential dwellings the speed with which structure fires can develop the need for well-rehearsed evacuation plans the need for parents to evacuate all children at the same time. 10.6 Where appropriate, Fire Services consider programs to provide people in the 65 years and over age group with subsidised smoke alarm installation. 10.7 The Australasian Fire Authorities Council, in conjunction with State Fire Services, liaise with State and Federal Government agencies to seek agreement to include fire safety brochures in selected correspondence to pensioners, retirees, unemployed people and people involved in home duties. 10.8 Fire Services institute a system to accurately record the ethnicity of fire death victims. 10.9 Fire Services research other mechanisms for ensuring effective communication with the elderly, including doctors, Meals on Wheels, church groups, messages on, or inclusions with, electricity/telephone/rates bills. 10.10 Fire Services develop community-based education programs to target aged persons emphasising fire safety issues in kitchens and the dangers of garments igniting from exposed heat sources. 10.11 Fire Services review current fire safety campaigns to ensure that they illustrate the speed and development of a fire and the need for parents to evacuate all children at the same time, as well as the need for well-rehearsed evacuation plans. 10.12 A publicity campaign be conducted in conjunction with P & C associations and other parent groups to encourage parents to prepare and rehearse fire safety evacuation plans for the home and adjoining buildings. 10.13 Fire Services investigate the effectiveness of current juvenile fire awareness and intervention programs. 10.14 (i) Fire Services, where necessary, develop a team-based approach to further develop and implement effective fire safety school education and awareness initiatives, involving curriculum specialists, expert teachers, text book publishers and parent representatives (ii) Fire Services initiate discussions with their respective State-based Departments of Education to second teachers (curriculum specialists) to assist with the development of appropriate curriculum resources and public education resources which emphasise effective fire safety messages and integrate them into the normal school curriculum. Queensland recommendations (as detailed in Section 2). 2.1 Ongoing performance information and key indicator trends, including the state and regional fire death rate per 100,000 persons, be provided on a regular basis by the Strategic Planning and Development Unit, QFRA to all regions in Queensland. Ongoing performance information comparisons should be made at both a State and a national level. 2.2 10.18 Fire Services continue to maintain training of fire personnel in fire scene investigations, particularly in the areas of determination of the category and cause of the fire. QFRA review current service delivery strategies for fire safety and prevention; that is, reducing the risk and impact of fire and other emergencies with a view to developing more effective service delivery strategies. 2.3 10.19 Fire Services liaise with all key stakeholders (Fire Safety, Fire Investigation Unit, Arson Squad, Police Scientific Services, Department of Mines and Energy, Fire Investigation Association) to investigate causes of fire and sources of ignition to make the best use of available resources and information. QFRA liaise with the Department of Public Works and Housing on options for increasing legislative requirements for smoke alarm installation beyond new homes, such as mandating the installation of smoke alarms in private rental properties. 2.4 QFRA liaise with the State Coroners Office and other relevant stakeholders to discuss strategies to minimise confusion between recorded time of death and the actual time of death for fatal fire victims. 10.20 Fire Services implement strategies to ensure that operational fire fighters are: 2.5 QFRA research other successful community fire safety programs to enhance current community fire safety programs. 2.6 QFRA evaluate the timing of current fire safety campaigns in conjunction with other stakeholders such as the Department of Mines & Energy, Office of Consumer Affairs and the Electrical Repairers Association, to ensure that community safety and awareness campaigns are appropriately timed to coincide with the two observed danger periods of winter and preChristmas. 2.7 QFRA review the allocation of resources to all fire safety and prevention initiatives prior to identified danger periods to improve general awareness of fire safety. 10.16 Fire Services cooperatively work with real estate associations to discuss nonlegislative strategies for the installation of hard wired smoke alarms to private rental properties. 10.17 Fire Services and Australian Fire Authorities Council lobby the Commonwealth Government to introduce warnings on cigarette packets highlighting the relationship between smoking and fires. (a) (b) (c) (d) aware of the purpose and importance of fire incident data collection trained in how to complete incident data forms (including a standard approach to determining the valuation of properties) included in processes to determine the type of data to be captured informed of the outcomes of collation and analysis of the data on a regular basis. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 10.15 Fire Services work with the Australasian Fire Authorities Council to support research into the development and design of smoke alarms with pitch, volume and pulse capabilities to alert inebriated persons to the presence of a fire. 13 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 2.8 That the performance information provided by the Strategy, Planning and Development Unit to stations includes the number of structure fires per month and the number of fire fatalities per month on an appropriate geographical basis to assist service delivery planning. 2.9 QFRA investigate the feasibility of initiating community fire safety programs targeted at families, conducted during the evenings and using station training areas for such activities. 2.10 2.17 QFRA review current fire safety campaigns to ensure that the speed and development of a fire and the need for parents to evacuate all children at the same time, as well as the need for well-rehearsed evacuation plans, are emphasised. 2.18 A publicity campaign be launched by QFRA in conjunction with P & C associations and other parent groups to encourage parents to prepare and rehearse fire safety evacuation plans for the home and adjoining buildings. QFRA should continue the current emphasis on smoke alarms in community fire safety programs. 2.19 QFRA establish a juvenile fire awareness and intervention program supported at a State level. 2.11 In particular, due emphasis should be placed on alerting the community to the dangers of fires occurring while they are asleep. 2.12 The feasibility of providing smoke alarms to specific target groups in the community in cooperation with local service clubs be investigated. 2.20 Research be initiated by QFRA into the use of effective learning strategies to further enhance childrens awareness of fire safety issues beyond early childhood years and extending the Fire Ed program to involve mid primary school age children. 2.13 QFRA fire safety education programs should be developed to target aged persons, emphasising fire safety issues in kitchens and the dangers of garments igniting from exposed heat sources. 2.14 QFRA and the Australasian Fire Authorities Commission should contact the clothing manufacturers associations regarding the design and flammability of nightgowns, pyjamas, bathrobes and towels and request flammability ratings be placed on items after 1 January 2000. 2.15 The Fire Safety Unit, QFRA, liaise with the Department of Mines & Energy, the Office of Consumer Af fairs and appliance manufacturers/retailers to investigate the feasibility of further promoting the need to identify, repair or assist in replacing old or defective electrical appliances. 2.16 14 QFRA research other mediums for ensuring effective communication with the elderly, including doctors, carers, adult children, Meals on Wheels, church groups, messages, on or inclusions with, electricity/ telephone/rates bills. 2.21 QFRA: (i) develop a team-based approach to further develop and implement effective fire safety school education and awareness initiatives, involving curriculum specialists, expert teachers, text book publishers and parent representatives (ii) initiate discussions with the Department of Education to second two or three teachers (curriculum specialists) for two years to assist with the development of appropriate curriculum resources which emphasise ef fective fire safety messages and marketing strategies. 2.22 The Chief Commissioner, QFRA, liaise with the Director-General, Department of Public Works and Housing, to discuss nonlegislative means of introducing smoke alarms to private rental properties. 2.23 QFRA investigate the feasibility of introducing a process to ensure all reports for a fire incident (ie. First Attending Officer Report, AIRS Report, Fire Investigation Report) are easily cross referenced with 2.24 The Chief Commissioner, QFRA, liaise with State Coroners Office and the State Pathologist to ensure that information relating to death by smoke inhalation, such as the levels of carboxyhemoglobin (COBH) and alcohol in the victims blood be determined and recorded in a consistent fashion across Queensland. 2.25 QFRA liaise with all key stakeholders (Fire Safety, FIU, Arson Squad, Police Scientific Services, Department of Minerals and Energy, Fire Investigation Association) in investigating causes of fire and sources of ignition to make best use of available resources and information. 2.26 The work underway to integrate hazard information, fire incident data, socioeconomic data and risk profiles of various community groups continue and be used to enhance the development of regional, area and local risk management plans. 2.27 An on-scene aide-memoir for fire fighters be developed and introduced to assist them with the completion of an incident reporting form, and that the QFRA liaise with the Queensland Police to evaluate the effectiveness of current technologies to assist with on-scene incident reporting. 2.28 A review of systems which assist in the movement of incident information from station to head office and back be initiated to enhance the flow of information. Research recommendations During the course of this project, a number of findings arose from the analysis that could not satisfactorily be addressed by direct recommendations. These findings required additional research that was either sufficiently extensive over time or intensive in terms of detailed or specialist analysis to generate stand alone research projects. The recommendations for further research are listed below. The recommendations are all framed in terms of further research to be conducted by the QFRA alone or in conjunction with the Australian Fire Authorities Council. However, it may be appropriate that the research recommendations be reviewed in total and that individual projects be carried out by each of the State and Territory Fire Services as part of the national research strategy. It is recommended that the QFRA: R1 research causes of death and ignition during recognised peak fire fatality periods in comparison to causes over the full year (and investigate any potential over reporting of specific causes). R2 establish a multidisciplinary team to develop and implement a five-year community fire safety and prevention strategy, including a year-by-year focus on specific target groups and incorporating an annual evaluation of effectiveness. R3 monitor actual penetration of smoke alarms into the community. The correlation between the number of people saying they have smoke alarms in surveys and those who have operating smoke alarms should be examined. R4 work with Australasian Fire Authorities Council to support research into the development and design of smoke alarms with pitch, volume and pulse capable of alerting inebriated persons to the presence of a fire. 2.29 The Other or Unreported categories be eliminated from the AIRS form. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT AIRS and are updated as new information becomes available as the current AIRS system does not allow for further data to be added into the report after further investigation by the Fire Investigation Unit. 15 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 16 R5 conduct a detailed analysis into the reporting of fire causes since 1995. This research is to determine if fire investigations courses have had a positive effect on the reporting and investigation of fire causes. R6 investigate in conjunction with the Queensland Coroner and State Pathologist the apparent anomaly between cause of death in Queensland and cause of death in all other States and Territories. R7 undertake a six to 12-month prospective survey of structural fires in Queensland to examine fatalities, serious injuries, causes and successful escapes, to establish a baseline comparison between fatal fires and all other structural fires. The Fire Fatalities: Whos at Risk? project is a research initiative of the Department of Emergency Services Strategic Management and Policy Unit in cooperation with the Queensland Fire and Rescue Authority (QFRA). The Fire Fatalities: Whos at Risk? project represents a critical step in the development of enhanced strategies to reduce the number of fire fatalities in Australia and, hence, the overall cost to the community of fires. To illustrate the need for such strategies, it is instructive to consider some of the costs of structural fires and fatalities over the period from 1 July 1994 to 30 June 1996. In Australia during the period 1 July 1994 to 30 June 1996 and based on the sum of the costs of deaths, domestic property damage and provision of fire services, the total cost of structural fires exceeded $2.5 billion. During this period, 228 people died in structural fires (as defined in Section 1.2). Almost all of these fatalities occurred in residential dwellings. In current terms, these deaths represent a social cost of $574,560,000 (based on an estimated cost per fatality of $2,520,000 - NZ Land Transport, J.C. Guria, 1993). The estimated cost of damage to domestic properties and contents due to structural fires over two years is $400,000,000 (based on estimates from Insurance Statistics Australia). The cost of fire services provided by the fire authorities listed in Section 1.2 for the two year period is approximately $1,532,600,000. Finally, there are the additional uncounted costs due to injuries, lost work hours, temporary accommodation for victims and families and social dislocation. There is a clear need to increase the emphasis on preventing loss of life due to fire and preventing the incidence of serious fires. 1.1 Background Over the past five years, the QFRA (formerly the Queensland Fire Service) has placed increasing emphasis on preventive strategies as a means of further reducing the loss of life, level of injury and loss of property due to fires. The current mission statement of the QFRA as detailed in the QFRA 1997-2000 Strategic Plan is: To achieve zero preventable fire deaths, injuries, property and environmental damage through the development of an organisational culture which encourages our staff and volunteers to work in partnership with their communities to improve public safety. Preventable fire deaths are defined as property fires where fatalities have occurred, but excludes murder, suicide and those deaths due to natural causes where a fire has subsequently broken out. It reflects the number of fatal fires where it is believed fire safety practices and education could have positively influenced the outcome. Recent community surveys (1997 Roy Morgan and 1995 Australian Bureau of Statistics) in Queensland have indicated that a considerable majority of householders believe that early warning of smoke and fire is the most critical factor affecting their safety in the event of a fire. Additionally, over 90 per cent of respondents in the 1997 survey indicated that they considered it important or very important that the QFRA continue the following services: free on-site provision of advice about home fire safety quick response to fire, motor vehicle or other emergency fire safety education to children in kindergarten, pre-school and primary school. The community is supportive of the QFRA emphasis on fire prevention service delivery strategies, while still expecting that response capabilities are maintained. While it has been suggested that people who have died in fires were often dead before the alarm was raised, there has been a lack of research to substantiate this claim. The need to examine any common factors contributing to fire fatalities and to assess any possible relationship between the estimated time of death of fire victims and the time fire service response units are notified of a fire (alarm time), were the reasons for initiating this research project. This project has also sought to address a lack of quantitative research in Australia on these issues and was conducted with the co- FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 1. INTRODUCTION AND PROJECT OVERVIEW 17 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 18 operation of the Australasian Fire Authorities Council (AFAC) and other Australian State and Territory Fire Services (listed in Section 1.2). The results of this project will provide a basis for reviewing and enhancing current Fire Service delivery strategies. 1.1.1 Literature review than 30 minutes to be detected are 15 times more likely to result in a fire death than a fire which is detected within five minutes (Audit Commission; 1995, p25). This finding highlights the need for early detection of a fire in order to reduce preventable fire deaths. It is important to note, however, that the methodology used in determining the time of ignition of the fire is based on post-incident estimation. A literature review was undertaken to determine if similar studies existed, either in Australia or overseas, regarding the possible relationship between the time taken to discover a fire and the outcome in terms of fire deaths. Although no research documents were found which examined exactly the same issues, several documents were influential as a basis for the time of death analysis used in this report. Three reports of particular influence in undertaking this project are: Hall & Harwood (1995, p40) also state that over three-quarters of accidental fire deaths in structures are due to smoke inhalation (poisoning by carbon monoxide and other toxic products of structural fires). This finding is matched by the results found in the present study for Australia and most of the States and Territories, although Queensland showed only half of the deaths as due to smoke inhalation. The discrepancy for Queensland is discussed in Section 2.7. Several other research papers were reviewed which identified groups in the community that were most at risk from fire. The report Fire Death Analysis on the Basis of Administrative Autopsy and Fire Investigation (T Takahashi, Tokyo Fire Department, 1992) highlighted factors such as the buildings environment, demographic characteristics of fire death victims and human behaviour in fires. The findings relating to demographic characteristics of the fire death victims showed that elderly people were most at risk from fire deaths and that the death rate of people who are 70 years old or more grows bigger rapidly as they grow older (Takahashi, 1992, p182). This finding is supported in the Australian data where people aged 65 years and older have been shown to be a high risk group from fire deaths in almost all Australian states. Takahashi also stated that success in evacuations depends highly on peoples alcohol intoxication level and whether or not they were awake or not (Takahashi: 1992, p.182). Although the Fire Fatalities: Whos at Risk? project did not look into the activities of the victims prior to the fire, the data gathered showed that, in a significant number of cases, victims were affected by alcohol. Additionally, the Australian data shows a predominant occurrence of fatal fires late at night or in the early hours of the morning when people are generally asleep. In the Line of Fire (Audit Commission, UK, 1995) Smoke or Burns - Which is Deadlier ? (JR Hall & B Harwood, NFPA Journal, USA, January 1995) New Zealand Fire Risk Data (P Narayanan, NZ, 1995). The spread of fire beyond the room of origin is shown by these reports to be a key element when projecting the possible outcomes of a fire in terms of death or injury. It has been shown that most deaths (between 77 and 100 per cent, depending on the type of occupancy (Narayanan, 1995, p32)) occur when fires extend beyond the room of origin. Fires typically spread beyond the room of origin after flashover occurs. The visible level of involvement on arrival of the first responding brigade is an approximate indicator of how far a fire has spread. While data on the spread of fire beyond room of origin is generally available from the AIRS databases, our research interest is in identifying the state of the fire at the time the responding brigade arrives. Therefore, we have investigated the level of involvement or description of the fire, to make estimates as to the likelihood of the fire victim being either alive or dead prior to the Fire Service alarm time. This concept is further reinforced in the report In the Line of Fire where research has indicated that the time interval between detection and notification of a fire can have a dramatic effect on the eventual outcome of the fire in terms of fire deaths: Fires in dwellings which take more Fatal Fires in New Zealand (D Cropp, New Zealand Fire Service, 1991) examined New Zealand fire data between 1 January 1986 to 31 December 1990 in order to determine who, where and why people were dying in fires. This report found that A similar research project was also conducted by Conley and Fahy (1994) in the United States. This report detailed the demographic characteristics of fire death victims and provided insight into the causes and behaviours that contributed to the fatal fires. The report (1994, p99-100) highlighted the fact that very young children and elderly people were most at risk of dying in fires. It was also found that a link exists between poverty and high fire death rates. This finding was also reflected in the Australian demographic data gathered, which showed that a large number of fire death victims were in lower socio-economic groups. A report by Reynolds (Fire Research News, 1996, p5-7) looks into the causes of 418 deaths that occurred in Britain between July 1994 and June 1995. Smoking materials, accidents involving heaters and electrical faults were identified as some of the major causes of fatal fires, a finding that has been reflected in the Fire Fatalities: Whos at Risk? study. In Australia, the CSIRO has produced reports that combine fire incident data from Australian States and Territories. The New South Wales Fire Brigades also produce statistical research papers that detail fire incident data specific to New South Wales. However, due to the limitations of the type of data being collected from Australian fire services, it was not possible to determine demographic characteristics of the fire death victims from either of these two Australian sources. 1.2 Scope The following statistical populations have been used in this study: research population - all victims of fatal structural fires in Australia research sample - all victims of fatal structural fires in Australia between 1 July 1991 and 30 June 1996 research sub-samples - all victims of fatal structural fires in each of the Australian States and Territories. This research project derived fire fatality data relating to all structural fires including mobile properties such as mobile homes, caravans, campervans and transportable buildings that have occurred in both urban and rural areas of Australia between 1 July 1991 and 30 June 1996. Fires occurring in selected water transport vessels, as identified in AIRS Manual, Block J1 Division 4 Codes 41 and 42, were also examined. In terms of fire categories, all fatal structural fires either deliberate, accidental/preventable or undetermined, were examined and incorporated in the analysis. However, when examining the cause of death in fatal fires, deaths not directly due to the fire such as heart attacks, self inflicted wounds or suicide were not incorporated directly in the analysis. Fire services participating in this research project were: Queensland Fire and Rescue Authority New South Wales Fire Brigades Australian Capital Territory Fire Brigade Melbourne Metropolitan Fire Brigade Victorian Country Fire Authority Tasmanian Fire Service South Australian Metropolitan Fire Service Western Australian Fire and Rescue Service Northern Territory Fire Service. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT men were most vulnerable to dying in fires, a finding that has been confirmed in the present study. Cropp (1991, p9) also identified that elderly people and children aged between zero and five years were most at risk of fire deaths. This finding has also been confirmed in the present Australian research. A finding of the New Zealand report that was of particular interest to this study was that a large number of fatal fires occurred in private rental properties. In most of the Australian States, the majority of fatal fires occurred in rental properties. 19 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 20 1.3 Project aim The project aim is to examine any common contributing factors to fire fatalities and to assess any possible relationship between the estimated time of death of fire victims and the time at which the Fire Service was notified. Results of the data analysis will be used to make recommendations with the aim of reducing the incidence of deaths in structural fires. 1.3.1 Rationale Fire Services across Australia are confronted with the challenge of reducing the number of fire deaths, injuries, property loss and environmental damage due to fire within an environment of decreasing public expenditure and a whole-ofGovernment drive for increased productivity. Fire Services, both nationally and internationally, are currently striving to implement strategies which will lead to a reduction in the number of preventable deaths due to fire. Therefore the benefits of an increased focus on prevention activities is being promoted to the community, firefighters and Government alike. 1.3.2 Project objectives As stated in the Fire Fatalities: Whos at Risk? project proposal of 4 November 1996, the project objectives are: to identify any relationship between the projected ignition time, the time of notification of the fire and the time of death of fire fatality victims to identify some demographic (and socioeconomic) characteristics of fire death victims to identify as a recommendation, additional categories of fire incident information required for future collection by Australian Fire Services to review Queenslands draft Fire Service Delivery Policy, based on the outcomes of the research, to achieve the above objectives to analyse data collected from the research and to make recommendations to enable Fire Services to evaluate current fire education programs and to improve the development and delivery of future community fire education programs. 1.4 Project methodology 1.4.1 Primary research The primary research was conducted in the following stages: (i) Stage One: Data collection - Queensland Initially, fire incident details were obtained from the Australian Incident Reporting System (AIRS) for fatal fires that occurred between 1 July 1991 and 30 June 1996. Fire date and location were extracted from the AIRS data. This information was then used at the Coroners Office to locate courthouses that would have the relevant files relating to the fire fatalities. In Queensland, the Coroners Office uses a manual filing system based on the victims surname. It was, therefore, necessary to enlist help from the Fire Investigation Unit, Fire Stations, the Registrar of Births Deaths and Marriages, the Queensland Police Service and local Queensland courthouses to identify the surnames of fire fatality victims based on the date and location of the fire. The names of the fire fatality victims were released to the research team on the basis that the names would remain confidential and were used only for identification purposes. Post-mortem files were obtained from the Brisbane Coroners office and courthouses throughout Queensland to extract relevant fire mortality data relating to the demographic characteristics of the fire death victims. This additional information was then combined with the AIRS data to enable a more comprehensive understanding of some of the common demographic and socio-economic characteristics and factors contributing to the deaths of fire victims. The process developed for Queensland was then applied to data collection from all other States and Territories. (ii) Stage Two: Data collection - Other Australian States and Territories Although different administrative systems operate in the various States and Territories, it was possible to gather data in a relatively consistent manner. A standardised letter detailing the process and a confidential questionnaire based on the model used for Queensland were sent to all participating Fire Services throughout Australia. The importance of maintaining confidentiality was emphasised with the other Australian Fire Services throughout the research process. (iii) Stage Three: Data analysis Analysis has been performed on the data to identify and assess any possible relationships between the recorded time of death and the following variables: projected ignition time the time of notification of the fire (alarm time) the time of day and month in which the fire occurred cause of the fire and cause of death presence/absence of smoke alarms. Data analysis was initially performed on a State by State basis in order to assess the characteristics of fatal fire incidents in each State and Territory. The data from all the States and Territories was then combined and analysed collectively in order to achieve the national perspective on fire fatalities. In order to examine the belief that fire death victims are dying before brigades are notified and that increased fire prevention activities are necessary to save lives, a comparison was made between the recorded time of death of the victims and the fire service alarm time for each fire fatality. Figure 1.1 shows the time continuum of events in a fatal fire. The analysis seeks to identify in which segment of the continuum most deaths occur. The cases were then divided into three groups: cases where the time of death was recorded as occurring either prior to or coinciding with the call out time of the fire brigade cases where the time of death for the victims was listed as having occurred after call out time cases where either time of death or alarm time were unknown and in which other related data was generally poorly recorded. Further analysis was performed on the fire fatalities that occurred after the call out time of the fire brigade. The level of involvement of the fire at the time of arrival of the fire brigade was analysed as this is an indicator of how far the fire has spread throughout a structure and, as previously stated, (Hall & Harwood, 1995, p42-43) (Narayanan, 1995, p32) the spread of the fire is related to the likely incidence of death in a fire. The weight of evidence gathered in this analysis of incidents, witness statements and related literature would then suggest that, when a fire has spread significantly beyond the room of origin by the time the fire brigade has arrived (that is, a level of involvement of 60 per cent or more of the structure), then people within the structure may have already perished. Information on the level of involvement was obtained either from AIRS (based on first officer reports) or witness statements recorded in police reports. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Fire fatality research was conducted in Victoria, New South Wales, South Australia, Western Australia, Tasmania, Northern Territory and the Australian Capital Territory with the invaluable cooperation of Fire Services in all those States and Territories. Data was collected from fire incident reports, fire investigation unit reports and coroners files in each State and Territory. Figure 1.1 - Fire fatality continuum Ignition Discovery Alarm Brigade arrival Fire out 21 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 22 The level of involvement recorded varied according to the source, but the following statements have been used in each State as the measure: percentage involvement as estimated by the first arriving fire service unit and recorded in AIRS Fully involved, well alight, heavy smoke and others derived from witness statements usually recorded in Coroners reports. This approach is further reinforced (Audit Commission, 1995, p.25) by research that indicates that the time interval between detection and notification of a fire can have a dramatic effect on the eventual outcome of the fire in terms on fire deaths. That finding highlights the need for early detection of a fire in order to reduce preventable fire deaths. It is important to note, however, that the methodology used in determining the time of ignition of the fire, in discussion with G Goddard of the UK Home Office, was based on post-incident estimation. Time of ignition was determined in that report by questionnaires sent to Fire Brigades after incidents and fire officers were required to make an estimate of the time from ignition to discovery and discovery to notification. The estimates were based on the following time intervals immediately, under five minutes, five minutes to 30 minutes, 30 minutes to two hours, over two hours and unknown. Further analysis was conducted to determine demographic characteristics of fire fatality victims. Simple cross tabulations were performed on the demographic data using variables such as time of incident, risk category (Queensland only), occupancy type, and effectiveness of fire prevention systems. AIRS data was analysed using frequency counts on variables such as month of fire, alarm time, category of fire, fire cause, complex type, property ownership and detector performance. Frequency counts were also performed on a number of variables relating to the victims including sex, age, marital status, cause of death, birthplace, ethnicity, occupation and labour force status. The age of fire death victims was further grouped, categorised and compared to the estimated resident State population for each age bracket. This process was then repeated for male and female victims. This enabled more vulnerable groups in the community to be defined with further analysis being performed on demographic and AIRS data relevant to each group. (iv) Stage Four: Presentation of report The draft report detailing the findings and recommendations of the Fire Fatalities: Whos at Risk? project was presented to the Project Reference Group which comprises: QFRA Chief Commissioner Wayne Hartley; Gary Tower, Director, Corporate Strategy, New South Wales Fire Brigades and AFAC representative; Dr Iraphne Childs, Queensland University of Technology (QUT); Jeanette Burrows, Executive Director, Strategy Planning and Regional Services, Queensland Department of Emergency Services; Fiona McKersie, Director, Policy Unit, Queensland Department of Emergency Services; and Nick Nicolopoulos, Manager, Statistics Unit, New South Wales Fire Brigades. Professional support and constructive comments were provided at various stages throughout the research project by the project support team whose membership is detailed in Appendix 1 together with the details of project management. Following the approval of the final draft report by the Project Reference Group, the report was externally reviewed and made available to Australasian Fire Authorities Council member organisations as a draft report for comments. Once the five week consultation period concluded, the comments were reviewed and where appropriate, incorporated into the Fire Fatalities: Whos at Risk? research report. 1.5 Project limitations A number of limitations have been identified in association with this project. Some of these limitations were recognised in the original design of the project while others became apparent as the project progressed. Three of the most important limitations recognised during the design phase of the project were: the short time frame (1991-1996) being examined and its effects on the reliability of trends observed over time (this has also been limited by the availability of reliable data) the effect of multiple fatalities in distorting annual figures (particularly in relation to some State and Territory data) compatibility of data between Australian States and Territories the lack of comparable studies in Australia. 1.5.1 Other limitations in practice Several limitations to the project became apparent once research was underway. (i) Time of death There were significant limitations in identifying with any degree of certainty the time of death of a fire victim. Actual times of death for fire victims are only rarely accurately determined and, in these cases, the determination is based on witness statements and other circumstantial evidence. Discussions with the Director of Forensic Pathology, John Tonge Centre, Queensland, indicated that the effects of fire on the body make it almost impossible to determine medically an accurate time of death. Post mortem reports, therefore, record a time of death which is usually the time a body is found or the time that the body is pronounced dead by a doctor. As outlined in Section 1.4.1 Data Analysis, this limitation resulted in the time of death being examined relative to the Fire Service alarm time based on the level of involvement of the fire when the Fire Service arrived at the incident. The latter data enabled researchers to estimate the probable state of the victim when the Fire Service was notified. As a result of discussions with the Department of Emergency Services, Scientific Services Laboratory conducted a study of a fire in a residential dwelling in which three people lost their lives. Through applying fire engineering modelling techniques to predict the conditions which existed in the house from the time of fire ignition until the time of fire brigade entry and the discovery of the occupants, the body of evidence indicates that the occupants of the house were dead before the fire brigade arrived (see Appendix 4). (ii) Data availability and completeness of records. The second significant limitation identified during the project was the availability of data and incompleteness of data. The data provided by all services included significant gaps over the time frame examined due to industrial action in some instances or incomplete categories of data collected or partially collected, such as fire cause or smoke alarm presence/absence. The problems encountered in data collection include the need for firefighters to be aware of the importance of providing accurate data to inform service planning. In particular, there is a need for ongoing feedback on performance in relation to State, Territory and national data collection and collation processes. (iii) Consistency of data This project has relied on data from a number of sources as identified in Section 1.4. The consistency of data from different data sources such as AIRS, Coroners Reports and Fire Investigation Reports varied within each State and Territory. For example, the number of people dying in structural fires during a calendar year varied between information sources within a single State. There is, therefore, a need for further investigation into the reasons for such discrepancies. Detailed investigation of data outside Queensland has been difficult because of such discrepancies. It was only possible to make a detailed examination of all information sources in Queensland, thereby achieving an effective level of cross referencing between sources. In Queensland, a fatality has only been included in the final total if the veracity of the data could be confirmed by two independent sources. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 23 2.1 Overview There were 101 fire fatalities resulting from 79 structural fires in Queensland between 1 July 1991 and 30 June 1996. Over this five year period, the number of fire deaths in Queensland has increased. Table 2.1 illustrates the five-year trend in structural fire fatalities in Queensland and compares them to national figures in Figure 2.1. It should be noted that, as a result of detailed investigations carried out during this project, discrepancies were identified between the numbers of fatalities recorded on AIRS (and reported in previous annual reports) and the figure found by cross checking with other independent sources including the Government Statisticians Of fice and the Queensland Coroners office records. Figure 2.1 shows that the number of fire deaths in Queensland per 100,000 people has risen over the past five years and, in 1995/96, is similar in magnitude to the national fire death rate. Several factors may have contributed to this growth. All fire fatality cases were cross referenced by matching Fire Service records with coroners files. A number of deaths that occurred in 1991 and 1992 which could only be confirmed by one source were not included in final figures. Another factor which may have contributed to the overall increase in fire fatalities in 1993/94, 1994/95 and 1995/96 was that there were a number of fires that caused multiple deaths during these periods. Table 2.1 - Queensland fire deaths Financial Year 1991/92 1992/93 1993/94 1994/95 1995/96 Number of victims 13 10 22 33 23 Deaths per 100,000 0.43 0.32 0.69 1.00 0.68 Figure 2.1 - Queensland fire deaths (compared to national trend) 1.1 1 Queensland Australia 1 0.9 Deaths per 100,000 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 2. QUEENSLAND 0.8 0.7 0.6 0.5 0.69 0.55 0.57 0.66 0.63 0.68 0.6 0.43 0.4 0.3 24 0.32 1991/92 1992/93 1993/94 Financial years 1994/95 1995/96 Table 2.2 - Queensland Fires that caused multiple fire deaths 1/7/91 - 30/6/96 Financial year Total no. of fires Total no. of victims 1991/92 1992/93 1993/94 1994/95 1995/96 13 8 16 26 16 13 10 22 33 23 No. of fires where multiple deaths occurred The rise in multiple fire death incidents highlights the need for the community to be made aware of the need for early detection of smoke and well-rehearsed evacuation plans for the whole household. An analysis of the multiple fire deaths also shows that 33 per cent of the incidents with multiple fire deaths involved alcohol consumption by victims. The behaviour of victims while under the influence of alcohol could potentially contribute to the cause of the fire and may also affect victims ability to notice, extinguish or escape the fire once started. An important point to note is that alcohol is only tested for in victims who have died in a fire. There is no testing of the levels of alcohol present in the bloodstreams of others who have escaped the fire. The relationship between alcohol consumption and fire fatalities is analysed in Section 2.5 At Risk Groups. FINDINGS Previously reported statistics have not been completely reliable. Multiple fatality fires are a clear indicator of the need for family and group households to install smoke alarms for early warning and to prepare fire exit plans. Alcohol is a major contributing factor to fire fatalities (and is discussed in detail later in this chapter). No. of victims in fires where multiple deaths occurred 0 1 4 6 4 0 3 10 13 11 RECOMMENDATION It is recommended that: 2.1 Ongoing performance information and key indicator trends, including the State and regional fire death rate per 100,000 people, be provided on a regular basis by the Strategic Planning and Development Unit, QFRA, to all regions in Queensland. Ongoing performance information comparisons should be made at both a State level and a national level. 2.2 Time of fatal fires 2.2.1 Time of death analysis Due to inconsistencies in fire death records in Queensland, 55 (54 per cent) of the cases were not able to be analysed for this category of information because the records failed to contain either a time of death for the victim and/or the alarm time for the Fire Service. In addition, other data related to these incidents (typically during the early years of the research period) is often incomplete or inconsistent. Therefore, analysis of the time of death of the fire victims relative to the Fire Service alarm time is based on the remaining 46 (46 per cent) fire fatalities for whom times of death and alarm times are reported. As described in Sections 1.1.1 and 1.4.1 (iii), a major finding in the course of this project has been that the coroners reports and associated post mortem reports did not, in many cases, record an accurate time of death for fire death FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Table 2.2 shows the number of structural fires that caused multiple deaths in Queensland between 1 July 1991 and 30 June 1996. 25 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT victims. The recorded time of death satisfies legal requirements, but for the purposes of this project, was not a reliable indicator of the actual time of death of the fire death victims. Therefore, in order to project the probable state of the victim at Fire Service alarm time, estimates as given by either the first officer attending the scene or on scene witness accounts were used to determine the level of involvement of the fire at the time of arrival of the fire brigade. As mentioned in Section 1.1.1, the level of fire involvement of the structure is a key element when projecting the possible outcomes of a fire in terms of death or injury. In order to enhance public safety an improvement is needed in the quality of information collected about the time of death of fire victims. This may be achieved by establishing a mechanism for greater liaison and cooperation between the Coroner, State Pathologist, QFRA and the Queensland Police Service (QPS) as agencies responsible for establishing the time of death of fire victims. Table 2.3 - Time of death of victims relative to alarm time - Queensland Recorded time of death Before or coinciding with alarm time After alarm time Unknown TOTAL 18 28 55 101 Of the 46 fire fatalities who had a time of death and alarm time recorded, 18 occurred either before or coinciding with alarm time. Of the remaining 28 victims who had their time of death listed as after alarm time, 22 had the recorded level of involvement of the fire as between 60 per cent or greater or the structure was described by witnesses at the scene as being well alight or fully involved at the time of arrival of the Fire State of the fire on arrival of the Fire Service (for cases where the time of death was recorded as after alarm time).* Fully involved Well alight Fire involved 60% or more Unknown TOTAL No. of cases 9 8 5 6 28 *Fire scene descriptions as given by witnesses and fire personnel at the time of the fire. Service. Table 2.4 sets out the recorded level of involvement of the structural fires on arrival of the Fire Service. The recorded level of fire involvement in these 22 cases is regarded as sufficient to lead to the death of persons within the structure. As shown in Figure 2.2, when this is examined together with the number of people recorded as deceased prior to or coinciding with the Fire Service alarm time, it indicates that at least 40 fire victims in Queensland (87 per cent of the victims for whom a time of death was recorded) were deceased prior to or coinciding with the alarm time of the Fire Service. The remaining six cases for whom times of death were recorded did not contain information on the level of fire involvement at the time of arrival of the Fire Service. This outcome implies that the deaths of these people did not depend on the time taken by the fire brigade to respond to each incident. Generally, the fatal fires were too far advanced at the time the alarm was raised for the occupants to have survived. The survival of the occupants would have been facilitated by early detection of smoke and easy escape. Figure 2.2 - Fire Fatality Continuum Ignition Unknown 26 Total no. of victims Table 2.4 - State of fire on arrival of fire service - Queensland 55 victims - time of death or alarm time not recorded Discovery Alarm 18 recorded deaths 40 estimated deaths after analysis Brigade arrival 28 recorded deaths 6 estimated deaths after analysis Fire out The time of death of fire victims is not always recorded. The time of death of fire victims, as recorded by the Coroners Office, is often not the actual time of death. Where information is available on time of death, alarm time and the level of involvement of the fire, it can be shown that the majority of fire fatality victims are dying prior to or coinciding with the Fire Service alarm time. Early detection of the presence of smoke is critical to achieving a reduction in preventable fire deaths. RECOMMENDATIONS It is recommended that: 2.2 2.3 QFRA review current service delivery strategies for fire safety and prevention, reducing the risk and impact of fire and other emergencies with a view to developing more effective service delivery strategies. QFRA liaise with the Department of Public Works and Housing on options for increasing legislative requirements for smoke alarm installation beyond new homes, such as mandating the installation of smoke alarms in significant new building extensions and rental properties. 2.4 QFRA liaise with the State Coroners Office and other relevant stakeholders to discuss strategies to minimise confusion between recorded time of death and the actual time of death for fatal fire victims. 2.5 QFRA research other successful community fire safety programs to enhance current community fire safety programs. 2.3 Month of the year On examination of the fire research data, it was revealed that 65 (64 per cent) of the fire deaths occurred in the second half of the year (See Figure 2.3). In the colder months of June, July, August and September, 52 (51 per cent) of the fire deaths occurred. Electrical accidents, including electrical faults and the overloading of power outlets, were identified as the main cause of winter fires in Queensland. December recorded the highest number of fire deaths (17 per cent) for a single month throughout the period of the study. No major common cause was identified for the fires that occurred in December. However, it was identified that six of the December victims had alcohol in their bloodstream at the time of their deaths. It is also significant that the pre-Christmas period exhibits increased numbers of all forms of accidental death. FINDING The majority of fire deaths occurred during two distinct periods - the cooler months and pre-Christmas. Social behaviour patterns (eg. preChristmas) are equally as important as climatic patterns. RECOMMENDATIONS It is recommended that: 2.6 QFRA evaluate the timing of current fire safety campaigns in conjunction with other stakeholders such as the Department of Mines & Energy, Office of Consumer Affairs and the Electrical Repairers Association, to ensure that community safety and awareness campaigns are appropriately timed to coincide with the two observed danger periods of winter and pre-Christmas. 2.7 QFRA review the allocation of resources to all fire safety and prevention initiatives prior to identified danger periods to improve general awareness of fire safety. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT FINDINGS 27 20 Number of victims 15 10 10 6 Jan 6 3 3 Feb Mar Apr 5 May That the performance information provided by the Strategy, Planning and Development Unit to stations includes the number of structure fires per month and the number of fire fatalities per month on an appropriate geographical basis to assist service delivery planning. 4 Jun Jul Months Aug In Queensland, an alarm time was not listed in the available data for 44 of the fatalities. Discrepancies between AIRS and independent data sources used, a lack of reporting due to Fire Service industrial action and inconsistent reporting of AIRS data over the research period may have contributed to the number of alarm times not reported. In the remaining 57 cases, 13 of the deaths occurred between 8:00am and 6:00pm, six deaths occurred between 6:00pm and midnight and 38 deaths occurred between midnight and 8:00am. Fatal fires tend to occur when most people are at home, asleep and not alert to potential or actual danger. Oct Nov Dec There are certain periods of the day when few fatal fires occur. Effective fire safety practices in the home, such as the proper installation of smoke alarms and a well-prepared evacuation plan, would assist in reducing the vulnerability of householders. Figure 2.4 - Deaths time of day 40 38 35 30 25 20 15 13 10 The most dangerous time of day is when all the occupants are at home, asleep and unlikely to notice the early stages of a fire. Additionally, the figures indicate that there may be opportunities to make use of periods of lower fire response activity to engage in preventive activities. Figure 2.4 shows the distribution of recorded alarm times for fire fatalities. Available data indicates that: Sep 5 2.4 Time of day FINDINGS 28 15 14 13 5 0 2.8 17 Number of victims FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Figure 2.3 - Deaths per month (period 1991/92 to 1995/96) 6 5 0 00:00 to 08:00 08:00 to 18:00 Time of day 18:00 to 00:00 RECOMMENDATIONS It is recommended that: 2.9 QFRA investigate the feasibility of initiating community fire safety programs targeted at families, conducted during the evenings and using station training areas for such activities. 2.11 In particular, due emphasis should be placed on alerting the community to the dangers of fires occurring while they are asleep. 2.5 Demographic and socioeconomic characteristics of the victims Gender and age of the victims Two age groups were clearly over-represented as fire death victims: victims aged 65 years and over represented 26 (26 per cent) of all victims, but only 11 per cent of the total population victims in the age group zero to four years represented 16 (16 per cent) of the victims, but only seven per cent of the total population. Therefore, it can be seen that 42 per cent of fire victims belonged to the standard dependent categories of the population (that is, typically not living independently). Table 2.5 gives the complete age breakdown of victims. The majority of victims in Queensland were male 69 (68 per cent). Males were the majority of victims in both age groups identified above. Table 2.5 shows the percentage breakdown by age group for fire victims in Queensland. Birthplace and ethnicity of the victims In 22 (22 per cent) of the cases, no information could be determined about the birthplace or ethnicity of the fire victims. As stated in Section 10.3, information on ethnicity was poorly collected and recorded by all the Queensland agencies involved in recording fire fatalities. Post mortems and coroners records do not accurately classify the ethnicity of the fire victims. Of the remaining 79 cases, it was determined that Australia was the birthplace for 65 (64 per cent) victims. The remaining victims came from New Zealand (three victims), Greece, Austria, Poland, Vietnam, the United Kingdom (six victims) Table 2.5 - Age of fire death victims (male and female) - Queensland Age groupings (Years) Total no. of victims Percentage of total (101) Age group as a % of Queensland population* 0-4 5-9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85+ 16 4 7 7 7 6 2 5 11 4 5 1 0 4 5 8 3 6 16% 4% 7% 7% 7% 6% 2% 5% 11% 4% 5% 1% 0% 4% 5% 8% 3% 6% 7% 7% 7% 7% 8% 8% 8% 8% 7% 7% 5% 4% 4% 4% 3% 2% 1% 1% *Source: Average of ABS Estimated Resident Population June Quarter 1991 to 1996. The percentage totals may not add up to 100% due to the rounding of individual age brackets. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 2.10 QFRA should continue the current emphasis on smoke alarms in community fire safety programs. 29 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 30 and the Middle East/North Africa. Three of the Queensland fire victims were positively identified as being from an Aboriginal or Torres Strait Islander heritage. Occupations of the victims Occupational characteristics of the fire death victims were examined because occupation is one indicator of socio-economic status and it was necessary to ascertain if a relationship existed between socio-economic status and risk of fire death in Queensland. Any such relationship may be of use in developing targeted fire safety and prevention campaigns. Children and students made up 28 (28 per cent) of the Queensland fire death victims. Of those 73 fire death victims who were not reported to be children and students, it was not possible to determine the occupations for 24 of the victims. The following analysis is based on the remaining 49 victims whose occupation was identified. In Queensland, 35 (71 per cent) of these victims were not in the workforce (ie. pensioners, retired, home duties, unemployed). In 11 (22 per cent) of the cases, the victims were employed in skilled labour or trades at the time of their deaths. The occupations of three (6 per cent) of the victims were listed as unskilled labour. No fire death victims working in professional occupations were identified in the Queensland fire fatalities. At risk groups Based on the ages of fire victims and the relative over-representation of some age groups (see Table 2.5), elderly people aged over 65 years and children aged between zero and four years were identified as being most vulnerable to fire death in Queensland. Details of these two groups and the nature of the incidents which claimed their lives are detailed in profiles following. Analysis of the available data from coroners and Fire Investigation reports indicates that alcohol and other intoxicants were implicated in a substantial number of fire victims deaths. Alcohol contributed to the deaths of 24 (34 per cent) of the victims who were over the legal drinking age of 18 years. Alcohol-related fire fatality victims as another significant at risk group are discussed in the third profile. ELDERLY 65 PLUS AGE BRACKET - QUEENSLAND Discussion The 65 years and over age bracket made up 26 (26 per cent) of the fire death victims in Queensland. These victims were predominantly male (62 per cent). In five of the cases, no marital status was reported for the elderly fire victims. In the remaining 21 cases, 15 of the victims were not married, being either single, separated, widowed or divorced. The occupation was reported for 22 of the victims in this age bracket, with 19 of these victims receiving the pension. In only eight of the cases, the dwelling type was reported, with six of the victims living in one/two family dwellings at the time of their deaths. There were no victims identified as having an Aboriginal or Torres Strait Islander heritage. Burns and/or incineration (62 per cent) was the prime cause of death for these victims, with many of the victims dying in hospital after being rescued from the fire. This is primarily due to the fact that the victims appear to have been present in the ignition area at the time of the fire. For example, some of the accidents involving elderly people have resulted from cooking fires, when their clothing has ignited while lighting the stove. In some other cases, the victims had been smoking in bed/ lounge chair prior to the ignition. Consequently, due to their proximity to the ignition source, the victims suffered severe burns which were the main cause of their deaths. Alcohol does not appear to be a major contributing factor in the deaths of these elderly fire victims with only three of the victims having had a positive blood alcohol reading at the time of their deaths. However, in a number of the fire deaths involving elderly people, discarded or unattended cigarettes were a contributing factor to the fire. In six (23 per cent) of the fatal fires, no classification was given to the fire category. In almost all of the remaining 20 cases, 19 (95 per cent) of the fires were classified as being accidental/preventable. No trend is evident as to the most frequent time of day when these fatalities occurred. The area of the fire origin also varied. Kitchens and lounge areas were the most common places where the fires originated. Negligence with smoking materials (eg. smoking in bed) and the ignition of clothing (eg. when cooking) were some of the major causes of fires for people in the over 65 years age bracket. Smoke alarms were not reported to be present in any of the structures where these fires occurred. FINDINGS As the majority of these fires were accidental and, therefore, preventable, targeted fire safety education programs would be beneficial in reducing fire fatalities in this age group. These education programs should not only be targeted at the elderly, but also at their caregivers and other people who come into contact with the elderly on a regular basis (eg. family doctor, Meals-on-Wheels personnel, Blue Nurses). Ignition of clothing, and subsequent death due to burns or incineration, is a major cause of death among this age group, which would indicate problems associated with current designs of clothing for the elderly, for example, nightgowns with bell sleeves. RECOMMENDATIONS It is recommended that: 2.12 The feasibility of providing smoke alarms to specific target groups in the community in cooperation with local service clubs be investigated. 2.13 QFRA Fire Safety Education programs should be developed to target aged people emphasising fire safety issues in kitchen environments and the dangers of garments igniting from exposed heat sources. 2.14 QFRA and the Australasian Fire Authorities Commission should contact the clothing manufacturers associations regarding the design and flammability of nightgowns, pyjamas, bathrobes and towels and request flammability ratings be placed on items after 1 January 2000. 2.15 The Fire Safety Unit, QFRA, liaise with the Department of Mines & Energy, the Office of Consumer Affairs and appliance manufacturers/retailers to investigate the feasibility of further promoting the need to identify, repair or assist in replacing old or defective electrical appliances. 2.16 QFRA research other mediums for ensuring effective communication with the elderly, including doctors, carers, adult children, Meals on Wheels, church groups, messages on, or inclusions with, electricity/telephone/ rates bills. CHILDREN AGED BETWEEN ZERO AND FOUR YEARS QUEENSLAND Discussion In Queensland, 16 (16 per cent) of fire deaths victims were aged between zero and four years, with the majority (88 per cent) of these victims being male. The major cause of death in this age bracket was from burns and/or incineration (63 per cent). FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT The fire problem The fire problem In 13 of these fatal fires involving this age group,the majority (85 per cent) of the fires were classified as accidental/preventable. Most of the deaths occurred because of the inability of the children to escape from the fire. This also related to the fact that most fatal fires 31 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT occurred during the night and early morning. Recent research undertaken by the Victorian University of Technology has identified that sleeping children are less likely than adults to be woken by the current range of smoke alarms because they sleep more deeply. This deeper sleep also makes it less likely for sleeping children to be woken by smoke or fire noise. In addition, some children have died when parents or adults have misjudged the speed at which fires develop and attempted to rescue some children before returning for other children. Another probable cause of the deaths of these victims aged between zero and four years is child fire play. Only two deaths in this age bracket were positively identified as being the result of child fire play. However, in three of the other deaths, although no suspicious circumstances were reported, children under the age of 16 years were present in the area of fire origin at the time of the ignition. The fact that these victims died from burns/incineration indicates that these deaths may have also been the result of child fire play. Juvenile fire lighting differs from child fire play in intent as the children involved in child fire play are too young to understand the consequence of their actions. Many factors contribute to children playing with fire, from ordinary, uninformed curiosity among the very young to learning disabilities, child abuse and emotional disturbances. The latter problems tend to be associated with older children, but may also be factors in the behaviour of younger children in whom such problems often go unrecognised (Conley and Fahy, 1994:104). As the problems associated with child fire play and juvenile fire lighting may be the result of many social and emotional factors, an inter-agency approach is required to adequately address the problem. There were no smoke alarms reported in any of the premises involving the deaths of children aged between zero and four years. FINDINGS 32 Young children are more susceptible to dying in fires than other members of a family, particularly at night. Young children are also at risk of death from child fire play. Child fire play and juvenile fire lighting may be the result of a number of social and emotional factors. RECOMMENDATIONS It is recommended that: 2.17 QFRA review current fire safety campaigns to ensure that the speed and development of a fire and the need for parents to evacuate all children at the same time, as well as the need for well rehearsed evacuation plans, are emphasised. 2.18 A publicity campaign be launched by QFRA in conjunction with P & C associations and other parent groups to encourage parents to prepare and rehearse fire safety evacuation plans for the home and adjoining buildings. 2.19 QFRA establish a juvenile fire awareness and intervention program supported at a State level. 2.20 Research be initiated by QFRA into the use of ef fective learning strategies to further enhance childrens awareness of fire safety issues beyond early childhood years and extending the Fire Ed program to involve mid primary school age children. 2.21 QFRA: (i) develop a team-based approach to further develop and implement effective fire safety school education and awareness initiatives, involving curriculum specialists, expert teachers, text book publishers and parent representatives (ii) initiate discussions with the Department of Education to second two or three teachers (curriculum specialists) for two years to assist with the development of appropriate curriculum resources which emphasise ef fective fire safety messages and marketing strategies. cases, it was not possible to determine the property ownership. In the remaining 16 cases, the majority (75 per cent) of these fires occurred in privately owned rental properties. Discussion In Queensland, 71 of the fire victims were over the legal drinking age of 18 years. Of these 71 victims, 24 victims had alcohol in their blood streams at the time of death. The majority (84 per cent) of these victims were male. The age of the victims varied and is not a common factor across the group. In the 20 cases where the marital status of the victims was identified, 16 victims were not married, with many victims living in group households, such as sharing a house with other men. None of the victims were identified as having an Aboriginal or Torres Strait Islander heritage. An occupation was reported for 16 of the 24 victims. The occupations for six of the victims were skilled labour and trades. It was identified that eight of the alcohol-related fire death victims whose occupations were identified, were either receiving the pension or unemployed. The blood alcohol levels of 92 per cent of the alcohol-related fire death victims were well over 50mg/100ml (the legal limit for drink driving), with 14 of the victims recording blood alcohol readings over 200mg/100ml. Smoke inhalation was the main cause of death for 15 of the victims of alcohol-related fire deaths. The fire problem In 4 (17 per cent) of the alcohol-related fire categories, the fire category was undetermined, with the remaining 20 cases classified as being accidental/preventable. Two of the fatalities were deemed to be probable suicides. The alarm time was not reported in eight of the cases. However, where the alarm time was recorded, the eight hours between midnight and 8.00am (75per cent) was the most frequent time when fatalities occurred. Lounge rooms and bedrooms were the areas where a number of the fires originated. Discarded smoking materials, such as a smouldering cigarette on the lounge and probable electrical faults, were the most common causes. In eight There were no smoke alarms reported in any of these properties. FINDINGS Alcohol and lifestyle in non-family group housing arrangements are contributing factors in a significant number of fire deaths. The presence of smoke alarms to give early warning of a fire may reduce the number of alcohol-related fire fatalities. 2.6 Property type and ownership Only 50 (50 per cent) of the cases could be clearly identified as belonging to particular property types. Of those properties clearly identified in the research, 40 of the fire fatalities occurred in dwellings designed to accommodate one to two families. The remaining properties identified were apartments, caravans, a complex specialising in care for the handicapped and a farm. Figure 2.5 - Property status - Fire fatalities 1991/92 to 1995/96 Owner occupied (20) Rentals (43) FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT ALCOHOL RELATED FIRE DEATHS - QUEENSLAND Unknown (38) 33 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 34 Analysis into the ownership status of the properties revealed that, in 38 (38 per cent) of the cases, the property ownership was unknown. However, of those 63 cases where the ownership was known, 43 fire fatalities occurred in properties that were listed as being rental properties. Figure 2.5 shows the breakdown of the ownership of Queensland properties identified in this study. Of those cases that occurred in rental properties, four of the fatalities occurred in properties that were positively identified as being owned by the Queensland Government. The remainder of the rental properties were privately owned. A study in New Zealand between 1 January 1986 and 31 December 1990 also identified that people residing in privately owned rental accommodation were vulnerable to fatal fires (Cropp, 1991, p7). This vulnerability in Queensland was heightened by the fact that there were no smoke alarms present in any of the properties. Therefore, strategies directed to peak bodies such as the Property Owners Association and the Real Estate Institute of Queensland would be beneficial in reducing the number of potentially fatal fires in rental properties. The work already underway by the Department of Public Works and Housing to install mains powered smoke alarm systems in all their properties is a positive step and should receive ongoing support to ensure that systems are maintained and new tenants are kept informed about fire safety. Promotional campaigns highlighting the specific issues relevant to both property owners and renters would also be advantageous. FINDINGS Where information was available, it was found that most fire fatalities occurred in properties designated as one or two family dwellings. Where ownership of the properties could be ascertained, close to half of the fire fatalities were found to occur in private rental properties. A number of fatal fires occurred in properties that are probably not covered by Queensland smoke alarm legislation. RECOMMENDATION It is recommended that: 2.22 The Chief Commissioner, QFRA, liaise with the Director-General, Department of Public Works and Housing, regarding the potential mandatory introduction of smoke alarms to private rental properties. 2.7 Major causes of fatal fires Fire category Fire category is the determination of the general cause of the fire in terms of being (i) deliberate, (ii) accidental/preventable or (iii) undetermined. In 25 (25 per cent) of the fatal fires, there were no classifications given as to the fire category. In the remaining 76 cases, 66 of the fatal fires that occurred between 1 July 1991 and 30 June 1996 were categorised as being accidental/ preventable. This finding suggests that targeted fire safety awareness and prevention campaigns may help reduce the number of preventable fire deaths in the future. In 10 of the cases examined, the fires were deliberately lit with the intention to cause harm either to the person who lit the fire or to others. FINDING The majority of fatal fires are accidental/preventable and, therefore, the QFRA focus on reducing all forms of loss due to such fires is likely to be a realistic and effective mission. Cause of fire In 57 (57 per cent) of all the fire fatalities, there was insufficient information to identify the cause of the fires. However, in the remaining 44 cases, 14 of the victims died as a result of fires caused by heat from smokers materials such as a discarded match or a smouldering cigarette. Fires in the kitchen accounted for eight of the fire fatalities, with unattended food items being left on the stove and the ignition of victims clothing being some of the most frequently cited causes. Portable heaters were also identified as a common fire cause in which nine victims FINDINGS A large number of fires have the fire cause listed as undetermined. Discarded smoking materials are the most common cause of fatal fires. The use/misuse of heating and cooking equipment are known fire causes. Cause of death In Queensland, smoke inhalation (50 per cent) and burn/incineration (50 per cent) were equally the most common causes of death due to fire. This is significantly different to the other States and Territories where smoke inhalation was clearly the major cause. The majority (54 per cent) of the victims who had their cause of death listed as burns/incineration were either young children aged between zero to four years or elderly people aged over 65 years (Section 2.5). FINDING The balance between smoke inhalation and burns as the cause of death in Queensland is significantly different to all other States. RECOMMENDATIONS It is recommended that: 2.23 QFRA investigate the feasibility of introducing a process to ensure that all reports for a fire incident (ie. First Attending Officer Report, AIRS report, Fire Investigation Report) are easily cross referenced with AIRS and are updated as new information becomes available as the current AIRS system does not allow for further data to be added into the report af ter investigation by the Fire Investigation Unit. 2.24 The Chief Commissioner, QFRA, initiate dialogue with State Coroners Office and the State Pathologist to ensure that information relating to death by smoke inhalation, that is, carbon monoxide poisoning and the levels of carboxyhemoglobin (COBH) and alcohol in the victims blood, be determined and recorded in a consistent fashion across Queensland. 2.25 QFRA liaise with all key stakeholders (Fire Safety, FIU, Arson Squad, Police Scientific Services, Department of Minerals and Energy, Fire Investigation Association) in investigating causes of fire and sources of ignition to make best use of available resources and information. 2.8 Smoke alarms Information on domestic smoke alarms was not well collected over the period of the survey. This has been due in part to initial problems with the terminology on recording forms which did not adequately distinguish between smoke detectors and smoke alarms. A smoke detector is a device that detects the presence of smoke and activates a separate alarm, whereas a smoke alarm is a device which both detects the presence of smoke and contains an inbuilt alarm. In 74 (73 per cent) of the fatal cases, there was no record made regarding smoke alarms. For 24 (24 per cent) of the fire death victims, it was positively identified that there were no smoke alarms present in the structures at the time of the fires. In one of the Queensland fires, a smoke alarm was present in the room of the fire origin and it did operate, however, it was improperly positioned on top of a refrigerator. In another fire, in which two people were killed, smoke alarms were in the room of the fire origin, but they failed to operate. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT perished. For six of the victims, the fire cause was attributed to problems associated with electrical equipment either through electrical faults or through the overloading of power outlets. Candles, mosquito coils and deliberately lit fires using accelerants were also listed as the cause of fires in the remaining identified cases. 35 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 36 FINDINGS Table 2.7 - Fatal fires per risk category 1/7/91 - 30/6/96 - Queensland Identification and recording of the presence of domestic smoke alarms has not been carried out effectively in the past. Where information was available, smoke alarms were not generally present in fatal incidents. Risk Category No. of Fatal Fires Percentage A 0 0% B 0 0% C 44 56% D 20 25% E 15 19% Special risk 0 0 See Table 2.6 for explanation and determination of risk categories. 2.9 Location of fatal fires Risk categories Analysis was performed to determine in which risk categories the fatal fires occurred in Queensland between 1 July 1991 and 30 June 1996. Risk categorisation is based on field assessments of parameters such as building construction, levels and types of occupancy, dispersion and density factors. Six classes of risk have been determined which provide a system of assessment of risk to life and property in the event of the fire. of C, D and E risk categories. In order to reduce the number of preventable fire deaths, it is essential that an integrated fire service delivery strategy be developed which places an increased emphasis on fire prevention strategies. Table 2.6 provides a summary of the various risk categories. Most QFRA resources are concentrated in areas of A and B risk categories on the basis that these areas are at greatest risk of major emergency. QFRA, therefore, seek s to ensure that sufficient resources (including special appliances) are available to respond to fires in large buildings or other complexes. As shown in Table 2.7, no fatalities have occurred in areas of A, B or Special Risk categories over the duration of the study. A fire service delivery strategy, which seeks to reduce the number of fire deaths, cannot rely on response and suppression alone in the areas FINDING All structural fire fatalities during the period of study occurred in C, D and E risk category areas. RECOMMENDATION It is recommended that: 2.26 The work underway to integrate hazard information, fire incident data, socioeconomic data and risk profiles of various community groups continue to be used to enhance the development of regional, area and local risk management plans. Table 2.6 - QFRA risk categories High risk, typically continuous runs of high-rise buildings in larger cities. Substantial risk, typically in larger cities or towns with continuously built-up areas of substantial size. Moderate risk (although it may be relatively high in certain areas), typically in the suburbs of larger towns and built-up areas of smaller towns. Lower risk, typically on the periphery of the suburbs or larger towns and the periphery of the built-up areas of smaller D Risk towns (and particularly in areas of urban/rural interface). Remote rural risk, isolated from any centres of population and containing few buildings. E Risk Special risk Includes such facilities as airports, hospitals, high-rise buildings, major chemical storage sites and prisons. A Risk B Risk C Risk The quality of fire incident reporting varies considerably, resulting in significant gaps in the data. Using the information captured in Queensland as an example, the following findings were identified. FINDINGS Out of 79 structure fires involving fatalities between 1 July 1991 - 30 June 1996, 44 (56 per cent) were entirely unreported through AIRS. This is due, in part, to industrial action during some extended periods. The importance of data collected for AIRS needs to be further highlighted to operational fire fighters. Of those cases where AIRS reports were filed, significant portions of the forms were incomplete or inconsistent over the five years. New categories of information have been added at different times causing confusion when making comparisons over a number of years. There is an apparent lack of consistency in reporting some categories of information. RECOMMENDATIONS It is recommended that: 2.27 An on-scene aide-memoir for fire fighters be developed and introduced to assist them with the completion of an incident reporting form at a later stage and that the QFRA liaise with the Queensland Police to evaluate the effectiveness of current technologies to assist with on-scene incident reporting. 2.28 A review of existing systems which assist in the movement of incident information from station to head office and back be initiated to enhance the flow of information. 2.29 The Other or Unreported categories in the AIRS form be eliminated. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 2.10 AIRS and fire incident reporting 37 3.1 Overview 3.2 Time of fatal fires There were 234 fire fatalities in 188 structural fires in New South Wales between 1 July 1991 and 30 June 1996. The number of fire death victims peaked in the 1991/92 and the 1995/1996 financial years. Time of death analysis Table 3.1 lists the number of fire fatalities that have occurred in structures between 1 July 1991 and 30 June 1996. Figure 3.1 compares the NSW fire death rate per 100,000 people to the national fire death rate over the research period. The NSW fire death rate per 100,000 people has been above the national average except in the 1994/95 financial year. It was not possible to perform a time of death analysis on 83 (35 per cent) of the cases as either a time of death was not listed for the victims or no fire service alarm time was recorded. The following analysis is based on the remaining 151 fire death victims. The time of death was recorded as being either prior to or coinciding with the Fire Brigade alarm time for 88 of the fire death victims. For the remaining 63 victims whose time of death was listed as after the Fire Brigade alarm time, the state of the fire prior to the arrival of the Fire Brigade Table 3.1 - New South Wales Fire Deaths Financial Year 1991/92 1992/93 1993/94 1994/95 1995/96 Number of victims 50 43 48 38 55 Deaths per 100,000 0.82 0.73 0.73 0.57 0.82 Figure 3.1 - New South Wales Fire Deaths (Compared to National Trend) 1.1 1 0.9 Deaths per 100,000 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 3. NEW SOUTH WALES New South Wales Australia 0.82 0.82 0.8 0.73 0.7 0.6 0.73 0.66 0.55 0.57 0.63 0.6 0.57 0.5 0.4 0.3 38 1991/92 1992/93 1993/94 Financial years 1994/95 1995/96 The recorded level of fire involvement in 39 cases is considered to be sufficient to lead to the death of people within the structure. Therefore, by taking into account these cases together with those persons who were recorded to be deceased either prior to or coinciding with the Fire Brigade alarm time, it is possible that 127 of the victims were deceased prior to or coinciding with the alarm time of the Fire Brigade. Early detection of the presence of smoke is critical to achieving a reduction in preventable fire deaths. Analysis of the research data highlighted that 147 (63 per cent) of the fire fatalities occurred in the second half of the year. In particular, the months of July, August and September recorded the largest number (40 per cent) of fire fatalities. Deliberately lit fires with the intent to cause harm either to the person lighting the fire or to others was identified as a major cause of these fatal fires. Table 3.2 - State of fire on arrival of fire service New South Wales No. of cases Where information is available on time of death, alarm time and the level of involvement of the fire, it is possible to estimate that the majority of fire fatality victims died prior to or coinciding with the Fire Service alarm time. Month of the year Table 3.2 sets out the recorded level of involvement of the fatal fires prior to the arrival of the Fire Brigade. State of the fire on arrival of the Fire Service (for cases where the time of death was recorded as after alarm time).* Percentage Accidents involving heaters were also identified as a significant cause of the fires in July, August and September in New South Wales. In particular, a number of the fires involving heaters occurred whilst the victims were asleep, with the fire being caused by either having combustibles too close to the heating unit or by having combustibles (eg. bedclothes) fall onto the heating unit. Another problem associated with heater accidents is that some of the victims were either elderly or physically incapacitated which made it difficult for them to rapidly move away from the fire source once the Well alight 23 37% Fully involved 9 14% Heavy smoke 7 11% One room only 4 6% Intense burning in room 1 2% Small fire 1 2% Fire out 1 2% Unknown 17 27% *Fire scene descriptions as given by witnesses and fire service personnel at the time of the fire. Figure 3.2 - Deaths per month (period 1991/92 to 1995/96) Number of victims 40 39 30 30 20 25 21 Jan 23 21 16 15 10 0 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT FINDINGS was analysed. For 39 of these 63 victims, the state of the fire was described by witnesses as being fully involved, well alight or very smoky prior to the arrival of the Fire Brigade. In 17 cases, it was not possible to determine the state of the fire prior to the arrival of the Fire Brigade. 10 9 Feb Mar 14 11 Apr May Jun Jul Months Aug Sep Oct Nov Dec 39 August recorded the highest number of fire deaths (17 per cent) for a single month throughout the research period. Deliberately lit fires accounted for the largest number of fires, with accidents involving heaters, discarded smoking materials, faults with electrical blankets and power overloading of electrical outlets being the other causes of August fires. A minor peak occurring in January is, in part, attributable to bushfire-related deaths. There was no significant pre-Christmas fire death peak in New South Wales during the research period. FINDING The majority of fire deaths occurred during July, August and September. Time of day Analysis was performed on the 234 fatalities in order to determine the time of day when the majority of these fatal fires occurred. In New South Wales, it was not possible to perform the analysis for 16 (7 per cent) of the cases because no alarm time was recorded. The following analysis is based on the remaining 218 cases: One hundred fire fatalities occurred between the hours of midnight and 8.00 am. Fifty-eight victims died between 6pm and midnight, with 60 fire death victims dying between the hours of 8.00 am and 6.00 pm. Figure 3.3 - Deaths Time of Day Number of victims FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 40 fire was detected. Discarded smoking materials were also identified as another cause of the July, August and September fatal fires. 110 100 100 90 80 70 60 50 40 30 20 10 0 00:00 to 08:00 60 08:00 to 18:00 Time of day 58 18:00 to 00:00 FINDING The majority of fatal fires occurred between the hours of midnight and 8.00am, a time when most people are asleep and not alert to potential or actual danger. 3.3 Demographic & socioeconomic characteristics of the victims Gender and age of the victims The gender was not recorded for 26 of the fire death victims. Of the remaining 208 victims, 125 (60 per cent) were males. The 65 years and over age bracket represented 23 per cent of fire death victims, while children aged between zero and four years represented 12 per cent of fire death victims. Table 3.3 identifies the percentage breakdown by age group for the New South Wales fire victims. FINDING Where the age of fire death victims was recorded, people aged 65 years and over and children aged zero to four years represented 23 per cent and 12 per cent of fire death victims respectively. Birthplace and ethnicity of the victims It was not possible to determine the birthplace for 89 (38 per cent) of the fire death victims in New South Wales. For the remaining 145 victims, Australia was cited as the place of birth for 107 of the fire death victims. The remaining fire death victims came from a wide range of countries and locations including New Zealand, England, Ireland, Wales, Korea, Vietnam, Malaysia, Sri Lanka, Egypt, Uganda, Fiji, Tonga, Switzerland, Germany, Sweden, France, Latvia, Mauritius, Italy, Turkey, Iceland and the Republic of Czechoslovakia. In only one case was it positively identified that the victim came from an Aboriginal or Torres Strait Islander heritage. Age groupings (Years) Total no. of victims Percentage of known total (190) Age group as a % of New South Wales population* 0-4 5-9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85+ Unknown 23 9 6 9 11 17 9 14 16 12 7 8 6 3 11 10 9 10 44 12% 5% 3% 5% 6% 9% 5% 7% 8% 6% 4% 4% 3% 2% 6% 5% 5% 5% N/A 7% 7% 7% 7% 8% 8% 8% 8% 7% 7% 5% 5% 4% 4% 3% 2% 2% 1% N/A *Source: Average of ABS Estimated Resident Population June Quarter 1991 to 1996. The percentage totals may not add up to 100% due to the rounding of individual age brackets. FINDINGS Birthplace was not recorded for 38 per cent of fire death victims. Where birthplace was recorded, 74 per cent of fire death victims were born in Australia. Occupations of the victims The occupations of the fire death victims were analysed in order to determine if there were any factors which were common to the employment characteristics of the victims. However, due to insufficient information it was not possible to determine the occupations for 54 of the fire death victims. Of the remaining 180 fire death victims, 40 were either children or students. Therefore the following analysis is based upon the remaining 140 fire death victims: Seventy-four of the fire death victims were either pensioners, retired, home duties or unemployed at the time of their death. Twenty-seven of the victims were skilled labourers and/or tradespersons and a further 11 of the victims were employed in unskilled labour. Seven of the victims were identified as professionals. Twenty-one of the victims were identified as being invalids at the time of their deaths. FINDING Where occupation was identified, a significant number of fire death victims were identified as being either pensioners, retired, involved in home duties or unemployed at their time of their deaths. At risk groups Elderly people aged 65 years and older (23 per cent) together with children aged between zero and four years (12 per cent) were identified as being the most at risk of fire death. Alcohol appears to have been a contributing factor in 32 (17 per cent) of the fire deaths of people aged over the legal drinking age. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Table 3.3 - Age of fire death victims (Male and Female) - New South Wales 41 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT CHILDREN AGED BETWEEN ZERO AND FOUR YEARS - NEW SOUTH WALES Discussion In New South Wales, 23 (12 per cent) of the fire death victims were children aged between zero and four years. The majority (70 per cent) of these victims were male. There were no victims from an Aboriginal or Torres Strait Islander background. While it was not possible to determine the cause of death for four (17 per cent) of the victims, smoke inhalation was identified as the major cause of death for the remaining 19 fire death victims who were aged between zero and four years. Smoke inhalation and burns/ incineration were listed as the cause of death for five of the victims, with one victim dying as a result of burns/incineration. The fire problem In 11 of the fatal fires, the category of fire was recorded, with nine of the fire fatalities resulting from accidental/preventable fires. For six of the fire fatalities that occurred in accidental/preventable fires, it was highly probable that the fires were a result of child fire play. There were no smoke alarms reported to be present in any of the structures where the deaths of children aged between zero and four years occurred. FINDINGS A majority of fire death victims aged zero to four years died from accidental/preventable fires. Young children are also at risk of death from child fire play. ELDERLY 65 PLUS AGE BRACKET - NEW SOUTH WALES Discussion In New South Wales, 43 (23 per cent) of the fire deaths victims were aged 65 years and older. It was not possible to identify the gender of eight of the victims. Of the remaining 35 victims, 18 of these victims were female. For seven of the 65 years and over victims, it was not possible to determine their marital status. However, for the remaining 36 victims, 28 of the victims were either widowed, single, separated or divorced. In 40 cases, the occupations of the victims were identified, with 19 of the victims being on the pension and 18 of the victims retired. One of the victims was classified as an invalid. There were no victims identified as belonging to either an Aboriginal or Torres Strait Islander background. Twenty of the fire victims were residing in one or two family homes at the time of their death. The ownership of the properties was identified in 27 of the cases, with 23 of the victims living in owner-occupied premises. Smoke inhalation (36 per cent) was the major cause of death, with 33 per cent of the victims dying as a result of the combination of smoke inhalation and incineration. The fire problem The category of fire was not available for nine of the cases. For the remaining 34 victims, 27 fire victims died in fires that were classified as being accidental/preventable. The time when the fires occurred was reported for 41 of the cases, with the hours between midnight and 8.00 am being the most (46 per cent) frequent time when these fatal fires occurred. Accidents involving heaters and fires resulting from discarded smoking materials were the major causes of fatal fires involving elderly people. There were no smoke alarms reported to be present in any of the structures where these fatal fires occurred. 42 As the majority of these fires were accidental and, therefore, preventable, targeted fire safety education programs would be beneficial in reducing fire fatalities in this age group. These education programs should not only be targeted at the elderly, but also to their caregivers and other people who come into contact with the elderly, on a regular basis (eg. family doctor, Meals-on-Wheels personnel, Blue Nurses). Ignition of clothing, and subsequent death resulting from burns or incineration is a major cause of death among this age group, which would indicate problems associated with current designs of clothing for the elderly, for example, nightgowns with bell sleeves. INVALIDS - NEW SOUTH WALES Discussion There were 21 (15 per cent) fire death victims who were classified as being invalids at the time of their deaths. There was no age available for 12 of the victims, with the ages of the remaining nine victims ranging from 28 to 87 years. It was not possible to determine the gender for one of the victims. Of the remaining 20 victims, 13 (65 per cent) were males. The marital status was available for nine victims, with none of the victims being married at the time of their deaths. A combination of smoke inhalation and burns was the major (71 per cent) cause of death for the invalid victims. Five of the victims died from burns and/or incineration, with the remaining victim dying solely from smoke inhalation. There were no smoke alarms reported to be present in any of the structures where these fires occurred. 3.4 Property type and ownership In 167 (71 per cent) of the cases, the property type where the fatal fires occurred was identified. Of those properties clearly identified in the research, 127 (76 per cent) of the properties were listed as dwellings designed to accommodate one to two families. Residential apartment complexes were also identified as a property type where 21 (13 per cent) of the fire fatalities occurred. The remaining properties identified were caravans, camp sites, public recreation facilities, medical complexes and industrial warehouses. Analysis into the ownership status of the properties revealed that, in 90 (38 per cent) cases, it was not possible to identify the ownership of the property. However, of those 144 cases where the property ownership was known, 76 of the properties were listed as being rental properties. Of those 76 rental properties identified, 44 of the properties were privately owned rental properties with the remaining 32 properties being owned by the Government. These Government rental properties can be further broken down into the following categories: 29 State Government rental properties and three Commonwealth Government rental properties. Figure 3.4 shows the breakdown of the ownership of the New South Wales properties identified in this research. Figure 3.4 - Property Status Public rentals (32) The fire problem The majority (90 per cent) of the invalid fire death victims died in accidental/preventable fires. Twelve of the invalid victims died in a single fire that occurred in a hostel. For those remaining seven victims that died in accidental/preventable fires, it appears that their escape from the fire was limited due to their decreased mobility and inability to rapidly respond to the fire situation. Private rentals (44) Unknown (90) Owner occupied (68) FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT FINDINGS 43 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 44 FINDINGS Where information was available, it was found that most fire fatalities occurred in properties designated as one to two family dwellings. Where the ownership of the properties could be ascertained, a slightly higher number of fire fatalities were found to occur in rental properties. 3.5 Major causes of fatal fires Fires resulting from bushfires, direct flame, cooking accidents, candles, gas, explosions, accelerants and air conditioning were some other identified causes of fatal fires in New South Wales during the research period. FINDINGS Thirty-two per cent of fire death victims did not have the cause of the fire determined. Twenty-nine per cent of fire death victims (where data was available) had the cause listed as discarded smoking materials and accidents involving lighters and matches. Category of fire Due to insufficient information, it was not possible to determine the category of fire for 91 (39 per cent) of the cases. In the remaining 143 cases, 98 of the fatal fires were categorised as being accidental/preventable. As these fires were accidental, it follows that a majority of the fires could have been prevented. The finding highlights the need for further emphasis on targeted fire safety education to reach those people in the community who are most at risk from fire. In 45 of the fires examined during the research period, the fires were reported to be deliberately lit with intent to harm either the person lighting the fire or others. Cause of fire In 75 (32 per cent) of the cases, it was not possible to determine the cause of the fire. Of the remaining 159 cases, 45 of the fires were deliberately lit with the intention to harm either the person lighting the fire or to others. Discarded smoking materials and accidents involving lighters and matches were the cause for 46 fires in the accidental/preventable category. Portable heaters (13 per cent) were also cited as a cause of fatal fires, as were problems associated with electrical equipment (13 per cent) either through electrical faults or through the overloading of power outlets. In two of the fatal fires involving electrical equipment, faulty electric blankets were identified as being the cause of these fires. Cause of death It was not possible to determine the cause of death for 48 (21 per cent) of the fire death victims. For a further 17 victims, their cause of death could not be attributed to the fires. Therefore, the following analysis is based on the remaining 169 fire death victims. Smoke inhalation was the single major cause of death for 81 of the fire death victims. Burns and incineration accounted for 46 of the deaths within the research period. In a number of cases, the coroner had assigned a dual cause of death for fire death victims by incorporating smoke inhalation and burns/incineration. In New South Wales, 42 of the victims died as a result of a reported combination of smoke inhalation and burns/incineration. FINDING Smoke inhalation was the sole or partial cause of death for 123 victims. For 107 of the fire death victims, it was not established whether there were any smoke alarms present or if they did operate in the structures at the time of the fire. For 125 (53 per cent) of the fire death victims, it was positively identified that there were no smoke alarms present in the structure at the time of the fire. For two (nine per cent) of the victims, it was reported that there was some fire detection equipment present in the structure, but it was unable to be classified under the AIRS system. FINDINGS Identification and recording of the presence of domestic smoke alarms has not been carried out effectively in the past. Where information was available, smoke alarms were not generally present in fatal incidents. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 3.6 Smoke alarms 45 4.1 Overview 4.2 Time of fatal fires In Victoria, there were 109 structural fires which resulted in 131 deaths between 1 July 1991 and 30 June 1996. The number of fire deaths in Victoria has decreased over the past five years. Table 4.1 shows the number of fire deaths that have occurred in structures between 1 July 1991 and 30 June 1996. Time of death analysis It was only possible to analyse the time of death relative to Fire Service alarm time for 13 (10 per cent) of the fire fatalities in Victoria as no time of death was assigned by the Coroner for the remaining 118 cases. For those 13 cases where a time of death was recorded, nine of the fire fatalities occurred either before or coinciding with the Fire Service alarm time. In the two of the four cases where the time of death was recorded as being after alarm time, the state of the fire was recorded by witnesses as being well involved Table 4.1 - Victoria Fire Deaths Financial Year 1991/92 1992/93 1993/94 1994/95 1995/96 Number of victims 30 32 28 23 18 Deaths per 100,000 0.67 0.72 0.62 0.51 0.39 Figure 4.1 - Victoria Fire Deaths (Compared to National Trend) 0.8 0.7 0.6 Deaths per 100,000 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 4. VICTORIA 0.72 0.67 0.55 0.66 0.63 0.57 0.6 0.62 0.5 0.51 0.4 0.39 0.3 0.2 0.1 0 46 Victoria Australia 1991/92 1992/93 1993/94 Financial years 1994/95 1995/96 Number of Victims 20 18 18 16 15 10 9 10 12 9 10 7 4 5 0 16 2 Jan Feb Mar Apr May at the time of arrival of the Fire Service. In the remaining two cases, the level of involvement of the fire on arrival of the Fire Service was minimal and could not be used to project the state of the victim prior to the arrival of the Fire Service. Therefore, by taking into account the recorded level of involvement of the fire together with those victims who were identified as dying either before or coinciding with alarm time, 11 of the 13 fire death victims (who had a time of death assigned) were deceased before the Fire Service was called. FINDINGS The time of death for the majority (90 per cent) of fire death victims was not recorded. Where information is available on time of death, alarm time and the level of involvement of the fire, it is possible to predict that the majority of fire fatality victims are dying prior to or coinciding with the Fire Service alarm time. Early detection of the presence of smoke is critical to achieving a reduction in preventable fire deaths. Jun Jul Months Sep Oct Nov Dec (14 per cent) and November (14 per cent) were the two single months when fatal fires most often occurred. Heaters were the most common cause of fatal fires in April, with the main source of ignition resulting from combustibles being too close to the heating equipment. Discarded smoking materials and faulty electrical equipment were some of the causes of the fatal November fires. The summer months of November, December and January recorded 34 per cent of the fire fatalities during the research period. Time of day No alarm times were available for 55 (42 per cent) of the fire death victims in Victoria. For the remaining 76 fire fatalities where an alarm time was recorded, 40 of the fire fatalities occurred between midnight and 8.00 am. A major cause (40 per cent) of these fatal fires was accidents resulting from discarded smoking materials. The period between 8.00 am and 6.00 pm was the second highest time when 21 of the fire fatalities occurred. Figure 4.3 - Deaths time of day Number of victims Month of the year The majority (62 per cent) of the fatal fires occurred in Victoria during the second half of the year (ie. July to December). The cooler months of July, August and September recorded a significant number of fire fatalities (28 per cent) with many of the fires resulting from discarded smoking materials, lighters and heating equipment. April Aug 55 50 45 40 40 35 30 25 20 15 10 5 0 00:00 to 08:00 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Figure 4.2 - Deaths per month (period 1991/92 to 1995/96) 21 15 08:00 to 18:00 Time of day 18:00 to 00:00 47 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 48 FINDINGS Alarm times were not recorded for the fires in which 42 per cent of the fatalities occurred. Where the alarm time is recorded, the majority (53 per cent) of fatalities occurred between midnight and 8.00 am. 4.3 Demographic and socioeconomic characteristics of the victims Gender and age of the victims The gender of the victims was not reported in four of the Victorian cases. However, in the remaining 127 fire fatalities, 57 per cent of the fire death victims were male. People aged 65 years and older (32 per cent) were identified as being particularly at risk of fire death in the Victorian study. Children in the zero to four years age bracket (10 per cent) were also identified as being vulnerable to dying in structural fires. This group is over-represented by three per cent when compared to the estimated percentage of the Victorian population. FINDING Where the age of fire death victims was recorded, people aged 65 years and over and children aged zero to four years represented 32 per cent and 10 per cent of fire death victims respectively. Birthplace and ethnicity of the victims In 52 of the fire fatalities, no country of birth was registered for the victims. In the remaining 79 cases, 65 victims were born in Australia. The remaining victims came from Scotland, New Zealand, Vietnam, Singapore, England, Austria, Greece, Liechtenstein and Southern Europe. Table 4.2 - Age of fire death victims (male and female) - Victoria Age groupings (Years) Total no. of victims Percentage Age group as a % of Victorian population* 0-4 5-9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85+ Unknown 12 8 0 1 8 7 3 8 7 5 9 7 5 8 7 6 5 12 13 10% 7% 0% 0.8% 7% 6% 3% 7% 6% 4% 8% 6% 4% 7% 6% 5% 4% 10% N/A 7% 7% 7% 7% 8% 8% 8% 8% 7% 6% 5% 4% 4% 4% 3% 2% 2% 1% N/A *Source: Average of ABS Estimated Resident Population June Quarter 1991 to 1996. The percentage totals may not add up to 100% due to the rounding of individual age brackets. Birthplace information was not recorded for 40 per cent of fire death victims. Where birthplace was recorded, 65 fire death victims were born in Australia. up the highest proportion of deaths within this age category. The marital status of victims was identified in 28 of the cases, with 19 of these victims being either single, separated or divorced. In 27 of the cases an occupation was listed for the victims. The majority of these victims were either retired, pensioner or involved in home duties. The birthplace was available for 27 fire fatality victims, with 19 of the victims citing Australia as their birthplace. The remaining victims were born in a variety of locations such as Scotland, Southern Europe, Austria and Liechtenstein. No ethnicity was reported for any of the victims. Occupations of the victims No occupations were listed for 45 (34 per cent) of the fire death victims. For the remaining 86 fire death victims, 21 were recorded as being children and students, 32 were listed as being either retired, pensioner or undertaking home duties, 14 were skilled labourers and seven of the victims were recorded as being employed in unskilled positions. Eight victims were employed in managerial or professional occupations, with a further four victims working in an office type situation. A cause of death was reported for 36 of the victims. Smoke inhalation was the cause of death for 20 victims in this age bracket, with 16 victims dying from burns and/or incineration. The fire problem FINDINGS Information relating to occupation was not recorded for 34 per cent of fire death victims. The majority of fire death victims were identified as being either pensioners, retired, involved in home duties or unemployed at the time of death. In 20 of the fire fatalities, the category of fire was unavailable. In the remaining 18 cases, 17 of the fatalities occurred in fires that were classified as being accidental/ preventable. The alarm time was reported in 24 of the fatal fires. The period between midnight and 8.00 am was the time when most (46 per cent) of these fire fatalities occurred. The area of fire origin was not reported in 21 of the cases. In the remaining 17 cases, the bedroom, lounge area and kitchen were the most vulnerable areas for fires. The fire cause was not reported for 15 of the fatal fires. Discarded smoking materials and accidents involving heating equipment were the most common causes of fatal fires in the remaining 23 cases. At risk groups The prominent at risk groups in Victoria are people aged 65 years and over and children aged between zero and four years. The profiles for these groups most at risk from fire deaths are listed below: Smoke detectors were either not reported or not present in any of the fatal fires involving people aged 65 years and over. ELDERLY 65 PLUS AGE BRACKET - VICTORIA FINDING Discussion In Victoria, 38 (32 per cent) of the fire death victims were aged 65 years and older (20 per cent over-representation) when compared to the estimated state resident population for that age bracket. Females (55 per cent) made FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT FINDINGS Where information was available, the majority of elderly fire deaths were due to fires that were classified as being accidental/preventable. 49 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 50 CHILDREN AGED BETWEEN ZERO AND FOUR YEARS VICTORIA Discussion In Victoria, 12 (10 per cent) of the fire victims were aged between zero and four years. In this age bracket, 83 per cent of the fire death victims were male. The birthplace was not reported for two of the fire fatality victims. However, all of the remaining victims were born in Australia. There was no ethnicity recorded for the victims. The cause of death of the victims was reported in 11 of the cases, with smoke inhalation being the major cause of death for nine of the victims aged between zero and four years. 4.4 Property type and ownership There was insufficient data to accurately classify the property type where the majority of these fire deaths occurred. However, based on the information available, five fatalities occurred in special accommodation, five in caravans and one in a hostel. In 99 of the cases, it was not possible to analyse the type of ownership of the structures where these fatal fires occurred. Based on the remaining 32 cases, 18 of the fatal fires occurred in rental properties of which six of the properties were clearly identified as being owned by the Victorian State Government. Figure 4.4 - Property Status Fire Fatalities 1991/92 to 1995/96 Owner occupied (14) Fire Problem In seven of the fires, there was no classification given as to the category of the fire. However, the remaining five fires were all classified as being accidental/preventable. An alarm time was reported in six of the fatal fires, with the hours between 8.00 am and 6.00 pm being the most frequent time (67 per cent) when fatal fires involving young children occurred. The fire cause was reported for six of the fires, with child fire play involving matches and lighters accounting for 67 per cent of the fatal fires in this age group. Accidents involving heating equipment (33 per cent) was the other reported cause of fires in this age bracket. There were no smoke detectors reported to be present in any of the fatal fires involving young children. FINDINGS Where information is available, a majority of fire death victims aged zero to four years died from accidental/preventable fires. Smoke inhalation was the major cause of death. No smoke detectors were present. Unknown (99) Rental (18) FINDING Where information was available on the ownership of structures, the majority were rental premises. 4.5 Major causes of fatal fires Records of 63 of the Victorian fire fatalities that occurred in structures contained no details of the fire category. However, in the remaining 68 cases, 63 of the fire fatalities occurred in fires that were classified as being accidental/preventable. In five of the cases, the fires were deliberately lit with the intention to cause harm to either the person who lit the fire or others. 4.6 Smoke alarms The reporting of smoke alarms was either undetermined or not reported in 115 (88 per cent) of the fatal fires that occurred in Victoria between 1 July 1991 and 30 June 1996. In 15 of the cases, it was clearly identified that no smoke detectors were present in the structure. In one of the fatal fires, a smoke alarm was reported to be in the structure at the time of the fire and it operated correctly. However, the victim was hearing impaired and did not hear the alarm. FINDING The majority of fatal fires were categorised as being accidental/ preventable. Cause of death In Victoria, there was insufficient information to determine the cause of death for 27 of the victims. For four of the victims, the cause of death could not be attributed solely to the fire. Of the remaining 100 cases, smoke inhalation was the major cause of death for 65 fire death victims, with burns and incineration accounting for the deaths of 35 victims in the Victorian study. FINDING Where information was available, smoke inhalation was the cause of death for 65 per cent of the fire death victims. FINDING The reporting of the presence of smoke alarms was either not recorded or undetermined for 88 per cent of fatal fires. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT In 47 (36 per cent) of the cases, the fire cause was either not reported or undetermined. In the remaining 84 cases, discarded smoking materials (43 per cent) was the major cause of structural fires where fatalities occurred. Fires involving heating equipment accounted for 20 per cent of the fires, particularly where combustibles were put too close to the heating unit. Electrical faults (10 per cent) and fires resulting from heat from open flames such as lighters and candles (8 per cent) were some of the other causes of fatal fires in Victoria. 51 5.1 Overview 5.2 Time of fatal fires Between 1 July 1991 and 30 June 1996, 31 fatalities occurred in 28 structural fires in Western Australia. During this period, both the number of fires and the number of fire fatalities gradually increased with a peak in the number of fire deaths in 1994/ 95, primarily due to multiple death fires. Time of death analysis Table 5.1 shows the number of fire deaths that occurred in structures between 1 July 1991 and 30 June 1996. In 16 of these remaining cases, the time of death was listed as occurring either before or coinciding with the Fire Service alarm time. The remaining Financial Year 1991/92 1992/93 1993/94 1994/95 1995/96 Number of victims 2 3 6 12 8 Deaths per 100,000 0.12 0.18 0.35 0.69 0.45 Figure 5.1 compares the Western Australian fire death rate per 100,000 people with the national average. The fire death rate in Western Australia remained below the national average over the majority of the research period. Figure 5.1 - Western Australia fire deaths (Compared to National Trend) 0.8 0.69 0.7 0.6 0.63 0.55 0.66 0.57 0.6 0.5 0.45 0.4 0.35 0.3 0.2 0.1 0 52 As seven (23 per cent) of the cases either did not have an alarm time listed or a time of death recorded by the coroner, the time of death analysis was based on the remaining 24 fatalities. Table 5.1 - Western Australia fire deaths Deaths per 100,000 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 5. WESTERN AUSTRALIA 0.18 Western Australia Australia 0.12 1991/92 1992/93 1993/94 Financial years 1994/95 1995/96 6 6 5 4 4 2 0 3 2 2 2 2 2 Nov Dec 0 Jan Feb Mar Apr May eight of these victims had their time of death listed as after alarm time. It was possible to determine the level of involvement of the fires in which four victims died. For three of the fire death victims, the structures were 100 per cent involved at the time of arrival of the Fire Service. Therefore, taking into account the recorded level of involvement of the fire and those victims who were clearly identified as dying before or coinciding with the alarm time, it is estimated that 19 (79 per cent) of the fire victims who had an alarm time listed and a time of death recorded were dead before the Fire Service was called. FINDINGS The time of death of fire victims is not always recorded. Where information is available on time of death, alarm time and the level of involvement of the fire, it is possible to estimate that the majority of fire death victims died prior to, or coinciding with, the Fire Service alarm time. 2 1 Jun Jul Months In the winter months of June, July and August, 13 (42 per cent) of the fire fatalities occurred. The number of fire fatalities peaked in July when six (19 per cent) of the fire victims died. Portable local heating units and candles were the most frequent causes of winter fires in Western Australia. Sep Oct The majority of fire deaths occurred in April, June, July and August. Time of day No alarm time was available for the fires in which three (10 per cent) fatalities occurred. In the 28 remaining cases, the times between 8.00am and 6.00pm and between midnight and 8.00am were equally the most frequent times when fatal fires occurred, with 11 fatalities occurring in each of these time periods. Discarded cigarettes, matches and lighters (45 per cent) were the most common cause of fires between 8.00am and 6.00pm, with 18 per cent of the fires resulting from portable heaters. The most frequently cited cause for fires that occurred between midnight and 8.00am was heat from open flames (36 per cent) such as candles, tapers and lighters. Figure 5.3 - Deaths time of day Early detection of the presence of smoke is critical to achieving a reduction in preventable fire deaths. Month of the year Aug FINDING Number of victims Number of victims 8 11 11 10 9 8 7 6 5 4 3 2 1 0 00:00 to 08:00 11 6 08:00 to 18:00 Time of day FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Figure 5.2 - Deaths per month (period 1991/92 to 1995/96) 18:00 to 00:00 53 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 54 FINDING Birthplace and ethnicity of the victims There was no peak period identified during the day for fire deaths in Western Australia. 5.3 Demographic and socioeconomic characteristics of the victims Gender and age of the victims In Western Australia, males accounted for 68 per cent of the fire victims. The 65 and over age bracket represented (48 per cent) of all fire death victims. Particularly at risk within this age group are people aged over 85 years with (19 per cent) dying in fires during this period. Children aged between zero and nine years (23 per cent) were also identified as being particularly vulnerable to fires. FINDING People in the 65 and over age bracket and children aged between zero and nine years represented the majority of fire death victims. Australia was the most frequently cited birthplace for 15 (48 per cent) of the fire death victims. Eight (26 per cent) of the victims were born in the United Kingdom. The remaining victims came from New Zealand (six per cent), Vietnam (six per cent), Poland, Germany and South Africa. The ethnicity was not reported in 18 of the cases. Of those cases where ethnicity was identified, six victims were Caucasian, five victims were of Aboriginal or Torres Strait Islander heritage and two victims were Vietnamese. FINDING In Western Australia, 38 per cent of the fire death victims were identified as being of Aboriginal or Torres Strait Islander heritage. Occupation In Western Australia the occupation was not listed for one (three per cent) of the fire death victims. Seven victims were either children or students at the time of death. Of the remaining 23 victims, 16 were either retired, pensioners, unemployed Table 5.2 - Age of fire death victims (male and female) - WA Age groupings (Years) 0-4 5-9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85+ Total no. of victims 4 3 0 0 2 2 1 2 1 1 0 0 0 3 1 2 3 6 Percentage Age group as a % of WA population* 13% 10% 0% 0% 7% 7% 3% 7% 3% 3% 0% 0% 0% 10% 3% 7% 10% 19% 7% 8% 8% 7% 8% 8% 8% 8% 8% 7% 5% 4% 4% 3% 3% 2% 1% 1% *Source: Average of ABS Estimated Resident Population June Quarter 1991 to 1996. The percentage totals may not add up to 100% due to the rounding of individual age brackets. where most of these fires originated. The occupant of the ignition area was reported in 86 per cent of the fires involving children aged between zero and nine years. In three cases, the occupants of the ignition area were children under the age of 16 years. In 57 per cent of cases, the source of ignition was reported. In all of these reported cases, candles, matches and lighters were the ignition factors that caused these fatal fires. FINDING The majority of fire death victims were either retired, pensioners, unemployed or did home duties. Based on the reported ignition factors and the occupancy of the ignition area, it is possible that a significant number of the fires were caused by children who were involved in child fire play. At risk groups The more vulnerable groups in Western Australia are people aged over 65 years and children aged between zero and nine years. Alcohol contributed to 29 per cent of the fire deaths for victims aged above the legal drinking age. There were no smoke detectors reported in any of these cases involving children aged between zero and nine years. The profiles for those groups most at risk from fire deaths are listed below. CHILDREN AGED BETWEEN ZERO AND NINE YEARS WESTERN AUSTRALIA Discussion In Western Australia, seven (23 per cent) of the fire fatalities were children aged between zero and nine years. In 71 per cent of cases, the victims were males. For those four cases where ethnicity was reported, three of the victims were from an Aboriginal or Torres Strait Islander background, and one victim was from a Vietnamese background. Smoke inhalation was determined to be the cause of death which accounted for five of the deaths, with burns and/or incineration being the cause of two of the deaths in this age bracket. The fire problem No classification of the category of the fire was available in Western Australia. The time between 6.00pm and midnight was the time when the majority (43 per cent) of these fires occurred. The lounge area (43 per cent) and the bedroom (29 per cent) were the areas FINDING Based on the available data, juvenile fire lighting appears to be a significant cause of fire fatalities in the age group zero to nine years old. ELDERLY 65 PLUS AGE BRACKET - WESTERN AUSTRALIA Discussion In Western Australia, 48 per cent of the fire fatalities were people aged 65 years and over. Females (53 per cent) made up the highest proportion of deaths within this age category. The majority (67 per cent) of these victims were not married, with their marital status being listed as single, divorced or widowed. In 93 per cent of the cases the occupation was reported for the victims with 79 per cent of the victims being either retired or involved in home duties. Only 21 per cent of the victims were receiving the pension. The complex type was identified in 93 per cent of the cases. A large number (79 per cent) of these victims were living in one to two family dwellings, with the accommodation type for 14 per cent of the FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT or did home duties. Skilled labour was listed as the occupation for four of the victims, with three of the victims being employed in unskilled labour. No professional occupations were identified in the Western Australia research. 55 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT victims being classified as suitable for group living. Where the ethnicity of the victims was reported 14 per cent were Indian, seven per cent were German and seven per cent were from an Aboriginal or Torres Strait Islander background. Smoke inhalation (73 per cent) was the most frequently cited cause of death for these victims, with 13 per cent dying from burns and/or incineration. The fire problem The category of the fire was not able to be determined from the Western Australian data. The alarm time was reported in 93 per cent of the fires, with 43 per cent of the fires occuring between 8.00am and 6.00pm. The hours between midnight and 8.00am also recorded 43 per cent of these fatal fires in Western Australia. In seven per cent of the cases the area of the fire origin was not reported. For the remaining cases, the lounge (43 per cent) and the bedroom (43 per cent) were the most common areas where these fires occurred. Where reported the most frequent causes of fires were heaters, candles and discarded cigarettes. Smoke detectors were not present in any of the structures where these fires originated. However, fire extinguishers were located in a boarding house fire where two elderly people lost their lives. ALCOHOL-RELATED FIRE DEATHS - WESTERN AUSTRALIA Discussion In Western Australia, seven of the fire death victims aged 18 years and over were recorded as being under the effects of alcohol. All of the victims were male. The marital status for 57 per cent of the victims was listed as either being single, widowed or divorced, with the remaining 43 per cent being married. Age does not appear to be a significant factor in alcohol-related deaths. In one case, the type of dwelling was not reported. However, where it was reported, the majority of these fire fatalities occurred in residential dwellings, such as one to two family dwellings and apartments. The country of birth for these alcohol-related fire victims was recorded as New Zealand (28.5 per cent), Scotland (28.5 per cent), Vietnam (28.5 per cent) and Australia (14.5 per cent). Most of these victims were employed in skilled labour and trades (71 per cent), with the remainder being employed in unskilled occupations. All of the victims had blood alcohol readings greater than the legal drink driving limit of 50mg/100ml. Smoke inhalation was the cause of death for all of the seven alcohol-related fire death victims in Western Australia. The fire problem No classification as to the category of fires was available for Western Australia. The alarm time was not reported in 14 per cent of these fatal fires. However, where reported, the time between midnight and 8.00am was the most frequent for fire fatalities. Lounge rooms and kitchens were the areas where a number of these fires originated. A number of causes were cited for these fires including cigarettes, candles, portable heaters, heat from hot objects and incendiary devices, such as a Molotov cocktail. No smoke detectors were reported to be present in any of the alcohol-related fatal fires. 56 5.5 Major causes of fatal fires The type of property where the fire occurred for three (10 per cent) of the fire victims was not reported. For the remaining 28 victims where the property type was reported, 26 of the fire fatalities occurred in residential dwellings, which consisted of one to two family dwellings (85 per cent), apartments (7.5 per cent) and group living accommodation (7.5 per cent). Category of fire For 16 (52 per cent) of the fire death victims, the status of the property was not reported. Of the remaining 15 fire death victims, eight of the victims died in rental properties. Two of these rental properties were owned by the Western Australia State Government. Those properties, which were not rental properties, were all classified as being privately owned, owner occupier dwellings. Figure 5.4 shows the breakdown of property status where fire victims died in Western Australia. Figure 5.4 - Property Status Fire Fatalities 1991/92 to 1995/96 Owner occupied (7) There were no classifications available regarding the categories of fires in Western Australia. FINDING There is insufficient information available on the category of fire. Cause of fire There were several causes of fatal fires in Western Australia during the period of the study including heat from open flames (candles, matches and lighters), discarded cigarettes, portable heaters and accidents involving heat from properly operating equipment. Cause of death In Western Australia, smoke inhalation (83 per cent) was the most common cause of death due to fire. Burns and/or incineration was the cause of death for 17 per cent of the victims. 5.6 Smoke alarms Unknown (16) Rentals (8) FINDING Information relating to the status of the properties where fire deaths occurred is not recorded for a majority of victims. There was no presence of smoke alarms in any of the fatal fires that occurred in Western Australia between 1 July 1991 and 30 June 1996. However, fire extinguishers were installed in one of the properties which was used for group living purposes, such as a rooming, boarding or lodging house. FINDING Smoke alarms were not recorded as present in any of the fatal fires that occurred in Western Australia during the research period. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 5.4 Property type and ownership 57 6.1 Overview 6.2 Time of fatal fires Between 1 July 1991 and 30 June 1996, there were 16 fire fatalities resulting from 15 structural fires in South Australia. Table 6.1 highlights the number of fire fatalities that occurred in South Australia during the research period. Time of death analysis In the South Australian data, a time of death was assigned for only one of the victims. This occurred because the victim was transported to hospital after being injured in the fire. As the victim subsequently died in hospital, a doctor was able to assign an exact time of death for the victim. However, as no times of death were available for the remaining victims, no time of death analysis was performed on the South Australian cases. Table 6.1 - South Australia fire deaths Financial Year 1991/92 1992/93 1993/94 1994/95 1995/96 Number of victims 0 4 5 6 1 Deaths per 100,000 0 0.27 0.34 0.41 0.07 As indicated in Figure 6.1, the fire death rate in South Australia is consistently lower than the Australian fire death rate (per 100,000 people) for the research period. Figure 6.1 - South Australia fire deaths (Compared to national trend) 0.8 0.7 0.6 Deaths per 100,000 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 6. SOUTH AUSTRALIA 0.66 0.63 0.55 0.6 0.57 0.5 0.41 0.4 0.34 0.27 0.3 0.2 South Australia Australia 0.1 0 58 0 1991/92 1992/93 1993/94 Financial years 1994/95 0.07 1995/96 Number of victims 4 4 3 2 2 1 1 0 Jan 1 Feb 0 0 Mar Apr 2 1 1 0 May FINDING 2 2 The times of death for the majority of fire death victims were not recorded. Jun Jul Months Aug Sep Oct Nov Dec 6.3 Demographic and socioeconomic characteristics of the victims Month of the year Gender and age of the victims In South Australia, 69 per cent of fire fatalities occurred in the second half of the year, with November recording the highest number (25 per cent) of fire deaths for a single month. Due to incomplete fire incident data, no significant findings can be made as to the cause of these fatal fires. In South Australia, the majority of fire death victims were male (56 per cent). Eight of the fire death victims were 25 to 39 years of age. Five of the South Australian fire fatalities were determined to be suicide-related fire deaths. The South Australian data is skewed due to the number of suicide-related fire deaths occurring during this period. Time of day FINDING The fatal fires occurred equally between the hours of midnight and 8.00am and 8.00 am and 6.00 pm. Figure 6.3 - Deaths time of day Number of victims An alarm time for the Fire Brigade was not reported for fires in which two (13 per cent) of the South Australian victims died. For the remaining 14 fatalities where a Fire Service alarm time was reported, the hours between midnight and 8.00 am and 8.00 am and 6.00 pm were equally the most frequent time when six of the fire fatalities occurred. 11 10 9 8 7 6 6 5 4 3 2 1 0 00:00 to 08:00 6 2 08:00 to 18:00 Time of day FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Figure 6.2 - Deaths per month (period 1991/92 to 1995/96) 18:00 to 00:00 59 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Table 6.2 sets out the percentage breakdown of fire fatality victims by age group in South Australia. Table 6.2 - Age of fire death victims (male and female) - SA Age groupings (Years) 0-4 5-9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85+ 1 0 1 1 0 3 3 2 0 2 1 0 1 0 0 1 0 0 Percentage Age group as a % of South Australia population* 6% 0% 6% 6% 0% 19% 19% 12% 0% 12% 6% 0% 6% 0% 0% 6% 0% 0% 7% 7% 7% 7% 8% 8% 8% 8% 7% 7% 5% 4% 4% 4% 4% 3% 2% 1% *Source: Average of ABS Estimated Resident Population June Quarter 1991 to 1996. The percentage totals may not add up to 100% due to the rounding of individual age brackets. FINDING The majority of fire death victims were male and between 25 to 39 years of age. Birthplace and ethnicity of the victims There was no country of birth identified for six (38 per cent) of the fire death victims. In the remaining 10 cases, Australia was the most frequently cited birthplace for nine of the South Australian fire death victims. Vietnam was identified as the birthplace for the remaining victim. Two of the fire victims were positively identified as coming from an Aboriginal or Torres Strait Islander background. FINDING 60 Total no. of victims Birthplace was not recorded for 38 per cent of the fire death victims. Where information was available, Australia was recorded as the birthplace for the majority of these fire death victims. Occupations of the victims Two victims were either children or students. In South Australia, nine of the victims had their occupations listed as being home duties, pensioners or unemployed. This finding suggests that a large proportion of these victims would spend a considerable amount of their time in their own homes. The occupations for the remaining five victims consisted of two victims employed in skilled labour and/or trades, two victims involved in tertiary studies, and one victim employed in the teaching profession. FINDING The majority of fire death victims had their occupations listed as being home duties, pensioners or unemployed. Alcohol-related fire deaths and suicide-related fire deaths represent the two at risk groups in the South Australian community. Listed below is a profile for each of these groups highlighting the demographic characteristics and fire problem unique to each group. ALCOHOL-RELATED FIRE DEATHS - SOUTH AUSTRALIA midnight and 8.00 am was the most frequent time recorded when four of the victims died. The area of fire origin was determined for five of the incidents involving fatalities. These fatal fires occurred in sleeping areas and lounge rooms. The cause of the fires was reported in four (57 per cent) of the cases. Discarded smoking materials (75 per cent) was the major cause of fatal fires involving alcohol. There was no information received on the presence or absence of smoke alarms in South Australia. Discussion Alcohol consumption contributed to the deaths of seven (54 per cent) of the South Australian victims aged 18 years and over. The majority (86 per cent) of these victims were male. The ages of the victims ranged between 26 and 79 years. It was not possible to determine the marital status for five of the victims. One of the remaining victims was married, with the other victim being a widower. Five of the victims were born in Australia and the other in Vietnam. The ethnicity was reported for three (43 per cent) of the victims. Two of the victims were from either an Aboriginal or Torres Strait Islander heritage and the other victim was Vietnamese. Four (57 per cent) of the victims were either pensioners, students or unemployed. One of the remaining victims was employed in skilled labour/trades with the other working in a professional occupation. All of the victims of alcoholrelated fires died from smoke inhalation. The fire problem For two (29 per cent) of the fire victims, there was no classification available as to the category of the fire. However, for the remaining five victims, all the fires were classified as being accidental/preventable. An alarm time was recorded for the fires in which six victims died. The hours between SUICIDE-RELATED FIRE DEATHS - SOUTH AUSTRALIA Discussion In South Australia, five of the fire-related deaths were recorded as self-inflicted. These deaths occurred in five separate fire incidents. The majority (60 per cent) of the victims were male. It was not possible to determine the marital status for any of these fire victims. The birthplace was not available for four of the victims. The remaining victim was Australian. Two of the victims worked in skilled labour/trades. One of the victims was unemployed and the other was receiving a pension. Smoke inhalation was the major cause of death for three of the victims. The remaining two victims committed suicide. The fire problem All the fires that occurred in this group were classified as deliberate. The majority (60 per cent) of these fire deaths occurred between 8.00 am and 6.00 pm. No information was received on the presence or absence of smoke alarms in South Australia. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT At risk groups 61 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 62 6.4 Property type and ownership No complex type or property ownership data was available for South Australia. FINDING FINDINGS The cause of the fire was undetermined for 31 per cent of fire death victims. Discarded smoking materials was the major cause of accidental fires. Information relating to the status of property ownership was not available. Cause of death 6.5 Major causes of fatal fires Category of fire In three of the cases, there was no fire category identified. For the remaining 13 cases where a fire category was given, eight of the fatalities occurred in fires that were classified as being accidental/preventable. However, five of the South Australian fires were deliberately lit with the intention to harm either themselves (through suicide) or others (arson attempts). FINDING While the categor y of fire was undetermined for three of the fire death victims, where information was available, a majority of the fatal fires were accidental/preventable. Cause of fire The fire cause was indicated for 11 of the South Australian cases. In the accidental/preventable category of fire, discarded smoking materials (i.e. smoking in bed or falling asleep while smoking) was identified as the major cause of accidental fires. Child fire play, the incorrect use of a bar heater and an accident using electrical equipment were the other known causes in the accidental/ preventable fire category. In South Australia, smoke inhalation accounted for the deaths of nine victims whose deaths could be attributed to fire. Burns and incineration was the cause of death for two of the fire death victims. These two victims were present in the area of fire origin at the time of ignition. Both had reduced mobility (due to age or disability) and this affected their ability to rapidly respond to or escape from the fire situation. FINDING Smoke inhalation was the cause of death for a majority of fire death victims. 6.6 Smoke alarms No information was available in the South Australian data to determine the presence of smoke alarms in the structures where these fatal fires occurred. FINDING There was no information available on the presence of smoke alarms in the structures where fatal fires occurred. 7.1 Overview 7.2 Time of fatal fires In Tasmania, there were 22 structural fires resulting in 23 deaths throughout the research period of 1 July 1991 to 30 June 1996. The trend has remained relatively constant over the past five years, though the number of fire deaths in Tasmania has increased slightly each financial year. Figure 7.1 illustrates the number of Tasmanian fire fatalities over the past five years. Time of death analysis It was not possible to perform a time of death analysis for 15 (65 per cent) of the fire fatalities in Tasmania as either a time of death for the victims or the alarm time was not recorded in the data. In the remaining eight cases, three of the fire death victims died prior to the Fire Service alarm time. For the cases where the time of death was recorded as being after alarm time, in three of the fires the structures were described by witnesses at the scene as being fully involved at the time of arrival of the Fire Service. In the other two cases, the state of the fire was minimal, with only one room involved at the time of arrival of the Fire Service. However, as highlighted in Table 7.1, the Tasmanian fire death rate per 100,000 people is higher than the national fire death rate for each of the financial years reported for this study. Table 7.1 - Tasmania fire deaths Financial Year 1991/92 1992/93 1993/94 1994/95 1995/96 Number of victims 3 4 5 5 6 Deaths per 100,000 0.64 0.85 1.06 1.06 1.27 Figure 7.1 - Tasmania fire deaths (compared to national trend) 1.8 1.6 Tasmania Australia Deaths per 100,000 1.4 1.27 1.2 1.06 1.0 0.8 0.6 1.06 0.85 0.64 0.55 0.57 0.63 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 7. TASMANIA 0.66 0.6 0.4 0.2 1991/92 1992/93 1993/94 Financial years 1994/95 1995/96 63 FINDINGS The time of death and the alarm time was not recorded for a majority of fire death victims. Where information is available on time of death, alarm time and the level of involvement of the fire, it is possible to predict that the majority of fire death victims died prior to or coinciding with the Fire Service alarm time. A fire service alarm time was not recorded for 17 per cent of fire death victims. Where information was recorded, the hours between midnight and 8.00am was the time period when nine of the fire death victims died. Early detection of the presence of smoke is critical in achieving a reduction in preventable fire deaths. Figure 7.3 - Deaths time of day Month of the year Number of victims In Tasmania, 39 per cent of the fire fatalities occurred during winter. These fires were mainly caused from having combustibles too close to heaters and from faulty electric blanket switches. July was the single month when most (22 per cent) of the fire fatalities occurred. FINDING 39 per cent of fire death victims died during winter. 11 10 9 9 8 7 6 5 4 3 2 1 0 00:00 to 08:00 6 4 08:00 to 18:00 Time of day 18:00 to 00:00 Figure 7.2 - Death per month (period 1991/92 to 1995/96) 8 Number of victims FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT A Fire Service alarm time was not reported for fires in which four of the victims died. In the remaining 19 fires where an alarm time was reported, nine fatalities occurred between midnight and 8.00 am. FINDINGS 6 5 4 2 0 64 Time of day Therefore, based on the above findings where the victims time of death and the Fire Service alarm time was recorded, it is estimated that six of the fire victims died prior to the Fire Service alarm time. 3 3 3 2 1 1 Feb 2 Oct Nov 0 0 Jan 2 1 Mar Apr May Jun Jul Months Aug Sep Dec Gender and age of the victims In five (22 per cent) of the Tasmanian cases, there was no gender recorded for the fire fatality victims. When analysing the remaining 18 cases, it was found that the majority (67 per cent) of Tasmanian fire death victims were male. In 18 of the fire fatalities, the age of the fire victims was known. The majority (61 per cent) of the fire victims were in the 65 years and older age bracket. FINDINGS The gender and age of fire death victims was not always recorded. Where data was available, it was established that 67 per cent of fire death victims were male and people aged 65 years and older (61 per cent). Birthplace and ethnicity of the victims The birthplace for six (26 per cent) of the victims was not stated. In the remaining 17 cases, 15 of the victims were born in Australia and the other two were from England and Korea. No victims were identified as coming from an Aboriginal or Torres Strait Islander heritage. FINDINGS Birthplace was not recorded for 26 per cent of fire death victims. Where data was available, the majority of fire death victims were born in Australia. Occupations of the victims In Tasmania, the occupations for six (26 per cent) of the fire death victims were not known, with an additional victim identified as being a child under 18 years of age. The following analysis is based on the remaining 16 victims. Eleven of the victims were either pensioners, retired or unemployed. Three victims were employed in skilled labour/trades and two victims were working in unskilled fields at the times of their deaths. Table 7.2 - Age of fire death victims (male and female) - Tasmania Age groupings (Years) 0-4 5-9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85+ Unknown Total no. of victims 1 0 0 0 2 0 0 1 1 1 0 0 1 2 1 3 4 1 5 Percentage Age group as a % of Tasmanian population* 4% 0% 0% 0% 9% 0% 0% 4% 4% 4% 0% 0% 4% 9% 4% 13% 17% 4% 22% 7% 8% 8% 8% 7% 7% 8% 8% 7% 6% 5% 4% 4% 4% 3% 2% 2% 1% N/A *Source: Average of ABS Estimated Resident Population June Quarter 1991 to 1996. The percentage totals may not add up to 100% due to the rounding of individual age brackets. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 7.3 Demographic and socioeconomic characteristics of the victims 65 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT FINDINGS The occupations of 26 per cent of fire death victims were not recorded. Where data was available, the majority of fire death victims were recorded as pensioners, retired or unemployed. fire fatalities where the time of the fire was reported, the hours between midnight and 8.00 am was the most frequent time period (40 per cent) during which fatal fires occurred. The area of the fire origin was reported in 10 cases, with five fatalities occurring in the bedroom area. Accidents involving heaters (eg. warming/drying clothes too close to the heater) were the most commonly occurring sources of these fatal fires. At risk groups Smoke detectors were not reported to be present in any of the structures where these fires involving elderly people occurred. In Tasmania, people aged 65 years and over were more vulnerable to fire death. The following profile details the characteristics and fire problem specific to this group. The profile of this group is consistent with the findings in other States. ELDERLY 65 PLUS AGE BRACKET - TASMANIA FINDING In common with other States, the elderly are more at risk of fire death, particularly with respect to fires caused by improper use of heating appliances. Discussion In Tasmania, the 65 years and over age bracket made up 61 per cent of victims who died in structural fires between 1 July 1991 and 30 June 1996. The majority (55 per cent) of these victims were male. Most of the victims (82 per cent) were either single, widowed or divorced with only two of the victims being married. In the 10 cases where the occupation of the victims was listed, eight of the victims had their occupations listed as being either pensioners or retired. Where the type of dwelling was identified in nine of the cases, seven of the fatalities occurred in one to two family dwellings with the other two fatalities occurring in apartment buildings. There were no victims identifying with an Aboriginal or Torres Strait Islander heritage. In three cases, the cause of death for the victims was unknown or listed as being unrelated to the fire (eg. suicide). In the remaining eight cases, all the victims died as a result of smoke inhalation. 7.4 Property type and ownership Property type classification was unable to be determined for five (22 per cent) of the Tasmanian fires that involved fatalities. Of the remaining 18 cases, residential properties were the most frequently cited property type where 17 of the fire fatalities occurred. In the residential property classification, the majority were one to two family dwellings (75 per cent) with the remainder being apartment buildings (25 per cent). The property ownership was able to be analysed for 18 (78 per cent) of the homes of the fire fatality victims. Eleven of the fire death victims died in fires that occurred in properties that were classified as being privately owned and occupied by the owner. Figure 7.4 - Property Status Fire Fatalities 1991/92 to 1995/96 Unknown (5) The fire problem 66 In five (45 per cent) of the fire fatalities involving elderly people, a category for the fire was not able to be determined. However, in the remaining six cases, all the fatal fires were reported to be in the accidental/preventable category. For the 10 Rentals (7) Owner occupied (11) The majority of fatal fires occurred in owner occupied residential one to two family dwellings. 7.5 Major causes of fatal fires Category of fire There was insufficient information available to determine the category of fires in which 10 fire death victims died. In the remaining 13 cases, 11 of the fires were classified as being accidental/ preventable. From the research, it was determined that two of the Tasmanian fires were lit deliberately. FINDING Where information was available, it was established that the majority of fatal fires were classified as accidental/ preventable. Cause of the fire In 10 (43 per cent) cases, the source of the ignition of the fire was undetermined or not reported. In the 13 remaining cases, six of the fatalities occurred in fires involving accidents with heaters and open fireplaces. Discarded smoking materials (i.e. smoking in bed and throwing lighted matches) were also reported to be some of the causes of the Tasmanian fatal fires. FINDING Where information was available, it was established that heaters and open fireplaces was the most frequent cause of fire. FINDING The majority of fire death victims died of smoke inhalation. 7.6 Smoke alarms In one of the Tasmanian fatal fires that occurred between 1 July 1991 and 30 June 1996, a smoke alarm was reported to be in a room other than the room of fire origin and it worked at the time of the fire. FINDING There was one smoke alarm present (and functioning) in the fatal structure fire. However, it was located in another room. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT FINDING Cause of death No cause of death was listed for five (22 per cent) of the fire victims. Smoke inhalation was the cause of death for 13 of the victims who died due to the effects of fire. 67 8.1 Overview 8.2 Time of fatal fires In the Australian Capital Territory, nine fire fatalities occurred in six structural fires between 1 July 1991 and 30 June 1996. There was a rise in the number of fire deaths in the 1994/95 financial year due to the two fires which caused the death of five people. Table 8.1 highlights the number of fire deaths over the period of the study. Time of death analysis A comparison between the Australian Capital Territory fire death rate per 100,000 people and the national fire death rate revealed that the fire death rate peaked in the 1994/95 financial year and decreased to mirror the national fire death rate in the 1995/96 financial year. For the remaining seven victims whose time of death was recorded as being after the Fire Service alarm time, the fire scene on arrival of the Fire Brigade was described by witnesses as being heavily smoked in the fires where five victims died, and well alight or fully involved for the fires in which Financial Year 1991/92 1992/93 1993/94 1994/95 1995/96 Number of victims 0 0 2 5 2 Deaths per 100,000 0 0 0.66 1.64 0.65 Figure 8.1 - ACT fire deaths (Compared to National Trend) 2 ACT Australia 1.64 1.5 1 0.66 0.5 0 68 There was a time of death listed by the coroner for all the fire fatality victims in the Australian Capital Territory. The time of death for two of the victims was listed as occurring before the alarm time of the Fire Service. Table 8.1 - ACT fire deaths Deaths per 100,000 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 8. AUSTRALIAN CAPITAL TERRITORY 0.55 0.57 0 0 1991/92 0.66 0.63 1992/93 1993/94 Financial years 0.65 0.6 1994/95 1995/96 3 3 2 2 1 1 0 1 0 Jan Feb Mar 1 0 0 Apr May the other two victims perished. Therefore, by taking into account the level of involvement of the fire at the time of arrival of the Fire Service for those victims who were presumed to have died after the alarm time together with those victims clearly identified as dying prior to alarm, it is possible that all of the fire death victims were dead before or at the time the Fire Service was called. FINDINGS A time of death was assigned by the coroner for all fire death victims. On the basis of information on the time of death, the alarm time and the level of involvement of the fire, it is possible that all the fire death victims died either prior to or at the time the Fire Brigade was called. Month of the year In the Australian Capital Territory, five of the fire fatalities occurred in winter. No single cause was identified for the fatal fires during this period. Malfunctioning heating equipment, discarded smoking materials and a deliberately lit fire were the identified causes for these winter fires. FINDING 0 1 0 0 Jun Jul Months Aug Sep Oct Nov Dec Time of day The majority (44 per cent) of fatal fires occurred between midnight and 8.00 am, with the time between 8.00 am and 6.00 pm being the next (33 per cent) most frequently recorded time for fatal structure fires. FINDING A majority of fire deaths occurred between the hours of midnight and 8.00am. Figure 8.3 - Deaths time of day Number of victims Number of victims 4 5.5 5 4.5 4 4 3.5 3 2.5 2 1.5 1 0.5 0 00:00 to 08:00 3 2 08:00 to 18:00 Time of day 18:00 to 00:00 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Figure 8.2 - Death per month (period 1991/92 to 1995/96) A majority of fire deaths occurred in the winter months of July and August. 69 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 70 8.3 Demographic and socioeconomic characteristics of the victims Gender and age of the victims The majority (67 per cent) of the fire death victims in the Australian Capital Territory were male. Children aged between zero and nine years represented 44 per cent of the fire death victims, an over-representation of 30 per cent when compared to the estimated resident population for that age bracket. Victims aged between 35 and 49 years also made up 44 per cent of the fire fatalities during the research period. Table 8.2 sets out the percentage breakdown for the age groupings for fire death victims in the Australian Capital Territory. FINDING A majority of fire death victims were male and aged between either zero and nine years or 35 and 49 years. Birthplace and ethnicity of the victims Australia was the most frequently cited birthplace for five (56 per cent) of the fire death victims, with the remaining victims being born in Spain, Mauritius, India and the United Kingdom. In seven (78 per cent) of the cases, the ethnicity of the victims was not reported. The remaining two victims were from Spanish and Indian origins. FINDING Where information was available, it was established that Australia was the most common birthplace. Occupations of the victims In the Australian Capital Territory, 44 per cent of the fire death victims were children and/or students. The occupations were listed for four of the five remaining victims who were not listed as being children and/or students. Two of the victims were employed in skilled labour/trades with one victim being unemployed. Home duties was listed as the occupation for the remaining fire death victim. No professional occupations were identified in the Australian Capital Territory research. Table 8.2 - Age of fire death victims (male and female) - ACT Age groupings (Years) 0-4 5-9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85+ Total no. of victims 3 1 0 0 1 0 0 1 2 1 0 0 0 0 0 0 0 0 Percentage Age group as a % of ACT population* 33% 11% 0% 0% 11% 0% 0% 11% 22% 11% 0% 0% 0% 0% 0% 0% 0% 0% 7% 7% 7% 8% 10% 9% 9% 8% 8% 7% 5% 4% 3% 2% 2% 1% 0.7% 0.5% *Source: Average of ABS Estimated Resident Population June Quarter 1991 to 1996. The percentage totals may not add up to 100% due to the rounding of individual age brackets. A significant number of fire death victims occupations were recorded as children or students. At risk groups In the Australian Capital Territory, children aged between zero and nine years were more vulnerable to the risk of fire death. The following profile details the characteristics and fire problem specific to this group. CHILDREN AGED BETWEEN ZERO AND NINE YEARS AUSTRALIAN CAPITAL TERRITORY Discussion In the Australian Capital Territory, four of the fire fatality victims were children aged between zero and nine years. All of these victims were male. Australia was reported to be the birthplace of all three of the victims in this age category. Smoke inhalation was the cause of death for all (100 per cent) of the children aged between zero and nine years. The fire problem All the fires were categorised as accidental/ preventable. Malfunctioning heating equipment (75 per cent) and a discarded cigarette (25 per cent) were the causes of these fires. Three of the fatalities occurred between midnight and 8.00 am. In all the cases, the victims were asleep at the time of the ignition of the fire. No smoke detectors were present in any of the structures where these fires occurred. 8.4 Property type and ownership Fatal fires occurred primarily in residential dwellings (89 per cent) with one fire occurring in an office complex. One to two family dwellings (78 per cent) was the most common type of structure where these residential fatal fires occurred. In 78 per cent of the fires that occurred in the Australian Capital Territory, it was not possible to determine the property ownership status. However, the remaining two cases were rental properties, with one property being owned by the State Government and the other a private rental. FINDINGS The majority of fatal fires occurred in one to two family dwellings. It was not possible to establish the ownership status of 78 per cent of the dwellings involved in fatal fires. 8.5 Major causes of fatal fires Category of fire Between 1 July 1991 and 30 June 1996, the fires that caused five (56 per cent) of the fatalities in the Australian Capital Territory were classified as being accidental/preventable. The remaining four (44 per cent) victims died in fires that were categorised as being deliberately lit with the intention to cause harm. FINDING The majority of fatal fires were categorised as accidental/preventable. Cause of fire FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT FINDING For those five fires that were categorised as accidental/preventable, malfunctioning heating equipment (75 per cent) and discarded smoking materials (25 per cent) were the causes of the fires. 71 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 72 FINDING The most common cause of fatal fires was malfunctioning heating equipment. Cause of death For those five victims whose cause of death was accidental/preventable, smoke inhalation was the prime cause of death. FINDING Smoke inhalation was the most common cause of death in accidental/ preventable fires. 8.6 Smoke alarms For four (44 per cent) of the fire death victims, it was not determined if smoke alarms were present at the time of the fire. However, in the remaining five cases, it was positively identified that no smoke alarms were in the structure when the fire occurred. FINDING Where information was available, it was established that no smoke alarms were present in the structures. 9.1 Overview 9.2 Time of fatal fires In the Northern Territory, between 1 July 1991 and 30 June 1996, five fatalities were recorded resulting from four fires. No significant trend can be established due to the small number of fire fatalities over the period of the research. Table 9.1 highlights the number of fire fatalities that have occurred in structures in the Northern Territory between 1 July 1991 and 30 June 1996. Time of death analysis FINDING The fire death rate in the Northern Territor y peaked in the 1992/93 financial year. In the Northern Territory, no time of death was listed on the coroners records, making it impossible to determine if the victims died before or after the Fire Service alarm time. However, the level of involvement of the structures at the time of the arrival of the Fire Service exceeded 60 per cent in all of the fires. FINDING There was no record of a time of death for any of the fire death victims. Table 9.1 - Northern Territory fire deaths Financial Year 1991/92 1992/93 1993/94 1994/95 1995/96 Number of victims 0 4 1 0 0 Deaths per 100,000 0 2.36 0.85 0 0 Figure 9.1 compares the Northern Territory fire death rate per 100,000 people with the national fire death rate over the past five years. As highlighted in the figure, a peak occurred in the fire death rate in the 1992/93 financial year. Figure 9.1 - Northern Territory fire deaths (compared to national trend) Deaths per 100,000 3 2.5 2.36 Northern Territory Australia 2 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 9. NORTHERN TERRITORY 1.5 0.85 1 0.5 0 0.55 0.66 0.57 0.6 0.63 0 0 1991/92 1992/93 1993/94 Financial years 1994/95 0 1995/96 73 2 Number of victims FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Figure 9.2 - Deaths per month (period 1991/92 to 1995/96) 2 2 1.5 1 1 0.5 0 0 0 Jan Feb 0 Mar 0 Apr May 0 Jun Jul Months Aug 0 0 0 0 Sep Oct Nov Dec Month of the year Time of day An insufficient number of fire fatalities occurred in the Northern Territory to establish trends for the months of occurrence. An accident involving a cigarette lighter was determined as the cause of the fire in May, and water caused an electrical short circuit in the August fire. Most of the fire fatalities in the Northern Territory occurred throughout the day and not specifically during the night and early morning periods which are the times of most risk in other States. Table 9.2 - Age of fire death victims (male and female) - Northern Territory Age groupings (Years) 0-4 5-9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85+ Total no. of victims 1 0 0 0 2 0 0 1 0 1 0 0 0 0 0 0 0 0 Percentage Age group as a % of Northern Territory population* 20% 0% 0% 0% 40% 0% 0% 20% 0% 20% 0% 0% 0% 0% 0% 0% 0% 0% 10% 9% 8% 8% 9% 9% 9% 8% 8% 8% 6% 4% 3% 3% 1% 0.5% 0.2% 0.1% *Source: Average of ABS Estimated Resident Population June Quarter 1991 to 1996. The percentage totals may not add up to 100% due to the rounding of individual age brackets. 74 All of these victims had blood alcohol levels over 200mg/100ml, which is far higher than the legal driving limit of 50mg/100ml. Smoke inhalation was the sole cause of death for all of these victims. Gender and age of the victims In the Northern Territory, four of the victims were male, with the majority (80 per cent) being aged between 20 and 49 years. Table 9.2 shows the percentage breakdown of fire victims in the Northern Territory. The fire problem All of the fires were categorised as accidental/ preventable. The lounge room and kitchen were the two areas where these fires occurred. Unattended food items on a stove and a discarded cigarette were the causes of these fatal fires. All these fires occurred in privately owned rental properties. FINDING The majority of fire death victims were male and aged between 20 and 49 years. There were no smoke detectors reported in any of the premises. Birthplace and ethnicity of the victims All of the victims were born in Australia, with three of the victims having an Aboriginal or Torres Strait Islander heritage. Occupations of the victims Insufficient information was available to categorise the occupations or labour force status of the victims. At risk groups Alcohol was a common factor in three of the fire fatalities in the Northern Territory. The following profile describes the nature of the fire problem associated with alcohol-related fire deaths. ALCOHOL-RELATED FIRE DEATHS - NORTHERN TERRITORY Discussion In the Northern Territory, three of the fire deaths were alcohol-related. The victims were aged between 20 and 50 years, with two of the victims being male. The two victims who died in the one fire were married, with the marital status of the other 9.4 Property type and ownership All the fatal fires that occurred in the Northern Territory in the research period occurred in residential properties. Three of the fire fatalities occurred in one to two family dwelling complexes, with the other two fatalities occurring in an apartment building. The properties were all identified as being privately owned rental properties. FINDING Most of the fatal fires occurred in one to two family dwellings. All the fires occurred in privately owned rental properties. 9.5 Major causes of fatal fires FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT victim unknown. Two of the victims were identified as being from an Aboriginal or Torres Strait Islander back ground. No occupations were available for these victims. 9.3 Demographic and socioeconomic characteristics of the victims Category of fire All the fatal fires that occurred in the Northern Territory were classified as being accidental/ preventable. 75 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 76 Cause of fire Discarded smoking materials, unattended food items in the kitchen and child fire play were the causes of these fatal fires. Cause of death Smoke inhalation was the most common cause of death for four of the fire victims, with only one victim dying from burns and incineration. 9.6 Smoke alarms It was positively identified that smoke alarms were not present in the structures where four of the fire fatalities occurred in the Northern Territory. FINDING Where information was available, it was determined there were no smoke alarms present in the structures at the time of the fatal fires. 10.1 Overview In Australia, 550 fire fatalities occurred in 451 structure fires between 1 July 1991 and 30 June 1996. In order to determine if there were any fire trends evident throughout the research period, the number of fire-related fatalities within States and Territories of Australia were analysed, both individually and cumulatively. The Fire Fatalities: Whos at Risk? project has concentrated on analysing fire fatalities that have occurred in the past. The use of historical data has made the data analysis component of the project difficult due to inconsistencies between data sources and incomplete data. By using historical data, it has only been possible to gain a static account of the cases from the secondary data sources available. Although the insight gained from studying fire fatality data will benefit both Fire Services and the community at large, further insight would be gained from additional research with those people who have successfully escaped from structural fires. Through analysing current fire incident data and interviewing fire survivors, the knowledge gained from this additional research would enable Fire Services to not only better target, but enhance, fire education programs which offer the community more effective working solutions to fire situations. As shown in Table 10.1 and in Figure 10.1, the national rate of fire fatalities per 100,000 people has stayed relatively constant over the study period with an average of 0.6 deaths / 100,000. The more populous states of Queensland, New South Wales and Victoria have a combined average of 0.65 deaths/100,000. 10.2 Time of fatal fires One of the primary areas of interest was the fire fatality time-related data. The three categories of data that were of most significance for each fire death were the time of death relative to the alarm time of the Fire Service, the month of the year, and the time of day when the fire death occurred. Results from analysing this data will be of importance to Fire Services service delivery strategies. Time of death analysis As discussed earlier in Section 1.5.1, there are limitations associated with methodologies used to assign a time of death. There is no method of establishing an exact time of death due to fire. Therefore, unless a reliable witness account is available or the victim died after the fire, time of death can only be approximated. In addition, there were discrepancies associated with the data Table 10.1 - National fire deaths Financial year 1991/92 1992/93 1993/94 1994/95 Queensland 0.43 0.32 0.69 1.00 0.68 New South Wales 0.82 0.73 0.73 0.57 0.82 Victoria 0.67 0.72 0.62 0.51 0.39 Western Australia 0.12 0.18 0.35 0.69 0.45 0 0.27 0.34 0.41 0.07 0.64 0.85 1.06 1.06 1.27 ACT 0 0 0.66 1.64 0.65 Northern Territory 0 2.36 0.85 0 0 0.55 0.57 0.63 0.66 0.6 South Australia Tasmania AUSTRALIA 1995/96 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 10. AUSTRALIA 77 2.4 2.2 2 1.8 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0 Australia 0.66 0.57 0.55 1992/93 1991/92 1993/94 Financial years collected due to inconsistencies and incomplete records. Of the 550 fire deaths recorded across Australia for the research period (1 July 1991 - 30 June 1996), time of death analysis [described in Section 1.4.1(iii)] was performed for 251 (46 per cent) of the fire death victims. As illustrated in Table 10.2, 136 (54 per cent) of the 251 fire death victims whose records had a time of death established, were recorded as being dead either prior to or coinciding with the Fire Service alarm time. Table 10.2 - Time of death of victims relative to alarm time - Australia Recorded time of death 1994/95 1995/96 Table 10.3 shows it was not possible to determine the level of fire involvement of the structural fires for 27 (23 per cent) of the remaining 115 victims who had their time of death listed as being after the Fire Service alarm time. However, for the remaining 88 victims, the structure was reported to be either well alight, fully involved, heavily smoked or at least 60 per cent involved at the time of arrival of the Fire Service for 76 of these fire death victims. When this data is examined together with the number of victims who were deceased prior to or coinciding with the Fire Service alarm time, it is possible that 212 of the victims were deceased prior to or coinciding with the Fire Service alarm time (see Figure 10.2). Total no. of fires Before or coinciding with alarm time After alarm time Unknown TOTAL 136 115 299 550 Figure 10.2 - Victims time of death Results of analysis relative to alarm time Table 10.3 - State of fire on arrival of fire services - Australia State of the fire on arrival of the Fire Service (for cases where the time of death was recorded as after alarm time).* Fully involved Well alight Fire involved 60% or more Heavy smoke Small fire Unknown 0.6 0.63 No. of cases 28 31 5 12 12 27 300 Number of victims Deaths per 100,000 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 78 Figure 10.1 - Fire deaths (national trend) 299 299 Post-analysis Recorded 250 212 200 150 136 115 100 39 50 0 Before After Time of death Unknown Month of year The time of death of fire victims is not consistently recorded. The time of death of fire victims, as recorded by the Coroners Office, is often not the actual time of death. Where information is available on time of death, alarm time and the level of involvement of the fire, it is possible to predict that as many as 84 per cent of fire fatality victims were dead prior to or coinciding with the Fire Service alarm time. Analysis was performed on the Australian data in order to determine the months of the year when the fire fatalities most often occurred. The majority (62 per cent) of the fire fatalities occurred in the second half of the year, as illustrated in Figure 10.3. The winter months of June, July and August were the most frequent period (33 per cent) when the fire fatalities occurred. When analysing the data on a State by State basis, most of the fatal fires occurred during winter. However, this was not the case in South Australia as, even though the majority (69 per cent) of the South Australian fire fatalities occurred in the second half of the year, the winter months did not record a high number of fire fatalities. Victoria and South Australia experienced a pre-Christmas peak in fire fatalities, with Queensland fire fatalities peaking in the month of December. In the Northern Territory and the Australian Capital Territory, it was not possible to establish trends due to the small number of fire fatalities that occurred during the research period. Early detection of the presence of smoke is critical to achieving a reduction in preventable fire deaths. RECOMMENDATIONS It is recommended that: 10.1 Fire Services review current service delivery strategies with a view to developing more effective and appropriate service delivery strategies with due emphasis on fire prevention. Accidents involving heaters were one of the major causes of winter fires. A large number of the accidents involving heaters occurred by having combustibles too close to the heating unit. Many of these accidents occurred when either clothes were put too close to the heater or bedclothes fell onto the heater throughout the night. Discarded smoking materials was also a major cause of the winter fires in Australia. August recorded the highest number of fire fatalities (13 per cent) for a single month throughout the period of the research. 10.2 Fire Services implement a system for the collection of relevant time of death data for each fire fatality victim. 10.3 Fire Services investigate elements of other successful community awareness and education programs, such as those developed by the Department of Transport and other Commonwealth and State Government Departments. Figure 10.3 - National deaths per month (period 1991/92 to 1995/96) Number of victims 80 68 74 60 40 55 43 42 25 20 0 Jan Feb 42 37 55 53 Nov Dec FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT FINDINGS 35 21 Mar Apr May Jun Jul Months Aug Sep Oct 79 Most of the fire fatalities occurred during the second half of the year with August recording the highest number of fire deaths. Accidents involving heaters and discarded smoking materials were a major cause of winter fires. of gaseous carbon monoxide which would have affected their mental and physical behaviour. In Australia, where the cause of death was known and could be attributed to the fire, more than half of the victims died as a result of smoke inhalation (See Section 10.5). Figure 10.4 - Deaths time of day RECOMMENDATIONS 250 210 It is recommended that: Number of victims FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 80 FINDINGS 10.4 Fire Services review, where appropriate, community-based fire safety campaigns to ensure that they are appropriately timed, resourced and relate to the most common cause of fires. 10.5 Fire Services research causes of death and ignition in peak fire fatality periods in comparison to the rest of the year (and investigate any potential overreporting of electrical faults). Time of day Due to insufficient information, it was not possible to determine the time of day when 124 fire fatalities occurred. In Australia, the period between midnight and 8.00 am recorded the highest number of fatalities (210 fatalities). This finding was fairly constant across all the Australian States. However, in Western Australia, it was found that the time between 8.00 am and 6.00 pm (39 per cent) and between midnight and 8.00 am (39 per cent) were equally the most frequent times when fire fatalities occurred. In the Northern Territory, 60 per cent of the fire fatalities occurred between 8.00 am and 6.00 pm. The period between midnight and 8.00 am is the time of day when people are less likely to observe the initial stages of a fire as they are usually asleep. As it was highly likely that most of the victims were asleep at the time of ignition and in the early stages of the fire when smoke was produced, the victims would have been exposed to a high concentration 200 150 123 93 100 50 0 00:00 to 08:00 08:00 to 18:00 Time of day 18:00 to 00:00 Exposure to high concentrations of carbon monoxide can cause some people to become confused and disoriented which would make it difficult for them to escape from the fire, whereas other people may never have awoken from their sleep. (Carbon monoxide produces a variety of physiological effects in victims such as confusion, collapse and unconsciousness. These effects are dependent upon the concentration of carbon monoxide to which the victims have been exposed (Hirschler; 1993:113). For further information, refer to Appendix 3. Therefore, it is essential that fire prevention campaigns continue to reinforce the need for residential smoke alarms, particularly to alert people of a fire when they are sleeping so that they can safely evacuate the property. FINDING The majority of fire fatalities occurred in the time period between midnight and 8.00am. Many victims were likely to have been affected by toxic levels of carbon monoxide which would reduce their ability to escape the fire. It is recommended that: 10.6 Fire Services continue to emphasise in their respective community-based fire safety programs: - the need for smoke alarms in residential dwellings the speed with which structure fires can develop the need for well-rehearsed evacuation plans the need for parents to evacuate all children at the same time. 10.3 Demographic and socioeconomic characteristics of the victims Major demographic details of fire fatality victims were analysed in order to identify possible groups in the community which were most at risk from fire deaths. Fire incident data that related specifically to the circumstances surrounding the deaths of these identified at risk victims was also analysed. This information will enable Fire Services to develop promotional and educational programs specifically targeted to these groups highlighting appropriate and relevant fire safety practices. Gender and age of the victims Due to incomplete records, it was not possible to determine the gender of the victims in 36 (nine per cent) of the Australian cases. However, analysis of the remaining 514 cases revealed that 318 of the victims were male. This finding was constant across all the Australian States. The highest risk groups were elderly people aged 65 years and over (27 per cent) and children aged between zero and four years (13 per cent). However, it is important to note that, although elderly people and children are the most at risk from fire deaths in the Australian community, a number of fire deaths occur in groups of people who fall outside these two target groups. The problem with some fire education programs is that a large percentage of the population are not Table 10.4 - Age of fire death victims (male and female) - Australia Age groupings (Years) Total no. of victims Percentage Age group as a % of Australian population* 0-4 5-9 10 - 14 15 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 - 79 80 - 84 85+ Unknown 61 25 14 18 33 35 18 34 38 27 22 16 13 20 25 30 24 35 62 13% 5% 3% 4% 7% 7% 4% 7% 8% 6% 5% 3% 3% 4% 5% 6% 5% 7% N/A 7% 7% 7% 7% 8% 8% 8% 8% 7% 7% 5% 4% 4% 4% 3% 2% 1% 1% N/A *Source: Average of ABS Estimated Resident Population June Quarter 1991 to 1996. The percentage totals may not add up to 100% due to the rounding of individual age brackets. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT RECOMMENDATION 81 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 82 covered in the target groups for fire education. Primary school children and elderly people regularly receive fire safety instruction, but little effort is targeted towards other members of the community who do not fall into these two groups. Strategies should also be developed to ensure that teenagers and adults are educated on firerelated issues such as the speed and development of a fire, how carbon monoxide affects behaviour and practical fire safety behaviours (Haugstad;1990:45). The very old and the very young are dependent on others for their safety and escape. FINDING Based on available data, the majority of fire death victims were male and high risk groups were either people aged 65 years and over (27 per cent) or children aged between zero and four years (13 per cent). RECOMMENDATIONS It is recommended that: 10.7 Where appropriate, Fire Ser vices consider people in the 65+ age group for a subsidised smoke alarm installation. 10.8 The Australasian Fire Authorities Council, in conjunction with State Fire Services, liaise with State and Federal Government agencies to seek agreement to include fire safety brochures in selected correspondence to pensioners, retirees, unemployed people and people involved in home duties. Birthplace and ethnicity of the victims Data on birthplace and ethnicity of fire death victims was analysed in order to determine if a relationship existed between fire deaths and the ethnic background of the victims. It was not possible to determine the birthplace of 175 (32 per cent) of the victims. For the remaining 375 cases, the majority of these victims (76 per cent) were born in Australia. The United Kingdom was the next most frequently cited birthplace for 31 of the victims, with a further eight victims being born in New Zealand. A number of countries and locations were identified as the birthplace for other fire victims including Korea, Vietnam, Malaysia, Singapore, Sri Lanka, Thailand, Fiji, Tonga, Iceland, Austria, Switzerland, Sweden, Germany, France, Latvia, Liechtenstein, Poland, Mauritus, Italy, Greece, Turkey, Egypt, Uganda, North East Asia, South Africa, Middle East/North Africa and the Republic of Czechoslovia. Post mortems and coronial records did not accurately classify the ethnicity of the fire victims. Australian Bureau of Statistics (ABS) unit record data was also analysed in order to determine if any of the fire death victims had an Aboriginal or Torres Strait Islander (ATSI) background. In Australia, 14 victims were positively identified as being of an Aboriginal or Torres Strait Islander heritage. However, this result should be viewed with caution as several flaws exist in the reporting of ATSI ethnicity in unit record death data. Firstly, the reporting of ATSI data was introduced gradually over a period of time throughout Australian States, commencing in New South Wales in 1980 with Queensland data collection commencing in 1996. This made it difficult to uniformly analyse the data from a national perspective. Secondly, problems existed with the accuracy of the ATSI death data being collected in some States. As there is no legislative requirement for the ABS to collect information on the ethnicity of the victims, discrepancies existed in the data. Therefore, comprehensive data on the ethnicity of fire death victims does not exist nationally and, to avoid possibly misleading conclusions, the available data was not used in this report. FINDINGS The birthplace of fire death victims was only recorded for 375 (68 per cent) victims. Where information was available, it was confirmed that the majority of fire death victims (76 per cent) were born in Australia. RECOMMENDATION It is recommended that: 10.9 Fire Services institute a system to accurately record the ethnicity of fire death victims. At risk groups The occupations of the victims were analysed in order to ascertain if a relationship existed between the occupations of the fire death victims and the risk of fire death. Elderly people aged 65 years and over (27 per cent) and children aged between zero and four years (13 per cent) were identified as being the most at risk groups from fire deaths in Australia. Alcohol was a contributing factor to the deaths of 94 (21 per cent) people aged over the legal drinking age of 18 years, and the victims are considered an at risk group worthy of note in this research paper. There were 103 children and students identified in the Australian research. For the remaining 447 fire death victims who were not identified as children and students, it was not possible to determine the occupations for 136 of the fire death victims. The following analysis is based upon the remaining 311 victims. In Australia, 179 of the victims were not in the workforce, with their occupations being listed as either pensioner, retired, home duties or unemployed. This finding was replicated across all the individual Australian States. As a large number of the fire death victims were not employed at the time of their deaths and probably spent a large percentage of their time in the home, it is essential that Fire Services employ public education strategies that not only target home fire hazards, but are also directed specifically to these at risk groups in their own home. This could be achieved by including fire safety brochures in correspondence (eg. pension notices, electricity bills) that is already being sent to these at risk groups. There were 63 victims employed in skilled labour/ trades, with 30 victims being employed in unskilled positions at the time of their deaths. It was identified that 21 of the Australian fire death victims were invalids. There were 16 victims engaged in professional occupations. Two of the fire death victims were identified as being mature aged students at the time of their deaths. FINDING Where information was available, a high percentage of victims (58 per cent) were not in the work force, with their occupations listed as either pensioner, retired, home duties or unemployed. Following are profiles for each of these groups highlighting the characteristics and fire problem unique to each group. ELDERLY 65 PLUS AGE BRACKET - AUSTRALIA Discussion In Australia, 134 (27 per cent) of the fire death victims were aged 65 years and older. It was not possible to determine the gender of nine of the fire death victims. Of the remaining 125 victims, 65 of the victims were male. In 25 cases, it was not possible to determine the marital status of the victims. However, for the remaining 109 victims, 76 were either single, widowed, separated or divorced. One hundred and three victims performed either home duties, or were pensioners or retired. Four of the fire death victims were identified as belonging to an Aboriginal or Torres Strait Islander background. It was identified that 48 of the fire death victims were residing in one to two family residences at the time of their deaths. It was not possible to determine the property ownership in 63 cases. However, of the 71 remaining cases, it was identified that 41 victims were residing in owner-occupied premises. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT Occupations of the victims Smoke inhalation (56 per cent) was the major cause of fire death for victims in this age bracket, with a further nine per cent of the victims dying from a combination of smoke inhalation and burns/incineration. In 43 (35 per cent) cases, the victims died due to burns and/or incineration. 83 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 84 The fire problem It was not possible to determine the fire category responsible for the deaths of 60 elderly victims. Of the remaining 74 cases, 68 of the fatalities occurred in accidental/ preventable fires. The time of the fires was reported in 93 cases, with the hours between midnight and 8.00 am being the most frequent time (45 per cent) when these fatalities occurred. Bedrooms and lounge rooms were the areas where a number of these fires originated. A variety of causes were determined for these fires, with discarded smoking materials (eg. falling asleep whilst smoking) and accidents involving heaters (eg. combustibles too close to the heater) being the most common causes of fatal fires involving elderly people. Smoke alarms were either not reported or not present in any of the fatal fires that involved people aged 65 years and over. Fire education should not only be targeted to those people that are currently members of the 65 years and older age bracket, but should also be directed at middle-aged people. Through re-education, middle-aged people can learn new lifestyle practices that can benefit them now and in their older years (Hutton, 1996:8). In order for fire education to be effective, fire safety education should be designed to reach older people in their own environments such as nursing homes, boarding houses and their own homes. Training must also be given to those people who are responsible for the safety of these older people, such as staff in nursing homes and family members for those elderly people who live independently in their own homes (Walker, Beck, Walker, Shemanski, 1992:134). RECOMMENDATIONS It is recommended that: 10.10 Fire Ser vices research other mechanisms for ensuring effective communication with the elderly, including doctors, Meals on Wheels, church groups, messages on or inclusions with electricity/telephone/ rates bills. 10.11 Fire Services develop communitybased education programs to target aged people emphasising fire safety issues in kitchen environments and the dangers of garments igniting from exposed heat sources. CHILDREN AGED BETWEEN ZERO AND FOUR YEARS AUSTRALIA Discussion Children in this age category represented 13 per cent (61) of the fire death victims analysed for the research period. The majority (79 per cent) of these victims were male. Four of the victims were identified as being from an Aboriginal or Torres Strait Islander background. It was not possible to determine the cause of death for five of the victims. Of the remaining 56 victims, smoke inhalation was identified as being the major cause of death for 36 victims, with a further five dying from a combination of smoke inhalation and burns/ incineration. Fifteen of the victims died from burns/incineration. Fourteen of these victims were male. The fire problem For 44 of the cases, it was possible to determine the time of day when the fires occurred. Most of the fire fatalities involving children aged between zero and four years occurred between the hours of 8.00 am and 6.00 pm. The hours between midnight and 8.00 am recorded the second highest number of child fatalities throughout the research period. It was not possible to determine the fire category for 29 of the fire fatalities. In the remaining 32 cases, 30 occurred in accidental/preventable fires. In 11 of the cases, it was positively identified that the fires were caused as a result of child fire play. The issue of child fire play has been addressed in European countries such as Switzerland and the Netherlands, where the fire brigades counteract the child fire play problem by However, after analysing a number of cases it was also identified that a number of the fatalities may have occurred due to difficulties with evacuating the family from the fire. The research has indicated that the parents of these victims were not aware of the speed and development of the fire. In an attempt to escape the fire, parents often evacuate some family members with the belief that they will be able to go back into the dwelling to evacuate other children. However, it is often the case that a re-entry and subsequent escape from the building is not possible. Parents invariably are of the belief that sufficient time will be available to undertake an evacuation of the family in a number of stages. Evidence from an examination of fire fatality records, together with anecdotal evidence from operational fire officers, suggests that only in extremely rare cases will parents be able to effect a multi-stage evacuation. In two of the fire death victims cases, there were smoke alarms present in the area of fire origin, but they failed to operate due to an inappropriate type of alarm being installed. For the remaining 59 cases, there were no smoke alarms reported to be present in any of the structures where these fatal fires occurred. FINDINGS Smoke inhalation was the major cause of death for children in the zero to four years age bracket. Of those children that died as a result of burns/incineration, most of the victims were male. The majority of fire death victims in the zero to four years age bracket died between the hours of 8.00am and 6.00pm. Where data was available, the majority of fires were categorised as accidental/preventable. 97 per cent of child fire death victims had no smoke alarms present in the structures at the time of the fatal fire. RECOMMENDATIONS It is recommended that: 10.12 Fire Services review current fire safety campaigns to ensure that they illustrate the speed and development of a fire and the need for parents to evacuate all children at the same time, as well as the need for well rehearsed evacuation plans. 10.13 A publicity campaign be conducted in conjunction with P & C associations and other parent groups to encourage parents to prepare and rehearse fire safety evacuation plans for the home and adjoining buildings. 10.14 Fire Ser vices investigate the effectiveness of current juvenile fire awareness and intervention programs. 10.15 (i) Fire Services develop a team-based approach to the development and implementation of effective fire safety school education and awareness initiatives, involving curriculum specialists, expert teachers, text book publishers and parent representatives (ii) Fire Services initiate discussions with their respective State-based Departments of Education to second teachers (curriculum specialists) to assist with the development of appropriate curriculum resources which emphasise effective fire safety messages and integrate them into the normal school curriculum. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT assigning the responsibility of fire safety education to the parents. Through involving the children in fire lighting activities, such as lighting a camp fire, parents are able to demystify the childrens fascination and curiosity with fire (Schaenman; 1982:20). 85 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 86 ALCOHOL RELATED FIRE DEATHS - AUSTRALIA alcohol intoxication on human cognitive and psychomotor performance and the repeated and consistent observation in case studies of alcohol abuse and high blood concentrations in fire victims, there is strong evidence to indicate that alcohol contributes to fire injury. Accidental ignition of a fire, delayed reactions and ability to escape to safety, and problems with balance and an increased risk of falling into the ignition source may also occur with alcohol impairment (Department of Human Service and Health, 1995; p 214). Smoke inhalation (80 per cent) was the major cause of death for victims of alcohol-related fires. Three of the victims died from a combination of burns and/or incineration and smoke inhalation. Discussion In Australia, 441 of the fire death victims were aged over the legal drinking age of 18 years. Of these 441 victims, it was positively identified that 94 of the fire death victims had alcohol in their bloodstreams at the time of their death. The number of alcohol-related fire deaths may be underestimated due to the current system of only testing the blood alcohol level of fatalities at the time of or immediately following the fire. However, if the victim dies some hours or days later, no blood alcohol reading will be recorded because the alcohol will have dissipated from the victims bloodstream. Similarly, the victims of the fire may not be responsible for causing the fire and other people involved in the fire who have not died, may have been affected by alcohol, but no investigation or record is made of this. The fire problem The fire category was not available for 16 of the cases. Of the remaining 78 cases, 64 of the fire fatalities occurred in accidental/ preventable fires. Nine of the fatalities were caused with the intent to harm either the person lighting the fire or others. An alarm time was not reported in 12 of the cases. However, in the remaining 82 cases where an alarm time was recorded, 49 of the fire fatalities occurred between the hours of midnight and 8.00 am. The fires originated in lounge rooms and bedrooms. Discarded smoking materials, falling asleep with a cigarette in hand and accidents involving portable heaters were the most common cause of alcohol-related fires. The age of the victims varied and was not a common factor across the group. In the 81 cases where the marital status of the victim was identified, 56 of the victims were not married and were either single, separated, divorced or widowed. Four of the victims were reported to be of an Aboriginal or Torres Strait Islander background. In 78 cases, an occupation was reported for the victims. It was identified that 31 of the victims of alcohol-related deaths were either on the pension, retired, invalids, unemployed or involved in home duties at the time of their deaths. The remaining victims were listed as being employed in skilled labour and/or trades (25 victims), unskilled labour (10 victims), professions (7 victims) and office work (5 victims) at the time of their deaths. The blood alcohol levels for 74 of the victims were well over 50mg/100ml (the legal limit for drink driving), with most of the victims recording over 150mg/100ml blood alcohol content at the time of their death. It is highly probable that the level of alcohol consumption prior to the fire may have diminished the response of the victims to the fire situation. Given the acute effects of It was positively identified in 27 of the cases that there were no smoke alarms present in the structures at the time of the fire. For the remaining cases, there was no information available as to the absence or presence of smoke alarms in the structures where these alcohol-related fires occurred. FINDINGS Alcohol is a contributing factor to a significant number of fire deaths. The presence or otherwise of smoke alarms is not well reported. It is recommended that: 10.16 Fire Services work with the Australasian Fire Authorities Council to support research into the development and design of smoke alarms with pitch, volume and pulse capabilities to alert inebriated persons to the presence of a fire. campaigns to be specifically targeted to Rental Authorities, both in the public and private sector, and also to Real Estate agents in order to reduce the number of fire deaths that occur in rental properties. Figure 10.5 - Property Status Fire Fatalities 1991/92 to 1995/96 Owner occupied (120) 10.4 Property type and ownership Analysis was performed on the data in order to determine both the type of property most commonly involved in fatal fires and the ownership of these properties. This information will enable Fire Services to develop strategies that maximise fire safety in at risk properties to ensure the incidence of fire fatalities is reduced. Throughout Australia, residential properties were the most frequently cited property type where the fire fatalities occurred. It was not possible to determine the type of property where 265 of the fire fatalities occurred. The following analysis is based upon the remaining 285 fire death victims. Of those properties clearly identified in the research, 214 of the fire fatalities occurred in one to two family dwellings. In fact, throughout the individual States and Territories of Australia, the majority of fatal fires occurred in residential properties, in particular one to two family dwellings. This finding highlights the need for Fire Services to reinforce and strengthen their fire prevention efforts on domestic residences within Australia. In 271 cases, it was not possible to determine the ownership of the properties where the fire fatalities occurred. Of the remaining 279 cases, 159 of the fire fatalities occurred in rental properties. This finding was consistent across all the individual Australian States and Territories where the property ownership was identified, except for Tasmania, where the majority of fire fatalities occurred in owner-occupied premises. In 114 cases involving rental properties, 69 of the properties were privately owned with 45 of the properties being owned by the Government. This finding illustrates the need for fire prevention Rentals (159) Unknown (271) Numerous examples are available on how lives have been potentially saved through the installation of a working smoke alarm. For example, in Queensland, since 1 July 1997, it has been required by law that smoke alarms powered by mains electricity be installed in all new houses and houses undergoing substantial renovations. However, as a number of fire death victims are in lower socio-economic groups, it is highly probable that this legislation would not have impacted on these fire victims. Therefore, it is essential that strategies be developed to ensure that all members of the community are protected from fire by smoke alarms. Differing approaches could be developed ranging from subsidised smoke alarms, reduction in insurance premiums when a smoke alarm is installed through to mandatory smoke alarm legislation for all residential properties with penalties for not having working smoke alarms (Rieniets, 1993:12). In Japan, the enforcement of building codes is more efficient through using systems such as private fire protection and fire insurance surveys. Although legal penalties are seldom invoked, they serve as a potentially powerful reminder to the Japanese community to carry out safe fire behaviours and practices (Wilmot, 1989:37). FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT RECOMMENDATION 87 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT FINDINGS The types of property where fire fatalities occurred and their ownership status were undetermined for 265 (48 per cent) fire death victims and 271 (49 per cent) respectively. Where information was available, the majority of fire fatalities occurred in one to two family dwellings and were rental properties (the majority of these were privately owned rental properties). RECOMMENDATIONS FINDING Where information was available, 256 of the fire deaths occurred in accidental/preventable fires. It is recommended that: 10.17 Fire Services cooperatively work with real estate associations to discuss non-legislative strategies for the installation of hard wired smoke alarms to private rental properties. 10.27 Further investigation be undertaken to develop strategies that will ensure that all members of the community are protected by the installation of smoke alarms in their properties. 10.5 Major causes of fatal fires Information was collected from all Australian States and Territories through the AIRS system and Fire Investigation Unit records in order to determine the major causes of fatal fires between 1 July 1991 and 30 June 1996. The three areas of interest were the category of fire, (eg. if the fire was classified as being lit accidentally or deliberately), the factors that caused the fires and the major cause of death for fire death victims. Based on these findings, Fire Services can use this information to strengthen current educational programs, highlighting appropriate fire safety behaviours, to minimise the risk of fire. Category of fire 88 reported that 256 of the fires were caused accidentally. This finding was consistently reported across all Australian States and Territories (except in Western Australia, where no fire category was reported). Therefore, as the majority of fire deaths in Australia were caused by fires that were classified as being accidental, it is essential that Fire Services continue to strive towards the reduction in preventable fire deaths. In 71 of the fire fatalities, the fires were deliberately lit with the intention to harm either the person lighting the fire or others. It was not possible to determine the category of the fire (ie. if the fire was accidental or deliberate in nature) in 223 of the cases due to insufficient information. In the remaining 327 cases, it was Cause of fire In 254 cases, a fire cause was not reported. Of the other 296 cases where a fire cause was reported, the cause for 147 fatalities was reported as being undetermined. Eighty-nine of the victims died in fires that were caused by accidents involving discarded smoking materials, lighters or matches. One of the major areas of concern with accidents of this nature is that a number of the victims were unaware of the fact that they had discarded their cigarette because they were either asleep or intoxicated with alcohol. Child fire play was also another cause of these fires involving discarded smoking materials, lighters and matches. Thirty-six victims died as a result of accidental fires caused by heaters. The main problem with heater fires is that combustibles are placed too close to the heater. This is either done intentionally, as was the case with victims drying clothing too close to the heating unit or unintentionally through having the heater too close to the bed with bedclothes accidentally falling on to the heater throughout the night. Electrical faults were also identified as another cause of fires in which 24 fatalities occurred. These problems ranged from the overloading of power outlets, as was especially the case in Queensland in the winter months, faulty equipment and other unspecified electrical faults. FINDINGS The cause of fatal fires was undetermined for 147 (27 per cent) of fire death victims during the research period. Where information was available, it was established that a majority (22 per cent) of fatal fires were caused by accidents involving discarded smoking materials, lighters or matches. RECOMMENDATION It is recommended that: 10.18 Fire Services lobby Government to introduce warnings on cigarette packets which highlight the relationship between smoking and fires. Cause of death Due to incomplete records, it was not possible to determine the cause of death for 53 (10 per cent) of the fire death victims in Australia. For an additional 174 victims, their cause of death could not be attributed solely to the fire as they were either involved in a deliberately lit fire (eg. suicide; murder) or they died from some other cause prior to the fire (eg. heart attack). For the remaining 323 fire death victims, 181 died as a result of smoke inhalation, with a further 42 victims dying from the combined effects of burns and smoke inhalation. In 100 cases, the victims had their cause of death listed as being burns and/or incineration. Smoke inhalation was the major cause of death in the majority of the individual States and Territories, except for Queensland where the cause of death for the fire death victims was equally attributed to smoke inhalation (50 per cent) and burns/incineration (50 per cent). This anomaly may be due to the fact that a number of the Queensland victims who had their cause of death listed as being burns/incineration were either actively involved in the area of ignition at the time of the fire and/ or, due to their immobility, may have found it difficult to rapidly escape from the fire. This finding further strengthens the need for Fire Services to continue to promote the need for smoke alarms in order to ensure people have adequate time to escape from the fire. FINDING Where a cause of death was established for fire death victims, the majority of victims died from smoke inhalation. RECOMMENDATIONS It is recommended that: 10.19 Fire Ser vices liaise with all key stakeholders (Fire Safety, Fire Investigation Unit, Arson Squad, Police Scientific Services, Department of Mines and Energy, Fire Investigation Association) to investigate causes of fire and sources of ignition to make the best use of available resources and information. 10.20 Fire Services continue to maintain training of fire personnel in fire scene investigations, particularly in the areas of determination of the category and cause of the fire. 10.6 Smoke alarms In order to determine if smoke alarms were present in properties, data was collected through the AIRS system for all Australian States and Territories between 1 July 1991 and 30 June 1996. This information will enable Fire Services to determine the effectiveness of smoke alarm promotion to those people most at risk from fire deaths. In Australia, it was positively identified that in 195 (35 per cent) fire fatalities, there were no smoke alarms present in the structures at the time of the fire. This finding is supported by a research report from the United States of America which FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT For the remaining 254 fire fatalities, the fire causes were not clearly reported, but corroborating information showed that the causes may have included cooking fire accidents, candles, mosquito coils, bushfires, direct flames, gas and explosions. Accelerants were used in a number of deliberately lit fires. 89 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 90 identified that the risk of dying in a fire was heightened if a smoke alarm was not present in the structure. In 77 per cent of the fatal fires researched in the American study, no smoke detectors were present in the structure at the time of the fire (Runyan, Bangdiwala, Linzer, Sacks & Butts 1993:186). In five of the Australian fire fatalities, it was identified that smoke alarms were present in the structure and worked at the time of the fire. In a fire which involved two victims, a smoke alarm was present in the room of the fire origin, but failed to operate. In the remaining 543 cases, it was either positively identified that smoke alarms were not present in the structure at the time of the fire or that the presence or absence of the smoke alarms in the structure was not able to be established. These findings suggest the probability that the smoke alarm message may not be reaching certain groups within the Australian population. Therefore, there is a need to develop and implement strategies designed to reach these at risk groups with the smoke alarm message. There are also several problems associated with the reporting of smoke alarms in the AIRS system as indicated by the high percentage of unreported smoke alarms. There is possibly some confusion over the terminology of smoke detectors /smoke alarms as identified in the AIRS reports. This could be alleviated by providing a separate category on the AIRS form for the reporting of smoke alarms. RECOMMENDATION It is recommended that: 10.21 Fire Services implement strategies to ensure that operational fire fighters are: (a) (b) (c) (d) aware of the purpose and importance of fire incident data collection trained in how to complete incident data forms (including a standard approach to determining the valuation of properties) included in processes to determine the type of data to be captured informed of the outcomes of collation and analysis of the data on a regular basis. FIRE RELATED DEATHS 1 Fire Incident Number Post Mortem Findings 2 Coroners File Number 12 Date of death (dd/mm/yy) 3 Year of Registration 13 Is a time of death listed for the deceased? Details of Deceased 4 Surname Given Names 5 Occupation if occupation unkown please circle here .............. 9 6 Marital Status Never married ................... 1 Divorced ................ 4 Married/defacto ................ 2 Widowed ............... 5 Separated not divorced ... 3 Unknown ............... 9 7 Age in years 8 Sex Yes ...................................... 1 If yes, complete Q14 No ...................................... 2 If no, go to Q17 14 What was the time of death? am/pm 15 Was the time of death listed as after alarm time? Yes ...................................... 1 No ...................................... 2 Unknown .......................... 9 16 Was this time listed as an approximation? Yes ...................................... 1 No ...................................... 2 Unknown .......................... 9 17 What was the state of the fire before the fire service arrived as described in Police/Coroners Reports? Male ................................... 1 Unknown ............... 9 Female ............................... 2 9 Suburb/Town of Residence 10 Place of Birth Country: Town/City (if Aust.): If unknown, please circle here ............................... 9 11 Labour Force Status 18 Ethnicity of the deceased (This is usually detailed in the Post Mortem report) Cause of deaths 19 Brief summary of Cause of Death as described on Death Certificate/Post Mortem report. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT APPENDIX 1 Confidential Employed .......................... 1 Unknown ............... 9 Unemployed ..................... 2 Not in labour force ........... 3 91 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 92 20 Brief summary of events leading to death as described in Police/Coroners Report Please include in this section any other matters relevant to this case Notes 21 Category of fire if available from Fire Investigation/ Police Reports Accidental ................................... 1 Deliberate/intent to harm .......... 2 Act of God ................................... 3 Undetermined ............................ 4 Unknown .................................... 9 22 Did the incident involve multiple deaths Yes .................. 1 No .................. 2 Number 23 Was a projected ignition time stated in the Fire Investigation/Police Reports? Yes .................. 1 No .................. 2 am/pm Toxicology Findings 24 Was the blood alcohol level measured? Yes .................. 1 No .................. 2 mg/100ml 25 Was the Carbon Monoxide level measured? Yes .................. 1 No .................. 2 % hb saturation Drugs identified 26 Were any drugs (including ethanol) identified? Yes .................. 1 No .................. 2 27 If yes, please list identified drugs Project Management and Oversight Project sponsor and Chair, Project Reference Group: Fiona McKersie, Director, Policy Unit, DES Project manager: Judy Newton, Policy Officer, Policy Unit, DES Ongoing information, assistance and critical examination of the project was also provided by a Project Support Team, drawn from within the QFRA Chief Commissioners, Fire Safety and Planning Operations Units, the Policy Unit of DES and the Queensland Government Statisticians Office. Members of the Team included: Project support team: Gavin McCullagh (Convenor), Policy Officer, Policy Unit Robert Simpson, Director, Strategic Planning and Development, QFRA Ron Attwood, Strategic Planning Coordinator, Policy Unit Bryan Evans, Policy Officer, Policy Unit Karen Barrett, Chief Statistician, QFRA Dr Iraphne Childs (QUT) John Davies, Acting Principal Fire Safety Officer, QFRA Graeme Thom, District Officer Public Fire Safety, QFRA Viv Sakrzewski, QFRA Dr Paul Barnes, QFRA Susan Koch, Government Statisticians Office FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT APPENDIX 2 93 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 94 APPENDIX 3 Carboxyhemoglobin (COHb) and smoke inhalation The following example uses the Queensland fire fatality data. The table below shows the percentage of COHb in the blood stream of victims where the cause of death was listed as smoke inhalation. Percentage of COHb in blood stream of Qld victims where the cause of death was listed as smoke inhalation COHb in blood, % 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ No carbon monoxide level recorded Total number No. of victims 5 1 2 7 6 4 9 4 3 5 46 Percentage 11% 2% 4% 15% 13% 9% 19% 9% 7% 11% 100% In the cases where the cause of death listed for fire victims was smoke inhalation, 72 per cent of victims had over 30 per cent carboxyhemoglobin (COHb) in their bloodstream. This level of concentration of carbon monoxide would have had a marked effect on their ability to respond to the fire emergency. It should be noted that none of these victims had a correctly installed smoke alarm in their properties. It is critical that people be alerted early to the presence of fire in the home in order to safely evacuate the property. Therefore, it is important that Fire Services reinforce both the need for residential smoke alarms as well as a well-rehearsed evacuation plan in order to prevent the fire deaths that occur at the vulnerable times when people are most likely to be sleeping. Extracts from Scientific Services Laboratory Report Analysis of a Dwelling Fire Introduction As the result of discussions with the Department of Emergency Services, Scientific Services Laboratory offered to conduct a study of a fire in a residential dwelling, in which three people lost their lives. The aim of the study was to apply current fire safety engineering modelling techniques to this actual event in order to recreate as far as possible the conditions in the house from fire ignition until the brigade arrival. The study examined the development of lethal conditions within the house arising from the fire products and the opportunities for the occupants to take appropriate avoidance action to effect escape from the premises. Some of the more specific aspects of the incident which were to be assessed included: estimated ignition time; time elapsed between fire ignition and internal conditions that could be deemed lethal; and estimated time of death of the occupants. Fire incident details In regard to the actual fire in the premises there are few factual and some interpreted details concerning the incident. The fire was discovered by a neighbour who was awakened by the sound of a loud bang. On investigating the source of the noise the fire was seen in the nearby property and the neighbour called the fire service. This call was timed at 0132 hours. Fire brigade arrival at the premises was timed at 0137 hours, at which point in time the brigade reported that the house was approximately 70 per cent involved in the fire. The brigade were able to gain entry through the front of the house at about 0200 hours whereupon they discovered the bodies of three persons who were pronounced dead at this time. The bodies were not found in beds and were all in the vicinity of the front verandah door in the third bedroom created as a sleepout on the verandah. The subsequent investigations by the fire and the police scientific services established, with a high degree of certainty, that the fire started in the electrical wiring associated with the power supply to the television set in the lounge room. The fire then spread via the curtains to the single seat sofa. From there the fire spread principally into the bathroom and dining areas. There was considerable evidence of smoke and heat damage in the front of the house where the bedrooms were located though the principal fire damage was observed in the lounge, bathroom and dining areas. It is postulated by the fire investigation team that the fire was presumed to have had a slow build up, with heavy sooting on the inner face of the main entry door and elsewhere supporting the assessment of a slow developing fire. Significant details from the postmortem reports on one of the victims were that the carbon monoxide level in the blood was 59 per cent COhb saturation and that the blood alcohol level was 111 mg/100 ml. Fire modelling The smoke spread modelling was carried out using a multi compartment zone model, CFAST to plot both the spread of smoke and the development of the toxic and thermal conditions in the house. The initial stages of the development of the fire were recreated by employing data on the published burning rates of items similar to those which had been identified as being involved in the fire ignition and initial stages of fire development. Subsequent to this the fire was presumed to grow in the manner of a t2 fire and the maximum size of the fire was limited by the ventilation conditions applied in the model. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT APPENDIX 4 95 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 96 Scenarios were then developed to examine both the impact of different rates of toxic species production by the fire and the involvement of a smouldering phase to the fire following ignition and before a significant heat release rate occurred. A range of criteria for tenability in a fire were investigated in order to predict the outcomes on the occupants of the house These included tenability due to toxic gases produced by the fire and the thermal conditions generated by the heat of the fire. Using information concerning discovery of the fire the modelling timelines were correlated with the real time so that the actual times of occurrence of events could be predicted. Conclusion From the evidence of the modelling undertaken, it is estimated that the fire started about 0118 hours. It is possible that it could have started sometime before this and had a very slow smouldering incubation period. The length of the incubation period can not be estimated. The study involving an incubation period to the fire did not lead to any different predicted outcomes. Flashover is estimated to have occurred at about 0130 hours leading to the alarm being raised at 0132 hours. Predictions of untenable conditions in the bedrooms indicated these could have been commenced to exist some 200 (approximately 0121 hours) seconds after ignition for the scenario involving higher toxic species production and no incubation or smouldering phase to the fire development and 760 (approximately 0131 hours) seconds after ignition for the scenario involving the same toxic species production but including an assumed 500 second incubation phase to the fire development. It is considered that the occupants were dead before or very shortly after the flashover event estimated to have occurred about 0130 hours, before the fire brigade arrival at 0137 hours and long before the brigade was able to effect an entry to the burning building at 0200 hours. Copies of the Fire Modelling Report are available from Scientific Services Laboratory, Melbourne. For further details please telephone (03) 9248 4900. Bibliography Audit Commission, (1995) In the Line of Fire, Value for Money in the Fire Service - A National Picture, HMSO, United Kingdom. Conley C. J. And Fahy R. F., (1994) Who Dies in Fatal Fires in the United States?, NFPA Journal May/June issue pp.99-106. Cropp D, (1991) Fatal Fires in New Zealand, Where, When and Why they Occur, New Zealand Fire Service. Department of Human Services and Health (1995) The Quantification of drug caused morbidity and mortality in Australia, 1995 edition, Part1, pp1 - 262, Australian Government Publishing Service. Hall J R & Harwood B (1995) Smoke or Burns Which is Deadlier?, NFPA Journal, USA, January 1997 pp 38 - 43. Haugstad H (1990) Fatal Fire: A Case for Adult Education, Fire Engineering, June 1990, pp 43- 45. Hirschler M (1993) Carbon monoxide and human lethality: fire and non-fire studies, Eisevier Science Publishers, London, United Kingdom. Hutton P. J., (1996) A Report into Fire Safety and Older People, West Midlands Fire Service, England. King M, (1995) Australian Fire Incident Statistics 1992 - 1993, CSIRO Australia. Narayanan P, (1995) Study Report No. 64 New Zealand Fire Risk Data, Building Research, Levy and the Foundation for Research, Science and Technology from the Public Good Science Fund. Nicolopoulos N (1996) Fires in the Home 1987 - 1995, NSW Fire Brigades Statistical Research Paper, NSW Fire Brigades, Sydney. Rieniets C (1993) A Submission to the AUBRCC Council and Building Control Ministers to seek support of national legislation making it mandatory to install smoke detectors in new residentital buildings, BRK Electronics, Parramatta, New South Wales, Australia.. Reynolds C (1996) Study into the Causes of Fire Deaths, Fire Research News, Issue 20, Winter 1996 pp5-7. Runyan, Bangdiwala, Linzer, Sacks & Butts (1993) Risk Factors for Fatal Residential Fires, Fire Technology, May 01 1993, Volume 29 No. 2 pp 183 - 193. Shaenman P., Stombaugh H., Rossomanda C., Jennings C. & Perroni C., (1990) Proving Public Education Works, Tridata Corporation, USA. FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT APPENDIX 5 Takahashi T (1992) Fire Death Analysis on the Basis Administrative Autopsy, Tokyo Fire Department, Tokyo Japan. Walker Dr. B.L., Beck Dr. K., Walker A. L., and Shemanski S., The Short-Term Effects of a Fire Safety Education Program for the Elderly, Fire Technology Vol. 28 No. 2, May 1992. Wilmot T (1989) Ja;an - the success story of fire prevention, Fire Prevention, 23 October 1989, pp 36-38. 97 FIRE FATALITIES: WHOS AT RISK? RESEARCH REPORT 98 APPENDIX 6 Definitions/Glossary Alarm Time: This is the exact time when the dispatcher of the attending Authority was first notified of the incident by the public or other source. Area of fire origin: The area of fire origin is normally defined as the part of a room or vehicle space where it has been determined by Fire Investigation Officers that the fire started. Brigade/Unit: Brigade unit is the responding emergency vehicle complete with fire crew. Dwelling Complex: A residential home and everything within its property boundaries are considered to be a dwelling complex. Estimated percentage of property involved on arrival of the Fire Brigade: This estimate which is made by the officer in charge of the first fire appliance in attendance at an incident. Flashover (in relation to a structure): The conditions for flashover develop when a fire inside a building involving any flammable solid (non liquid), releases sufficient flammable vapours to enable them to burn in the air space. Usually the initial fire burns slowly over a lengthy period during which internals of the premises are pre-heated whilst the fire has consumed most of the available oxygen. At a given point in time, the shattering of a super heated window or the opening of a door causes an inrush of oxygen. and propagates the ignition of all of the flammable vapour. Subsequent to the initial rapid spread of fire which typifies a flashover development, expanding heated gases often cause all of the windows and sometimes even wall structures to be blown out. It is this destructive moment that is of greatest danger to firefighters who are about to make entry into burning premises. Fire General reference to any type of fire brigade or service organised for the purpose of firefighting. Service: Reporting Structure: Authority: An authority or organisation that responds to and reports on fire and related incidents. From the viewpoint of the reporting officer, it is his/her service or organisation. The type of structure, in terms of its configuration, in which the fire has occurred. The type of structure will influence such factors as fire spread, danger to occupants, firefighting and rescue operations.