SIRF Menifee Amersfoot 8.6.19 Print this page
Riverside County Fire Department
Significant Incident Report Form
Incident Description
Incident Number Type of Occupancy
Incident Name Total $ Saved
Incident Type Total $ Loss
Location of Incident Smoke Detector
Date/Time Reported 8/6/2019 07:21:25 AM
Acres Burned
City/Area Fire Cause
Injuries Minor Moderate Major Fatalities
Civilian
Firefighter
Evacuations/Displaced Number of Displaced 0 Adult Child
Fire OES Red Cross
Evacuation Center Location
Property Damage Residential Commercial Out Buildings Vehicles
Damaged
Destroyed
Threatened
Resources
First Due Fire Station
Engines Squads Air Attacks
Truck Co's RVC Medic Unit Air Tankers
Breathing Support RVC Haz Mat Units Helicopters
Firefighters Ambulance - Air Fire Crews
Chief Officers Ambulance - Ground Water Tenders
Overhead Personnel Bulldozers Incident Duration
Cooperating Agencies Disposition of Utilities
Electric
Gas
Building Owner/Occupant
Owner Name:Owner Phone:
Occupant Name:Occupant Phone:
Incident Description
Notification To Direct City/Jurisdiction Notification
Person Contacted
by Phone
Prepared By Harris, Dan@CALFIREHarris, Dan@CALFIRE
Date/Time Complete 8/6/2019 08:21:15 AM
Date/Time Contacted 8/6/2019 07:51:25 AM
City of Menifee
19CARRU100176 Single Family Residence
Amersfoot $20,000.00
Fire, Str. Residential $250,000.00
28641 Amersfoot Wy Present, Did Not Activate
Menifee/Sun City Under Investigation
0 1 0 0
0 0 0 0
0 0
Not Applicable Not Applicable
0 0 0 0
1 0 0 0
0 0 0 0
7 Sun City
5 1 0
1 0 0
0 0 0
22 0 0
1 1 0
0 0 2.5
RSO Service Shut Off
Service Shut Off
CAL FIRE/Riverside County Firefighters responded to a reported structure fire at 28641 Amersfoot Way in the
City of Menifee . The first arriving engine company reported heavy smoke and fire from the front of a single story
residence. Firefighters made an aggressive interior attack on the fire while simultaneously conducting a search for
victims. One civilian was pulled from a back bedroom window by neighbors prior to our arrival. The patient was
treated at the scene and transported to Menifee Valley with smoke inhalation injuries. Utilities have been
disconnected
Phone and Email
Jeff Wyman
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