MARYLAND STATE FIRE MARSHAL Notice of Investigation DATE: 11/4/2015
TIME: 9:00 PM
TYPE OF INCIDENT:
FIRE
SUBMITTED BY: DFM Z. Dell EXPLOSIVE
OTHER: Burn Injury
LOCATION / ADDRESS: 13040 Hickory Avenue, Waldorf, MD DESCRIPTION OF STRUCTURE / PROPERTY: Camp Fire OWNER / OCCUPANT(S): Douglas Wickman INJURIES OR DEATHS: 47 year old male ESTIMATED $ LOSS: STRUCTURE: $ 0.00
CONTENTS: $ 0
SMOKE ALARM STATUS: N/A FIRE ALARM / SPRINKLER STATUS: N/A ARREST(S) (IF APPLICABLE): None RESPONDING STATE FIRE MARSHAL(S): DFM Z. Dell RESPONDING FIRE DEPARTMENT(S): N/A # OF ALARMS: 0
# OF FIREFIGHTERS: 0
TIME TO CONTROL: 0 Minutes
DISCOVERED BY: Neighbor AREA OF ORIGIN: N/A PRELIMINARY CAUSE: Accidental ASSISTING AGENCIES:
ATF
FBI
MSP
OTHER
ADDITIONAL INFORMATION: Occupant was jumping over the camp fire and sustained burns to his legs. He was transferred to Washington Hospital Center with non-life threating injuries.
FOR FURTHER INFORMATION CONTACT: 443-550-6831