The Howard County Department of Fire and Rescue Services (HCDFRS) continues to support the family of Lieutenant Nathan Flynn who perished in July 2018 from injuries sustained while operating on a 7-alarm house fire in Clarksville, MD. This was the first career line of duty death in HCDFRS history. Immediately following Lieutenant Flynn’s untimely death, HCDFRS established an Internal Safety Review Board (ISRB) comprised of uniform personnel from inside the department, personnel from neighboring fire departments and outside agencies. The ISRB was charged with investigating factors that contributed to Lieutenant Flynn’s death as well as looking beyond the immediate causes to discover all aspects that impacted the event.
For additional information, please contact the Office of Community Outreach and Media Affairs: 410-313-6039.
*Please note, this report contains images that may be graphic or unsettling to the reader.*
Additionally, if you choose to download the files, some versions of PDF readers may skew certain portions of the report.
Each chapter is linked to a specific portion of the report. For the entire report, please click here: Internal Safety Review Board Final Report (FULL PDF).
Overview of the Internal Safety Review Board
Fire and Rescue Services Overview
Fireground Operations Sequence
Findings, Discussions, and Recommendations
A. Incident Command
B. Strategy and Tactics
E. Structure Evacuation
F. Rapid Intervention Crew and Rescue Operations
H. Crew Integrity
I. Effective Response Force
J. Health and Safety
M. Personal Protective Equipment (PPE)
N. Apparatus and Equipment
Appendix A: Human Factors Analysis of 7005 Woodscape Drive Incident
Appendix B: Recommendation Matrix
Appendix C: Radio Transmissions
Appendix D: PPE Examination Report
Appendix E: SCBA Report and Data Documentation
Appendix F: Manufacturer Radio Test Report
Appendix G: HCDFRS PPE Records for FF Flynn
Appendix H: Elkhart Brass Nozzle Testing Report
Appendix I: HCDFRS General and Special Orders