12 Coordinator of Prosecutors, the head of the Fire Department, and the Chairman of the Security Commission. 32. This situation was precisely what caused the fire in Cellblock 19 on May 17, 2004, a fact corroborated by the various expert reports presented during the investigations pursued into case No. 1009/04. What follows is a transcription of the relevant parts of the corresponding official reports which are part of the case file: o Report by the Fire Department of the Northwestern Region, prepared on the basis of its operations on the day of the fire: CAUSES OF THE FIRE The causes of the fire that happened in Cellblock 19 were as follows: 1. The entire electrical system was studied and analyzed and it was found to have been installed in an improvised fashion, using electrical wiring of different types and grade. The wires were not properly spliced together. Photographs are attached. 2. In each of the platform beds were two or three ventilators; inside the cellblock there were four mini splits that were running constantly, since the cellblock did not have proper ventilation. 3. The wiring that was connected to the mini splits located above the door that led directly into the cellblock was not the proper grade to carry the amount of energy that was flowing to the electrical device and also influenced the amount of power that the cellblock was drawing. CONCLUSION Given the causes enumerated above, one can conclude that this fire was caused by an overheating followed by a short circuit in the wiring that was connected to the mini splits located above the entrance door to the cellblock, which caused the material inside the mini split to melt and drop onto the curtain fabric over the entrance, cardboard boxes containing clothing and shoes, and the mattresses. The incomplete combustion that followed was caused by the poor ventilation in the cellblock, with the result that the latter was consumed in smoke, gases and high temperatures. 13 o Opinion prepared by the technical staff of the National Electric Power Company (ENEE) under Engineer Otto Vallecillo: FINAL CONCLUSIONS The conditions were present for the electrical system in cellblock 19 to fail, since the installations were not properly built. However, because the protection hardware of the three load centers worked and the circuit that was unprotected did not trigger any spark in the distribution transformer, other possible causes of the fire should be explored. SUGGGESTIONS 1. Restructure and improve the prison’s electrical system. 2. Provide the working logistics necessary to the personnel charged with maintaining the prison’s electrical system. 3. Hire trained personnel for corrective and preventive maintenance of the San Pedro Sula prison, in coordination with the personnel currently in charge of maintenance. 4. Improve the monitoring of household appliances now installed and ban any additional domestic appliances. 5. Provide extinguishers and establish evacuation routes and procedures for staff to follow in the event of any emergencies, all in accordance with safety standards. 13 Original petition received on July 14, 2005. Annex 30. Case 1009/04. Folio 1813: Honduran Fire Department’s Report on the Investigation of the Fire.