Title Page

  • CAD Event #

  • Enroute

  • Job Type

  • Number of Casualties

  • Extrication Commenced

  • Completed Extrication

  • Extrication Notes

  • -

  • Extrication Commenced Casualty 1

  • Complete Extrication Casualty 1

  • Extrication Commenced Casualty 2

  • Completed Extrication Casualty 2

  • Extrication Notes

  • -

  • Extrication Commenced Casualty 1

  • Completed Extrication Casualty 1

  • Extrication Commenced Casualty 2

  • Completed Extrication Casualty 2

  • Extrication Commenced Casualty 3

  • Completed Extrication Casualty 3

  • Extrication Notes

  • -

  • Extrication Commenced Casualty 1

  • Completed Extrication Casualty 1

  • Extrication Commenced Casualty 2

  • Completed Extrication Casualty 2

  • Extrication Commenced Casualty 3

  • Completed Extrication Casualty 3

  • Extrication Commenced Casualty 4

  • Completed Extrication Casualty 4

  • -

  • Extrication Notes

  • VicPol Commander Name

  • How Many Vehicles Involved

  • Vehicle Details

  • -

  • Vehicle 1 Details

  • Vehicle 2 Details

  • -

  • Vehicle 1 Details

  • Vehicle 2 Details

  • Vehicle 3 Details

  • -

  • On Scene

  • Job Clear

  • Back in LHQ

  • Job Story

  • Vehicle and Crew Info Next Section

Vehicle and Crew Details

  • Vehicle

  • Code Travelled

  • Kilometers 1 Way

  • Members on Board (Initials)

  • Driver

  • SES Commander

  • Safety Officer

  • Where the Chainsaws / Pole Saw used?

  • Members using the saws

  • Other SES Vehicles On scene

  • Rescue 1 Members on Board

  • Rescue 2 Members on Board

  • Support Members on Board

  • Support 2 Members on Board

  • Member Completing report

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.