EVFPD Fire Investigation Report

• Date of Scene Investigation

  Date

• Name of Investigator

• Location
  Address

• Property Owner or Responsible Party

• Responsible Party Contact Information

• Witness Names and Contact Information

Incident Number

• undefined

Date & Time of Fire

• undefined

Address of Fire

• undefined

Risk Assessment

• Detail special hazards and fire control measures taken

Arson Checklist

• Signs of Forced Entry?

  YES

  NO

  N/A

• Multiple Seats of Fire?

  YES

  NO

  N/A

• Presence of an Accelerant?

  YES

  NO

  N/A

• Covered External windows?

  YES

  NO

  N/A

• Internal Doors Wedged Open?

  YES

  NO

  N/A

• Is the Fire in an Unusual Location?

  YES

  NO

  N/A

• Is the Fire Considered to be Deliberate?

  YES

  NO

  N/A

• Provide further details as required

Indicators

• Location Where the Fire Occurred

• Evidence from Glass Damage?

• Burn Patterns to Walls?

• Burn Patterns to the Floor?

• Burn Pattern to the Ceiling?

• Directional Burning?

• Smoke Damage (Description)

• Does it Appear That Gas is Involved?

  YES

  NO

  N/A

• Does it Appear That Electricity is Involved?

  YES

  NO

  N/A

• Were Combustible Materials Close to Competent Source of Ignition?

  YES

  NO

  N/A

• Were Ventilation Mechanisms Faulty, Blocked, Compromised?

  YES

  NO

  N/A

• Is There Evidence of Faulty Controls?

  YES

  NO

  N/A

• Is There a History of Faults or Problems With Building Systems?

  YES

  NO

  N/A

• Is There Evidence of Misuse of Equipment and/or Appliances?

  YES

  NO

  N/A

Cooking

• Does it Appear That Cooking Was Involved?

  YES

  NO

  N/A

Smoking

• Was There an Apparent Violation of a Smoking Policy Involved?

  YES

  NO

  N/A

• Ashtrays and Waste Bins Poorly Maintained or Overflowing?

  YES

  NO

  N/A

• Anyone Smoking Prior to the Fire?

  YES

  NO

  N/A

• Evidence of Previous Burn Marks Due to Smoking?

  YES

  NO

  N/A

• Previous Carelessly Discarded Cigarettes?

  YES

  NO

  N/A

Conclusion

• Apparent Point of Origin

• Apparent Source of Ignition

• What Was the First Fuel Ignited?

• Hypotheses (What Were the Circumstances, Defects, Actions or Omissions that Brought the First Fuel and Source of Ignition Together?)

• INVESTIGATOR CHECKLIST: Has report PDF been uploaded to network Ops Incidents file? Has NFIRS criteria been documented in Emergency Reporting? Has building owner/occupant/RP been given copy of CORA Application For Fire Records Request Form? Has Investigator Exposure Report been generated?

  NO

  YES

  PENDING

Investigator Exposure Report

• List all PPE worn by investigators, approximate time spent inside fire building, any noteworthy exposures, injuries, or illnesses incurred in relation to this investigation

Attach or Link Any Audio/Video Interview Files

• Description of Audio/Video Content

Signatures

• Fire Investigator Name and Certification Level

• Fire Investigator Signature

  Sign

• CORA Release of Public Records Form for Building Owner or Designated Responsible Party