Title Page
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Date of Scene Investigation
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Name of Investigator
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Location
Incident Number
Date & Time of Fire
Address of Fire
Risk Assessment
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Detail hazards and control measures
Contact Information
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Contacts
Arson Checklist
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Signs of Forced Entry?
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Multiple Seats of Fire?
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Presence of an Accelerant?
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Covered External windows?
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Internal Doors Wedged Open?
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Is the Fire in an Unusual Location?
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Is the Fire Considered to be Deliberate?
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Provide further details as required
Indicators
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Location Where the Fire Occurred (Description)
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Evidence from Glass Damage? (Description)
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Burn Patterns to Walls? (Description)
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Burn Patterns to the Floor? (Description)
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Burn Pattern to the Ceiling? (Description)
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Directional Burning? (Description)
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Smoke Damage (Description)
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Is Gas Involved?
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Provide details
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Is Electricity Involved?
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Provide details
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Were Combustible Materials too Close to ignition source?
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Were Ventilation/Flues Satisfactory?
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Is There Evidence of Faulty Controls
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Is There a History of Faults or Problems
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Is There Evidence of Misuse of Equipment/Appliances
Naked Flames
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Candles, Lighter, Matches, Other
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Provide details
Cooking
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Is Cooking Involved?
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Provide details
Smoking
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Smoking Policy in Operation?
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Ashtrays and Waste Bins Emptied?
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Anyone Smoking Prior to the Fire?
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Evidence of Previous Burn Marks Due to Smoking?
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Previous Carelessly Discarded Cigarettes?
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Provide further information if required?
Conclusion
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Point of Origin?
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Source of Ignition?
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What was the Item First Ignited?
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Hypotheses (What Were the Circumstances, Defects, Actions or Omissions that Brought the Fire about?)
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Further Investigation Information if Required