iPDA (Mobile Preliminary Damage Assessment)

• Location Name:

• Device GPS Location: Press Locate. Then Locate Me
  Address

• Conducted on

  Date

• Team Name/Number

• This damage assessment tool was created to provide an electronic method to instantly report damage from the field to the EOC or ICP.

PROPERTY DEMOGRAPHICS

• Property Type

  Select Single Family Home Multi Family Home Mobile Home Business / Industry Non-Profit Orgs Public Property

  • Single Family Home
  • Multi Family Home
  • Mobile Home
  • Business / Industry
  • Non-Profit Orgs
  • Public Property

• Street Number

• Street Name

• Lot Number

• City

• GPS Coordinates (Degrees, Decimal Minutes) (EXAMPLE: N 43 34.3303 W 85 54.7232)

• Property Owner Name and Phone Number (if known)

DAMAGE INFORMATION

• Incident Hazard

  Select Wind Damage Tornado Flooding Wildland Fire Structure Fire Snow Damage Ice Damage Collapse Vehicle Crash

  • Wind Damage
  • Tornado
  • Flooding
  • Wildland Fire
  • Structure Fire
  • Snow Damage
  • Ice Damage
  • Collapse
  • Vehicle Crash

• Damage Classification

  Destroyed (3)

  Major Damage (2)

  Minor Damage (1)

  Affected (0)

• Pressing on the question text allows you to enter additional information and add photos.

• Debris Present? If yes what types of debris? Please take photo of debris.

  Yes

  No

  N/A

• Flooding Observed? What is the level of flooding in feet and inches. Please take photo of flooding.

  Yes

  No

  N/A

• Fallen Trees? Are these trees dead or alive? What size are the trees? How did they fall (twist, uprooted, ect). Please take photo of fallen trees.

  Yes

  No

  N/A

• Fallen PowerPoles? CAUTION AROUND DOWN POWERLINES.... TREAT EVERY POWERLINES AS IF IT WAS ALIVE!!! Is power out in the immediate location? Is there a fire from the down POWERLINES? How did the lines or poles come down. Please take photo of the down lines.

  Yes

  No

  N/A

PHOTOS

• Please remember to take each photo with the number associated on you DA worksheet.

• Mail Box or House Numbers

  Media

• Street View

  Media

• Front Door

  Media

• Damage Details 1

  Media

• Damage Details 2

  Media

• Damage Details 3

  Media

• Please draw a quick aerial sketch of the house and the damage.

  Drawing

ADDITIONAL COMMENTS

• Please enter any additional comments for this property.

SUBMIT DAMAGE REPORT

• Please enter the date, time, and electronically sign. Submit this damage report or save it and move on to the next property.

• Type Your Name

  Sign