Information
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Conducted on
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Location
Type And Status
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Property use
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Status
- Occupied
- Unoccupied
- Vacant
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Comments
Alarm / Protection System
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Alarms
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Alarm Type
- Smoke Detectors
- Heat Detectors
- Pull Stations
- Water Flow
- Other
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Type
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Alarm Company
- ADT
- Barcom
- Atlas
- Pass
- Tech Electronics
- Other
- CSSI
- Diedold
- Pinnacle
- Secure One Self
- Symplex
- Yale
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Name of Alarm Company
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Alarm Company Contact / Phone Number
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Protection System
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Type
- Sprinkler System
- Hood System
- Other
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Type
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Sprinkler
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Did it operate?
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Did detectors operate?
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Comments / Description of System
Utilities
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Electric
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Provider
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Gas
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Provider
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Name of Provider
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Water
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Provider
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Provider
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Phone
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Provider
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Provider
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Other
Exterior Observations
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Observations
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Interior Observations
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Observations
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HVAC System
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Type
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Location
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Comments
Electrical Service
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Type
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Did the device trip or blow?
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Service Panel Size and Location
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Comments
Other Heating Equipment
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Type
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Location
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Comments
Estimated Total Loss
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Total amount
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Estimated By
Area of Origen
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Comments
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Ignition Source
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Heat Source
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Material Ignited
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Ignition Factor
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Was equipment involved?
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Model and Serial Number
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Photo
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Comments
Fire spread
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Materials
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Avenues
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Exposures
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Comments
Smoke Spread
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Materials
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Avenues
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Comments
Remarks
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Comments
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Add media
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Form Filled Out By
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Email this form to mail@freeburgfire.com
