Information
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Document No.
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Incident Number #
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Incident Type
- MVA
- Rescue
- Structure Fire
- Car Fire
- Medical
- Vegetation Fire
- Other
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Owner / Occupant Name
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Conducted on
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Property Use
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Location / Address
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Actions Prior to arrival
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Cause & Persons Involved = Age / Gender / Ethnicity
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Mobile / Equipment Involved = Make / Model / Year / Registration
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Equipment Used to control
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OIC
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Alarms / Detectors in use
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CASUALTIES = Name / Age / Ethnicity / Gender / Apparent injury severity
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STRUCTURE= Construction, item generating most flame/smoke, path of travel
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Photos
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Drawing of structure
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DAMAGE = Extent & area of most flame / smoke / water / fire control damage
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DAMAGE = Extent & area of most flame / smoke / water / fire control damage
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EXPOSURES = Distance, method of heat transfer, exterior surface & roof material
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HAZMAT = Actions to control, extent & cause of spillage,
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Add "Photo
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CHEMICAL = UN-SI, Quantity, number of containers, labelling, disposal method /place / org
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COMMENTS
