FIRE REPORT
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PROCEDURE PURPOSE : DEPARTMENTAL OPERATION STANDARD
LOCATION : ______________________________ DATE OF FIRE : ____________________________
TIME FIRE WAS DISCOVERED : ________________ TIME FIRE DEPT. WAS NOTIFIED :________________
NAME/DEPT. OF PERSON TO NOTIFY FIRE DEPT. : ____________________________________________
DESCRIPTION OF WHAT HAPPENED (BY MANAGER) : __________________________________________
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WHERE DID FIRE START : ______________________________________________________________
WHAT BURNED : ____________________________________________________________________
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FIRE DAMAGE - BUILDING : _____________________________________________________________
FIRE DAMAGE - CONTENTS : ____________________________________________________________
NUMBER & TYPE OF EXTINGUISHERS USED : ________________________________________________
DID SPRINKLER SYSTEM OPERATE : ______________________________________________________
DID DRY CHEMICAL/CO2 OPERATE : ______________________________________________________
ACTION TAKEN BY EMERGENCY RESPONSE TEAM : ___________________________________________
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ACTION TAKEN BY FIRE DEPT. : __________________________________________________________
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INJURIES - EMPLOYEE (NAMES & PHONE #S) : _______________________________________________
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INJURIES - GUEST (NAMES & PHONE #S) : __________________________________________________
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NAME & PHONE # OF FIRE DEPT. & INVESTIGATOR : ___________________________________________
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DATE REPORT COMPLETED : _________________ TIME REPORT COMPLETED : ___________________
COMPLETED BY : __________________________ TIME/DEPT. : ______________________________
DATE/TIME REPORT RECEIVED : __________________