wfd

Winthrop Fire Department - Incident Report

BILLING(Required)
Call Time
:
Enroute Time
:
On Scene Time
:
Last Unit Cleared
:
In Service Time
:

Incident Details

Incident Location / Address
Incident Type

Apparatus & Personnel

Engines
Tankers
Rescue Trucks
Grass Rigs
Other
Mutal Aid Trucks
# of Personnel
Injuries - Civilians
Injuries - Firefighters
Fatalities - Civilian
Fatalities - Firefighters

Mutual Aid (Given/Received)

Given
Personnel and Trucks
Member Writing Report
Firefighter Name

Billing Info / Occupant Info

Name
Name of Owner
Name of Occupant (Rental)
ONLY IF THIS IS A RENTAL
Address - Property Owner
Occupant Address

Vehicle Info

Vehicle #1
Vehicle #2
Vehicle #3
Address - Vehicle #1
Address - Vehicle #2
Address - Vehicle #3
Insurance Company - Vehicle #1
Insert the Policy Number
Insurance Company - Vehicle #2
Insert the Policy Number
Insurance Company - Vehicle #3
Insert the Policy Number

All Fires

Mobile Property Type
Equipment Involved
Acres Burnt
Fixed Property Use
Area of Fire Origin
Type of Material Ignited
Property Loss $
Property Value $
Contents $$

Structure Fires Only

Construction Type
Avenue of Flame Travel
Construction Method
Extent of Flame Damage
Building Status
Extent of Smoke Damage %
Number of Stores
Extent of Water Damage
Level of Fire Origin
Utilities Disconnect (list)
Type of Material Ignited
Smoke Detector Performance
Material Generating Most Heat
Sprinkler System Performance
Material Generating Most Smoke
Co Detectors Performance

Scene Uploads

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Max. file size: 256 MB, Max. files: 10.
    only allowed: jpg, gif, png, pdf
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    Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 6.
      Add Photos from Fire Scene
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      Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 10.
        Any damage done to equipment (for replacement and billing purposes)

        Narrative

        Winthrop Fire Department – Incident Report

        BILLING(Required)
        Call Time
        :
        Enroute Time
        :
        On Scene Time
        :
        Last Unit Cleared
        :
        In Service Time
        :

        Incident Details

        Incident Location / Address
        Incident Type

        Apparatus & Personnel

        Engines
        Tankers
        Rescue Trucks
        Grass Rigs
        Other
        Mutal Aid Trucks
        # of Personnel
        Injuries – Civilians
        Injuries – Firefighters
        Fatalities – Civilian
        Fatalities – Firefighters

        Mutual Aid (Given/Received)

        Given
        Personnel and Trucks
        Member Writing Report
        Firefighter Name

        Billing Info / Occupant Info

        Name
        Name of Owner
        Name of Occupant (Rental)
        ONLY IF THIS IS A RENTAL
        Address – Property Owner
        Occupant Address

        Vehicle Info

        Vehicle #1
        Vehicle #2
        Vehicle #3
        Address – Vehicle #1
        Address – Vehicle #2
        Address – Vehicle #3
        Insurance Company – Vehicle #1
        Insert the Policy Number
        Insurance Company – Vehicle #2
        Insert the Policy Number
        Insurance Company – Vehicle #3
        Insert the Policy Number

        All Fires

        Mobile Property Type
        Equipment Involved
        Acres Burnt
        Fixed Property Use
        Area of Fire Origin
        Type of Material Ignited
        Property Loss $
        Property Value $
        Contents $$

        Structure Fires Only

        Construction Type
        Avenue of Flame Travel
        Construction Method
        Extent of Flame Damage
        Building Status
        Extent of Smoke Damage %
        Number of Stores
        Extent of Water Damage
        Level of Fire Origin
        Utilities Disconnect (list)
        Type of Material Ignited
        Smoke Detector Performance
        Material Generating Most Heat
        Sprinkler System Performance
        Material Generating Most Smoke
        Co Detectors Performance

        Scene Uploads

        Drop files here or
        Max. file size: 256 MB, Max. files: 10.
          only allowed: jpg, gif, png, pdf
          Drop files here or
          Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 6.
            Add Photos from Fire Scene
            Drop files here or
            Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB, Max. files: 10.
              Any damage done to equipment (for replacement and billing purposes)

              Narrative

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