Damage Assessment Form PDF Details

Understanding the process of damage assessment is crucial in the aftermath of any disaster or incident, ensuring a swift and organized response. The Damage Assessment form serves as a comprehensive tool designed for capturing the extent and nature of damage following various types of incidents, whether these involve fires, gas leaks, water leaks, electric or chemical hazards, or structural compromises. Key details such as the date, time, and individuals involved in reporting and receiving the information are meticulously recorded on the form. It accommodates an extensive array of specifics including but not limited to the condition of structures (ranging from heavy to light damage), the status of individuals (injured, trapped, or deceased), and the accessibility of affected areas. Furthermore, this document is instrumental in the coordination efforts, guiding the response team from the initial reporting stage to the completion of an assignment by meticulously tracking the locations, assigning tasks, and updating the incident's status. This element is crucial for providing a clear picture of the situation to the incident command, thereby facilitating an efficient and effective response. By automating the documentation of every critical piece of information, this form is vital for all involved parties, ensuring that nothing is overlooked in the heat of the moment.

QuestionAnswer
Form NameDamage Assessment Form
Form Length1 pages
Fillable?Yes
Fillable fields117
Avg. time to fill out23 min 39 sec
Other namesbackslash, llight, damage assessment fillable pdf, STRUCTURES

Form Preview Example

DAMAGE ASSESSMENT

DATE:

TIME RECEIVED:

PERSON REPORTING:

PERSON RECEIVING:

PAGE #:

BURNING

OUT

GAS LEAK

H2O LEAK

ELECTRIC

CHEMICAL

DAMAGED*

COLLAPSED

INJURED

TRAPPED

DEAD

ACCESS

NO ACCESS

ASSIGNMENT

COMPLETED

TIME

LOCATION/ADDRESS

FIRES

HAZARDS

STRUCTURES

PEOPLE

ROADS

/ X

FOR USE BY EVERYONE

www.cert-la.com

10/08/01

Summary of all hazards in area - fill out this form on your way to Command Post and give it to Incident Command. (* for structure damage: h=heavy, m=moderate, l=light)

Incident Command: Choose an incident, put a slash in the assignment completed column, copy the address/location to the incident name section on Incident Briefing, and give Incident Briefing and Assignment Status to incident team leader. Copy address/location to Post-Incident Status and enter start time. When incident is complete, put a backslash in the assignment completed column and the incident end time on the Post-Incident Status form.