Form Sbd 8568 PDF Details

The SBD-8568 form is a comprehensive document designed for the detailed reporting of fire incidents. This form captures a wide array of information, starting from basic details like the fire department's identification number, the name of the department, and the specific dates and times related to the incident—including alarm time, arrival time, control time, and when the last unit cleared. It further delves into the exact location of the incident, specifying whether it occurred at an exact address, an intersection, or alongside a street or highway, and even includes specific details such as apartment or room numbers and proximity to cross streets or other notable directions. The form categorizes the incident type with a handy code guide provided for clarity on the situation found at the scene, and it outlines whether any form of aid was given or received during the operation, emphasizing the community and reciprocal support among emergency services. Actions taken at the scene are duly noted, from primary actions taken to any additional measures, alongside the resources deployed—highlighting the personnel and apparatus involved. Financial estimations of damage to property and contents are requested, alongside casualty details, to gauge the incident's financial and human impact. Moreover, the form addresses the fire's cause, the materials involved, and the specific areas of origin, offering insights into the fire's nature and potential prevention strategies. It even includes considerations for hazardous materials, property use, and whether the incident involved mixed-use properties or specific types such as residential, educational, or industrial. Occupant or party involved, insurance company information, and details regarding fire suppression efforts, as well as detector and automatic extinguishing system effectiveness, are meticulously gathered. This form, updated in February 2005, serves as a vital tool for not only documenting incidents in detail but also for aiding in the analysis and prevention of future fire incidents, underscoring the commitment to safety and preparedness within the firefighting community.

QuestionAnswer
Form NameForm Sbd 8568
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesRV, Hemodialysis, Overpressure, False

Form Preview Example

FDID #:

FIRE DEPARTMENT NAME:

DATE

ALARM TIME

ARRIVAL TIME

CONTROL TIME LAST UNIT CLEARED

INCIDENT #

EXPOSURE #

/

/

:

 

:

:

:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LOCATION

 

 

 

 

 

 

 

 

 

 

 

Exact Location

 

 

 

 

 

 

 

 

 

 

 

Intersection

Number

Street or Highway

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Front of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Rear of

 

Apt/Room

City

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjacent to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cross Streets or Directions

 

 

 

 

 

 

 

INCIDENT TYPE

(Situation Found)

See Back for Code

AID GIVEN OR RECEIVED

Mutual Aid Received

Automatic Aid Received

Mutual Aid Given

Automatic Aid Given

Other Aid Given

None

ACTIONS TAKEN

Primary Action Taken

Additional Action Taken (1)

Additional Action Taken (2)

RESOURCES

ApparatusPersonnel

Suppression

EMS

Other

 

 

ESTIMATED DOLLAR LOSS

 

 

CASUALTIES

DETECTORS

 

PROPERTY USE

 

 

 

LOSSES

 

 

 

 

Death

 

Injury

(Required for Confined Fires Only)

 

 

 

 

 

 

Property $

 

 

 

 

 

 

 

 

 

 

Detector Alerted Occupants

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contents $

 

 

Fire Service

 

 

 

 

 

 

 

 

see back for code

 

 

 

 

PRE-INCIDENT VALUE

Civilian Fire

 

 

 

 

 

Detector Did Not Alert Occupants

 

Personal information you provide may

 

 

 

 

 

 

 

 

 

Property $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

be used for secondary purposes.

 

Contents $

 

 

Civilian EMS

 

 

 

 

Unknown

 

[Privacy Law, s. 15.04 (1) (m)]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HAZARDOUS MATERIALS RELEASE

 

 

 

MIXED USE PROPERTY

 

 

NONE

 

 

DIESEL FUEL/FUEL OIL: vehicle tank or portable storage

 

 

Not Mixed

 

Industrial Use

 

 

 

 

 

 

Assembly Use

 

Military Use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NATURAL GAS: slow leak, no evacuation or HazMat actions

 

HOUSEHOLD SOLVENTS: home/office spill, cleanup only

 

 

Educational Use

 

Farm Use

 

 

 

 

 

Medical Use

 

Other Mixed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPANE GAS: <21 LB. (as in home BBQ grill)

 

 

MOTOR OIL: from engine or portable container

 

 

Residential Use

 

Use

 

 

 

 

 

 

Row of Stores

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GASOLINE: vehicle fuel tank or portable container

 

 

PAINT: from paints cans totaling <55 gallons

 

 

Enclosed Mall

 

 

 

 

 

 

 

 

Business & Residential

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

KEROSENE: fuel burning equipment or portable storage

 

OTHER: Special HazMat actions required or spill > 55 gallons

 

 

Office Use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OCCUPANT/PARTY INVOLVED NAME (LAST, FIRST, MIDDLE)

 

ADDRESS/CITY/ZIP CODE

 

TELEPHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER NAME (LAST, FIRST, MIDDLE)

 

 

ADDRESS/CITY/ZIP CODE

ROOM / APT #

 

TELEPHONE

 

 

NOTES:

AUTHORIZATION

Officer in Charge

 

Position or Rank

 

Assignment

 

Month

Day

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Member Making Report

 

Position or Rank

 

Assignment

 

Month

Day

Year

SBD-8568 (R.2/05)

COMPLETE THIS SIDE FOR ALL INCIDENTS - COMPLETE BOTH SIDES FOR ALL FIRES

 

 

 

 

Property Details

 

 

 

 

 

On-Site Materials

 

 

None

 

 

 

 

 

 

 

 

 

 

 

Ignition

 

 

 

 

 

Cause of Ignition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Not Residential

 

 

 

 

 

 

 

 

 

Bulk storage or warehousing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Intentional

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Processing or manufacturing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unintentional

 

Estimated # of residential

 

 

 

 

 

 

 

 

On-Site Material (1)

 

Packaged goods for sale

 

 

Area of Fire Origin

 

 

 

 

 

Failure of Equipment or Heat

 

living units in the building of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Repairs or service

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Source

 

origin whether or not all units

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Act of Nature

 

became involved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bulk storage or warehousing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cause Under Investigation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Processing or manufacturing

 

 

Heat Source

 

 

 

 

 

 

 

 

 

Cause Undetermined after

 

 

 

 

 

 

Buildings not involved

 

On-Site Material (2)

 

Packaged goods for sale

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Investigation

 

 

 

 

 

 

 

 

 

 

 

 

 

Repairs or service

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Factors Contributing to Ignition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of buildings involved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

None

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bulk storage or warehousing

 

 

Item First Ignited

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

None

 

 

 

 

 

 

 

 

 

 

 

 

Processing or manufacturing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

On-Site Material (3)

 

Packaged goods for sale

 

 

 

 

Fire spread confined to

 

 

 

 

 

 

 

 

 

Acres burned (outside fires)

 

Less than 1 acre

 

 

 

 

 

 

 

 

 

Repairs or service

 

 

 

 

object of origin

 

 

 

 

Factor #1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Material First Ignited

 

 

Factor #2

Human Factors

 

None

 

Equipment Involved in Ignition

 

 

None

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contributing to Ignition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Asleep

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Possibly impaired by alcohol/drugs

 

Equipment Involved

 

Brand

 

 

 

 

 

 

 

 

 

Model

 

 

 

 

 

 

 

 

Serial Number

 

 

Unattended person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Possibly mentally disabled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Portable

 

 

 

 

 

Stationary

 

 

Physically disabled

 

 

 

 

Year

 

 

 

Equipment Power Source

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Multiple persons involved

 

 

 

 

Mobile Property Involved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Age was a factor

 

 

 

 

 

 

None

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mobile Property Type

Mobile Property Make

 

 

Fire Suppression Factors

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Not involved in ignition, but burned

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fire Suppression Factor (1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

 

 

Mobile Property Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Involved in ignition, but didn't burn

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fire Suppression Factor (2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VIN Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Involved in ignition and burned

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fire Suppression Factor (3)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate Number

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Structure Type

 

 

 

 

 

 

 

 

Building Status

 

 

 

Building Height

 

 

 

 

 

 

 

 

 

Fire Origin

 

 

Enclosed building

 

 

 

 

 

 

Under construction

 

 

 

(Count ROOF as part of Highest Story)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fixed portable/mobile structure

 

 

 

 

 

 

Occupied & operating

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Below Grade

 

 

Open structure

 

 

 

 

 

 

Idle, not routinely used

 

 

Total # of stories at or above grade

 

Story of origin

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Air supported structure

 

 

 

 

 

 

Under major renovation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fire Spread

 

 

Tent

 

 

 

 

 

 

Vacant & secured

 

 

Total # of stories below grade

 

 

 

 

 

 

 

 

 

 

 

Confined to object of origin

 

 

Open platform (e.g. piers)

 

 

 

 

 

 

Vacant & unsecured

 

 

Main Floor Size (Complete One)

 

 

 

 

 

Confined to room of origin

 

 

Underground structure (work areas)

 

 

 

 

Being demolished

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Confined to floor of origin

 

 

Connective structure (e.g. fences)

 

 

 

 

Undetermined

 

 

Total square feet

 

 

 

 

 

 

 

 

 

 

 

Confined to building of origin

 

 

Other type of structure

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

BY

 

 

 

 

 

 

 

 

 

 

 

 

Beyond building of origin

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Length in Feet

 

Width in Feet

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of Stories Damaged by Flame

Material Contributing Most to Flame Spread

 

 

 

 

Insurance Company Information

 

 

 

 

Number of stories w/ minor damage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1 to 24% Flame Damage)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance Company Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of stories w/ significant damage

 

 

Item contributing most to flame spread

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(25 to 49% Flame Damage)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Policy Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of stories w/ heavy damage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(50 to 74% Flame Damage)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Agent's Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of stories w/ extreme damage

 

Type of material contributing most to flame spread

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(75 to 100% Flame Damage)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Presence of Detectors

 

 

 

 

 

 

 

 

 

 

 

Detector Effectiveness

 

Presence of Automatic

 

 

 

 

 

 

System Operation

 

 

None Present

 

 

 

 

 

 

 

 

 

 

 

 

Alerted occupants-they responded

 

 

Extinguishing System

 

 

 

 

Operated & effective

 

 

Present

Detector Power Supply

 

 

Occupants failed to respond

 

 

 

None Present

 

 

 

 

Operated & not effective

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

There were no occupants

 

 

 

Present

 

 

 

 

 

 

 

 

 

 

Fire too small to activate

 

 

Detector Type

Detector Operation

 

 

Failed to alert occupants

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Failed to operate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

Smoke

 

Fire too small to activate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Heat

 

Operated

 

 

 

 

 

 

 

 

 

 

 

Type of System

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Combination-smoke & heat

 

Failed to Operate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sprinkler,water flow detection

 

Undetermined

 

Detector Failure Reason

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

More than 1 type present

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

# of Heads Operating

 

 

 

 

 

System Failure Reason

SBD-8568 (R.2/05)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assembly

111Bowling alley

112Billiard center, pool hall

113Electronic amusement center

114Ice rink: indoor, outdoor

115Roller rink: indoor or outdoor

116Swimming facility: indoor or

outdoor

110Fixed use recreation places, other

121Ballroom, gymnasium

122Convention center, exhibition hall

123Stadium, arena

124Playground

129Amusement center: indoor/outdoor

120Variable use amusement, recreation places

131Church, mosque, synagogue, temple, chapel

134Funeral parlor

130Places of worship, funeral parlors

141Athletic/health club

142Clubhouse

143Yacht Club

144Casino, gambling clubs

140Clubs, other

151Library

152Museum

154Memorial structure, including monuments & statues

155Courthouse

150Public or government, other

161Restaurant or cafeteria

162Bar or nightclub

160Eating, drinking places

171Airport passenger terminal

173Bus station

174Rapid transit station

170Passenger terminal, other

181Live performance theater

182Auditorium or concert hall

183Movie theater

185Radio, television studio

186Film/movie production studio

180Studio/theater, other

100Assembly, Other

Educational

211Preschool

213Elementary school, including

kindergarten

215High school/junior high

school/middle school

210Schools, non-adult, other

241Adult education center, college

classroom

254Day care, in commercial property

255Day care, in residence, licensed

256Day care in residence, unlicensed.

200Educational, other

Health Care, Detention &

Correction

31124-hour care Nursing homes, 4 or

more persons

321Mental retardation/development disability facility

322Alcohol or substance abuse recovery center

323Asylum, mental institution

331Hospital – medical or psychiatric

332Hospices

341Clinic, clinic-type infirmary

342Doctor, dentist or oral surgeon's office

343Hemodialysis unit

340Clinics, Doctors offices,

hemodialysis centers,other

361Jail, prison (not juvenile)

Property Use Codes

363Reformatory, juvenile

detention center

365Police station

300Health care, detention, & correction, other

Residential

4191 or 2 family dwelling

429Multifamily dwellings

439Boarding/rooming house, residential hotels

449Hotel/motel, commercial

459Residential board and care

462Sorority house, fraternity house

464Barracks, dormitory

460Dormitory type residence, other

400Residential, other

Mercantile, Business

511Convenience store

519Food and beverage sales, grocery store

529Textile, wearing apparel sales

539Household goods, sales, repairs

549Specialty shop

557Personal service, including barber & beauty shops

559Recreational, hobby, home repair sales, pet store

564Laundry, dry cleaning

569Professional supplies, services

571Service station, gas station

579Motor vehicle or boat sales, services, repair

580General retail, other

581Department or discount store

592Bank

593Office: veterinary or research

596Post office or mailing firms

599Business office

500Mercantile, business, other

Industrial, Utility, Defense, Agriculture, Mining

610Energy production plant,

other

614Steam or heat generating plant

615Electric generating plant

629Laboratory or science lababoratory

631Defense, military installation

635Computer center

639Communications center

640Utility or Distribution system, other

642Electrical distribution

644Gas distribution, pipeline, gas distribution

645Flammable liquid distribution, pipeline, flammable

647Water utility

648Sanitation utility

655Crops or orchard

659Livestock production

669Forest, timberland, woodland

679Mine or quarry

600Utility, defense, agriculture, mining, other

Manufacturing, processing

700Manufacturing, processing

Storage

807Outside material storage area

808Outbuilding or shed

816Grain elevator, silo

819Livestock, poultry storage

839Refrigerated storage

849Outside storage tank

880Vehicle storage, other

881Parking garage, (detached residential garage)

882Parking garage, general vehicle

888Fire station

891Warehouse

899Residential or self storage units

898Dock, marina, pier, wharf

800Storage, other

Outside or Special Property

919Dump, sanitary landfill

921Bridge, trestle

922Tunnel

926Outbuilding, protective shelter

931Open land or field

935Campsite with utilities

936Vacant lot

937Beach

938Graded and cared-for plots of land

941Open ocean, sea or tidal waters

946Lake, river, stream

940Water area, other

951Railroad right of way

952Railroad yard

961Highway or divided highway

962Residential street, road or residential driveway

963Street or road in commercial area

965Vehicle parking area

960Street, other

972Aircraft runway

973Aircraft taxi-way

974Aircraft loading area

981Construction site

982Oil or gas field

983Pipeline, power line or other utility right of way

984Industrial plant yard – area

900Outside or special property, other

000Property Use, other

NNN No Property Use

UUU Property Use Undetermined

Incident Reporting Quick Reference Guide [Revision 07/25/02]

Fires

Structure Fire

111Building fire

112Fires in structures other than in a building

113Cooking fire, confined to container

114Chimney or flue fire, confined to chimney or flue

115Incinerator overload or malfunction, fire confined

116Fuel burner/boiler malfunction, fire confined

117Commercial Compactor fire, confined to rubbish

118Trash or rubbish fire, contained

121Fire in mobile home used as fixed residence

122Fire in motor home, camper, recreational vehicle

123Fire in portable building, fixed location

120Fire in mobile property used as a fixed structure, other

Mobile property (vehicle) fire

131Passenger vehicle fire

132Road freight or transport vehicle fire

133Rail vehicle fire

134Water vehicle fire

135Aircraft fire

136Self-propelled motor home or recreational vehicle

137Camper or recreational vehicle (RV) fire

138Off-road vehicle or heavy equipment fire

130Mobile property (vehicle) fire, other

Natural vegetation fire

141Forest, woods or wildland fire

142Brush, or brush and grass mixture fire

143Grass fire

140Natural vegetation fire, other

Outside rubbish fire

151Outside rubbish, trash or waste fire

152Garbage dump or sanitary landfill fire

153Construction or demolition landfill fire

154Dumpster or other outside trash receptacle fire

155Outside stationary compactor/compacted trash fire

150Outside rubbish fire, other

Special outside fire

161Outside storage fire

162Outside equipment fire

163Outside gas or vapor combustion explosion

164Outside mailbox fire

160Special outside fire, other

Cultivated vegetation, crop fire

171Cultivated grain or crop fire

172Cultivated orchard or vineyard fire

173Cultivated trees or nursery stock fire

170Cultivated vegetation, crop fire, other

Overpressure rupture

211Overpressure rupture of steam pipe or pipeline

212Overpressure rupture of steam boiler

213Steam rupture of pressure or process vessel

210Overpressure rupture from steam, other

221Overpressure rupture of air or gas pipe/pipeline

222Overpressure rupture of boiler from air or gas

Rescue & Emergency Medical Service Incidents

Medical assist

311Medical assist, assist EMS crew

Emergency medical service (EMS)

321EMS call, excluding vehicle accident with injury

322Vehicle accident with injuries

Incident Type Codes

323Motor vehicle/pedestrian

accident (MV Ped)

Lock-in

331Lock-in (if lock out, use 511 )

Search

341Search for person on land

342Search for person in water

343Search for person underground

340Search, other

Extrication, rescue

351Extrication of victim(s) from building/structure

352Extrication of victim(s) from vehicle

353 Removal of victim(s) from stalled elevator

354Trench/below grade rescue

355Confined space rescue

356High angle rescue

357Extrication of victim(s) from machinery

350Extrication, rescue, other

Water & ice related rescue

361Swimming/recreational water areas rescue

362Ice rescue

363Swift water rescue

364Surf rescue

365Watercraft rescue

360Water & ice related rescue, other

Rescue or EMS standby

381Rescue or EMS standby

Hazardous Conditions (No fire) Flammable gas or liquid

condition

411Gasoline or other flammable liquid spill

412Gas leak (natural gas or LPG)

413Oil or other combustible liquid spill

410Flammable gas or liquid condition, other

Toxic condition

421Chemical hazard (no spill or leak)

422Chemical spill or leak

423Refrigeration leak

424Carbon monoxide incident

420Toxic condition, other

431Radiation leak, radioactive material

430Radioactive condition, other

Electrical wiring/equipment problem

441Heat from short circuit (wiring), defective/worn

442Overheated motor

443Light ballast breakdown

444Power line down

445Arcing, shorted electrical equipment

440Electrical wiring/equipment problem, other

Service Call Person in distress

511Lock-out

512Ring or jewelry removal

510Person in distress, other

Water problem

521Water evacuation

522Water or steam leak

520Water problem, other

Smoke or odor removal

531Smoke or odor removal

Unauthorized burning

561Unauthorized burning

Good Intent Call

Dispatched & canceled en route

611Dispatched & canceled en route

Wrong location

621Wrong location

Controlled burning

631Authorized controlled burning

632Prescribed fire

Steam, other gas mistaken for smoke

651Smoke scare, odor of smoke

652Steam, vapor, fog or dust thought to be smoke

653Barbecue, tar kettle

650Steam, other gas mistaken for smoke, other

Good intent call, other

600Good intent call, other

False Alarm & False Call Malicious, mischievous false call

711Municipal alarm system, malicious false alarm

712Direct tie to FD, malicious /false alarm

713Telephone, malicious false alarm

714Central station, malicious false alarm

715Local alarm system, malicious false alarm

710Malicious, mischievous false call, other

Bomb scare - no bomb

721Bomb scare - no bomb

System malfunction

731Sprinkler activation due to malfunction

732Extinguishing system activation due to malfunction

733Smoke detector activation due to malfunction

734Heat detector activation due to malfunction

735Alarm system sounded due to malfunction

736CO detector activation due to malfunction

730System malfunction, other

Unintentional transmission of alarm

741Sprinkler activation, no fire – unintentional

742Extinguishing system activation

743Smoke detector activation, no fire – unintentional

744Detector activation, no fire – unintentional

745Alarm system sounded, no fire – unintentional

746Carbon monoxide detector activation, no CO

740Unintentional transmission of alarm, other

Biohazard scare

751Biological hazard, malicious false report

False alarm or false call, other

700False alarm or false call, other

Severe Weather & Natural Disaster

811Earthquake assessment

812Flood assessment

813Wind storm, tornado/hurricane assessment

814Lightning strike (no fire)

815Severe weather or natural disaster standby

800Severe weather or natural disaster, other

Special incident type

911Citizen complaint

900Special type of incident, other

This is only a partial list of Incident Type Codes. The complete listing can be found in the NFIRS

5.0Quick Reference guide that can be downloaded at https://nfirs.fema.gov/documentation/reference/.

Incident Reporting Quick Reference Guide [Revision 07/25/02]