Nfirs Form PDF Details

The National Fire Incident Reporting System (NFIRS) form is integral to documenting various details about fire incidents across the United States, encapsulating critical information from the date and location of the incident to the actions taken by emergency services. Encompassing a broad spectrum of data entry fields, the form ensures comprehensive coverage of an incident, including the type of incident, aid given or received, casualties, and property use, among others. Designed to standardize firefighting efforts' reporting, the form also addresses financial aspects by recording estimated dollar losses and values associated with the incident. It facilitates a better understanding and analysis of fire incidents, which is crucial for improving fire prevention and suppression strategies. Moreover, it includes sections for identifying the presence of hazardous materials, describing the incident's property use, and distinguishing the resources deployed during firefighting efforts. Completing the NFIRS-1 form, which Agency Information Management under the Department of Homeland Security mandates, is estimated to take about 75 minutes and is essential for effectively gathering and maintaining data needed for emergency services to assess and refine their response to fire incidents.

QuestionAnswer
Form NameNfirs Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform nfirs, nfirs forms, nfirs fire, nfirs report form

Form Preview Example

A

 

 

 

 

 

 

 

 

 

 

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DD

 

YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Incident Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FDID

 

 

State

 

 

 

 

 

 

 

 

Station

 

Incident Number

 

 

 

Exposure

Delete

NFIRS–1 BASIC

Change

OMB 1660-0069

Expires 06/30/2009

 

No Activity

*Paperwork Burden

Notice on Back

 

B

Location Type

Check this box to indicate that the address for this incident is provided on the Wildland Fire

 

Census Tract

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Module in Section B, “Alternative Location Specification." Use only for wildland fires.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Intersection

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In front of

Number/Milepost

Prefix

Street or Highway

 

 

 

 

 

 

 

 

Street Type

 

 

 

 

 

Suffix

 

 

 

Rear of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjacent to

Apt./Suite/Room

 

City

 

 

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Directions

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

US National Grid

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cross Street, Directions or National Grid, as applicable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CIncident Type

Incident Type

D

Aid Given or Received

 

None

1

Mutual aid received

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

Auto. aid received

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Mutual aid given

 

Their FDID

 

Their

 

 

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

4

Auto. aid given

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

Other aid given

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Their Incident Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E1

Dates and Times

 

 

 

Midnight is 0000

 

 

Month Day

Year

 

 

Hour Min

 

 

 

 

 

Check boxes if

 

ALARM always required

 

 

 

 

 

 

 

 

 

 

dates are the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

same as Alarm Alarm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date.

 

 

ARRIVAL required, unless canceled or did not arrive

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Arrival

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTROLLED optional, except for wildland fires

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Controlled

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Unit LAST UNIT CLEARED,

required except for

wildland fires

 

 

Cleared

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E2 Shifts and Alarms

Local Option

Shift or

Alarms

District

Platoon

 

 

ESpecial Studies

3

Local Option

Special

Special

Study ID#

Study Value

FActions Taken

Primary Action Taken (1)

Additional Action Taken (2)

Additional Action Taken (3)

GResources

1

Check this box and skip this block if an

Apparatus or Personnel Module is used.

Apparatus Personnel

Suppression

EMS

Other

Check box if resource counts include aid received resources.

G2 Estimated Dollar Losses and Values

LOSSES:

Required for all fires if known.

 

 

 

 

 

 

 

 

 

None

Optional for non-fires.

 

 

 

 

 

 

 

 

 

Property

$

 

 

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contents

$

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRE-INCIDENT VALUE: Optional

 

 

 

 

 

 

 

 

 

 

Property

$

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contents

$

 

 

 

,

 

 

 

 

 

 

 

 

,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Completed Modules

Fire–2

Structure Fire–3

Civilian Fire Cas.–4

Fire Service Cas.–5

EMS–6

HazMat–7

Wildland Fire–8

Apparatus–9

Personnel–10

Arson–11

H1 Casualties

 

None

H3

Fire

Deaths

Injuries

1

 

 

 

 

 

 

 

 

 

 

 

Service

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Civilian

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

H2

Detector

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

1

 

Required for confined fires.

7

 

 

 

 

Detector alerted occupants

 

 

8

 

 

2

 

 

 

Detector did not alert them

0

 

UUnknown

Hazardous Materials Release

None

Natural gas: slow leak, no evacuation or HazMat actions

Propane gas: <21-lb tank (as in home BBQ grill)

Gasoline: vehicle fuel tank or portable container

Kerosene: fuel burning equipment or portable storage

Diesel fuel/fuel oil: vehicle fuel tank or portable storage

Household solvents: home/office spill, cleanup only

Motor oil: from engine or portable container

Paint: from paint cans totaling <55 gallons

Other: special HazMat actions required or spill > 55 gal (Please complete the HazMat form.)

I

Mixed Use

Not mixed

 

Property

 

 

10

Assembly use

20

Education use

33

Medical use

40

Residential use

51

Row of stores

53

Enclosed mall

58 Business & residential

59 Office use

60 Industrial use

63 Military use

65 Farm use

00 Other mixed use

 

Property Use

 

 

None

341

Clinic, clinic-type infirmary

539

Household goods, sales, repairs

 

 

 

 

J STRUCTURES

 

 

 

342

Doctor/dentist office

571

Gas or service station

 

131

Church, place of worship

 

361

Prison or jail, not juvenile

579

Motor vehicle/boat sales/repairs

 

161

Restaurant or cafeteria

419

1- or 2-family dwelling

599

Business office

 

162

Bar/tavern or nightclub

429

Multifamily dwelling

615

Electric-generating plant

 

213

Elementary school, kindergarten

439

Rooming/boarding house

629

Laboratory/science laboratory

 

215

High school, junior high

449

Commercial hotel or motel

700

Manufacturing plant

 

241

College, adult education

459

Residential, board and care

819

Livestock/poultry storage (barn)

 

311

Nursing home

 

464

Dormitory/barracks

882

Non-residential parking garage

 

331

Hospital

 

519

Food and beverage sales

891

Warehouse

 

OUTSIDE

 

936

Vacant lot

981

Construction site

 

 

Playground or park

 

 

124

 

938

Graded/cared for plot of land

984

Industrial plant yard

 

655

Crops or orchard

 

946

Lake, river, stream

Look up and enter a

 

 

 

 

 

 

669

Forest (timberland)

 

951

Railroad right-of-way

 

Property Use

 

 

 

 

 

Property Use code and

 

 

 

 

807

Outdoor storage area

 

960

Other street

description only if you

 

Code

 

 

have NOT checked a

 

 

 

919

Dump or sanitary landfill

961

Highway/divided highway

 

 

 

 

 

 

Property Use box.

 

 

 

 

 

 

 

Property Use Description

 

931

Open land or field

 

962

Residential street/driveway

 

 

 

 

 

 

 

 

 

 

 

NFIRS–1 Revision 01/01/07

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This PDF will need particular data to be filled in, so be certain to take whatever time to provide exactly what is requested:

1. Whenever submitting the blank fire incident report form, be sure to include all important fields within the corresponding form section. It will help facilitate the work, which allows your details to be processed efficiently and properly.

Stage no. 1 of filling in form nfirs

2. After the last section is completed, go on to type in the relevant details in these - Primary Action Taken, Additional Action Taken, Additional Action Taken, Completed Modules, Fire Structure Fire, Civilian Fire Cas, Fire Service Cas, EMS, HazMat, Wildland Fire, Apparatus, Personnel, Arson, Apparatus, and Personnel.

The way to complete form nfirs portion 2

3. This third part should also be rather easy, Structures, Church place of worship Restaurant, Outside, Playground or park Crops or, Clinic clinictype infirmary, Vacant lot Gradedcared for plot of, Household goods sales repairs Gas, Construction site Industrial plant, Look up and enter a Property Use, Property Use, Code, Property Use Description, and NFIRS Revision - every one of these form fields must be completed here.

The best way to prepare form nfirs step 3

4. This next section requires some additional information. Ensure you complete all the necessary fields - PersonEntity Involved, Local Option, Business Name if applicable, Area Code, Phone Number, Check this box if same address as, Mr Ms Mrs, First Name, Last Name, Suffix, Number, Prefix, Street or Highway, Street Type, and Suffix - to proceed further in your process!

Mr Ms Mrs, Local Option, and Last Name in form nfirs

You can certainly make a mistake while completing your Mr Ms Mrs, therefore make sure you look again prior to when you send it in.

5. To wrap up your form, this last segment features a few extra fields. Typing in Number, Prefix, Street or Highway, Street Type, Suffix, Post Office Box, AptSuiteRoom, City, State, ZIP Code, Remarks, Local Option, PAPERWORK BURDEN DISCLOSURE NOTICE, NFIRS, and Paperwork burden for this form is should finalize the process and you'll surely be done in an instant!

Step # 5 in filling in form nfirs

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