FIRE - POLICE OBSERVATION REPORT

IDENTIFICATION
NAME INCIDENT ADDRESS DID YOU TAKE ANY PICTURES/VIDEO?

AGENCY INVESTIGATOR

CASE NUMBER DATE

□ FIRE □ POLICE

SHIFT/STATION DATE

ASSIGNED UNIT/AGENCY INCIDENT/CASE #

DID ANYONE ELSE ? (NAME, AGENCY, PHONE #)

WEATHER OBSERVATIONS
VISIBILITY LIGHTNING PRECIPITATION TEMPERATURE WIND DIRECTION WIND SPEED

OTHER (ICE, SNOW, INVERSION, ETC)

APPROACHING THE SCENE
DIRECTION OF APPROACH OBSTRUCTION(S) TO RESPONSE OBSTRUCTION(S) TO ACCESS FIRE & FLAME SMOKE VISIBLE (EXTERIOR)

□ YES □ NO □ YES □ NO

COLOR & QUANITY COLOR & QUANTITY

LOCATION OF FIRE ORIGIN LOCATION OF SMOKE ORIGIN

VISIBLE (EXTERIOR)

PERSON(S) AND/OR VEHICLE(S) LEAVING THE SCENE
PERSON # PERSON # VEHICLE # VEHICLE # □M □F □ TALL □ MEDIUM □ SHORT □M □F □ TALL □ MEDIUM □ SHORT COLOR(S) COLOR(S) YEAR YEAR CLOTHING/DESCRIPTION CLOTHING/DESCRIPTION MAKE MAKE MODEL MODEL LICENSE NO, LICENSE NO, DIRECTION OF TRAVEL/OTHER DIRECTION OF TRAVEL/OTHER STATE COMMENT/DESCRIPTION/DIRECTION OF TRAVEL STATE COMMENT/DESCRIPTION/DIRECTION OF TRAVEL **LIST ANY ADDITIONAL PERSONS OR VEHICLES ON REVERSE**

ARRIVAL AT THE SCENE
NUMBER OF SPECTATORS UNUSUAL VEHICLE MOVEMENTS DESCRIPTION OR IDENTIFICATION

□ YES □ NO □ YES □ NO

FIRE DEPT UNITS ALREADY ON LOCATION CONNECTION PROBLEMS? ALARM SYSTEM SOUNDING? HYDRANT WATER GONG

POLICE OFFICERS ON LOCATION FDC, SIAMESE, PIV SMOKE DETECTOR OPERATIONAL? OTHER OTHER

□ YES □ NO

ENTERING THE BUILDING
WHERE DID YOU GAIN ENTRY? DOORS WAS FORCIBLE ENTRY NEEDED? (WHAT TOOLS DID YOU USE) LOCATION LOCATION

□ LOCKED □ UNLOCKED
WINDOWS

□ CLOSED □ OPEN □ YES □ NO

EVIDENCE OF FORCED ENTRY PRIOR TO ENTERING THE BUILDING? - EXPLAIN LOCATION OF DOORS AND WINDOWS ENTERED OR OPENED BY YOU FOR ACCESS OR VENTILATION (LOCKED, OPEN, BROKEN, ETC) DID YOU NOTICE ANY DOORS OR WINDOWS BLOCKED OR COVERED?

***CONTINUED ON REVERSE***

**FIRE/POLICE OBSERVATION REPORT – BACK PAGE**
ATTACKING THE FIRE
DIRECTION OF FIRE ATTACK AREA FIRST EXTINGUISHED WAS FIRE UNUSUALLY DIFFICULT TO EXTINGUISH? EXPLAIN WAS THERE ANY UNUSUAL REACTION OF THE FIRE TO THE WATER? - EXPLAIN FACTORS INFLUENCING FIRE SPREAD (I.E. MULTIPLE FIRES) DESCRIBE ANY UNUSUAL ODORS – WHERE WERE THE ODORS STRONGEST? DESCRIBE ANY UNUSUAL FLAMMABLES OR COMBUSTIBLES YOU SUSPECT (AND THEIR LOCATION) HOSE SIZE AND NOZZLE TYPE USED AREA LAST EXTINGUISHED

SALVAGE AND OVERHAUL
DID YOU MOVE ANY ITEM(S) FROM THE STRUCTURE? □ YES □ NO WHAT WAS THE EXACT LOCATION OF THE ITEM(S) MOVED – ATTACH SKETCH IF APPROPRIATE. DID YOU NOTICE ANYTHING UNUSUAL IN THE STRUCUTRE DURING YOUR SALVAGE AND OVERHAUL OPERATIONS? DID YOU MOVE OR TOUCH ANY CIRCUIT BREAKERS? DESCRIBE AND IDENTIFY.

ADDITIONAL INFORMATION - SCENE SKETCH (NOTE ANY UNUSUAL OR NOTEWORTHY ITEMS, ATTACH ADDITIONAL SHEETS IF NEEDED)

**ATTACH ADDITIONAL SHEETS IF NECESSARY**