Sample Format – For Training Purposes Only

NATIONAL FORENSIC SCIENCE TRAINING INSTITUTE

Camp Vicente Lim, Barangay Mayapa, Calamba City, Laguna

EXPLOSIVE RELATED INCIDENT REPORT FORM

BDC INCIDENT NUMBER ____________________________ DATE RECEIVED __________________________________

POLICE BLOTTER CASE NR
CHIEF OF POLICE
INVESTIGATGOR ON CASE
UNIT CONTACT DETAILS
____________________________ REPORTING UNIT __________________________________
_________________________________________________________________________________
_________________________________________________________________________________
ADDRESS ______________________________________________________________________
PHONE ______________________________________________________________________
E-MAIL ______________________________________________________________________

BOMB SQUAD UNIT _________________________________________________________________________________

TEAM LEADER _________________________________________________________________________________
ADDRESS ______________________________________________________________________
UNIT CONTACT DETAILS PHONE ______________________________________________________________________
E-MAIL ______________________________________________________________________

SOCO UNIT _________________________________________________________________________________

TEAM LEADER
UNIT CONTACT DETAILS
D/T/P OF INCIDENT
_________________________________________________________________________________
ADDRESS ______________________________________________________________________
PHONE ______________________________________________________________________
E-MAIL ______________________________________________________________________
_________________________________________________________________________________

INCIDENT CATEGORY Bombing Threat Attempted Bombing

Recovery Others, specify ____________________
INJURIES Yes No Number
DEATHS Yes No Number
PRE-INCIDENT THREAT Yes  No
POST-INCIDENT THREAT Yes  No
__________________________________________________________________________________
__________________________________________________________________________________
DETAILS __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Phone Call Letter Verbal

METHOD OF THREAT Text Message E-Mail Tweet Message
instagram Message Others, specify ____________________
__________________________________________________________________________________
__________________________________________________________________________________
DETAILS __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Personal Delivery Dropped Thrown

METHOD DELIVERY Placed Suicide Buried
Launched Others, specify ____________________
__________________________________________________________________________________
__________________________________________________________________________________
DETAILS
__________________________________________________________________________________
__________________________________________________________________________________

Sample Format – For Training Purposes Only

Sample Format – For Training Purposes Only

__________________________________________________________________________________

Time Victim Environmental

TYPE OF SWITCH
Command Others, specify ____________________
__________________________________________________________________________________
__________________________________________________________________________________
DETAILS __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Battery Main Flame

TYPE OF POWER SOURCE
Combination Others, specify ____________________
__________________________________________________________________________________
__________________________________________________________________________________
DETAILS __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Commercial Military Improvised

TYPE OF INITIATOR
Combination Others, specify ____________________
__________________________________________________________________________________
__________________________________________________________________________________
DETAILS __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Plastic Metals Carton

TYPE OF CONTAINER Cloth Wood Leather
Bag Others, specify ____________________
__________________________________________________________________________________
__________________________________________________________________________________
DETAILS __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Commercial Military Improvised

TYPE OF EXPLOSIVE
Combination Others, specify ____________________
__________________________________________________________________________________
__________________________________________________________________________________
DETAILS __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Domestic Dispute Terrorism Criminal

MOTIVE Experimentation Vandalism Religious
Extortion Others, specify ____________________
__________________________________________________________________________________
__________________________________________________________________________________
DETAILS __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Government Commercial Private

TARGET
Public Others, specify ____________________
DETAILS __________________________________________________________________________________

Sample Format – For Training Purposes Only

Sample Format – For Training Purposes Only

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

SUSPECTED GROUP __________________________________________________________________________________

__________________________________________________________________________________
__________________________________________________________________________________
DETAILS __________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
DEVICE/COMPONENT
__________________________________________________________________________________
DESCRIPTION: (include
__________________________________________________________________________________
description of device and
__________________________________________________________________________________
list of components. Include
__________________________________________________________________________________
as much information as
__________________________________________________________________________________
possible.)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

INDICENT DETAILS:
(Include information on
injuries, property damage,
motive and incident
description, device
location and any other
relevant informatioin.)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

RENDER SAFE PROCEDURE: __________________________________________________________________________________

(List action taken by __________________________________________________________________________________
reporting unit and any __________________________________________________________________________________
information considered __________________________________________________________________________________
urgent for promulgation to __________________________________________________________________________________
other law enforcement __________________________________________________________________________________
agencies and first __________________________________________________________________________________
respondenrs, e.g., device __________________________________________________________________________________
rendered safe by remote __________________________________________________________________________________
approach utiliziing __________________________________________________________________________________
disruptor. __________________________________________________________________________________

PHOTOGRAPHS & __________________________________________________________________________________

DIAGRAMS: (List and __________________________________________________________________________________
describe any photograph, __________________________________________________________________________________
diagram attasched to the __________________________________________________________________________________
rerpot) __________________________________________________________________________________

Sample Format – For Training Purposes Only

Sample Format – For Training Purposes Only

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

_________________________________ _________________________________ _________________________________

Name Signature Date
Note: please transmit to PBDC-IG through fax ot email

Sample Format – For Training Purposes Only