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TATA STEEL LIMITED

ODISHA PROJECT, KALINGANAGAR


FIRE SAFETY-PROJECT SAFEY DEPARTMENT
SL.NO:…………………..
FIRE CALL REPORT TSL/KPO/PS/FIRE/F DATE:……………………..
(To be filled by the party)

Date of Occurrence :……………………………………………………………………………………………….


Time of Information Received :……………………………………………………………………………………….………
Location :……………………………………………….. sub location :………………………………………………………………..………
Information given by:………………………………………………….Contact No :……………………………………………..……..
Time of Arrival at Fire Spot :……………………………………………………………………………………………….
Time of Departure from fire spot :……………………………………………………………………………………….………
Description of Fire :…………………………………………………………………………………………………………………………..…….
………………………………………………………………………………………………………………………………………………………..………
………………………………………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………………..……
Cause of fire :…………………………………………………………………………………………………………………………………………..
Type of Fire :………………………………………………………………………………………………………………………………………..….
Property Loss:…………………………………………………………………………………………………………………………………….……
Property Saved:……………………………………………………………………………………………………………………………………….

Extinguishing Media used by:

By Customer:Water……………..AFFF………….……..FOAM…..…..……….DCP………..........CO2………................

Fire Brigade : Water……..………..AFFF………..……..FOAM……………….DCP……..............CO2………...............

Customer’s Satisfaction Index: (please put in initial on the appropriate box)

Poor Fair Goo Very Good Excellen

Name of the party:……………………………………………………Designation:……………………………………………………

Telephone No:…………………………………………………………. Signature:……………………………………………………...

Details of Fire Unit:

Vehicle No:…………………………………

Sub Officer:……………………………………………… Sub Officer (Transport)………………………………………..……

Fireman:1)…………………………….2)……………………………….3)………………………………..4)……………………………..…….

Signature of SO:…………………………………………………………………..….

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