Republic of the Philippines

DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT

BUREAU OF FIRE PROTECTION

_______________________________
Fire Station

RESCUE/ EMS AFTER OPERATION REPORT

VEHICULAR ACCIDENT VICTIM RETRIEVAL OPERATION REPORT
SPOT REPORT

FOR : THE REGIONAL DIRECTOR

BUREAU OF FIRE PROTECTION
Regional Headquarters IV-A
Camp Vicente Lim, Calamba City
Laguna

ATTENTION : Chief, EMS

THRU : THE PROVINCIAL DIRECTOR

BUREAU OF FIRE PROTECTION
BATANGAS BFP

CITE NUMBER : _____________________________

1. TIME & DATE RECEIVED :

2. LOCATION :

3. TIME/ DATE OF INCIDENT :

4. NAME/ TYPE OF INCIDENT :

5. INVOLVED :

6. NUMBER OF VICTIMS :
A. CASUALTY:
A. 1. INJURED :
A. 2. DEAD :
B. MISSING :
C. RESCUED :
D. RETRIEVED :

7. NAME OF VICTIMS:
INJURED DEAD MISSING

8. ESTIMATED COST OF DAMAGES :

9. NUMBER OF FIRE TRUCKS RESPONDED :

10. NUMBER OF RESCUE/ EMS VEHICLE RESPONDED:

11. F/ GROUND COMMANDER :

12. TRANSMITTER/ RECEIVER :

13. TIME/ DATE TRANSMITTED/ RECEIVED :

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City/ Municipal Fire Marshal/ OIC/ FPO