Republic of the Philippines

Department of the Interior and Local Government

BUREAU OF FIRE PROTECTION
Regional Office 1
Office of the Municipal Fire Marshal
BACNOTAN FIRE STATION
Brgy. Nagsimbaanan, Bacnotan, La Union
Tel. No. (072) 607-5472
email: bacnotan_firestation@yahoo.com

MEMORANDUM

FOR : The Municipal Fire Marshal

SUBJECT : After Operation Report

Re; Fire Incident at Brgy. Raois, Bacnotan, La Union

DATE : 11 September 2017

Submitted herein is the After Operation Report of the fire incident that transpired
at about 09 2230H September 2017 at Brgy. Raois, Bacnotan, La Union.

1. Alarm Received : 10 2410H September 2017

Location : Brgy. Raois, Bacnotan, La Union
Caller/Reporter/Transmitted by: PNP Bacnotan - PO1 Freddie Licudan
Officer/Fireman on Duty who received the alarm: FO2 Fernando O Buccat Jr
2.
TIME TIME
ENGINE TIME LEFT VOLUME OF
ARRIVED ARRIVED
DISPATCH STATION WATER
FIRE SCENE STATION

FT/BFP Isuzu NEGATIVE NEGATIVE NEGATIVE NEGATIVE

Morita

3. Classification of Fire Alarm (Check the proper blank)

____XXX____ Structural
____________ Vehicular
____________ Chemical Fire
____________ Grass Fire
____________ Rubbish fire near bldg.
____________ Fire in dump
____________ Other fire out doors
4. Alarm where there is no fire:
____________ Rescue/Emergency call
____________ Needless call
____________ False alarm

5. General description of building and other land, air and water transportation
and navigation:

6. Extinguishment agent used:

Number Type/Kind Capacity

7. Hose line used:

Number Type/Kind Total Feet

8. Rope and Ladder used:

Number Type/Kind Length

9. Breathing Apparatus:
Number Capacity Type

10. Other used in fire:

11. Personnel Responded:

RANK/NAME DESIGNATION REMARKS

12. Personnel on duty not responding and reason:

RANK/NAME DESIGNATION REMARKS

13. Total Distanced Traveled: Negative

 14. Instruction:

15. Operation and story of fire:

On or about 10 2410H September 2017 , Personnel of PNP Bacnotan informed

this station that a fire had occurred to a single storey residential house owned by a
certain Mary Joan Aquino y Obra located at Brgy. Raois, Bacnotan, La Union but
immediately extinguished by the neighbors of the fire victim.

According to the Owner, fire started at 09 2230H September 2017 specifically

one of the bedroom located at the western portion causing to burn portion of the bed
made of bamboo and blankets.

But upon arrival, it was found out that the burned specimen had already been
fixed (cleaned) but duty investigator still gathered some for laboratory examination
purposes.

16. Observations/Recommendations:

Prepared by:

SFO1 Anthony T Bilar BFP

Fire Arson Investigator

FO2 Fernando O Buccat Jr BFP

Fire Arson Investigator

Noted by:

SFO1 Noly T Geraban BFP

C, IIU/FAI