Republic of the Philippines

Department of Environment and Natural Resources

FIRE REPORT
(Individual Fire)
Instruction: The forest officer responsible for the fire suppression will complete this form prior
to leaving the fire.

REGION: __________________________
PENR OFFICE: _____________________ __________________________
CENR OFFICE: _____________________ __________________________
(Fire Number)
LOCATION (Specific) __________________________________________________________
(Sitio/Barrio/Municipality/Province)
TIME RECORD:
Observed: _______________________________________________________________
(Hour and Date) (By Whom)
Message Received _________________________________________________________
(Hour and Date)
________________________________________________________________________
(Delivered by) (Where)
Dispatched crew __________________________________________________________
(Hour and Date)
___________________________________________________________
(Hour and Date)
Arrival at fire ___________________________________________________________
(Hour and Date)
Time Traveled ___________________________________________________________
(By Vehicle) (By Foot)
Fire Controlled ___________________________________________________________
(Date and Hour)
Fire Out ____________________________________________________________
(Date and Hour)
Action Taken:
Number of men dispatched _________________________________________________
List of personnel on fire: (Indicate designation and salary/day of each man).
1. 6.
2. 7.
3. 8.
4. 9.
5. 10.

Total Number of man-hours: ______________________________________________________

For control ______________________________________________________________
For mop up ______________________________________________________________
CHARACTER OF FIRE ON ARRIVAL
____________ ____________
Smolldering /____________/ Running /____________/
___________ ____________
Creeping /___________/ Spotting /___________/
___________
Crowning /__________/

DESCRIPTION OF METHOD OF CONTROL

_______________
Fill in : A. Direct attack /______________/
_____________
B. Indirect attack /_____________/
______________________________________________________________________________

DAMAGED RECORD: 1. Forested : ___________ ha. No. of Sdlngs _______________

2. Grassland : __________ ha. No. of Sdlngs _______________
3. Plantation : __________ ha. No. of Sdlngs _______________

Total Area burned : ______________________________________________ hectares

Total No. of Seedlings burned : (____________________________________)
Total No. of Saplings burned: __________________ Volume _____________ Cu. M.
Damage Cost : P _____________________________

SPECIFIC CAUSE (Check one) :

A. Accident / negligence
1. Escaped fire from - 4. Smoking/Cigar/Cigarettes
______________
/_____________/ trash can 5. Torch light
_____________ ____________
/____________/ fertilizer 6. Range or pasture /___________/
Preparation preparation
____________ ___________
/___________/ Outdoor cooking 7. Hunting /__________/
____________ ___________
/___________/ Roadside cleaning 8. Honey / ant egg /__________/
Collection
2. Kaingin-making B. INCENDIARY
_________ 9. Incendiarism
/_________/ New kaingin /_________/ Obtain Employment
_________
/_________/ Underbrush clearing /_________/ Kill timber
 /_________/ Return old kaingin /_________/ Personal grudge/spite

3. /_________/ Chidren Playing C. NATURAL PHENOMENA

10. Lightning /_________/

D. OTHERS: (Explain)

MAP RECORD: (Show sketch of burned area showing scale and dimension. Also indicate
reference points or tie lines from known point in map. Use back hereof for additional
information).

__________________________

Forest Extension Officer

Attested By:

_____________________________