Operational Form – Network: Fire Report CEOF6038

NETWORK: FIRE REPORT

PURPOSE: For reporting of ALL FIRES attended by Essential Energy Employees especially where
Essential Energy assets have been damaged and/or the alleged cause of ignition involved Essential
Energy or Private Line Assets. This form is to be used by Field Employees to convey information to
the Regional/Area Resource Person who creates the TotalSAFE log and then attaches the report in
the Incident details section.

Service Delivery Staff Assigned Regional Area Coordinator

Resource Field Services Manager
Regional General Manager
Creates TotalSAFE log Group Manager Asset Strategy
and attaches report, Insurance Manager
photos, etc.

Priority is always to make safe and restore supply then reporting. It should be noted that
normally some verbal reporting takes place soon after the event with formal reports such as this to
be issued as soon as time permits, shortly after the event. Responsibility for forwarding reports is
indicated above.

FILL IN DETAILS BELOW (tick or circle answers where appropriate).

Time (24Hr
Date and Time of Failure __ __ / __ __ / __ __ __ __ : __ __
Clock)
Incident Severity: InsignificantInsignificant
/ Minor / Moderate / Moajor/ /Major
/ Minor / Moderate Catastrophic
/ Catastrophic

Street/Road:

Town/Locality/Property Name:
Pole Use: (pin/substation/bollard/
Fire Source service/ streetlight/termination/private;
Locality: if applicable)
Pole No./Substation
No./Feeder/Line/Spur:

Owner / Name:
Occupiers /
Responsible Party Vehicle
Licence No:
(if applicable): Registration:
Address and Contact
Phone Number:

Essential Energy Private Line

Alleged Cause of Fire:
Asset
Yes/No Asset
Yes/No
Is Essential Energy likely
If yes; has digital photos
to receive a damages Yes/No Yes/No
been attached:
claim:

Weather Day of TOTAL Bush Fire

Temp. Wind Air Moisture
Fire Ban Prone Area
at Time
of Fire: Yes/No Yes/No ˚ C Strong / Mod. / Calm Dry / Humid / Fog / Rain

Fire Line Burning Customers Other:

Pole Trees Grass Bushfire
Origin: Hardware Off Installation (specify)

Type of Asset Involved

(Pole/Conductor/Switch/LA/etc.):

Pole Material: Wood / Steel / Concrete Wood / Steel / Concrete

Crossarm Material: Wood / Steel / Fibreglass Wood / Steel / Fibreglass

14 July 2011 – Issue 5

Approved By: Group Manager Standards and Demand Management
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Operational Form – Network: Fire Report CEOF6038

Voltage Level Attributed to Alleged Cause of Fire Ignition

L.V. SWER
3 Wire or 6.6 11 22 33 66 110 132
2 Wire 12.7 19.1
more

Alleged Cause of Fire Ignition Factors Contributing to the Alleged Cause of Fire Ignition
(Tick ONE ONLY) (Tick ALL that apply)
Conductor Clashing Wind Human Agency

Conductor Striking Ground Lightning Vehicle

Conductor Striking Object Tree Growth Wind Blown Debris

Conductor Struck by Object Conductor Failure L.V. Spreader Failure

Circuit to Circuit Contact Conductor Joint Failure Equipment Failure

Conductor Insulator Tie
Fuse Operation – EDO System Fault
Failure
Insulator Failure –
Fuse Failure – Powder Filled Transformer Fault
Mechanical
Insulator Failure –
Surge Diverter Switch Failure
Electrical
Cable Termination
Bird/Animal Insulator Pollution
Failure
Pole Fire Pole Failure – Decay/Ants Aircraft
Pole Failure – Other
Crossarm Fire Excavator/Plant
Reasons
Crossarm Failure – Line to Ground
Earthing
Decay/Ants Clearance
Other (Specify in Incident Crossarm Failure – Other Other (Specify in
Description) Reasons Incident Description)
Unknown Falling Tree/ Branch/Bark Unknown

DESCRIPTION OF INCIDENT: (include size of area burnt, alleged EE asset involvement, personal injury,
equipment damage, etc. This section maybe omitted if already covered by Description of Problem/Improvement
in TotalSAFE log).

Immediate Action Taken:

Large or Significant Customers Affected: (e.g. Abattoir, Hospital, etc.):

EMPLOYEES INVOLVED:

Report Completed
Depot/Area:
By:

14 July 2011 – Issue 5

Approved By: Group Manager Standards and Demand Management
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Operational Form – Network: Fire Report CEOF6038

COMMENTS:

COMPLETE ONLY IF:

Essential Energy assets alleged to be the cause of the fire.

If a house or building fire, attach a separate report from the inspector, if the above information is
insufficient.
If not a house or building fire, complete the following:

How far from nearest Essential Energy asset did the fire start? .............................................

.....................................................................................................................................

What is the Ground Clearance to each phase of the line? ......................................................

.....................................................................................................................................

Temperature at time of measurement? ..............................................................................

Are Surge Diverters or Spark Gaps fitted? ..........................................................................

Are LV Spreaders fitted? ...................................................................................................

Yes/No
Was fire caused by a known defect (e.g. Tree identified for pruning)? ......................... YES/NO

14 July 2011 – Issue 5

Approved By: Group Manager Standards and Demand Management
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Operational Form – Network: Fire Report CEOF6038

Draw a sketch showing:

5 Location of trees, buildings and other
1 Location of power lines in affected area.
landmarks.
2 North on plan. 6 Roads or tracks.
3 Direction of wind. 7 Identify line and pole number, if possible.
4 Shade area burnt.

Closest depot: ......................................................................................................................

Approximate distance (Km) by road, etc., from depot to fire origin: ............................ Km.

14 July 2011 – Issue 5

Approved By: Group Manager Standards and Demand Management
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