Thomaston Fire Department
Incident Report
Incident Number:
Date:
01
02
03
04
05
06
07
08
09
10
11
12
/
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
2005
2006
2007
2008
2009
2010
2011
2012
Day of the Week:
Sunday
Monday
Tuesday
Wednesday
Thursday
Fiday
Saturday
Alarm Time:
Arrival Time:
In Service:
Type of Situation:
Action Taken:
Correct Address:
Occupant Name:
Telephone:
Owner Name:
Telephone:
Method of Alarm:
Radio
Telephone
Walk-In
Other
Person Calling(For Telephone Alarm):
Telephone Number:
Number of Alarms:
1
2
3
4
5
6
7
8
9
10
Command Level:
1
2
3
4
5
Number of Fire Personnel Responding:
Number of Volunteers:
Total Number of Personnel Responding:
Number of Engines Responding:
Engine Number:
Number of Aerial Apparatus Responding:
Apparatus Number:
Number of Other Apparatus Responding:
Apparatus Number:
Number of Vehicles Responding:
Vehicle:
Fire Service Injuries:
Fire Service Fatalites:
Civilian Injuries:
Civilian Fatalities:
Complete For All Fires
Complex:
Moblile Property:
Area of Fire Origin:
Equipment Invloved:
Form of Ignition:
Material Ignited::
Method of Extinguishment:
Estimated Loss:$
Insurance Company:
Agent:
Complete For All Structure Fires
Number of Stories:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Construction Type:
Extent of Damage From: Flame
Smoke
Detector Performance:
Sprinkler Performance:
Officer in Charge____________________________________ Date___________
Member Completing Report_____________________________ Date__________