Fire Investigation Report Form
Incident Date & Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Fire
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Fire Department Name
Incident Report Number
Name of Reporting Person
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Fire Incident Details
Cause of Fire
Accidental
Arson
Electrical Fault
Other
Fire Origin
Building/Structure
Vehicle
Wildland/Forest
Other
Fire Spread
Rapid
Slow
Controlled
Uncontrolled
Other
Firefighters on Scene
Yes
No
If Yes, Number of Firefighters on Scene
Witness Information (If Applicable)
Provide detailed information about the investigation findings, including the cause and origin of the fire, the extent of damage, and any safety concerns.
Outline any recommendations for further actions, preventive measures, or safety improvements based on the investigation findings.
Please attach any photographs, diagrams, or additional documents related to the fire incident and investigation.
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Lead Investigator's Name
First Name
Last Name
Badge Number
The findings and details in this report are accurate to the best of our knowledge and belief.
Date
-
Month
-
Day
Year
Date
Signature
Submit
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