Fire Incident Investigation Report Form
Use this form to document the details of a fire incident, including what happened, where it occurred, the response, and the observed damage or cause.
Incident Details
Incident Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Incident Location / Address
*
Incident Type / Area Affected
Please Select
Kitchen
Living Room
Bedroom
Garage
Office
Warehouse
Vehicle
Electrical Area
Other
Fire Description
Describe the fire incident
*
Observed fire origin or source
*
Electrical
Cooking
Equipment
Open flame
Chemical
Unknown
Other
Contributing conditions noted at the scene
Response and Impact
Immediate actions taken
*
Agencies or personnel notified/attended
Injuries or casualties
*
None
Injury
Fatality
Unknown
Estimated damage extent
*
Please Select
Minor
Moderate
Severe
Total loss
Unknown
Submit Report
Should be Empty: