Example 'Complete Structure Fire' incident report
NFIRS Example: Complete Structure Fire - report for structure fire; building / home or other structure fire. - NFIRS 5.0
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National Fire Incident Reporting System. Reporting by Responserack Fire Department NFIRS RMS.
NFIRS Example Complete Structure Fire
Responserack provides this NFIRS Fire report example for Complete Structure Fire. :
Complete Structure Fire — report for structure fire; building / home or other structure fire.
Provided NFIRS Modules
| Entity | Reference |
|---|---|
| Basic | The ‘Basic Module’ is the base that everything else depends upon; it contains the transactions that any incident type could require, and that are mandatory. |
| Fire | Provides report data for a fire incident. Can be supplemented with a wildland fire module or a structure fire module. |
| Structure Fire | Provides supplementary report data to a fire module for a structure fire. |
NFIRS Incident Report Details
Incident Header (1000) - Basic
Blocks: A. Absent Blocks: No Blocks Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1000 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Fire Department Station | A | NO VALUE |
| NFIRS Version | A | 5.0 |
Basic Incident (1005) - Basic
Blocks: A, B, C, D, E1, F, G1, G2, H1, H2, H3, I, J. Absent Blocks: E2.
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1005 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Incident Type | C | 111 - Building Fire |
| Address recorded on Wildland Module (Form) | B | N |
| Aid Given or Received | D | N - None |
| Alarm Date Time | E1 | 20211224215051 - 2021-12-24 21:50:51 -0700 MST |
| Arrival Date Time | E1 | 20211224220051 - 2021-12-24 22:00:51 -0700 MST |
| Incident Controlled Date Time | E1 | 20211224225051 - 2021-12-24 22:50:51 -0700 MST |
| Last Unit Cleared Date Time | E1 | 20211224225051 - 2021-12-24 22:50:51 -0700 MST |
| Shift | E2 | NO VALUE |
| Alarms | E2 | NO VALUE |
| District | E2 | NO VALUE |
| Actions Taken | F | 11 - Extinguishment by Fire Service Personnel |
| Resource Module (Form) Used. | G1 | N |
| Suppression Apparatus | G1 | 1 |
| EMS Apparatus | G1 | 1 |
| Other Apparatus | G1 | 1 |
| Suppression Personnel | G1 | 5 |
| EMS Personnel | G1 | 1 |
| Other Personnel | G1 | 1 |
| Resources Include Mutual Aid | G1 | N |
| Property Loss | G2 | 0 |
| Contents Loss | G2 | 0 |
| Property Value | G2 | 0 |
| Contents Value | G2 | 0 |
| Fire Service Deaths | H1 | 0 |
| Other Deaths | H1 | 0 |
| Fire Service Injuries | H1 | 0 |
| Other Injuries | H1 | 0 |
| Detector Alerted Occupants | H2 | U - Unknown |
| Hazardous Material Released | H3 | N - None |
| Mixed Use | I | NN - Not Mixed Use |
| Property Use | J | 400 - Residential - Other |
Incident Address (1010) - Basic
Blocks: A, B. Absent Blocks: No Blocks Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1010 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Census Tract | B | NO VALUE |
| Location Type | B | 1 - Street Address |
| Number or Milepost | B | 1 |
| Street Prefix | B | NO VALUE |
| Street or Highway Name | B | Test |
| Street Type | B | RD - Road |
| Street Suffix | B | N - North |
| Apartment Number | B | 1T |
| City | B | Test |
| State | B | CO - Colorado |
| Zip | B | 80403 |
| Cross Street, Directions or National Grid | B | NO VALUE |
Officer In Charge (1030) - Basic
Blocks: A, M. Absent Blocks: No Blocks Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1030 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Authority In Charge Personnel ID | M | 7001 |
| Authority In Charge First Name | M | Ted |
| Authority In Charge Middle Initial | M | T |
| Authority In Charge Last Name | M | Tester |
| Authority In Charge Rank | M | Chief |
| Authority In Charge Assignment | M | Command |
| Authority In Charge Date | M | 20211224 - 2021-12-24 00:00:00 -0700 MST |
Member Making Report (1035) - Basic
Blocks: A, M. Absent Blocks: No Blocks Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1035 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Authority Reporting Personnel ID | M | 7001 |
| Authority Reporting First Name | M | Ted |
| Authority Reporting Middle Initial | M | T |
| Authority Reporting Last Name | M | Tester |
| Authority Reporting Rank | M | Chief |
| Authority Reporting Assignment | M | Duty Officer |
| Authority Reporting Date | M | 20211224 - 2021-12-24 00:00:00 -0700 MST |
Incident Remarks (1040) - Basic
Blocks: A, L1. Absent Blocks: No Blocks Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1040 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Remarks | L1 | Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. |
Incident Remarks (1040) - Basic
Blocks: A, L1. Absent Blocks: No Blocks Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1040 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Remarks | L1 | Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. |
Incident Remarks (1040) - Basic
Blocks: A, L1. Absent Blocks: No Blocks Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1040 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Remarks | L1 | Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. |
Incident Remarks (1040) - Basic
Blocks: A, L1. Absent Blocks: No Blocks Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1040 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Remarks | L1 | Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. |
Fire (1100) - Fire
Blocks: A, B1, B2, B3, D1, D2, D3, D3a, E1, E2, E3. Absent Blocks: C, D4, F1, G, H1.
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1100 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Number Of Residential Units | B1 | 1 |
| Not Residential | B1 | N |
| Number Of Buildings Involved | B2 | 1 |
| Acres Burned (Outside Fires only) | B3 | NO VALUE |
| Less than one Acre | B3 | Y |
| On Site Materials | C | NO VALUE |
| Materials Storage Use | C | NO VALUE |
| Area of Origin | D1 | UU - Undetermined |
| Heat Source | D2 | UU - Heat Source: Undetermined. |
| Item First Ignited | D3 | UU - Undetermined |
| Confined to Origin | D3a | BLANK - Not Confined |
| Type of Material | D4 | NO VALUE |
| Cause of Ignition | E1 | U - Cause Undetermined After Investigation. |
| Contributed to Ignition Factors | E2 | UU - Undetermined |
| Human Factors | E3 | N - None |
| Age of Person | E3 | 22.00 |
| Sex of Person | E3 | 1 - Male |
| Equipment Involved | F1 | NO VALUE |
| Mobile Property Involved | H1 | NO VALUE |
| Fire Suppression Factors | G | NO VALUE |
Structure Fire (1200) - Structure Fire
Blocks: A, I1, I2, I3, I4, J1, J2, J3, L1, L2, L3, L4, L5, M1, M2, M3, M4, M5. Absent Blocks: K, K1, K2, L6.
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211224 - 2021-12-24 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1200 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Structure Type | I1 | 1 - Enclosed Building |
| Building Status | I2 | 2 - In Normal Use |
| Building Height: Stories Above Grade | I3 | 2 |
| Building Height: Stories Below Grade | I3 | 1 |
| Building Length | I4 | 50 |
| Building Width | I4 | 20 |
| Total Square Feet | I4 | NO VALUE |
| Fire Origin (Story #) | J1 | 1 |
| Fire Spread | J2 | 4 - Confined To Building Of Origin |
| Number of Stories with Damage: Minor | J3 | 1 |
| Number of Stories with Damage: Significant | J3 | 1 |
| Number of Stories with Damage: Heavy | J3 | 0 |
| Number of Stories with Damage: Extreme | J3 | 0 |
| No Flame Spread/Same As First/Unknown | K | NO VALUE |
| Item Contributing To Spread | K1 | NO VALUE |
| Type Of Material Contributing To Spread | K2 | NO VALUE |
| Detector Presence | L1 | 1 - Present |
| Detector Type | L2 | 1 - Smoke |
| Detector Power | L3 | 5 - Plug-in With Battery Backup |
| Detector Operation | L4 | 2 - Detector Operated |
| Detector Effectiveness | L5 | 1 - Detector Alerted Occupants, Occupants Responded |
| Detector Failure Reason | L6 | NO VALUE |
| Automatic Extinguishment System (AES) Presence | M1 | U - Undetermined |
| Automatic Extinguishment System (AES) Type | M2 | U - Undetermined |
| Automatic Extinguishment System (AES) Operation | M3 | U - Undetermined |
| Number of Sprinklers Operating | M4 | 1 |
| Automatic Extinguishment System (AES) Failure Reason | M5 | U - Undetermined |
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