Example 'Water Rescue' incident report
NFIRS Example: Water Rescue - report for water rescue ... (example #18) - NFIRS 5.0
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National Fire Incident Reporting System. Reporting by Responserack Fire Department NFIRS RMS.
NFIRS Example Water Rescue
Responserack provides this NFIRS Outside report example for Water Rescue. :
Water Rescue — report for water rescue ... (example #18)
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. |
NFIRS Incident Report Details
Incident Header (1000) - Basic
Blocks: A. Absent Blocks: No Blocks Completely Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20220813 - 2022-08-13 00:00:00 -0600 MDT |
| Incident Number (Identifier) | A | 0000018 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1000 |
| Transaction Type (Add, Update, Delete) | A | BLANK - Add |
| Fire Department Station | A | NO VALUE |
| NFIRS Version | A | 5.0 |
Basic Incident (1005) - Basic
Blocks: B, C, D, E1~, F, G1, G2, H1, J. Absent Blocks: A, E2, H2, H3, I.
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20220813 - 2022-08-13 00:00:00 -0600 MDT |
| Incident Number (Identifier) | A | 0000018 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1005 |
| Transaction Type (Add, Update, Delete) | A | BLANK - Add |
| Incident Type | C | 444 - Power Line Down |
| Address recorded on Wildland Module (Form) | B | N |
| Aid Given or Received | D | N - None |
| Alarm Date Time | E1 | 20220813144317 - 2022-08-13 14:43:17 -0600 MDT |
| Arrival Date Time | E1 | 20220813145317 - 2022-08-13 14:53:17 -0600 MDT |
| Incident Controlled Date Time | E1 | NO VALUE |
| Last Unit Cleared Date Time | E1 | 20220813154317 - 2022-08-13 15:43:17 -0600 MDT |
| Shift | E2 | NO VALUE |
| Alarms | E2 | NO VALUE |
| District | E2 | NO VALUE |
| Actions Taken | F | 22;81;86 - Rescue, Remove From Harm / Incident Command / Investigate |
| 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 | NO VALUE |
| Hazardous Material Released | H3 | NO VALUE |
| Mixed Use | I | NO VALUE |
| Property Use | J | 400 - Residential - Other |
Incident Address (1010) - Basic
Blocks: B~. Absent Blocks: A.
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20220813 - 2022-08-13 00:00:00 -0600 MDT |
| Incident Number (Identifier) | A | 0000018 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1010 |
| Transaction Type (Add, Update, Delete) | 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 | NO VALUE |
| Apartment Number | B | NO VALUE |
| 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: M. Absent Blocks: A.
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20220813 - 2022-08-13 00:00:00 -0600 MDT |
| Incident Number (Identifier) | A | 0000018 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1030 |
| Transaction Type (Add, Update, Delete) | 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 | NO VALUE |
Member Making Report (1035) - Basic
Blocks: M~. Absent Blocks: A.
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20220813 - 2022-08-13 00:00:00 -0600 MDT |
| Incident Number (Identifier) | A | 0000018 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1035 |
| Transaction Type (Add, Update, Delete) | 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 | FDO |
| Authority Reporting Date | M | NO VALUE |
Incident Remarks (1040) - Basic
Blocks: L1. Absent Blocks: A.
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20220813 - 2022-08-13 00:00:00 -0600 MDT |
| Incident Number (Identifier) | A | 0000018 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1040 |
| Transaction Type (Add, Update, Delete) | A | BLANK - Add |
| Remarks | L1 | Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. |
Special Study (1060) - Basic
Blocks: E3. Absent Blocks: A.
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20220813 - 2022-08-13 00:00:00 -0600 MDT |
| Incident Number (Identifier) | A | 0000018 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1060 |
| Transaction Type (Add, Update, Delete) | A | BLANK - Add |
| Special Study Sequence Number | E3 | 1 |
| Special Study Identification Number | E3 | 9244 |
| Special Study Code | E3 | 3 |
Need more NFIRS help?
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For more information see the NFIRS Cheat Sheet, NFIRS Coding and contact Responserack to learn about our fire department software.