Example 'Water Rescue' incident report
NFIRS Example: Water Rescue - report for water rescue ... - 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 ...
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 Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211228 - 2021-12-28 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, J. Absent Blocks: E2, H2, H3, I.
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211228 - 2021-12-28 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 | 444 - Power Line Down |
| Address recorded on Wildland Module (Form) | B | N |
| Aid Given or Received | D | N - None |
| Alarm Date Time | E1 | 20211228115452 - 2021-12-28 11:54:52 -0700 MST |
| Arrival Date Time | E1 | 20211228120452 - 2021-12-28 12:04:52 -0700 MST |
| Incident Controlled Date Time | E1 | NO VALUE |
| Last Unit Cleared Date Time | E1 | 20211228125452 - 2021-12-28 12:54:52 -0700 MST |
| 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: 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 | 20211228 - 2021-12-28 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 | 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: 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 | 20211228 - 2021-12-28 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 | NO VALUE |
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 | 20211228 - 2021-12-28 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 | NO VALUE |
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 | 20211228 - 2021-12-28 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 | 20211228 - 2021-12-28 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 | 20211228 - 2021-12-28 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 | 20211228 - 2021-12-28 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. |
Special Study (1060) - Basic
Blocks: A, E3. Absent Blocks: No Blocks Absent..
| Element | Block | Value |
|---|---|---|
| Fire Department ID | A | 99999 |
| Fire Department State | A | CO - Colorado |
| Incident (Alarm) Date | A | 20211228 - 2021-12-28 00:00:00 -0700 MST |
| Incident Number (Identifier) | A | 0000000 |
| Exposure Number | A | 000 |
| Record Type/Transaction Code | A | 1060 |
| Transaction Type (Add, etc.) | A | BLANK - Add |
| Special Study Sequence Number | E3 | 1 |
| Special Study Identification Number | E3 | 9244 |
| Special Study Code | E3 | 3 |
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For more information see the NFIRS Cheat Sheet, NFIRS Coding and contact Responserack to learn about our fire department software.