SOP 511.09-att-2: Institutional Fire Incident Report
Summary
Key Topics
- fire incident report
- fire reporting
- institutional fire
- fire damage
- fire investigation
- incendiary fire
- fire safety
- life safety
- facility fires
- fire documentation
Full Text
SOP 511.09
Attachment 2
9/23/20
GDC Fire Services and Life Safety
300 Patrol Rd.
P. O. Box 1529
Forsyth, GA 31029
INSTITUTIONAL FIRE INCIDENT REPORT
In accordance with the Rules and Regulations of the Georgia Safety Fire Commissioner
Chapter 120-3-6, Paragraph 120-3-6-.03 every fire must be reported to the GDC Fire Services
office within twenty-four (24) hours of the incident. This form shall enable you to report and
to provide the necessary details of the incident. Report suspected incendiary fires
immediately.
Name of Facility:
Address: City: ________________
Number of Stories: Number of Patients: ________
Date of Fire: Time of Fire: _______
Location of Fire in Building: _____________________________________
Extent of Damage to affected area:
|Name|Sex|DOB|Extent of Injury|
|---|---|---|---|
|1.||||
|2.||||
|3.||||
|4.||||
|5.||||
Injuries and/or Deaths
Known Cause of Fire:
Probable Cause of Fire:
Name of Fire Department Responding:
Signature of Administrator: _______________________ Date: __________________
Retention Schedule: Upon completion, this form shall be retained by the Chief of Security for two (2) years .