Get Report On Fire Accident

Filling out the Report On Fire Accident is a crucial process for documenting any injuries that occur during training activities provided by the Virginia Department of Fire Programs. This guide will ensure you understand how to complete the form accurately and efficiently.

Follow the steps to complete the Report On Fire Accident form online.

1. Press the 'Get Form' button to access the Report On Fire Accident form and open it for completion.
2. Begin by entering the school number in the designated field at the top of the form, which is crucial for organizing report records.
3. In the section for the injured person, provide the full name including the first name, middle name, and last name. Additionally, enter the social security number in the corresponding field.
4. Complete the home address section, including the street name, state, and ZIP code to ensure accurate identification of the injured individual.
5. Record the home and work telephone numbers in the provided spaces, as these are essential for contact purposes.
6. Fill in the date of birth, age, height, and weight of the injured person to provide important demographic information.
7. Indicate the fire department name and its unique FDID, which helps track the report within the fire service records.
8. Enter the department address including street or P.O. Box, city, county, state, and ZIP code for accurate reporting.
9. Document the date, day of the week, and time of day when the accident occurred, which will assist in the timeline of events.
10. Specify the title of the training course during which the accident happened, linking the incident to a specific training record.
11. Describe the location where the training took place to provide context for the accident.
12. Provide detailed information on the type and extent of injuries sustained by the individual, ensuring adequate descriptions for assessment.
13. Record the first aid or medical attention rendered to the injured person, including what measures were taken to assist them.
14. Fill in the attending physician's name along with their phone number and address to establish a point of contact for medical follow-up.
15. Detail the hospital where the injured person was taken, including its name and contact number for emergency communications.
16. List the instructors involved in the training as well as any witnesses who observed the incident, ensuring all relevant parties are documented.
17. Identify any other pertinent factors that may have contributed to the incident, such as weather conditions, which can affect the evaluation.
18. Provide a clear description of how the incident occurred, detailing the sequence of events to assist with investigation and understanding.
19. Include information on any VDFP staff members contacted regarding the incident, along with the date and time of contact.
20. Notify the family members of the injured person, listing the contact person, location, method of notification, and the date and time when they were informed.
21. Finally, complete the report by providing your name, instructor number, address, and telephone numbers. Also, record the date you submitted the written report.
22. Once all sections are filled out, make sure to save your changes, download, print, or share the form as necessary.

Complete the Report On Fire Accident online today to ensure accurate documentation and timely submission!