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Simpson Strong-Tie <br /> EAP-FPP Program <br /> FIRE REPORT <br /> This report must be completed within 24 hours of ALL fires. <br /> Forward the report to Dave Olney and Tony Cervantez <br /> A) The following is to be filled out by the person who discovered the fire: <br /> Date Person Making Report <br /> (NAME) <br /> Date of Fire Time Fire was Discovered am / pm <br /> Location of Fire <br /> Where did the Fire Start? <br /> What was on Fire? <br /> Exactly What Happened (what alerted you to the fire,what did you discovered,when did you notify someone,who did you notify,did you try to extinguish the fire, <br /> did you evacuate,etc.) <br /> B) The following may be filled out by the person reporting the fire, and/or the Emergency <br /> Situation Coordinator. <br /> Name of Person Notifying the Fire Department <br /> Time Fire Department was Notified am / pm Time of Response <br /> Type of fire? (liquid,electrical,etc.) <br /> Fire Damage: Building <br /> Contents <br /> Number and Kind of Fire Extinguishers Used? <br /> Did Sprinkler System Operate? Yes_ No <br /> Did Alarm Sound? Yes No <br /> Action Taken by Fire Department <br /> Fire Department Officer/Investigator iLi <br /> (Name) (Phone Numbe4) <br /> Person Filling Out Report <br /> (Name) (Phone Number) <br /> s.:r <br /> David Olney 10 <br /> Rev: 9/17/15 <br />