Wildland Incident Report
CSFS #119
Revised (7/28/03)
FILL IN THIS REPORT
IN YOUR OWN WORDS               Delete     Change
  
 FIRE DEPARTMENT NAME
(Required)

FIRE NAME
FDID
 INCIDENT NO.
EXPOSURE NO.
DATE
DAY OF WEEK
                         
ALARM TIME
ARRIVAL TIME
TIME IN SERVICE

TYPE OF SITUATION FOUND
OTHER

TYPE OF ACTION TAKEN

MUTUAL AID
REC'D GIVEN
FIXED PROPERTY USE
OTHER

IGNITION FACTOR
OTHER

# OF FIRE PERSONNEL RESP.
# OF ENGINES RESP.
# OF OTHER VEHICLES RESP.

LOCATION:
 SECTION
TOWNSHIP
RANGE

UTM:
ZONE
NORTHING
EASTING

LONG/LAT:
MERIDIAN
LATITUDE
LONGITUDE
SIZE ACRES
 
OWNERSHIP CLASS
 
LAND CLASS
 
FUEL TYPE  (involved in original ignition)

MAN HOURS: SUPPRESSION
MANHOURS: PREVENTION

MAN HOURS: MAINTENANCE
MAN HOURS: TRAINING

MAN HOURS: ADMINISTRATION
CSFS DISTRICT
 
OFFICER IN CHARGE (NAME, POSITION, ASSIGNMENT)
 
MEMBER MAKING REPORT (IF DIFFERENT FROM ABOVE)             DATE OF REPORT
                                                
 
REMARKS:
                                                    

         ENTER EMAIL ADDRESS   (Required)