Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Forgot Password?
Get Started
OR
Sign UpLogin With Facebook
Sign UpLogin With Google

Initial Fire Incident Report Form Template

Streamline your fire reporting process with ease

Filing a fire incident report can be overwhelming, especially when every detail matters. This template is designed for fire departments, safety officers, and emergency responders, ensuring that you accurately capture essential information after an incident. With this tool, you can easily document witness accounts, assess damage, and improve safety protocols, speeding up your reporting process while maintaining thoroughness and accountability. Plus, it's structured to meet professional standards, making it WCAG-aligned and accessible for all users. Try our live template to get started effortlessly.

Use this Template (FREE) Live Preview
Reporter full name
Role or title
Phone number
Email address
Relationship to the incident
Employee
Contractor
Resident/Tenant
Visitor
Security/Fire warden
Prefer not to say
Other
Please Specify:
Incident date
Approximate incident time
Incident location or address
Specific area within location (e.g., building, floor, room)
Was the fire still active at the time of this report?
Yes
No
Fire classification (if known)
Class A
Class B
Class C
Class D
Class K
Unknown
Fire size or extent on discovery
Incipient/small
Room of origin
Multiple rooms
Structure involved
Exterior/wildland
Unknown
How was the fire first detected?
Manual discovery (smoke/flames observed)
Smoke detector
Heat detector
Sprinkler waterflow signal
Alarm monitoring notification
Unknown
Other
Please Specify:
Was the fire alarm activated?
Yes
No
Alarm activation method
Automatic by system
Manual pull station
Verbal alert
Not applicable
Unknown
Time emergency services were notified
Were emergency services notified?
Yes
No
Actions taken before fire department arrival
Used fire extinguisher
Closed doors to contain
Evacuated area
Shut off equipment/power/gas
Used hose reel
Activated fire alarm
None
Unknown
Other
Please Specify:
If an extinguisher was used, specify type
Water
Foam
Dry chemical (ABC)
CO2
Wet chemical (Class K)
Clean agent
Not applicable
Unknown
Outcome of actions
Completely extinguished
Controlled but not out
No effect
Worsened
Not applicable
Unknown
Sprinkler system operation
Did not activate
Activated 1-2 heads
Activated 3+ heads
System impaired/off
Not applicable
Unknown
Were there any injuries?
Yes
No
Number of people injured
Were there any fatalities?
Yes
No
Describe injuries and treatment provided
Estimated property damage level
None
Minor
Moderate
Major
Severe/Total loss
Unknown
Suspected ignition source
Please Specify:
Contributing factors
Please Specify:
Confidence in cause assessment
Certain
Probable
Possible
Unknown
Witness name
Witness phone
Were there any witnesses?
Yes
No
Was an evacuation conducted?
Yes
No
Evacuation scope
Full building
Partial area
Shelter in place
None
Unknown
Was the designated assembly point used?
Yes
No
Was a headcount/accountability completed?
Yes
No
Authorities and parties notified
Please Specify:
Reference or case numbers (if any)
Evidence location or link
Were photos or other evidence captured?
Yes
No
Brief description of what happened
Immediate corrective actions recommended
Reporter full name
Authorized signature (type full name)
Date of submission
I confirm the information provided is accurate to the best of my knowledge.
True
False
{"name":"Reporter full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Reporter full name, Role or title, Phone number","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a fire incident report form for FormCreatorAI article on report templates

When to use this form

This form is useful right after a fire is discovered, during the first safe window. Use it at a warehouse, store, apartment building, school, or jobsite to capture who saw what, where the fire started, how alarms behaved, and what actions stopped spread. Safety officers, supervisors, property managers, and volunteers benefit from a single, consistent record that supports insurance, investigators, and leadership. For detailed eyewitness accounts, pair it with the Incident statement form. If staff recorded alarms or patrols before the event, attach entries from your Security log form. When an employee is hurt or exposed, file an Employee incident report form for HR and OSHA needs. Childcare centers can also complement this record with a Daycare incident report form when children or staff are affected.

Must Ask Initial Fire Incident Report Questions

  1. What is the exact date, time, and location of the incident?

    Precise time and place anchor the timeline for dispatch, CCTV, and witness accounts. They also reduce disputes in insurance reviews and regulatory reports.

  2. How was the fire first detected, and by whom?

    Detection method shows whether alarms, sprinklers, or people caught the issue first, which guides maintenance and training. Naming the first notifier establishes response time and potential exposure.

  3. What is the suspected ignition source and the first material that burned?

    Identifying the source and first fuel supports root-cause analysis and targeted prevention. It helps investigators evaluate electrical loads, hot work, or equipment near the origin.

  4. What actions were taken to control the fire, and which equipment or systems activated?

    Documenting extinguishers used, fire doors closed, sprinkler flow, and fire service arrival shows what worked. It informs equipment servicing, restocking, and future drills.

  5. Were there any injuries, smoke inhalations, or property damage, and who was involved?

    This guides medical follow-up, duty-of-care steps, and immediate notifications to leadership and insurers. Clear names, roles, and severity speed claims and safety improvements.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel