Republic of the Philippines
DEPARTMENT OF THE INTERIOR AND LOCAL GOVERNMENT
BUREAU OF FIRE PROETECTION
REGIONAL OFFICE IV-A
Cavite Provincial Office
109 Brgy Palico IV Aguinaldo Highway, Imus, Cavite
Tel No. (046) 471-4777/ 471-3747
Email address:
[email protected] INVESTIGATION AND INTELLIGENCE SECTION
INITIAL SPOT INVESTIGATION REPORT
TIME AND DATE OF ALARM:
LOCATION:
INVOLVED:
NAME OF ESTABLISHMENT:
BUILDING OWNER:
OCCUPANT:
NO. OF HOUSE/S:
NO. OF FAMILIES AFFECTED:
ORIGIN OF FIRE:
CAUSE OF FIRE:
NAME OF CASUALTY/IES: CAUSE OF DEATH:
NAME OF INJURY/IES: INJURY/IES
ESTIMATED DAMAGES:
INSURANCE COVERAGE:
ALARM STATUS:
Verification: First 10-23: Engine:
1ST Alarm : BY: TF “A”: BY:
nd
2 Alarm: BY: TF “B”: BY:
rd
3 Alarm: BY: TF “C”: BY:
th
4 Alarm: BY: TF “D”: BY:
th
5 Alarm: BY: TF “E”: BY:
GENERAL ALARM: BY:
UNDER CONTROL: BY:
FIRE OUT: BY:
NO. OF FIRE TRUCKS RESPONDED:
BFP: FIRE VOLUNTEER:
NO. OF AMBULANCE RESPONDED:
DUTY INVESTIGATORS:
Ground Commander
FACTS OF THE CASE:
Progress Investigation Report to follow.
SUBMITTED BY:
_________________________________
Investigator on Case
Noted by: