National Fire Incident Reporting System Complete Reference Guide - Nebraska

National Fire Fire Incident Incident National Reporting System System 5.0 Reporting Complete Reference Guide Complete Reference Guide January 2008 January 2013 U.S. Fire Administration U.S. Fire Administration National Fire Data Center National Fire Data Center

TABLE OF CONTENTS FOREWORD. vii Shift and Alarms.3–34 Shift or Platoon. 3–34 Alarms. 3–35 District. 3–35 Chapter 1. INTRODUCTION. 1–1 How NFIRS Works.1–2 NFIRS Version 5.0 Enhancements.1–3 Benefits of NFIRS to Firefighters.1–5 Coding.1–5 Structure of the User Guide.1–5 Special Studies.3–36 SECTION F: ACTIONS TAKEN. 3–37 SECTION G:. 3–40 Resources.3–40 Estimated Dollar Losses and Values.3–41 COMPLETED MODULES. 3–42 SECTION H:. 3–43 Casualties.3–43 Detector.3–44 Hazardous Materials Release.3–45 SECTION I: MIXED USE PROPERTY. 3–46 SECTION J: PROPERTY USE. 3–48 SECTION K:. 3–53 Person/Entity Involved.3–53 Chapter 2. NFIRS 5.0 MODULES. 2–1 Description of Modules. Preparation of Modules. Conventions Used in Completing Modules. Fire Department Header. 2–2 2–3 2–4 2–5 Chapter 3. BASIC MODULE (NFIRS–1). 3–1 Basic Module Form.3–2 SECTION A:. 3–4 Fire Department Identification. 3–4 State.3–5 Incident Date.3–6 Station.3–6 Incident Number.3–7 Exposure Number.3–7 Delete/Change/No Activity . .3–8 SECTION B: LOCATION TYPE. 3–10 Census Tract.3–12 Number/Milepost.3–12 Street Prefix.3–13 Street or Highway Name.3–13 Street Type.3–14 Street Suffix.3–17 Apartment, Suite, or Room.3–17 City.3–18 State.3–18 ZIP Code.3–19 Cross Street or Directions.3–20 SECTION C: INCIDENT TYPE. 3–21 Incident Type Codes.3–22 SECTION D: AID GIVEN OR RECEIVED. 3–28 SECTION E:. 3–31 Dates and Times.3–31 Business Name. 3–53 Telephone. 3–54 Person Involved. 3–54 Address. 3–55 Post Office Box. 3–55 Apartment, Suite, or Room. 3–55 City. 3–56 State. 3–56 ZIP Code. 3–56 Owner.3–57 Business Name.3–57 Telephone. 3–58 Owner Name. 3–58 Address. 3–58 Post Office Box. 3–59 Apartment, Suite, or Room. 3–59 City. 3–59 State. 3–60 ZIP Code. 3–60 SECTION L: REMARKS. 3–60 SECTION M: AUTHORIZATION. 3–61 Officer in Charge.3–61 Member Making Report.3–61 Chapter 4. FIRE MODULE (NFIRS–2). 4–1 Alarm Time.3–31 Arrival Time. 3–32 Controlled Time. 3–33 Last Unit Cleared Time. 3–33 Fire Module Form.4–2 SECTION A:. 4–3 Fire Department Identification.4–3 i NFIRS 5.0 COMPLETE REFERENCE GUIDE

TABLE OF CONTENTS State.4–3 Incident Date.4–3 Station Number.4–3 Incident Number.4–3 Exposure Number.4–4 Delete/Change.4–4 SECTION B: PROPERTY DETAILS. 4–4 Number of Residential Living Units.4–4 Number of Buildings Involved.4–5 Number of Acres Burned.4–6 SECTION C: ON-SITE MATERIALS OR PRODUCTS AND ON-SITE MATERIALS STORAGE USE. 4–7 SECTION D: IGNITION. 4–13 Area of Fire Origin.4–13 Heat Source.4–17 Item First Ignited.4–19 Type of Material First Ignited.4–22 SECTION E:. 4–24 Cause of Ignition.4–24 Factors Contributing to Ignition.4–25 Human Factors Contributing to Ignition.4–27 SECTION F:. 4–29 Equipment Involved in Ignition.4–29 Detector Operation.5–17 Detector Effectiveness.5–18 Detector Failure Reason.5–19 SECTION M:. 5–20 Presence of Automatic Extinguishing System.5–20 Type of Automatic Extinguishing System.5–20 Operation of Automatic Extinguishing System.5–21 Number of Sprinkler Heads Operating.5–22 Reason for Automatic Extinguishing System Failure.5–23 Chapter 6. CIVILIAN FIRE CASUALTY MODULE (NFIRS–4). 6–1 Civilian Fire Casualty Module Form.6–2 SECTION A:. 6–3 Fire Department Identification.6–3 State.6–3 Incident Date.6–3 Station Number.6–3 Incident Number. 6–4 Exposure Number.6–4 Delete/Change.6–4 SECTION B: INJURED PERSON. 6–4 SECTION C: CASUALTY NUMBER. 6–5 Equipment Type. 4–29 Equipment Brand, Model, Serial Number, and Year. 4–36 SECTION D: AGE OR DATE OF BIRTH. 6–6 Age.6–6 Date of Birth.6–6 SECTION E:. 6–7 Race.6–7 Ethnicity.6–8 SECTION F: AFFILIATION. 6–9 SECTION G: DATE AND TIME OF INJURY. 6–10 Date.6–10 Time.6–10 SECTION H: SEVERITY. 6–10 SECTION I: CAUSE OF INJURY. 6–11 SECTION J: HUMAN FACTORS CONTRIBUTING TO INJURY. 6–12 SECTION K: FACTORS CONTRIBUTING TO INJURY. 6–13 SECTION L: ACTIVITY WHEN INJURED. 6–15 SECTION M:. 6–16 Location at Time of Incident.6–16 General Location at Time of Injury.6–17 Story at Start of Incident.6–18 Story Where Injury Occurred.6–18 Specific Location at Time of Injury.6–19 SECTION N: PRIMARY APPARENT SYMPTOM. 6–21 SECTION O: PRIMARY AREA OF BODY INJURED. 6–23 SECTION P: DISPOSITION. 6–24 REMARKS. 6–25 Equipment Power Source.4–36 Equipment Portability.4–38 SECTION G: FIRE SUPPRESSION FACTORS. 4–39 SECTION H:. 4–42 Mobile Property Involved.4–42 Mobile Property: Type, Make, Model, Year, License Number, State, VIN.4–43 Chapter 5. STRUCTURE FIRE MODULE (NFIRS–3). 5–1 Structure Fire Module Form.5–2 SECTION I:. 5–3 Structure Type.5–3 Building Status.5–4 Building Height.5–5 Main Floor Size.5–6 SECTION J:. 5–7 Fire Origin.5–7 Fire Spread.5–7 Number of Stories Damaged by Flame.5–8 SECTION K:. 5–9 Item Contributing Most to Flame Spread.5–9 Type of Material Contributing Most to Flame Spread.5–12 SECTION L:. 5–15 Presence of Detectors.5–15 Detector Type.5–15 Detector Power Supply.5–16 NFIRS 5.0 COMPLETE REFERENCE GUIDE ii

TABLE OF CONTENTS Chapter 7. FIRE SERVICE CASUALTY MODULE (NFIRS–5) . 7–1 State.8–3 Incident Date.8–3 Station Number.8–4 Incident Number.8–4 Exposure Number.8–4 Delete/Change.8–4 SECTION B:. 8–4 Number of Patients.8–4 Patient Number.8–5 SECTION C: DATE AND TIME ARRIVED AT PATIENT AND TIME OF PATIENT TRANSFER. 8–6 SECTION D: PROVIDER IMPRESSION/ASSESSMENT. 8–6 SECTION E:. 8–8 Age or Date of Birth.8–8 Fire Service Casualty Module Form.7–2 SECTION A:.7–4 Fire Department Identification. 7–4 State.7–4 Incident Date.7–4 Station Number.7–4 Incident Number.7–5 Exposure Number.7–5 Delete/Change.7–5 SECTION B: INJURED PERSON.7–5 Name.7–5 Identification Number.7–6 Gender.7–6 Affiliation.7–6 SECTION C: CASUALTY NUMBER. 7–7 SECTION D: AGE OR DATE OF BIRTH. 7–8 Age.7–8 Date of Birth.7–8 SECTION E: DATE AND TIME OF INJURY. 7–9 Date.7–9 Time.7–9 SECTION F: RESPONSES. 7–10 SECTION G:. 7–10 Usual Assignment.7–10 Physical Condition Just Prior to Injury.7–11 Severity.7–12 Taken To.7–13 Activity at Time of Injury.7–14 SECTION H:. 7–16 Primary Apparent Symptom.7–16 Primary Part of Body Injured.7–18 SECTION I:. 7–19 Cause of Firefighter Injury.7–19 Factor Contributing to Injury.7–20 Object Involved in Injury. 7–22 SECTION J:. 7–23 Where Injury Occurred.7–23 Story Where Injury Occurred.7–24 Specific Location Where Injury Occurred.7–25 Vehicle Type.7–26 SECTION K:. 7–27 Equipment Sequence Number.7–27 Protective Equipment Item.7–28 Protective Equipment Problem . .7–30 Equipment Manufacturer, Model, and Serial Number.7–31 Age.8–8 Date of Birth.8–9 Gender.8– 9 SECTION F:. 8–10 Race.8–10 Ethnicity.8–11 SECTION G:. 8–11 Human Factors Contributing to Injury.8–11 Other Factors.8–12 SECTION H:. 8–13 Body Site of Injury.8–13 Injury Type.8–14 Cause of Illness/Injury.8–15 SECTION I: PROCEDURES USED. 8–17 SECTION J: SAFETY EQUIPMENT. 8–18 SECTION K: CARDIAC ARREST. 8–19 When Cardiac Arrest Occurred.8–19 Initial Arrest Rhythm.8–20 SECTION L:. 8–21 Initial Level of Provider.8–21 Highest Level of Care Provided on Scene.8–22 SECTION M: PATIENT STATUS. 8–23 SECTION N: EMS DISPOSITION. 8–24 Chapter 9. HAZARDOUS MATERIALS MODULE (NFIRS–7) . 9–1 Hazardous Materials Module Form.9–2 SECTION A. 9–3 Fire Department Identification.9–4 State.9–4 Incident Date.9–4 Station Number.9–4 Incident Number.9–4 Exposure Number.9–4 HazMat Number.9–4 Delete/Change.9–5 Chapter 8. EMS MODULE (NFIRS–6). 8–1 EMS Module Form.8–2 SECTION A:. 8–3 Fire Department Identification.8–3 iii NFIRS 5.0 COMPLETE REFERENCE GUIDE

TABLE OF CONTENTS Delete/Change.10–5 SECTION B: ALTERNATE LOCATION SPECIFICATION. 10–5 SECTION C: AREA TYPE. 10–8 SECTION D. 10–9 Wildland Fire Cause. 10–9 Human Factors Contributing to Ignition. 10–10 Factors Contributing to Ignition. 10–11 Fire Suppression Factors. 10–13 SECTION E: HEAT SOURCE.10–16 SECTION F: MOBILE PROPERTY TYPE.10–18 SECTION G: EQUIPMENT INVOLVED IN IGNITION.10–20 SECTION H: WEATHER INFORMATION.10–27 NFDRS Weather Station ID.10–27 Weather Type.10–27 Wind Direction. 10–28 Wind Speed. 10–28 Temperature and Relative Humidity. 10–29 Fuel Moisture. 10–29 Fire Danger Rating. 10–29 SECTION I.10–30 Number of Buildings Ignited. 10–30 Number of Buildings Threatened.10–31 Total Acres Burned. 10–32 Primary Crops Burned. 10–32 SECTION J: PROPERTY MANAGEMENT.10–33 SECTION K: NFDRS FUEL MODEL AT ORIGIN.10–50 SECTION L.10–53 Person Responsible for Fire. 10–53 Gender of Person Involved. 10–53 Age or Date of Birth. 10–54 SECTION B: HAZMAT ID. 9–5 UN Number.9–6 DOT Hazard Classification.9–6 CAS Registration Number.9–8 Chemical Name.9–8 SECTION C. 9–9 Container Type.9–9 Estimated Container Capacity.9–11 Units: Capacity.9–12 SECTION D. 9–13 Estimated Amount Released.9–15 Units: Released.9–13 SECTION E. 9–14 Physical State When Released.9–14 Released Into.9–15 SECTION F. 9–16 Released From.9–16 Population Density.9–17 SECTION G. 9–18 Area Affected.9–18 Area Evacuated.9–18 Estimated Number of People Evacuated.9–19 Estimated Number of Buildings Evacuated.9–20 SECTION H: HAZMAT ACTIONS TAKEN. 9–20 SECTION I: RELEASE/IGNITION SEQUENCE. 9–22 SECTION J: CAUSE OF RELEASE. 9–23 SECTION K: FACTORS CONTRIBUTING TO RELEASE. 9–24 SECTION L: FACTORS AFFECTING MITIGATION. 9–26 SECTION M: EQUIPMENT INVOLVED IN RELEASE. 9–27 Equipment Type.9–27 Equipment Brand, Model, Serial Number, and Year.9–34 SECTION N: MOBILE PROPERTY INVOLVED IN RELEASE. 9–35 Property Type.9–35 Make, Model, Year, License Number, State, DOT/ICC Number.9–36 SECTION O: HAZMAT DISPOSITION. 9–40 SECTION P: HAZMAT CIVILIAN CASUALTIES. 9–41 Age. 10–54 Date of Birth. 10–55 Activity of Person Involved. 10–55 SECTION M: TYPE OF RIGHT-OF-WAY.10–56 SECTION N: FIRE BEHAVIOR.10–58 Elevation. 10–58 Relative Position on Slope. 10–58 Aspect. 10–59 Flame Length. 10–59 Rate of Spread. 10–59 Chapter 10. WILDLAND FIRE MODULE (NFIRS–8). 10–1 Chapter 11. APPARATUS OR RESOURCES MODULE (NFIRS–9). 11–1 Wildland Fire Module Form.10–2 SECTION A. 10–4 Fire Department Identification.10–4 State.10–4 Incident Date.10–4 Station Number.10–4 Incident Number.10–5 Exposure Number.10–5 NFIRS 5.0 COMPLETE REFERENCE GUIDE Apparatus or Resources Module Form.11–2 SECTION A. 11–3 Fire Department Identification.11–3 State.11–3 Incident Date.11–3 Station Number.

National Fire Incident Reporting System 5.0 Complete Reference Guide January 2008 U.S. Fire Administration National Fire Data Center National Fire Incident Reporting System Complete Reference Guide January 2013. U.S. Fire Administration National Fire Data Center