Skip to Main Content
Bookmark and Share print small medium large 

HOME /


Standard Fire Report - Office of the Fire Marshal

Fields marked with a red star (*) are mandatory.

Fire Department


Fire Department: *
Please select your fire department.
Fire Department Number: *
Please enter your unique Fire Department number.
Report Number:
Form
Fire Information


Enter information about the fire and its location.
Date of the Fire: *
(MM/DD/YYYY)
Time of the Fire:
Enter hours and minutes. For example, enter 23:45
Street Number: *
Street Name: *
Street Type:
Apartment Number:
Community: *
Occupant Information


Owner, Occupant or Business: *
Enter the name of the owner, owner occupant or business.
Owner:
Was the person occupying the buiding the owner?
Owner
Owner Occupant
Occupant/Witness Information


Occupant/Primary Witness:
Enter an individual or a company name.
Occupant/Primary Witness:
Was the name listed above an occupant or primary witness?

Other Witness or Occupant

Occupant
Primary Witness
Occupant/Witness:
Enter an individual or a company name.
Occupant/Primary Witness:
Was the name listed above an occupant or primary witness?

Other Witness or Occupant

Occupant
Primary Witness
Occupant/Primary Witness:
Enter an individual or a company name.
Occupant/Primary Witness:
Was the name listed above an occupant or primary witness?

Other Witness or Occupant

Occupant
Primary Witness
Occupant/Primary Witness:
Enter an individual or a company name.
Occupant/Primary Witness:
Was the name listed above, an occupant or primary witness?
Occupant
Primary Witness
Property Information


Property Classification Number:
Property Classification:
Complex Number:
Complex:
Occupancy Status:
Occupied
Unoccupied
Occupied - Seasonal Use
Unoccupied - Seasonal Use
Vacant
Under demolition
Under construction
Not applicable


Ownership Status:
Owned & Occupied by Federal Gov.
Owned & Occupied by Provincial Gov.
Owned & Occupied by Municipal Gov.
Leased to Federal Gov.
Leased to Provincial Gov.
Leased by Municipal Gov.
Owned by Federal Gov. - Leased to Others
Owned by Provincial Gov. - Leased to Others
Owned by Municipal Gov. - Leased to Others
Indian Reservation
All Other


Building or Structure Height:
How many floors or storeys did the building have?

OR

Buillding Height:
How many metres high was the building?

OR

Building Height:
Not applicable
Origin and Source of Fire


Level of Origin:
What floor or storey did the fire start on?

OR

Origin:
Basement - Below Ground Level
Roof Level
Not Applicable
Unknown
Area of Origin Number:
Area of Origin:
Source of Ignition Number:
What is the source of ignition number?
Source of Ignition:
What was the source of ignition - the igniting object?
Source of Ignition:
What was the fuel or energy associated with the source of ignition?
Gasoline
Diesel Fuel
Electricity
Propane
Fuel Oil
Wood
Undetermined
Not applicable
Other
Other Source:
If you checked other, please indicate the source of ignition.
Object or Material Number:
What object or material was ignited first?
Object or Material:
Protection/Detection Systems


Protection Facilities:
Available or Installed
Sprinkler system
Fixed System other than Sprinkler
Standpipe System
Extinguishers
Outside Hydrant


Protection Facilities:
Used or Activated
Sprinkler system
Fixed System other than Sprinkler
Standpipe System
Extinguishers
Outside Hydrant


Detection Systems:Installed:
* If partial system, provide details in the remarks area.
A.F.D.S. Heat*
A.F.D.S. Smoke etc.*
Protection & Detection Combined


Detection Systems: Activated:
A.F.D.S. Heat
A.F.D.S. Smoke etc.
Protection & Detection Combined
Fire Loss Information


Estimated Dollar Loss: *
Enter dollars only.
Insurance Coverage:
Yes
No
Unknown
Cause of the Fire


Cause (suspected):
Arson
Riot or Civil Commotion
Vandalism
Children Playing
Design Deficiency
Construction Deficiency
Installation Deficiency
Misuse of Igniting Object
Misuse of Material Ignited
Misuse of Equipment
Mechanical/Electrical Failure
Vehicle Accident or Collision
Undetermined
Accidental
Other
Other:
If you selected other, please enter the suspected cause.
Response Information


Response Type:
Fire
No-Alarm Fire
Exposure Fire
Alarm to Fire Department:
Telephone to F>D> or Central Dispatch
Automatic system - Connection to F.D.
or Dispatch
Manual System - Connection to
F.D. or Dispatch
Automatic Sprinkler System - Connection to
F.D. or Dispatch
Still Alarm/Verbal Report to Station
Telephone from Other Emergency or
Protection Agency
Radio
Other
Other:
If you checked other, please indicate how you got the alarm.
Response Time: *
Enter the response time in minutes.
Responding Personnel: *
How many personnel responded?
Manhours:
What are the total manhours?
Back in Service:
Time in hours and minutes
How long before the department was back in service?

Rescues:
How many persons were rescued?
Casualties:
How many casualties were there?
Remarks:
If there were any events or situations that should be noted, please enter your remarks here.
Chief: *
Or the name of the person submitting the form.

Do you want a copy of the form?


Please send me a simple text-only version of the information I submitted.
Please send me an Acrobat version of the form, with the information I've entered above filled in, that I can print and save.
Please send me both the text-only version and the PDF.
Important Note: Email is not, by its very nature, a secure medium; if you choose to have your form emailed to you, the information you entered will be transmitted over the public Internet to your email box.

Email to address:

Submit the Form


  • Key Code:
  • Enter Key Code: 



When you click here, the information you've entered above will be sent to the public servant responsible for receiving and processing this form. If you've opted to receive an Acrobat version of the form by email, you will receive this file shortly.
back to top