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This form is used by Emanuel County Fire and Rescue to record details of hazardous materials incidents only. It captures information such as date, time, location, product details, response actions, responding apparatus, and a narrative summary.
Additional reporting may be required for hazardous materials incidents. Be sure to complete all necessary state and federal documentation in addition to this form.
If no address is available, provide the nearest intersection, road name, or clear directions to the location.
If none, enter "None" or "N/A".
If same, enter "Same".
Select all that apply.
Provide name and badge number. Separate by periods.
Example: "John Doe 100. Jane Doe 102. Jeff Doe 103."
This section is intended to create a thorough and accurate account of the incident for documentation, reference, and any future needs. Please include sufficient detail to serve as a reliable record and to help refresh memories in the future. Be sure to note witness statements, your own observations, any unusual actions or remarks by others, injuries, fatalities, or any circumstances that appear unique or out of place. You may type the narrative using a computer, then print and attach it to this report, or handwrite it in the space provided below.
The recommended format is: who, what, when, where, why, and how.
This field is not part of the form submission.
* indicates a required field