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Basic Fire Incident Report - Saskatchewan

fire REG 1 Appendix BForm A - fire Incident Report (Insurance)[Section 6] fire SAFETY REGULATIONS5 APPROVEDS eptember 18, 2015 - 2:15 BForm A - fire Incident Report (Insurance) [Section 6]Emergency Management and fire SafetyBasic fire Incident ReportPage 1 of 3 fire Department: Incident Time: Incident Date: use 24-hour clock day/ month/ yearIncident Address: / / street address/lot, block and plan #/land location description RM/Town/City/Village/Hamlet postal codeIncident Type: Structure fire Vehicle fire Vegetation fire Garbage fire Other:provide detail of fire Incident if not classified aboveNote:Complete and attach to this Report a fire Detector and Extinguishing Equipment Report and/or a Casualty Report as applicableMutual Aid Mutual Aid Received Mutual Aid GivenResources Number of Apparatus Number of Personnel list total number of apparatus responded list total number of personnel respondedValues Estima

F-15.11 REG 1 FIR SAFT FIRE SAFETY REGULATIONS 8 APPROVED September 18, 2015 - 2:15 p.m. Emergency Management and Fire Safety Basic Fire Incident Report Page 3 of 3 Factors Cont ribut ing t o Igni tion

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