FIRE ALARM REPORT
Date of Alarm:
*
-
Day
-
Month
Year
Time:
*
Hour Minutes
AM
PM
AM/PM Option
Name of Person Completing this Form:
*
Exact Location of Detector that went off:
*
(Room number, Floor, Common room, Outdoors etc.)
Incident Summary:
*
Please provide detailed summary of the incident including actions taken.
Were there any other agencies involved in this incident?
*
(Police, Ambulance, Fire services, Access ACT Health)
Additional comments:
All incidents will be followed up by Senior Managers and may involve a debrief. Please advise if you would like an immediate debrief the morning/afternoon from the incident:
*
Yes
No
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