Lithium Ion Battery Incident Reporting Form
Submit details about the lithium-ion battery fire, including category, size, water used, and upload four photos plus a narrative.
Was the battery the cause of the fire?
Please Select
Yes
No
Unknown
Type of Lithium Ion battery involved
*
Consumer good
Industrial equipment
Electric vehicle (EV)
Energy Storage System
Other
Size of fire
*
Small
Medium
Large
Amount of water used (gallons) to stop thermal runaway (not entire fire if fire beyond battery involvement)
*
Type of fire
*
House
Commercial
Vehicle
Other
Incident narrative (describe what happened, actions taken, and any observations. Please include contributing factors like weather/environmental factors or brand of battery/vehicle)
*
Did the battery re-ignite after initial suppression?
Yes
No
Unknown
Did the battery re-ignite at any point?
Please Select
Yes
No
How was the battery successfully suppressed?
Please Select
Water Can
Hose Line
Submersion
Smothered
Allowed it to burn
Other
Who was battery left with at end of incident?
Please Select
Property owner
Fire agency
Police
Tow Truck/Junkyard
Battery Disposal Specialist
Fire Investigation Agency
Other
Upload photo 1
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Upload photo 2
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Upload photo 3
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Upload photo 4
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Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Department
Department Name
City and State
Submit Incident Report
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