Version 7. January 2020

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* 1. When was the fire? ( If unknown, please skip the question)

Date

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* 2. Extinguisher put out the fire?

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* 3. Correct extinguisher for the risk used?

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* 4. Person who used had been trained in its use?

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* 5. Fire & Rescue Services attended?

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* 6. Type of premises

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* 7. Location / type of fire

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* 8. Cause of fire

In questions 10-17, please specify the Extinguisher size you used. If more than 1 extinguisher was used, please indicate numbers and include which were effective ( if known)

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* 9. Extinguishers- Water

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* 10. Extinguishers - Water mist

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* 11. Extinguishers - Water plus additive

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* 12. Extinguishers- Foam

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* 13. Extinguishers - Wet chemical

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* 14. Extinguishers Used - CO2

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* 15. Extinguishers Used- Powder

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* 16. Extinguishers Used- D Class Powder

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* 17. Was this form completed during a training course?

0 of 17 answered
 

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