1-1 MFIRS 1 MFIRS 1 Basic Module Basic Module
Dec 31, 2015
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MFIRS 1MFIRS 1Basic ModuleBasic ModuleMFIRS 1MFIRS 1Basic ModuleBasic Module
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ObjectivesObjectivesObjectivesObjectives
The participants will be able to:– describe when the Basic Module
is to be used– demonstrate how to correctly
complete the Basic Module, given an incident scenario
– identify other MFIRS modules which must be completed based on information captured on the Basic Module
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MFIRS 1MFIRS 1 Basic ModuleBasic ModuleMFIRS 1MFIRS 1 Basic ModuleBasic Module
Used for all incidents to collect common information
M.G.L. Chapter 148 sections 2 & 2A requires the reporting of any fire or explosion that results in a loss…..or fire that occurred at a school (K-12).
Entries on Basic Module may require that other modules be completed
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A - Header Information A - Header Information A - Header Information A - Header Information
Contains the information that uniquely identifies the incident ( FDID, state, incident date, number, and exposure)
Incidents may have several exposure fires requires a separate report uses the same incident number and
consecutive exposure numbers Identifies if reporting a change, deletion,
or no activity
Delete AChange
NFIRS - 1 Basic
No Activity Incident Number Stat ion FDID Exposure Inc ident Date
MM DD YYYY
State
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B - Location B - Location B - Location B - Location
Identifies specific location of the incident
Indicates whether Wildland Module is used and “Alternate Location Specification” is provided
Accepts GIS Compatible Format
Intersection Block address In front of Rear of Adjacent to Directions
B Location CheckthisboxtoindicatethattheaddressforthisincidentisprovidedontheWildlandFireModuleinSection B“AlternativeLocationSpecification.”
CensusTract(Localoption)
SuffixNumber/Milepost Prefix StreetorHighway StreetType
City ZipCodeStateApt./Suite/Room
Crossstreetordirections,asapplicable
-
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C - Incident Type C - Incident Type C - Incident Type C - Incident Type
Identifies the single most significant situation found– Includes codes for all types of
incidents handled by fire service agencies
– Fire takes precedence over all other incident types (if multiple situations exist at the same incident)
C Incident Type
IncidentType
1 15
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Critical Incident Critical Incident Information Information
Critical Incident Critical Incident Information Information
Unique to MassachusettsAllows for accounting of
various types of critical incidents that occur in the state.
Tracks CISM team responses
notes circumstances of the critical incident
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D - Aid Given or Received D - Aid Given or Received D - Aid Given or Received D - Aid Given or Received
Options include: Mutual aid given
or received Automatic aid
given or received Other aid given None
TheirFDID
TheirIncidentNumber
TheirState
Mutual aid received Automatic aid recv. Mutual aid given Automatic aid given Other aid given None
12345N
D Aid Given or Received
TheirFDID
TheirIncidentNumber
TheirState
Mutual aid received Automatic aid recv. Mutual aid given Automatic aid given Other aid given None
12345N
D Aid Given or Received
Collects receiving department’s FDID # and incident # (if possible)
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EE11 - Dates & Times - Dates & Times EE11 - Dates & Times - Dates & Times
Collects date and time of alarm, arrival, controlled, and last unit cleared– Automated systems capture
time in seconds– 0000 hours = midnight
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EE22 - Shift and Alarms - Shift and AlarmsEE22 - Shift and Alarms - Shift and Alarms
Identifies the on-duty shift or platoon; the number of alarms transmitted for the incident; and the district number
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F - Actions Taken F - Actions Taken F - Actions Taken F - Actions Taken
Records the three most significant actions performed on the incident scene by responding personnel
Codes include entire spectrum of fire service activities, including EMS & Hazardous Materials
Actions TakenF
Primary Action Taken (1)
Additional Action Taken (2)
Additional Action Taken (3)
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GG11 - Resources - Resources GG11 - Resources - Resources
Collects the total number of personnel and apparatus, by type, that responded to the incident
This information will be automatically calculated if using the apparatus or personnel module in an automated system
Check this box and skip this section ifan Apparatus or Personnel form is used.
PersonnelApparatus
Check box if resource counts includeaid given resources.
EMS
Other
Suppression
ResourcesG1
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GG22 - Dollar Losses & - Dollar Losses & ValuesValuesGG22 - Dollar Losses & - Dollar Losses & ValuesValues
Provides an estimate of the total dollar loss and the pre-incident value of the property and contents
PRE-INCIDENT VALUE: Optional
Estimated Dollar Losses & Values G2
LOSSES: Required for all fires. Otherwise optional. None
Property $ , ,Contents , ,
Property $ , ,Contents $ , ,
Complete for all fires.Using replacement value is recommended.If Total Loss >$5,000 it can’t be a coded as a confined fire.
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HH11 - Casualties - Casualties HH11 - Casualties - Casualties
Civilian: Identifies the # of deaths or injuries as a result of the fire incident (or during mitigation of the incident).
Fire Service: Identifies the # of deaths or injuries during any incident or while on duty.
If there are any injuries the incident can’t be coded as a confined fire.
None
Injuries Deaths
H1 Casualties
Fire Service
Civilian
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HH22 - Detector - DetectorHH22 - Detector - Detector
Identifies the presence of detectors at the time of the incident and whether they alerted the occupants
X
DetectorH2Required for confined fires
Detector alerted occupants
Complete for confined fires when occupants were alerted
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HH33 - Hazardous Materials - Hazardous Materials ReleaseReleaseHH33 - Hazardous Materials - Hazardous Materials ReleaseRelease
Documents the occurrence of a hazardous materials release at the incident
The Haz-Mat Module (NFIRS-7) should be completed if “other” is checked
H3 Hazardous Materials Release
None Natural gas: slow leak, no evacuation or hazmat actions
Propane gas: <21 lb. tank (as in home BBQ grill)
Gasoline: vehicle fuel tank or portable container
Kerosene: fuel burning equipment or portable storage
Diesel fuel/fuel oil: vehicle fuel tank or portable storage
Household solvents: home/office spill, cleanup only
Motor oil: from engine or portable container
Paint: from paint cans totaling <55 gallons
Other: Special Hazmat actions required or spill > 55 gal., Please complete the Hazmat form
N123456780
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I - Mixed Use I - Mixed Use PropertyPropertyI - Mixed Use I - Mixed Use PropertyProperty
Captures data on the overall use of the structures on a property If a structure has two or
more property uses, or If a property has two or
more structures with different uses
Mixed Use Property INN102033405153585960636500
Not mixed Assembly Use Education use Medical use Residential use Row of stores Enclosed mall Business & residential Office use Industrial use Military use Farm use Other mixed use
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J - Property Use J - Property Use J - Property Use J - Property Use
The specific use of the property where the incident occurred
J Property Use
131161162213215241311331
Structures
Church, place of worship Restaurant or cafeteria Bar/tavern or nightclub Elementary school or kindergart. High school or junior high College, adult ed. Care facility for the aged Hospital
341342361419429439449459464519
Clinic, clinic type infirmary Doctor/dentist office Prison or jail, not juvenile 1- or 2- family dwelling Multi-family dwelling Rooming/boarding house Commercial hotel or motel Residential, board and care Dormitory/barracks Food and beverage sales
539579571599615629700819882891
Household goods, sales, repairs Motor vehicle/boat sales/repairs Gas or service station Business office Electric generating plant Laboratory/science lab Manufacturing plant Livestock/poultry storage (barn) Non-residential parking garage Warehouse
Outside
PropertyUse
124655669807919931
Playground or parkCrops or orchardForest (timberland)Outdoor storage areaDump or sanitary landfillOpen land or field
936938946951960961962
Vacant lot Graded/cared for plot of land Lake, river, stream Railroad right of way Other street Highway/divided highway Residential street/driveway
981984
Construction site Industrial plant yard
LookupandenteraPropertyUsecodeonlyifyouhaveNOTcheckedaPropertyUsebox:
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KK11 - Person/Entity - Person/Entity InvolvedInvolvedKK11 - Person/Entity - Person/Entity InvolvedInvolved
Collects the name and contact information for persons or entities (businesses, companies) involved in the incident or related to the property
More people involved? Check this box and attach Supplimental Forms (NFIRS-1S) as necessary.
Business name (if applicable)
Check this box if same address as incident locat ion. Then skip t he t hree duplicat e address lines.
Person/Entity InvolvedK1Local Opt ion Area Code Phone Number
Mr., Ms., Mrs. SuffixLast NameMIFirst Name
Zip CodeStat e
CityApt ./Suit e/RoomPost Office Box
SuffixSt reet TypeSt reet or Highw ayPrefixNumber
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Insurance InformationInsurance InformationInsurance InformationInsurance Information
Unique to MassachusettsInsurance Company
Information The name of the company carrying the policy
Total Insurance The total amount of the insurance policy
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KK22 - Owner - OwnerKK22 - Owner - Owner
Collects the name and contact information for the person or entity that owns the property where the incident occurred
More people involved? Check this box and attach Supplimental Forms (NFIRS-1S) as necessary.
Business name (if applicable)
Check this box if same address as incident locat ion. Then skip t he t hree duplicat e address lines.
Person/Entity InvolvedK1Local Opt ion Area Code Phone Number
Mr., Ms., Mrs. SuffixLast NameMIFirst Name
Zip CodeStat e
CityApt ./Suit e/RoomPost Office Box
SuffixSt reet TypeSt reet or Highw ayPrefixNumber
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L - RemarksL - RemarksL - RemarksL - Remarks
Provides for a narrative description of the incident.
Stick to the facts!!!!!Regular, every day, ‘run-of-the-mill’ incidents keep the narrative brief. Fatal fires, large loss incidents & any incident with something out of the ordinary should be well documented.Rule of thumb: The larger the incident the longer & more detailed the narrative should be.
Check the box that applies and then complete the additional Fire mod. based on Incident Type as follows:
Fire Module Required?
Buildings 111 Special structure 112
Confined 113-118 Mobile Property 120-123 Vehicle 130-138 Vegetation 140-143 Special outside fire 161-164
Complete Fire & Structure Complete Fire Mod. & the I block on Structure Module Complete Fire Module Complete Fire Module Complete Fire Module Complete Fire or Wildland Complete Fire Module
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M - AuthorizationM - AuthorizationM - AuthorizationM - Authorization
Collects the name and identifying information for the Officer in Charge of the incident and the member completing the incident report
M Authorization
OfficerinchargeID Signature Positionorrank Assignment Month Day Year
MembermakingreportID
Signature Positionorrank Assignment Month Day Year
CheckboxifsameasOfficerincharge.
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SummarySummarySummarySummary
The Basic Module (MFIRS 1) is used for every incident.
Chapter 148 secs. 2 & 2A requires a report be filed on every fire loss... &/or school fire (K-12).
The Basic Module is the only report which must be completed for every incident type.
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Questions?Questions?Questions?Questions?