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2. Failure of Service

   When any or all of the resources paged to an incident are unavailable.  If there is a delay of more than five (5) minutes (beyond the normal expected reaction time) to get the appropriate resource or appropriately trained personnel.

   Administration will make an assessment of the failure and score these events based on severity, bad outcome, or potential risk.  Please provide enough detail to allow the event to be understood.

   This information will be used to inform the conversation about needed staffing.

4. Report Date
5. Report Time
6. Select one
   -- Select One --IncidentAccident
7. NFIRS Report #
9. Location
11. Apparatus Involved
13. Describe Incident
15. Apparatus did not respond due to:
    -- Select One --Inadequate StaffingNo Personnel AvailableNo ADO AvailableNo Officer AvailableOther
16. If other, please describe:
18. First Name
19. Last Name
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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