Fire Log

Any institution that maintains on-campus housing facilities must maintain a fire log. The fire log must record any fire that occurred in an on-campus student housing facility. The log must include the nature, date, time, and general location of each fire. Fires must be recorded in the log within two business days.

Date Notified: Date Notified: * / MM / DD YYYY
Time Notified: Time Notified: * : HH MM AM/PM
Building/Location Name: *
Physical location/address *
Alarm Attributed To: *

Alarm Attributed To: Unknown Accidental Belief in Actual Emergency Malicious
Alarm Caused By: *

Alarm Caused By: System Malfunction Heat Detector Smoke Detector Pull Box
Fire Department Response *

Fire Department Response Yes No
Actual Fire: *

Actual Fire: Yes No
In the event of an actual fire, provide report # *
Evacuation Satisfactory? (If no, explain why in the comment section) *

Evacuation Satisfactory? (If no, explain why in the comment section) Yes No
Resident/Housing Staff Present: *

Resident/Housing Staff Present: Yes No
Comments/Recommendations: *
Reporting Officer Email *
Reporting Officer Name: Reporting Officer Name: * First Last
Immediate Supervisor Name: Immediate Supervisor Name: * First Last
Immediate Supervisor Email *