5. Copy of Fire Department LogDate of Call Fire Unit #Mileage Out Mileage on
Return
Emergency
Call Mileage Other Usage Fire or EMT
Description
of Usage
i.e.House
Fire, Out
Building
Fire, Grass
Fire, other
(describe)
Mutual Aid
or Scandia
Number of
Personnel
Involved
Estimated
Time From
Call to On
Site
Estimated
Time on Site
1
2
3
4
5
6
Date of Call Fire Unit #
Should
Chargeback
Be Pursued?
Other Units
Involved
Was Mutual
Aid Required
Water Level
Out (gallons)
Water on
Return
(gallons)
Total
Gallons
Used
Comments such as Equipment Problems, etc.