Wildland Fire Fatality and Entrapment
I N I T I A L R E P O R T
Complete this report for fire-related entrapment and/or fatalities. Timely reporting of wildland-related entrapments or fatalities is necessary for the
rapid dissemination of accurate information to the fire management community. It will also allow fire safety and equipment specialists to quickly
respond to these events as appropriate. This initial report does not replace agency reporting or investigative responsibilities, policies, or
procedures. Immediately notify the National Interagency Coordination Center (NICC). Submit this written report within 24 hours—even if some
data are missing—to the address given below.
NICC—National Interagency Fire Center Phone: 208–387–5400 NICC Intelligence Section
3833 South Development Ave. Fax: 208–387–5414 E-mail: nicc_intel@nifc.blm.gov
Submitted by:________________________________ Position:_____________________________
Agency:___________________________________ Location:____________________________
Phone:____________________________________ E-mail:______________________________
1. General Information
• Date of event___________________ Time____________
• Number of personnel involved_______________________
• Number of: Injuries__________ Fatalities___________
2. Fatalities
• Type of accident:
. Aircraft . Vehicle
. Natural (lightning, drowning, etc.) . Smoke
. Medical (heart, stroke, heat, etc.) . Entrapment
. Struck by falling object . Other
• Where fatality/entrapment occurred:
. Fire site . In transit
. Incident base . Other
Note: In the event of fatality(s), do not release name(s) until next
of kin are notified.
• Fire name, location, agency, etc._______________________
_____________________________________________
_____________________________________________
• Employing agency________________________________
• Unit name______________________________________
• Address_______________________________________
• For further information, contact_______________________
Home unit address________________________________
Phone_________________________________________
Page 1 of 2
NWCG
(Continued)
NFES No. 0869 (Revised 2/01) PMS No. 405-1
3. Fire-Related Information
• Fuel model____________________________________
• Temperature_______ RH_______ Wind_______mph
• Topography___________________________________
____________________________ Slope________%
• Fire size at the time of the incident/accident___________acres
4. Entrapment Information
• Incident management type at the time of the incident/accident:
(circle one) 1 2 3 4 5
• Urban/wildland intermix? ................................. . Yes . No
• Cause of fire: . Natural . Incendiary . Accidental
. Unknown
A situation where personnel are unexpectedly caught in a fire-behavior-related, life-threatening position where escape routes or safety zones are absent, inadequate, or
have been compromised. An entrapment may or may not include deployment of a fire shelter. Note: Engine and dozer burnovers also constitute entrapments.
Page 2 of 2
Entrapment Description
• Person trapped . With fire shelter . Without fire shelter
• Burns/smoke injuries incurred while
in fire shelter ........................................................... Yes . No
• Burns/smoke injuries incurred while
escaping entrapment .............................................. Yes . No
• Burns/smoke injuries incurred while
fighting fire .............................................................. Yes . No
• Fire shelter performed satisfactorily ...................... Yes . No
• Fire shelter was available, but not used ............... Yes . No
Personal Protective Equipment Used
Fire shelter ................. Yes . No Gloves ...... Yes . No
Protective pants ......... Yes . No Boots ........ Yes . No
Protective shirt ........... Yes . No Goggles .... Yes . No
Face/neck protection . Yes . No Hardhat .... Yes . No
• Brief description of the accident_________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________