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NFIRS-3 Structure Fire <br /> 11 12 13 14 <br /> Structure Type Building Status Building Height Main Floor Size <br /> Iw 1-Enclosed Building r 1-Under Construction ,1'� <br /> r 2-Portable/Mobile Structure l 2-In Normal Use u 500 <br /> r 3-Open Structure r 3-Idle,Not Routinely Used Number of Stories Tota(Square Feet <br /> r 4-Air-Supported Structure r 4-Under Major Renovation Hi Grade OR <br /> r S-Tent r S-Vacant and Secured j <br /> r 6-Open Platform r 6-Vacant and Unsecured I I BY I I <br /> r Ba(ow Crede-Underground Structure r 7-Being Demolished Number adeto;,es <br /> r 8-Connective Structure r 0-Other Length(ft)X Width(ft) <br /> r 0-Other r U-Undetermined -- — <br /> J1 J3 K <br /> Fire Origin Number of Stories Damaged By Flame Type of Material Contributing <br /> I Number of Stones N(liii;cr Damage(1-24%) Most to Flame Spread <br /> h <br /> 1 r NetowC:ade <br /> I I Number of Stories w/Siani`icant Damage(25-49%) K1 1 31-Mattress,pillow <br /> Story:of Fire Origin <br /> (1 Number of Sto e5vi/Heavy Damage(S6-74%) <br /> Item Contr ibutina Most <br /> J2 Number of Stories�rL�°� <br /> /Extreme Damage(75 i ) to Flame Spread <br /> s <br /> Fire Spread 71-Fabric fiber,cotton, I <br /> r Confined to Object of Origin ,Count the roof as Da:1 o;the Highest-ster_y blends,rayon,wool <br /> r 2-Confined to Room of Origin Type or Bate;iat <br /> 13 3-Confined to Floor of Origin ont <br /> r 4-Confined to Building of Origin CContributing <br /> r s-Beyond Building of Origin Most To rtes^,e Spread <br /> 11 L3 15 i <br /> Presence of Detectors Detector Power Supply Detector Effectiveness <br /> r N-None Present r 1-Battery Only r 1-Alerted Occupants,Occupants Responded <br /> r 1-Present r 2-Hardwire Only r 2-Alerted Occupants,Occupants Failed to Respond <br /> l U-Undetermined r 3-Plug-In r 3-There Were No Occupants <br /> r 4-Hardwire With Battery r 4-Failed to Alert Occupants <br /> r 5-Plug-In With Battery r U-Undetermined <br /> r 6-Mechanical <br /> r 7-Multiple Detectors <br /> 1.2 &Power Supplies <br /> Detector Type r 0-Other L6 <br /> r U-Undetermined Detector Failure Reason <br /> r 1-Smoke <br /> r 2-Heat r 1-Power Failure,Shutoff,or Disconnect <br /> r 3-Combination of Smoke and Heat L4 r 2-Improper Installation or Placement <br /> r 4-Sprinkler,Water Flow Detection Detector Operation r 3-Defective <br /> r 5-More Than One Type Present r 4-Lack of Maintenance,Dirty <br /> r 0-Other r 1-Fire Too Small To r 5-Battery Missing or Disconnected <br /> r U-Undetermined Activate r 6-Battery Discharged or Dead <br /> r 2-Operated r 0-Other <br /> r 3-Failed To Operate r U-Undetermined <br /> r U-Undetermined <br /> Pana R of A <br />