Firewatch

First Responder Protective Services - Fire Watch Log

Please Complete this form at the completion of the shift.

Shift Start Date / Time *(Required)

Date

Time(Required)

Time

Shift End Date / Time *(Required)

Date

Time(Required)

Time

Firewatch Officers Name *(Required)

Firewatch Officer Title *(Required)

Case Number (If Applicable)

Business Name / Location of Fire Watch

Firewatch Address

Street Address Address Line 2 City State ZIP Code

Firewatch Intervals *(Required)

Firefighter / Officer Was Only Assigned Firewatch Duties during shift(Required)

Yes

Firefighter / Officer checked exits to ensure they were accessible and not blocked.(Required)

Yes

Firefighter / Officer was aware of and is knowledgable of locations of fire extinguishers during shift(Required)

Yes

Document each fire watch patrol on the log sheet below. In addition, document any significant related events in more detail in the Additional Comments section. Make additional form copies as needed.

Fire Watch Form -Upload (If you have a paper fire watch form you may upload a PDF or photo of form and do not need to complete the rest of the form below.)

Drop files here or

Max. file size: 256 MB.

If you have a paper fire watch form you may upload a PDF or photo of form and do not need to complete the rest of the form below.

1st Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

2nd Patrol Date/Time

Date

Time

Findings

Notate if Clear mark ALL CLEAR or if found anything that needed attention for this patrol time

3rd Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

4th Patrol Date/Time

Date

Time

Findings

Notate if Clear mark ALL CLEAR or if found anything that needed attention for this patrol time

5th Patrol Date/Time

Date

Time

Findings

Notate if Clear mark ALL CLEAR or if found anything that needed attention for this patrol time

6th Patrol Date/Time

Date

Time

Findings

Notate if Clear mark ALL CLEAR or if found anything that needed attention for this patrol time

7th Patrol Date/Time

Date

Time

Findings

Notate if Clear mark ALL CLEAR or if found anything that needed attention for this patrol time

8th Patrol Date/Time

Date

Time

Findings

Notate if Clear mark ALL CLEAR or if found anything that needed attention for this patrol time

9th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

10th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

11th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

12th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

13th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

14th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

15th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

16th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

17th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

18th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

19th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

20th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

21th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

22th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

23th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

24th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

25th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

26th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

27th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

28th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

29th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

30th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

31th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

32th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

33th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

34th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

35th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

36th Patrol Date/Time

Date

Time

Findings

Notate if Clear or if found anything that needed attention for this patrol time

Significant Incidents / Areas of Concern

Signature *(Required)