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Environmental Health & Safety
Fire Alarm Report
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Name: Phone: Email Address:
Building/Location: Date of Alarm: Time of Alarm: Alarm Cause: Actual Fire/Combustion Malicious Fire Alarm Fire Drill System Malfunction Accidental Other - Specify in comments below Activation Source: Heat Detector Smoke Detector Pull Station Duct Detector Flow Switch Other - Specify in comments below Caused by: Student Faculty or Staff Visitor Contractor Other - Specify in comments below
Were fire extinguishers used? Yes No
Did TFD respond? Yes No
Did FSUPD respond? Yes No
Corrective Action Date: Corrective Action:
