Kingston Springs Fire Department
Incident Worksheet
Alarm Date
*
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Month
-
Day
Year
Date Picker Icon
CAD #
*
Dispatched Address
*
City
*
Kingston Springs
Pegram
Fairview
White Bluff
Ashland City
Nashville
Other
Time 300 Units Were Dispatched
*
Time first KS Unit arrived on-scene
Time of last KS Unit to leave the scene
Members Responding to Alarm
Chief Vaughan
Asst. Chief Parker
Lt. Brostowin
FF Eugene Ivey
Engineer Patterson
PSO Nate Palazzi
FF John Ershek
FF Paul LeDoux
PSO T. Rezendes
PFF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
PFF Alex Tapia
Member Apparatus Assignment
Chief Vaughan
Asst. Chief Parker
FF Eugene Ivey
Lt. Brostowin
Engineer Patterson
Engineer Swaggerty
PSO Nate Palazzi
FF John Ershek
FF Terry McCowan
FF Paul LeDoux
FF Scott Fugleberg
PSO T. Rezendes
PFF Demetria Victory
PFF Jeff Gorin
PFF Easton Thomas
PFF Nate Ivey
PFF Justin Beasley
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
PFF Alex Tapia
PSO Sydni Starnes
Captain Paschall
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Kingston Springs Fire Department
Incident Worksheet
Engineers for Responding Apparatus
301 Engineer
Chief Vaughan
Asst. Chief Parker
Captain Patterson
Lt. Brostowin
FF Eugene Ivey
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
302 Engineer
Chief Vaughan
Asst. Chief Parker
Captain Patterson
Lt. Brostowin
FF Eugene Ivey
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
303 Engineer
Chief Vaughan
Asst. Chief Parker
Captain Patterson
Lt. Brostowin
FF Eugene Ivey
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
312 Engineer
Chief Vaughan
Asst. Chief Parker
Captain Patterson
Lt. Brostowin
FF Eugene Ivey
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
321 Engineer
Chief Vaughan
Asst. Chief Parker
Captain Patterson
Lt. Brostowin
FF Eugene Ivey
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
331 Engineer
Chief Vaughan
Asst. Chief Parker
FF Eugene Ivey
Lt. Brostowin
Engineer Patterson
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
332 Engineer
Chief Vaughan
Asst. Chief Parker
Captain Patterson
Lt. Brostowin
FF Eugene Ivey
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
333 Engineer
Chief Vaughan
Asst. Chief Parker
Captain Patterson
Lt. Brostowin
FF Eugene Ivey
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
341 Engineer
Chief Vaughan
Asst. Chief Parker
FF Eugene Ivey
Lt. Brostowin
Engineer Patterson
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
Fire Car
Chief Vaughan
Asst. Chief Parker
Captain Patterson
Lt. Brostowin
FF Eugene Ivey
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
ATV Engineer
Chief Ivey
Asst. Chief Fisher
Captain Vaughan
Captain Paschall
Captain Parker
Lieutenant Patterson
Eng. Swaggerty
FF John Ershek
PSO Nate Palazzi
FF T. Brostowin
FF T. McCowan
FF Paul LeDoux
FF Scott Fugleberg
PSO Sydni Starnes
PSO Tiffany Rezendes
PFF Demetria Victory
On-Duty City Employees Responding to Incident
871 Chief Ivey
873 Palazzi
874 Vaughan
875 Brostowin
876 Scruggs
877 Rezendes
Asst. Chief Parker
On-Duty City Employees Responding to Incident
871 Chief Ivey
872 Swaggerty
873 Palazzi
874 Vaughan
875 Brostowin
876 Starnes
877 Rezendes
Captain Parker
Lt. Patterson
FF Scott Fugleberg
PFF James Moss
PFF Peyton Woodall
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Kingston Springs Fire Department
Incident Worksheet
Incident Details
Specific Property Use
121 Gymnasium
131 Church
150 Public or Government
161 Restaurant
213 Elementary School
215 Middle / High School
342 Doctor / Dentist Office
419 1 or 2 Family Dwelling
449 Hotel / Motel
511 Convenience Store
519 Grocery Store
580 General Retail, other
592 Bank
596 Post Office
599 Business Office
669 Forest, Woodland
700 Manufacturing
808 Outbuilding or Shed
888 Fire Station
899 Self Storage Unit
900 Outside or Other
931 Open Land or Field
946 Lake, River, Stream
960 Street, Other
961 Highway or Divided Highway
965 Parking Lot
Other
Incident Type
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111 Building Fire
114 Chimney or Flue Fire
131 Passenger Vehicle Fire
132 Road Freight or Transport Vehicle Fire
137 Camper or RV Fire
142 Brush or brush & Grass mixture Fire
151 Outside Rubbish, Trash or Waste Fire
311 Medical Assist, assist EMS crew
322 Motor Vehicle Accident With Injuries
324 Motor Vehicle Accident with NO injuries
341 Search for Lost Person on Land
342 Search for Lost Person on Water
356 High Angle Rescue
363 Swift Water Rescue
411 Gasoline or other flammable liquid spill
412 Gas Leak (Natural Gas or LPG)
422 Chemical Spill or Leak
551 Assist Police or other government agency
611 Dispatched and Canceled en route
622 No incident found at dispatch address
631 Controlled Burn
700 False Alarm or False Call
745 Alarm Activation,No fire unintentional
746 Carbon Monoxide detector activation, no co
800 Severe Weather or Natural Disaster
Other
Actions Taken by KSFD Personnel
*
11 Fire Extinguishment
12 Salvage & Overhaul
16 Control Wildland Fire
21 Search
23 Extricate, disentangle
30 Emergency Medical Services, Other
31 Provide First Aid & Check for injuries
43 Haz-Mat Spill Control
44 Haz-Mat Leak Control
45 Remove Hazard
70 Assistance, Other
73 Provide Manpower
78 Control Traffic
86 Investigate
87 Investigate Fire Out Upon Arrival
92 Standby
93 Canceled En Route
Other
District
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1 Inside City Limits
2 Outside City Limits
3 Outside KSVFD Service Area
Aid Given or Received
1 Mutual Aid Received
2 Automatic Aid Received
3 Mutual Aid Given
4 Automatic Aid Given
5 None
Water Used?
*
No
Yes
Hydrant Location & Gallons Used
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Kingston Springs Fire Department
Incident Worksheet
Incident Narrative
*
Member Making Report
*
Officer in Charge
*
Chief Vaughan
Asst. Chief Parker
Captain Patterson
Lt. Brostowin
FF Eugene Ivey
FF John Ershek
PSO Nate Palazzi
FF Paul LeDoux
PSO Tiffany Rezendes
FF Easton Thomas
PSO Brandon Scruggs
FF Tristin Tawater
FF Caitlin Dumond
FF Drew Eanes
FF Kurt Snyder
FF Nathan Vetitoe
FF Brent Dunnivant
FF Peyton Woodall
PFF Michael Coldwell
PFF Chuck Miracle
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