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Agricultural-Related Incident

Public Safety Response Report

 

The tracking of emergency responses to agriculture or farm related fire and/or rescue incidents is unfortunately very haphazard at best.  Currently there is no formal reporting mechanism.  To help better understand where and how these incidents occur, the following web form was developed to gather information.  Please complete as much information as you can.  HOWEVER, there should be no personally identifiable information related to the incident (other than information specifically requested.)

Your first and last name:
Your email address:
Your phone number:

 

Did you or your agency respond to this incident?
I personally responded to this incident.
I did not respond but my agency did.
Neither myself nor my agency responded.

 

If you responded to the incident personally what was your capacity: 

 

 

List any public safety agencies that responded to this incident (Enter the names of responding agencies in the box below - include fire, rescue, police, and/or emergency medical services):

Date of the incident:   

Time of incident or incident dispatch time:  

 

What type of specific agricultural incident was this (select one:)?

           Other:    

 

In what PA county did the incident occur? 

Please note that this form is only for PA incident reporting at this time.

 

Please indicate the following number of victims in each category:

Injuries:                         Deaths:   

 

Please describe the incident and what the emergency responders needed to do:

 

For training purposes, please describe if you felt that the emergency responders were prepared with both training and equipment to deal with this type of emergency?

What, if anything, were critical issues that were identified during the post-incident critique?

 

I understand that this information I am submitting is to the best of my knowledge true and correct.  I understand that this data is being collected on a voluntary basis..  This information may be shared with PSU, the PA Department of Ag, and other public safety agencies for statistical and training purposes.

 

I understand and agree with the above and am doing so by typing my initials here:     

 

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This website was last updated on Friday, January 04, 2008.

 

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