MTHC Fire Report

DISPATCH: [checkbox name="unit" value="Engine 1|Engine 2|RESCUE |Utility 1|Utility With Trailer|UTV"] RESPONDED: [select name="callsign" value="EMERGENCY|NON EMERGENCY"] TO[text name="variable_1" default=" "] FOR[select name="callsign" value="[select name="callsign" value="Animal problem or rescue|Bomb scare|Combustible/flammable spills & leaks |Cover assignment|Dispatched and canceled en route |Electrical wiring/equipment problem |EMS Incident|MVA with Injuries|MVA fluids down|MVA w/Extrication|Good intent call|Public service assistance|Search for lost person|Service call|Smoke, odor problem|Special type of incident|Structure Fire|System or detector malfunction|Unauthorized burning |AFA with no fire|Water or ice-related rescue"].

RESPONSE: [checkbox name="unit" value="Engine 1|Engine 2|RESCUE |Utility 1|Utility With Trailer|UTV"] RESPONDED FROM: [checkbox name="variable_2" value="QUARTERS|IN Township|OUTSIDE PRIMARY Coverage|WITHOUT RESPONSE DELAYS|WITH DELAYS DUE TO|DISTANCE|RESPONSE FROM OUTSIDE PRIMARY TERRITORY|TRAIN|ROAD CONSTRUCTION|HEAVY TRAFFIC|RESPONSE INTO NON PRIMARY TERRITORY"][text name="variable_3" default=" "].

ARRIVAL: [checkbox name="ARRIVED" value="ARRIVED ON SCENE AND ESTABLISHED COMMAND|STAGED DUE TO PRE-ARRIVAL INSTRUCTIONS|STAGED DUE TO PRE-ARRIVAL INSTRUCTIONS AND ESTABLISHED COMMAND|REPORTED TO COMMAND|CANCELLED EN ROUTE DUE TO CLOSER UNIT|CANCELLED ON SCENE BY COMMAND ON SCENE"][text name="variable_4" default=" "].

SCENE:[text name="variable_5" default=" "].

INITIAL ACTIONS:[text name="variable_6" default=" "].

SECONDARY ACTIONS:[text name="variable_7" default=" "].

MUTUAL AID PROVIDED: [checkbox name="MAP" value="YES|NO|Wright Twp|Dorrance Twp|Dennison Twp| Nuangola Borough| Slocum Township| White Haven Borough|Hanover Twp|Valley Reginal"][textarea name="variable_8" default=""].

EMS That was Disptached: [checkbox name="MAP" value="YES|NO|MEDIC 37|Medic 9|Medic 10|Medic 26| Medic 25| Slocum BLS| Mountain Top BLS|Dorrance BLS|White Haven BLS"][textarea name="variable_8" default=""].


CALL REPORT: [textarea name="variable_10" default=""].

REPORT WRITER: [text name="variable_1" default=" "][date name="variable_1" default="02-18-2023"]
DISPATCH: RESPONDED: TO FOR.

RESPONSE: RESPONDED FROM: .

ARRIVAL: .

SCENE:.

INITIAL ACTIONS:.

SECONDARY ACTIONS:.

MUTUAL AID PROVIDED:
.

EMS That was Disptached:
.


CALL REPORT:
.

REPORT WRITER:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.47, 19 form elements, 24 boilerplate words, 7 text boxes, 3 text areas, 1 dates, 6 checkboxes, 2 drop downs, 63 total clicks
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