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Accident Report Form

This report must be submitted for each student requiring first aid or medical attention during any training activity conducted by the Virginia Department of Fire Programs.
  • This report must be submitted for each person requiring first aid or medical attention during any training activity conducted by the Virginia Department of Fire Programs. It must be completed by the instructors and forwarded to the Division Chief in the area in which the accident occurred within five (5) days of the accident. The Area Manager will conduct an investigation and forward findings to the Director of Training within five (5) days of receiving this form. Should it appear that the injured will require hospital admission and/or loss from work, or the accident results in a suspected or known fatality, the instructor(s) will immediately contact a Virginia Department of Fire Programs Division Chief or the Director of Operations who will initiate a preliminary investigation. A detailed report will be prepared by the Division Chief, in cooperation with the instructor(s), and forwarded to the Director of Operations within five (5) days.
  • Injured Person Information

  • Please enter a value between 1 and 100.
  • Accident Information

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