Basic Level Pre-Course Reading

CBRN INCIDENT REPORTING GUIDE FOR EMERGENCY CALL CENTRES
Annex B: CBRN Incident Reporting Guides
DATE AND TIME OF INCIDENT:
Date: Time: □ AM
□ PM
INCIDENT LOCATION:
Street Address:
City:
Province:
DESCRIBE LOCATION:
ESTIMATED TIME SPENT IN AREA:
DISTANCE FROM POINT OF IMPACT OR ACCIDENT:
REASON FOR REPORT:
□ Dead/dying/sick birds, insects, or animals □ Unusual illness
□ Unusual drops of liquid □ Unusual odours
□ Dead, discoloured vegetation □ Vapour cloud
□ Unusual death
□ Other:
TERRAIN DESCRIPTION:
□ Flat □ Desert □ Sparse trees □ Shore
□ Hills □ Mountains □ Urban □ Thick bush
□ River □ Suburban
□ Other:
WEATHER:
□ Clear □ Rainy □ Snowy □ Dust
□ Cloudy □ Foggy □ Misty □ Mild
□ Windy
□ Other:
TEMPERATURE:
□ Hot □ Warm □ Cool □ Cold
ODOUR:
□ None □ Sweet □ Irritating □ Garlic/Horseradish
□ Changing □ Pepper □ Forest □ Almond/Peach
□ Fruity □ Flower □ Rotten eggs □ Fresh mown hay
□ Other:
VISIBLE SIGNS:
□ Smoke □ Mist □ Colour: _______________ □ None
□ Other:
UNEXPLAINED SYMPTOMS:
□ None □ Tightness in chest □ Stinging of skin
□ Dizziness □ Blurred vision □ Reddening of skin
□ Runny nose □ Fever □ Welts/blisters
□ Choking □ Difficulty breathing □ Nausea/vomiting
□ Cough □ Diarrhea □ Headaches
□ Other:
ESTIMATED NUMBER OF CASUALTIES:
LOCATION OF CASUALTIES:
□ Still in contaminated site □ Have left the scene
□ Contained in safe location
□ Other:
EXPLOSION:
□ None □ Air □ Ground □ Structure
□ Underground
□ Other:
DESCRIBE DEVICE OR CONTAINER:
CBRN First Responder Training Program
70 Basic Level Course