起火地點(diǎn):_________________________________________________________
報(bào)警時(shí)間:_________________________________________________________
勘查時(shí)間:_________________________________________________________
天氣情況:_________________________________________________________
勘查人員:_________________________________________________________
記錄人:___________________________________________________________
見(jiàn)證人:___________________________________________________________
一、現(xiàn)場(chǎng)周圍情況
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________________________________________________________________________________________________
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________________________________________________________________________________________________
二、對(duì)火場(chǎng)全面勘查
________________________________________________________________________________________________
________________________________________________________________________________________________
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勘查人員:(簽字)________
見(jiàn)證人:(簽字)__________
________年______月______日
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