Nfirs Module 11 Arson and Juvenile Firesetting

NFIRS 5.
0 Self-Study Program
Arson and Juvenile

Firesetter Module:
NFIRS-11
Objectives
After completing the Arson and Juvenile Firesetter Module you will
be able to:
1. Describe when the Arson and Juvenile Firesetter Module is to be
used.
2. Demonstrate how to complete the Arson and Juvenile Firesetter
Module and identify appropriate other modules, given the scenario of
a hypothetical incident.
11-1
Table of Contents
Arson and Juvenile Firesetter Module: NFIRS-11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
Pretest #11 - Arson and Juvenile Firesetter Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3
Using the Arson and Juvenile Firesetter Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Section A: FDID, State, Incident Date, Station, Incident Number, Exposure. . . . . . . . . . . . . . 11-4
Section B: Agency Referred To. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Section C: Case Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Section D: Availability of Material First Ignited. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Section E: Suspected Motivation Factors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6
Section F: Apparent Group Involvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6
Section G: Entry Method/Extent of Fire Involvement on Arrival. . . . . . . . . . . . . . . . . . . . . . 11-7
Section H: Incendiary Devices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Section I: Other Investigative Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Section J: Property Ownership. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
Section K: Initial Observations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
Section L: Laboratory Used. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
Juvenile Firesetter Module: NFIRS-11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Section A: FDID, State, Incident Date, Station, Incident Number, Exposure. . . . . . . . . . . . . 11-10
Section M: Subject Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
Section N: Remarks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13
SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14
EXAMPLE: Restaurant Fire . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-15
EXERCISE SCENARIO 11-1: Mattress Fire. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-17
EXERCISE SCENARIO 11-2: Structure Fire. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-22
NFIRS 5.0 Self-Study Program
Pretest #11 - Arson and Juvenile Firesetter Module

1. Arson is to unlawfully and intentionally damage, or attempt to damage, any real or personal
property by fire or incendiary device.

(a) True.
(b) False.
2. The Basic Module must be completed if the Arson and Juvenile Firesetter Module is completed.

(a) True.
(b) False.
3. The Arson and Juvenile Firesetter Module is a required NFIRS Module.

(a) True.
(b) False.
4. The Juvenile Firesetter Module is completed only for fires where the person involved in the ignition of the fire was under the age of 21.

(a) True.
(b) False.
5. The Juvenile Firesetter section of the module can be completed without completing the Arson
section.

(a) True.
(b) False.
11-3
Using the Arson and Juvenile Firesetter Module
n indispensable tool in the war against arson is the ability to identify when and where the crime
takes place, what form it takes, and the characteristics of its targets and perpetrators. Armed with
such information, fire service and law enforcement agencies can develop and implement arson prevention initiativesallowing them to use their resources in the most efficient and effective manner.
The NFIRS 5.0 Arson Module (NFIRS-11) was developed with this goal in mind.
The optional Arson Module may be used whenever the Cause of Ignition, (NFIRS-2 E1) is coded
as intentional, or as under investigation without a distinction as to whether or not a crime has
occurred, or a determination of criminal intent. You also can use the Arson Module in cases where
the cause is Undetermined after investigation.
In addition, use the Arson Module to document juvenile-set fires, whether determined to be intentional or not. This information will permit analysis of juvenile firesetting trends, including intervention strategies and repeated activity.
ARSONTo unlawfully and intentionally damage, or attempt to damage, any real or personal property by fire or incendiary device.
NOTE: Nothing in this definition is meant to alter or affect compliance with State or local incident reporting requirements. In
States with mandatory reporting, the State Program Manager determines which optional modules (EMS, Hazardous Materials,
Wildland, Arson, etc.) are to be submitted to the State.
The Arson Module consists of two parts: a local investigation module, which permits a fire department or arson investigation unit to document certain details concerning the incident; and a juvenile
firesetter section, which identifies key items of information that could be used for local, State, and
national intervention programs.
Many arson investigation units use an arson information management system to collect and compile
information on arson incidents. This module is not intended to replace those systems, but to identify
data elements that could be exported to the NFIRS and be included as an integral part of the U.S. Fire
Administration (USFA) National Fire Database and the Bureau of Alcohol, Tobacco, Firearms, Arson
and Explosives (ATF) National Repository.
Section A: FDID, State, Incident Date, Station,

Incident Number, Exposure
MM
A
FDID
State
DD
YYYY
Incident Date
NFIRS11
Arson
Delete
Station
Incident Number
Exposure
Change
None
Referred in
To Section
The
information
A is drawn from Section A of the Basic Module. Use the data in the Basic
B Agency
Street address
Their case number
Module to help you supply the requested
information. If you are using
an automated system the
data need to be entered only once, then they will be transferred automatically into other modules
Their ORI
City
thatAgency
usename
the data.
State
Agency phone number
Case Status
Investigation open
1
Investigation closed
2
Investigation inactive
3
ZIP code
11-4
4
5
Closed with arrest

Closed with exceptional
clearance
Their Federal Identifier (FID)
Availability of Material First Ignited

1
2
U
Transported to scene
Available at scene
Unknown
Their FDID

MM
A
FDID
State
Agency Referred To
DD
YYYY
Section B: Agency Referred To
Incident Date
Station
Incident Number
Exposure
NFIRS11
Arson
Delete
Change
None
Street address
Their case number
Agency name
City
Their ORI
Agency phone number
State
ZIP code
Their FDID

Case Status
This
identifies the agency, if any, that the incidentDwas
referred to for followup investigation.
C 1section
Investigation open
Closed with arrest
4
1
to scene
This2could
be a lawclosed
enforcement
agency that has jurisdiction
forTransported
a criminal
investigation, or another
Investigation
5
2
Available at scene
Investigation
inactive
fire 3department
that
may have been
requested to conduct the
clearance
U investigation.
Unknown
This Suspected
information
provides
necessary to contact the agency that conducted any follow up
Check up to three factors
Motivation
Factorsthe details
E
of the incident. It also allows for the collection, compilation,
and analysis
data associated with
Burglary
54 of all
42
Vanity/recognition
Homicide concealment
11
Extortion
22
Hate crime
61
43
Thrills
a specific
incident.
Burglary concealment
12
Labor unrest
23
Institutional
62
44
Attention/sympathy
Auto theft concealment
13
Insurance fraud
24
Societal
63
45
Sexual excitement
is the unique 31identification
number 51
assigned
to law enforcement
agencies
(towns,
Destroy
records/evidence
14ORIIntimidation
Protest
64
Homicide
Other
suspected
motivation
15cities,
Voidcounties,
contract/lease
32
Civil
unrest
00
52
Suicide
State police agencies, and some colleges and universities) participating
in
Unknown motivation
21
Personal
41
Fireplay/curiosity
UU
53
Domestic violence
the FBIs Uniform Crime Reporting (UCR) system or the National Incident Based Reporting
System (NIBRS).
Incendiary
Devices
Group Involvement
MM
DD
YYYY
F Apparent
No container
CONTAINER
None H
A identification
Select one from each category
FID
is a two-character
number used by Federal departments to submit crime
Incident Date
Incident Number
FDID
Station
Exposure
1
group
Box
Bottle (glass)
Pressurized container 17
14
dataTerrorist
to UCR/NIBRS
gathered by 11
itsState
dependent
bureau/agencies.
2
Gang
State
ency Referred To
Change
Other Container
00
Bottle (plastic) 15
Can (not gas or fuel)
12
3
Anti-government group Agency Referred To
None
Unknown
Jug
or fueluniqueness
can UU
13
16 theGasoline
The
ORI
plus
the
FID
and
the
incident
number
provide
necessary
to
avoid the
B
4
Outlaw motorcycle organization
Street address
Their case number
5 duplication
Organized of
crime
reported incidents.
No device
IGNITION/DELAY DEVICE
6
Racial/ethnic hate group
11
Wick or fuse
17
Road flare/fuse
7
Religious hate group
12
Candle
18
Chemical componentTheir ORI
Agency name
City
8
Sexual preference hate group
13
Cigarette and matchbook
19
Trailer/streamer
0
Other group
14
Electronic component
20
Open flame source
U
Unknown
15
Mechanical device State
00
Other delay device Their Federal Identifier (FID)
ZIP code
Agency phone number
16
Remote control
UU
Unknown
G1 Entry Method
Availability
of Material First Ignited
None
Case Status
FUEL
D
C 1 Investigation open
Closed with arrest
4
1
Entry Method
Pyrotechnic
11 closed
Ordinary combustibles
16
Investigation
2
5
2 material
Available at scene
Explosive
12
Flammable gas clearance Delete
17
Involvement on
MM Extent
DD of Fire
YYYY
Investigation
inactive
NFIRS11
3 Arrival
U material
Unknown
G2
14
Ignitable liquid
00
ArsonOther material
Change
Incident Date
Incident Number
Station
Unknown
15
IgnitableExposure
solid
UU
Suspected Motivation Factors
Extent of Fire Involvement
Section C: Case Status
NFI
A
Delete
Their FDID
Section C identifies theEstatus of the investigation at the time the report was filed. This information is
Burglary
54
42
Vanity/recognition
None
useful
in tracking
theInformation
closure
ofProperty
investigations
wellcrime
as Initial
providing
information
to other agencies
Ownership
Homicide concealme
11 rate
Extortion
22 as Hate
61
43
Thrills
Observations
Other
Investigative
J unrestbe linked
I
K they
address
Their case number
Burglary concealme
concerning
theStreetstatus
of cases
that
are
investigating.
12
Labormay
23 to cases
Institutional
62
44
Attention/sympathy
Check all
that apply
Check all that apply
Auto theft concealm

24
Societal
Insurance fraud
63
45
Sexual excitement
department forced entry
1 Windows ajar 551 Fire
1
Private
Destroy records/evid
Intimidation
31
Protest
64
Homicide
Their ORI
cy name
Doors ajar
forced prior to FD arrival Other suspected mo
City
2 unrest
652 Entry
1
Code violations
2
City, town, village,
Void
contract/lease
32 local
Civil
00
Suicide
system activated
3 Doors locked 753 Security
2
Structure for sale
3
County or parish
Unknown motivation
Personal
41
Fireplay/curiosity
UU
Domestic violence
4 Doors unlocked 8 Security system present
3
Structure vacant
4
State or province
(not activated)
4
Their FDID
State
cy phone number
Other crimes
involvedZIP code
5
Federal
Laboratory
Used
5
Incendiary
Devices
Illicit drug activity
Apparent
Group
Involvement
6
Foreign
None
F Check up to three factors
No container
CONTAINER
L H
None
6
Change in insurance
7
Military
Availability of Material First IgnitedSelect one from each category
se Status
DOther
7
Financial problem
1
Local
3
ATF 5
6
Private
Other
0
Terrorist
group
Investigation open
Closed with arrest 1
4
1
Transported to scene 11
Box
(glass)
14
8
Criminal/civil actions pending
2
State Bottle
4
FBI
FederalPressurized container 17
2
Gang
5
2
Available at scene
Other Cont
00
Bottle (plastic) 15
Can
(not gas
or01/01/04
fuel)
12
NFIRS11
Revision
3
Anti-government
group
clearance
U
Unknown
Unknown
Jug
Gasoline or fuel can UU
16
13
4
5
Organized crime
No device
uspected Motivation Factors
6
11
Wick or fuse
17
Road
flare/fuse
Burglary
54
Vanity/recognition
7 42 Religious
hate group
12
Candle
18
Chemical component
Extortion
22
Hate crime
61
Thrills
8 43 Sexual
preference hate group
13
19
Trailer/streamer
Burglary
concealment
Labor unrest
23
Institutional
62
Attention/sympathy
0 44 Other
group
14
20
Open flame source
Insurance fraud
24
Societal
63
Sexual excitement
U 45 Unknown
15
Mechanical device
00
Other delay device
Destroy records/evidence
13
14
15
21
Section D: Availability of Material First Ignited
11-5
Arson
FDID
State
Incident Date
Agency Referred To
Incident Number
Station
Change
Exposure
None
Street address
Their case number
Their ORI
name
City
ThisAgency
section
identifies the availability
of an ignition source (including
matches and lighters) to the
initial ignition. This information permits analysis of firesetting methods and trends and can assist in
MM
DD
YYYY
the Agency
development
of prevention and
intervention
Their FDID
ZIP code strategies.
phone number
A State
FDID
Case Status
Investigation open
1
2
3
4
5
State
Closed with arrest

Referred To
B Agency
Closed
with exceptional
clearance
Incident Date
Station
Incident Number
Exposure
1
None
2
Available at
scene
Section E: Suspected Motivation
Factors
U
Unknown
Check upAgency
to three
factors
name
Street address
Their case number
City
Their ORI
Burglary
54
42
Vanity/recognition
11
Extortion
22
Hate crime
61
43
Thrills
concealment
12
Labor unrest
23
Institutional
code
44
Attention/sympathyState 62 ZIPBurglary
Agency phone number
13
Insurance fraud
24
Societal
63
45
Sexual excitement
14
Intimidation
31
Protest Case Status
64
51
Homicide
Availability of Material First Igni
D motivation
Other suspected
15
Void contract/lease 32
CivilCunrest
00
52
Suicide
Investigation open
1
Closed with arrestUnknown motivation
4
1
21
Personal
41
Fireplay/curiosity
UU
53
Domestic violence
2
5
2
Available at scene
3
clearance
U
Unknown
Incendiary
Devices
Apparent
Group
Involvement
Indicates
the
suspected
stimulus
that
caused
the
subject(s)
to
burn,
or
attempt
to
burn,
any
real
or
F Check up to three factors
No container
CONTAINER
None H
Select oneMotivation
from each category
Suspected
Factors
personal property. This permits analysis
of arson trends based on the possible motivation for the
E
1
Terrorist group
Burglary
54
Vanity/recognition
Bottle (glass)
Pressurized container 1742 Box
11
14
crime.
You
may
select
up
to
three
factors.
2
Gang
Homicid
1112 Extortion
Hate
crime
61
Thrills
Container
0043 Other
Bottle (plastic) 1522 Can
(not
gas or fuel)
3
Anti-government group
Burglary
1213 Labor
Institutional
62
Attention/sympathy
Jugunrest
or fuel can UU44 Unknown
1623 Gasoline
4
Auto the
13
Insurance fraud
24
Societal
63
45
Sexual excitement
5
Organized crime
Destroy
device
14
Intimidation
31
Protest DEVICE
64
51 No Homicide
IGNITION/DELAY
6
Other su
1511 Void
contract/lease
32
Civil unrest17
00
52
Suicide
Wick
or fuse
Road flare/fuse
7
Unknow
2112 Personal
41
Fireplay/curiosity
UU
53
Domestic
violence
Candle
18
Chemical component
8
13
19
Trailer/streamer
0
Other group
14
20
Open flame source
Incendiary Devices
Group Involvement
U
Unknown
15
Mechanical
device
F Apparent
Other delay device CONTAINER
None H00
one from each category
16
Remote control
UU SelectUnknown
1
Terrorist group
G1 Entry Method
Bottle (glass)None 14
11
FUEL
2
Gang
00
Bottle (plastic) 15
12
3
Entry Method
UU
Jug
Gasoline
or
fuel
can
13
16
Pyrotechnic
material
11
Ordinary
combustibles
16
4
Explosive material
Flammable
gas
17
Extent of Fire Involvement on Arrival 5 12 Organized
crime
G2
Other material
Ignitable liquid
00
6 14 Racial/ethnic
hate group
11
Wick
or fuse
17
Road flare
Unknown
15
Ignitable
solid
UU
7
12
Candle
18
Chemical
8
13
19
Trailer/str
0
Other group
14
20
Open flam
Property Ownership
Initial
Observations
Other
Investigative
Information
J U Unknown
I
K Check all that apply 15 Mechanical device
00
Other dela
16
Remote control
UU
Unknown
Entry Method
entry of
1 Windows
5 Fire
G1Private
This section identifies whether1 the
suspect(s) were motivated
to ajar
commit
thedepartment
arson actforced
because
FUEL
6 Entry forced prior to FD arrival
1
Code violations
2
City, town, village, local 2 Doors ajar
involvement
in
a
larger
group
or
organization
or
as
a
means
to
promote
the
cause
of
a
larger
group
Doors
locked
Security
system
activated
3
7
2
Entry Method
Structure for sale
3
County
or parish
Pyrotechni
11
16
3 organization.
or
Structure vacant
4
State or province
Explosive m
12
Flammable
(not activated)gas
17
Extent
of Fire Involvement on Arrival
4
Other crimes involved
5 G2 Federal
Other mate
14
Ignitable liquid
00
Laboratory
Used
5
Check
that apply
This
information
will permit analysis
of arson trends based
on participation
in allcriminal
groupsNone
or UU Unknown
6
Foreign
15
Ignitable
solid
L
6
Change in insurance
7 to Military
Extent of factors.
Fire Involvement
organizations.
You may check up
three
7
Financial problem
1
Local
3
ATF 5
6
Private
Other
0
Other
8
2
State
4
FBI
Federal
Property Ownership
Initial Observations
Other Investigative Information
NFIRS11 Revision 01/01/04
Section F: Apparent Group Involvement
1
2
3
4
5
6
7
8
Code violations
Structure for sale
Structure vacant
Change in insurance
Financial problem
11-6
1
2
3
4
5
6
7
0
Private
City, town, village, local
County or parish
State or province
Federal
Foreign
Military
Other
1
2
3
4
L
1
2
Windows ajar 5
Doors ajar
6
Doors locked 7
Doors unlocked 8
Fire departm
Entry force
Security sy
Security sy
(not activated)
Laboratory Used
Local
State
3
4
ATF
FBI
Check all that
Other
Federa
Group Involvement
F Apparent
MM
A1
Terrorist group
None
DD
H
YYYY
11
12
13
Incendiary Devices
CONTAINER
Bottle (glass)
14
Incident Number
Station
Exposure
00
Bottle (plastic) 15
Jug
16
2 FDID Gang
Incident Date
State
5.0 Self-Study
Program
3 NFIRS
Anti-government
group
4
None
Referredcrime
To
Organized
B 5 Agency
6
7
8
0Agency name
Other group
U
Unknown
Street address
Entry
phoneMethod
number
G1Agency
State
Section G: Entry Method/

11
Wick or fuse
12
Candle
Extent of Fire Involvement on 1314Arrival
Their case number
17
18
19
Their ORI
20
00
UU
City
15
16
Mechanical device
Remote control
ZIP code
Road flare
Chemical
Trailer/str
Open flam
Other del
Unknown
FUEL
Availability of Material First Igni
Case Status
D
Pyrotechni
C 1 Entry Method
11
16
Investigation open
Closed with arrest
4
1
Transported to Explosive
scene
m
12
Flammable gas
17
Extent
of
Fire
Involvement
on
Arrival
5
2
Available at scene
G2 2 gained
Other mate
14ThisIgnitable
liquid
00
Block G1 indicates how the offender(s)
entrance
to
the
property.
provides
additional
inforInvestigation
inactive
3
clearance
U
Unknown
Unknown
15
Ignitable solid
UU
mation on the case and tracks commonExtentmethods
of entry for later analysis
and
linking of cases.
of Fire Involvement
E Other Investigative Information

Property Ownership
42
J
I 11 Extortion
Entry Method 22
Hate crime
Burglary
54
Vanity/recognition
K Initial Observations
Homicid
61
43
Thrills Check all that apply
Burglary
12
23
Institutional
Labor unrest
62
44
Attention/sympathy
1 Windows ajar 5 Fire departm
11 Dooropen or unlocked
21
Vent
1
Private
Auto
the
13
Insurance fraud
24
Societal
63 Entry
45
SexualDoors
excitement
ajar
force
2
6
1
violations
2
City, town, village,
Destroy
14 Code
Intimidation
31
Protest
64
51localHomicide
12 Doorforced2or broken
22 Attic/roof
3 Doors locked 7 Security sy
for sale
3 unrest
County or parish52
Othersy
su
15 Structure
Void contract/lease
32
Civil
SuicideDoors unlocked 00 Security
4
8
3
Structure
vacant
4
State
or
province
21
Personal
41
Fireplay/curiosity
UU
53
Domestic
violence
(not Unknow
activated)
13 Windowopen
unlocked
4 or Other
crimes involved 23 Key5
Federal
Laboratory Used
5
Check all tha
6
Foreign
L
14 Windowforced
brokenin insurance
24 Help7 from inside
6 or
Change
Military
Incendiary
Devices
Apparent
Group
Involvement
F7 Check
CONTAINER
H Select one from each category1 Local
Financial
3
ATF 5
Other
0 None Other
up to threeproblem
factors
15 Gateopen or
25 Wall
8 unlocked
2
State
4
FBI
Federa
1
Terrorist group
Bottle (glass)
11
14
Gang
16 Gateforced or2 broken
26 Crawl space12
00
Bottle (plastic) 15
3
Jug
13
16
17 Lockspried 4
27 Hid in/on premises
5
Organized crime
18 Lockscut
00 Other
6
11
Wick or fuse
17
Road flare
7
12
Candle
18
Chemical
19 Floor entry
Unknown 13
8
Sexual preference hateUU
group
19
Trailer/str
0
Other group
14
20
Open flam
U
Unknown
15
Mechanical device
00
Other dela
16
Remote
control
UU
Unknown
G2 documents the fire departments
observation
of
the
extent
of
the
fires
involvement
when
G1 Entry Method
Block
it arrived at the incident scene.
FUEL
Entry Method
G2
Extent of Fire Involvement on Arrival
11
12
14
15
Flammable gas
Ignitable liquid
Ignitable solid
16
17
00
UU
Pyrotechni
Explosive m
Other mate
Unknown
I
1
2
3
4
5
6
7
8
Check
that apply
Extent
ofallFire
Involvement on Arrival
Code
0
No violations
flame or smoke showing
Structure for sale
1
Smoke vacant
only showing
Structure
2
Flame
smoke showing
Illicit
drugand
activity
Change in insurance
3
Fire through
roof
Financial
problem
4 Fully involved
1
2
3
4
5
6
7
0
Property Ownership
Private
County or parish
State or province
Federal
Foreign
Military
Other
K
1
2
3
4
L
1
2
Windows ajar 5
Doors ajar
6
Doors locked 7
Doors unlocked 8
(not activated)
Laboratory Used
Local
State
3
4
This provides information about the speed and the pattern of flame spread that is helpful to case
investigators.
11-7
Fire departm
Entry force
Security sy
Security sy
ATF
FBI
Check all that
Other
Federa
A
Incident Date
State
FDID
State
Agency phone number
Case Status
Investigation open
1
2
3
Closed with arrest

clearance
4
5
Exposure
Agency
Referred
Availability
of To
Material First Ignited
BD
NFIRS
5.0 Self-Study
Program
1
2
U
Available at scene
Unknown
Street address
Their case number
Section H: Incendiary Devices

Agency name
Their ORI
City
Burglary
State
code
Their Federal Identifier (
54
42
Vanity/recognition
Agency phone number
This section
documents the container,
ignition
and delay
devices,
and
fuel
that ZIP
were
used to burn or
Homicide
concealment
Extortion
22
Hate crime
61
43
Thrills
any real or personal
property.
Labor unrestattempt23to burn
Institutional
62
44
Attention/sympathy
Availability of Material First
Case Status
D
C
Insurance fraud
24
Societal
63
45
Sexual excitement
Investigation open
1
Closed
with
arrest
4
to scene
Intimidation This provides
31
Protest
64 common
additional details51 on Homicide
the2 case
and tracks
containers
and devices for12 laterTransported
Investigation
closed
Closed with
exceptional
5 suspected
Available at scene
Other
motivation
Civil unrest
00
52
Suicide
analysis41and Fireplay/curiosity
linking of cases. 53 Domestic
3
U
Unknown
Unknownclearance
motivation
Personal
UU
violence
Apparent Group Involvement
None
1
2
3
4
5
6
7
8
0
U
Incident Number
Station
Their FDID
None

11
12
13
14
15
21
ZIP code
Terrorist group
Gang
Organized crime
Other group
Unknown
H
11
12
13
E
Incendiary Devices
Bottle (glass)
Bottle (plastic)
Jug
No container
CONTAINER
11
Extortion
22
12
Labor
unrest container2317
Pressurized
14
13
Insurance
fraud
Can (not gas
or fuel) 2400
15
14
Intimidation
Gasoline or fuel can 31UU
16
15
21IGNITION/DELAY
Personal DEVICE
41
Hate crime
Institutional
Box
Societal
Other Container
Protest
Unknown
Civil unrest
No device
Fireplay/curiosity
42
43
44
45
51
52
53
Bur
Hom
Bur
Auto
Des
Oth
Unk
54
61
62
63
64
00
UU
Vanity/recognition
Thrills
Attention/sympathy
Sexual excitement
Homicide
Suicide
Domestic violence
11
12
13
14
15
16
Wick or fuse
17
Road flare/fuse
Candle
18
Chemical component
Incendiary Devices
Group Involvement
F Apparent
CONTAINER
19
Trailer/streamer
None H
20
Open flame source
Terrorist group
Mechanical device1
00
Other delay device11
Bottle (glass)
14
Gang
Remote control 2
UU
Unknown
0
Bottle (plastic) 15
12
Entry Method
3
G1
U
Jug
Gasoline
or
fuel
can
16
13
None
FUEL motorcycle organization
4
Outlaw
5
Organized crime
Entry Method
Pyrotechnic material
11
6
Racial/ethnic16hate group
Wick or fuse
17
Road
Explosive material 11
12
Flammable gas 7
17
12
Candle
G2
18
Chem
Other
material
14
Ignitable liquid 8
00
Sexual preference
hate group
13
19
Traile
Unknown
15
Ignitable solid 0
UU
Other group
14
20
Open
U
Unknown
15
Mechanical device
00
Other
16
Remote control
UU
Unkno
This
section is divided
three categories:
container,
Propertyinto
Ownership
Initial
Observationsignition/delay device, and fuel. Select one
Entry
Method
Other Investigative
Information
J
GK
1
item from each category.
Code violations
Structure for sale
Structure vacant
Change in insurance
Financial problem
1
2
3
4
5
6
7
0
1
Private
City, town, village, local 2
County or parish
G32
4
State or province
Federal
Foreign
L
Military
Other
I1
2
FUEL
Windows
5 Fire department forced entry
Entry
Method ajar
11
Doors ajar
12
Flammable gas
Extent
Fire Involvement
on Arrival
Doorsof
locked
system activated
7 Security
14
Doors unlocked 8 Security system present Ignitable liquid
15
Ignitable solid
(not activated)
16
17
00
UU
Section I: Other Investigative Information
1
2
3
4
5
6
7
8
Pyrotec
Explos
Other m
Unknow
Laboratory Used
None
Property Ownership
Other
LocalInvestigative
3
ATFInformation
5
Private
Other J 6
State
Federal
Check all that4apply FBI
Code violations
Structure for sale
Structure vacant
Change in insurance
Financial problem
1
2
3
4
5
6
7
0
Private
County or parish
State or province
Federal
Foreign
Military
Other
K
1
2
3
4
L
1
2
Windows ajar 5
Doors ajar
6
Doors locked 7
Doors unlocked 8
(not activ
Laboratory Used
Local
State
This section collects other useful investigative information pertinent to the case, such as code violations, whether the property was vacant or for sale, changes in insurance, etc. Mark all that apply.
Tracking of these possible indicators of arson will be helpful for later analysis and linking of cases.
11-8
Fire dep
Entry fo
Securit
Securit
3
4
ATF
FBI
Check
Ot
Fe
rtion
mber
or unrest
rance fraud
us
midation
stigation
open
contract/lease
stigation
closed
onal
stigation inactive
22
23
24
31
32 4
41 5
Unknown
15
Mechanical
Burglary device
54
42
Vanity/recognition
16
Remote
control
Homicide
concealment
Hate crime
61
43
Thrills
Their FDID
State
code
G1 EntryZIPMethod
Institutional
62
44
Attention/sympathy
FUEL
Societal
63
45
Sexual excitement
Availability
of
Material
First
Ignited
NFIRS
5.0
Self-Study
Program
Entry Method
Destroy combustibles
records/evidence
Protest
64
51
Homicide
D
11
Ordinary
Closed
with arrest
1
Transported
to scene
Other
suspected
Civil
unrest
00
52
Suicide
12
Flammable
gas motivation
Closed
exceptional
2 violence
Available at14
sceneIgnitable
Unknown
motivation
Gwith
2
Fireplay/curiosity
UU
53
Domestic
liquid
clearance
U
Unknown 15
Ignitable solid
Section J: Property Ownership
00
UU
Other delay device

Unknown
None
16
17
00
UU
Explosive material
Other material
Unknown
t Group Involvement
ed Motivation Factors
Incendiary Devices
Check
up to three factors
None
ree factors
No container
CONTAINER
Property
Ownership
Information J
Burglary
54
42
Vanity/recognition
I Other Investigative
K Check
orist group
Box
all that apply
17
Homicide
concealment
Bottle (glass)
Pressurized
container
11
14
rtion
22
Hate crime
61
43
Thrills
Check
all
that
apply
g
Other Container
00
concealment
Bottle (plastic)
Can (not gas or
12
15
23
Institutional
r unrest
62 fuel) Burglary
44
Attention/sympathy
1 Windows ajar 5 Fire department forced entry
-government group
1 or Private
UUtheft Unknown
concealment
Jug
Gasoline
fuel
16 excitement
ance fraud
24
Societal 13
63 can Auto
45
Sexual
2 Doors ajar
1
aw motorcycle organization
Code violations
2
City,
town,
village,
local
idation
31
Protest
64
51
Homicide
Doors locked 7 Security system activated
3
2
anized crime
Structure for sale
3
County
or
parish
No devicemotivation
Other suspected
contract/lease 32
Civil unrest
00
52
Suicide
3
al/ethnic hate group
4
State
orRoad
province
11 Structure
Wick orvacant
fuse Domestic violence
Unknown
motivation
17
(not activated)
flare/fuse
onal
41
Fireplay/curiosity
UU
53
4 12 Other crimes involved
gious hate group
5
Federal
Candle
18
Chemical component
Laboratory
Used
5
ual preference hate group
drug activity
6
Foreign
None
13 Illicit
Cigarette
and matchbook
19
Trailer/streamer L
6
erGroup
groupInvolvement
in insurance
7
Military
Incendiary
Devices
14 Change
Electronic
component CONTAINER
20
Open
flame
source
No container
None 7 H Financial problem
1
Local
3
ATF 5
6
Private
Other
0
Other
nown
ee factors
15 Select
one from each category
Mechanical
device
00
Other delay device
8 16 Criminal/civil actions pending
2
State
4
FBI
Federal
Remote
control
UU
Unknown
orist
group
ethod
Box
Bottle (glass)
11
14
g
Other Container
This section
the ownership
ofgas
theor property
in the arson. Mark all that apply.
00 involved
None
Bottle (plastic)
Can
(not
fuel)
FUEL
12 documents
15
government group
Unknown
Jug
13
16
d motorcycle organization
aw
11
16
nized
No device
Explosive material
12
Flammable gas IGNITION/DELAY DEVICE
17
f Fire crime
Involvement on Arrival
al/ethnic hate group
Other
14
Ignitable
liquid
11
Wick
or fuse
00
17
Road material
flare/fuse
ious hate group
Unknown
15
Ignitable solid
12
Candle
UU
18
Chemical component
preference hate group
eal
Involvement
13
19
Trailer/streamer
r group
14
20
Open flame source
own
15
Mechanical
Property
Ownership device
00
Other delay device
vestigative Information J
16
Remote control K Check all that apply UU
Unknown
ethod
that apply
Fire department
None forced entry
FUEL ajar 5
1 Windows
1
Private
olations
2
City, town, village, local 2 Doors ajar
material
11
Ordinary
Security system
activated
3 Doors locked 16 7 Pyrotechnic
re for sale
3
County
or parish combustibles
Explosive
material
12
Flammable
gas
Security
system
present
Doors
unlocked
17
Fire
Involvement
on
Arrival
4
8
re vacant
4
State or province
(not activated)
Other
material
14
Ignitable liquid
00
rimes involved
5
Federal
15
Ignitable solid
Laboratory UU
Used Unknown
ug activity
6
Foreign
None
L initial observations
Involvement
This7section
identifies important
made at the incident scene relating to the propin insurance
Military
al problem
1
Local of3the ATF
5
Private
Other
0 secure
Otherstatus or circumvention
ertys
security
systems,6 if present.
Mark all that apply.
Property
Ownership
vestigative
Information
l/civil actions
pending J
2
State
4
FBI
Federal
K
Section K: Initial Observations
hat apply
olations
e for sale
e vacant
imes involved
ug activity
in insurance
l problem
/civil actions pending
1
2
3
4
5
6
7
0
1
Private
City, town, village, local 2
3
County or parish
4
State or province
Federal
Foreign
L
Military
1
Other
2
Windows ajar 5
Doors ajar
6
Doors locked 7
Doors unlocked 8
Fire department forced entry

Entry forced prior to FD arrival
Security system activated
Security system present
Section L: Laboratory Used

(not activated)
Laboratory Used
Local
State
3
4
ATF
FBI
Other
Federal
None
Private
This section identifies the laboratory(ies), if any, that conducted analysis of evidence. This information is helpful in the collection and analysis of all data associated with a specific incident. Mark all
appropriate boxes.
11-9
Juvenile Firesetter Module: NFIRS-11

Use this module to document information concerning juvenile-set fires, whether determined to
be intentional or not. This information will permit analysis of juvenile firesetting trends, including
intervention strategies and recidivism.
NOTE: This module is completed only for fires where the person(s) involved in the ignition of the fire was a child or juvenile
under the age of 18.
Section A: FDID, State, Incident Date, Station,

Incident Number, Exposure
MM
A
FDID
State
DD
YYYY
Delete
Incident Date
Station
Incident Number
NFIRS11
Juvenile
Firesetter
Change
Exposure
Family Type
Race
or Date
of Birth
The information in SectionMA2 is Age
drawn
from
SectionMA4 of
the Basic Module. UseMthe
6 data in the Basic
MM
DD
YYYY
Module to help you supply the requested
If you are using an automated system the
White
A information.
1
Complete this section
African
American
Date
2 transferred
FDID will be
Station
Incident Number
StateBlack, Incident
dataif need
to be
entered
automatically
otherparent
modules
1into
Single
the person
involved
in only once, then they
Age (in years)
American Indian, Alaska
3
of the fire
that the
useignition
the data.
OR
Native
Foster parent(s)
2
was a child or Juvenile
Race
Asian
4
M2 Age or Date of Birth M4
under the age of 18
3
Native Hawaiian, Other

Pacific Islander
if the person
in multiracial
Other,
0 involved
Age (in years)
the ignition of theUndetermined
fire
U
under the age of 18
Section M: Subject Information

Month
Day
Year
Subject Number
OR
N
1 Complete
Gender in the fires ignition,
0
a separate
Section
M
IfMmore
than
one
subject
is 3involved
complete this section
M
M5 Ethnicity
form for each juvenile
Month
Day
Year
1
Hispanic or Latino
under age 18.
2
Female
1
Male
U
0
Subject Number
M7
Motivation/Risk Factors
1
2
3
M1
Check only one of codes 13

and then all others (49)
that apply
Non Hispanic or Latino
Two-parent
family
White
1
Black, African American
2
Extended family
3
Native
No family unit
Asian
4
Native
5
Other
family
type
for each subject Hawaiian, Other
Pacific Islander
Other, multiracial
0
Unknown
Undetermined
U
Subject Number
Disposition
of Person Under 18
Complete a separate Section
M
M3 Gender
8
form for each M
juvenile
1
Mild curiosity about fire

Moderate curiosity about fire
Extreme curiosity about fire
Male
Exposure
M5
Female
Subject Number
Ethnicity
1
0
Hispanic or Latino
Handled within department

1
Released to parent/guardian
2
Disposition of Person Und
Motivation/Risk
Factors
Use Block M1 to assign a number to each
juvenile
subject
under
the
of(49)
18 involved inMthe
Referred
toage
other
authority
3
and then
all
others
8 fires
M7
that
apply
treatment/counseling
Diagnosed
(or of
suspected)
ADD/ADHD
4 The
DD
YYYY
ignition.
purpose
this field
is MM
to allow
tracking
of4 anyReferred
subjecttoless
than 18 yearsprogram
of age,
and NFIRS11
Delete
A of trouble outside school
Arrested,
History
5
5
Mild curiosity
about
fire charged as adult
1
Juvenile
analysis
and
tracking
of
juvenile
firesetter
trends.
Incident Date
Incidentto
Number
Exposure programChange
Referred
firesetter intervention
Firesetter
State
HistoryFDID
of stealing or shoplifting
6Station
Handled
within depa
6
Moderate
curiosity
about
fire
1
2
Other
History of physically assaulting others
Released to parent/
7
Extreme0curiosity
about fire
2
3
UnknownRace
History of fireplay or firesetting
U
8
3FamilyReferred
Type to other au
Date of Birth
M6 4
M4 ADD/ADHD
M2 4Age or Diagnosed
Transiency
Referred to treatme
9
(or suspected)
White
1
Other
Arrested, charged a
0
History of trouble outside
school
5
5
2or shoplifting
Unknown
Referred
U
History
of
stealing
6
1
Single
parentto firesette
6
if the person involved in
Age (in years)
American
Indian, Alaska
3 assaulting
Other
History of physically
others
0
7
the ignition of the fire
OR of fireplay or firesetting
Native
2 U Foster
parent(s)
Unknown
History
8
Asian
4
Transiency
9
N Remarks (local use)
under the age of 18
3
Two-parent family
5
Other
0
Month
Day Unknown
Year
Pacific
Islander
U
4
Extended family
Other, multiracial
0
Undetermined
M1
Subject Number
Complete a separate Section M
N
M3
1
Subject Number
Remarks (local use)
11-10
Gender
Male
M5
Female
Ethnicity
1
0
Hispanic or Latino
No family unit
Other family type
Unknown
FDID
State
Incident Date
M2
Station
Age or Date of Birth
Incident Number
Race
M4
Change
Exposure
M6
Firesetter
Family Type
White

2
Single parent
1
Age (in years)
3
2 This
Foster parent(s)
Block M2 documents
(or date of birth) of theOR
subject in years atNative
the time of the incident.
was a the
childage
or Juvenile
Asian
4
age ofother
18
information can beunder
usedthewith
demographic information to identify arson problems in certain
Two-parent family
No family unit
Other family type
Unknown
5
segments of the population and to target Month
arsonDayprevention
programs
for
certain
audiences. This data
Year
Pacific
Islander
4
Extended family
Other, multiracial
0
element is particularly useful in tracking juvenile firesetter trends.
Undetermined
M1
Subject Number
M3

Gender
Male
M5
2
Female
Subject Number
A
FDID
Ethnicity
1
0
Hispanic or Latino
Block M3 identifiesMotivation/Risk
the genderFactors
of the subject.
gender can
be used
withUnder
other18demoCheck only oneThe
of codes subjects
13
Disposition
of Person
M8 of the population and to target
M7DD toYYYY
that apply
MM
graphic information
identify arson problems
in certain segmentsDelete
NFIRS11
Juvenile
Mild for
curiosity
about
fire
1
arson
prevention
programs
certain
audiences.
Change
Incident Date
Station
Incident Number
Exposure
Firesetter
State

2
3
Race
M4
M2
Diagnosed
(or
suspected)
ADD/ADHD
4
White
1
DD
YYYY
Complete this section MM
History of trouble outside school
5
2
History Station
of stealingIncident
or shoplifting
6
Incident Date
FDID
Number
Age (in years)
State
American Indian,Exposure
Alaska
3
History
others
7
OR of physically assaulting
Native
8
Asian
4 Race
under the age of 18
Age
or Date
of Birth
Transiency
9
M5 4 Native Hawaiian, Other
M2
0 Day Other
Month
Year
White
Pacific Islander
1
Unknown
U
Other,African
multiracial
Black,
American
20

wasSubject
a childNumber
or Juvenile
M1 under
the
age
of 18MM4
Complete
a separate
Section
Block

1
2
Family
Type
Referred
to other authority
3
M6
Referred to treatment/counseling program
4
NFIRS11
Delete
Arrested,
charged as adult
5
1
Single
parent
Juvenileto firesetter intervention program
Referred
6
Change
Firesetter
Other
0
Foster parent(s)
2
Unknown
U
Family Type
Two-parent family
M36
4
1
Extended family
Single parent
Undetermined
American
Indian, Alaska
No family unit
N
Native
Foster parent(s)
2
Remarks
(local
use)
N
Asian
4
Ethnicity
0
Other family
type
identifies
the subject as a certain
race based on U.S. Census
Bureau
categories.
This inforM3 Gender
M
3
Two-parent
family
5 5
1
Hispanic
or
Latino
can beMonth
used
with
other
demographic
information
to
identify
arson
problems
in
certain
segDay
Pacific Islander
2 YearFemale
1
Male
Unknown
U
Extended family
Nonmultiracial
Hispanic or Latino 4
0 0 Other,
3U
Age (in years)
OR
mation
ments of the population and to target arson prevention programs for certain audiences.
Subject Number
Undetermined
No family unit
N
Disposition
of Person Under 18
Motivation/Risk
Subject
Number Factors
M8
M17 Complete a separate Section M
M
0
Other family type
M3
M5 Ethnicity
1
Hispanic or Latino
1
2
Female
1
Male
Unknown
U
0 1 NonHandled
department
Hispanicwithin
or Latino
2Subject Number
2
3
Referred to other authority
3
Check only one of
codes ethnicity
13
DispositionEthnicity
of Person Under
Motivation/Risk
Factors
Block
M5 identifies
the
of M
the
subject.
is an18ethnic classification
or affiliation.
Referred to treatment/counseling
program
and then allADD/ADHD
others (49)
Diagnosed (or suspected)
4
8
M7 4
that apply
Hispanic
is
the
only
U.S.
Census
Bureau
classification.
Hispanic
is
not
considered
a
race,
because a
Arrested,
charged
as
adult
History
of
trouble
outside
school
5
5
Mild
curiosity
about
fire
16
Referred
to
firesetter
intervention
program
History
of
stealing
or
shoplifting
6
person can be black and Hispanic, white and Hispanic, etc.
Handled
Moderate
about
fire
10
27
Other within department
History ofcuriosity
physically
assaulting
others
Released
to parent/guardian
Extreme
curiosity
about
fire
2
38
Unknown
History
of fireplay or firesetting
U
EthnicityDesignation
of a population subgroup
that
has common cultural heritage, as distinReferred to other authority
3
Transiency
9
guished
by
customs,
characteristics,
language,
common
history,
etc.
Diagnosed
(or suspected) ADD/ADHD
4
40
Other
Arrested, charged as adult
History
trouble outside school
5U
Unknown
Thisofinformation
can be used with other 5demographic
information to identify arson problems in
Referred to firesetter intervention program
History of stealing or shoplifting
6
6
certain
segments
of
the
population
and
to
target
arson
prevention
programs for certain audiences.
Other
0
7
Remarks
(local
use)
Unknown
U
N 8
Transiency
9
Other
0
Unknown
U
U

that applyGender
Remarks (local use)
11-11
MM
DD
YYYY
NFIRS11
Delete
Juvenile
NFIRS 5.0 Self-Study
Program
ncident Date
M2
Station
Incident Number
Race
M4
OR
4
5
Month
Day
M6
Family Type
MM
DD
YYYY
A
White
Date
FDID
Station
1 StateSingle Incident
parent
Native
2
Foster parent(s) Age or Date of Birth
M2
Asian
3
Two-parent family
Pacific Islander
if the person
in
4 involved
Extended
family
Other, multiracial
Age (in years)
OR
Undetermined
was a childNor Juvenile
No family unit
1
2
3
Age (in years)
Firesetter
Change
Exposure
Year
0
U
under the age of 18
M3
1
Gender
Male
M5
2
Female
Ethnicity
1
0
Hispanic or Latino
Other family type

Month
Day
Delete
Incident Number
M4
1
2
3
4
5
Year
Unknown
0
U
Change
Exposure
Race
M6
White
Native
Asian
Pacific Islander
Other, multiracial
Undetermined
Number
Block M6 describes
the subjects
familyseparate
type.
InformationGender
on family type will assist
researchers
M1 Subject
Ethnicity
Complete
Section M
Disposition of Person
Undera 18
s
M
3
M
5
for each
juvenilebe a predictor of juvenile firesetting, delinquency, and
M8 those risk factors form
in determining
that
may
that apply
1
Hispanic or Latino
2
Female
1
Male
adult
arson.
0
bout fire
Family
Sin
Fos
Tw
Ext
No
Oth
Un
Subject Number
sity about fire

ity about fire
suspected) ADD/ADHD
ble outside school
ing or shoplifting
ically assaulting others
lay or firesetting
1
2
3
4
5
6
0
U

ReferredM
to7other authority
that apply
1 as adult
Arrested, charged
Moderate curiosity
about fire
2
Referred to firesetter
intervention
program
3
Other
Unknown
Diagnosed (or suspected) ADD/ADHD
4
5
6
7
8
Transiency
9
Other
0
Unknown
U
M8
Disposition of Person Under 18
1
2
3
4
5
6
0
U

Referred to firesetter intervention
Other
Unknown
Block M7 documents the stimulus

and/or risk factors that were present and constituted a possible
N Remarks (local use)
motivation for the subject(s) to burn, or attempt to burn, any real or personal property.
The risk factors listed are those that research has shown to be predictors of juvenile firesetting, delinquency and adult arson. However, data on juvenile firesetters is extremely limited, and this information will be useful in determining if these risk factors are valid or if others are more predictive. This
information also will be helpful in tracking juvenile firesetting trends and in the development of
prevention and intervention strategies.
Of the motivation and risk factors listed, only one should be selected concerning Curiosity about
fire (codes 1 to 3). All other motivation and risk factors that apply then should be selected.
11-12
Undetermined
A
MFDID
3
bject Number
plete a separate Section M

for each juvenile
MM
Gender
State
Male
Female

under the age of 18
that apply

Subject Number
History of physically
others
M1assaulting
Transiency
Number
Other
8 is a description
Block MSubject
Unknown
arks (local use)
Incident Date
5
bject Number
tivation/Risk Factors
DD
No family unit
Other family type
YYYY
NFIRS11
Delete
Ethnicity
Station
Incident Number
Change
Exposure
1
0
Hispanic or Latino
Unknown
U
Race
M4
M2
White
1
2
M8
Age (in years)
3
OR
Native
1
Asian
4
2
5
to other authorityPacific Islander
Month 3 Day Referred
Year
program
Other, multiracial
0
4
Arrested, charged U
as adultUndetermined
5
6
Other
0
M3 Gender
M5 Ethnicity
Unknown
U
1
Hispanic or Latino
2
Female
1
Male
0
M6
Juvenile
Firesetter
Family Type
Single parent
Foster parent(s)
Two-parent family
Extended family
No family unit
Other family type
Unknown
of how the juvenile firesetter was handled at the end of the incident. The
purpose
of this field is to track
the disposition of any subject
under 18 years of age. This data eleCheck only one of codes 13
M
8handled and is particularly useful in tracking
M7 permits analysis of how
ment
juvenile
offenders
are
that apply
juvenile
firesetter
trends.
At
the local level, this field also is useful in determining who repeat offendMild curiosity about fire
1
Moderate
about
1
2 been
ers have
turnedcuriosity
over to
in fire
the past.
3

4
5
6
7
8
The supplemental
Remarks section on paper
Transiency
9
Other
0
this module.
Unknown
U
2
3
4
5
6
0
U
Other
Unknown
Section N: Remarks
forms is additional area for comments concerning
Remarks (local use)
11-13
SUMMARY
The Arson Module may be used whenever the Cause of Ignition (NFIRS-2 E1) is coded as Intentional,
or as Under investigation without any distinction made as to whether or not a crime has occurred,
or a determination of criminal intent. The Arson Module also may be used when the fire is under
investigation or in cases where the cause is Undetermined after investigation.
The Arson Module also may be used to document juvenile-set fires, whether determined to be intentional or not. This information will permit analysis of juvenile firesetting trends, including intervention strategies and repeated activity.
11-14
EXAMPLE: Restaurant Fire

Directions: Read the call information in the example below. Then look at the completed Arson and Juvenile Firesetter Module
form. Look at each section and follow along with the proper use of the information as applicable to the Arson and Juvenile
Firesetter Module.
Department FDID #TR100 received Box Alarm 1-12 at 2:15 a.m. on May 20, 2000, for a reported
building fire at the corner of 1st and 15th Ave., Kansas City, KS. The fire was reported by police
on a routine patrol. Incident #9300324 was assigned. Engine 1 arrived on the scene and reported
heavy fire coming from the rear of a restaurant. After forcible entry through the front door, a
semiconscious victim was found lying near the entrance. The victim was taken outside where he
identified himself as the store owner.
The fire was brought under control within 25 minutes. However, two firefighters received minor
burns on their hands and necks. A fire investigator was called to the scene. During the overhaul
process a 5-gallon gasoline container was found near the point of a rescue. Through radio communications, the scene commander was advised that the fire investigator was 1 hour away. The
captain also was advised to start a preliminary investigation. The captain found the back door
of the restaurant had been forced open, the cash register had been broken into, and the office
area had been ransacked. He also noted that a strong odor of gasoline was present and found the
remainder of a flare in the office area.
The restaurant layout was divided into three areas - a kitchen with an attached office, a serving
area, and a dining area. The investigator learned that the restaurant was being forced to close due
to several fire and health code violations. When the investigator called the alarm monitoring
company, he was told that the alarm system contract had been canceled due to lack of payment.
A car was found in the rear of the restaurant that contained several bottles of alcohol and computer equipment that seemed to have been removed from the restaurant. Later in the investigation, evidence was found showing that the owner had filed for bankruptcy but had continued
paying fire insurance payments. The owner was arrested and charged with arson.
11-15
11-16
EXERCISE SCENARIO 11-1: Mattress Fire

Directions: Read the call information in the exercise below. Use the information provided to complete the Arson and Juvenile
Firesetter Module form. If your answers are different from the ones provided, read over the Arson and Juvenile Firesetter
Module again.
At 1000 hours on Saturday, the 23rd of May, 1998, engine 25 from station 2 of the Anytown, MD Fire
Department (FDID TR100/Incident # 4369) was dispatched to a fire reported in a residence at 400 Liberty
Way. Upon arrival, a mattress was observed smoldering on the curb. The crew from engine 25 also observed
a woman in her mid thirties on the front lawn, apparently scolding a young boy.
The woman approached engine 25s captain and identified herself as Susan Davis. She tells the captain that her
7-year old son, Kevin was playing with matches in his bedroom, and set his mattress on fire. She was able
to extinguish the fire with a bucket of water and her neighbors helped her pull the mattress out to the curb,
but the bedroom still smells of smoke.
Engine 25s crew entered the house to investigate, check for extension, and ventilate the room, while the
captain continued to interview the mother. Ms. Davis told the captain that Kevin has been a lot of trouble ever
since his father disappeared. She confided to the captain that her husband was laid off from his job and has
not been seen or heard from for more than a year. She told the captain that Kevin was recently diagnosed as
ADHD and has been in trouble for shoplifting, but he has never intentionally started a fire. According to Ms.
Davis, her son recently exhibited some curiosity about fire, but she was quick to point out that this fire was
an accident, as was the fire he started in the bushes last week. Ms. Davis stated the field fire last month was
Bobbys fault, not Kevins.
After receiving permission from Ms. Davis the captain interviewed Kevin. Kevin explained to the captain that
he was bored and was playing with matches when one burned his fingers and he dropped it on the mattress. Kevin admits having set two or three other fires, but says they were all accidents.
Engine 25s crew found no fire extension, but they found some evidence of a previous fire in the closet. They
also report finding a lighter next to the bed frame and box springs. The mattress also appeared to have been
ignited by direct flame contact on the side, which would not have been caused by a dropped match.
The captain advised Ms. Davis of his findings and explained to her that a public education officer would be
calling her to discuss the departments juvenile firesetter intervention program.
Upon returning to the station the captain called the fire prevention bureau and referred Kevin Davis to the
public education officer on duty. The address of the Fire Prevention Bureau is 123 Jump St., Anytown MD
88858-5555. The Bureaus telephone number is 555-555-5555.
Fire Prevention Bureau Case information:
Case #: 384
ORI #: 567
FiD#: 12
FDID #: TR100
11-17

MM
A
FDID
State
YYYY
Station
Incident Number
Change
Exposure
None
Street address
Their case number
Agency name
City
Their ORI
Agency phone number
State
Case Status
Investigation open
1
2
3
11
12
13
14
15
21
Extortion
Labor unrest
Insurance fraud
Intimidation
Void contract/lease
Personal
22
23
24
31
32
41
Hate crime
Institutional
Societal
Protest
Civil unrest
Fireplay/curiosity
None
G1
Terrorist group
Gang
Organized crime
Other group
Unknown
Entry Method

1
2
U
Available at scene
Unknown
42
43
44
45
51
52
53
Incendiary Devices
11
12
13
Bottle (glass)
Bottle (plastic)
Jug
11
12
13
14
15
16
Wick or fuse
Candle
Mechanical device
Remote control
Burglary
Other suspected motivation
Unknown motivation
54
61
62
63
64
00
UU
Vanity/recognition
Thrills
Attention/sympathy
Sexual excitement
Homicide
Suicide
Domestic violence
No container
CONTAINER
No device
11
12
14
15
Box
Other Container
Unknown
00
14
15
16
17
18
19
20
00
UU
Road flare/fuse
Chemical component
Trailer/streamer
Open flame source
Other delay device
Unknown
None
FUEL
Entry Method
G2
Their FDID

1
2
3
4
5
6
7
8
0
U
ZIP code
Closed with arrest

clearance
4
5
NFIRS11
Arson
Delete
Incident Date
Agency Referred To
DD
Flammable gas
Ignitable liquid
Ignitable solid
16
17
00
UU
Explosive material
Other material
Unknown
Property Ownership
1
2
3
4
5
6
7
8
Code violations
Structure for sale
Structure vacant
Change in insurance
Financial problem
1
2
3
4
5
6
7
0
Private
County or parish
State or province
Federal
Foreign
Military
Other
1
2
3
4
L
1
2
Windows ajar 5
Doors ajar
6
Doors locked 7
Doors unlocked 8

(not activated)
Laboratory Used
Local
State
3
4
ATF
FBI
Other
Federal
None
Private
11-18

MM
A
FDID
State
DD
YYYY
Incident Date
M2
under the age of 18
Station
Incident Number
4
5
Day
Year
0
U
M1
Subject Number
M3
1
Gender
Male
M5
2
Female
Subject Number
M7

that apply
1
2
3

4
5
6
7
8
9
0
U

Transiency
Other
Unknown
M8
Ethnicity
1
0
Hispanic or Latino
11-19
Juvenile
Firesetter
Family Type
Single parent
Foster parent(s)
Two-parent family
Extended family
No family unit
Other family type
Unknown
1
2
3
4
5
6
0
U
Remarks (local use)
M6
White
Native
Asian
Pacific Islander
Other, multiracial
Undetermined
OR
Change
Exposure
Race
M4
1
2
3
Age (in years)
Month
NFIRS11
Delete

Other
Unknown
11-20
11-21
EXERCISE SCENARIO 11-2: Structure Fire

Directions: Read the call information in the exercise below. Use the information provided to complete the entire Arson and
Juvenile Firesetter Module form and other required forms. Compare your work to the answers provided in Appendix A. If your
answers are different from the ones provided, read over the Arson and Juvenile Firesetter Module again.
The Alberta Fire Department (FDID 92188) received a call of a reported house fire at 222
Main St., Queen Creek, Arizona 85242 on June 25, 2005. The dispatcher assigned the incident
#444999 and dispatched Engine 1, Engine 3, and Truck 2 at 3:00 p.m. C shift was on duty
which was comprised of 13 personnel that went out with the suppression units. The units
arrived on location at 3:07 p.m. and reported fire showing from the second floor of a twostory, single-family dwelling (3,200 square feet.). Crews worked to extinguish the fire in a
second-floor bedroom. The second floor received heavy damage; there was no fire damage to
the first floor. D/C Barry Storms placed the fire under control at 3:45 p.m. and called for a fire
investigator to the scene. The home is owned and occupied by Mr. and Mrs. Joe Stable. They
have a 16-year-old son named Stash.
Fire Investigator Thomas Houston (Badge No. 99) discovered that the cause of the fire was not
accidental. He opened an investigation when he found a glass jar that reeked of gasoline in the
bedroom. After questioning, Mr. Stormss son admitted to starting the fire. He said that he was
depressed and needed his parents attention. Stash used matches to ignite the gasoline that he
poured under his bed on clothes that he piled there. Mr. Stable said that his son, Stash has been
diagnosed with ADD/ADHD, was extremely curious about fires, and was involved in setting a
field on fire 6 months ago. Investigator Mills turned over his evidence to State law enforcement
officials and Arizona State child welfare officials. Estimated damage to the home was $30,000.
Captain Joe Mill (ID #333) was the Incident Commander and filed the report. The last unit
cleared the incident at 1700 hrs.
11-22

MM
Delete
Incident Date
State
Location Type
Station
Incident Number
Exposure
NFIRS1
Street address
Intersection
In front of
Rear of
Adjacent to
Directions
US National Grid
Number/Milepost
Prefix
Basic
No Activity
Check this box to indicate that the address for this incident is provided on the Wildland Fire
Module in Section B, Alternative Location Specification." Use only for wildland fires.
Census Tract
Street or Highway
Street Type
Suffix
Apt./Suite/Room
City
State
ZIP Code
Cross Street, Directions or National Grid, as applicable
Incident Type
E1
Incident Type
YYYY
Change
FDID
DD
Aid Given or Received
None
Dates and Times
Midnight is 0000
Month
Check boxes if
dates are the
same as Alarm
Date.
Day
Year
Hour
E2
Min
Shifts and Alarms

Local Option
ALARM always required
Shift or
Platoon
Alarm
Alarms
District
ARRIVAL required, unless canceled or did not arrive
1
2
3
4
5
Mutual aid received

Auto. aid received
Mutual aid given
Auto. aid given
Other aid given
Their FDID
Last Unit
Cleared
G1
Resources
Primary Action Taken (1)
G2
Apparatus
Personnel
Suppression
Additional Action Taken (2)
EMS
Civilian Fire Cas.4

Fire Service Cas.5
EMS6
HazMat7
Wildland Fire8
Apparatus9
Personnel10
Arson11
Check box if resource counts include aid

received resources.
H1
Casualties
None
Deaths Injuries
Fire
Service
Civilian
H2
1
2
U
Detector
Required for confined fires.
Detector alerted occupants

Detector did not alert them
Unknown
H3
1
2
3
4
5
6
7
8
0
Special
Study Value
Estimated Dollar Losses and Values
LOSSES:
Required for all fires if known.

Optional for non-fires.
Property
Contents
None
PRE-INCIDENT VALUE: Optional
Other
Additional Action Taken (3)
Special
Study ID#
LAST UNIT CLEARED, required except for wildland fires
Check this box and skip this block if an

Apparatus or Personnel Module is used.
Fire2
Structure Fire3
Local Option
Controlled
Actions Taken
Completed Modules
Special Studies
CONTROLLED optional, except for wildland fires
Their
State
Their Incident Number
E3
Arrival
Property
Contents
Hazardous Materials Release
None
Natural gas: slow leak, no evacuation or HazMat actions

Propane gas: <21-lb tank (as in home BBQ grill)
Gasoline: vehicle fuel tank or portable container
Kerosene: fuel burning equipment or portable storage
Diesel fuel/fuel oil: vehicle fuel tank or portable storage
Household solvents: home/office spill, cleanup only
Motor oil: from engine or portable container
Paint: from paint cans totaling <55 gallons
Other: special HazMat actions required or spill > 55 gal
(Please complete the HazMat form.)
Mixed Use
Property
10
20
33
40
51
53
58
59
60
63
65
00
Not mixed
Assembly use
Education use
Medical use
Residential use
Row of stores
Enclosed mall
Business & residential
Office use
Industrial use
Military use
Farm use
Other mixed use
Property Use
None
Structures
Church, place of worship
131
Restaurant or cafeteria
161
Bar/tavern or nightclub
162
Elementary school, kindergarten
213
High school, junior high
215
College, adult education
241
Nursing home
311
Hospital
331
341
342
361
419
429
439
449
459
464
519
Clinic, clinic-type infirmary

Doctor/dentist office
Prison or jail, not juvenile
1- or 2-family dwelling
Multifamily dwelling
Rooming/boarding house
Commercial hotel or motel
Residential, board and care
Dormitory/barracks
Food and beverage sales
539
571
579
599
615
629
700
819
882
891
Household goods, sales, repairs

Gas or service station
Motor vehicle/boat sales/repairs
Business office
Electric-generating plant
Laboratory/science laboratory
Manufacturing plant
Livestock/poultry storage (barn)
Non-residential parking garage
Warehouse
Outside
Playground or park
124
Crops or orchard
655
Forest (timberland)
669
Outdoor storage area
807
Dump or sanitary landfill
919
Open land or field
931
936
938
946
951
960
961
962
Vacant lot
Graded/cared for plot of land
Lake, river, stream
Railroad right-of-way
Other street
Highway/divided highway
Residential street/driveway
981
984
Construction site
Industrial plant yard
11-23
Look up and enter a

Property Use code and
description only if you
have NOT checked a
Property Use box.
Property Use
Code
Property Use Description

Person/Entity Involved
K1
Local Option
Check this box if same

address as incident
Location (Section B).
Then skip the three
duplicate address
lines.
Business Name (if applicable)
Mr., Ms., Mrs.
First Name
Number
Prefix
Post Office Box
State
Area Code
MI
Phone Number
Last Name
Suffix
Street or Highway
Street Type
Apt./Suite/Room
Suffix
City
ZIP Code
More people involved? Check this box and attach Supplemental Forms (NFIRS1S) as necessary.
Owner
K2
Local Option
Check this box if same

address as incident
Location (Section B).
Then skip the three
duplicate address
lines.
Same as person involved?

Then check this box and skip
the rest of this block.
Mr., Ms., Mrs.
First Name
Number
MI
Prefix
Post Office Box
State
Area Code
Phone Number
Last Name
Suffix
Street or Highway
Street Type
Apt./Suite/Room
Suffix
City
ZIP Code
Remarks:
Local Option
Fire Module Required?

Check the box that applies and then complete the Fire Module
based on Incident Type, as follows:
Complete Fire & Structure Modules
Complete Fire Module &
Section I, Structure Module
Basic Module Only
Confined 113118
Complete Fire Module
Mobile property 120123
Complete Fire Module
Vehicle 130138
Complete Fire or Wildland Module
Vegetation 140143
Outside rubbish fire 150155 Basic Module Only
Special outside fire 160
Special outside fire 161163 Complete Fire Module
Crop fire 170173
Buildings 111
Special structure 112
ITEMS WITH A
MUST ALWAYS BE COMPLETED!
More remarks? Check this box and attach Supplemental Forms (NFIRS1S) as necessary.
Authorization
Check box if
same as
Officer in
charge.
Officer in charge ID
Signature
Position or rank
Assignment
Month
Day
Year
Member making report ID
Signature
Position or rank
Assignment
Month
Day
Year
11-24
MM
FDID
K1
State
DD
Incident Date
Station
Local Option
Number
State
MI
Prefix
Supplemental
Phone Number
Last Name
Suffix
Street or Highway
Apt./Suite/Room
Street Type
Suffix
City
ZIP Code
Area Code
Local Option
Mr., Ms., Mrs.
First Name
Number
MI
Prefix
Post Office Box
State
Last Name
Suffix
Street or Highway
Apt./Suite/Room
Phone Number
Street Type
Suffix
City
ZIP Code
Local Option
Check this box if

same address as
incident location.
Then skip these three
duplicate address
lines.
Mr., Ms., Mrs.
MI
Prefix
Number
State
Area Code
First Name
Post Office Box
Last Name
Suffix
Street or Highway
Apt./Suite/Room
Phone Number
Street Type
Suffix
City
ZIP Code
Area Code
Local Option
Check this box if

same address as
incident location.
duplicate address
lines.
Mr., Ms., Mrs.
First Name
Number
MI
Prefix
Post Office Box
State
K1
NFIRS1S
Change
Check this box if

same address as
incident location.
Then skip these
these duplicate
address lines.
K1
Exposure
Area Code
First Name
Mr., Ms., Mrs.
Post Office Box
K1
Incident Number
Delete
Check this box if

same address as
incident location.
duplicate address
lines.
K1
YYYY
Last Name
Suffix
Street or Highway
Apt./Suite/Room
Phone Number
Street Type
Suffix
City
ZIP Code
Area Code
Phone Number
Local Option
Check this box if

same address as
incident location.
duplicate address
lines.
Mr., Ms., Mrs.
First Name
Number
Prefix
Post Office Box
State
MI
Street or Highway
Apt./Suite/Room
Last Name
Suffix
Street Type
Suffix
City
ZIP Code
NFIRS1S Revision 01/01/04
11-25
E3
Supplemental
Local Option
2
Special
Study ID#
Special
Study Value
Special
Study ID#
Special
Study Value
3
Special
Study ID#
Special
Study Value
Special
Study ID#
Special
Study Value
NFIRS1S
Supplemental Special Studies
4
Special
Study ID#
Special
Study Value
Special
Study ID#
Special
Study Value
Special
Study ID#
Special
Study Value
Special
Study ID#
Special
Study Value
Remarks:
Local Option
NFIRS-1S Revision 01/01/04
11-26
MM
FDID
DD
YYYY
Incident Date
State
Station
Property Details
B1
C
Not Residential
Incident Number
On-Site Materials
or Products
Change
Exposure
None
Enter up to three codes. Check one box for each code

entered.
On-Site Materials
Storage Use
On-site material (1)
1
2
3
4
U
Bulk storage or warehousing

Processing or manufacturing
Packaged goods for sale
Repair or service
Undetermined
1
2
3
4
U

Repair or service
Undetermined
1
2
3
4
U

Repair or service
Undetermined
Buildings not involved

Number of buildings involved
B3
None
Less than one acre
Acres burned (outside fires)
D
D1
D2
Ignition
Area of fire origin
Heat source
D3
Item first ignited
Check box if fire spread was

confined to object of origin.
E1
Cause of Ignition
1
2
3
4
5
U
Intentional
Unintentional
Failure of equipment or heat source
Act of nature
Cause under investigation
Cause undetermined after investigation
E2
Factors Contributing to Ignition
Skip to
Section G
Check box if this is an exposure report.
E3
3
4
5
None
6
Required only if item first

ignited code is 00 or <70
Equipment Involved in Ignition

None
Age was a factor
Estimated age of
person involved
1
Factor contributing to ignition (2)
F1
F2
None
Asleep
Possibly impaired by
alcohol or drugs
Unattended person
Possibly mentally disabled
Physically disabled
Multiple persons involved
1
2
Factor contributing to ignition (1)

Type of material first ignited
Human Factors
Contributing to Ignition
Check all applicable boxes
D4
Fire
Complete if there were any significant amounts of

commercial, industrial, energy, or agricultural products or
or materials on the property, whether or not they became involved
Estimated number of residential living units in

building of origin whether or not all units
became involved
B2
NFIRS2
Delete
Equipment Power Source
Male
Fire Suppression Factors
Female
None
Enter up to three codes.
If equipment was not involved, skip to

Section G
Equipment Power Source
Equipment Involved
F3
Brand
Model
Serial #
Equipment Portability
1
Portable
Stationary
Portable equipment normally can be moved by

one or two persons, is designed to be used in
multiple locations, and requires no tools to install.
Year
H1
Mobile Property Involved
Not involved in ignition, but burned
Involved in ignition, but did not burn
Involved in ignition and burned
None
H2
Fire suppression factor (1)
Mobile Property Type and Make
Local Use
Pre-Fire Plan Available
Some of the information presented in this report may be
based upon reports from other agencies:
Mobile property type
Mobile property make
Mobile property model
License Plate Number
Year
State
Arson report attached

Police report attached
Coroner report attached
Other reports attached
VIN
Structure fire? Please be sure to complete the Structure Fire form (NFIRS3).
11-27

Structure Type
I1
If fire was in an enclosed building or a

portable/mobile structure, complete the
rest of this form.
1
2
3
4
5
6
7
8
0
Enclosed building
Portable/mobile structure
Open structure
Air-supported structure
Tent
Open platform (e.g., piers)
Underground structure (work areas)
Connective structure (e.g., fences)
Other type of structure
Fire Origin
J1
I2
Building Status
1
2
3
4
5
6
7
0
U
Under construction
Occupied & operating
Idle, not routinely used
Under major renovation
Vacant and secured
Vacant and unsecured
Being demolished
Other
Undetermined
J3
Number of stories w/significant damage

(25 to 49% flame damage)
None Present
Present
Undetermined
Detector Type
1
2
3
4
5
0
U
Smoke
Heat
Combination smoke and heat
Sprinkler, water flow detection
More than one type present
Other
Undetermined
M1
Number of stories w/extreme damage

Detector Power Supply
1
2
3
4
5
6
7
0
U
0
U
L4
Detector Operation
Fire too small to activate
Operated
Complete
Block L5
Failed to operate
Complete
Block L6
Undetermined
Type of Automatic Extinguishing System

Required if fire was within designed range of AES
Wet-pipe sprinkler
Dry-pipe sprinkler
Other sprinkler system
Dry chemical system
Foam system
Halogen-type system
Carbon dioxide (CO2) system
Other special hazard system
Undetermined
Width in feet
Type of Material Contributing Most

to Flame Spread
Check if no flame spread OR if
same as Material First Ignited (Block D4,
Fire Module) OR if unable to determine.
K1
Skip to
Section L
Item contributing most to flame spread
M3
K2
Type of material contributing
most to flame spread
L5
Battery only
Hardwire only
Plug-in
Hardwire with battery
Plug-in with battery
Mechanical
Multiple detectors & power
supplies
Other
Undetermined
1
2
3
4
5
6
7
Presence of Automatic Extinguishing System

None Present
N
Present
1
Complete rest of
Section M
2
Partial System Present
U
Undetermined
M2
BY
Length in feet
Number of stories w/heavy damage

L3
Skip to
Section M
,
Total square feet
Total number of stories

below grade
Fire Spread
(In area of the fire)
NFIRS3
Structure
Fire
OR
Number of stories w/minor damage

Presence of Detectors
L2
Total number of stories at or

above grade
Story of
fire origin
Confined to room of origin

Confined to floor of origin
Confined to building of origin
Beyond building of origin
L1
Main Floor Size
I4
Count the roof as part of the

highest story.
Count the roof as part of the highest story.
If fire spread was confined to object of origin,

do not check a box (Ref. Block D3, Fire Module).
2
3
4
5
Building
Height
Number of Stories Damaged by Flame
Below grade
J2
I3
1
2
3
4
U
L6
Detector Effectiveness
Required if detector operated.
Alerted occupants, occupants responded

Alerted occupants, occupants failed
to respond
There were no occupants
Failed to alert occupants
Undetermined
Detector Failure Reason
Required if detector failed to operate
1
2
3
4
5
6
0
U
Power failure, shutoff, or disconnect

Improper installation or placement
Defective
Lack of maintenance, includes
not cleaning
Battery missing or disconnected
Battery discharged or dead
Other
Undetermined
Operation of Automatic
Extinguishing System
M5
Required if fire was within designed range
Operated/effective (go to M4)

Operated/not effective (go to M4)
Fire too small to activate
Failed to operate (go to M5)
Other
Undetermined
1
2
3
4
0
U
M4
Number of Sprinkler
Heads Operating
Required if system operated
Required only if item

contributing code is 00 or <70.
Reason for Automatic

Extinguishing System Failure
Required if system failed or not effective
1
2
3
4
5
6
7
8
0
U
System shut off

Not enough agent discharged
Agent discharged but did not
reach fire
Wrong type of system
Fire not in area protected
System components damaged
Lack of maintenance
Manual intervention
Other
Undetermined
Number of sprinkler heads operating

11-28

MM
FDID
YYYY
Incident Date
State
Number of Patients
DD
Station
Patient Number
Provider Impression/Assessment
10
11
12
13
14
15
16
17
E1
F1
Months (for infants)
Age
Month
E2
1
H1
OR
Day
0
U
Year
Gender
Male 2
F2
Female
26
27
28
29
30
31
32
33
34
35
36
37
38
00
Hypovolemia
Inhalation injury
Obvious death
OD/poisoning
Pregnancy/OB
Respiratory arrest
Respiratory distress
Seizure
Human Factors
White
Am. Indian, Alaska Native
Asian
Pacific Islander
Other, multiracial
Undetermined
Ethnicity
Hispanic or Latino
Body Site of Injury
H2
List up to five body sites
Hour/Min
None/no patient or refused treatment
Chest pain
Diabetic symptom
Do not resuscitate
Electrocution
General illness
Hemorrhaging/bleeding
Hyperthermia
Hypothermia
1
2
Year
EMS
Time of Patient Transfer
Race
1
2
3
4
5
Day
NFIRS6
Change
Time Arrived at Patient
Check one box only
18
19
20
21
22
23
24
25
Abdominal pain
Airway obstruction
Allergic reaction
Altered LOC
Behavioral/psych
Burns
Cardiac arrest
Cardiac dysrhythmia
Exposure
Month
Date/Time
Check if same date

as Alarm date
Use a separate form for each patient
Incident Number
Delete
Sexual assault
Sting/bite
Stroke/CVA
Syncope
Trauma
Other
None
G1 Contributing to Injury
G2
None
If an illness, not an
injury, skip G2 and
go to H3
Asleep
Unconscious
Possibly impaired by alcohol
Possibly impaired by drug
Possibly mentally disabled
Physically disabled
Physically restrained
Unattended person
1
2
3
4
5
6
7
8
Other
Factors
1
2
3
Injury Type
Accidental
Self-inflicted
Inflicted, not self
H3
List one injury type for each body site listed under H1
Cause of
Illness/Injury
Cause of illness/injury
I
01
02
03
04
05
06
07
08
09
10
11
12
13
L1
1
2
3
4
0
N
Procedures Used
Airway insertion
Anti-shock trousers
Assist ventilation
Bleeding control
Burn care
Cardiac pacing
Cardioversion (defib) manual
Chest/abdominal thrust
CPR
Cricothyroidotomy
Defibrillation by AED
EKG monitoring
Extrication
Initial Level of
Provider
First Responder
EMT-B (Basic)
EMT-I (Intermediate)
EMT-P (Paramedic)
Other provider
No Training
L2
1
2
3
4
0
14
15
16
17
18
19
20
21
22
23
24
00
No treatment
Intubation (EGTA)
Intubation (ET)
IO/IV therapy
Medications therapy
Oxygen therapy
OB care/delivery
Prearrival instructions
Restrain patient
Spinal immobilization
Splinted extremities
Suction/aspirate
Other
Highest Level of Care

Provided On Scene
First Responder
EMT-B (Basic)
EMT-I (Intermediate)
EMT-P (Paramedic)
Other provider
None
Safety
Equipment
Pre-arrival arrest?
If pre-arrival arrest, was it:
1
2
3
4
5
6
0
U
Safety/seat belts
Child safety seat
Airbag
Helmet
Protective clothing
Flotation device
Other
Undetermined
Patient Status
Improved
Remained same
Worsened
Check if:
11-29
Cardiac Arrest
Used or deployed by patient.

Check all applicable boxes.
1
2
3
1
2
None
Pulse on transfer
No pulse on transfer
Witnessed?
Bystander CPR?
Post-arrival arrest?
Initial Arrest Rhythm

1
0
U
N
1
2
3
4
0
V-Fib/V-Tach
Other
Undetermined
EMS
Disposition
Not transported
FD transport to ECF
Non-FD transport
Non-FD trans/FD attend
Non-emergency transfer
Other

MM
A
FDID
DD
YYYY
Delete
Incident Date
State
Station
Incident Number
HazMat ID
DOT Hazard
Classification
UN Number
Container
Type
C1
None
C2
Estimated Container Capacity
D1
More hazardous
materials? Use
additional sheets.
Complete the remainder

of this form only for the
first hazardous material
involved in this incident.
C3
Units: Capacity
11
12
13
14
15
16
VOLUME
Ounces
Gallons
Barrels: 42 gal.
Liters
Cubic feet
Cubic meters
Population Density
F2
1
2
3
Urban
Suburban
Rural

Below grade
Inside/on structure
Story of release
Outside of structure
G1
Area Affected
1
2
3
D2
WEIGHT
Ounces
Pounds
Grams
Kilograms
G2
Area Evacuated
Blocks
G4
1
2
3
4
5
U
Intentional
Unintentional release
Container/containment failure
Act of nature
Cause under investigation
Cause undetermined after
investigation
Estimated Number of
Buildings Evacuated
None
Enter measurement
Factors Contributing to Release
Enter up to three contributing factors
Equipment Involved
in Release
Equipment involved in release
Brand
Enter up to three actions taken
Additional action taken (2)
If fire or explosion is involved with a

release, which occurred first?
I
1
2
Ignition
Release
Factor contributing to release (3)
Factor or impediment (3)
None
Release
O
1
2
3
4
5
6
7
8
Mobile property type
Mobile property make
Model
Year
Serial #
License plate number
State
Year
DOT number/ ICC number
11-30
Undetermined
None
Enter up to three factors or impediments that affected the

mitigation of the incident
Mobile Property Involved in
Factors Affecting Mitigation
Model
Released into
HazMat Actions Taken
Released Into
Enter Code
None
E2
Additional action taken (3)
Square miles
WEIGHT
Ounces
Pounds
Grams
Kilograms
MICRO UNITS
21
22
23
24
Solid
Liquid
Gas
Undetermined
Primary action taken (1)
Estimated Number of
People Evacuated
Blocks
Cause of Release
None
Enter
measurement
Square miles
G3
Check one box
1
2
3
U
Square feet
Square feet
Units: Released
VOLUME
Ounces
Gallons
Barrels: 42 gal.
Liters
Cubic feet
Cubic meters
11
12
13
14
MICRO UNITS 15
Enter Code 16
1
2
3
Released From
F1
Amount released: by volume or weight
Check one box
21
22
23
24
HazMat
State
E1 Physical
When Released
Estimated Amount Released
Capacity: by volume or weight

Container Type
Change
Haz No.
Chemical
Name
CAS Registration Number
Exposure
NFIRS7
HazMat Disposition
Completed by fire service only
Completed w/fire service present
Released to local agency
Released to county agency
Released to state agency
Released to federal agency
Released to private agency
Released to property owner or
manager
HazMat Civilian Casualties
Deaths
Injuries
NFIRS7
Revision 01/01/06

MM
A
FDID
State
YYYY
Station
Incident Number
Change
Exposure
None
Street address
Their case number
Agency name
City
Their ORI
Agency phone number
State
Case Status
Investigation open
1
2
3
11
12
13
14
15
21
Extortion
Labor unrest
Insurance fraud
Intimidation
Void contract/lease
Personal
22
23
24
31
32
41
Hate crime
Institutional
Societal
Protest
Civil unrest
Fireplay/curiosity
None
G1
Terrorist group
Gang
Organized crime
Other group
Unknown
Entry Method

1
2
U
Available at scene
Unknown
42
43
44
45
51
52
53
Incendiary Devices
11
12
13
Bottle (glass)
Bottle (plastic)
Jug
11
12
13
14
15
16
Wick or fuse
Candle
Mechanical device
Remote control
Burglary
Other suspected motivation
Unknown motivation
54
61
62
63
64
00
UU
Vanity/recognition
Thrills
Attention/sympathy
Sexual excitement
Homicide
Suicide
Domestic violence
No container
CONTAINER
No device
11
12
14
15
Box
Other Container
Unknown
00
14
15
16
17
18
19
20
00
UU
Road flare/fuse
Chemical component
Trailer/streamer
Open flame source
Other delay device
Unknown
None
FUEL
Entry Method
G2
Their FDID

1
2
3
4
5
6
7
8
0
U
ZIP code
Closed with arrest

clearance
4
5
NFIRS11
Arson
Delete
Incident Date
Agency Referred To
DD
Flammable gas
Ignitable liquid
Ignitable solid
16
17
00
UU
Explosive material
Other material
Unknown
Property Ownership
1
2
3
4
5
6
7
8
Code violations
Structure for sale
Structure vacant
Change in insurance
Financial problem
1
2
3
4
5
6
7
0
Private
County or parish
State or province
Federal
Foreign
Military
Other
1
2
3
4
L
1
2
Windows ajar 5
Doors ajar
6
Doors locked 7
Doors unlocked 8

(not activated)
Laboratory Used
Local
State
3
4
ATF
FBI
Other
Federal
None
Private
11-31

MM
A
FDID
State
DD
YYYY
Incident Date
M2
under the age of 18
Station
Incident Number
4
5
Day
Year
0
U
M1
Subject Number
M3
1
Gender
Male
M5
2
Female
Subject Number
M7

that apply
1
2
3

4
5
6
7
8
9
0
U

Transiency
Other
Unknown
M8
Ethnicity
1
0
Hispanic or Latino
11-32
Juvenile
Firesetter
Family Type
Single parent
Foster parent(s)
Two-parent family
Extended family
No family unit
Other family type
Unknown
1
2
3
4
5
6
0
U
Remarks (local use)
M6
White
Native
Asian
Pacific Islander
Other, multiracial
Undetermined
OR
Change
Exposure
Race
M4
1
2
3
Age (in years)
Month
NFIRS11
Delete

Other
Unknown

Nfirs Module 11 Arson and Juvenile Firesetting

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Nfirs Module 11 Arson and Juvenile Firesetting

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NFIRS 5.

Arson and Juvenile

NFIRS 5.0 Self-Study Program

Pretest #11 - Arson and Juvenile Firesetter Module

3. The Arson and Juvenile Firesetter Module is a required NFIRS Module.

NFIRS 5.0 Self-Study Program

Using the Arson and Juvenile Firesetter Module

Section A: FDID, State, Incident Date, Station,

Agency phone number

Closed with arrest

Their Federal Identifier (FID)

Availability of Material First Ignited

NFIRS 5.0 Self-Study Program

Section B: Agency Referred To

Their case number

Agency phone number

Their Federal Identifier (FID)

Availability of Material First Ignited

Section C: Case Status

Auto theft concealm

Section D: Availability of Material First Ignited

NFIRS 5.0 Self-Study Program

Their case number

Closed with arrest

Availability of Material First Ignited

Suspected Motivation Factors

Their case number

Section F: Apparent Group Involvement

Check all that apply

Check all that apply

Check all that

Select one from each category

Section G: Entry Method/

Their Federal Identifier (FID)

Availability of Material First Igni

Check up to three factors

E Other Investigative Information

Extent of Fire Involvement on Arrival

Extent of Fire Involvement

Other Investigative Information

Check all that

Agency phone number

Closed with arrest

Their case number

Section H: Incendiary Devices

Check up to three factors

Apparent Group Involvement

Check up to three factors

Suspected Motivation Factors

Suspected Motivation Factors

Check up to three factors

item from each category.

Check all that apply

Section I: Other Investigative Information

Extent of Fire Involvement

Check all that apply

NFIRS11 Revision 01/01/04

Section J: Property Ownership

Other delay device

Extent of Fire Involvement

Section K: Initial Observations

Check all that apply

NFIRS11 Revision 01/01/04

Fire department forced entry