起火地点:_________________________________________________________ 报警时间:_________________________________________________________ 勘查时间:_________________________________________________________ 天气情况:_________________________________________________________ 勘查人员:_________________________________________________________ 记录人:___________________________________________________________ 见证人:___________________________________________________________
一、现场周围情况 ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ 二、对火场全面勘查 ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________
勘查人员:(签字)________ 见证人:(签字)__________ ________年______月______日
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