火灾现场勘查笔录_行政法律

    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