5,025
edits
Line 90: | Line 90: | ||
!Field Type | !Field Type | ||
!Notes | !Notes | ||
| | | | ||
|- style="background:orange" | |- style="background:orange" | ||
|'''<big>A</big>''' | |'''<big>A</big>''' | ||
| colspan=" | | colspan="4" |<big>'''Observer Details'''</big><span style="color:orange"><sub>...</sub></span> | ||
<sup>''This section identifies the individual collecting data. Users can save time by setting responses to these fields as [[Favorite Answers]].''</sup> | <sup>''This section identifies the individual collecting data. Users can save time by setting responses to these fields as [[Favorite Answers]].''</sup> | ||
| rowspan="7" | | |||
|- | |- | ||
|1 | |1 | ||
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|'''✓''' | |'''✓''' | ||
|Text | |Text | ||
|Name of volunteer as it appears on their volunteer badge, if they have one. | |||
|- | |- | ||
|2 | |2 | ||
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|'''✓''' | |'''✓''' | ||
|Drop-down | |Drop-down | ||
|Select your Team from the dropdown list. | |||
|- | |- | ||
|3 | |3 | ||
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|'''✓''' | |'''✓''' | ||
|Text | |Text | ||
|Volunteer's badge number; if the volunteer does not have one, they should use the badge number of a Team Leader. | |||
|- | |- | ||
|4 | |4 | ||
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|N/A | |N/A | ||
|Date/Time | |Date/Time | ||
|Autofilled by the app. It will record the time, date, and location from when/where you press "Collect". Be sure you are in the correct location before pressing "Collect". | |||
|- | |- | ||
|5 | |5 | ||
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|'''✓''' | |'''✓''' | ||
|Drop-down | |Drop-down | ||
|''What event type caused the damage?'' | |||
|- | |- | ||
|6 | |6 | ||
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|'''✓''' | |'''✓''' | ||
|Text | |Text | ||
|Enter the name of the incident as provided by the Incident Commander. If you do not have an incident name, simply type in “N/A”. | |||
|- style="background:orange" | |- style="background:orange" | ||
|'''<big>B</big>''' | |'''<big>B</big>''' | ||
| colspan=" | | colspan="4" |'''<big>Site Details</big>''' | ||
|- | |- | ||
|7 | |7 | ||
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|N/A | |N/A | ||
|Geopoint | |Geopoint | ||
|Autofilled by the app; the system will automatically record the latitude/longitude when you press "Collect" to begin the survey. | |||
|- | |- | ||
|8 | |8 | ||
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| | | | ||
|Text | |Text | ||
| | |||
|- | |- | ||
|9 | |9 | ||
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| | | | ||
| | | | ||
| | |||
|- | |- | ||
|10 | |10 | ||
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|'''✓''' | |'''✓''' | ||
|Selection | |Selection | ||
|Yes or No. '''All fields below this point are hidden from view if "No" is selected for this field.''' If there are no observable problems at the site, simply select "No" and send the report. Then, move on to the next site. | |||
|- | |- | ||
|11 | |11 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes, No, or Unsure. "Immediate" is any condition for which a reasonable person would dial 9-1-1 to get help. | |||
|- | |- | ||
|12 | |12 | ||
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| | | | ||
|Upload | |Upload | ||
|App will connect to device camera to take a picture, or a saved file may be selected. '''<s>See section on taking a photo with the DAMM for more details.</s>''' | |||
|- style="background:orange" | |- style="background:orange" | ||
|'''<big>C</big>''' | |'''<big>C</big>''' | ||
| colspan=" | | colspan="4" |'''<big>Fire Details</big>''' | ||
|- | |- | ||
|13 | |13 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes or No. ''Is there evidence of a fire?'' Fire fields below this point are hidden if "No" is selected for this field. | |||
|- | |- | ||
|14 | |14 | ||
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|'''✓''' | |'''✓''' | ||
|Selection | |Selection | ||
|Yes or No. | |||
|- | |- | ||
|15 | |15 | ||
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| | | | ||
|Text | |Text | ||
|''Input any notes about the fire.'' | |||
|- style="background:orange" | |- style="background:orange" | ||
|<big>'''D'''</big> | |<big>'''D'''</big> | ||
| colspan=" | | colspan="4" |'''<big>Hazard Details</big>''' | ||
|- | |- | ||
|16 | |16 | ||
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|'''✓''' | |'''✓''' | ||
|Selection | |Selection | ||
|Yes or No. ''Are hazards present?'' Hazard fields below this point are hidden if "No" is selected for this field. | |||
|- | |- | ||
|17 | |17 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes; leave unselected if "No". | |||
|- | |- | ||
|18 | |18 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes; leave unselected if "No". Is there standing water present? | |||
|- | |- | ||
|19 | |19 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes; leave unselected if "No". | |||
|- | |- | ||
|20 | |20 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes; leave unselected if "No". | |||
|- | |- | ||
|21 | |21 | ||
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| | | | ||
|Checkboxes | |Checkboxes | ||
|Can select any of the following: Landslides, Downed trees, Bridges out, Leaking septic, Other (Provide Details) | |||
|- | |- | ||
|22 | |22 | ||
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| | | | ||
|Text | |Text | ||
|''Input any notes about the hazard(s).'' | |||
|- style="background:orange" | |- style="background:orange" | ||
|'''<big>E</big>''' | |'''<big>E</big>''' | ||
| colspan=" | | colspan="4" |'''<big>Damage Details</big>''' | ||
|- | |- | ||
|23 | |23 | ||
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|'''✓''' | |'''✓''' | ||
|Selection | |Selection | ||
|Yes or No. ''Do you observe ay damage?'' Damage fields below this point are hidden if "No" is selected for this field. | |||
|- | |- | ||
|24 | |24 | ||
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|'''✓''' | |'''✓''' | ||
|Selection | |Selection | ||
|Can select one of the following: Affected, Minor, Major, Destroyed, Inaccessible, Unaffected. | |||
|- | |- | ||
|25 | |25 | ||
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|'''✓''' | |'''✓''' | ||
|Selection | |Selection | ||
|Can select one of the following: Business, Single Family Home, Multi-Family Home, Mobile Home, Government, Other. | |||
|- | |- | ||
|26 | |26 | ||
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| | | | ||
|Text | |Text | ||
|''Provide details about the observed damage.'' | |||
|- style="background:orange" | |- style="background:orange" | ||
|'''<big>F</big>''' | |'''<big>F</big>''' | ||
| colspan=" | | colspan="4" |'''<big>Injury Details</big>''' | ||
|- | |- | ||
|27 | |27 | ||
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|'''✓''' | |'''✓''' | ||
|Selection | |Selection | ||
|Yes or No. Injury fields below this point are hidden if "No" is selected for this field. Injury details will be displayed in a separate map to alert Incident Managers of the severity and extent of injuries. It is important to record actual address locations to assist first responders. | |||
|- | |- | ||
|28 | |28 | ||
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| | | | ||
|Integer | |Integer | ||
|Use + or - to indicate the number of injured persons with this class of injuries at this site. | |||
|- | |- | ||
|29 | |29 | ||
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| | | | ||
|Integer | |Integer | ||
|Use + or - to indicate the number of injured persons with this class of injuries at this site. | |||
|- | |- | ||
|30 | |30 | ||
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| | | | ||
|Integer | |Integer | ||
|Use + or - to indicate the number of injured persons with this class of injuries at this site. | |||
|- | |- | ||
|31 | |31 | ||
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| | | | ||
|Integer | |Integer | ||
|Use + or - to indicate the number of injured persons with this class of injuries at this site. | |||
|- | |- | ||
|32 | |32 | ||
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| | | | ||
|Integer | |Integer | ||
|''Indicate if occupants are trapped.'' Use + or - to indicate the number of injured persons with this class of injuries at this site. | |||
|- | |- | ||
|33 | |33 | ||
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| | | | ||
|Text | |Text | ||
| | |||
|- style="background:orange" | |- style="background:orange" | ||
|'''<big>G</big>''' | |'''<big>G</big>''' | ||
| colspan=" | | colspan="4" |'''<big>Misc.</big>''' | ||
|- | |- | ||
|34 | |34 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes or No. | |||
|- | |- | ||
|35 | |35 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes or No. | |||
|- | |- | ||
|36 | |36 | ||
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| | | | ||
|Checkboxes | |Checkboxes | ||
|''Check the boxes below only if further actions are needed.'' Selection any of the following: Barricade Needed, Detailed Evaluation Recommended, Other. | |||
|- | |- | ||
|37 | |37 | ||
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| | | | ||
|Text | |Text | ||
|Final optional comments, limit of 255 characters. | |||
|- style="background:orange" | |- style="background:orange" | ||
|'''<big>H</big>''' | |'''<big>H</big>''' | ||
| colspan=" | | colspan="4" |'''<big>Supplemental Questions</big>''' | ||
|- | |- | ||
|38 | |38 | ||
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|'''✓''' | |'''✓''' | ||
|Selection | |Selection | ||
|Yes or No. If a volunteer has to move along quickly, indicate "No" and send the report, and move to the next site. | |||
| | |||
|- style="background:orange" | |- style="background:orange" | ||
|'''<big>I</big>''' | |'''<big>I</big>''' | ||
| colspan=" | | colspan="4" |<big>'''Building Details'''</big> | ||
|- | |- | ||
|39 | |39 | ||
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| | | | ||
|Text | |Text | ||
|Any identifying title on the building. | |||
|- | |- | ||
|40 | |40 | ||
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| | | | ||
|Text | |Text | ||
|Primary phone to reach someone working or residing at this building. | |||
|- | |- | ||
|41 | |41 | ||
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| | | | ||
|Selection | |Selection | ||
|This question assumes you are in contact with a building occupant. You can select either Owner, Renter, or Unknown. | |||
|- | |- | ||
|42 | |42 | ||
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| | | | ||
|Integer | |Integer | ||
| | |||
|- | |- | ||
|43 | |43 | ||
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| | | | ||
|Integer | |Integer | ||
| | |||
|- | |- | ||
|44 | |44 | ||
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| | | | ||
|Integer | |Integer | ||
|If unknown if there are any residential units, enter "0". | |||
|- | |- | ||
|45 | |45 | ||
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| | | | ||
|Integer | |Integer | ||
|If unknown, enter "0". | |||
|- | |- | ||
|46 | |46 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes, No, or Unknown. | |||
|- | |- | ||
|47 | |47 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes, No, or Unknown. | |||
|- | |- | ||
|48 | |48 | ||
Line 409: | Line 409: | ||
| | | | ||
|Integer | |Integer | ||
|When a user clicks into this field, a calculator will appear to aid the estimate. | |||
|- | |- | ||
|49 | |49 | ||
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| | | | ||
|Selection | |Selection | ||
|Yes, No, or Unknown. | |||
|- style="background:orange" | |- style="background:orange" | ||
|'''<big>J</big>''' | |'''<big>J</big>''' | ||
| colspan=" | | colspan="4" |'''<big>Demographic Questions</big>''' | ||
|- | |- | ||
|50 | |50 | ||
Line 424: | Line 424: | ||
| | | | ||
|Integer | |Integer | ||
| | |||
|- | |- | ||
|51 | |51 | ||
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| | | | ||
|Integer | |Integer | ||
| | |||
|- | |- | ||
|52 | |52 | ||
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| | | | ||
|Integer | |Integer | ||
| | |||
|- | |- | ||
! colspan=" | ! colspan="5" |'''<big>END OF SURVEY</big>''' | ||
|} | |} | ||
<span style="color:#ffffff">...</span> | <span style="color:#ffffff">...</span> |