Damage Assessment Mapping Module: Difference between revisions

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==== A: ====
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| colspan="5" |
==== Observer Details ====
==== Observer Details ====
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|'''✓'''
|'''✓'''
|Drop-down
|Drop-down
| colspan="2" |What event type caused the damage?
| colspan="2" |''What event type caused the damage?''
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|6
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|'''✓'''
|'''✓'''
|Text
|Text
| colspan="2" |Supplied by Team Leader; should be the same for each observation inputted during an incident.
| colspan="2" |Supplied by Team Leader; should be the same for each observation inputted during an incident. This helps the ECC connect incident reports to each other.
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==== B: ====
| colspan="5" |
| colspan="5" |
==== Site Details ====
==== Site Details ====
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==== C: ====
| colspan="5" |
| colspan="5" |
==== Fire Details ====
==== Fire Details ====
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|Selection
|Selection
| colspan="2" |Yes or No. Is there evidence of a fire? Fire fields below this point are hidden if "No" is selected for this field.
| colspan="2" |Yes or No. ''Is there evidence of a fire?'' Fire fields below this point are hidden if "No" is selected for this field.
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|Text
|Text
| colspan="2" |Input any notes about the fire.
| colspan="2" |''Input any notes about the fire.''
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==== D: ====
| colspan="5" |
| colspan="5" |
==== Hazard Details ====
==== Hazard Details ====
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|'''Hazard'''
|'''Hazard'''
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|'''✓'''
|Selection
|Selection
| colspan="2" |Yes or No. Are hazards present? Hazard fields below this point are hidden if "No" is selected for this field.
| colspan="2" |Yes or No. ''Are hazards present?'' Hazard fields below this point are hidden if "No" is selected for this field.
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|Text
|Text
| colspan="2" |Input any notes about the hazard(s).
| colspan="2" |''Input any notes about the hazard(s).''
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==== E: ====
| colspan="5" |
==== Damage Details ====
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|'''Damage'''
|'''✓'''
|Selection
| colspan="2" |Yes or No. ''Do you observe ay damage?'' Damage fields below this point are hidden if "No" is selected for this field.
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|'''Structure Damage'''
|'''✓'''
|Selection
| colspan="2" |Can select one of the following: Affected, Minor, Major, Destroyed, Inaccessible, Unaffected.
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|'''Primary Occupancy'''
|'''✓'''
|Selection
| colspan="2" |Can select one of the following: Business, Single Family Home, Multi-Family Home, Mobile Home, Government, Other.
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|'''Damage Notes'''
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|Text
| colspan="2" |''Provide details about the observed damage.''
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==== F: ====
| colspan="5" |
==== Injury Details ====
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|'''Injury'''
|'''✓'''
|Selection
| colspan="2" |Yes or No. Injury fields below this point are hidden if "No" is selected for this field.
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|'''Minor'''
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|Integer
| colspan="2" |Use + or - to indicate the number of injured persons with this class of injuries at this site.
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|'''Delayed'''
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|Integer
| colspan="2" |Use + or - to indicate the number of injured persons with this class of injuries at this site.
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|'''Immediate'''
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|Integer
| colspan="2" |Use + or - to indicate the number of injured persons with this class of injuries at this site.
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|'''Deceased'''
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|Integer
| colspan="2" |Use + or - to indicate the number of injured persons with this class of injuries at this site.
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|'''Trapped'''
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|Integer
| colspan="2" |''Indicate if occupants are trapped.'' Use + or - to indicate the number of injured persons with this class of injuries at this site.
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|'''Injury Notes'''
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|Text
| colspan="2" |
| colspan="2" |
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==== G: ====
| colspan="5" |
==== Misc. ====
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|'''Is Road Access Blocked?'''
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|Selection
| colspan="2" |Yes or No.
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|'''Are Dangerous Animal(s) Present?'''
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|Selection
| colspan="2" |Yes or No.
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|'''Further Actions'''
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|Checkboxes
| colspan="2" |''Check the boxes below only if further actions are needed.'' Selection any of the following: Barricade Needed, Detailed Evaluation Recommended, Other.
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|'''Comments'''
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|Text
| colspan="2" |Final optional comments, limit of 255 characters.
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==== H: ====
| colspan="5" |
==== Supplemental Questions ====
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|Do you have time to provide more information?
|'''✓'''
|Selection
| colspan="2" |Yes or No. If a volunteer has to move along quickly, indicate "No" and send the report, and move to the next site.
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==== I: ====
| colspan="5" |
==== Building Details ====
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|'''Building Name'''
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|Text
| colspan="2" |Any identifying title on the building.
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|'''Building contact/phone'''
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|Text
| colspan="2" |Primary phone to reach someone working or residing at this building.
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|'''Owner or Renter'''
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|Selection
| colspan="2" |This question assumes you are in contact with a building occupant. You can select either Owner, Renter, or Unknown.
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|'''Number of stories ABOVE Ground'''
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|Integer
| colspan="2" |
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|'''Number of stories BELOW ground'''
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|Integer
| colspan="2" |
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|'''Number of residential units'''
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|Integer
| colspan="2" |If unknown if there are any residential units, enter "0".
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|'''Number residential units not habitable'''
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|Integer
| colspan="2" |If unknown, enter "0".
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|'''Are Utilities Functional'''
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|Selection
| colspan="2" |Yes, No, or Unknown.
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|'''Is this a historical building?'''
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|Selection
| colspan="2" |Yes, No, or Unknown.
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|'''Estimated Square Footage of Damaged Structures'''
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|Integer
| colspan="2" |When a user clicks into this field, a calculator will appear to aid the estimate.
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|'''Is this property in subsidized housing?'''
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|Selection
| colspan="2" |Yes, No, or Unknown.
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==== J: ====
| colspan="5" |
==== Demographic Questions ====
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|Number of People at This Location
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|Integer
| colspan="2" |
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|Number of Individuals Greater than 65 yrs
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|Integer
| colspan="2" |
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|Number of Individuals Less than 5 yrs
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|Integer
| colspan="2" |
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! colspan="6" |
==== END OF SURVEY ====
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