Report Unsafe Structure Date Reporting Unsafe Structure MM slash DD slash YYYY Address of Unsafe Structure or Closest Known Location(Required) Street Address City State / Province / Region ZIP / Postal Code How was the building discovered? Emergency Run Discovered in district Citizen Complaint Other Other Is the Building Occupied?Select Yes or NoYesNoUse of Structure Residential Multi-Family Commercial Type of Structure Primary Garage-Attached Garage-Detached Out Building Height (Amount of Stories - Above Ground) Is there a basement or cellar?Select Yes or NoYesNoEstimated Structure Size (Square Feet) Location of Hazard (Check all that Apply) First Floor Second Floor Side Back/Front Basement Identified Hazards (Check all that Apply) Structure in danger of collapse Damage from previous fire Holes in floor Missing or weakened stairs, stair treads, or railings Unstable front or rear porches, exterior stairs or fire escapes Holes in the roof, open, missing or broken skylights Open and/or unprotected vertical and/or horizontal voids Breached or missing fire walls Weakened parapets Sagging floors, roofs and/or roof beams Missing girders and/or floor beams Missing and/or eccentrically loaded columns Structurally significant cracks in masonry walls Structurally significant cracks or other signs of possible collapse Unusually heavy water load on roof due to poor drainage and interior water loads from suppression Boarded up doors and windows Other Describe HazardDescribe DisrepairCommentsPost ImageAccepted file types: jpg, jpeg, png, gif.Post ImageAccepted file types: jpg, jpeg, png, gif.Post ImageAccepted file types: jpg, jpeg, png, gif.Name First Last Rank StationSelectAdminStation 01Station 02Station 03Station 04Station 05Station 06Station 07Station 08Station 09Station 10Station 11Station 12Station 13Station 14Station 15Station 16Station 17Station 18Station 19Station 20Station 21Station 22Station 23Station 24Station 25Station 26Station 27Station 28Station 29Station 30Station 31Station 32Station 33Station 34Station 35Station 36Station 41Station 42Station 43Station 44Station 45Station 46Station 52Station 53Station 54Station 55ShiftSelectA ShiftB ShiftC ShiftWeek Days
