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<p> BEAUMONT FIRE/RESCUE DIVE TEAM WITNESS INTERVIEW FORM</p><p>Interview Questions Date: ______Incident # / Location: ______Time of Call: ______Time of Arrival: ______Time of Interview: ______</p><p>Witness name: ______Drivers License Number ______Witness address and phone numbers: ______How many people missing in the water?: ______What were they wearing?: ______Could you see anything beyond where they were?: ______What time did this happen?: ______Where were you at the time?: ______Show me – reenact the event: ______(OVER)</p><p>1 What was the victim doing when the accident happened? ______What was the witness doing when the accident happened? ______How far away was the witness from the victim: ______</p><p>Weather conditions at the time of the accident: ______</p><p>Was victim in: Car boat swimming other </p><p>When and what has the victim had to eat or drink? ______Description of victim: Name: ______Address: ______Sex ______Age: ______Hair color & length: ______Eye color: ______Was PFD on victim: ______Was injury prior to submergence possible? ______Distance of victim at “last scene point” to diver tender position: ______Compass reading from diver tender position to “last scene point” ______Distinctive Landmarks: ______</p><p>2 Rough Sketch of Scene Marking Witness Information:</p><p>PHOTOS / VIDEO Civilian Photos Available? ____Yes _____ No Photos Taken of Scene? ____Yes _____ No Photos Taken of Operation? ____Yes _____ No Photo Logs MUST be Submitted!</p><p>Possible Photo / Video Evidence from MEDIA TV News Crews On Scene?: _____Before ____During ____After Incident Station ______Reporter ______Contact Info: ______</p><p>******** 3 TV News Crews On Scene?: _____Before ____During ____After Incident Station ______Reporter ______Contact Info: ______</p><p>******** TV News Crews On Scene?: _____Before ____During ____After Incident Station ______Reporter ______Contact Info: ______</p><p>******** PRINT Media Reporter / Photographer On Scene?: _____Before ____During ____After Incident Newspaper ______Reporter ______Photographer ______Contact Info: ______</p><p>Reporter / Photographer On Scene?: _____Before ____During ____After Incident Newspaper ______Reporter ______Photographer ______Contact Info: ______</p><p>Reporter / Photographer On Scene?: _____Before ____During ____After Incident Newspaper ______Reporter ______Photographer ______Contact Info: ______</p><p>This form completed by: ______</p><p>4</p>
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