Fireworks Report

Select your role:

Nature of the fireworks incident (Select All That Apply): Type of Fireworks causing the incident (Select One):

Low Hazard:
High Hazard:
Fire Crackers:

Was there a permit for:

Purchase of fireworks:
Possession of fireworks:
Display or discharge of the fireworks:

Municipality in which the incident occured:

Is the municipality in which the incident occurred accredited under the Safety Codes Act?

Please provide a brief description of the incident:

Other Comments: