Form: Damage_Assessment_Initial.html,Damage_Assessment_Viewer.html Subject: Damage Assessment--- Msg: Event Date: Survey Date: Survey Area: Jurisdication: Misson/Incident #: Event Type: OTHER: Survey Team: ------------------- SURVEY REPORT - CATEGORIES HOUSES - Counts Affected: Minor: Major: Totaled: Total number: Costs: APARTMENT COMPLEX - Counts Affected: Minor: Major: Totaled: Total number: Costs: MOBILE HOMES - Counts Affected: Minor: Major: Totaled: Total number: Costs: RESIDENTIAL HIGH RISE - Counts Affected: Minor: Major: Totaled: Total number: Costs: COMMERCIAL HIGH RISE - Counts Affected: Minor: Major: Totaled: Total number: Costs: PUBLIC BUILDINGS - Counts Affected: Minor: Major: Totaled: Total number: Costs: SMALL BUISNESS - Counts Affected: Minor: Major: Totaled: Total number: Costs: FACTORIES/INDUSTRIAL - Counts Affected: Minor: Major: Totaled: Total number: Costs: ROADS - Counts Affected: Minor: Major: Totaled: Total number: Costs: BRIDGES - Counts Affected: Minor: Major: Totaled: Total number: Costs: ELECTRICAL DISTRIBUTION - Counts Affected: Minor: Major: Totaled: Total number: Costs: SCHOOLS - Counts Affected: Minor: Major: Totaled: Total number: Costs: - Counts Affected: Minor: Major: Totaled: Total number: Costs: - Counts Affected: Minor: Major: Totaled: Total number: Costs: - Counts Affected: Minor: Major: Totaled: Total number: Costs: TOTAL DOLLAR Cost: ------------------------- Comments:(if any) ------------------------- Express Sender: [] Senders Template Version: Use your jurisdictions guidelines or these generic suggestions on habitable buildings. On other facilities get direction as needed. AFFECTED: Structure CURRENTLY HABITABLE. Cosmetic damage e.g. missing shingles. Generally less than $100 in damage. 0 to 6 inches of water in single-family dwelling. MINOR: Structure currently uninhabitable. Will require minor repairs to be made habitable. 7 to 24 inches of water in structure and 0 to 6 inches of water in a mobile home. MAJOR: Structure currently uninhabitable. Will require major repairs to be made habitable. 25 to 47 inches of water in a single-family dwelling or apartment. 7 to 23 inches of water in a mobile home. TOTALED: Structure permanently uninhabitable. Cannot be repaired. 48 or more inches of water in a single-family dwelling or apartment. 24 or more inches of water in a mobile home.