1st Defense Home Hardening

General Information

• Client Name

• Location
  Address

• Conducted on

  Date

• Prepared by

• Phone Number

• Debris Removal

  Select Chip/Spread Chip/Remove Pile Pile/Burn Remove/Dump Other

  • Chip/Spread
  • Chip/Remove
  • Pile
  • Pile/Burn
  • Remove/Dump
  • Other

Street & Driveway Access

• Visible Address Sign

  Yes

  No

• Length of Driveway in Feet

• Topographical Location

  Select Valley Saddle Ridge Mid-Slope Chute/Chimney Box Canyon Flat

  • Valley
  • Saddle
  • Ridge
  • Mid-Slope
  • Chute/Chimney
  • Box Canyon
  • Flat

• Overgrown Vegetation/Driveway

  Yes

  No

  N/A

• Vegetation Type

  Select Non-Combustible Light Grass Heavy Grass Light Brush Heavy Brush Mixed Light Fuels Mixed Heavy Fuels Ornamental Plants

  • Non-Combustible
  • Light Grass
  • Heavy Grass
  • Light Brush
  • Heavy Brush
  • Mixed Light Fuels
  • Mixed Heavy Fuels
  • Ornamental Plants

• Vegetation Continuity

  Light

  Medium

  Heavy

• Average Fuel Diameter Size

  1" - 3"

  3"- 6"

  6" - 12"

Roof & Gutters

• Roof Type

  Asphalt Comp

  Tile

  Steel

  Wood/Shake Shingle

• Tile Ends Exposed

  Yes

  No

  N/A

• Weaknesses to Roofing i.e. voids

  Yes

  No

  N/A

• How Many Floor's Above Grade

• Vegetation Overhanging Roof <10 Feet

  Yes

  No

  N/A

• How Many

• Debris on Roof

  Yes

  No

  N/A

• How Much Debris

  Light

  Medium

  Heavy

• Debris in Gutter

  Yes

  No

  N/A

• Gutter Guard

  Yes

  No

• Gutter Size

• Chimney/Stove Pipe Present

  Yes

  No

  N/A

• Vegetation within 10 Feet

  Yes

  No

  N/A

• Utility Lines Present

  Yes

  No

  N/A

• Vegetation within 10 Feet

  Yes

  No

  N/A

Alpha Side

• Address Visible

  Yes

  No

• Distance to Property Line or Neighboring Structure

• Vegetation 0-5 Feet

  Select Non-Combustible Light Grass Heavy Grass Light Brush Heavy Brush Mixed Light Fuels Mixed Heavy Fuels Ornamental Plants

  • Non-Combustible
  • Light Grass
  • Heavy Grass
  • Light Brush
  • Heavy Brush
  • Mixed Light Fuels
  • Mixed Heavy Fuels
  • Ornamental Plants

• Deck Present

  Yes

  No

  N/A

• Deck Material

  Wood

  Trex

  Other

• Fuel Load Under Deck

  Light

  Medium

  Heavy

• Overall Deck Condition

  Good

  Fair

  Poor

• Window Type

  Select Single Pane Double Pane Triple Pane

  • Single Pane
  • Double Pane
  • Triple Pane

• Window Broken or Cracked

  Yes

  No

  N/A

• Vegetation Around Windows

  Yes

  No

  N/A

• Fuel Loading

  Light

  Medium

  Heavy

• Gable Vent Present

  Yes

  No

  N/A

• How Many Vents

• Vent Size

  Select 12" x 12" 12" x 18" 12" x 22" 14" x18" 14" x 24" 18" x 24" 22" x 30" Custom

  • 12" x 12"
  • 12" x 18"
  • 12" x 22"
  • 14" x18"
  • 14" x 24"
  • 18" x 24"
  • 22" x 30"
  • Custom

• Eaves

  Closed Eaves

  Open Eaves

  Box Eaves

• Eave Vent Style

  Round

  Sofit Vents

  Eave Vent

  N/A

• Hole Size

  1.5"

  2"

  3"

• How Many Vents

• Vent Size

  Select 14" x 3.5" 14" x 5" 22" x 3" 22" x 3.5" 22" x 5.5" Custom

  • 14" x 3.5"
  • 14" x 5"
  • 22" x 3"
  • 22" x 3.5"
  • 22" x 5.5"
  • Custom

• How Many Vents

• Size

• How Many Vents

• Foundation Vents Present

  Yes

  No

  N/A

• Size

  14" x 6"

  14" x 8"

  Custom

• How Many Vents

• Siding Construction

  Combustible

  Non-Combustible

  Ignition-Resistant

• Siding Condition

  Select Solid- No Holes or Access Points Good- Few weak points Poor- Multiple Weak Points

  • Solid- No Holes or Access Points
  • Good- Few weak points
  • Poor- Multiple Weak Points

• Vertical Clearance from ground to Siding

  <6"

  >6"

• Wind Blown Debris Build-up

  Yes

  No

• Vegetation Load

  Light

  Medium

  Heavy

• Wood Pile Present

  Yes

  No

  N/A

• Distance From Structure

  <30 Feet

  >30 Feet

  N/A

• 10 Foot of Clearance

  Yes

  No

• Covered with Rated Covering

  Yes

  No

  N/A

• Propane Tank Present

  Yes

  No

  N/A

• 10 Feet Clearance

  Yes

  No

• Fuel Loading

  Light

  Medium

  Heavy

Bravo Side

• Distance to Property Line or Neighboring Structure

• Vegetation 0-5 Feet

  Select Non-Combustible Light Grass Heavy Grass Light Brush Heavy Brush Mixed Light Fuels Mixed Heavy Fuels Ornamental Plants

  • Non-Combustible
  • Light Grass
  • Heavy Grass
  • Light Brush
  • Heavy Brush
  • Mixed Light Fuels
  • Mixed Heavy Fuels
  • Ornamental Plants

• Deck Present

  Yes

  No

  N/A

• Deck Material

  Wood

  Trex

  Other

• Fuel Load Under Deck

  Light

  Medium

  Heavy

• Overall Deck Condition

  Good

  Fair

  Poor

• Window Type

  Select Single Pane Double Pane Triple Pane

  • Single Pane
  • Double Pane
  • Triple Pane

• Window Broken or Cracked

  Yes

  No

  N/A

• Vegetation Around Windows

  Yes

  No

  N/A

• Fuel Loading

  Light

  Medium

  Heavy

• Gable Vent Present

  Yes

  No

  N/A

• How Many Vents

• Vent Size

  Select 12" x 12" 12" x 18" 12" x 22" 14" x18" 14" x 24" 18" x 24" 22" x 30" Custom

  • 12" x 12"
  • 12" x 18"
  • 12" x 22"
  • 14" x18"
  • 14" x 24"
  • 18" x 24"
  • 22" x 30"
  • Custom

• Eaves

  Closed Eaves

  Open Eaves

  Box Eaves

• Eave Vent Style

  Round

  Sofit Vents

  Eave Vent

  N/A

• Hole Size

  1.5"

  2"

  3"

• How Many Vents

• Vent Size

  Select 14" x 3.5" 14" x 5" 22" x 3" 22" x 3.5" 22" x 5.5" Custom

  • 14" x 3.5"
  • 14" x 5"
  • 22" x 3"
  • 22" x 3.5"
  • 22" x 5.5"
  • Custom

• How Many Vents

• Size

• How Many Vents

• Foundation Vents Present

  Yes

  No

  N/A

• Size

  14" x 6"

  14" x 8"

  Custom

• How Many Vents

• Siding Construction

  Combustible

  Non-Combustible

  Ignition-Resistant

• Siding Condition

  Select Solid- No Holes or Access Points Good- Few weak points Poor- Multiple Weak Points

  • Solid- No Holes or Access Points
  • Good- Few weak points
  • Poor- Multiple Weak Points

• Vertical Clearance from ground to Siding

  <6"

  >6"

• Wind Blown Debris Build-up

  Yes

  No

• Vegetation Load

  Light

  Medium

  Heavy

• Wood Pile Present

  Yes

  No

  N/A

• Distance From Structure

  <30 Feet

  >30 Feet

  N/A

• 10 Foot of Clearance

  Yes

  No

• Covered with Rated Covering

  Yes

  No

  N/A

• Propane Tank Present

  Yes

  No

  N/A

• 10 Feet Clearance

  Yes

  No

• Fuel Loading

  Light

  Medium

  Heavy

Charlie Side

• Distance to Property Line or Neighboring Structure

• Vegetation 0-5 Feet

  Select Non-Combustible Light Grass Heavy Grass Light Brush Heavy Brush Mixed Light Fuels Mixed Heavy Fuels Ornamental Plants

  • Non-Combustible
  • Light Grass
  • Heavy Grass
  • Light Brush
  • Heavy Brush
  • Mixed Light Fuels
  • Mixed Heavy Fuels
  • Ornamental Plants

• Deck Present

  Yes

  No

  N/A

• Deck Material

  Wood

  Trex

  Other

• Fuel Load Under Deck

  Light

  Medium

  Heavy

• Overall Deck Condition

  Good

  Fair

  Poor

• Window Type

  Select Single Pane Double Pane Triple Pane

  • Single Pane
  • Double Pane
  • Triple Pane

• Window Broken or Cracked

  Yes

  No

  N/A

• Vegetation Around Windows

  Yes

  No

  N/A

• Fuel Loading

  Light

  Medium

  Heavy

• Gable Vent Present

  Yes

  No

  N/A

• How Many Vents

• Vent Size

  Select 12" x 12" 12" x 18" 12" x 22" 14" x18" 14" x 24" 18" x 24" 22" x 30" Custom

  • 12" x 12"
  • 12" x 18"
  • 12" x 22"
  • 14" x18"
  • 14" x 24"
  • 18" x 24"
  • 22" x 30"
  • Custom

• Eaves

  Closed Eaves

  Open Eaves

  Box Eaves

• Eave Vent Style

  Round

  Sofit Vents

  Eave Vent

  N/A

• Hole Size

  1.5"

  2"

  3"

• How Many Vents

• Vent Size

  Select 14" x 3.5" 14" x 5" 22" x 3" 22" x 3.5" 22" x 5.5" Custom

  • 14" x 3.5"
  • 14" x 5"
  • 22" x 3"
  • 22" x 3.5"
  • 22" x 5.5"
  • Custom

• How Many Vents

• Size

• How Many Vents

• Foundation Vents Present

  Yes

  No

  N/A

• Size

  14" x 6"

  14" x 8"

  Custom

• How Many Vents

• Siding Construction

  Combustible

  Non-Combustible

  Ignition-Resistant

• Siding Condition

  Select Solid- No Holes or Access Points Good- Few weak points Poor- Multiple Weak Points

  • Solid- No Holes or Access Points
  • Good- Few weak points
  • Poor- Multiple Weak Points

• Vertical Clearance from ground to Siding

  <6"

  >6"

• Wind Blown Debris Build-up

  Yes

  No

• Vegetation Load

  Light

  Medium

  Heavy

• Wood Pile Present

  Yes

  No

  N/A

• Distance From Structure

  <30 Feet

  >30 Feet

  N/A

• 10 Foot of Clearance

  Yes

  No

• Covered with Rated Covering

  Yes

  No

  N/A

• Propane Tank Present

  Yes

  No

  N/A

• 10 Feet Clearance

  Yes

  No

• Fuel Loading

  Light

  Medium

  Heavy

Delta Side

• Distance to Property Line or Neighboring Structure

• Vegetation 0-5 Feet

  Select Non-Combustible Light Grass Heavy Grass Light Brush Heavy Brush Mixed Light Fuels Mixed Heavy Fuels Ornamental Plants

  • Non-Combustible
  • Light Grass
  • Heavy Grass
  • Light Brush
  • Heavy Brush
  • Mixed Light Fuels
  • Mixed Heavy Fuels
  • Ornamental Plants

• Deck Present

  Yes

  No

  N/A

• Deck Material

  Wood

  Trex

  Other

• Fuel Load Under Deck

  Light

  Medium

  Heavy

• Overall Deck Condition

  Good

  Fair

  Poor

• Window Type

  Select Single Pane Double Pane Triple Pane

  • Single Pane
  • Double Pane
  • Triple Pane

• Window Broken or Cracked

  Yes

  No

  N/A

• Vegetation Around Windows

  Yes

  No

  N/A

• Fuel Loading

  Light

  Medium

  Heavy

• Gable Vent Present

  Yes

  No

  N/A

• How Many Vents

• Vent Size

  Select 12" x 12" 12" x 18" 12" x 22" 14" x18" 14" x 24" 18" x 24" 22" x 30" Custom

  • 12" x 12"
  • 12" x 18"
  • 12" x 22"
  • 14" x18"
  • 14" x 24"
  • 18" x 24"
  • 22" x 30"
  • Custom

• Eaves

  Closed Eaves

  Open Eaves

  Box Eaves

• Eave Vent Style

  Round

  Sofit Vents

  Eave Vent

  N/A

• Hole Size

  1.5"

  2"

  3"

• How Many Vents

• Vent Size

  Select 14" x 3.5" 14" x 5" 22" x 3" 22" x 3.5" 22" x 5.5" Custom

  • 14" x 3.5"
  • 14" x 5"
  • 22" x 3"
  • 22" x 3.5"
  • 22" x 5.5"
  • Custom

• How Many Vents

• Size

• How Many Vents

• Foundation Vents Present

  Yes

  No

  N/A

• Size

  14" x 6"

  14" x 8"

  Custom

• How Many Vents

• Siding Construction

  Combustible

  Non-Combustible

  Ignition-Resistant

• Siding Condition

  Select Solid- No Holes or Access Points Good- Few weak points Poor- Multiple Weak Points

  • Solid- No Holes or Access Points
  • Good- Few weak points
  • Poor- Multiple Weak Points

• Vertical Clearance from ground to Siding

  <6"

  >6"

• Wind Blown Debris Build-up

  Yes

  No

• Vegetation Load

  Light

  Medium

  Heavy

• Wood Pile Present

  Yes

  No

  N/A

• Distance From Structure

  <30 Feet

  >30 Feet

  N/A

• 10 Foot of Clearance

  Yes

  No

• Covered with Rated Covering

  Yes

  No

  N/A

• Propane Tank Present

  Yes

  No

  N/A

• 10 Feet Clearance

  Yes

  No

• Fuel Loading

  Light

  Medium

  Heavy

Zone 1 Clearing- 5 - 30 Feet

• Vegetation Type

  Select Light Grass >3' Heavy Grass <3' Light Brush Heavy Brush Light Timber Medium Timber Heavy Timber Clear

  • Light Grass >3'
  • Heavy Grass <3'
  • Light Brush
  • Heavy Brush
  • Light Timber
  • Medium Timber
  • Heavy Timber
  • Clear

• Vegetation Continuity

  Light

  Medium

  Heavy

• Topography

  Flat

  <25 Degree Slope

  >25 Degree Slope

• Nuisance Vegetation

  Yes

  No

  N/A

• What Types

  Select Poison Oak BlackBerry Thorn Vegetation

  • Poison Oak
  • BlackBerry
  • Thorn Vegetation

• How Much

  Light

  Medium

  Heavy

• Average Fuel Diameter Size

  1" - 3"

  3"- 6"

  6" - 12"

• Special Equipment Needs

• Other

Zone 2 Clearing- 30 - 100 Feet (or property line)

• Vegetation Type

  Select Light Grass >3' Heavy Grass <3' Light Brush Heavy Brush Light Timber Medium Timber Heavy Timber Clear

  • Light Grass >3'
  • Heavy Grass <3'
  • Light Brush
  • Heavy Brush
  • Light Timber
  • Medium Timber
  • Heavy Timber
  • Clear

• Vegetation Continuity

  Light

  Medium

  Heavy

• Nuisance Vegetation

  Yes

  No

  N/A

• What Type

  Poison Oak

  BlackBerry

  Thorn Vegetation

• How Much

  Light

  Medium

  Heavy

• Average Fuel Diameter Size

  1" - 3"

  3"- 6"

  6" - 12"

• Special Equipment Needs

• Other

• Interested in Reflect To Protect Address Sign?

  Yes

  No

  N/A

• Orientation

  Vertical

  Horizontal

• Post Type

  4x4 Post w/concrete

  T-Post

• Interested in Gutter Guard Installation

  Yes

  No

  N/A

• Gutter Size

• Total Gutter Length

• Address Numbers Installed on Front of Home

  Yes

  No

  N/A

• Interested in NC Deck Boards?

  Yes

  No

  N/A

• How Many Feet?

• Preferred Color?

• Interested in Retrofit Gable Vent?

  Yes

  No

  N/A

• Size

  Select 12" x 12" 12" x 18" 12" x 22" 14" x18" 14" x 24" 18" x 24" 22" x 30" Custom

  • 12" x 12"
  • 12" x 18"
  • 12" x 22"
  • 14" x18"
  • 14" x 24"
  • 18" x 24"
  • 22" x 30"
  • Custom

• Size

• How Many Vents