Information
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Document No.
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Date Conducted
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Pre Fire Plan Completed By
Business Information
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Business Name
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Address (Correct Spelling, NO ABBREVIATIONS)
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Primary Contact Name
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Primary Contact Number
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Secondary Contact Name
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Secondary Contact Number
Water Supply
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Primary Hydrant Location
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Secondary Hydrant Location
360 - Photos
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Side Alpha (Addressed Side of Building)
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Side Bravo (Clockwise, Left)
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Side Charlie (Rear)
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Side Delta
Life Safety Information
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Time Normally Occupied
- Monday-Friday
- Weekends
- Day
- Night
- Overnight
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Life Safety / Rescue Considerations (Handicap, Predesignated Evacuation Areas, Protect in Place Plans)
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Notes:
Building Specifics
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Construction Class
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Building Classification
- Assembly
- Educational
- Health Care
- Ambulatory Health Care
- Mercantile
- Business
- Industrial
- Storage
- Residential - Single
- Residential Board and Care
- Day Care
- Multi Family
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Basement Present?
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Fire Load
- Non-Combustible
- Limitied-Combustible
- Combustible
- Free-Burning
- Rapid Burning
- Nothing Selected
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Roof Construction
- Beam - Concrete
- Beam - Steel
- Beam - Wood
- Composite - Wood/Metal - Open Web
- Composite - Wood/Metal - Solid Web
- Monolithic - Post-tensioned Concrete
- Monolithic - Pre-stressed Concrete
- Monolithic - Reinforced Concrete
- Rafter/Joist Construction
- Steel - Open Web
- Wood - Open Web
- Wood - Solid Web
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Roof Type
- Arched
- Cross-Hipped (Perpendicular Wings)
- Flat
- Gable (Two slopes, same pitch both sides)
- Gambrel (Two slopes, different pitch each sides)
- Hip (Four sides, same sloping pitch)
- Mansard (Four sides, different pitch on four sides)
- Monitor (Steep peaks, valleys, with windows)
- Pyramidal (Sloping sides with a point at the top)
- Saltbox (Gabled with asymmetrical sides)
- Shed (Only one sloping side)
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Roof Type Material
- Class A - Highest Fire Resistant
- Class B - Fire Resistant - Moderate withstanding
- Class C - Fire Resistant - Able to withstand light exposure to heat
- Composite Asphalt Shingle
- Fiberglass Shingle
- Metal
- Organic Shingle
- Slate
- Tile
- Wood Shingle / Shake
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Notes:
Building Suppression / Alarm Information
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Fire Sprinklers
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FDC Location
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FDC Type
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Stand Pipe Location
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Fire Alarm System
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Fire Alarm Panel Location
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Monitoring Company
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Notes:
Access
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Knox Box
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Knox Box Location
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Door Access Code (If No Knox)
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Notes:
Utilities
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Main Electrical Shut Off Location
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Gas/LPG
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Gas/LPG Shut Off Location
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Primary Water Shut Off for Building
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Notes:
Strategy and Tactical Considerations
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Notes:
HAZ-MAT
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Hazardous Materials On Site
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Generalization of Hazardous Materials and Location
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Notes:
Other
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Response Notes (If Needed)