Information

  • Document No.

  • Date Conducted

  • Pre Fire Plan Completed By

Business Information

  • Business Name

  • Address (Correct Spelling, NO ABBREVIATIONS)

  • Primary Contact Name

  • Primary Contact Number

  • Secondary Contact Name

  • Secondary Contact Number

Water Supply

  • Primary Hydrant Location
  • Secondary Hydrant Location

360 - Photos

  • Side Alpha (Addressed Side of Building)

  • Side Bravo (Clockwise, Left)

  • Side Charlie (Rear)

  • Side Delta

Life Safety Information

  • Time Normally Occupied

  • Average Occupancy Load (Increments of 5)

  • Life Safety / Rescue Considerations (Handicap, Predesignated Evacuation Areas, Protect in Place Plans)

  • Notes:

Building Specifics

  • Construction Class

  • Building Classification

  • Building Height (Feet)

  • Number of Floors

  • Basement Present?

  • Length (Feet)

  • Width (Feet)

  • Fire Load

  • Roof Construction

  • Roof Type

  • Roof Type Material

  • Notes:

Building Suppression / Alarm Information

  • Fire Sprinklers

  • FDC Location

  • FDC Type

  • Stand Pipe Location

  • Fire Alarm System

  • Fire Alarm Panel Location

  • Monitoring Company

  • Notes:

Access

  • Knox Box

  • Knox Box Location

  • Door Access Code (If No Knox)

  • Notes:

Utilities

  • Main Electrical Shut Off Location

  • Gas/LPG

  • Gas/LPG Shut Off Location

  • Primary Water Shut Off for Building

  • Notes:

Strategy and Tactical Considerations

  • Notes:

HAZ-MAT

  • Hazardous Materials On Site

  • Generalization of Hazardous Materials and Location

  • Notes:

Other

  • Response Notes (If Needed)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.