Information

  • Document No.

  • Addresss

  • Client

  • Conducted on

  • Prepared by

  • Photo of house

  • Add media

Existing Conditions

Existing Conditions

  • Dangerous topographical feature/structure location?

  • Fuel on neighboring land/structures?

  • Comments:

  • Add media

Roof and Eaves

Roof & Eaves

  • ***Does the home have a Class A fire rated roof?

  • Replace your roof with a Class A fire rated roof.

  • ***What is the roof type?

  • ***Is the roof covering and assembly in good condition?

  • Replace missing tiles or shingles.

  • ***Roof edge: Is there exposed combustible material where the roof covering and roof deck meet?

  • Install drip edge at the roof edge to protect any exposed roof sheathing.

  • ***Gaps: For metal/tile roofs, are there gaps in the roof covering susceptible to ember penetration?

  • Protect gaps at the eaves to preclude entry of flames and embers.

  • ***Roof Design: Are there dormers or other complex features with combustible siding that are at risk from ember ignition?

  • Install metal flashing from roof deck up dormers

  • Replace wood siding on dormers with ignition resistant material.

  • ***PV: If there are solar panels, are they clear of combustible debris?

  • Remove combustible debris from solar panels.

  • ***Skylights: If there are skylights on the roof, are they properly mitigated?

  • Remove all combustible materials from skylights.

  • Eaves: Do you have open eave construction?

  • Consider converting open-eave framing to a boxed-in or soffited eave design.

  • ***Vents (roof, soffit): Are they protected with 1/8" metal screening?

  • Cover all vents with 1/8" metal screening and/or replace vents with low profile vents.

  • ***Debris: Are the roof, gutters, and eaves free of combustible debris (needles, leaves, and nests)?

  • Remove combustible material from roof, gutters, and eaves.

  • Gutters and Downspouts: Are they non-combustible?

  • Consider replacing gutters and downspouts with noncombustible materials.

Roof and Eaves

  • Roof Pass?

  • Comments:

Walls & Openings

Exterior Walls & Openings

  • Siding type: What type of siding is on the home?

  • Siding Material: Does the home have combustible siding?

  • Replace with non combustible siding

  • Increase spacing to first conifers.

  • Siding condition: Are there gaps, holes, or other areas where embers could accumulate, lodge, or penetrate?

  • Protect gaps, holes and other penetrations to preclude entry of flames or embers.

  • Clearance: Is the ground to siding clearance greater than 2 inches?

  • Recommend obtaining 2" clearance from base of the wall (install non-combustible material/remove siding) or properly mitigate this area.

  • ***Wall vents: If there are wall or gable vents, are they properly mitigated?

  • Cover vents with 1/8" wire screening and/or replace vents with low profile vents.

  • ***Dryer vents: Are there louver vents and do they operate correctly?

  • Install louver vents and make sure they operate properly.

  • ***Windows: Are there any single pane windows?

  • Replace with dual or multi pane windows, preferably with tempered glass. Or, increase defensible space requirements.

  • Remove marked vegetation around window.

  • ***Bay windows: Are overhangs properly mitigated?

  • Mitigate area underneath windows.

  • Garage doors: Are there any gaps in your garage door? Or are there any plastic windows?

  • Mitigate the openings and weather seal the perimeter of the door. Consider replacing plastic windows.

  • ***Foundation risk: Does the foundation design (open) produce a significant wildfire risk?

  • Consider enclosing (and properly ventilating) open foundation.

Walls and Openings Assessment

  • Walls and Openings Pass?

  • Comments:

Attachments

Attachments

  • ***Fence: Is there combustible wood attached to the structure that could carry fire to the home?

  • Replace with non-combustible section that is at least 5 feet long.

  • Deck connections: is there protection at wall (combustible) to deck junction?

  • Mitigate junction with metal flashing.

  • ***Deck condition: Are any of the deck boards rotted, damaged, or in poor condition?

  • Repair/replace rotted or damaged boards.

  • ***Items on decks: Is there any combustible material (firewood/pine needles) on the deck?

  • Remove firewood and other high-risk items.

  • ***Deck connection debris: Is there debris accumulated at the deck to wall intersection?

  • Remove debris from deck connection.

  • High risk decks: Does your deck overhang a steep slope?

  • Considered enclosing (and properly ventilating) deck, or building a noncombustible wall.

Attachments Assessment

  • Attachments Pass?

  • Comments:

Non combustible Zone 1A (0-5 ft)

Non- Combustible Zone 1A (0-5 ft)

  • ***Non-combustible surfaces: Is there a non-combustible perimeter extending around the entire home and any attachments such as decks?

  • Install crushed gravel, poured concrete, pavers, etc.

  • ***Live and Dead Vegetation: Are there any organic mulches, grasses, woody shrubs, junipers, pine needles or tree branches in the zone?

  • Remove all organic material. Aspens are acceptable.

  • ***Other material: Are there landscape timbers, debris or other combustible material present in this zone?

  • Remove material.

  • ***Under decks: Is the area under all decks and extensions clear of all combustible material?

  • Remove flammable materials.

Non Combustible Zone1A (1-5 ft)

  • Zone 1A Pass?

  • Comments:

Zone 1 Veg (5-30+ ft)

Zone 1 Vegetation (5-30+ ft)

  • ***Conifers: Are any conifers present?

  • Remove all conifers

  • Remove conifers to create large gaps and low limb so that no branches are within 10 ft of ground.

  • ***Pine Needles: Are all pine needles, mulches and grasses raked 3 ft away from High Value Conifer trunks?

  • Rake away all pine needles within 3 ft of the trunk.

  • ***Aspens: Are there any dead and/or heavily diseased aspens present?

  • Remove dead/diseased aspens.

  • ***Junipers: Are any junipers present?

  • Remove all junipers.

  • ***Shrubs: Are shrubs well spaced and removed from the dripline of "keep" trees?

  • Remove marked shrubs. For retained shrubs, prune excessive growth and remove dead material.

  • ***Maintenance: Are all grasses and weeds cut to a maximum height of 6 inches?

  • Cut grasses.

  • ***Surface fuels: Are all downed dead branches, dead logs, slash, and heavy accumulations of pine needles removed?

  • Remove dead and down material.

Zone 1 Assessment

  • Zone 1 Pass?

  • Comments:

  • Add media

Zone 2 Veg (30-100+ ft)

Zone 2 Vegetation (30 - 100+ ft)

  • ***Do conditions require extending zone 2 beyond 100 ft?

  • Extend zone 2 to 125 ft on downhill side

  • Extend zone 2 to 150 ft on downhill side.

  • Extend zone 2 to 200 ft on downhill side.

  • ***What is the property's forest type?

  • ***Spacing: Is there proper crown separation between the outer branches of individual conifers (usually 10-30ft)?

  • Thin conifers so they are properly spaced.

  • ***Clumping: Is clumping of trees an acceptable mitigation strategy on this property?

  • Create proper spacing between clumps.

  • ***Aspen: Are aspen present?

  • Try to create large patches/openings to encourage aspen expansion; avoid damaging existing aspen.

  • Wildlife Snags: Do dead standing trees (over 8" that do not pose a falling risk) remain as important wildlife habitats?

  • Remove hazardous snags.

  • Keep important wildlife snags.

  • Sick Trees: Are all stressed, diseased, dead trees and shrubs removed? (does not include important wildlife snags)

  • Remove marked trees.

  • ***Shrubs: Are shrubs well spaced and removed from the drip line of "keep" trees?

  • Remove marked shrubs. For retained shrubs, prune excessive growth and remove dead material.

  • ***Low Limbing: Are the lowest branches removed within 6-10 ft from the ground, or low limbed to 1/3 of the height of the tree, whichever is less?

  • Complete low limbing; aspens do not need to be low limbed.

  • ***Surface Fuels: Are there heavy accumulations of surface fuels, such as slash piles, present?

  • Reduce surface fuels.

Zone 2 Assessment

  • Zone 2 Pass?

  • Comments:

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Non Veg D Space

Detached Accessory Structures and Personal Property

  • ***Detached Accessory Structures (sheds, garages): Are they adequately mitigated?

  • Properly mitigate per home standards.

  • Play sets: Are they present on the property?

  • Properly mitigate play set.

  • ***Firewood: Are firewood piles stored at least 30 ft from all structures and have at least 10 ft of clearance between it and the closest conifer branches?

  • Move pile 30 ft away uphill or parallel to structures.

  • ***Propane Tanks: Are propane tanks properly mitigated?

  • Mitigate area around tank.

  • Other Items: Are there other combustible items located in D-Space (scrap lumber, junk, cars, boats RVs, etc.)

  • Remove materials/items.

Non-Vegetative D-Space Assessment

  • Non Veg D Space Pass?

  • Comments:

  • Add media

Insurance

Insurance

  • ***Coverage A: What is your Homeowners Insurance Coverage A policy limit?

  • ***Home size: What is the square footage of your home?

  • Local Costs: Have you verified the cost of rebuilding your home with a local source to assure that you are adequately covered?

  • Contact a local expert to get an estimate for rebuilding your home; costs range from $200 to $350 per square foot. Enter estimated cost per square foot.

  • Enter estimated cost per square foot.

  • Rebuilding Cost: Square feet x estimated cost per square foot =

  • Are you adequately insured (is then Coverage A policy limit greater than or equal to the estimated rebuilding cost)?

  • Homeowners acknowledge their current insurance policy may not cover the full cost of rebuilding their current home and take responsibility for updating their coverage as they deem appropriate.

  • Home Inventory: Have you conducted a home inventory and stored it in a safe place outside of your home?

  • Conduct an inventory and store it in a safe place.

Insurance Assessment

  • Insurance Pass?

  • Comments:

  • Add media

Evacuation

Evacuation

  • Evacuation: Have you evacuated your home (actual or practice) during a previous wildfire?

  • Conduct a practice evacuation with members of your household.

  • What did you learn?

  • Belongings: Have you prepared a written list of items to take with you and a disaster/evacuation kit?

  • Make a list and prepare a kit.

  • Notification: Have you signed up to receive free emergency alerts from the Office of Emergency Management?

  • Sign up at http://www.boulderoem.org/

  • Alternative Routes: Are you prepared to evacuate by an alternative route if your primary egress is impassable?

  • Identify alternate routes.

  • Communications: Have you planned how your family will stay in contact (or where you would meet) if separated during a wildfire?

  • Make a meeting plan.

  • Neighbors: Have you considered how you could help neighbors who have special needs such as the elderly or disabled?

  • Talk with your neighbors to see if you can help them.

  • Do you have a plan for evacuating your pets?

  • Form a plan for evacuating your pets.

Evacuation Assessment

  • Evacuation Pass?

  • Comments:

  • Add media

Community Involvement

Community Action

  • Neighbors: Have you talked to your neighbors about linking mitigation efforts?

  • Talk to your neighbors about linking efforts.

  • Community: Have you been involved in efforts to help protect your community?

  • Select all community efforts you have been involved with.

  • In the Wildfire Partners application, did you say you wanted to be a community leader?

  • What role would you like to play?

Community Assessment

  • Community Pass?

  • Comments:

  • Add media

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.