Ellington Fire Department Fire Preplan

• Occupancy Name

  Select

• Physical building address

• Main Phone Number

Key Holders

• Name

• Phone Number

• E-Mail

Building Construction

• Building Construction Type

  Select

• Stories above ground?

  Select

• Does this structure have a basement?

  Yes

  No

• Building Length (ft)

• Building Width (ft)

• Building Size (Sq.Ft)

• Are there stairs in the building?

  Yes

  No

• Location

• Is there an elevator in the building?

  Yes

  No

• Location

• Are there any fire walls in the building?

  Yes

  No

  N/A

• Location

Occupancy

• Occupancy Type

  Select

• Special Evacuation Needs

• Primary Hours of Operation

• Typical Daytime Occupancy

• Typical Nighttime Occupancy

• Are there exposures to be considered

  Yes

  No

• What are the exposures and their locations

Access

• Is there a Knox box?

  Yes

  No

  N/A

• Location

  Select

• Is there a main access point?

  Yes

  No

  N/A

• Location

  Select

• Any concerns gaining access

  Yes

  No

• Explain Concerns

• Are there additional access points?

  Yes

  No

  N/A

• Explain locations

• Is there exterior roof access?

  Yes

  No

  N/A

• Location

• Is there interior roof access?

  Yes

  No

  N/A

• Location

Utilities

• Is there electrical service present?

  Yes

  No

• Disconnect Location

• Natural Gas Present

  Yes

  No

• Valve Location

• Propane Present

  Yes

  No

• Tank Location

• Municipal Water Present

  Yes

  No

• Shut Off Location

• Is there a generator present?

  Yes

  No

• Generator location?

• Solar Power Present

  Yes

  No

• Disconnect Location

Fire Protection

• Fire Alarm System

  Yes

  No

  N/A

• Panel Location

• Sprinkler System

  Yes

  No

  N/A

• Main Control Location

• Fire Department Connection

  Yes

  No

  N/A

• Location

• Fire Pump

  Yes

  No

  N/A

• Location

• Fire Protection System

  Yes

  No

  N/A

• Type of Fire Protection System

  Select

• Type Description

• Special Extinguishing Agent

  Yes

  No

  N/A

• Type

• Amount

Water Supply

• Water Supply

  Select

• Closest Fill Site

• Backup Fill Site

• Hydrant Location

• Needed Fire Flow 25% Involved (gpm)

• (Length x Width) / 3 x number of floors = Fire Flow. Fire Flow x.25 gets 25% needed

• Needed Fire Flow 50% Involved (gpm)

• (Length x Width) / 3 x number of floors = Fire Flow. Fire Flow x.5 gets 25% needed

• Needed Fire Flow 75% Involved (gpm)

• (Length x Width) / 3 x number of floors = Fire Flow. Fire Flow x.75 gets 25% needed

• Needed Fire Flow 100% Involved (gpm)

• (Length x Width) / 3 x number of floors = Fire Flow

Hazardous Materials Present

• Hazardous Materials Present

  Yes

  No

• Chemical Name / UN

• Water Reactive

  Yes

  No

• Amount

• Location

MABAS

• MABAS Card

  Select

• Will equipment staging be needed?

  Yes

  No

  N/A

• Staging locations

• Special Call

  Yes

  No

• Resource

NOTES

• Additional Notes