Fortress Firewise Risk Assessment

• Conducted on

  Date

• Prepared by

• Location
  Address

Street Address

• Number easily seen?

  Yes

  No

  N/A

• Reflective?

  Yes

  No

  N/A

• 4” numbers?

  Yes

  No

  N/A

Roof

• What kind of roof?

  Metal

  Tile

  Asphalt/Fiberglass

  Wood Shake

  Other/Unknown

• Is the roof clean?

  Yes

  No

  N/A

• Condition of roof?

  Good

  Fair

  Poor

  N/A

Siding

• What type of siding?

  Select Stucco Masonry Plaster Cement Combustible (Wood) Vinyl Unknown

  • Stucco
  • Masonry
  • Plaster
  • Cement
  • Combustible (Wood)
  • Vinyl
  • Unknown

• Is there skirting around foundation or deck?

  Yes

  No

  N/A

• Is anything attached to the house?

  Yes

  No

  N/A

• Are attachments combustible?

  Yes

  No

  N/A

• Is there skirting around foundation or decks?

  Yes

  No

  N/A

Windows

• Multi pane?

  Yes

  No

  N/A

• Is there any vegetation near foundation or w/in 5 feet?

  Yes

  No

  N/A

• In ground?

  Yes

  No

  N/A

• Is there dead vegetation, dried leaves, pine needles, and ground debris near foundation?

  Yes

  No

  N/A

• Has hardscaping been used around perimeters for keep them free of litter/debris?

  Yes

  No

  N/A

• Are there concrete, stone, or gravel walkways?

  Yes

  No

  N/A

• Are there wood mulch products?

  Yes

  No

  N/A

• Are there trees/shrubs next to the home?

  Yes

  No

  N/A

• Are there branches overhanging the roof or w/in 10 feet of chimneys?

  Yes

  No

  N/A

• Are there fuel breaks; driveways, walkways, paths, patios, decks?

  Yes

  No

  N/A

• Are lawns and native grasses maintained (under 4”)?

  Yes

  No

  N/A

• Is vegetation in this area spread out in small clusters to break up continuity?

  Yes

  No

  N/A

• Have trees been pruned 6-10 feet?

  Yes

  No

  N/A

• Are there heavy accumulations of ground litter/debris?

  Yes

  No

  N/A

• Is there dead plant and tree material that should be removed?

  Yes

  No

  N/A

• Are storage sheds & other buildings clear of vegetation?

  Yes

  No

  N/A

• Do mature trees have small conifers and brush growing between them?

  Yes

  No

  N/A

• Do trees 30-60 feet from the home have at least 12 feet between canopy tops?

  Yes

  No

  N/A

• Is there at least 6 feet between canopy tops of trees 60-100 feet from the home?

  Yes

  No

  N/A

• Any additional concerns?

  Yes

  No

  N/A

• What are the additional concerns?