Title Page
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Address
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Location
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Conducted on
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Prepared by
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Land Owner / Occupier Details
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Phone Number - Landline
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Phone Number - Mobile
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Email Address
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Occupancy Status
Property Report
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Land Size (Hectares)
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Land Usage
- Live Stock Grazing
- Crop Cultivation
- Weekender
- Industrial
- Other
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Property Access
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Condition of Access Road / Track / Driveway
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Locks on Access
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Hazards Identified
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Vegetation Type
- Open Grass Land
- Lightly Timbered
- Medium Timbered
- Heavily Timbered
- Scrub / Re-Growth
- Cultivation
- Development
- Industry
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Number of Structures
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Types of Structures
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Other Assets
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Type of Mitigation Suggested
- Grazing Livestock
- Slashing
- Bare Earth Mineral Break
- Hazard Reduction Burns
- Selective Clearing
- No Action Required
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Current Fire Management
- Grazing Livestock
- Slashing
- Bare Earth Mineral Break
- Hazard Reduction Burns
- Selective Clearing
- No Action
- No Fire Management Plan
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Revisit Required
- Yes
- No
- N/A
- 6 Months
- 12 Months
Brigade Response and Planning
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Appliance Type
- Light Attack
- Medium Attack
- Heavy Attack
- Rural Tanker
- Fire & Rescue
- Bulk Water Carrier
- Heavy Machinery
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Defend-ability
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Staging Area
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Aerial Support and Staging
- Suitable - Aerial Staging
- Suitable - Aerial Support
- Not Suitable - Aerial Staging
- Not Suitable - Aerial Support
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Water Sources - On Property
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Water Sources - Off Property (Nearest)
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Machinery On Property - Type - Availability
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Property Map - Brigade Produced
- Produced
- Not Produced
- Attached
- Not Attached
