Information

  • Document No.

  • Date Conducted

  • Pre Fire Plan Completed By

Business Information

  • Business Name

  • Address (Correct Spelling, NO ABBREVIATIONS)

  • Primary Contact Name and Number (Ex. John Doe 251-555-1212)

  • Secondary Contact Name and Number (Ex. John Doe 251-555-1212)

Water Supply

  • Primary Hydrant Location
  • Secondary Hydrant Location

Sector Photos

  • A Sector (Addressed Side of Building)

  • B-Sector (Clockwise, Left)

  • C-Sector (Rear)

  • D-Sector

Life Safety Information

  • Time Normally Occupied

  • Average Occupancy Load (Increments of 5)

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

Building Specifics

  • Building Height (Feet)

  • Number of Floors

  • Basement Present?

  • Length (Feet)

  • Width (Feet)

  • Fire Load

Building Suppression / Alarm Information

  • Fire Sprinklers

  • FDC Location

  • FDC Type

  • Fire Alarm System

  • Fire Alarm Panel Location

  • Monitoring Company

Access

  • Knox Box

  • Knox Box Location

  • Gate Access Code (If No Knox)

Utilities

  • Main Electrical Shut Off Location

  • Gas/LPG

  • Gas/LPG Shut Off Location

  • Primary Water Shut Off for Building

Strategy and Tactical Considerations

  • Roof Type

  • Roof Type Material

  • Roof Construction

  • Ventilation Problems

HAZ-MAT

  • Hazardous Materials On Site

  • Generalization of Hazardous Materials and Location

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.