The Fire Department Pre Plan form is a crucial document that helps emergency responders prepare for incidents at specific facilities. By gathering essential information such as contact details, occupancy types, and water supply resources, this form ensures that firefighters can respond effectively and safely. To contribute to the safety of your facility, please fill out the form by clicking the button below.
The Fire Department Pre Plan form serves as a vital tool for emergency responders, providing essential information about a facility before an incident occurs. This comprehensive document includes details such as the facility's name, location, and contact information for key personnel, ensuring that first responders can reach the right individuals quickly. It contains diagrams and maps that illustrate important structural features and access points, which are crucial during emergencies. Additionally, the form outlines occupancy details, including the number of residents and any special needs individuals, helping responders prepare for evacuation and care during a crisis. Information about the building's construction, fire access routes, and water supply sources is also included, allowing for effective planning and response strategies. Furthermore, the form addresses protection measures in place, such as sprinklers and emergency shutoffs, and identifies hazardous materials that may be present on-site. By gathering all this information, the Fire Department Pre Plan form enhances safety and efficiency in emergency situations, ultimately protecting lives and property.
______________________________ Fire Department
_____________________________________________
__________________, IN ______________
Facility Name:______________________________________ Facility Number: _________
Diagrams, Maps: _______________________________________________________________
******************************* Contact Information *******************************
Address: ______________________________ City: _____________ State: ___ Zip: ________
Manager:
_______________________
Business Phone:
(___) ____-_______
Emergency Phone (1): (___) ____-_______
Emergency Phone (2): (___) ____-_______
2nd Contact:
3rd Contact:
Alarm Company: ___________________________ Phone: (____) ____-______
Notes: _______________________________________________________________________
_____________________________________________________________________________
******************************* Occupancy ***************************************
Business: ___
Industry: ___
Notes: __________________________________________
Single Family: ___
Multi Family: ___
# Apartments: ___
Number of Persons:
Adults:_____
Children: _____
Elderly: _____
Special Needs Persons: _____
Special Needs Locations:
______________________________________________________
Employee/Resident Assembly Location:
__________________________________________
Evacuation Location (1):
Evacuation Location (2):
Transportation Needs:
________________________________________________________________________
Notes: ________________________________________________________________________
******************************* Structure Information *****************************
Construction Class:
____________
Roof Type:
__________________
Number of Stories:
Roof Covering:
Length, Width, Height:
Building Classification: _________________
Structure Notes: ________________________________________________________________
______________________________________________________________________________
http://www.henrycoema.org/forms/FDPreplanTemplate.pdf
Page 1 of 6
******************************* Fire Access Information ***************************
Main Access:
____________________________________________________________
Secondary Access:
Roof Access:
Attic Access:
Basement:
Lowest Access:
Lock Box:
Alarm Panel:
Annunciator Panel:
******************************* Response Information ******************************
Primary Staging:
Secondary Staging:
******************************* Water Supply Information**************************
Hydrant-1 ______________________________________________________________
Volume (GPM)
________
Main Size:
_____
Status: ______________
Hydrant-2 ______________________________________________________________
Hydrant-3 ______________________________________________________________
Volume (GPM) ________ Main Size: _____ Status: ______________
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Alt Supply-1: ______________________________________________________________
Alt Supply-2 ______________________________________________________________
******************************* Protection Information *****************************
Yes/No
Special Notes
Sprinklers:
_______________________________________________
Spare Heads:
FD Connection:
Stand Pipe:
Gas Shutoff:
Electrical Shutoff:
Water Shutoff:
Page 3 of 6
******************************* HAZMAT ****************************************
Chemical Name:
___________________________________________________________
Location:
Quantity:
_____________ Gallons/Pounds
Flammable:
____
Toxic: ____
Corrosive: ____
Oxidizer: ____
UN #: _____
Guide # _____
NFPA 704:
Fire __ Health __ Reactivity __ Special _________
Copy this sheet and attach as many as necessary
Page 4 of 6
Basic Site Plan
Page 5 of 6
Basic Floor Plan,
____ Floor
Make as many copies as necessary
Page 6 of 6
Filling out the Fire Department Pre Plan form is an important step in ensuring safety and preparedness in case of emergencies. This form collects essential information about a facility, including contact details, occupancy, structure information, and water supply. Completing it thoroughly helps first responders effectively plan for emergencies.
What is the purpose of the Fire Department Pre Plan form?
The Fire Department Pre Plan form is designed to provide essential information about a facility to local fire departments. This information helps first responders understand the layout, hazards, and emergency protocols of a building before an incident occurs. By having this information readily available, firefighters can respond more effectively and safely during emergencies.
Who should fill out the Fire Department Pre Plan form?
The form should be completed by the facility manager or a designated representative who is familiar with the building and its operations. This person should have knowledge of the facility's layout, emergency contacts, and any hazardous materials present. It is crucial that the information is accurate and up-to-date to ensure the safety of both the occupants and the first responders.
What types of information are required on the form?
The form requires various details, including the facility name, contact information, occupancy type, structure information, fire access points, water supply details, and any hazardous materials present. Additionally, it asks for information about emergency contacts and evacuation procedures. All of this information is vital for effective emergency planning and response.
How often should the Fire Department Pre Plan form be updated?
The form should be reviewed and updated at least annually or whenever there are significant changes to the facility. Changes may include renovations, alterations in occupancy, or updates in hazardous materials. Regular updates ensure that the fire department has the most current information, which is critical during an emergency response.
What happens to the completed Fire Department Pre Plan form?
Once completed, the form should be submitted to the local fire department. They will keep it on file for reference during emergencies. It is also advisable for the facility to maintain a copy of the form on-site, easily accessible to staff and emergency responders. This practice can enhance safety and preparedness in case of an emergency.
Is there a specific format for submitting the Fire Department Pre Plan form?
The form is typically available in a printable format, allowing for handwritten entries. Some fire departments may also accept electronic submissions. It is important to check with your local fire department for their preferred submission method. Regardless of the format, ensure that all sections are filled out completely to provide comprehensive information.
Filling out the Fire Department Pre Plan form is crucial for ensuring safety and effective emergency response. However, many individuals make common mistakes that can hinder the process. One frequent error is leaving out essential contact information. This includes not only the primary contact but also secondary contacts. Missing phone numbers can lead to delays during emergencies, making it vital to double-check that all contact fields are filled accurately.
Another mistake often made is neglecting to provide detailed occupancy information. The form asks for the number of adults, children, and individuals with special needs. Omitting this data can lead to confusion during an emergency, as first responders may not have a clear understanding of how many people are present in the facility. This information is crucial for effective evacuation and rescue operations.
Many people also overlook the importance of accurately describing the structure and its features. For instance, failing to indicate the number of stories or the type of roof can complicate firefighting efforts. Firefighters rely on this information to plan their approach and ensure they have the right equipment on hand. Always take the time to fill out these sections thoroughly.
In addition, some individuals forget to include detailed water supply information. The form requests specifics about hydrants and alternative water supplies, including their status and volume. If this information is missing, it can slow down firefighting efforts, as responders may need to search for water sources during a critical time.
Another common pitfall is not updating the form regularly. Facilities often change over time, whether through renovations or changes in occupancy. If the form is not kept current, it can lead to outdated information being used in an emergency, which can have serious consequences.
Lastly, people sometimes fail to provide notes or additional details that could be helpful for first responders. This might include information about hazardous materials on-site or specific evacuation routes. These notes can be lifesaving, so it’s essential to utilize the space provided for any additional context that could assist emergency personnel.
The Fire Department Pre Plan form serves as a crucial document for ensuring safety and preparedness in various facilities. Alongside this form, several other documents are often utilized to provide comprehensive information about a location. Each of these documents plays a specific role in enhancing the effectiveness of fire response and safety protocols.
Utilizing these documents in conjunction with the Fire Department Pre Plan form creates a comprehensive safety framework. Together, they enhance preparedness and response capabilities, ultimately contributing to the safety of occupants and first responders alike.
The Fire Department Pre Plan form serves a critical role in ensuring safety and preparedness. It shares similarities with several other important documents. Here are four documents that are similar and how they relate:
When filling out the Fire Department Pre Plan form, it is important to be thorough and accurate. Here are some guidelines to follow:
Misconceptions about the Fire Department Pre Plan form can lead to misunderstandings regarding its purpose and importance. Here are eight common misconceptions, along with clarifications to help foster a better understanding.
Understanding these misconceptions can help foster a culture of safety and preparedness in the community. By recognizing the value of the Fire Department Pre Plan form, individuals and organizations can take proactive steps to protect themselves and others in the event of an emergency.
Filling out the Fire Department Pre Plan form is essential for ensuring safety and preparedness in case of emergencies. Here are key takeaways to consider:
Completing this form thoroughly enhances the safety of both the facility and the community. Regular updates and reviews of the information are also recommended to maintain its accuracy.