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The Fire Department Pre Plan form serves as an essential tool for fire departments to prepare for emergencies at various facilities. This document captures critical information that aids in effective response to incidents. Key components include facility details such as name, number, and diagrams or maps that enhance situational awareness. Contact information for primary and secondary contacts, including business and emergency phone numbers, is gathered to ensure quick communication. The form also outlines occupancy specifics, including the type of facility, number of residents, and special needs individuals, which allows responders to tailor their approach during an emergency. Additionally, structural information, such as construction class, roof type, and access points, ensures that fire personnel are aware of potential hazards. Further sections address water supply details, protection systems like sprinklers, and hazardous materials present on-site—all of which are critical for assessing risks. By compiling this information into one systematic form, the Fire Department Pre Plan facilitates thorough planning and coordination to enhance safety for both first responders and the community.

Fire Department Pre Plan Example

______________________________ 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:

_______________________

Business Phone:

(___) ____-_______

Emergency Phone (1): (___) ____-_______

Emergency Phone (2): (___) ____-_______

3rd Contact:

_______________________

Business Phone:

(___) ____-_______

Emergency Phone (1): (___) ____-_______

Emergency Phone (2): (___) ____-_______

Alarm Company: ___________________________ Phone: (____) ____-______

Notes: _______________________________________________________________________

_____________________________________________________________________________

******************************* Occupancy ***************************************

Business: ___

Industry: ___

Notes: __________________________________________

Single Family: ___

Multi Family: ___

# Apartments: ___

Number of Persons:

 

 

 

 

 

Adults:_____

 

Children: _____

Elderly: _____

Special Needs Persons: _____

Notes: __________________________________________

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: ________________________________________________________________

______________________________________________________________________________

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******************************* Fire Access Information ***************************

Main Access:

____________________________________________________________

Secondary Access:

____________________________________________________________

Roof Access:

____________________________________________________________

Attic Access:

____________________________________________________________

Basement:

____________________________________________________________

Lowest Access:

____________________________________________________________

Lock Box:

____________________________________________________________

Alarm Panel:

____________________________________________________________

Annunciator Panel:

____________________________________________________________

Notes: _______________________________________________________________________

_____________________________________________________________________________

******************************* Response Information ******************************

Primary Staging:

____________________________________________________________

Secondary Staging:

____________________________________________________________

******************************* Water Supply Information**************************

Hydrant-1 ______________________________________________________________

Volume (GPM)

________

Main Size:

_____

Status: ______________

Notes: _______________________________________________________________________

_____________________________________________________________________________

Hydrant-2 ______________________________________________________________

Volume (GPM)

________

Main Size:

_____

Status: ______________

Notes: _______________________________________________________________________

_____________________________________________________________________________

Hydrant-3 ______________________________________________________________

Volume (GPM) ________ Main Size: _____ Status: ______________

Notes: _______________________________________________________________________

_____________________________________________________________________________

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Alt Supply-1: ______________________________________________________________

Volume (GPM) ________ Main Size: _____ Status: ______________

Notes: _______________________________________________________________________

_____________________________________________________________________________

Alt Supply-2 ______________________________________________________________

Volume (GPM) ________ Main Size: _____ Status: ______________

Notes: _______________________________________________________________________

_____________________________________________________________________________

******************************* Protection Information *****************************

 

Yes/No

Special Notes

Sprinklers:

_____

_______________________________________________

Spare Heads:

_____

_______________________________________________

FD Connection:

_____

_______________________________________________

Stand Pipe:

_____

_______________________________________________

Gas Shutoff:

_____

_______________________________________________

Electrical Shutoff:

_____

_______________________________________________

Water Shutoff:

_____

_______________________________________________

Notes: _______________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

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******************************* HAZMAT ****************************************

Chemical Name:

___________________________________________________________

Location:

 

___________________________________________________________

Quantity:

_____________ Gallons/Pounds

 

Flammable:

____

Toxic: ____

Corrosive: ____

Oxidizer: ____

UN #: _____

Guide # _____

 

 

NFPA 704:

Fire __ Health __ Reactivity __ Special _________

Chemical Name:

___________________________________________________________

Location:

 

___________________________________________________________

Quantity:

_____________ Gallons/Pounds

 

Flammable:

____

Toxic: ____

Corrosive: ____

Oxidizer: ____

UN #: _____

Guide # _____

 

 

NFPA 704:

Fire __ Health __ Reactivity __ Special _________

Chemical Name:

___________________________________________________________

Location:

 

___________________________________________________________

Quantity:

_____________ Gallons/Pounds

 

Flammable:

____

Toxic: ____

Corrosive: ____

Oxidizer: ____

UN #: _____

Guide # _____

 

 

NFPA 704:

Fire __ Health __ Reactivity __ Special _________

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

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Basic Site Plan

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Basic Floor Plan,

____ Floor

 

 

 

 

Make as many copies as necessary

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Form Characteristics

Fact Name Description
Purpose The Fire Department Pre Plan form is designed to provide critical information about a facility to assist in emergency response planning and mitigate risks.
Contact Information Contact details, including multiple emergency phone numbers, ensure that fire personnel can reach key individuals during emergencies.
Occupancy Details This form collects occupancy information, such as the number of adults and children, to help responders understand the facility's population in emergencies.
Structure Information Essential structural details, such as building classification and height, aid firefighters in developing a tactical response plan based on the building's characteristics.
Water Supply Information Details about available water supplies, including hydrant locations and their capacities, are vital for firefighting efforts.

Guidelines on Utilizing Fire Department Pre Plan

Filling out the Fire Department Pre Plan form is an important step in ensuring the safety and preparedness of a facility in case of emergencies. Gathering detailed information about the site will facilitate effective communication with emergency services and enhance their response capabilities. Below, you will find a step-by-step guide to assist you in successfully completing this form.

  1. Basic Information: Enter the fire department's name and the facility's name along with its number at the top of the form.
  2. Diagrams and Maps: Include any relevant diagrams or maps that illustrate the layout of the facility.
  3. Contact Information: Fill in the address, city, state, and zip code of the facility. Provide the names and contact numbers for the manager, a second contact, and a third contact, including both business and emergency phone numbers.
  4. Alarm Company: Write the name and contact number of the alarm company responsible for the facility.
  5. Occupancy Information: Indicate whether the facility is a business, industry, single family home, or multi-family home, noting the number of apartments if applicable. Also, provide the number of adults, children, elderly, and special needs individuals typically present in the facility.
  6. Special Needs: Specify any individuals with special needs and list the locations within the facility that accommodate them. Include details about employee or resident assembly locations and evacuation points.
  7. Transportation Needs: List any transportation needs that may arise during an emergency situation.
  8. Structure Information: Document the construction class, roof type, number of stories, roof covering, dimensions of the building, and any additional structure notes.
  9. Fire Access Information: Provide details about main and secondary access points, roof, attic, basement access, lowest access, lock box location, alarm panel, and annunciator panel.
  10. Response Information: Input information regarding primary and secondary staging areas for emergency response.
  11. Water Supply Information: For each hydrant listed, record its volume, main size, status, and relevant notes. This includes alternative water supply sources.
  12. Protection Information: Mark 'Yes' or 'No' for various safety features like sprinklers, spare heads, fire department connections, stand pipes, and shutoff valves for gas, electrical, and water. Include any necessary notes.
  13. HAZMAT Information: If applicable, provide details regarding any hazardous materials present. Include chemical names, locations, quantities, and relevant hazard classifications.

Once you have filled out all sections of the form, review the information for accuracy. It may be helpful to consult with your team or local fire department to ensure that all essential details have been captured. Proper completion of this form is crucial for the safety of all individuals in the facility.

What You Should Know About This Form

What is the purpose of the Fire Department Pre Plan form?

The Fire Department Pre Plan form serves multiple purposes. Primarily, it is designed to provide firefighters and emergency responders with essential information about a specific facility. This includes layout diagrams, contact information, evacuation plans, and emergency contacts. A well-prepared pre plan contributes to both the safety of first responders and the individuals within the facility during emergencies.

What information is required to complete the form?

To complete the Fire Department Pre Plan form, several key pieces of information are necessary. Facility name and number, diagrams or maps, complete contact information for primary and secondary contacts, and a detailed overview of the structure are needed. This overview should include elements such as construction class, roof type, number of stories, and access points. Furthermore, details regarding occupancy type, potential hazards, water supply, and protection systems must be included to ensure comprehensive preparedness.

How often should the Pre Plan form be updated?

Updating the Pre Plan form regularly is crucial. Changes in facility layout, occupancy, or emergency contact information should prompt an immediate review and update of the form. It is recommended that an annual review takes place to ensure that all information is accurate and reflects any alterations that may have occurred throughout the year. Regular updates ensure responders have access to the most current and relevant information during an emergency.

Who should be responsible for completing and maintaining the form?

The responsibility for completing and maintaining the Fire Department Pre Plan form generally falls to the facility manager or a designated safety officer. This individual should have a comprehensive understanding of both the facility's layout and its operational processes. Training may also be required for staff involved in emergency planning, ensuring that they can accurately fill out the form and keep it updated.

What should be done with the completed Pre Plan form?

After completion, the Pre Plan form should be submitted to the local fire department. Keeping a physical or digital copy within the facility is also advisable. This allows staff to access the information during training drills and emergency situations. Furthermore, sharing the form with local emergency response teams can enhance preparedness and facilitate effective communication during an incident.

How does the Pre Plan form enhance safety for the building's occupants?

The Pre Plan form enhances safety by providing critical information that can reduce response times and improve coordination during emergencies. By outlining evacuation routes, identifying individuals with special needs, and detailing the building's hazards, it allows first responders to act swiftly and effectively. This proactive approach ultimately safeguards the lives of both responders and occupants, should a crisis arise.

Common mistakes

Completing the Fire Department Pre Plan form is essential for ensuring safety during emergencies. However, many individuals and businesses make mistakes that can lead to complications in fire response efforts. Understanding these common pitfalls can significantly improve the quality of the submitted forms and, ultimately, the safety of the facility.

One frequent mistake involves providing incomplete contact information. People often omit essential details, such as emergency phone numbers or important contacts. This lack of information can hinder emergency responders from reaching the right people during a crisis. It is crucial to ensure all contact fields are filled out completely and accurately to facilitate fast communication.

Another common error is failing to note special needs populations within the facility. Whether accommodating the elderly, children, or individuals with disabilities, omitting this information can complicate evacuation efforts. Inaccurate numbers can lead to inadequate planning for safe exits and appropriate assistance, undermining the responsiveness of emergency services.

Some individuals neglect to update their pre-plan forms regularly. Facilities may undergo renovations, change management, or alter their operational status over time. Failing to keep the document current can result in outdated information being used during emergencies. This lack of attention to detail can have serious consequences when quick, informed action is necessary.

Misinterpreting or poorly filling out the structure information section is also a common error. This part of the form includes vital details about the building's construction type, number of stories, and access points. Missing or incorrect information can mislead firefighters and hamper their efforts to effectively respond to a fire.

Inadequate representation of water supply details is another area where mistakes frequently occur. People sometimes forget to provide information about hydrant locations, their status, or water volume available. This oversight can critically impact fire suppression efforts, as responders need to know where to access sufficient water to combat a blaze.

Additionally, inaccuracies in the Protection Information section can lead to dangerous situations. If details about sprinklers, shutoff valves, or standpipe systems are misrepresented or omitted, emergency services may not be aware of vital tools available for managing a fire. This lack of clarity can delay effective action, potentially resulting in greater damage or risk to lives.

Lastly, overlooking hazardous materials can pose significant threats. Individuals must ensure that any chemicals present on the premises are accurately documented, along with their specific locations and safety classifications. Failure to disclose this information can jeopardize responders' safety and complicate emergency procedures, highlighting the importance of thoroughness in this section.

By recognizing these common mistakes, individuals and businesses can create more effective documents that ensure proper preparedness for fire emergencies. Attention to detail when filling out the Fire Department Pre Plan form not only aids first responders but also reinforces community safety as a whole.

Documents used along the form

The Fire Department Pre Plan form serves as a vital document for emergency preparedness and response. It is essential to complement this form with various other documents that further enhance a fire department's operational readiness. Below is a list of commonly used documents alongside the Fire Department Pre Plan form.

  • Site Assessment Report: This document provides an overview of the physical characteristics of a facility, including potential hazards and safety measures in place. It is useful for identifying risks before an event occurs.
  • Emergency Contact List: This list includes essential contacts such as facility managers, emergency services, and key personnel. Having this information accessible can significantly expedite emergency communication efforts.
  • Building Evacuation Plan: A detailed map or description showing evacuation routes, exits, and assembly points helps ensure the safe evacuation of occupants in case of a fire or other emergency.
  • Hazardous Materials Inventory: This inventory lists all hazardous materials present on-site, including their quantities and safety data sheets. It assists firefighters in knowing what substances they might encounter during an emergency.
  • Emergency Response Plan: This comprehensive document outlines the procedures to follow during various types of emergencies. It encompasses roles, responsibilities, and action steps for both personnel and emergency responders.
  • Maintenance Log: A record of inspections, maintenance activities, and repairs conducted on fire safety equipment ensures compliance and readiness. This log helps verify that safety measures are operational.
  • Training Records: Documenting the training provided to employees on fire safety, evacuation, and emergency response ensures preparedness. These records can help assess the skill level of personnel in the event of an incident.
  • Incident Report Forms: These forms document previous incidents or emergencies that have occurred at the facility. Analyzing this information can guide improvements in safety measures and response planning.

These documents work together to fortify a facility's readiness for a fire emergency. By maintaining updated versions and ensuring accessibility, a fire department can enhance safety for both occupants and first responders.

Similar forms

  • Emergency Response Plan: Similar to the Fire Department Pre Plan form, an Emergency Response Plan outlines the procedures to follow during various emergencies. It includes contact information for key personnel as well as evacuation routes and specific hazards associated with the facility.
  • Site Safety Plan: A Site Safety Plan details safety protocols and hazards for a specific location. Like the Fire Department Pre Plan, it emphasizes risk assessment and incorporates emergency contacts, ensuring everyone knows who to reach out to during a crisis.
  • Hazardous Materials Inventory: This document lists all hazardous substances present at a facility, just like the HAZMAT section of the Fire Department Pre Plan. It includes details such as location, quantity, and handling procedures, making it crucial for first responders in an emergency.
  • Building Evacuation Plan: A Building Evacuation Plan provides a clear outline of evacuation routes and assembly points. Similar to the Fire Department Pre Plan, it considers the special needs of building occupants and ensures preparedness for multiple scenarios.
  • Facility Security Plan: This document focuses on the security measures in place to protect the premises. It shares similarities with the Fire Department Pre Plan by documenting access points and emergency contact information, facilitating effective response during security breaches or emergencies.

Dos and Don'ts

When filling out the Fire Department Pre Plan form, it's important to follow certain guidelines to ensure accuracy and clarity. Below are some actions to take and others to avoid:

  • Do provide complete and accurate contact information for all responsible individuals.
  • Do include detailed diagrams or maps of the facility to assist emergency responders.
  • Do specify the number of occupants, including those with special needs, clearly outlining their locations.
  • Do keep information on water supply, hydrants, and alternative supplies precise and comprehensive.
  • Do update the plan regularly to reflect changes in the facility or its occupancy.
  • Do highlight any hazardous materials present, including their quantities and potential risks.
  • Don’t leave sections incomplete or vague; unclear information can hinder emergency response.
  • Don’t fail to list all access points to the building; these are critical for fire department access.
  • Don’t neglect to mention security measures that may impede access during emergencies.
  • Don’t forget to inform the fire department about any changes in the building layout or occupancy.
  • Don’t overlook the need for clear communication regarding special needs individuals during an evacuation.
  • Don’t submit outdated information, as accuracy is vital for effective emergency planning.

Misconceptions

  • Misconception 1: The Pre Plan form is only for large facilities.
  • This isn't true. The form is useful for any building, regardless of its size. Even small businesses benefit from having a clear outline of their emergency procedures and important contact information.

  • Misconception 2: Completing the form is a one-time task.
  • Many people think that once the Pre Plan is filled out, it's done forever. Instead, it should be updated regularly. Changes in personnel, layout, or hazard materials must be recorded to ensure the information is current and accurate.

  • Misconception 3: The Pre Plan form only focuses on fire-related information.
  • While fire safety is a primary concern, the form also addresses evacuation routes, special needs of occupants, and hazardous materials. This comprehensive approach helps protect everyone in the facility.

  • Misconception 4: Only the owner or manager needs to fill out the form.
  • This is a common misunderstanding. Input from multiple staff members, especially those familiar with the facility's layout and operations, creates a more complete plan that can be crucial during an emergency.

  • Misconception 5: The form is only useful for the fire department.
  • The Pre Plan form serves as an essential resource for facility staff, emergency responders, and anyone involved in crisis management. Having this information ready can save time and lives during an emergency situation.

Key takeaways

When filling out the Fire Department Pre Plan form, consider the following key takeaways:

  • Completeness is essential. Ensure all sections are filled out to provide a comprehensive overview for emergency responders.
  • Contact information must be accurate. Having reliable contacts helps in quick communication during emergencies.
  • The occupancy section is crucial. Clearly identify the type of facility and the number of people it houses.
  • Make sure to include special needs information. This helps responders understand how to assist vulnerable individuals in case of an emergency.
  • Diagrams and maps should accompany the form if possible. Visual aids enhance clarity and response efficiency.
  • In the structure information section, provide details like roof type and construction class. This information aids in understanding the building's characteristics.
  • The access information section is vital. Clearly outline main and secondary access points to ensure quick entry.
  • Water supply data is critical. Note the location and status of hydrants and alternate water supplies.
  • Identify any hazardous materials present. Complete chemical details, as this information is crucial for firefighters' safety.
  • Review the form regularly. Updates ensure the information remains current and useful.

Filling out this form with care and attention can significantly improve safety during fire emergencies. Accurate information helps first responders act effectively.