The Fire Department Pre Plan form serves as an essential tool designed to streamline the collection of critical information about facilities for the fire department's use in case of an emergency. It encompasses a wide range of data, including contact details, occupancy specifics, structural information, access points, water supply, protective measures, and hazardous material details, all aimed at preparing emergency response teams for effective intervention. To ensure the safety and preparedness of your facility, take a moment to fill out the Fire Department Pre Plan form by clicking the button below.
When it comes to preparing for emergencies, clarity and preparedness are non-negotiable—especially for fire departments. The Fire Department Pre Plan Form serves as an essential tool in this preparation, encapsulating vital information about facilities within the community it serves. By detailing aspects from general facility details, including name and location, to more specific safety elements like contact information, occupancy details, and structural information, this form lays the groundwork for an effective and swift response in the face of fire emergencies. Furthermore, it delves into fire access points, response staging areas, water supply specifics, and, critically, hazardous materials information, if applicable. Such comprehensive data collection aids fire departments in devising tactical response strategies, ensuring that both firefighters and civilians are afforded the highest degree of protection. The inclusion of diagrams and maps enhances the form’s utility, making it a key resource in emergency preparedness efforts. This document not only streamlines the coordination during an emergency but also underscores the importance of proactive planning in safeguarding communities against the unpredictable nature of fires.
______________________________ 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:
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******************************* 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 a step to ensure safety and preparedness within your facility. This form helps in documenting essential information that can be crucial during any emergency. The detailed information provided will assist the fire department in understanding the layout, contact points, specific hazards, and protocols related to your facility. Completing the form accurately is vital. Here is a guide to help you through the process, ensuring that all necessary information is clearly and correctly documented:
By following these steps, you can complete the Fire Department Pre Plan form comprehensively. This document, once finished, should be kept accessible for emergency services and updated regularly to reflect any changes to the facility or its operations. Remember, the information you provide can significantly impact the effectiveness of emergency response efforts.
A Fire Department Pre Plan form is a document that provides critical information about a facility or location to the fire department before an emergency occurs. It includes details about the property's layout, contact information, occupancy, structure, access points, water supply, protection systems, and any hazardous materials. This form helps firefighters prepare and respond effectively during emergencies.
Completing a Fire Department Pre Plan form is crucial for several reasons:
The Fire Department Pre Plan form requires several pieces of information, including but not limited to:
Property managers or owners are typically responsible for filling out the Fire Department Pre Plan form. It’s best completed with the help of building engineers, safety officers, or anyone familiar with the property’s layout and safety features. For facilities that handle hazardous materials, a safety or hazardous materials manager might also need to contribute.
The form should be updated:
The fire department uses the information on the form to:
If a facility doesn't have a completed form, it can impair the fire department's ability to effectively respond to an emergency. Without pre-planned information, response times may be slower, and firefighters might face greater risks due to unknown hazards. Facilities without a form might also face legal or insurance implications, depending on local regulations.
While paper forms are still used, digital versions are increasingly common and encouraged for several reasons:
Help with completing the form can typically be found through:
The format of the Fire Department Pre Plan form can vary by jurisdiction. However, many follow a similar structure covering contact details, occupancy information, access points, water supply, fire protection systems, and hazardous materials. It's important to use the form provided by the local fire department to ensure all required information is included and formatted correctly.
Filling out the Fire Department Pre Plan form can sometimes be a complex process, where even minor mistakes can lead to significant misunderstandings or delays in emergency response times. Here are five common mistakes that should be avoided to ensure the form is filled out clearly and effectively:
Sidestepping these mistakes can vastly improve the utility of the Fire Department Pre Plan form. Doing so ensures a swift and effective emergency response, potentially saving lives and property.
When preparing for emergencies, various documents and forms supplement the Fire Department Pre-Plan form to ensure comprehensive planning and response capabilities. These documents help in elaborating on specific details, providing visual aids, and ensuring a more coordinated response during emergencies. Understanding how these documents integrate with the Fire Department Pre-Plan form can facilitate better preparation and quicker emergency response.
Together, these documents create a more complete picture of the facility's preparedness for emergencies, highlighting both the actions needed by occupants and the information necessary for emergency responders. By supplementing the Fire Department Pre-Plan form with these additional resources, facilities can enhance safety and streamline the emergency response process.
Emergency Action Plans (EAPs): Similar to the Fire Department Pre Plan, an EAP outlines the steps employees and managers should take in case of an emergency. Both documents focus on ensuring the safety of individuals by providing detailed evacuation procedures, emergency contact information, and assembly locations.
Facility Security Plans: These plans share similarities with the Fire Department Pre Plan by detailing specific measures for access control (e.g., main access, secondary access, lock box locations) and identifying critical infrastructure elements like alarm panels. Both aim to safeguard a facility's personnel and assets.
Building Evacuation Diagrams: Like the Fire Department Pre Plan, building evacuation diagrams provide layouts of exits, fire extinguisher locations, and assembly points. However, the Pre Plan goes further by including emergency contact information and specific details about the building's construction and water supply.
Business Continuity Plans: Business continuity plans ensure that critical business functions can continue during and after a disaster. These plans share goals with the Fire Department Pre Plan by including contact information and details on assembly locations to minimize downtime and protect employees.
Hazardous Material (HAZMAT) Response Plans: These plans are closely aligned with the HAZMAT section of the Fire Department Pre Plan. Both documents require the listing of chemical names, locations, quantities, and hazards to prepare and respond effectively to chemical-related emergencies.
Occupant Emergency Plans (OEPs): OEPs are designed to protect building occupants during emergencies. Similar to the Fire Department Pre Plan, they include evacuation procedures, emergency contact numbers, and details about the structure to help occupants exit safely and quickly during an incident.
When completing the Fire Department Pre Plan form, it is important to ensure accuracy and thoroughness to effectively communicate essential details about a facility to first responders. Below are guidelines on what actions to take and avoid during this critical process.
Do:
Don't:
By following these guidelines, facilities can ensure that their Fire Department Pre Plan forms are comprehensive, clear, and easily understood by first responders, ultimately contributing to the safety and security of both the occupants and the emergency teams.
Many people hold misconceptions about the Fire Department Pre Plan Form. This document is crucial for emergency preparedness, but misunderstandings can compromise its effectiveness. Let's address some common mistaken beliefs:
Understanding the Fire Department Pre Plan Form's purpose and requirements can greatly enhance emergency preparedness, making it an indispensable tool for safety.
Filling out and using the Fire Department Pre Plan form is essential for ensuring the safety and preparedness of both first responders and those within a facility. Here are some key takeaways to consider:
By carefully preparing this form, facilities can significantly enhance the effectiveness of fire department response efforts in emergencies, potentially saving lives and minimizing property damage.
Dd Form 2870 Release of Information - By specifying the duration for which the consent is valid, the DD 2870 allows individuals to control the timeframe for sharing their health information.
Dos 1246 - Applicants must disclose any license or permit revocations, suspensions, or denials on the DOS 1246 form.