The Fire Department Pre Plan form is a crucial document that provides essential information about a facility to assist firefighters during emergencies. This form includes details on facility layout, contact information, occupancy, structure specifications, and hazardous materials present. Ensure your safety and preparedness by filling out the form; click the button below to get started.
The Fire Department Pre Plan form serves as a crucial tool for emergency responders, ensuring they have vital information at their fingertips when responding to incidents at various facilities. This comprehensive document captures essential details about the facility, including its name, location, and contact information for key personnel. It also includes diagrams and maps that illustrate the layout of the property, which can significantly aid in navigation during emergencies. The form outlines occupancy types, detailing the number of residents and any special needs individuals, along with designated assembly and evacuation locations. Furthermore, it provides critical structural information, such as the building's construction class, roof type, and dimensions, which help firefighters assess potential hazards. Fire access points and water supply details are also meticulously recorded, ensuring that first responders can quickly locate hydrants and alternative water sources. Protection features like sprinklers and gas shutoff valves are noted, along with any hazardous materials present on-site, including their quantities and associated risks. By consolidating this information, the Fire Department Pre Plan form enhances preparedness and response efficiency, ultimately contributing to the safety of both responders and the community.
______________________________ 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: ______________
Page 2 of 6
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
Completing the Fire Department Pre Plan form is essential for ensuring safety and preparedness in emergency situations. Follow these steps carefully to fill out the form accurately.
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 help fire responders during emergencies. It includes details such as contact information, building structure, fire access points, and any hazardous materials present. This information ensures that firefighters can respond quickly and effectively to any incidents at the location.
Who should fill out the Fire Department Pre Plan form?
The form should be completed by the facility manager or a designated representative. It is important that the person filling out the form has a thorough understanding of the facility's layout, emergency procedures, and any special needs of the occupants. Accurate information is crucial for the safety of both the responders and the individuals in the building.
What information is required on the form?
The form requires various types of information, including:
Completing all sections of the form ensures that emergency responders have a comprehensive understanding of the facility.
How often should the Fire Department Pre Plan form be updated?
The form should be reviewed and updated regularly, especially when there are significant changes to the facility. Changes may include renovations, alterations in occupancy, or updates to hazardous materials. It is a good practice to review the form at least once a year or whenever there are major changes to ensure that the information remains accurate and useful for emergency responders.
Completing the Fire Department Pre Plan form accurately is crucial for ensuring safety and effective response during emergencies. However, several common mistakes can hinder this process. Understanding these errors can help individuals provide the necessary information correctly.
One frequent mistake is leaving sections blank. Each part of the form serves a purpose, and missing information can lead to confusion during an emergency. For example, failing to fill in the Facility Name or Facility Number can prevent first responders from identifying the location quickly.
Another common error is providing outdated contact information. It is essential to ensure that all phone numbers, especially emergency contacts, are current. If a manager or contact has changed, the form should reflect this to avoid delays in communication.
People often overlook the importance of detailed notes. Providing additional context about the facility, such as unique hazards or special needs populations, can be invaluable. Insufficient notes can lead to misunderstandings during an emergency response.
Inaccurate occupancy information is also a significant issue. Individuals may not correctly report the number of occupants, including adults, children, and those with special needs. This information is vital for emergency responders to assess the situation effectively.
Another mistake involves incomplete water supply information. Each hydrant's status, volume, and size must be documented accurately. If this data is incorrect or missing, it can severely impact firefighting efforts.
Many people also fail to include the necessary details about fire protection systems. Information about sprinklers, standpipes, and shutoff valves should be included to provide a comprehensive understanding of the facility's safety measures.
Neglecting to indicate hazardous materials is another critical error. If chemicals are present, their names, quantities, and classifications must be documented. This information is essential for ensuring the safety of first responders and the surrounding community.
Lastly, not reviewing the completed form before submission can lead to overlooked errors. A final check can help catch mistakes and ensure all information is accurate and complete. Taking the time to verify details can make a significant difference in emergency situations.
The Fire Department Pre Plan form is an essential document for ensuring safety and preparedness in case of emergencies. Along with this form, several other documents are often used to provide comprehensive information about a facility and its emergency response procedures. Here are some of the key documents that complement the Pre Plan form:
These documents work together with the Fire Department Pre Plan form to create a well-rounded emergency response strategy. Having all this information readily available can make a significant difference in ensuring safety and efficiency during emergencies.
The Fire Department Pre Plan form serves a critical role in emergency preparedness by providing essential information about a facility. Several other documents share similarities with this form in terms of purpose and content. Below is a list of five such documents:
When filling out the Fire Department Pre Plan form, attention to detail is crucial. Here are some important dos and don'ts to consider:
By following these guidelines, you can help ensure that your Fire Department Pre Plan form is both effective and useful in the event of an emergency.
Many believe that only large buildings require a Pre Plan. In reality, every facility, regardless of size, benefits from having a detailed plan. Small businesses or residential areas can present unique challenges during emergencies.
While the fire department uses this information, it is also crucial for facility managers, employees, and emergency responders. Having accurate details can save lives and improve response times.
Many assume that the Pre Plan is a one-time task. However, facilities change over time. Regular updates are essential to ensure that the information remains accurate and useful.
Some people find the form intimidating. In truth, it is designed to be straightforward. Each section addresses specific needs, making it easier to gather necessary information systematically.
While the owner may have the most comprehensive knowledge, employees or managers can also contribute valuable information. Collaboration can enhance the accuracy of the Pre Plan.
Although it is primarily focused on fire safety, the Pre Plan can also address other emergencies, such as hazardous materials incidents or natural disasters. A well-rounded plan prepares for various scenarios.
Visual aids like diagrams and maps are vital components of the Pre Plan. They help responders understand the layout of the facility, including access points and evacuation routes.
Many believe that once the form is submitted, their responsibilities end. In reality, ongoing communication with the fire department and regular drills are necessary to ensure everyone is prepared in case of an emergency.
Filling out the Fire Department Pre Plan form is essential for ensuring safety and preparedness in case of emergencies. Here are some key takeaways to consider:
By following these guidelines, you can enhance the effectiveness of the Fire Department Pre Plan form and contribute to a safer environment.