Blank Fire Department Pre Plan Form PDF Details

In the realm of emergency preparedness within fire departments, the Fire Department Pre Plan form stands as a comprehensive tool designed to encapsulate critical information about facilities in the event of a fire or emergency scenario. This form, meticulously structured to guide fire departments through the anatomy of potential hazardous situations, encompasses a wide array of details ranging from contact information, occupancy specifics, and structure information to fire access points, water supply data, and hazardous materials (HAZMAT) present at the facility. It also includes provisions for diagrams and maps, ensuring a graphical representation of the premises is available for a holistic understanding. By furnishing emergency responders with particulars such as contact numbers for key personnel, the types of construction materials used in the building, detailed locations of access points, and the whereabouts of critical utilities like gas and electrical shutoffs, the form endeavors to arm fire departments with the knowledge necessary to formulate strategic response plans. Additionally, it addresses the occupants' needs, highlighting assembly and evacuation points, thereby underlining the emphasis not only on structural and material concerns but on human safety and evacuation strategies as well. This document, therefore, serves an invaluable function in preparing fire departments to respond effectively and efficiently to emergencies, minimizing potential risks and damages through thorough planning and foresight.

QuestionAnswer
Form NameBlank Fire Department Pre Plan Form
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesfire department preplan, fire pre plan template pdf, pre incident plan template, fire pre plan checklist

How to Fill Out Fire Department Pre-Plan Form

Fire Department Pre-Plan Form at a glance

What it is: A Fire Department form with Facility Name, Facility Number and Contact Information.

A filled-in Fire Department Pre-Plan Form example: a business building

Fire Department Pre-Plan Form example filled out, example: a business building
A fire department fills out the form for one business building. The building has one manager and one alarm company, so the 2nd Contact and 3rd Contact stay empty. The picture shows page 1, and its names and figures are sample values. Business is the only Occupancy box ticked, so Industry, Single Family, Multi Family and # Apartments stay empty. The building has 12 Adults and no Children, Elderly or Special Needs Persons. It has 2 stories, a FLAT Roof Type and a MEMBRANE Roof Covering. Staff go to the parking lot, Evacuation Location (1). The front door is the Main Access, and Example St is the Primary Staging, where Hydrant-1 stands. The building has no Alt Supply, so Alt Supply-1 and Alt Supply-2 stay empty. Sprinklers is yes. The chemical in the HAZMAT Chemical Name is a sample cleaner. The picture shows page 1 only.

How to fill out Fire Department Pre-Plan Form, box by box

Facility Name, Number and Contact Information

Fire Department Pre-Plan Form example filled out, facility Name, Number and Contact Information

Enter the Facility Name, Facility Number, Diagrams, Maps, and under Contact Information the Address, City, State and Zip.

Manager, 2nd Contact and 3rd Contact

Fire Department Pre-Plan Form example filled out, manager, 2nd Contact and 3rd Contact

For the Manager, enter the Business Phone, Emergency Phone (1) and Emergency Phone (2).

For the 2nd Contact, enter the Business Phone, Emergency Phone (1) and Emergency Phone (2).

For the 3rd Contact, enter the Business Phone, Emergency Phone (1) and Emergency Phone (2).

Alarm Company

Fire Department Pre-Plan Form example filled out, alarm Company

Enter the Alarm Company and its Phone, and add Notes.

Occupancy

Fire Department Pre-Plan Form example filled out, occupancy

After Diagrams, Maps and Contact Information, under Occupancy, enter Business, Industry, Single Family, Multi Family and # Apartments, and under Number of Persons enter Adults, Children, Elderly and Special Needs Persons.

Special Needs Locations and Evacuation

Fire Department Pre-Plan Form example filled out, special Needs Locations and Evacuation

After Diagrams, Maps and Contact Information, enter the Special Needs Locations, Employee/Resident Assembly Location, Evacuation Location (1), Evacuation Location (2) and Transportation Needs, with Notes.

Structure Information

Fire Department Pre-Plan Form example filled out, structure Information

After Diagrams, Maps and Contact Information, under Structure Information, enter the Construction Class, Roof Type, Number of Stories, Roof Covering, Length, Width, Height, Building Classification and Structure Notes.

Main Access, Secondary Access and Roof Access

Fire Department Pre-Plan Form example filled out, main Access, Secondary Access and Roof Access

Enter the Main Access, Secondary Access, Roof Access, Attic Access, Basement, Lowest Access, LockBox, Alarm Panel and Annunciator Panel, with Notes.

Primary Staging and Secondary Staging

Fire Department Pre-Plan Form example filled out, primary Staging and Secondary Staging

Enter the Primary Staging and the Secondary Staging.

Hydrant-1, Hydrant-2 and Hydrant-3

Fire Department Pre-Plan Form example filled out, hydrant-1, Hydrant-2 and Hydrant-3

Hydrant-1, Hydrant-2 and Hydrant-3 each have Volume (GPM), Main Size, Status and Notes.

Alt Supply-1 and Alt Supply-2

Fire Department Pre-Plan Form example filled out, alt Supply-1 and Alt Supply-2

Alt Supply-1 and Alt Supply-2 each have Volume (GPM), Main Size, Status and Notes.

Yes/No and Special Notes

Fire Department Pre-Plan Form example filled out, yes/No and Special Notes

Enter Yes/No and Special Notes for Sprinklers, Spare Heads, FD Connection, Stand Pipe, Gas Shutoff, Electrical Shutoff and Water Shutoff, then add Notes.

Chemical Name, Location and Quantity

Fire Department Pre-Plan Form example filled out, chemical Name, Location and Quantity

Enter the Chemical Name, Location, Quantity in Gallons/Pounds, Flammable, Toxic, Corrosive, Oxidizer, UN # and Guide #, and NFPA 704 Fire, Health, Reactivity and Special.

Copy this sheet and attach as many as necessary.

More rules for Fire Department Pre-Plan Form

Use the Basic Site Plan page for the Basic Site Plan.

Use the Basic Floor Plan page for the Basic Floor Plan, with the Floor, and make as many copies as necessary.

Sources

[1] Fire Department pre-plan form (the served file; no issuer file found) (the Official source link on this page).

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