The Fire Department Pre Plan form serves as a critical tool designed to provide fire departments with essential information about facilities within their jurisdiction. This comprehensive form includes details on contact information, occupancy and special needs, structure information, fire access points, response strategies, water supply, fire protection systems, and hazardous materials present. To ensure your facility is well-prepared for any emergency, take the time to accurately fill out this form by clicking the button below.
In the realm of emergency preparedness, the Fire Department Pre Plan form stands as a pivotal document designed to provide fire departments with comprehensive details about facilities within their jurisdiction. This meticulously crafted form encompasses a broad spectrum of information, starting from basic details such as facility name, number, diagrams, and maps, to intricate contact information listing manager and emergency contacts. It goes beyond to outline the facility's occupancy details, highlighting whether the premises are used for business, industry, or residential purposes, including specific data on the number of adults, children, elderly, and individuals with special needs present. The form further delves into the structure of the building, specifying construction class, roof type, and the number of stories, along with detailed access points for firefighters. Moreover, the document ensures that fire response strategies are well-defined by including primary and secondary staging areas and elaborate water supply information, including hydrant locations and volumes. To enhance the safety measures, it also provides a section dedicated to protective features like sprinkler systems and gas, electrical, and water shutoff locations. Additionally, addressing the growing concern for hazardous materials, the form meticulously lists the presence of chemicals, their locations, quantities, and associated risks, all of which equip fire departments with the requisite knowledge to formulate an efficient and effective response strategy in the event of an emergency.
______________________________ 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
Filling out the Fire Department Pre Plan form is a crucial step in ensuring the safety and preparedness of facilities in the event of an emergency. This detailed document serves as a vital resource for emergency responders, providing them with critical information about the property, its occupancy, structure, access points, and any hazardous materials present. Completing it accurately is imperative to facilitate an efficient and effective response during emergencies. Follow these steps to fill out the form correctly.
After completing these steps, double-check all entries for accuracy and completeness. This form should then be submitted to the appropriate fire department authority, ensuring that they have the necessary information to respond effectively in an emergency situation.
What is a Fire Department Pre Plan form?
A Fire Department Pre Plan form is a comprehensive document prepared for a specific facility that outlines crucial information such as contact details, occupancy and structure information, access points for firefighters, water supply details, fire protection features, and hazardous materials on site. This form serves as a critical resource for fire departments to plan and respond effectively to emergencies at the location.
Why is it important to have a filled-out Fire Department Pre Plan form?
Having a filled-out Fire Department Pre Plan form is crucial because it provides firefighters with immediate access to essential information about a facility's layout, potential hazards, and specific safety features. This pre-planned knowledge enables a faster, more informed response in the event of an emergency, potentially saving lives, reducing property damage, and ensuring the safety of emergency personnel.
What information is required in the Contact Information section?
The Contact Information section must include the facility's address, the names and phone numbers of three contacts in order of priority, and the alarm company's name and phone number. This ensures that key personnel can be quickly reached by the fire department in case of an emergency.
How detailed should the Occupancy section be?
The Occupancy section should be detailed enough to inform responders about the type and scale of the facility they are dealing with, whether it's a business, industry, single-family home, or multi-family residence. Details such as the number of apartments, the number of occupants including children, elderly, and persons with special needs, and any specific locations of special needs individuals should be included. This information assists in effective evacuation and rescue efforts.
What is the purpose of including diagrams or maps in the form?
Diagrams or maps provide visual guidance to emergency responders, highlighting the layout of the facility, including entrances and exits, location of hazardous materials, water supply sources, and fire protection systems. This aids in strategic planning and execution of operations during emergencies.
How can the form accommodate facilities with hazardous materials?
For facilities storing hazardous materials, the form includes a dedicated section to list each chemical's name, location within the premise, quantity, and its characteristics like flammability or toxicity. This information is critical for firefighters to prepare appropriate response measures, protective gear, and containment strategies.
What should be included in the Structure Information section?
The Structure Information section should capture details about the building's construction class, roof type and covering, number of stories, and overall dimensions. Noting any unique structural features or concerns can significantly impact firefighting tactics and safety.
Who should be responsible for completing and updating the Fire Department Pre Plan form?
The responsibility of completing and updating the Fire Department Pre Plan form typically falls on the facility manager or owner. Regular updates are necessary to reflect any changes in occupancy, structure, contact information, or the addition of hazardous materials, ensuring that the form remains a reliable resource for emergency planning and response.
One common mistake when filling out the Fire Department Pre Plan form is neglecting to provide detailed diagrams or maps of the facility. These visual aids are crucial for first responders to understand the layout and potentially hazardous areas of the building. Without them, valuable time could be wasted during an emergency.
Another error often made is incomplete or inaccurate contact information. It's vital to include up-to-date and comprehensive contact details, including after-hours numbers. If the fire department cannot reach a key holder during an emergency, gaining access to the building could be delayed, exacerbating the situation.
Additionally, failing to specify the occupancy type and the number of people present, including adults, children, elderly, and individuals with special needs, is a mistake that could hinder rescue operations. Emergency responders need this information to prioritize their efforts and evacuate vulnerable individuals swiftly and safely.
An often-overlooked element is giving detailed information about special needs locations within the facility. This is critical for ensuring that all occupants, especially those who may need additional assistance, can be quickly located and evacuated in case of an emergency.
Forgetting to provide updated information about fire access points, including main, secondary, and roof access, can significantly slow down the emergency response. Firefighters rely on this information to plan their approach and attack on the fire, making it essential for a swift and effective operation.
Incorrect or outdated details about the water supply, including hydrants and alternative sources, is another frequent oversight. This information is crucial for firefighting efforts, especially in areas where water access may be limited or require specific connections.
A critical error is neglecting to detail the presence of hazardous materials (HAZMAT) on the premises, including their locations, quantities, and characteristics. This oversight can endanger not only the firefighters but also the environment and the surrounding community.
Forgetting to indicate available fire protection systems, such as sprinklers, fire department connections, and shutoffs for gas, electrical, and water systems, can lead to unnecessary damage. These systems, if properly identified and functional, can significantly reduce the fire spread before the fire department arrives.
Another mistake is not specifying evacuation and assembly locations. During an emergency, having predefined meeting points helps account for all occupants and can significantly streamline the rescue operations, ensuring everyone is safe.
Lastly, failing to review and update the form regularly leads to outdated information, which could be detrimental in an emergency situation. Facilities undergo changes, and keeping this document current is essential for an effective response by the fire department.
When preparing for an emergency, especially one that involves potential fire hazards, it is crucial to have a comprehensive set of documents and forms ready. The Fire Department Pre Plan Form plays a pivotal role in this preparation, serving as a central document that contains essential information about a facility's structure, occupancy, access points, water supply, protection systems, and hazardous materials. However, to ensure a well-rounded emergency response plan, several other documents are often used in conjunction with the Fire Department Pre Plan Form.
Together with the Fire Department Pre Plan Form, these documents create a framework that supports an effective and coordinated response to emergencies. By ensuring that all relevant information is readily accessible, organizations can safeguard their staff, visitors, and property during critical incidents. Facilitating communication and collaboration with local fire departments and emergency services further enhances the preparedness and resilience of any facility.
The Fire Department Pre Plan form bears a close resemblance to a Business Continuity Plan. Both documents outline emergency contact information, resources like diagrams or maps for quick orientation, and detailed instructions for ensuring safety and operational functionality in the event of a disaster. Where the Fire Department Pre Plan focuses on specifics for firefighting access and hazards, a Business Continuity Plan covers a broader scope of potential disruptions, including cyber-attacks, supply chain issues, and more, aiming to ensure that a business can maintain critical operations during a catastrophe.
Similar to the Fire Department Pre Plan is an Emergency Action Plan (EAP) required by certain regulatory bodies for workplaces. An EAP includes identification of escape routes, emergency exits, and assembly points, akin to the structure and evacuation information in the pre-plan. Both documents serve the crucial role of guiding occupants safely out of a building during an emergency, but the EAP focuses more broadly on all potential emergencies, including fires, natural disasters, and human-caused events.
The Facility Safety Plan shares similarities with the Fire Department Pre Plan in outlining safety measures and protocols within a facility. It details emergency contacts, hazard communication, and protective measures for occupants’ safety, much like the pre-plan’s focus on fire-related hazards. Both documents are essential in preparing facilities for emergencies, though the Facility Safety Plan encompasses a broader range of safety concerns beyond fire, such as occupational hazards and environmental exposures.
Evacuation Plans and the Fire Department Pre Plan both contain specific instructions for safely exiting a building during emergencies. They include floor plans showing the routes out of the building, assembly points, and special considerations for individuals with disabilities. The primary difference lies in their focus; while evacuation plans are tailored to guide all building occupants to safety, the pre-plan includes additional detail on firefighting strategies and access points for first responders.
A Hazardous Materials (HAZMAT) Response Plan closely aligns with the segments of the Fire Department Pre Plan that deal with chemical and hazardous materials. Each document details the types of hazardous materials present, their locations, and emergency contact information for specialized response. While the pre-plan provides this information specifically for firefighting purposes, a HAZMAT Response Plan is dedicated to the broader procedures for containment, cleanup, and notification in the event of hazardous material exposure or release.
Building Emergency Plans share the objective of the Fire Department Pre Plan in ensuring occupant safety and property protection. These documents outline procedures for various emergencies, including designating roles and responsibilities to staff, emergency contact information, and evacuation procedures. The Fire Department Pre Plan complements a Building Emergency Plan by providing fire-specific information useful to emergency responders, whereas the latter focuses on preparatory actions building occupants can undertake.
The Incident Response Plan, typically found in cybersecurity and IT management, has parallels with the Fire Department Pre Plan in its structured approach to identifying, responding to, and recovering from incidents. Though one is centered on digital threats and the other on physical fire-related emergencies, both plans prioritize rapid response and contain detailed contact information and procedures to mitigate damage and resume normal operations.
A Disaster Recovery Plan, often a part of broader business continuity planning, is similar to the Fire Department Pre Plan in its goal to quickly restore operations after a catastrophic event. While disaster recovery usually focuses on IT and data recovery after events like cyberattacks or hardware failures, both types of plans include detailed preparatory measures to minimize downtime and financial loss.
The Fire Safety Plan, required for many buildings, directly complements the Fire Department Pre Plan by focusing on fire prevention, detection, and evacuation procedures. It contains information on fire alarm systems, extinguisher locations, and emergency exits similar to the pre-plan but is designed primarily for building occupants' use in preventing and reacting to fires.
Last, the Crisis Communication Plan intersects with the Fire Department Pre Plan through its emphasis on communication before, during, and after an emergency. It outlines how and what information will be communicated to employees, stakeholders, and the public, including in situations of a fire, which is a critical component of the pre-plan's use by first responders to manage the fire emergency effectively and keep all parties informed.
When preparing the Fire Department Pre Plan form, it is crucial to provide accurate and detailed information to ensure the safety of both the facility's occupants and the first responders. Below are essential dos and don'ts to keep in mind:
Do:
Don't:
There are common misconceptions about Fire Department Pre Plan forms that are important to address. These misconceptions can affect preparedness and the efficiency of emergency responses. Below are five misconceptions clarified:
Understanding these misconceptions is vital for property managers, business owners, and community leaders. Accurate and up-to-date Fire Department Pre Plan forms are critical tools that support first responders in saving lives, protecting property, and ensuring public safety.
Here are six key takeaways to consider when filling out and using the Fire Department Pre Plan form:
Utilizing the Fire Department Pre Plan form effectively requires thoroughness and attention to detail. By providing comprehensive and accurate information, facilities can significantly enhance the safety and efficiency of emergency response efforts.
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