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Preparing for emergencies, especially fires, requires meticulous planning and a comprehensive understanding of the facilities involved. The Fire Department Pre Plan form serves as a crucial tool in this process, guiding both emergency responders and facility managers in creating a well-organized response strategy. This detailed document contains essential information about a facility, including contact details, occupancy types, and special needs of residents or employees. It charts out the structure's dimensions, construction classification, and accessibility points for fire department personnel. A critical section of the form is dedicated to fire response specifics—highlighting staging areas, water supply sources, and vital protections like sprinkler systems and gas shutoffs. Furthermore, it meticulously details hazardous materials on site, signaling potential risks and required precautions. Such thorough preparation is indispensable for prompt and effective emergency responses, underscoring the significance of the Fire Department Pre Plan form in safeguarding communities.

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______________________________ 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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Page 6 of 6

Document Attributes

Fact Detail
1. Purpose Facilitates rapid, informed response in emergencies.
2. Contents Includes facility information, contact details, diagrams, and maps.
3. Contact Information Lists up to three contacts with business and emergency phone numbers.
4. Occupancy Details Provides information on the type and scale of occupancy, including special needs.
5. Structure Information Details the construction class, roof type, and building classification.
6. Fire Access Information Outlines access points for fire departments, including main, secondary, and special access locations.
7. Response Information Specifies primary and secondary staging areas for emergency response.
8. Water Supply Information Identifies hydrants and alternate water supplies, including volume and status.
9. Protection Information Details existing protection measures, including sprinklers and shut-off locations.
10. Hazardous Materials (HAZMAT) Includes details on hazardous chemicals, storage locations, and quantities.

How to Fill Out Fire Department Pre Plan

Completing the Fire Department Pre Plan form is a critical step for facility safety and preparedness. This guide is designed to help you fill out your form efficiently and accurately. It ensures that first responders have immediate access to vital information in the event of an emergency. Below, you will find simplified instructions to aid you through the process.

  1. Start by entering the Fire Department name at the top of the form.
  2. Fill in the facility's name and number in the designated Facility Name and Facility Number fields.
  3. List any relevant Diagrams, Maps that accompany the form.
  4. Under Contact Information, provide the facility’s address, including city, state, and zip code.
  5. Enter the manager’s name, business phone number, and two emergency phone numbers.
  6. Fill in the 2nd Contact and 3rd Contact information sections similarly, including names, business, and emergency phone numbers for each.
  7. For the Alarm Company section, input the company’s name and phone number.
  8. Add any additional notes in the provided Notes space.
  9. Indicate the type of occupancy of the facility and fill in details such as number of apartments, adults, children, elderly, and persons with special needs under Occupancy.
  10. Document specifics about the structure, including Construction Class, Roof Type, dimensions, and classification under Structure Information.
  11. Provide detailed Fire Access Information, noting main, secondary, roof, attic, basement, and lowest access points, as well as lockbox and alarm panel locations.
  12. Under Response Information, specify primary and secondary staging areas.
  13. In the Water Supply Information section, record details of nearby hydrants and alternative water supply sources.
  14. For Protection Information, indicate if there are sprinklers, spare heads, fire department connections, standpipes, and shutoffs for gas, electrical, and water. Include any special notes as necessary.
  15. Detail any hazardous materials (HAZMAT) present at the facility, including chemical names, locations, quantities, and relevant safety information.
  16. If needed, copy the HAZMAT sheet for additional chemical entries and attach them.
  17. Lastly, include a basic site plan as described on page 5 of the form.

Upon completion, review the form to ensure accuracy. This document will serve as an essential reference for emergency response teams, enabling them to act swiftly and effectively in the event of an incident.

More About Fire Department Pre Plan

  1. What is a Fire Department Pre Plan Form?

    The Fire Department Pre Plan Form is a detailed document used by fire departments to gather crucial information about a facility before an emergency situation arises. This information includes contact details, building layout, occupancy specifics, special needs residents, construction details, access points, water supply, and hazardous materials on-site. Fire departments use it to plan their response strategy effectively and efficiently.

  2. Why is it important to complete a Fire Department Pre Plan Form?

    Completing the form is crucial because it provides first responders with necessary insights and data that can significantly affect the outcome during an emergency. It helps in the quick identification of potential risks, thereby reducing the response time and improving the safety of both the occupants and the firefighters.

  3. Who should fill out the Fire Department Pre Plan Form?

    Typically, the responsibility falls on the facility manager or owner. However, it's beneficial for any key personnel familiar with the building's layout and emergency procedures, such as security officers or maintenance staff, to be involved in completing the form.

  4. How often should the form be updated?

    It's advisable to update the form at least annually or whenever significant changes occur in building occupancy, structure, or the presence of hazardous materials. Regular updates ensure that the fire department has access to the most current information.

  5. What should be included in the diagrams and maps section?

    In this section, provide detailed floor plans, site maps, and schematics showing the layout of the building, including entrances and exits, fire protection systems, assembly points, and locations of hazardous materials. The more detailed the maps, the more effectively first responders can navigate and manage the situation.

  6. How detailed should the Contact Information section be?

    Provide comprehensive details for at least three contacts who can be reached in an emergency, including business and emergency phone numbers. Including an alarm company contact is also important. The goal is to ensure that firefighters have multiple channels to gather additional information or gain access during an emergency.

  7. What kind of information is needed in the Occupancy section?

    This section should detail the use of the building (e.g., business, industry, residential) and any special considerations, such as the number of occupants (adults, children, elderly, people with special needs) and their locations. This information is essential for planning evacuations and search and rescue operations.

  8. What do I include in the Structure Information section?

    Detail the construction class, roof type and covering, building dimensions, and any notes on the building's classification. These details help responders understand the challenges they might face, such as the risk of collapse or areas that are difficult to access.

  9. Should I include all water supply sources in the Water Supply Information section?

    Yes, provide detailed information on all available water supply sources, including hydrants and alternative sources, along with their volume flow rate, main size, and status. This is critical for the fire department's water supply strategy during firefighting operations.

  10. What details are necessary in the Protection Information and HAZMAT sections?

    In the Protection Information section, indicate the presence of any fire sprinklers, standpipes, gas, electrical, and water shutoffs. In the HAZMAT section, list all hazardous materials, their locations, quantities, and any specific firefighting considerations. This ensures that the response team is adequately prepared to handle the materials safely.

Common mistakes

Filling out the Fire Department Pre-Plan form is a crucial process that supports both the safety of facilities and the effectiveness of emergency response operations. However, errors can occur during this process. Here are five common mistakes to avoid:

  1. Incomplete Contact Information: One of the most crucial parts of the Pre-Plan form involves providing comprehensive contact information. Essential details such as the emergency phone numbers, business phone numbers, or the details of the manager and other contacts might be inaccurately filled or left blank. This mistake can lead to significant delays during emergency situations where quick communication is vital.
  2. Omission of Special Needs Information: Facilities with residents or employees who have special needs require extra planning and resources during an emergency. Failing to accurately document the presence and details of individuals with special needs, including their specific locations within a facility, undermines effective emergency response efforts.
  3. Incorrect or Incomplete Diagrams and Maps: Diagrams, maps, and other schematics offer critical visual information about the layout, access points, and structural features of a facility. Neglecting to include this information, or providing outdated or unclear diagrams, can significantly impede the ability of responding personnel to navigate the structure safely and effectively.
  4. Failure to Detail Hazardous Materials (HAZMAT): Proper documentation of hazardous materials—including their types, locations, quantities, and associated risks—is indispensable for preparing first responders to deal with potential HAZMAT incidents. Overlooking or inaccurately filling out this section may expose emergency personnel and others to unforeseen dangers.
  5. Lack of Detail in Fire Protection Systems: The Pre-Plan form requests specifics on a facility’s fire protection systems, including sprinklers, gas, electrical, and water shutoff points. Incorrect or incomplete details here can delay critical actions needed to manage a fire, potentially increasing damage or risking lives.

By addressing these mistakes when filling out the Fire Department Pre-Plan form, facility managers and safety officers can ensure that the information provided is accurate, comprehensive, and immensely valuable in preparing emergency response teams to act swiftly and effectively during incidents.

Documents used along the form

When preparing for emergency response, the Fire Department Pre Plan form is crucial for ensuring all important details are covered. However, it is often not the only document needed to create a comprehensive readiness profile for a facility or location. To support this, there are several additional forms and documents often utilized in conjunction with the Fire Department Pre Plan. These documents can enhance the clarity, efficiency, and effectiveness of the emergency response by providing more detailed information.

  • Building Layouts and Floor Plans: These provide detailed maps of the inside of the facility, including exits, stairwells, and potentially hazardous areas, helping first responders to navigate quickly during an emergency.
  • Emergency Contact Lists: A comprehensive list of all key personnel and their contact information, ensuring that first responders can quickly reach the right people.
  • Material Safety Data Sheets (MSDS): Detailed information on any chemicals or hazardous materials stored at the facility, including handling instructions and risks, crucial for HAZMAT situations.
  • Utility Maps: Diagrams indicating the location of gas, water, and electrical lines, allowing for quick shutoffs and preventing additional hazards.
  • Access Control Policies: Documents detailing how to bypass security features like gates or electronic locks, ensuring emergency services can enter the premises without delay.
  • Vehicle Parking and Access: Maps or documents outlining designated areas for emergency vehicles, ensuring clear and immediate access to the facility.
  • Equipment Inventory: Lists of on-site fire fighting, rescue, or medical equipment, allowing first responders to plan resource use more effectively.
  • Special Considerations Documentation: Any documents detailing specifics about populations within the building, such as areas housing individuals with disabilities or other needs that might require special equipment or evacuation procedures.
  • Business Continuity Plans: Documents outlining procedures for maintaining or quickly restoring critical operations during or after an emergency, vital for minimizing disruption.

By supplementing a Fire Department Pre Plan with these forms and documents, facilities can ensure a more well-rounded approach to emergency preparedness. This comprehensive documentation supports a quicker, more informed response, potentially saving lives and property in critical situations.

Similar forms

  • Emergency Action Plan (EAP): Like the Fire Department Pre Plan, an Emergency Action Plan outlines procedures for safely evacuating a facility during emergencies. Both documents serve to prepare individuals for a quick and organized departure, focusing on routes and meeting points to ensure everyone's safety.

  • Building Safety Plan: This plan closely resembles the Fire Department Pre Plan through its emphasis on building layouts, including diagrams and maps. Each plan aims to provide a comprehensive overview of the facility’s structure, detailing access points like entrances, exits, and emergency equipment locations to assist first responders.

  • Emergency Contact List: Integral to both the Pre Plan and general emergency preparedness, an emergency contact list furnishes responders and inhabitants with crucial communication links. Highlighting the manager, secondary contacts, and alarm company information ensures a streamlined response in times of crisis.

  • Fire Evacuation Plan: Similar in intent, the Fire Evacuation Plan and the Fire Department Pre Plan both identify primary and secondary evacuation routes and assembly points for occupants. These documents are critical in facilitating a timely evacuation and roll call outside the hazard zone.

  • Hazard Communication Plan (HCP): Sharing similarities with the HCP, the Fire Department Pre Plan includes a section for hazardous materials (HAZMAT), detailing chemical types, storage locations, and safety information. Both documents aim to minimize risks associated with hazardous substances, thereby protecting both responders and occupants.

  • Facility Response Plan (FRP): The FRP and the Fire Department Pre Plan both deal with response actions to emergencies at a facility, but the FRP has a broader application that could include oil spills and hazardous substances. Each plan provides details on handling potential incidents and preventing widespread damage or injury.

  • Site Security Plan: While focusing on security measures, the Site Security Plan also shares common points with the Fire Department Pre Plan through its inclusion of access control, identifying main and secondary access ways, and other security-related infrastructure information vital for emergency response.

Dos and Don'ts

When filling out the Fire Department Pre Plan form, it is essential to provide accurate and comprehensive information to ensure the safety of both the facility and the fire department personnel. Below are essential dos and don'ts to consider:

  • Do ensure that all contact information is current and includes multiple contact methods. This is crucial for emergencies when quick communication is necessary.
  • Do include detailed diagrams or maps of the facility. High-quality, clear diagrams can provide invaluable help during an emergency.
  • Do provide a complete list of hazardous materials, including their location, quantity, and specific hazards. This information is vital for the safety of both the response team and the public.
  • Do accurately describe the access points to the building, including main, secondary, and special accesses like roofs or basements. Firefighters need clear entry points to respond effectively.
  • Do detail the occupancy and construction information thoroughly. Understanding the structure and occupancy type can significantly influence firefighters' approach to managing an emergency.
  • Do review and double-check all the information for accuracy before submitting the form. Accuracy is critical for effective emergency planning and response.
  • Do update the form regularly or whenever there are significant changes to the facility, contacts, or hazardous materials. Regular updates ensure the information remains relevant and helpful during emergencies.
  • Don't leave sections incomplete. If a section does not apply, indicate this clearly to avoid confusion.
  • Don't provide outdated or vague contact information. This can delay emergency response efforts when every second counts.
  • Don't skimp on the details regarding the location and nature of hazardous materials. Incomplete information could result in inadequate response measures.
  • Don't forget to include evacuation and assembly points. These are crucial for ensuring everyone's safety during an emergency.
  • Don't overlook the importance of including special needs individuals in your plans. Ensure their safety by providing specific locations and instructions.
  • Don't assume that first responders are familiar with your facility. Always provide clear, detailed information as if they're seeing it for the first time.
  • Don't use technical jargon without explanation. Keep the information accessible to all readers, including those without specialized knowledge.

Misconceptions

When it comes to safeguarding our facilities and ensuring the safety of all occupants, the Fire Department Pre Plan form plays a critical role. However, there are several misconceptions surrounding its purpose, preparation, and contents. Let's clear up some of these common misunderstandings:

  • It's only for large businesses or industrial facilities: Many believe that this form is exclusive to large businesses or industrial properties, but in reality, it's valuable for any size of facility, including small businesses, schools, and even residential buildings. The aim is to have a plan in place for any place where people work or live.
  • The form is too complicated to fill out: At first glance, the form might seem intimidating due to its detail, but it’s designed to be comprehensive for a reason. This information is vital during an emergency. Most facilities can complete it with a bit of time and effort, and assistance is often available from local fire departments.
  • It's a one-time requirement: Some might think once the form is submitted, it's done forever. However, it should be updated regularly to reflect any changes in the building layout, occupants, or hazardous materials on site. Ongoing updates help keep everyone safer.
  • It only benefits the fire department: While it's true that this form is a crucial tool for firefighters, it also benefits the facility itself by ensuring a quicker, more efficient response in case of an emergency, potentially minimizing damage and saving lives.
  • Only the manager or owner needs to be familiar with it: It's beneficial for multiple staff members to understand the Pre Plan form's contents and know where it's located. In an emergency, the first available person may need to provide this information to responders.
  • All the information isn't necessary: Every section of the form, from contact numbers to hazardous material details, is included for a reason. During an emergency, knowing specifics like the locations of gas shutoffs or the presence of flammable materials can significantly impact the response’s effectiveness.
  • It's primarily for fire incidents: Though it's called the Fire Department Pre Plan form, the information provided is valuable in any emergency, including natural disasters, chemical spills, or security threats. This form helps responders prepare and act quickly, no matter the situation.

Understanding and accurately completing the Fire Department Pre Plan form is not just a bureaucratic step; it's a proactive measure for safety and preparedness. By dispelling these misconceptions, facilities can collaborate more effectively with emergency services, ensuring a smarter and faster response when every second counts.

Key takeaways

Filling out and using the Fire Department Pre Plan form is a critical step in emergency preparedness for any facility. By providing detailed and accurate information, you help ensure the safety of occupants and responders alike. Here are key takeaways to consider when completing this form:

  • Comprehensive Contact Information: Ensure you provide up-to-date and complete contact details for the facility manager and secondary contacts. This includes business and emergency phone numbers, which are crucial during an incident.
  • Detailed Occupancy Information: Clearly indicate the type of occupancy and provide specifics such as the number of apartments, adults, children, elderly, and special needs individuals. This helps responders prepare for potential evacuations.
  • Evacuation Plans: Specify employee/resident assembly locations and evacuation sites. Documenting these ensures a quicker and more organized evacuation process during emergencies.
  • Structure Information: Accurate details about the construction, dimensions, and classification of the building aid in strategic firefighting operations. Knowing the building's layout and materials can significantly impact response strategies.
  • Access Points: Identifying main, secondary, roof, attic, and basement access points, along with the location of the lock box and alarm panels, allows for faster and safer entry for first responders.
  • Water Supply Details: Information on hydrant locations, volume, and status provides essential insights for firefighting efforts. Alternate water supply sources should also be documented clearly.
  • Protection Systems: Indicate the presence of sprinklers, standpipes, gas, electrical, and water shutoffs. Provide special notes or instructions that could be critical during an emergency response.
  • HAZMAT Information: For facilities storing hazardous materials, detailed information on the chemical name, location, quantity, and characteristics (flammable, toxic, corrosive, oxidizer) is vital. Include UN numbers and NFPA 704 ratings for quick reference.
  • Diagrams and Maps: Attach site plans, building layouts, or area maps with marked emergency exits, assembly points, and key facilities. Visual aids support responders in planning and executing emergency actions efficiently.

Ensuring the Fire Department Pre Plan form is meticulously filled out and regularly updated can significantly impact the effectiveness of emergency response efforts. The safety of both occupants and first responders depends on the availability and accuracy of this information.

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