Fire Pre-Incident Planning Checklist Form
Complete this checklist to document essential site information for fire safety pre-incident planning.
Site Name and Address
*
Primary Contact Name
*
First Name
Last Name
Primary Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Building Type/Use
*
Please Select
Residential
Commercial
Industrial
Institutional
Mixed Use
Other
Average Occupancy (Number of People)
*
Known Hazards (Select all that apply)
*
Flammable Liquids
Compressed Gases
Hazardous Chemicals
Electrical Hazards
No Known Hazards
Other
Site Access Information
*
Fire Protection Systems Present
*
Sprinkler System
Fire Alarm
Standpipe System
Fire Extinguishers
None
Other
Available Water Supply for Firefighting
*
Please Select
Public Hydrant
Private Water Tank
Natural Water Source (pond, lake, etc.)
None
Other
Special Emergency Considerations
*
Additional Notes
Submit Checklist
Should be Empty: