Forest Fire Prevention Land Use Assessment Form
Assess land use, vegetation, access, water availability, and mitigation readiness for forest fire prevention using the Forest Fire Prevention Land Use Assessment Form.
Site Identification
Site Name or Parcel Name
*
Property Address or Location Description
*
Landowner or Manager Name
*
Contact Email or Phone
*
Land Use and Vegetation Assessment
Dominant land use category
*
Forested
Mixed use
Agricultural edge
Residential interface
Undeveloped/open land
Other
Vegetation density / fuel load rating
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
Presence of dead brush, dry grasses, or debris
*
Yes
No
High-risk vegetation areas by zone/section
Rows
High risk
Needs cleanup
Cleared
North zone
1
2
3
South zone
4
5
6
East zone
7
8
9
West zone
10
11
12
Central area
13
14
15
Fire Risk Conditions and Access
Proximity to structures or vulnerable assets
*
Very close
Close
Moderate
Distant
Other
Emergency vehicle access and firebreak availability
*
Excellent
Good
Fair
Limited
Poor
Other
Water source available for fire suppression
*
Please Select
Onsite pond
Hydrant
Cistern
None
Other
Recent maintenance or mitigation actions completed
Submit
Should be Empty: