For Businesses: FD Pre-Incident Plan

2. Fire Department Pre-Incident Plan

   This information will be shared with and used exclusively by the Fire Department in your jurisdiction in an effort to protect life and reduce damage to contents and structure in case of an emergency. This information will not be shared outside of the respective Fire Department. For a list of our Fire Departments, visit the EMA website and click on the Responding Agencies tab.

4. Date
   Date

   Date
6. Address
8. City
9. State
10. Zip Code
12. Business Name
14. Emergency Contact #1 Name
15. Emergency Contact #1 Phone #
17. Emergency Contact #2 Name
18. Emergency Contact #2 Phone #
20. Property Manager Name
21. Property Manager Phone #
23. Business Occupancy Load
24. Primary Use
    -- Select One --AssemblyBusinessMercantileEducationalFactoryStorageMulti-OccupancyUnknown
26. Number of Stories (Include storage areas if accessible by staircase)
27. Does business have a basement or below-grade area accessible from inside building?

    1. Yes
    2. No
29. Length of Building in feet
30. Width of Building in feet
31. NFF
33. Does the business have an elevator?

    1. Yes
    2. No
34. Does business have an elevator key (if applicable)?

    1. Yes
    2. No
36. Location of exterior power panel/power disconnect
38. Location of main water shut off
40. Location of gas shut off
42. Does business have an alarm system?

    1. Yes
    2. No
43. What is the location of the primary alarm panel?
45. Does business have a sprinkler system?

    1. Yes
    2. No
47. Locations of Fire Department Connections (FDC), if applicable.
49. Location of Knox Box, if applicable
51. HAZARDOUS MATERIALS
53. Does the business require TIER II reporting?

    1. Yes
    2. No
55. If this business is not TIER II, where are any non-reportable quantities of hazardous materials located/stored?
57. SALVAGE CONCERNS
59. Locations and items of highest importance in case of fire
61. Sketch/Pictures

    1. Upload a sketch and pictures that would help us navigate through your business. A complete sketch should include doors, windows, stairs, areas with hazardous materials, and areas of specific salvage concern.

63. File 1
64. File 2
65. File 3
66. File 4
68. File 5
69. File 6
70. File 7
71. File 8
Leave This Blank:


73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit

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