North Carolina Response Rating System - NCDOI€¦ · North Carolina Response Rating System ....

North Carolina Response Rating System

Community Risk

Communication

Fire Department

Water Supply

Pre Survey Package

Rating Inspection Check Sheet This sheet is to assist the fire department tracking the progress of completing the field worksheets

Completed Task Page Responsible Person

Contact information completed with phone numbers and email address 1,2,3

Fire station(s) location information completed 4,5

Map of district with station locations, hydrants and static water points 4,5

Tax ID number 7

Charter and amendments if this applies 7

Documentation the dept. is part of municipal government, if applies this 7

All current contracts for fire protection 7

Current Automatic Aid Agreements, if this applies 7

Confirmation of Current Workman’s Comp insurance coverage 7

Most current approved map including approval documentation 7

Population, Square Miles and Total Alarms 8

Turnout Gear inventory 8

Pager and Radio information 8

12 pervious months of maint. and equip. check sheets for 1st out apparatus 9

Three most recent years of Pump Test 9

Three most recent years of Hose Test 9

Most Current Weight Tickets 9

Apparatus and Equipment Sheets completed for all fire apparatus Exhibit 2

Three most recent years of Aerial Testing 9

Three most recent years of hydrant and water point inspections 9

Hydrant Flow tests conducted within the last 5 years 9

Apparatus Response Procedures or Response Plans 10

Structure fire response sheet completed 11

Automatic Aid response sheet completed 12

Staffing sheet completed 13

Training information, including EXHIBIT 3 completed 14 Exhibit 3

Pre-Plans for review 14

Standard Operation Procedures/Guidelines 14

Automatic Aid sheets completed 15 Exhibit 4

Water supply forms completed 17

Alternate water supply information completed, if this applies 19,20

Static water point form completed, if this applies Exhibit 5

Community Risk forms completed 21-24

North Carolina Response Rating Schedule Inspection Worksheets

Date of Inspection _______________________________________

Fire District Name _______________________________________

Department Name _______________________________________

Mailing Address _______________________________________

County (s) served _______________________________________

Department Phone _______________________________________

Department Fax _______________________________________

1

Contacts

Fire Chief Name ________________________ Phone Work ________________________ Title ________________________ Phone Mobile ________________________ Organization ________________________ Fax ________________________ Address ________________________ E-mail ________________________ City ________________________ State____ Zip ____________

Board President Name ________________________ Phone Work ________________________ Title ________________________ Phone Mobile ________________________ Organization ________________________ Fax ________________________ Address ________________________ E-mail ________________________ City ________________________ State____ Zip ____________

Fire Marshal (Complete an entry for each jurisdiction served by the department) Name ________________________ Phone Work ________________________ Title ________________________ Phone Mobile ________________________ Organization ________________________ Fax ________________________ Address ________________________ E-mail ________________________ City ________________________ State____ Zip ____________

Fire Marshal (Complete an entry for each jurisdiction served by the department) Name ________________________ Phone Work ________________________ Title ________________________ Phone Mobile ________________________ Organization ________________________ Fax ________________________ Address ________________________ E-mail ________________________ City ________________________ State____ Zip ____________

Mapping or GIS Contact Name ________________________ Phone Work ________________________ Title ________________________ Phone Mobile ________________________ Organization ________________________ Fax ________________________ Address ________________________ E-mail ________________________ City ________________________ State____ Zip ____________

Rating Inspection Work Sheet

2

Contacts

County Manager (Complete an entry for each jurisdiction served by the department) Name ________________________ Phone Work ________________________ Title ________________________ Phone Mobile ________________________ Organization ________________________ Fax ________________________ Address ________________________ E-mail ________________________ City ________________________ State____ Zip ____________

County Manager (Complete an entry for each jurisdiction served by the department) Name ________________________ Phone Work ________________________ Title ________________________ Phone Mobile ________________________ Organization ________________________ Fax ________________________ Address ________________________ E-mail ________________________ City ________________________ State____ Zip ____________

City Manager or Mayor (Complete an entry for each jurisdiction served by the department) Name ________________________ Phone Work ________________________ Title ________________________ Phone Mobile ________________________ Organization ________________________ Fax ________________________ Address ________________________ E-mail ________________________ City ________________________ State____ Zip ____________

City Manager or Mayor (Complete an entry for each jurisdiction served by the department) Name ________________________ Phone Work ________________________ Title ________________________ Phone Mobile ________________________ Organization ________________________ Fax ________________________ Address ________________________ E-mail ________________________ City ________________________ State____ Zip ____________

Other Contact Name ________________________ Phone Work ________________________ Title ________________________ Phone Mobile ________________________ Organization ________________________ Fax ________________________ Address ________________________ E-mail ________________________ City ________________________ State____ Zip ____________


3

Fire Station Locations

Physical Address Station 1: __________________________ Latitude ____________ N Longitude ____________ W

__________________________ __________________________

Station Size _____________ Year Constructed ________ Type of Construction______________

Number of Bays ____ Heated: Yes No Emergency Power: Yes No If yes, documentation of the testing should be available for review

Department Personnel: On Duty On Call Combination


__________________________ __________________________





__________________________ __________________________





__________________________ __________________________




Use WGS 84 Coordinates, decimal degrees Example 35.56738 N - 79.6532 W


4

If a department should have more than 8 station complete Exhibit 1

Fire Station Locations


__________________________ __________________________





__________________________ __________________________





__________________________ __________________________





__________________________ __________________________





5


Mapping

The departments will be required to provide a computer generated map with the following information.

• Maps must be labeled with the appropriate Fire District name• Maps must have a scale printed on the map, with 1” = 1,200’ the preferred scale,• The fire station physical location(s),• Road base with road names,• All pressure hydrants plotted• All static water points plotted and identified with ID number• Maps must include the Response District boundary of the Department• Maps must include the five-mile insurance district boundary line• Maps must include the total road miles located within the five-mile district, with no overlapping of

roadways between this station and any other station or Fire District. Do not include interstatehighways when calculating total road miles. Round all mileages to the nearest tenth mile.

The following information is needed if the GIS Department has the software capable of producing this data.

• Total road miles within 1-1/2 miles of each station, within the five-mile district and with nooverlapping of roadways between this station and any other station or Fire District. Round all mileagesto the nearest tenth mile.

• Total road miles within 2-1/2 miles of each station, within the five-mile district and with nooverlapping of roadways between this station and any other station or Fire District. Round all mileagesto the nearest tenth mile.

• We would request the GIS department provide SHAPE FILES for the fire district. The file shouldinclude Station Locations, Approved response district boundary line, 5-mile fire district line, hydrantlayer and static water point layer.

The inspector will be glad to talk with the GIS person if they should have any questions concerning the mapping requirements.

6

Governmental Information

Services Provided: Fire Rescue EMS First Responder

The following items must be available for review at the time of the inspection

____ Fire Department Tax ID Number or FEIN Number: _______________________________

____ Charter and Amendments for the rural fire protection district (s)

Date of Original Charter: ____________ Date (s) of Charter Amendments: ____________ ____________ ____________ ____________

(If applicable)

____ Municipal departments must provide documentation that the department is part of the Municipal Government

____ All contracts in place for fire protection services rendered, complete, signed and dated

____ All Automatic Aid Contracts in place for fire protection services

____ Confirmation of Workman's Compensation Insurance currently enforced

District Funding and Tax Rate ____ General Fund Service District Rural Fire Protection District Tax Rate______

County Contracts and County Maps

Current GIS Map - or – Current NC DOT Map and Written Description

County Map Approval Date Date of Contract Aut

Yes No

Yes No

Yes No

Yes No

Municipal Contracts Town or City in which the district provides protection

City or Town Date of Contract

Automatic Aid


7

___ ___ ___

General Fire Department Information Demographics If a Rural District contains a Municipality within its boundary and the districts are graded by different Methods (ex: Method 3 for a Rural District & a Method 1 for a Municipal District), complete the Demographic information for both Districts, otherwise just complete for the Rural District

Population of Rural District ______ Population of Municipality City or Town ______

Square Miles of Rural District ______ Square Miles of Municipality City or Town ______

Total Road Miles in 5 Five Mile Rural District ______ Total Road Miles in the Municipality ______

Road Miles with 1 ½ Miles of Road Miles with 2 ½ Miles of Number of 3 Story Buildings Station 1 ______ Station 1 ______ Station 1 ______

Station 2 ______ Station 2 ______ Station 2 ______




Station 6______ Station 6 ______ Station 6 ______



Alarms

Total Number of all Alarms ______ Year ______

Communications

Number of Pagers ______ Number of Portable Radios ______ Number of Mobile Radios ______

Method(s) of Alarm Receipt for Members Responding

Radio Pagers Station Radios Voice Amplification

Printer / Fax Telephone Siren, Other Outside Warning Device

Protective Clothing

Total # Coats: ________ Total # Bunker Pants: ________

Total # Helmets: ________ Total # Pr. Gloves: ________

Total # Pr. Boots: ________ Total # Hoods: ________

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___ ___ ___

___ ___ ___

Apparatus and Equipment

The information below will be reviewed during the inspection.

_____ Maintenance & Equipment Check Sheets - The department shall provide the previous 12 months of apparatus maintenance and equipment check off sheets for the first out Engine and Tanker. The check sheets will be reviewed by the inspector at the time of the inspection, copies are not needed

_____ Pump Test – The pump test must be complete accurate and have been conducted within 12 months prior to the fire department inspection. The test should be run the full 40 minutes, form filled out and signed. The last 3 years of pump test records will be reviewed by the inspector at the time of the inspection, copies are not needed

Frequency of Test: 1 Year ____ 2 Year ____ 3 Year ____ 4 Year ____ 5 Years or Greater ____

_____ Hose Test – The inspector will review the 3 most recent hose tests.

The last 3 years of hose test records will be reviewed by the inspector at the time of the inspection, copies are not needed


_____ Weight Tickets – Weight tickets from a certified scale showing the gross (full) weight of the firefighting apparatus are required. Apparatus must have been weighed within the last 12 months of the inspection. Weight tickets must be stamped and signed by the weight master. The weight tickets will be reviewed by the inspector at the time of the inspection, copies are not needed

_____ GVW Plate: The apparatus shall be equipped with a GVW (gross vehicle weight) plate from the manufacturer attached to the vehicle or official verification of the apparatus GVW.

_____ Equipment and Hose: The inspector will verify the equipment on board the firefighting apparatus using Exhibit # 2

_____ Aerial Ladder or Elevating Platform Test: The inspector will review the 3 most recent aerial ladder tests. They will also be reviewing the most current Non-Destructive test for the apparatus. The inspector will not need copies of the aerial/ladder tests. Ground ladder test will not be reviewed.


_____ Inspection and Fire Flow Testing of Hydrants: The department shall provide the last 3 years of hydrant inspections and flow test records for the inspector to review. This will include all static water points if applicable.

The inspector will not need copies of these records.



Exhibit 2, Apparatus Sheet must be completed for each apparatus

9

Apparatus Response Procedures

Response Combination Considered

Apparatus Unit Numbers

Zone 1 Residential Fire Alarm Commercial Fire Alarm

Residential Structure Fire Commercial Structure Fire











If your department has only 1 station and responds to all calls in a like manner, complete data for ZONE 1 only.

If your department has only 1 station but responds in a different manner to various areas (ex: Hydranted area vs. Non-Hydranted area, etc.), complete the data for each Zone needed to describe your responses needs.

If your department has multiple stations and responds in a different manner to multiple areas (ex: Ladder Co. to some portions & a Service Co. to others, etc.), complete the data for each Zone needed to describe your various response needs.


10

Structure Fire Response: Start by listing each of your fire apparatus below unit #. Then record your structure fire responses that took place in the last 12 months or the last 20 structure fires, we must have at least 5 structure fire listed if you have to go back further than 12 months. List the number of responding firefighting personnel and place an “x” below all the apparatus that responded on first alarm. Your list should only include your department’s structure fire calls in your district and not automatic or mutual aid calls to other districts. Do not include personnel who stand by or wait at the station until needed. DO NOT INCULDE AUTOMATIC AID RESPONSE ON THIS FORM

# Date 00/00/00

Time 24 hr.

Format

Number of Firefighters

On-Duty at the

station

Number of Firefighters

On-Call

When listing your apparatus list all the engines first, then ladders or service trucks. Tankers should be listed last

Unit # Unit # Unit # Unit # Unit # Unit # Unit # Unit # Unit # Unit # Unit # Unit # Unit # Unit # Unit #

1 2 3 4 5 6 7 8 9

10 11 12 13 14 15 16 17 18 19 20


11


Automatic Aid Fire Response:

# Date 00/00/00

Time 24 hr.

Format

List each Automatic Aid Fire Departments that responded on first alarm that is within 5 miles of your district line. List the number of responding firefighting personnel, indicate if personnel were on duty or on call. Do not include any personnel who was on standby at the station only personnel that responded should be listed on this from.

Auto Aid Dept Auto Aid Dept Auto Aid Dept Auto Aid Dept Auto Aid Dept Auto Aid Dept

Units On Call

On Duty Units On

Call On

Duty Units On Call

On Duty Units On

Call On

Duty Units On Call

On Duty Units On

Call On

Duty

1 2 3 4 5 6 7 8 9

10 11 12 13 14 15 16 17 18 19

20

12

Department Membership and Staffing

Roster of department members: List all Officers, Drivers, Firefighters

Fire Force Members Fire Force Members

Chief Sergeants

Dep. Or Asst. Chief Drivers

Battalion Chief Firefighters

Captains Chief Aids

Lieutenants Non-Fire Force

Total Member

ON DUTY COMPANY PERSONNEL

On- Duty Strength

Day(s) Time Span Hours on Duty per Firefighter X Firefighters on

Duty X Days on Duty = Total Hours

X X =

X X =

X X =

X X =

X X =

X X =

X X =

X X =

X X =

X X =

TOTAL = Divided by 168 (hours in a week) 168

Average on Duty Deduct the following and show calculations

Vacation Time - Sick Time -

- On Duty Response =

Does the department have a minimum staffing policy: Yes ____ No _____

If yes, the department shall provide a copy for review at the time of the

inspection If yes, what is the minimum staffing level :_______________

Other Time Off

13


Training

For credit in the area of training the department must be able to provide documentation of the training and certification for each firefighter.

Facilities

Burn Building Yes ___ No ___

Drill Tower Yes ___ No ___ ____

Training Area Yes ___ No ___

If yes how many stories

If yes how many acres ____

If the department does not have a Training Facilities but the firefighters have trained at a facility in the last 12 months, list all the facilities that were used: _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________

Officer Certification How many of the departments Officers have their Fire Officer 1 certification or have had Chief’s 101 and one of the 12-hour National Fire Academy’s Leadership Classes. (Proof of Certification Required) _____

Recruit Training Per the departments policy how many hours of Recruit Training are required by the department the first 12 months for a new firefighter _____

New Driver Operator Training Per the departments policy how many hours of Driver Operator training are required by the department before a firefighter can drive an engine emergency traffic on a call. _____

Pre-Fire Planning Percentage of the completed per-plans of non-residential properties _____%

How offen are the per-plans updated _____

Operational Considerations Does the department have and utilize Standard Operating Procedures Guidelines? Yes ___ No ___

Does the department have and utilize an Incident Management System? Yes ___ No ___

Guidelines should include general emergency operations, including response of apparatus, operation of emergency vehicles, safety at emergency incidents, communications, apparatus inspection and maintenance, fire suppression, company operations, automatic operations, training, and personnel response.

Fire Department Must Complete Exhibit 3 for Training Credit

Complete an Automatic Aid Information sheet for all departments that provide Automatic Aid into your fire district, on first alarm basis, to structure fires. If the responding department has multiple stations which provide you Automatic Aid a sheet (exhibit 4) must be completed for each station that provides Automatic Aid.

Department Name _____________________________________________________________

Physical Address _______________________________________________________________

What is the distance from the Automatic Aid Station to your fire district line________ miles

List the Apparatus unit number of all units responding on a first alarm basis:

Engine (s) ______ / ______ Tanker (s) ______ / ______ /______ Ladder______ Other ______

Does the Automatic Aid department utilize the same communication center as your department Yes ____ No____

If you answer NO to the previous question:

Does the Automatic Aid department have common Mobile and Portable Radios communications with your department Yes____ No____

Does the Automatic Aid department have common Mobile or Portable Radios communications with your department Yes____ No____

What percentage of your fire district, on a first alarm basis does the Automatic Aid department provide coverage _______%

List the last four training sessions your department held with this Automatic Aid department:

Date Type of Training Hours

1. ____________ ________________________________________________ ______

2. ____________ ________________________________________________ ______

3. ____________ ________________________________________________ ______

4. ____________ ________________________________________________ ______


Exhibit 4, Automatic Aid Sheet must be completed for each station providing Automatic Aid

15

Individual Property Fire Suppression

Outside Aid Fire Companies

List at least 4 Engines Companies and 1 Ladder Company, within 15 miles, that could assist your department in the event of a large working fire. These apparatus can come from auto aid departments or can be from departments which wouldn't normally respond into your district on a first alarm basis.

Engine Companies

Distance from Fire Station to District Line

Pump Capacity Feet of 2 ½ “

or larger supply hose

Ladder Companies

Distance from Fire Station to

District Line

Length of Aerial Ladder or Elevated

Platform


16

Water Supply

1. Water System Name_________________________________________

Hydrant, Size and Type

Total number of hydrants and static water points ______

Number of hydrants with 2 – 2 ½” and 1 – 4 ½” outlet with 5 ¼” or larger barrel ______

Number of hydrants with 2 – 2 ½” and 1 – 4 ½” outlet with 4 ½” barrel ______

Number of hydrants on a 4-inch branch line or smaller OR any single 2 ½” hose outlet hydrant ______

Number of certified dry hydrants with 6” pipe or larger (certification documentation required for review) ______

Number of certified suction points (certification documentation required for review) ______

Pressure Hydrant and Static Water Point Inspection Program

Is there an inspection program Yes _____ No______

If yes, what frequency 1 Year ___ 2 Year ___ 3 Year ___ 4 Year ___ 5 Year ___ or greater

Are hydrants flushed during the inspection Yes _____ No ______

Are hydrants pressure tested during the inspection Yes _____ No ______

Pressure Hydrant and Static Water Point Flow Testing Program

Is there a flow testing program Yes _____ No ______

If yes, what frequency 5 years ___ 6 years ___ 7 years ___ 8 years ___ 9 years ___ 10 years or greater ___

Is a calibrated hydraulic modeling program used for this water system Yes _____ No ______ (certification documentation required for review)

Hydrant Marking System

Is there a hydrant marking system in place Yes _____ No ______

Exhibit 5 must be completed for all static water points


17

Water Supply

2. Water System Name_________________________________________

Hydrant, Size and Type

Total number of hydrants and static water points ______

Number of hydrants with 2 – 2 ½” and 1 – 4 ½” outlet with 5 ¼” or larger barrel ______

Number of hydrants with 2 – 2 ½” and 1 – 4 ½” outlet with 4 ½” barrel ______

Number of hydrants on a 4-inch branch line or smaller OR any single 2 ½” hose outlet hydrant ______

Number of certified dry hydrants with 6” pipe or larger (certification documentation required for review) ______

Number of certified suction points (certification documentation required for review) ______

Pressure Hydrant and Static Water Point Inspection Program

Is there an inspection program Yes _____ No______

If yes, what frequency 1 Year ___ 2 Year ___ 3 Year ___ 4 Year ___ 5 Year ___ or greater

Are hydrants flushed during the inspection Yes _____ No ______

Are hydrants pressure tested during the inspection Yes _____ No ______

Pressure Hydrant and Static Water Point Flow Testing Program

Is there a flow testing program Yes _____ No ______

If yes, what frequency 5 years ___ 6 years ___ 7 years ___ 8 years ___ 9 years ___ 10 years or greater ___

Is a calibrated hydraulic modeling program used for this water system Yes _____ No ______ (certification documentation required for review)

Hydrant Marking System

Is there a hydrant marking system in place Yes _____ No ______

Exhibit 5 must be completed for all static water points Exhibit 6 must be completed if the departments have more than 2 water systems


18

Alternate Water Supply Information

This information to be completed if a Fire District is being graded for a lower than class 9 rating and there are no recognized hydrants or certified water points with a 1000’ of any build upon area in the district.

What alternate method or methods of operation will be used in the Fire District.

Nurse Tanker ______ Drop Tank Operation ______ Hose Lay Operation over 1000’ ______ Other ______

Provide a brief description of the different methods that might be used by the fire department to provide a water supply during a structure fire in the district. The description should include information such as the number of tankers responding on first alarm, the method in which you plan to fill the tankers, how portable drop tanks will be used. If an extended hose lay operation is used, you must indicate the longest lay that will be needed and what equipment will be used in the operation.

The department must provide a description of a recent incident or training session where a certified water supply was more than 1,000 feet from the fire-site but 250 gpm or more was delivered continuously for more than one hour. Give the following information.

• Location of incident or training ____________________________________________________________• Date of fire or test ____________ • Number of water tankers used ____________ • Rate of flow delivered ____________ • Distance between the fire-site and the water supply site ____________ • Time duration where at least 250 gpm was able to be flowed continuously ____________


19

Alternate Water Supply Information

Apparatus Used During and Alternate Water Supply Operation

List all the apparatus that will be dispatched on first alarm response to a structure fire in the fire district.

Fire Scene Engines

Sta. # Unit # Pump

Capacity Tank

Capacity Drop Tank Capacity

Fill Site Engines

Sta. # Unit # Pump

Capacity Tank

Capacity

Tankers

Sta. # Unit # Tank

Capacity Drop Tank Capacity


20

Community Risk Reduction

Fire Prevention Code and Enforcement

Number of non-residential buildings within your inspection jurisdiction (If a county is doing inspections for a rural district they should include all the buildings in the county that they are responsible for inspecting) ____________

Fire prevention and Code Regulations

What fire prevention code is currently adopted by your jurisdiction ________________________

What edition of the adopted code is currently in effect ________________________

Fire Prevention Staffing Frequency of Inspections

Does the district use their own inspectors Yes ______ No _______

Enter the number of fire prevention inspectors _______

Enter the average yearly number of fire inspections completed over the past three years _______

Does the district use county fire prevention inspectors Yes ______ No _______



Does the district use in-service personnel fire prevention inspectors Yes ______ No _______



Fire Prevention Certification and Training

Fire Inspection Certification Enter the number of certified fire prevention inspector’s _______

Fire Prevention Inspector Continuing Education Is there a continuing education program for inspectors Yes ______ No _______

Enter the required number of continuing education hours per inspector per year. _______


21

Fire Prevention Programs

Plan Review What percentage of new nonresidential construction, including remodeling and additions, receive a plan review of fire prevention and fire suppression features _______%

Are records kept of all fire prevention inspections and used to document and track inspection activity Yes ______ No _______

Certificate of Occupancy Inspections

What percentage of new residential construction receives a fire prevention inspection prior to issuing the Certificate of Occupancy _______%

What percentage of new nonresidential construction receives a fire prevention inspection prior to issuing the Certificate of Occupancy _______%

Quality Assurance Program for Enforcement and Inspection Programs

Is there a Quality Assurance Program for fire prevention inspections Yes ______ No _______

How many inspectors participate in the Quality Assurance program _______

Code Compliance Follow-up What percentage of initial inspections, with violations, receives follow-up inspections to verify fire prevention code compliance _______%

Inspection of Private Fire Protection Equipment

What percentage of private fire protection equipment is inspected on a routine basis and in accordance with the adopted codes _______%

Fire Prevention Ordinances

Indicate which fire prevention ordinances below have been adopted: over and above the NC Building Code.

Ordinances Ordinance or Code Number Enforced

Fire Lane(s) ______________ Yes ______ No _______ Fireworks ______________ Yes ______ No _______ Hazardous Materials Route ______________ Yes ______ No _______ Wildland Urban Interface ______________ Yes ______ No _______ Weeds and Trash ______________ Yes ______ No _______ BBQ Grills ______________ Yes ______ No _______


22

Fire Department Training and Pre-Incident Planning Coordination

Yes ______ No _______ Is there a defined procedure to share information regarding fire prevention activities with training and pre-incident planning programs Public Fire Safety Education

_______ What is the number of certified fire safety educators

How many of the above Public Fire Safety Education personnel are trained in

Methods of Teaching _______

Fire Safety Education Continuing Education

Is there a required amount of continuing education hours per year Yes ______ No _______

If yes, enter the required number of continuing education hours per person per year. _______

Residential Fire Safety Program

What percentage of the population in the jurisdiction is reached with fire safety educational programs each year _______%

To receive credit in this area the department must provide documentation for review of fire education programs that have been offered in the last 12 months.

Yes ______ No _______

School Fire Exit Drills

Are the schools in the FPA conducting at least 1 fire drill per month during the

school session

If No, how many months is the school session and how many fire exit drills are they

conducting

Session length (in months) _______

Fire exit drills _______

Is developmentally appropriate classroom instruction presented on fire safety to all students in early childhood education Yes ______ No _______

If no, what is the percentage of students who received developmentally appropriate classroom instruction over the past three years ______%


23

Juvenile Fire Setter Intervention What percentage (averaged over the past three years) of juveniles identified as being involved in fire-play or fire-setting behavior are referred for intervention services _______%

Yes ______ No_______ Large Loss Potential Occupancies Does the fire department present fire safety education to all occupancies that have a large loss of life potential or hazardous conditions, such as high-rise buildings, hospitals, nursing homes, industrial facilities, other large commercial structures or community risk from wildfires

If no, what percentage of the properties like these in your jurisdiction do you reach with fire safety educational programs each year _______%

Fire Investigation

Fire Investigation Organization and Staffing

Is an agency established within the jurisdiction with responsibility to conduct fire Yes ______ No_______ cause investigations

Yes ______ No_______ Does the district utilize their investigators/SBI/County Fire Marshal Office/Local Law Enforcement to investigate suspicious fires

_______% According to the fire department procedures, what percentage of structure fires receive a cause and origin investigation

How many fire investigators are there _______

Fire Investigators Certification and Training

_______ How many existing fire investigators are certified as Basic Fire and Arson Investigator or higher following the criteria contained in NFPA 1033, Standard for Professional Qualifications for Fire Investigator

Fire Investigation Continuing Education Training

Is there a required amount of continuing education hours per year

If yes, enter the required number of continuing education hours per person per year.

Yes ______ No_______

_______

Use of the National Fire Incident Reporting System (NFIRS)

Does the department participate in the NFIRS program Yes ______ No_______


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