Pre-Incident Questionnaire

Fill out the form below

Pre-planning is an important part of preparing for a fire, both from an owner’s perspective and from a firefighting persepctive.

A pre-plan provides emergency services with information about your property so a more efficient and effective operation can be conducted during an emergency. This means less damage to your business, and a better chance of a successful rescue if someone trapped. 

This form is just the start to complete a well rounded pre-plan. Once this form is submitted, an official from one of the departments will contact you to gather additional information, and possibly tour your business. 

All information gathered in this process is kept confidential, and will only be used in a time of an emergency. 

General Information

Address

Contact Information

The information in the section should be filled with the people that should be contacted in case of an emergency
Name
Name

Occupany

In this section we would like to know a little about your occupancy and working hours
Hour the business is occupied
Please check all that apply
From the options selected above, please indicate the number of employees or occupants on the premises during those times.
Are there handicapped occupants that may need assistance during evacuation?

Consent of Information