Mapping Application

1st Due
2nd Due
3rd Due
4th Due

Occupancy Name
Occupancy Address

Life Hazards
Hazards To Firefighters:

Civilian Life Hazards:

Fire Flow Requirements:

100% Involvement: GPM

50% Involvement: GPM

Hydrants

Number

Distance From Building
Feet
Feet
Feet
Feet
Feet

Flow
GPM
GPM
GPM
GPM
GPM

Fire Protection Systems
Sprinklers Yes Yes but only part of bldg. No

Where is the Fire Department connection?

Where are the sprinkler valves

Is there a fire pump? Yes No If yes who controls it?

From where is it controlled?

Fire Walls Yes No

Where are they?

What are they made of? How thick are they?

What are the fire walls rated? Are they violated Yes No

If violated where and how?

Fire Doors
Where are they?

How do they operate

How are they rated? Are they likely to be blocked open? Yes No

Are any fire doors automatic with a potential for closing and trapping firefighters? Yes No

Fire Alarm System
Yes No If yes, where is the control panel?

Types of alarm activation system? Pull Alarms Smoke Detectors Heat Detectors

Water Flow switch Tamper Switch Flame Detectors

Access
Are there problems with access by either personnel or apparatus? If so, describe and suggest solutions.

What is the best way to access the roof?

What is the best way to access the attic?

Is there a basement? Yes No

If yes, what is the best way to access?

Utility Shutoffs
Electric GPU Other

Where is the meter?

Where is the breaker box?

water

Gas Natural Propane

Where is the shutoff?

Describe the building

Primary Contact

Name
Address
Business Phone
Home Phone
Cell Phone
Pager

Secondary Contact

Name
Address
Business Phone
Home Phone
Cell Phone
Pager

Diagram

prepared by: Date:

Officer
Firefighter
Firefighter
Firefighter

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