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Home Fire Safety Survey

Welcome & Thank You for taking this Fire Safety Survery

 

Please provide your email address if you would like to recieve a copy of your completed survey once submitted

 Exterior Conditions

House exterior is free from hazardous fire conditions
 
Gas meter has a protective barrier or does not require one
 
Exterior is clear of excessive rubbish and vegetation that may pose a fire hazard
 
House number is visible from the street
 
Is access to your swimming pool / hot tub secured
 
Propane or gas grill is only used outdoors
 

Smoke Alarms

Smoke alarms located inside each bedroom
 
Smoke alarms located outside each bedroom
 
Smoke alarms located on every level of the home
 
All smoke alarms located >10 feet from stove
 
All smoke alarm batteries replaced every six months
 
All smoke alarms work when tested
 
All smoke alarms < 10 years old
 
All smoke alarms tested monthly
 

Carbon Monoxide Alarms

Carbon monoxide alarm is located on each level of the home
 
Carbon monoxide alarm batteries replaced at least annually
 
Carbon monoxide alarm(s) < 7 years old
 
Carbon monoxide alarms work when tested
 

Emergency Escape

The occupants have a fire escape plan
 
Occupants have a designated outside meeting place
 
All occupants know the outside meeting place
 
All occupants know the primary and secondary escape routes from the bedrooms
 
The occupants practice the fire escape plan at least once every 3 months
 
Bedroom windows used as a secondary escape route open easily
 
Security bars on windows used as a secondary escape route have a quick release device and it is operational
 
Exit routes are free from obstructions
 
Doors do not have double-keyed locks
 
Emergency escape ladders provided for bedrooms on upper floors
 

Electrical 

Electrical panel is accessible and in good condition
 
Circuit breakers are labeled
 
Outlets and switches have faceplates
 
Power strips/power bars are used with integral over current protection
 
Electrical cords do not run under carpet or rugs
 
Electrical/extension cords are not a tripping hazard
 
Extension cords are not used as fixed wiring
 
Kitchen and bathroom outlets are GFCI
 
Exterior, basement and garage outlets are GFCI
 
Sufficient airspace left around stereos and TVs
 
Small appliances unplugged when not in use
 

Interior Conditions

The home interior is cleared of excessive combustibles
 
Smoking is not allowed in the home
 
If smoking is allowed in the home, large ashtrays are provided and emptied each night
 
Emergency phone numbers are posted in the home
 
There is a solid core door between the garage and the homes interior
 
Matches & lighters are secured from children
 
Lit candles are not left unattended
 
Flammable liquids are properly stored
 
A minimum of one functioning flashlight is in the home
 
Clothes dryer vent duct is made of metal and is cleaned on a regular basis
 

Heating & Cooking Conditions

Fireplace ashes are properly disposed of outside the home
 
Fireplace has a proper screen and hearth
 
A clear 3 feet of space is provided around the fireplace and all space heaters
 
Liquefied Petroleum (LP) gas heaters with self-contained fuel supplies are not used to heat the interior of the home
 
The chimney is inspected and cleaned annually
 
The furnace is inspected and cleaned annually
 
Hot water discharged in the home is < 120 degrees Fahrenheit
 

Cooking Conditions

Combustibles removed from the stovetop
 
Flammable objects, including pot holders, dish towels and curtains are at least 3 feet away from the stove
 
An adult stays in the kitchen when stove is in use
 
Pot & pan handles are turned in while cooking
 

Equipment Installed

Hardwired Smoke Alarm
 
Battery Smoke Alarm
 
Carbon Monoxide Alarm
 
Fire Extinguisher - Please see our online Fire Extinguisher Survey link below
 

Take the Fire Extinguisher Survey

(Survey will open in a new window)

Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act, and will be used for the purpose of fire prevention education.  Enquiries regarding the collection of this information may be directed to the Office of the Clerk/Freedom of Information Coordinator, Municipality of Trent Hills, 66 Front Street South, Campbellford, ON K0L 1L0 705-653-1900.



Land Acknowledgement

We recognize the traditional keepers of this land and, specifically our neighbours of the Alderville First Nation, with a formal territorial acknowledgement.

Welcome to the Gunshot Treaty Lands of 1788. It is on these lands and on the shores of the big lake, the Mississauga Anishinabeg met with the Crown to facilitate the opening of these lands for
settlement.

Let us be reminded of the responsibility we all have in making sure that we respect these lands and waters that give us life and sustain our livelihoods.

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