Fireline Defense Index
Owner/Tenant
First Name
Last Name
Inspection Form #
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County Of Residence
Phone Number
 -
Area Code
Phone Number
Email
example@example.com
GPS Detected Location
Elevation
Occupancy Load
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Inspection Date Information
1st Inspector Name
First Name
Last Name
Consultation is For
Residence
Commercial Business
School
Addition to existing structure manufacture home
Auxiliary Building(Detached Garage, Shop, Shed, etc)
Other
Photo of House
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Defensible Space
Property Ignition Zone 1: 0- 30 feet of all structures or to the property line.
Landscape within 5 feet of home is non-combustible mulch.
Yes
No
N/A
Comment
Take Photo
Garbage cans are protected by fire resistive material or placed at least 10 feet from structure.
Yes
No
N/A
Comment
Take Photo
Fuel break or buffer zone between structure and vegetation (driveways, walkways/paths, patios, decks, etc.).
Yes
No
N/A
Comment
Take Photo
No overhanging branches 10 feet of chimney/stove pipe outlet.
Yes
No
N/A
Comment
Take Photo
No dead and dying vegetation.
Yes
No
N/A
Comment
Take Photo
Adequate landscape vegetation spacing.
Yes
No
N/A
Comment
Take Photo
No Flammable material below combustible decks, balconies, and stairs.
Yes
No
N/A
Comment
Take Photo
Woodpiles in this zone must have a fire resistive covering.
Yes
No
N/A
Comment
Take Photo
Structure has a 10 foot clearance from tree canopy.
Yes
No
N/A
Comment
Take Photo
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Property Ignition Zone 2:
30-100ft or to property line.
Woodpiles have a clearance of at least 10ft. down to bare mineral soil.
Yes
No
N/A
Comment
Take Photo
Landscape debris and burn piles are no larger than 4x4 ft. No flammable material within 10 feet of edge.
Yes
No
N/A
Comment
Take Photo
Logs or stumps isolated from surrounding vegetation with scratch line.
Yes
No
N/A
Comment
Take Photo
Large trees greater than 6 inches in diameter are maintained at 6ft ground clearance.
Yes
No
N/A
Comment
Take Photo
Short trees have clearance on the bottom third of the tree.
Yes
No
N/A
Comment
Take Photo
Fire-resistive plants with high moisture content
See Examples Here
Yes
No
N/A
Comment
Take Photo
Fire-resistive shrubs with high moisture content (
See Examples Here
)
Yes
No
N/A
Comment
Take Photo
Fire-resistive trees with high moisture content (
See Examples Here
).
Yes
No
N/A
Comment
Take Photo
Landscaping meets fuel clearance to slope ratio
Shrubs
Yes
No
N/A
Comment
Take Photo
Trees
Yes
No
N/A
Comment
Take Photo
Outbuildings- 10ft mineral soil clearance and no flammable vegetation within 20 ft.
Yes
No
N/A
Comment
Take Photo
Liquid Propane Gas- 10ft mineral soil clearance and no flammable vegetation within 20ft.
Yes
No
N/A
Comment
Take Photo
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Property Ignition Zone 3:
100-200 feet or more beyond the property.
Fuel Type 1 - 13
GR1
GR2
GR3
SH4
SH5
SH6
SH7
TL8
TL9
TL10
SL11
SL12
SL13
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Managed/Unmanaged
Managed
Unmanaged
Assign Risk
Â
1
2
3
4
5
Â
High Risk
Low Risk
1 is High Risk, 5 is Low Risk
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Property Maintenance Load
Maintenance Load
Low
Medium
High
Managed/Unmanaged
Managed
Unmanaged
Assign Risk
Â
1
2
3
4
5
Â
High Risk
Low Risk
1 is High Risk, 5 is Low Risk
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ACCESSIBILITY
Would you feel safe staying to defend this structure as a firefighter?
Yes
No
N/A
Comment
Take Photo
Street names and numbers are clearly marked or reflective.
Yes
No
N/A
Comment
Take Photo
Driveway complies with county or jurisdictional codes and is at least 12ft wide x 15ft high clearance.
Yes
No
N/A
Comment
Take Photo
Water resource is greater or equal to 500 gallons within 500ft of structure.
Yes
No
N/A
Comment
Take Photo
Property is free of hazards and promotes access/egress for fire crews.
Yes
No
N/A
Comment
Take Photo
Bridges are established in compliance with local ordinances and have 20 ton capacity.
Yes
No
N/A
Comment
Take Photo
Unpaved driveways does not exceed 15% grade.
Yes
No
N/A
Comment
Take Photo
Sites have an accessible turn-around and meet driveway to turnaround type 1 engine (30ft by 10ft) standards.
Yes
No
N/A
Comment
Take Photo
Gates are located at least 30 feet from the roadway with easy access.
Yes
No
N/A
Comment
Take Photo
Fire Department has gate keys or codes.
Yes
No
N/A
Comment
Take Photo
Fire Department within 5 miles is accredited
Yes
No
N/A
Comment
Take Photo
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PROPERTY HARDENING - PASSIVE DEFENSE
Wall is class A fire rated. Penetrations and other openings are sealed.
Yes
No
N/A
Comment
Take Photo
Roof is Class A fire rated. Penetrations and other openings are sealed.
Yes
No
N/A
Comment
Take Photo
Eaves/soffits are fully enclosed with fire resistant vent covers.
Yes
No
N/A
Comment
Take Photo
Rain gutter design prevents debris accumulation and are non-combustible.
Yes
No
N/A
Comment
Take Photo
All siding and wall coverings are at least 6 inches above grade.
Yes
No
N/A
Comment
Take Photo
Crawl space fully enclosed with non combustible skirt siding.
Yes
No
N/A
Comment
Take Photo
Crawlspace ventilation has fire resistant vent covers.
Yes
No
N/A
Comment
Take Photo
Windows are double pane tempered glass, and has non combustible mesh screens.
Yes
No
N/A
Comment
Take Photo
Doors are non combustible or minimum 1 3/4 inch solid core with weather seal.
Yes
No
N/A
Comment
Take Photo
Fences are made of non-combustible material.
Yes
No
N/A
Comment
Take Photo
Decks and railings are made of non-combustible material.
Yes
No
N/A
Comment
Take Photo
Bonus
Outdoor - Smoke and heat sensors
Yes
No
Comment
Take Photo
Indoor - Smoke, heat sensors and CO2 Alarms.
Yes
No
Comment
Take Photo
Exterior fire suppression systems
Yes
No
Comment
Take Photo
Temporary suppression systems with smart tech.
Yes
No
Comment
Take Photo
Hillside sprinkler system.
Yes
No
Comment
Take Photo
Interior fire suppression systems.
Yes
No
Comment
Take Photo
Positive pressure ventilation.
Yes
No
Comment
Take Photo
Automatic doors and windows.
Yes
No
Comment
Take Photo
Automatic fire retardant rolling blinds/curtains controlled by smart tech.
Yes
No
Comment
Take Photo
Isolated energy storage system (solar/home battery)
Yes
No
Comment
Take Photo
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SIGNIFICANT RISK FACTORS
Slope greater than 20 % grade.
Yes
No
N/A
Comment
Take Photo
Closest staffed fire department greater than 20 minutes drive time
Yes
No
N/A
Comment
Take Photo
No hydrant or adequate water supply for emergency personnel
Yes
No
N/A
Comment
Take Photo
Structure is in a historically significant fire zone.
Yes
No
N/A
Comment
Take Photo
Structure location is built in or near ridge tops, canyons, chimney, chute, saddle, or drainage.
Yes
No
N/A
Comment
Take Photo
Structure set-back is mid slope or steep slope
Yes
No
N/A
Comment
Take Photo
Neighboring homes within 50ft of residence are flammable with no defensible space.
Yes
No
N/A
Comment
Take Photo
Power lines (12KV or higher) on property. .
Yes
No
N/A
Comment
Take Photo
Structure is incomplete/under construction and unprotected missing tiles, windows, roofing etc.
Yes
No
N/A
Comment
Take Photo
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Educational Bonus
Active or retired First responder (EMT Firefighter Police)
Yes
No
Take Photo
Community emergency response team
Yes
No
Take Photo
mergency evacuation plan 5 feet maximum from main entry of residence (e.g. EDITH)E
Yes
No
Take Photo
Signed up community warning system, Emergency Alert System (EAS), National Oceanic and Atmospheric Administration (NOAA).
Yes
No
Take Photo
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Additional Comments
Additional Comments
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