Conducting A Level 2

Assessment

3 Major Factors You Will Be Assessing

Residential Hazard Assessment Form: two parts with self carbon.

Write on the GREEN copy.

Fill In The Home Information

12345 Forest Road

Firewise City, MN 55555

9/7/03

12345 Forest Rd.

Firewise City, MN

9/7/03

1

If you do not know the homeowner’s name, leave that blank.

Best High School

Record your name as Evaluator.If possible, take one GPS reading at the E911 sign. Record the waypoint # and UTM coordinates.Take the other GPS reading at the home. Record the waypoint # and UTM coordinates. 001

Sara Student

Andy Assessor

0350189 5235809

1

0350675 5198843

2

Greet The Homeowner...

Greeting The Homeowner

1. Introduce yourself and present letter.2. Ask permission to assess the property and

invite homeowner to join you.3. Fill out form.4. Leave form and literature bag.

If The Homeowner Says No or Is Not Home

1. If the homeowner says no, thank them and leave politely.

If the homeowner is not home, leave the Homeowner Evaluation form, literature bag and special note that states a Level 2 can be requested, on the mail box or most visible door.

Fill Out Development Information

If the factor is present, circle the score.

#s 1 and 5 will be the same for all homes in a development.

Access

Circle the number if the condition exists.

1. # of Access Roads

2. Check main road width.

Main road

30 ft

3 and 4. If the home is on a secondary road off the main entrance road, rate its characteristics.

Secondary Road

30 ft

5. Look for street signs.

Site6. At the driveway, look for a hydrant.If no hydrant, note other water sources.

7. Is the address visible from the road?

8. Is the driveway gated?

9. Is the driveway steep or rutted?

10 and 11. Is the driveway too narrow or clearance too low for

emergency vehicles?

12. Is the driveway over 150 feet long, and if so, does it

have an adequate turnaround?

For the remainder of the survey,concentrate on the area

within 30 feet of buildings.

This home has evergreens within 30 feet of the house.

13. What are the dominant trees?

13a. What are the dominant trees?

This photo shows mixed wood trees within 30 feet of the house.

13. What are the dominant trees?

This home has hardwood trees within 30 feet of the house.

14. Are there ladder fuels present?

Here ground vegetation touches the lower branches of the trees.

15. If there are evergreens present, are their crowns touching?

YES NO

16. Tall grass...

16. Tall grass ... or heavy shrubs

17. Are there steep slopes near buildings?

18. Is firewood stored near the home?

19. Are there sheds or other buildings not attached to, but within 30 feet of the home?

If so, expand your defensible space area to include these buildings.

20. Are there power lines on the property that are within the “fall zone” of trees?

Could they hamper a fire truck’s access to the back of the home?

21. Is there outdoor burning practiced on the property?

Look for burning barrels, fire pits or other signs of burning.

Structural Hazards

22-28

Rate the most vulnerable structure

or part of the main structure

within the 30 foot defensible space.

22. Does the building have a wood roof?

24. Are soffits enclosed?

Remember to look at outbuildings too.

25. Are there any picture windows?

26. Is the foundation of the building open (can you crawl under the house) or closed with a block or cement basement?

27. Does the home have vinyl or wood siding?

28. Is there is an unskirted wood deck attached to a wood or vinyl

sided building?

58

Calculate The Risk

58

Transfer Recommendations To Appropriate Check Boxes

X

X

X

X

Remove Yellow Form And Leave With The Homeowner

If the homeowner is not there, leave

form and literature bag on most visible

door.

Leave The Green Copy In The Booklet

Thank the homeowner and continue on to the next home.

Questions?