SAFETY SURVEY
If you answer No to any of the following questions, please correct the situation as soon as possible. Contact the CCFA with any questions.
Paperless survey. To print results for your records, choose Print from your browser's File menu.
HOME EXTERIOR and GARAGE
House address numbers are visible from the street? Yes No N/A
Exterior of home is clear of trash? Yes No N/A
Any firewood is stored away from the home's exterior walls? Yes No N/A
Grills and other outdoor cookers are stored away from the home's exterior walls? Yes No N/A
Garage is free of trash, empty boxes, and flammables are stored away properly? Yes No N/A
KITCHEN
All appliances are in proper working condition? Yes No N/A
Stove and ovens are clean and free of any spilled grease? Yes No N/A
Cooking is never left unattended? Yes No N/A
When cooking, all pot handles are turned in to reduce spills? Yes No N/A
ELECTRICAL SAFETY
Electrical cords are free from tears, frays or damage? Yes No N/A
Extension cords are not under rugs or across doorways? Yes No N/A
Electric outlets are not overloaded with multiple plugs? Yes No N/A
Correct sized fuses are used in outlets, appliances and in fuse panel? Yes No N/A
HEATING SAFETY
Areas around heaters and hot water heaters are clear of combustibles? Yes No N/A
Furnace filters are replaced on a regular basis (at minimum twice a year)? Yes No N/A
Heating appliances are inspected annually? Yes No N/A
Fireplace is covered with a screen and chimney is clean? Yes No N/A
Fireplace ashes are disposed of properly? Yes No N/A
FIRE SAFETY IN GENERAL
Smoke alarms are installed near sleeping areas, on each floor and in good working condition? Yes No N/A
Smoke alarms are tested monthly and batteries are changed every six months? Yes No N/A
A fire escape plan is in place? Yes No N/A
Areas in and around the home are kept clean of flammable liquids, oily rags? If these items are necessary, they are kept in tightly sealed containers and away from heating appliances? Yes No N/A
The clothes dryer remains clean of lint and checked for proper venting? Yes No N/A