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Cumberland County Business Safety - Emergency Services Survey
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1.
What is the name of your business?
(Required.)
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2.
What is the physical address of your business?
(Required.)
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3.
What is the nature of your business?
(Required.)
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4.
Does your business have a landline? If so, what is it?
(Required.)
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5.
What are the hours of your business (When would someone be expected to be on premise -vs- when an intruder may be present)?
(Required.)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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6.
Is there often a need/reason for someone to be on site after hours?
(Required.)
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7.
Does your business use an alarm company/service for security?
(Required.)
Yes
No
If Yes, please include the name and number of the service used.
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8.
Does your business have an on-site surveillance system (security cameras)?
(Required.)
Indoor Cameras
Outdoor Cameras
Both Indoor and Outdoor Cameras
None
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9.
Do you give permission to law enforcement officers to enter your business if dispatched to the property for a call and no one is able to let them in?
(Required.)
Yes
No
Prefer not to answer
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10.
Is there a hidden key/lockbox for your business if Law Enforcement needed access after hours for an emergency call?
(Required.)
Yes
No
If Yes, please provide location and code here, as this will assist emergency services in arriving quicker and more efficient in the case of an emergency.
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11.
If a call for your address/property is dispatched for a trespasser, do you give permission to the responding law enforcement officer(s) to remove and ban (never allow back on the property) the suspect?
(Required.)
Yes
No
Prefer not to answer.
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12.
Do you give permission to law enforcement officers to enter your business if dispatched to the property for a call and no one is able to let them in?
(Required.)
Yes
No
Prefer not to answer.
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13.
If there is an emergency call for service after hours, please provide your emergency contact(s) information below. Please provide - Name, Number, Relation to the business. We will use the contacts in the order they are provided.
(Required.)
Emergency Contact #1
Emergency Contact #2
Emergency Contact #3
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14.
Is your business over 3500 square feet?
(Required.)
Yes
No
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15.
How do you heat your business?
(Required.)
Electric
Natural Gas
Wood
Propane
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16.
Does your business have an Automated External Defibrillator (AED) on site?
(Required.)
Yes
No
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17.
If your business has an AED - Tell us about the unit - If your business does not have an AED - write N/A for each answer. We keep records of AED placements throughout Cumberland County to better assist our field responders and 9-1-1 callers who may be near an AED and not be aware of its location. (IF NO AED - MARK ALL N/A)
(Required.)
Make
Model
Serial Number
Where on the Property is it located?
Is it easily accessible if needed?
Can it be used on a Pediatric patient?
When was the AED first placed?
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18.
Are there specialized/hazardous equipment and/or materials that could pose additional danger to responders stored on site?
(Required.)
Yes
No
If yes, give us as much information as possible.
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19.
If your business has a plan for what to do during severe weather (ex: tornado), please tell us about it here.
(Required.)
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20.
Any other information you would like responders to have regarding your business, give it here.
(Required.)