Household Risks

Thank you for taking the time out of your busy schedule to help us get a better idea of how prepared and safe our citizens are from the dangers of fire. This survey is anonymous, but there is a section at the end for you to add your name and contact information. This information is completely optional. Thanks again, and stay safe!

* 1. Town/City

* 2. Is there a working smoke alarm inside your home?

* 3. Are your smoke alarms mounted high on walls or on ceilings well away from the path of steam from bathrooms and cooking vapors which can result in false or nuisance alarms?

* 4. Do you replace batteries regularly (at least once a year?)

* 5. Do you test your smoke alarms monthly?

* 6. If you or anyone else living with you are hearing impaired, do you have smoke alarms with strobes and/or vibration signals?

* 7. Do you have a home escape plan?

* 8. Does everyone living in your home know how to escape first and then call 911 from a safe location?

* 9. Do you practice emergency plans that include two ways out of every room?

* 10. Do you have a designated meeting place, outside of your home, that everyone knows?

* 11. Is there a flashlight with good batteries by each person's bed?

* 12. Do windows and doors open easily from the inside?

* 13. Do you keep escape routes clear at all times (of furniture, toys, storage, clutter)?

* 14. Have you provided escape ladders or other provisions from upstairs rooms?

* 15. Have you ensured that family members with special needs, such as small children and the ill or frail, have a buddy to help them get out safely in case of fire?

* 16. Are your address numbers at least 3-5 inches high, a contrasting color from the rest of the exterior, and clearly visible from the street?

* 17. Have you cataloged and updated your household inventory for insurance claims?

* 18. Do you keep space heaters at least 3 feet from anything that will burn (newspapers, furniture, curtains, clothes, etc.)?

* 19. Do you frequently check wires and cords to make sure they are not damaged?

* 20. Are your bathroom and kitchen outlets protected by ground-fault circuit interrupters?

* 21. Are candles and oil lamps fully extinguished before leaving the room or before you go to sleep?

* 22. Are all candles in sturdy non-tip noncombustible candle holders?

* 23. Do you keep matches and lighters high and out of the reach of children, preferably in a locked cabinet?

* 24. Is there a fire extinguisher within easy access of the cooking area?

* 25. Do you know how to properly use a fire extinguisher?

* 26. Do you always keep things that can burn, such as dish towels, paper and plastic, at least 3 feet from the rangetop?

* 27. Do you always remain in the room while cooking?

* 28. Is every smoker committed to never smoking in bed?

* 29. Do you have large, deep, non-tip ashtrays for smokers (residents or guests)?

* 30. Are newspapers, empty boxes, rags, paints and gasoline cans stored in proper containers and away from heaters, outlets, or any other possible ignition sources?

* 31. Do you have chimneys, fireplaces, wood and coal stoves, boilers and central furnaces inspected by professionals once a year and cleaned regularly?

* 32. Is firewood stacked at least 10 feet from the house?

* 33. Is your fireplace fitted with approved doors or a screen?

* 34. Is the exterior of your home clear of all trash, dead grass, leaves and other combustible materials?

* 35. Is your barbecue grill at least 8-feet from the house, trees, shrubs and other things that will burn when cooking? 

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