Fire prevention self-inspection form

Name of owner (s) *

Is your civic number visible from the street? (Municipal By-law) *

Do you have smoke alarms on each floor including the basement? (Municipal By-law) *

When pressing the test button on your smoke alarms, do they work? *

Do you ever remove the battery from a smoke alarm to prevent it from ringing?  *

Are you connected to an alarm central? *

Are your smoke alarms battery operated or electric?  *

If your smoke alarms are battery operated, do you change the batteries regularly - when the time is changed, for example *

Do you have a carbon monoxide detector? *

Electrical panel *

Are the circuits identified on the panel?  *

Passing the back of your hand over the electrical panel, is there an abnormal heat generation? *

Are there electrical wires running under your carpets?  *

Do the clearances around your solid combustion stove respect the prescribed distances on your certification plate?  *

Has your chimney been swept in the past year?  *

Do you place hot ashes in a metal container at least 72 hours before disposing of them?  *

Do you have a portable fire extinguisher?  *

Do you fry in a container other than an approved fryer?  *

Do you leave burning candles unattended?  *

Is there a smoker present?  *

Is there an animal present? *

Is there a person with reduced mobility? *

Is there an oxygen cylinder present? *

Is there a propane, fuel, oil or other tank near the residence?  *

Is there an outdoor fireplace with spark protection? *

Is there a danger of fire spreading to other buildings? *

Do you have an evacuation plan to direct your family to a meeting point in case of fire?  *

Are your relatives and caretaker aware that you have an evacuation plan?  *

Do family members know that the first thing to do when a fire breaks out is to call 911? *