Fillable Fire Checklist Take Steps To Prevent Fires (CITY OF FOREST GROVE)

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Fire Checklist Take Steps To Prevent Fires (CITY OF FOREST GROVE)

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Smoking Safety
Yes No
Do you or someone in your household smoke?
If no, skip ahead to cooking safety. If you smoke, smoke outside.
Yes No
Do you use medical oxygen?
Don’t smoke while using oxygen. It may explode. If you must
smoke, contact your medical care provider before smoking.
Yes No
Do you smoke in bed or when feeling drowsy?
Never smoke when you are drowsy, feeling the affects of alcohol or
medication, lying down, or in bed.
Yes No
Do you use large, deep ashtrays on a sturdy surface?
Large, deep, non-tip ashtrays are best. Wet cigarette butts and
ashes before disposing them.
Cooking Safety
Yes No
Do you stay in the kitchen when you cook?
Don’t leave cooking food unattended. If you must leave, set a timer
or turn on a light as a reminder you’re cooking. Don’t cook if you are
drowsy from medication or alcohol.
Yes No
Do you wear loose sleeves over hot stove burners?
Loose sleeves can melt, ignite, or catch on handles of pots and
pans. To avoid catching your clothes on re, wear clothing with
rolled-up or short sleeves.
Yes No
Do you use oven mitts to handle hot pans?
Always use oven mitts to handle hot pans. Keep dishtowels, paper
towels, pot holders, and other combustible items away from stove
burners.
Yes No
Do your small kitchen appliances have frayed electrical cords?
Maintain electrical cords. If frayed have them repaired or replaced.
Take Steps to Prevent Fires
Checklist
Yes No
Do you know how to put out a pan re?
If a pan of food catches re, carefully slide a lid over it and turn off
the burner. If the re continues to grow, leave your home and call
9-1-1. Never carry a pan that is on re outside. Leave it where it is.
Yes No
Do you know what to do if your clothes catch on re?
Stop, drop gently to the ground, cover your face with your hands,
and roll over and over or back and forth to smother the ames. If
you can’t stop, drop, and roll, smother the ames with a towel or
blanket. Call 9-1-1 and get medical help immediately.
Electrical Safety
Yes No
Do you have appliances, electronics, or lamps with frayed
electrical cords?
If yes, unplug them at once. Have them repaired or replaced.
Yes No
Do you have electrical cords placed under rugs?
Don’t place electrical cords under rugs or through doorways.
Unplug them at once and move them to a safer location.
Yes No
Do you have multiple cords plugged into wall outlets,
adapters, or extension cords?
Plug only one cord into each electrical outlet. Unplug small
appliances when not in use.
Home Heating Safety
Space Heater
Yes No
Are your space heaters three feet from items that can burn?
Keep combustibles such as paper, trash, furniture, bedding,
curtains, or clothes at least three feet from heat sources.
Yes No
Does your space heater have an automatic tip-over switch?
If not, purchase a space heater with an automatic tip-over switch.
Yes No
Do you unplug it before going to bed or leaving your home?
You should turn off and unplug heaters when leaving home or going
to bed.
Yes No
Do you use an extension cord with your space heater?
Do not use extension cords with space heaters. Relocate heater to
a safe area and plug it directly into an outlet.
Woodstove/Fireplace
Yes No
Do you have your woodstove or replace ue cleaned and
inspected annually?
Have it inspected by a licensed chimney sweep.
Yes No
Do you store combustible items (paper, kindling, and wood)
away from the re?
Store combustible items at least three feet from any heat source.
Yes No
Do you use a replace screen?
Always use a replace screen. It keeps hot embers from escaping
and igniting the surrounding area.
Yes No
Do you dispose of ashes in a metal container, outside and
away from combustibles?
Don’t put ashes in a container that may ignite. Always use a metal
container.
Candle Safety
Yes No
Do you use candles?
Never leave candles unattended. Blow out candles before leaving
the room or going to bed. Place candles out of reach of young
children and pets. A safe alternative is to use battery-operated,
ameless candles.
Yes No
Are your candles located near anything that can burn?
Keep candles three feet from things that can burn (clothing, curtains,
furniture, bedding, curtains, and any other ammable items).
Smoke Alarms & Home Fire Sprinklers
Yes No
Does your home have working smoke alarms?
Make sure you have at least one smoke alarm on every level of your
home, outside each sleeping area (in hallway), and in each bedroom.
If not, contact your local re agency for help installing alarms.
Yes No
Do you test your smoke alarms?
Test your alarms by pushing the test button at least once a month.
Batteries should be changed whenever the alarm chirps telling you
the battery power is low. If the smoke alarm has a long-life lithium
type (10-year) battery and it chirps, you should replace the entire
smoke alarm.
Yes No
Are your smoke alarms 10 years old or more?
Smoke alarms 10 years old or more should be replaced.
Yes No
Can you hear your smoke alarms? Can you hear them while
you are sleeping?
If not, smoke alarms are available for people who are deaf or hard
of hearing. Contact your local re agency for more information.
Yes
No
Do you have home re sprinklers?
If possible, chose to live in a home with re sprinklers. If you’re
moving, make sure your home has a home re sprinkler system.
Home Fire Escape Plan
Yes No
Do you have a home re escape plan?
Know two ways out of every room and two ways out of your home.
In the event of a re, safely exit your home. Do not go back in
for family, pets, or personal items. Once outside, call your local
emergency number from a neighbor’s phone or a cell phone. If you
must escape through smoke, stay low – cleaner air is near the oor.
Practice your home re escape plan.
Yes No
Do your doors and windows open easily?
Make sure you can open all doors and windows easily. Security
bars should be equipped with quick-release devices. Make sure
furniture and other heavy objects are not blocking your exits.
Yes No
Do you have a telephone in your bedroom?
Having a telephone in your bedroom is a good idea in case you are
trapped by re and can’t get out quickly.
Yes No
Do you have limited mobility?
Develop your escape plan based on your abilities and practice it to
make sure you can do it. Teach everyone in your household (and
your neighbors) about assistance you may need. If possible, your
bedroom should be located on the rst oor of your home so you
can escape faster during an emergency.
Oregon State Police • Ofce of State Fire Marshal
4760 Portland Road NE • Salem, OR 97305-1760
503-934-8266 • osfm.ce@state.or.us
For life threatening emergencies, call 9-1-1
For information about re prevention and safety, contact your local re agency
or visit: www.oregon.gov/OSP/SFM/CommEd_SR_Program.shtml.
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Fire Checklist Take Steps To Prevent Fires (CITY OF FOREST GROVE)

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Completed 18 July 2020

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