Fire Service Information Form (optional)

Risk & Safety Management Plans for Propane Facilities (RSMP)

Fire Service Information Form
Review and Comments for Level 1 RSMP

(PDF version available on request at AskOFM)


(Insert Fire Service Name)

Date:

Reviewed By:

The following information is being provided by the local fire service having jurisdiction for the propane facility referenced within the Level 1 RSMP submission. The fire service is providing the information under the requirements of O. Reg. 211/01 and exercising its authority for review and comment. The following comments are being provided to the propane operator.


Municipal Information

Municipality / Region

 

Address

 

Address

 

City

 

Postal Code

 

Clerk

 

Phone

 

Fax

 

Email

 

Alternate (if applicable)

 

Phone

 

Fax

 

Email

 

Municipal Fire Department Information

Fire Department Name

 

Address

 

Address

 

City

 

Postal Code

 

Fire Chief

 

Phone

 

Cell

 

Fax

 

Email

 

Alternate Contact

 

Phone

 

Cell

 

Fax

 

Email

 

Fire Service Response Details

The fire service should identify how many fire stations are located in the municipality and reference an approximate distance to the closest municipal fire station for response. Municipal resources should be shown in this table since the contacted fire service may not be available to respond at all times.

How many fire stations are within the municipality?

What is the approximate distance to the propane facility from the closest municipal fire station (km)?

The fire service should provide the average response time for their first arriving crew from the closest responding station, including stations under agreement. The time noted should be used as an ordinary response time as other factors that increase response time are not predictable.

The time to assemble a full complement of crews means that the fire service has established all operational tasks and staffing and resources are available to support the operational assignments. Average times should be noted as factors that influence response setup are not predictable.

What is the approximate First Response time? (First arriving crew to complete scene assessment)

 

What is the expected time to assemble a full complement of crews to support operations (approx. minutes)? (All apparatus and crews arrive, operational assignments provided)


Fire Service Equipment

Provide a list of all fire service apparatus that will be responding to this specific propane site should an event occur. List apparatus as pumpers, tankers or aerial devices.

Combination units should be shown for the intended use as a pumper or tanker. Note: Apparatus shown in this section are for information purposes only. Unforeseeable situations such as maintenance or other emergency responses may limit apparatus availability.

Total pump capacity may be limited by the water supply available or the number of apparatus available. Operations may require pumpers to be assigned to water supply and the site.

Truck ID
(P1, T1 or L1)

Pumper

Tanker

Elevating Device

Pump Capacity
(GPM or LPM)

Water Capacity
(Gal or Litres)

      
      
      
      

Total Pump Capacity available (units)

 

Total Mobile Water Capacity available on trucks (units)

 

Fire Service Response Considerations

The engineer must consider your fire protection services capabilities when determining a mitigation strategy in the RSMP. It will be important to provide accurate information about response capabilities and training to ensure the RSMP closes any identified response gaps.

Current Level of HAZMAT training that the fire service has obtained:

Provide fire service operation details that a propane company could expect from your fire service in the event of a propane leak or fire.

(Example of Service Operations: Dispatch protocols will have a 1st response alarm of 3 response locations including apparatus XYZ, establish water supply with apparatus abc, our fire service has awareness level training, will establish safety zones, control fire within training and operational limitations, fight fire from a safe distance, will await technical support from propane operator.)


List all intervention capabilities that the fire service can provide.

(Provide specific details that identify mitigation actions the fire service will perform for this specific site)



Water Supply Comments

Check the appropriate response that best suits the water flow situation identified by your fire department.

Note: This information should also be shown in the Level 1 RSMP (page 10 of 15).

  1. The fire service has the capability to pump and maintain a continuous flow rate of 375 GPM at the referenced facility.
  2. The fire service DOES NOT have the capabilities to pump 375 GPM at the propane facilities location. The propane operator requires a level of fire protection services beyond the capabilities of the municipal fire department and will be responsible to assess other safety strategies beyond municipal fire protection.

Fire Service Comments for Level 1 RSMP Section B
Emergency Response and Preparedness Plan


Additional Fire Service Comments