blank space

OFM logo

Municipal Fire Protection
Information Survey -


Survey Purpose

The purpose of the survey is twofold:


Survey Focus

The survey focuses on the following minimum requirements:


Survey Authority

The authority to conduct the survey and collect data is provided in the FPPA, Part III,
Section 9(1):

Section 11(2):

1.  Administrative Information 

Municipality and Fire Department
 
Do you have? (Yes/No, Date, Copy Attached)
1.1 Corporate organizational chart?
1.2 Corporate mission statement
1.3 Fire department annual report?
1.4 Fire department organizational chart? 
1.5 Fire department mission statement? 
 
1.6 What office (word processing, spreadsheet) and Internet software do you use?
checkbox None
checkbox Microsoft Office
checkbox WordPerfect Suite
checkbox Internet Explorer
checkbox Netscape Navigator
checkbox Other
If Other, Please Specify:
 
1.7 What microcomputer operating system do you use?
checkbox None
checkbox Windows 95/98/ME
checkbox Windows 2000/XP
checkbox MAC OS 9
checkbox MAC OS 10
checkbox Linux
checkbox Other
If Other, Please Specify:
 
1.8 Do you operate a computer-aided dispatch system?  If Yes, indicate type.
checkbox Crisys
checkbox FDM Software
checkbox FireHouse
checkbox FirePro
checkbox GEAC
checkbox PRC
checkbox SunPro
checkbox Other
If Other, Please Specify

SECTION 1  -  COMMENTS

2. Policies / Guidelines

Do you have a policy/guideline for the following?
Possible answers are Yes/No, Copy(Yes/No), and Date Passed (yy-mm-dd)
2.1  Council Approved Prevention Policy
2.2  Fire Cause Determination Policy or Guideline
2.3  Smoke Alarm Initiative, Policy or Guideline
2.4  Public Education Policy(s) or Guideline(s)  (Departmental)
2.5  Fire Prevention Policy(s) or Guideline(s)  (Departmental)
2.6  Council Approved Master Fire Plan
2.7  Is the provision of fire prevention services mandated by your Establishing and Regulating By-law? Yes/No
2.8  Is the provision of public education services mandated by your Establishing and Regulating By-law? Yes/No

SECTION 2  -  COMMENTS

3.  By-Law Information

3.1 Complete the following items for each By-Law title.  To include additional by-law titles utilize the ‘Other’ row and specify the title.  Possible answers to each By-law Short Title include the following:
Yes/No
By-law Number
Date Passed (yy-mm-dd)
Copy attached (Yes/No)
FD Enforcement (Yes/No)
By-law Short Title
Establishing and Regulating
Appointment of Fire Chief
Appointment of Deputy Fire Chief
Appointment of Building Inspectors
Fees for Services
By-law to authorize agreement with (Name of Municipality/Organization)
By-law to authorize agreement with (Name of Municipality/Organization)
By-law to authorize agreement with (Name of Municipality/Organization)
By-law to authorize agreement with (Name of Municipality/Organization)
Mutual Aid
Automatic Aid
Emergency Plan: Municipal, County, District or Region
Joint Inspections with County, District or Region Health Units
Open Air Burning
Fire Breaks in Subdivision Construction
Fire Routes
Fireworks Sales and/or Setting
Carbon Monoxide Alarms
Other, Specify:
Other, Specify:
Other, Specify:
Other, Specify:
 

SECTION 3  -  COMMENTS

4. Fire Protection Agreements

4.1 Do you participate in mutual aid? (Yes/No)
4.2 If YES, complete the following fields
Name of County/District/Region or Mutual Aid Organization
Plan Copy (Yes/No)
#Responses Services Provided (2007)
#Responses Services Received (2007)
 
4.3 Where applicable, complete the fire protection agreement.  Use separate table for each agreement, if more than one.
 
Fire Protection Agreement
Agreement Year: 
NAME:  (of City, Town, Twp, Private Company, Person, etc.)
SERVICES PROVIDED (CHECK ALL THAT APPLY)
Type of Agreement  Copy (Yes/No)  # Responses (2007)
checkbox Dispatch
checkbox Prevention
checkbox Public Education
checkbox Rescue
checkbox Suppression
checkbox Automatic Aid
checkbox Other, Specify
 
Yearly Revenue (2007) generated by Automatic Aid implementation (if applicable)
Yearly Revenue (2007) generated by all other fire protection agreements (if applicable)
 
SERVICES RECIVED
Type of Agreement  Copy (Yes/No)  # Responses (2007)
checkbox Dispatch
checkbox Prevention
checkbox Public Education
checkbox Rescue
checkbox Suppression
checkbox Automatic Aid
checkbox Other, Specify
 
YEARLY expense (2007) of Automatic Aid implementation (if applicable)
YEARLY expense (2007) of all other fire protection agreements (if applicable)
 

4.  Fire Protection Agreements  (use for additional entries)

4.3 Where applicable, complete the fire protection agreement.  Use separate table for each agreement, if more than one.
 
Fire Protection Agreement
Agreement Year: 
NAME:  (of City, Town, Twp, Private Company, Person, etc.)
SERVICES PROVIDED (CHECK ALL THAT APPLY)
Type of Agreement  Copy (Yes/No)  # Responses (2007)
checkbox Dispatch
checkbox Prevention
checkbox Public Education
checkbox Rescue
checkbox Suppression
checkbox Automatic Aid
checkbox Other, Specify
 
Yearly Revenue (2007) generated by Automatic Aid implementation (if applicable)
Yearly Revenue (2007) generated by all other fire protection agreements (if applicable)
 
SERVICES RECIVED
Type of Agreement  Copy (Yes/No)  # Responses (2007)
checkbox Dispatch
checkbox Prevention
checkbox Public Education
checkbox Rescue
checkbox Suppression
checkbox Automatic Aid
checkbox Other, Specify
 
YEARLY expense (2007) of Automatic Aid implementation (if applicable)
YEARLY expense (2007) of all other fire protection agreements (if applicable)
 
Fire Protection Agreement
Agreement Year: 
NAME:  (of City, Town, Twp, Private Company, Person, etc.)
SERVICES PROVIDED (CHECK ALL THAT APPLY)
Type of Agreement  Copy (Yes/No)  # Responses (2007)
checkbox Dispatch
checkbox Prevention
checkbox Public Education
checkbox Rescue
checkbox Suppression
checkbox Automatic Aid
checkbox Other, Specify
 
Yearly Revenue (2007) generated by Automatic Aid implementation (if applicable)
Yearly Revenue (2007) generated by all other fire protection agreements (if applicable)
 
SERVICES RECIVED
Type of Agreement  Copy (Yes/No)  # Responses (2007)
checkbox Dispatch
checkbox Prevention
checkbox Public Education
checkbox Rescue
checkbox Suppression
checkbox Automatic Aid
checkbox Other, Specify
 
YEARLY expense (2007) of Automatic Aid implementation (if applicable)
YEARLY expense (2007) of all other fire protection agreements (if applicable)
 
Fire Protection Agreement
Agreement Year: 
NAME:  (of City, Town, Twp, Private Company, Person, etc.)
SERVICES PROVIDED (CHECK ALL THAT APPLY)
Type of Agreement  Copy (Yes/No)  # Responses (2007)
checkbox Dispatch
checkbox Prevention
checkbox Public Education
checkbox Rescue
checkbox Suppression
checkbox Automatic Aid
checkbox Other, Specify
 
Yearly Revenue (2007) generated by Automatic Aid implementation (if applicable)
Yearly Revenue (2007) generated by all other fire protection agreements (if applicable)
 
SERVICES RECIVED
Type of Agreement  Copy (Yes/No)  # Responses (2007)
checkbox Dispatch
checkbox Prevention
checkbox Public Education
checkbox Rescue
checkbox Suppression
checkbox Automatic Aid
checkbox Other, Specify
 
YEARLY expense (2007) of Automatic Aid implementation (if applicable)
YEARLY expense (2007) of all other fire protection agreements (if applicable)

SECTION 4  -  COMMENTS

5.  Fire Loss Statistics

5.1 The information provided is based on data supplied by fire departments to the OFM using the Standard Incident Reports and information gathered through OFM fire investigations.  Please verify fire department records for the years and occupancy types indicated. Where the local fire department statistics do not match the OFM statistics, the fire department statistics should be used, however, a reasonable attempt must be made to rationalize the reason for the discrepancy. ATTACH a copy of OFM Municipal data to this page of the survey.

Property Dollar Loss AND Civilian Fire Deaths & Injuries

Fire Loss Year: 2004
Occupancy Classification 
Possible answers are # of fires, Dollar Loss, Deaths, Injuries, and Date Verified (yy-mm-dd)
Group A (Assembly)
Group B (Institutional)
Group C (Residential)
Group D (Business & Personal Services)
Group E (Mercantile)
Group F (Industrial)
Misc. structures and properties not classified by OBC
TOTALS
 
Fire Loss Year: 2005
Occupancy Classification 
Possible answers are # of fires, Dollar Loss, Deaths, Injuries, and Date Verified (yy-mm-dd)
Group A (Assembly)
Group B (Institutional)
Group C (Residential)
Group D (Business & Personal Services)
Group E (Mercantile)
Group F (Industrial)
Misc. structures and properties not classified by OBC
TOTALS
 
Fire Loss Year: 2006
Occupancy Classification 
Possible answers are # of fires, Dollar Loss, Deaths, Injuries, and Date Verified (yy-mm-dd)
Group A (Assembly)
Group B (Institutional)
Group C (Residential)
Group D (Business & Personal Services)
Group E (Mercantile)
Group F (Industrial)
Misc. structures and properties not classified by OBC
TOTALS
 
5.2 Do you complete a Standard Incident Report for each fire occurrence in your jurisdiction? (Yes/No)
 

SECTION 5  -  COMMENTS

6.  Fire Cause Determination Practices

6.1  Do you determine fire cause and origin? (Yes/No)
6.2  Do you assess for Ontario Fire Code compliance during fire investigations? (Yes/No)
6.3  Do you use fire cause and origin information in your community risk assessment? (Yes/No)
6.4  How many of your staff has taken the OFM or any other Fire Cause Determination Course?
Specify Details
 

SECTION 6  -  COMMENTS

7.  Fire Prevention Practices

Enter the fire prevention and public education budgets, and its percentage of the total operating budget for each of the years indicated. The amounts entered should include all costs, such as salaries, benefits, transportation, uniforms, staff development, etc.
 
2007
7.1 Total Fire Department Operating Budget
7.2 Fire Prevention Budget
% of TTL Operating Budget
7.3 Volunteer (not paid) time expended
Dollar Value (To establish the value amount, multiply the number of unpaid hours by the department’s hourly rate or point value for the position used to provide the service or activity)
7.4 Public Education Budget
% of TTL Operating Budget
7.5 Volunteer (not paid) time expended
Dollar Value (To establish the value amount, multiply the number of unpaid hours by the department’s hourly rate or point value for the position used to provide the service or activity)
7.6  Identify other revenue sources (i.e., fund raising, corporate sponsors, etc.)
Amount generated by 7.6.
 
2006
7.1 Total Fire Department Operating Budget
7.2 Fire Prevention Budget
% of TTL Operating Budget
7.3 Volunteer (not paid) time expended
Dollar Value (To establish the value amount, multiply the number of unpaid hours by the department’s hourly rate or point value for the position used to provide the service or activity)
7.4 Public Education Budget
% of TTL Operating Budget
7.5 Volunteer (not paid) time expended
Dollar Value (To establish the value amount, multiply the number of unpaid hours by the department’s hourly rate or point value for the position used to provide the service or activity)
7.6  Identify other revenue sources (i.e., fund raising, corporate sponsors, etc.)
Amount generated by 7.6.
 
2005
7.1 Total Fire Department Operating Budget
7.2 Fire Prevention Budget
% of TTL Operating Budget
7.3 Volunteer (not paid) time expended
Dollar Value (To establish the value amount, multiply the number of unpaid hours by the department’s hourly rate or point value for the position used to provide the service or activity)
7.4 Public Education Budget
% of TTL Operating Budget
7.5 Volunteer (not paid) time expended
Dollar Value (To establish the value amount, multiply the number of unpaid hours by the department’s hourly rate or point value for the position used to provide the service or activity)
7.6  Identify other revenue sources (i.e., fund raising, corporate sponsors, etc.)
Amount generated by 7.6.

SECTION 7  -  COMMENTS

8.  Simplified Risk Assessment

8.1  Has a simplified risk assessment for fire prevention & public education been conducted for your jurisdiction? (Yes/No)
8.2  If YES, complete following fields
By whom (Name/Position)
Date
Copy Yes/No
Community Fire Safety Priorities Targeted:
 
8.3 Is public education part of fire service agreements with neighbouring municipalities? (Yes/No)
8.4 Is fire prevention part of fire service agreements with neighbouring municipalities? (Yes/No)
8.5  If YES, has a simplified risk assessment been conducted in both or either of these areas? (Yes/No)
8.6  If YES, complete following fields
By whom (Name/Position)
Date
Copy Yes/No
Community Fire Safety Priorities Targeted:

SECTION 8  -  COMMENTS

9.  Fire Inspection Practices

9.1 Indicate whether your department conducts the following types of inspections.
(In-service inspections apply to the use of on-duty staff.   The use of volunteer or part-time staff should be captured in the comments section.)
 
2007
Inspection Types:
Possible answers are Yes/No, and # Inspected
Resulting from complaints (public, occupants, crews
Resulting from requests (property owners, agents)
Routine inspections (self-initiated)
Requirement for issuing of licenses
Resulting from fire (risk reduction and not for cause determination)
New construction/demolition
Wood stove / Fireplace
 
Inspection Types:
Possible answers are Yes/No/NA, and # Inspected
In-service inspections (Group A)
In-service inspections (Group B)
In-service inspections (Group C – single family dwellings)
In-service inspections (Group C – NOT single family dwellings)
In-service inspections (Group D)
In-service inspections (Group E)
In-service inspections (Group F)
Estimate hours spent providing all above services by FT/PT/VOL
 
2006
Inspection Types:
Possible answers are Yes/No, and # Inspected 
Resulting from complaints (public, occupants, crews
Resulting from requests (property owners, agents)
Routine inspections (self-initiated)
Requirement for issuing of licenses
Resulting from fire (risk reduction and not for cause determination)
New construction/demolition
Wood stove / Fireplace
 
Inspection Types:
Possible answers are Yes/No/NA, and # Inspected 
In-service inspections (Group A)
In-service inspections (Group B)
In-service inspections (Group C – single family dwellings)
In-service inspections (Group C – NOT single family dwellings)
In-service inspections (Group D)
In-service inspections (Group E)
In-service inspections (Group F)
Estimate hours spent providing all above services by FT/PT/VOL
 
2005
Inspection Types:
Possible answers are Yes/No, and # Inspected
Resulting from complaints (public, occupants, crews
Resulting from requests (property owners, agents)
Routine inspections (self-initiated)
Requirement for issuing of licenses
Resulting from fire (risk reduction and not for cause determination)
New construction/demolition
Wood stove / Fireplace
 
Inspection Types:
Possible answers are Yes/No/NA, and # Inspected
In-service inspections (Group A)
In-service inspections (Group B)
In-service inspections (Group C – single family dwellings)
In-service inspections (Group C – NOT single family dwellings)
In-service inspections (Group D)
In-service inspections (Group E)
In-service inspections (Group F)
Estimate hours spent providing all above services by FT/PT/VOL
 
9.2
 
2007
Inspection Types
Possible answers are (Yes/No/NA), Frequency (monthly/semi-annually), and # Inspected
Scheduled (Nursing Home)
Scheduled (Homes for the Aged)
Scheduled (Hotels/Motels)
Scheduled (Hospitals)
Scheduled OTHER High Risk Buildings Describe: 
Scheduled OTHER High Risk Buildings Describe: 
Scheduled OTHER High Risk Buildings Describe: 
Scheduled OTHER High Risk Buildings Describe: 
 
2006
Inspection Types
Possible answers are (Yes/No/NA), Frequency (monthly/semi-annually), and # Inspected
Scheduled (Nursing Home)
Scheduled (Homes for the Aged)
Scheduled (Hotels/Motels)
Scheduled (Hospitals)
Scheduled OTHER High Risk Buildings Describe
Scheduled OTHER High Risk Buildings Describe
Scheduled OTHER High Risk Buildings Describe
Scheduled OTHER High Risk Buildings Describe
 
2005
Inspection Types
Possible answers are (Yes/No/NA), Frequency (monthly/semi-annually), and # Inspected
Scheduled (Nursing Home)
Scheduled (Homes for the Aged)
Scheduled (Hotels/Motels)
Scheduled (Hospitals)
Scheduled OTHER High Risk Buildings Describe
Scheduled OTHER High Risk Buildings Describe
Scheduled OTHER High Risk Buildings Describe
Scheduled OTHER High Risk Buildings Describe
 
9.3 Are you aware of the OFM Assist Program? (Yes/No)
9.4 Has your department ever used this Program? (Yes/No)
9.5 Are you aware of the Basic Fire Prevention and Inspection Program? (Yes/No)
9.6 Have any members of your department completed this program? (Yes/No)

SECTION 9  -  COMMENTS

10.  Fire Safety Plans

The following questions are asked to determine the extent of the community’s involvement in the process of fire safety planning.
 
10.1 Do you review and approve fire safety plans for occupancies listed in the Ontario Fire Code, Section 2.8, Emergency Planning?  (Yes/No/NA)
10.2 Describe the extent of your department’s involvement with fire safety planning.

SECTION 10  -  COMMENTS

11.  Smoke Alarm Initiatives

11.1 Do you distribute smoke alarms? (Yes/No) Quantity (2007)
11.2 Do you distribute replacement batteries for smoke alarms? ? (Yes/No) Quantity (2007)
11.3 Do you install smoke alarms on request? ? (Yes/No) Quantity (2007)
11.4 Do you enforce OFC smoke alarm requirements? ? (Yes/No) Quantity (2007)
Please Explain:
11.5 Do you use the ticketing provision of the Ontario Fire Code? ? (Yes/No) Quantity (2007)
11.6 How do you make smoke alarm information available to the residents in your community?  Please Specify.
checkbox Public Service Announcements
checkbox Television,
checkbox Radio,
checkbox Newspaper,
checkbox Flyers,
checkbox Newsletters
checkbox Pamphlets
checkbox Advertisements
checkbox Mailing Inserts,  (Specify type – ie; Tax/water bills)
checkbox Public signs
checkbox Station Tours
checkbox Signs in Municipal Buildings
checkbox OTHER, Specify:
 
11.7 How do you encourage residents to develop home escape plans?  Please Specify.
checkbox Public Service Announcements
checkbox Television,
checkbox Radio,
checkbox Newspaper,
checkbox Flyers,
checkbox Newsletters
checkbox Pamphlets
checkbox Distribution of escape planning worksheet
checkbox Fire Station Tours,
checkbox Home Inspection,
checkbox Public Display/Presentation,
checkbox Schools
checkbox Presentation
checkbox Smoke Alarm Program
checkbox OTHER, Specify:
 
11.8 How do you assess the effectiveness of your smoke alarm program?
checkbox Formal Evaluation
checkbox Public Surveys/Questionnaires
checkbox Spot Checks
checkbox OTHER, Specify:
 
 
11.9 Have you implemented the Alarmed for Life program?  (Yes/No)
(If Yes, proceed to 11.10)
 
11.9a Have you implemented another form of smoke alarm program that includes home escape planning?
Please briefly describe program (below).
 
11.9 Has there been an observed change in smoke alarm usage in your community? (Yes/No)
Please Explain:

SECTION 11  -  COMMENTS

12.  Public Education Practices

12.0 Have any of your staff completed the Public Fire & Life Safety Educator’s Program? (Yes/No)
12.1 Do persons other than fire officials deliver public fire safety educational information in the community? (Yes/No)
12.2 Did your department participate in the most recent ‘Fire Prevention Week’ program sponsored by NFPA and the Fire Marshal’s Public Fire Safety Council? (Yes/No)
12.3 Are you aware of the Fire Marshal’s Public Fire Safety Council and the resources it makes available? (Yes/No)
12.4 What public fire safety programs do you deliver?  Please Specify.
checkbox Alarmed for Life
checkbox Home S.A.F.E. Home
checkbox Kitchen Safety
checkbox Older & Wiser
checkbox Remembering When
checkbox Risk Watch
checkbox Tapp-C
checkbox Learn Not to Burn
checkbox OTHER, Specify:
 
12.5 What types of information do you provide to the media? Please Specify.
checkbox Public Service Announcements
checkbox Television,
checkbox Radio,
checkbox Newspaper,
checkbox Flyers,
checkbox Newsletters
checkbox Fire Safety Message/content articles
checkbox Home Safety check lists (Home Insp. Prgrm)
checkbox Interviews
checkbox News releases (structure fires OR community events)
checkbox Special Events, Specify Event Type:
checkbox OTHER, Specify:
 
12.6 How do you promote the use of public service announcements that are provided by the Fire Marshal’s Public Fire Safety Council? Please Specify.
checkbox Public Service Announcements
checkbox Television,
checkbox Radio,
checkbox Newspaper,
checkbox Flyers,
checkbox Newsletters
checkbox Posters
checkbox OTHER, Specify:
 
12.7 What fire safety information do you make available to the community?  Please Specify.
checkbox OFM Pamphlets
checkbox NFPA Pamphlets
checkbox Fire Dept designed fire safety information
checkbox Home Safety check lists (Home Insp. Prgrm)
checkbox Items distributed through FMPFC (dist centre) (fridge magnets, placemats)
checkbox OTHER, Specify:
 
12.8 What methods do you use to make this information available to the community?  Please Specify.
checkbox Public Service Announcements
checkbox Television,
checkbox Radio,
checkbox Newspaper,
checkbox Flyers,
checkbox Newsletters
checkbox Open House
checkbox Public Displays
checkbox School presentations
checkbox OTHER, Specify:
 
12.9 How do you assess the effectiveness of your public education programs?  Please Specify.
checkbox Formal evaluation of specific program
checkbox Public fire safety knowledge quizzes/surveys
checkbox Statistical analysis of smoke alarm use
checkbox OTHER, Specify:
 
12.10 Identify specialized staff training provided for fire prevention / public education activities.
checkbox Fire Fighter Curriculum
checkbox Fire-Life Safety Educator’s Program
checkbox Community College Programs
checkbox OFC Courses
checkbox OFM delivered programs (Basic Fire Prev. Course, Regional Educational Conferences)
checkbox Ontario Building Code courses
checkbox Insurers’ Advisory Organization (IAO)
checkbox OTHER, Specify:
 
12.11 What fire protection, fire prevention, or public education information or services do you access through the Internet?, Please Specify.
checkbox OFM Website
checkbox Other Municipal Fire Department websites
checkbox NFPA
checkbox OAFC
checkbox Other Fire Protection Links
checkbox OTHER, Specify:
 
 List partnerships or coalitions formed for fire safety related programs. Check from list.
checkbox Older & Wiser
checkbox Organization or Other Party Involved in Partnership or Coalition
checkbox Save a Child
checkbox Organization or Other Party Involved in Partnership or Coalition
checkbox Smoke Alarm Campaign
checkbox Organization or Other Party Involved in Partnership or Coalition
checkbox Risk Watch
checkbox Organization or Other Party Involved in Partnership or Coalition
checkbox OTHER, Specify:
checkbox Organization or Other Party Involved in Partnership or Coalition

SECTION 12  -  COMMENTS

13.  Public Education Resource Effectiveness Questionnaire

Please participate in our ongoing resource effectiveness evaluation by answering the following questions.
 
13.1  Which OFM/Fire Marshal’s Public Fire Safety Council (FMPFSC) resources have been useful in support of your recent fire prevention and public education initiatives and activities?
 
13.2 Which OFM/FMPFSC resources have not met your needs or expectations in support of your recent fire prevention and public education initiatives and activities?
 
13.3 What additional OFM/FMPFSC resources would assist your department in meeting your community’s fire protection needs from a fire prevention and public education perspective?