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Fire Station Survey
Online Fire Station Survey
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" indicates required fields
STATION INFORMATION
Please complete one survey for each fire station in your department
Fire Station Status (please choose option that applies to this station)
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Existing Station
New Station
Relocated Station
Closed Station
Other
Subscription Station (station that is funded by subscription fees from residents or property owners, NOT funded by tax revenues)
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Yes
No
Station Name
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Address (physical address please, no PO boxes)
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City
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State
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Zip
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County
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Phone
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Fire Chief
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Mailing Address (if different from physical address)
Fax
Email
STAFFING
Station Type
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Career
Primarily Career (some Vol or Part-Paid)
Primarily Volunteer (some Career)
Fully Volunteer
Industrial
Airport
Military
Dept of Nat. Resources
Seasonal
Other
Number of Full-Time Firefighting Personnel that report to this station (Career)
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Number of Active Part-Time Firefighting Personnel that report to this station (call or volunteer)
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COMMUNICATIONS
Who has primary responsibilty for dispatch operations? (Select One)
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Fire Department
Police Department
Private Company
Combined Public Safety Agency
County
Sheriff
911 Dispatch Center
Other
Do you have a backup dispatch facility?
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Yes
No
Don't Know
Do you have 911 or similar system?
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911
911 enhanced
No
Other
Can you communicate by radio on an incident scene with your federal, state, and local emergency response partners? (Includes frequency compatibility)
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Yes
No
Don't Know
Do repeater/transmission sites have backup power?
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Yes
No
Don't Know
BACKUP POWER
Does the station have backup power that supports all station functions?
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Yes
No
Does the station have backup power that supports only critical functions?
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Yes
No
Does the maintenance facility that supports your station have backup power?
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Yes
No
EQUIPMENT
Enter the total number of trucks for this station (residental and commercial)
Total Number of Pumper Trucks
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Total Number of Tanker Trucks
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Total Number of Tenders with Portable/Folding Tanks
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Total Number of Tenders without Portable/Folding Tanks
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Total Number of Ladders/Aerials in Service
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Specify Other Equipment:
Can your station provide 250 gpm or more, uninterrupted, for a period of 2 hours using tender/tanker shuttle operations or large diameter hose relays?
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Yes
No
Can your station deliver an uninterrupted fire flow of 250 gpm for 20 minutes beginning within 5 minutes of the first arriving engine company?
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Yes
No
MUTUAL AID AGREEMENTS
Does the Station have Mutual Aid Agreements?
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Yes
No
If yes, with whom?
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Does the community receive first alarm automatic aid from fire departments located outside of the area?
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Yes
No
If yes, list fire departments providing coverage:
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CAPABILITIES
Are the following capabilities a role of your department?
Hazardous Material:
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Yes
No
If yes, have any of your personnel been certified to any of the following levels?
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Technician
Operational
Awareness
EMS:
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Yes
No
If yes, have any of your personnel been certified to any of the following levels?
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ALS/Paramedic
Advance Life Support (ALS)
Emergency Medical Technician Basic (EMT-B)
Intermediate (EMT I)
First Responder
Technical Rescue after structural collapse:
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Yes
No
Hazmat for an incident involving chemical/biological agents:
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Yes
No
Wild land/urban interface fire:
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Yes
No
Explore would like a copy of your fire station response boundaries and hydrant areas. If you have a digitized map of the boundary, (e.g. ESRI Shapefile), please email the files to
[email protected]
or upload the file on this form. In most cases, GIS layers can be obtained from your city, county or state Planning officials. If you do not have an electronic (digitized map), you can create a map from an Internet mapping website and mark your boundaries on the map. If you would like Explore to provide a map, please call us at (800) 531-9125. Maps can be emailed to
[email protected]
or mailed to Explore Information Services, 2750 Blue Water Rd. Suite 200, Eagan, MN 55121.
If the station follows general political or geographic boundaries, please indicate that boundary in the space below:
File
Max. file size: 50 MB.
Respondent Information
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Title
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