North Carolina Fire and Rescue Commission Live Fire Audit Form

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Live Fire Audit Form Date of Burn: Address: Delivery Agency AHJ: Instructor in Charge: Written documentation received from owner: Evidence of clear title. Written permission secured from owner to burn structure. Proof of Insurance cancellation. Owner acknowledgement of post-burn condition of property 5.1.5 5.1.6* 5.1.8* 5.1.7 NC DHHS, Health Hazards Control Unit Clean asbestos inspection report submitted NESHAP number obtained if applicable (county permit otherwise) NCFRC Enter asbestos number: NESHAP number: Historical Properties Is the property listed on the Historical Registry? If so, have the requirements of NCGS 121-12(a) been met? NC Division of Air Quality Permit obtained Notification of firefighter training submitted All required permits to conduct live fire training evolutions shall be obtained. Local burn permit received Permission obtained to utilize fire hydrants Notification made to appropriate dispatch office including date, time, and location of burn. Notification made to all affected police agencies: Received authority to block off roads. Received assistance in traffic control. Notification made to owners and users of adjacent properties of date, time, and location of burn. Liability insurance obtained covering damage to other property. NC General Statute NCFRC 4.2.1 4.10.1 4.16.9 Permit number: Revised 5/31/18 1

Written evidence of prerequisite training obtained from participating students from outside agencies. North Carolina Fire and Rescue Commission 4.3.1 & 5.5 Permits, Documents, Notifications, Insurance Revised 5/31/18 2

Preburn Planning All features of the training areas shall be 4.16.1.1 indicated on the preburn plan. Site plan drawing, including all exposures Building plan, including overall dimensions Floor plan detailing all rooms, hallways, and exterior openings Location of command post Position of all apparatus Position of all hoses, including backup lines Location of emergency escape routes Location of emergency evacuation assembly area Location of ingress and egress routes for Emergency vehicles Available water supply determined 4.12.1 Required fire flow determined for the burn building and exposure buildings Each hose line and backup line(s) shall deliver a minimum of 95 gpm Required reserve flow determined (50 percent of fire flow) Apparatus pumps obtained that meet or exceed the required fire flow for the building and exposures Separate water sources established for attack and backup hoselines 4.12.1 4.12.2 4.12.4 4.12.5 Periodic weather reports obtained 4.7.12 Staging, Operating and Parking areas designated: Apparatus staging Ambulances Police vehicles Press vehicles Private vehicles Control measures shall be posted to indicate the perimeter of the operations area. Fireground communications shall be established. 4.14.1 4.15.2 4.10.1 Revised 5/31/18 3

Building Preparation Building inspected to determine structural 5.2.1 integrity. All utilities disconnected from structure. 5.3.1 Highly combustible materials removed from structure. 5.2.3 All holes in walls and ceilings patched 5.2.4.5 Materials of exceptional weight removed from above training area (or area sealed from activity) Ventilation openings of adequate size precut for each separate roof area 5.2.4.8 NCFRC 1* Doors and windows checked and operated, opened/closed Stairways made safe with railings in place 5.2.4.3 Chimney checked for stability, dangerous portions removed. Fuel tanks and other closed vessels removed, vented or rendered inert. 5.2.4.4 5.2.3.2 Debris contributing to unsafe condition removed 5.2.6 Porches and outside steps made safe 5.2.4.3 Cisterns, wells, cesspools, and other ground openings fenced or filled Hazards from toxic weeds, hives, and vermin eliminated Hazardous trees, brush, and surrounding vegetation removed Adjacent buildings and property that might become involved removed or protected 5.2.7 5.2.8 5.1.2 Fire sets prepared: Class A materials / wood products 4.13.1 Pre-application of appropriate amounts of class B liquids if necessary before the NCFRC 2 training fire has started. Fire shall not be ignited under exposed structural members. 5.2.4.2 A multiplication factor of.5 added to the initial exposure factor for every additional exposure identified in the pre-fire plan. NCFRC 3 Revised 5/31/18 4

Preburn Procedures All participants briefed: All facets of each evolution discussed including: Building layout 4.15.2 4.16.4 Crew and instructor assignments 4.16.8 Safety rules 4.16.5 Building evacuation procedure Evacuation signal (demonstrate) 4.10.2 All hoselines checked: Sufficient size for the area of fire involvement Charged and test flowed Supervised by qualified instructors Adequate number of personnel Necessary tools and equipment positioned Participants checked: Approved full protective clothing Self-contained breathing apparatus Adequate SCBA air volume All equipment properly donned 4.10.2 Post-Burn Procedures PARs taken throughout the event. 4.7.10 Remaining fire overhauled, as needed Building inspected for stability and hazards where more training is to follow Post-training critique conducted 9.1.4 Records and reports prepared, as required: Documentation of unusual conditions or events Documentation of injuries incurred and treatment rendered Acquired structure returned to owner Student performance/evaluation records Building and property released to owner, release document signed 9.1.1* 4 9.1.1* 5 9.1.3 9.1.4 9.1.3.1 Revised 5/31/18 5

Instructor-in-Charge Plan and coordinate all fireground activities 4.7.4 Monitor activities to ensure safe practices 4.7.4 Provide for rest and rehabilitation of participants Inspect building integrity prior to each fire Rest and rehabilitation of participants including medical evaluation and treatment, food and fluid replenishment, and relief from climatic conditions provided. Instructors rotated through duty assignments. Additional instructors designated when factors such as extreme temperatures or large groups are present, and classes of long duration are planned. Assign instructors: (Not to exceed 5 to1) Attack hose lines Backup hose lines Other functional assignments Brief instructors on responsibilities: Accounting for (PAR counts) assigned students Assessing student performance PPE / SCBA inspections Monitoring safety Achieving tactical and training objectives Assign coordinating personnel, as needed: Emergency medical services Communications Water supply Apparatus staging Equipment staging Breathing apparatus Personnel welfare Public relations Ensure adherence to this standard by all persons within the training area 4.7.6 4.7.6 4.7.5 Revised 5/31/18 6

Safety Officer Prevent unsafe acts and eliminate unsafe 4.5.4 conditions Supervise additional safety personnel, as needed 4.5.8 Coordinate lighting of fires with instructor-incharge Ensure compliance of participants PPE with applicable standards: Protective clothing SCBA Personal alarm devices, where used 4.8.2 4.9.2 Other Instructors Monitor and supervise assigned students 4.7.11 (no more than five per instructor) Inspect students protective clothing and equipment Account for assigned students, before, during and after evolutions (PAR counts) 4.7.9 4.7.10 Students Points to Observe 1403 Comments Acquire prerequisite training 4.3.1 Become familiar with building layout 4.16.8 Wear approved full protective clothing 4.8.4 Wear approved self-contained breathing apparatus Obey all instructions and safety rules Provide documentation of prerequisite training, when from an outside agency 4.8.4 4.3.3 Revised 5/31/18 7

NC Fire and Rescue Commission Exceptions to NFPA 1403 & 1142 Points to Observe Pre-application of small, appropriate amounts of NCFRC 2 class B fuel onto a fire set, if necessary, before the training fire has been started. An adequate ventilation opening(s) shall be made NCFRC 1 in the roof Fire cause and origin investigation NCFRC 3 A multiplication factor of.5 added to the initial exposure factor for every additional exposure identified in the pre-fire plan. NCFRC 4 Comments Additional comments, notes and documentation of unusual events Signature of Instructor in Charge Date 8 Signature of AHJ Representative Date