Details of residence

 

Street address (including street number) *Apartment/Unit number (if applicable)

City *

State *Please selectNSW

Postcode *

CountryPlease selectAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe

Type of residence *Single dwelling (i.e. house)Building containing 2 or more separate Sole Occupancy Unit (SOUs) (Class 2) (i.e. units)Boarding house, guesthouse or hostel (Class 1b ≤ 300 m² and ≤12 residents)Boarding house, guesthouse, hostel, hotel or backpacker accommodation (Class 3)

Type of construction *Full brick or masonryWeatherboardFibro-sheetConcrete panel (e.g. pre-cast walls) Lightweight panel or claddingOther

Is this residence public housing? *

YesNo

What fire protection equipment (if any) is installed in the residence? *

Smoke or heat detectorFire sprinklersUnknown

Which of the following utilities are connected in the residence? *

ElectricityGasUnknown

Fuel load hazard

How does the fuel load hazard impact on access and egress to the residence? *

Easy to enterSlightly impairedModerately impairedSeverely impairedUnknown

Living-room image rating scale

According to Frost’s clutter image rating scale image above, how would you rate the fuel load hazard?

Living-room rating *

Easy to enter (1-2)Slightly impaired (3-4)Moderately impaired (5-6)Severely impaired (7-9)Unknown

Bedroom image rating scale

According to Frost’s clutter image rating scale image above, how would you rate the fuel load hazard?

Bedroom rating *

Easy to enter (1-2)Slightly impaired (3-4)Moderately impaired (5-6)Severely impaired (7-9)Unknown

Kitchen image rating scale

According to Frost’s clutter image rating scale image above, how would you rate the fuel load hazard?

Kitchen rating *

Easy to enter (1-2)Slightly impaired (3-4)Moderately impaired (5-6)Severely impaired (7-9)Unknown

Note: To protect privacy, we do not require photos or your personal details.

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