Details of residence

 

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

City *

State *Please selectNSW

Postcode *

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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.

I am submitting this form asFirefighterService care providerCommunity home providerLocal council employeeMember of the publicPolice OfficerParamedic

Enter your service number

Organisation name only

Fire and Rescue NSW (FRNSW) has no regulatory authority to assess, manage or enforce action relating to Hoarding & Squalor on behalf of individuals or agencies.

By submitting this form, you acknowledge that, FRNSW will:

• notify the relevant Council, and

• inform local FRNSW crews of a potential high fire risk property for operational awareness only.

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