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Pre-Planning
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yes
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no
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| 1. Have you
planned at least two ways out of every room in your home in case of fire? |
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| 2. Has your
family agreed on a meeting place, outside of your home, in case of fire? |
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| 3. Do you keep
potential escape routes in your home clear of clutter? |
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| 4. Do you know
your local emergency number for fire-police-ambulance, and do you have
it posted near you phones? |
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| 5. Do you have
a functioning smoke detector on at least every floor in your home? |
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| 6. Do you have
a fire-extinguisher on every floor in your home? |
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| 7. Do you keep
flammable liquids in only approved containers, and out of your home in
a separate outbuilding? |
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Smoking
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yes
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no
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| 8. Is smoking
in bed absolutely forbidden in your home? |
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| 9. Are you sure
all smoking materials are extinguished before bedtime? |
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| 10. Are matches
and lighters kept out of reach of small children? |
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Heating
and Cooking
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yes
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no
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| 11. Are furnaces,
stoves, and flupipes properly maintained and inspected? |
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| 12. Are portable
space heaters properly maintained and used only in compliance with the
manufacturers recommendations? |
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| 13. Is the central
heating system in your home inspected annually by a qualified technician? |
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| 14. Do you have
a fire extinguisher in your kitchen and do you know how to properly extinguish
a stove top fire? |
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| 15. To prevent
burns or scald injuries to children, do you ensure that pot and pan handles
are turned inward when on the stove top? |
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Electricity
|
yes
|
no
|
| 16. Do you see
that extension cords are never placed under rugs, or hooked over nails
or other sharp objects? |
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| 17. Do you see
that only the right fuse is used in the right socket in the fuse box? |
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| 18. Are all
electrical appliances installed according to manufacturers recommendations,
including ventilation and minimum space requirements? |
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Baby-sitters
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yes
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no
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| 19. Do your
baby-sitters know the first rule of fire safety in the home? Get everybody
out of the home - don't go back in! |
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| 20. Do you ever
leave small children unattended? |
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