| PRE-PLANNING |
yes |
no |
| 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 your 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 of 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 |
yes |
no |
| 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 |
yes |
no |
| 11. Are furnaces, stoves, and flupipes properly maintianed 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 |
yes |
no |
| 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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