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For explanatory information on specific questions, roll your mouse pointer over the question. You can also
click here to see the glossary, which contains definitions for specific terms
.
Click here for Frequently Asked Questions
.
1.
Is your roof combustible?
yes
no
n/a
2.
Does your roof have any unstopped or unscreened open roof tiles?
yes
no
n/a
3.
Is your roof, or a portion of your roof, in poor condition?
yes
no
n/a
4.
Is there debris in your roof valleys?
yes
no
n/a
5.
Do you have a flat roof or a complex roof that may allow debris to collect?
yes
no
n/a
6.
Do you have any unscreened chimney openings?
yes
no
n/a
7. Is there debris in your roof gutters?
yes
no
n/a
8.
Is there any combustible vegetation, vegetative debris, or other combustible material on or touching the roof and/or are there tree limbs within six feet of the roof?
yes
no
n/a
1. Do you have any vents on the outside of your home that are unscreened and/or screened with a mesh size that is less than 1/8-inch?
yes
no
na
2.
Do you have any gaps around your exterior doors?
yes
no
n/a
3.
Do you have any gaps around your garage doors?
yes
no
n/a
4.
Do you have any man-made fuels located alongside vents and/or gaps in your home?
yes
no
n/a
5.
Do you have any combustible vegetation, vegetative debris, or other combustible materials located alongside vents and/or gaps in your home?
yes
no
n/a
1.
Is your siding combustible?
yes
no
n/a
2.
Is the siding, or a portion of the siding, on your home in poor condition?
yes
no
n/a
3.
Are there any man-made fuels located within 30 feet of your siding?
yes
no
n/a
4.
Is there any combustible vegetation, vegetative debris, or other combustible material located alongside your siding?
yes
no
n/a
5.
Is there a combustible fence or gate located within 12 feet of your siding?
yes
no
n/a
1.
Does your home have combustible eaves or overhangs?
yes
no
n/a
2.
Are your eaves in poor condition?
yes
no
n/a
1. Does your home contain a deck, balcony, open entry-way, and/or open porch?
yes
no
n/a
1a.
Do you have combustible open-frame (gapped) boards on your deck or any deck-like components (balconies, open entry-ways, and/or open porches)?
yes
no
n/a
1b. Do you have combustible wood support poles from any of these deck or deck-like components directly into the ground?
yes
no
n/a
1c.
Is your combustible deck or deck-like component in poor condition?
yes
no
n/a
1d.
Do you have any man-made fuels under, on, or adjacent to your deck or deck-like components?
yes
no
n/a
1e.
Do you have any combustible vegetation, vegetative debris, or other combustible materials under or near (within 6 feet) your deck or deck-like components?
yes
no
n/a
2.
Are the exposed boards (fascia) along the roofline, eaves or combustible decking in poor condition?
yes
no
n/a
1. Does your home have any single pane windows?
yes
no
n/a
2.
Are there any man-made fuels alongside your windows?
yes
no
n/a
3. Is there any combustible vegetation or vegetative debris within six feet of your windows?
yes
no
n/a
This assessment form is still being improved, if you have comments that would help us make it better, please enter them below.
Developed by the
Center for Fire Research and Outreach
in the
College of Natural Resources
at the
University of California, Berkeley
.