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Republic of the Philippines

Department of the Interior and Local Government


BUREAU OF FIRE PROTECTION

OPLAN LIGTAS NA PAMAYANAN: Community Fire Protection Plan Workshop


Barangay:
Date: Venue:
CFPP FORM 5: PUROK/ SITIO FIRE RESPONSE DATA
NAME OF SITIO
Vulnerability zone Vulnerability Rating
POPULATION AND HOUSEHOLD
Number of Household Number of Families
Number of Individuals Estimated Land
Area
ROUTE
Primary Route During “Describe name of streets to pass through”
Operation
Distance from the Fire Estimated Actual
Station Time of Tested Travel
Travel Time
Secondary Route During “Describe name of streets to pass through”
Operation
Distance from the Fire Estimated Actual
Station Time of Tested Travel
Travel Time
Entry Point for Responding Trucks
Entry Point for Refilling Trucks
ACCESS ROAD TO THE AREA
Road “Yes or No” Width “road Pavement “Dirt/ concrete/ Asphalt”
width”
Narrow “Yes or No” Width “alley Pavement “Dirt/ concrete/ Asphalt”
Alleys width”
Passable for “Pumpers/ Tankers/ Penetrators
Additional Entry Alleys “Name additional access alleys”
Number of Hoses Needed to Cover Farthest Area
HYDRANT AND WATER SOURCES
DISTANCE FROM RATE OF
LOCATION STATUS
THE AREA DISCHARGE
“List down multiple nearest
sources within 1km radius”

Other Water Source “Yes or No” Type and


Location
CFAG RESPONDERS
Chief CFAG “Name” Cont. No.
Fire Defense Team Leader “Name” Cont. No.
EVACUATION AREAS
Primary Evacuation Area Location/
Distance
Secondary Evacuation Location/
Area Distance
REMARKS
Fire Truck Parking Arrangement
Engine Relay
Adjacent Facilities/ Structures

Prepared by: Noted:

__________________________ ________________________ __________________________


Workshop Secretary Barangay Captain BFP Workshop Team Leader
(Assigned during workshop)