Appendix F Bushfire Management Plan

                      BUSHFIRE RISK SELF-ASSESSMENT CHECKLIST
                This basic self-assessment checklist is designed to give you a greater understanding of the bushfire risk
                level relevant to your property. Information provided in this assessment will assist you when completing
                your Bushfire Survival Plan.


     Address:

     									                                                                              Postcode:

     Property Owner/Property Name:


     ACCESS/EGRESS                              Road/Street/Driveway PLEASE √ APPROPRIATE BOX

     Clear of overhanging vegetation 		                                Yes                 No

     Unrestricted gate access 		                                       Yes                 No

     Clear of overhead power lines 		                                  Yes                 No

     Able to reverse in 		                                             Yes                 No

     Turning/passing areas 		                                          Yes                 No

     Heavy vehicle access on cattle grid/bridge                        Yes                 No

     Alternative way out 		                                            Yes                 No

     Two wheel drive access 		                                         Yes                 No

     STRUCTURE/S
     Exterior walls – non-combustible 		                               Yes                 No

     Roof ridge capping sealed 		                                      Yes                 No

     Eaves enclosed 		                                                 Yes                 No

     Roofing gutters and valleys clear of leaf litter and fine fuels   Yes                 No

     Underfloor enclosed		                                             Yes                 No

     Vents screened 		                                                 Yes                 No

     Windows – non-combustible finishing 		                            Yes                 No

     Deck/veranda non-combustible 		                                   Yes                 No


     WATER SUPPLY
     Reticulated water supply		                                        Yes                 No

     Tank supply with QFRS access – 50mm male camlock fitting          Yes		No
     so fire figthers can use water if needed

     QFRS accessible external open water supply (dam/pool) 		          Yes                 No

     Firefighting pump and hose connected to water supply 		           Yes                 No


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