Forms related to fire prevention and disaster prevention
PDF format
It is in PDF file format, so please print it out for your use.
Note: It is recommended to use plain paper for printing, and the print sizes are A4 and B5.
Thermal printers cannot accept thermal paper.
Fire Prevention and Disaster Management Officer Appointment (Dismissal) Notification Form
Firefighting Plan Notification
- Firefighting Plan Preparation (Change) Notification Form (PDF 99.5 KB)

- Overall Firefighting Plan Preparation (Change) Notification Form (PDF 97.6 KB)

- Business Operators' Disaster Prevention Plan (Measures for People Unable to Return Home) (PDF 285.3 KB)

- Disaster Prevention Plan for Business Operators in Multi-Family Housing (Measures for People Unable to Return Home) (PDF 183.3 KB)

General Fire Prevention and Disaster Management
- Notification of Appointment (Dismissal) of General Fire Prevention and Disaster Management Officer (PDF 106.9 KB)

- List of Members of the Organization Related to the Fire Prevention and Disaster Management Council (PDF 113.3 KB)

- Requirements for Qualification as a General Fire Prevention and Disaster Management Officer (PDF 147.7 KB)

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Contracts, etc. (PDF 183.8 KB)
- List of Management Authority Holders (PDF 60.6 KB)

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Contract for Outsourcing the Duties of a General Fire Prevention and Disaster Management Officer (Example) (PDF 176.5 KB)
Fire Drill Notification
- Self-Defense Firefighting Training Notification Form (PDF 110.9 KB)

- Self-Defense Firefighting Training Implementation Result Record (PDF 95.7 KB)

Fire Prevention Object Inspection Report / Disaster Prevention Management Inspection Report
Application Form for Lifting Prohibition
Fire Prevention Object Construction Plan Notification
- Overview Table of Fire Prevention Objects and Manufacturing Sites (PDF 95.2 KB)

- Fire Prevention Object Construction Plan Notification (PDF 123.0 KB)

Fire Prevention Object Usage Start Notification
- Overview Table of Fire Prevention Objects and Manufacturing Sites (PDF 95.2 KB)

- Fire Prevention Object Usage Start Notification (PDF 129.5 KB)

Word and Excel format
It is in Excel and Word file format, so please print it out and bring it to the counter.
Note: It is recommended to use plain paper for printing, and the print sizes are A4 and B5.
Thermal printers cannot accept thermal paper.
Fire Prevention and Disaster Management Officer Appointment (Dismissal) Notification Form
Firefighting Plan Notification
- Fire Prevention Plan Preparation (Change) Notification Form (Word 42.5 KB)

- Overall Fire Prevention Plan Preparation (Change) Notification Form (Word 41.0 KB)

- Business Operators' Disaster Prevention Plan (Measures for People Unable to Return Home) (Word 205.5 KB)

- Business Operators' Disaster Prevention Plan for Multi-Family Housing (Measures for People Unable to Return Home) (Word 82.0 KB)

General Fire Prevention and Disaster Management
- Notification of Appointment (Dismissal) of General Fire and Disaster Prevention Manager (Word 49.5 KB)

- List of Members of the Fire and Disaster Prevention Management Council Organization (Word 58.0 KB)

- Requirements for Qualification as a General Fire and Disaster Prevention Manager (Word 39.0 KB)

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Contracts, etc. (Word 66.0 KB)
- List of Management Authorities (Word 37.0 KB)

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Contract for Outsourcing the Duties of the General Fire and Disaster Prevention Manager (Example) (Word 51.5 KB)
Fire Drill Notification
- Self-Defense Firefighting Training Notification (Word 19.6 KB)

- Self-Defense Firefighting Training Implementation Result Record (Word 16.4 KB)

Fire Prevention Object Inspection Results Report / Disaster Prevention Management Inspection Report
Application Form for Lifting Prohibition
Fire Prevention Object Construction Plan Notification
- Overview Table of Fire Prevention Objects and Manufacturing Sites, etc. (Word 49.0 KB)

- Fire Prevention Object Construction Plan Notification Form (Word 19.3 KB)

Fire Prevention Object Usage Start Notification
- Overview Table of Fire Prevention Objects and Manufacturing Sites, etc. (Word 49.0 KB)

- Fire Prevention Object Start of Use Notification Form (Word 19.3 KB)

Example of Filling Out
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Example of Filling Out: Fire and Disaster Prevention Manager Appointment (Dismissal) Notification Form (PDF 209.3 KB)
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Example of Filling Out: Firefighting Plan Creation (Change) Notification Form (PDF 146.5 KB)
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Example of Filling Out Notification of Firefighting Plan Creation (Change) for the Entire Facility (PDF 140.2 KB)
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Example of Filling Out Notification of Appointment (Dismissal) of General Fire and Disaster Prevention Manager (PDF 173.0 KB)
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Example of Filling Out Self-Defense Firefighting Training Notification (PDF 191.1 KB)
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Sample Filled Application Form for Approval of Lifting Prohibited Acts (PDF 79.4 KB)
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Sample Filled Application Form for Fire Prevention Object Construction Plan Notification (PDF 229.1 KB)
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Sample Filled Application Form for Fire Prevention Object Usage Start Notification (PDF 235.7 KB)
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This page is managed by the Inagi City Fire Department Prevention Division
〒206-0802 2111 Higashi-Naganuma, Inagi City, Tokyo (Inagi Fire Station)
Phone number: 042-377-7119 Fax number: 042-377-0119
Contact Us for the Inagi City Fire Department Prevention Division



















