1st Option Safety Group

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Part 1: GENERAL INFORMATION

The responsible person for fire safety

• Name of the responsible person

• Contact details of responsible person

1 The Building

• Address of Premises:

• Number of Floors

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Floor area: (m2 per floor)

• Floor area: (m2 total)

• Brief details of construction:

• Occupancy type:

2 The occupants

• Maximum number of occupants -Weekdays

• Maximum number of occupants -Weekends

• Maximum number of members of the public at one time:

3 Occupants at special risk

• Are there sleeping occupants?

  Yes

  No

  N/A

• Are there disabled occupants?

  Yes

  No

  N/A

• Are Young Persons employed?<br>(An individual risk assessment would be required for anyone under 16 years old)

  Yes

  No

  N/A

• Are there occupants in remote areas?

  Yes

  No

  N/A

• Are there lone workers?

  Yes

  No

  N/A

4 Previous Fire loss experience

• Is there any previous history of fire loss in the premises (if yes give details)

  Yes

  No

  N/A

5 Other relevant background

• Is there a prohibition /alteration / enforcement notices in force? (if yes give date of issue)

  Yes

  No

  N/A

Part 2: FIRE HAZARDS AND ELIMINATION OR CONTROL

6 Electrical sources of ignition

• Is the fixed wiring installation periodically tested and inspected?

  Yes

  No

  N/A

• Are portable appliances tested/inspected?

  Yes

  No

  N/A

• Is there a suitable policy about the use of personal electrical appliances?

  Yes

  No

  N/A

• Is there a suitable limitation on the use of trailing leads and adapters?

  Yes

  No

  N/A

7 Smoking

• Is smoking prohibited in the building?

  Yes

  No

  N/A

• Is smoking prohibited in appropriate areas?

  Yes

  No

  N/A

• Are there suitable arrangements made for those who wish to smoke?

  Yes

  No

  N/A

• Is there absence of any evidence of breaches of smoking policy?

  Yes

  No

  N/A

• Is the appropriate smoking prohibition notice displayed at the building's entrance?

  Yes

  No

  N/A

8 Arson

• Does the basic security against arson appear reasonable?

  Yes

  No

  N/A

• Is there sufficient control of unnecessary fire load in close proximity to the building or available for ignition by outsiders?

  Yes

  No

  N/A

9 Portable heaters and heating installation

• Is the use of portable heaters avoided as far as reasonably practicable?

  Yes

  No

  N/A

• If portable heaters are used, are the more hazardous types (radiant bars and LPG) avoided?

  Yes

  No

  N/A

• If portable heaters are used are suitable measures taken to minimise the risk of ignition of combustible materials?

  Yes

  No

  N/A

• Are fixed heating installations subject to regular maintenance?

  Yes

  No

  N/A

10 Cooking facilities

• Are reasonable measures taken to prevent cooking fires?

  Yes

  No

  N/A

• Are filters changed and ductwork cleaned regularly?

  Yes

  No

  N/A

• Are suitable extinguishers available?

  Yes

  No

  N/A

11 Lightning

• Does the building have lightning protection system if required?

  Yes

  No

  N/A

• Is the Lightning protection system subject to a suitable maintenance regime?

  Yes

  No

  N/A

12 Other significant ignition sources that warrant consideration

• Are any dangerous substances used or stored in the premises. (These could include substances such as petrol, alcohol, LPG solvents and any other flammable liquids or materials)

• Are the Dangerous substances stored in suitable areas and containers, away from potential sources of ignition?<br>This includes issues of chemical reactivity and compatibility

  Yes

  No

  N/A

• Are there any other Fire Hazards that warrant consideration within the premise?<br>(This to include any fire hazards from process; heat / spark / friction / chemical, which has the capacity to ignite, create or give off rapid heat, or generate flammable gases)

  Yes

  No

  N/A

• Details

13 Housekeeping

• Is the standard of housekeeping adequate?

  Yes

  No

  N/A

• Are combustible materials separated from ignition sources?

  Yes

  No

  N/A

• Is the unnecessary accumulation of combustibles and waste avoided?

  Yes

  No

  N/A

• Are Means of Escape kept clear of all combustible items?

  Yes

  No

  N/A

• Has a risk assessment been carried out as required by the Dangerous Substances and Explosive Atmosphere Regulations 2002?

  Yes

  No

  N/A

• Are there appropriate measures for the safe storage and disposal of waste.

  Yes

  No

  N/A

14 Hazards introduced by contractors and building works

• Is there sufficient control over works by contractors (e.g. Permits to work & hot works permits)?

  Yes

  No

  N/A

• Are there arrangements for the safe storage of gas bottles and others hazardous materials

  Yes

  No

  N/A

• Are fire safety conditions and instructions communicated to contractors?

  Yes

  No

  N/A

Part 3: FIRE PROTECTION MEASURES

16 Means of escape

• Is the building provided with adequate means of escape in case of fire?

  Yes

  No

  N/A

• Are there sufficient exits?

  Yes

  No

  N/A

• Are exits easily and immediately openable where necessary?

  Yes

  No

  N/A

• Do fire exits open in the direction of travel where necessary?

  Yes

  No

  N/A

• Have sliding or revolving doors been avoided as fire exits?

  Yes

  No

  N/A

• Are there adequate means of securing exits?

  Yes

  No

  N/A

• Are there reasonable distances of travel where there is a single direction of travel?

  Yes

  No

  N/A

• Are there reasonable distances of travel where there are alternative means of escape?

  Yes

  No

  N/A

• Are escape routes adequately protected? I.e. Fire resisting construction.

  Yes

  No

  N/A

• Are there suitable fire precautions for all inner rooms?

  Yes

  No

  N/A

• Are escape routes unobstructed?

  Yes

  No

  N/A

• Are there suitable means of escape for disabled occupants?

  Yes

  No

  N/A

17 Measures to limit fire spread and development.

• Is there a sufficient standard of compartmentation and sub-compartmentation?

  Yes

  No

  N/A

• Are linings that promote fire spread avoided as far as reasonably practicable?

  Yes

  No

  N/A

• As far as can be reasonably ascertained, fire dampers are provided in ducts or vents as necessary to protect critical means of escape against the passage of fire, smoke and combustion products in the early stages of a fire?

  Yes

  No

  N/A

18 Escape lighting

• Is there a reasonable standard of normal, artificial and/or emergency escape lighting provided?

  Yes

  No

  N/A

19 Fire safety signs and notices

• Are fire safety signs and notices suitable and sufficient?

  Yes

  No

  N/A

20 Means of giving warning in the event of fire

• Is a manually operated electrical fire alarm system provided?

  Yes

  No

  N/A

• Is automatic fire detection provided throughout the whole of the premises?

  Yes

  No

  N/A

• Is automatic fire detection provided in only part of the premises?

  Yes

  No

  N/A

• Is there remote transmission of alarm signals?

  Yes

  No

  N/A

21 Manual fire extinguishing appliances

• Is there suitable and sufficient provision of portable fire extinguishers?

  Yes

  No

  N/A

• Are all fire extinguishing appliances readily accessible and unconstructed? i.e. Wall mounted or on appropriate bases.

  Yes

  No

  N/A

• Are hose reels provided?

  Yes

  No

  N/A

• Is wall signage provided relevant to the equipment?

  Yes

  No

  N/A

22 Relevant automatic fire extinguishing systems

• Type of system/s:

• Comments and observations:

23 Facilities, equipment and devices for the protection of Fire-Fighters

• Types of facilities e.g. Wet / Dry Risers, Fire fighters switches, etc.

• Comments and observations:

Evacuation Strategy

• Yes

  No

  N/A

Part 4: MANAGEMENT OF FIRE SAFETY

24 Procedures and arrangements

• Person responsible for fire safety:

• Are there competent persons available to assist in implementing fire safety arrangements?

  Yes

  No

  N/A

• Are appropriate fire procedures in place? (including arrangements for calling the fire service)

  Yes

  No

  N/A

• Fire Emergency Plan in place and details recorded?

  Yes

  No

  N/A

• Does the plan take account of other Fire Emergency Plans applicable in the building?

  Yes

  No

  N/A

• Is the Fire Emergency Plan readily available for staff to read?

  Yes

  No

  N/A

• Is the Fire Emergency Plan available to the enforcing authority?

  Yes

  No

  N/A

• Are there persons nominated to respond to fire?

  Yes

  No

  N/A

• Are persons nominated to assist with evacuation?

  Yes

  No

  N/A

• Is there appropriate liaison with the fire service?

  Yes

  No

  N/A

• Do routine in-house inspections of fire precautions take place?

  Yes

  No

  N/A

25 Training and drills

• Are staff given instruction on induction?

  Yes

  No

  N/A

• Do staff receive periodic refresher training at suitable intervals?

  Yes

  No

  N/A

• Are staff with special responsibilities given appropriate training?

  Yes

  No

  N/A

• Are fire drills carried out at appropriate intervals?

  Yes

  No

  N/A

26 Testing and maintenance

• Is the workplace adequately maintained?

  Yes

  No

  N/A

• Is there weekly testing and periodic servicing of the fire detection and alarm system?

  Yes

  No

  N/A

• Is there monthly, six-monthly and annual testing of the emergency lighting?

  Yes

  No

  N/A

• Is there annual maintenance and testing of fire extinguishing equipment?

  Yes

  No

  N/A

• Is there annual inspection and test of the lightning protection system?

  Yes

  No

  N/A

• Is there six monthly and annual testing of wet/dry risers?

  Yes

  No

  N/A

• Is there weekly testing and periodic inspection of sprinkler installations?

  Yes

  No

  N/A

• Is there routine checks of fire doors and final exit doors?

  Yes

  No

  N/A

• Is all electrical equipment tested and records on site

  Yes

  No

  N/A

• Other relevant inspection and test

27 Records

• Are there records of fire drills?

  Yes

  No

  N/A

• Are there records of fire training?

  Yes

  No

  N/A

• Are there records of fire alarm tests?

  Yes

  No

  N/A

• Are there records of emergency lighting tests?

  Yes

  No

  N/A

• Are there records of maintenance and testing of other fire protection systems?

  Yes

  No

  N/A

Part 5: RISK RATING AND RECOMMENDATIONS

Risk Items

• Item 1

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
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• Recommendations

• Action

• Item 2

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
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• Recommendations

• Action

• Item 3

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
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• Recommendations

• Action

• Item 4

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
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• Recommendations

• Action

• Item 5

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
  • 2
  • 3
  • 4
  • 5
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• Recommendations

• Action

• Item 6

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
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• Recommendations

• Action

• Item 7

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
  • 2
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• Recommendations

• Action

• Item 8

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
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• Recommendations

• Action

• Item 9

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
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• Recommendations

• Action

• Item 10

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
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• Recommendations

• Action

• Received by responsible person / representative

  Sign

• Assessor Signature

  Sign

• Pictures

  Media

Re-Assessment

• Recommended date for re-assessment

  Date