Information

  • Audit Title

  • Document No.

  • Client

  • Conducted on

  • Prepared by

  • Has a fire risk assessment been previously conducted?

  • Date of previous fire risk assessment

  • Photo of building

1: Location

  • 1.1Address
  • 1.2 Name of the responsible person / person in control of the premises

2 The Building

2.1 Description/construction

  • Description/construction

  • Wall materials:

  • Roof materials:

  • Floor materials:

  • Ceiling materials:

  • Stair materials:

  • External doors (include locations):

2.2 Number of floors

  • Number of Floors above ground

  • Number of Floors below ground

2.3 Approximate floor area

  • Floor area: (m2 per floor)

  • Floor area: (m2 total)

2.4 Use of premises

  • Occupancy type: (number of flats)

3 Fire Loss Experience

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

4

5 People at risk

5.1 Approximate maximum number

  • Employees:

  • Occupants: (Approximate number based on 2 per flat)

  • Visitors: (Approximate number based on 2 per flat)

  • Associated times/hours of occupancy

5.2 Occupants at special risk

  • Sleeping occupants? (Approximate number based on 2 per flat)

  • Are there disabled occupants?

  • In remote areas and lone working

  • Flat number(s)

  • Young persons

6 HAZARD IDENTIFICATION

6.1 Electrical sources of ignition

  • Fixed wiring condition

  • Policy regarding personal appliances

  • Trailing leads and adapters - limitation of use

  • Portable appliances

  • Photo of PAT tested appliances

  • Photo of appliances not PAT tested

6.2 Smoking

  • Smoking

6.3 Arson potential

  • Does the basic security against arson appear reasonable?

  • Accessibility to premises

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

6.4 Heating installations

  • Use of portable heaters

  • Photo of oil-filled heaters in use

  • Photo of fan heaters / radiant bar fires / LPG heaters in use

  • Type of fixed installation:

6.5 Cooking

  • Ductwork, cleaning, filters:

  • Kitchen extinguishers

6.6 Lightning protection

  • Does the building have lightning protection system

6.7 Housekeeping

  • Are combustible materials separated from ignition sources?

  • List areas:

  • Photo of combustible materials

  • Avoidance of unnecessary accumulations of combustible materials or waste:

  • List areas:

  • Photo of combustible materials or waste

  • Storage of hazardous materials:

  • List areas:

  • Photo of combustible materials or waste

6.8 Other significant ignition sources that warrant consideration including process hazards

  • List other ignition sources:

7: EVALUATION, REMOVAL AND REDUCTION OF RISK

7.1 Means of giving warning in the event of fire

  • Provision of manually-operated electrical fire alarm system:

  • Provision of automatic fire detection sensors

  • Transmission and remote monitoring of alarm systems

  • Name of organisation

7.2 Fire extinguishers - manual methods

  • Provision of portable fire extinguishers?

  • Types, numbers and locations

  • Provision of fire blankets

  • Provision of hose reels

7.3 Fire extinguishers - automatic methods

  • Rising mains:

  • Sprinkler system

7.4 Containment

  • Compartmentaion

  • Fire doors

  • Door thickness

  • Smoke sealing strips

  • Self-closing mechanisms

  • Exceptions:

  • Isolation of areas:

  • Fire curtains:

  • Suspended ceilings:

7.5 Means of escape

  • adequacy of escape from fire?

  • Adequacy of provisions of exits

  • Second exit access

  • Exits are easily and immediately openable

  • Exits open in the direction of escape

  • Sliding doors open in default mode

  • Dependence on revolving doors

  • Acceptable means of securing exits

  • Distance to travel from the furthest point (meters)

  • Is there an alternative means of escape

  • Distance to travel from the furthest point (meters)

  • Clearance / obstruction of escape routes

  • Obstruction

  • List "other" obstructions

7.6 Emergency lighting

  • Provision of emergency lighting

7.7 Fire safety signs and notices

  • Running man signs

  • Fire action signs

  • Fire call point signs

  • Fire extinguisher usage signs

  • Fire assembly point signs

  • Assembly point signs locations:

  • Building fire maps

8. MANAGEMENT OF FIRE SAFETY

  • 8.1 Person responsible for fire safety

  • 8.2 Competent person(s) available to advise and assist in implementation of fire safety legislation

  • 8.3 People nominated to respond to a fire

  • 8.4 Persons trained to use fire extinguishers

  • 8.5 People nominated to assist with evacuation

  • 8.6 Inspections of fire precautions

  • 8.7 Fire log book

  • Log book location

8.8 Training and drills

  • Does all staff training provide information, instruction or training on the following:

  • Fire risks in the premises

  • Fire safety measures on premises

  • Action in the event of fire

  • Method of operation of fire call points

  • Location and use of fire extinguishers

  • Means of summoning the fire and rescue service

  • Identity of the persons nominated to assist with evacuation

  • Identity of the persons nominated to use fire extinguishing appliances

  • Staff refresher training provisions

  • Fire marshal training provisions

  • Fire drills conducted

  • Describe the arrangements for ensuring that the premises have been evacuated

8.9 Inspection and test records

  • Testing of fire detection sensors, call points and alarms (weekly)

  • Last testing date

  • Monthly, 6-monthly and annual testing of emergency lighting

  • Last testing date

  • Maintenance of fire extinguishers - annual

  • Last testing date

  • Inspection and test of rising mains - 6 monthly

  • Inspection and test of sprinkler systems - weekly

  • Routine checks on final fire exits

  • Fixed wiring inspection and test

  • Last testing date

  • Portable appliance testing:

  • Monthly cleaning of ductwork

  • 6-Monthly cleaning and inspection of ductwork, filters and extraction fans

  • 6-monthly emergency lighting tests

  • Last testing date

8.10 Heating maintenance

  • Gas system tests - owners certificate

  • Select date

8.11 Maintenance and repair

  • Are suitable systems in place for reporting and subsequent restoration of safety measures that have fallen below standard

8.12 Other records

  • Fire drills

  • Fire awareness training

  • Fire marshal training

  • Fire alarm tests

  • Emergency lighting tests

  • Maintenance and testing of other fire protection services

FIRE RISK ASSESSMENT

Risk Items

  • It is considered that the hazard from fire (probability of ignition) at this building is:

  • It is considered that the consequences in the event of fire would be:

  • Fire unlikely to result in serious injury or death of any occupant except for an occupant sleeping in a room in which the fire occurs

  • Fire could result in injury of one or more occupants but is unlikely to cause multiple deaths

  • Significant potential for serious injury or death of one or more occupants

  • Pictures

ACTIONS TO BE TAKEN TO REDUCE THE RISK TO TOLERABLE OR TRIVIAL:

  • 6.1 & 8.9 Fixed wiring

  • 6.1 & 8.9 Portable appliances

  • 6.1 Trailing leads

  • 6.3 Arson potential

  • 6.4 & 8.10 Heating

  • 6.7 Housekeeping

  • 7.1 Fire alarm system

  • 7.2 Fire extinguishers

  • 7.4 Containment of fire

  • 7.5 Means of escape

  • 7.6 & 8.9 Emergency lighting

  • 7.7 Signage

  • 8 Management of fire safety

Re-Assessment

  • Recommended date for re-assessment

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.