Information

  • Audit Title

  • Document No.

General Profile

Site Details

  • Client Id.

  • Client Name

  • Branch/ Site Name

  • Property ID.

  • Address
  • Responsible Person

  • Responsible Person Job Title

  • Contact Telephone No.

  • Assessors Name

  • Assessment Date

  • Premise Photo

  • Site Description

Main Building Profile Information

  • Primary use of Building

  • Revisit Cycle

  • Floor Area of Building (SqM)

  • Floor Area Assessed (SqM)

  • Number of Floors (Enter No.)

  • Number of Floors Occupied (Enter No.)

  • Is the Client the Landlord?

  • Multiple Building Occupants

  • Total Number of Staff On-site (Enter No.)

  • Occupants with Disabilities (Enter No.)

  • Sleeping Occupants (Enter No.)

  • Floors Accessed by Public (Enter No.)

  • Total Occupancy (Enter No.)

Fire Safety Related Profile Information

Fire Safety Related Profile information

  • Outstanding Enforcement Notice

  • Emergency Plan in Place

  • Emergency Action Plan

  • Alarm Type

  • Previous History Of Fire (Last 12 Months)

  • Incident
  • Floor

  • Room/ Area

  • Reason for Incident

  • Person Injured as a Result of Fire

  • Additional Information

Auditors Additional Information (Fire)

Inaccessible Areas

  • Inaccessible Areas

  • Area
  • Floor

  • Room/ Area

  • Reasons for No Access

Mitigation Information

  • Indicate the Location of:

  • Mains Electrical intake

  • Floor

  • Room

  • Main Gas Intake

  • Floor

  • Room

  • Fire Alarm Indicator Panel

  • Floor

  • Room

  • Sprinkler Stop Valve

  • Floor

  • Room

  • Fire Fighting Switches

  • Floor

  • Room

  • Nature and Location of Hazardous Process/ Contents

  • Hazardous Process/ Content
  • Process/ Content

  • Floor

  • Room

  • Nature and Location of Hazards in Construction

  • Hazards in Construction

  • Hazard
  • Hazard

  • Floor

  • Room

  • Nature and Location of any Business Critical Areas

  • Business Critical Area

  • Area
  • Area

  • Floor

  • Room

  • Fire Fighting Shafts and Risers

  • Emergency Access for fire Service Vehicles

  • Location of Fire Hydrants

  • Location of Nearest Open Water Source

Log Book

Cyclical Tasks

  • Electrical Wiring Tests

  • Date

  • Fire Detection and Alarms

  • Date

  • Emergency Lighting

  • Date

  • PAT Testing

  • Date

  • Fire engineered Systems

  • Date

  • Heating Systems

  • Date

  • Fire Drill

  • Date

  • Fire Training

  • Date

  • Sprinkler/ Suppression System

  • Date

  • Escape Routes

  • Date

  • Fire Fighting Equipment

  • Date

  • Add Building Specific Item

  • Building Specific
  • Inspection Type

  • Cyclical Task

  • Location

  • Has the Cyclical Task been completed

  • Date

  • Recommendation

Management

Management Responsibilities

  • If all foregoing elements are followed the fire safety provisions are likely to be such that in the event of fire, the occupants of the building will be able to reach a place of safety. However, these fire safety provisions can be seriously compromised by a lack of fire safety managment.

  • 1.1 Are management and staff fully aware of the fire safety features of the premises in compliance with relevant guidance, or is their knowledge at a satisfactory level?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 1.2 Have staff received fire awareness training in compliance with relevant guidance, or otherwise adequate training?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 1.3 Are housekeeping standards compliant with relevant guidance, or otherwise satisfactory?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

Hazards

Ignition Risks

  • Identification of hazards and their removal or effective control is an integral part of a fire risk assessment. Hazardous in this context are related to ignition sources and the presence of flammable, combustable and other dangerous materials as defined in the Chemicals (Hazard information and Packaging for Supply) Regulations 2002. List all items of concern.

  • 2.1 List all ignition sources that are managed

  • Hazard/ Ignition Risk

  • Risk
  • Hazard/ Ignition Risk

  • Other Ignition Risk

  • Other Combustable Risk

  • Control Measure

  • 2.2 List all ignition sources that are not managed

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 2.3 List all Flammable, Combustable and other dangerous substances that are managed

  • Hazard/ Ignition Risk

  • Risk
  • Hazard/ Ignition Risk

  • Other Ignition Risk

  • Other Combustable Risk

  • Control Measure

  • 2.4 List all Flammable, Combustable and other dangerous substances that are not managed

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

Construction

Construction

  • Structural fire protection is intended to ensure that the building will not collapse prematurely in a fire and that the means of escape for the occupants can be utilized without undue risk. It will not, however, necessarily avoid the material loss of the property. The structural protection is also intended to reduce the potential of fire spread from one building to another. List any concerns you have with elements of structure within this premises

  • 3.1 Are the fire resisting separating floors and or walls of the building compliant with relevant guidance or otherwise in a satisfactory condition?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 3.2 Are shafts for lifts enclosed with fire resisting construction in compliance with relevant guidance or otherwise satisfactory?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 3.3 Are shafts for hoists and services enclosed within fire resisting construction, in compliance with relevant guidance, or otherwise satisfactory enclosed?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 3.4 Is the surface spread of flam classification of materials used to line walls and other surfaces compliant with relevant guidance or acceptable?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 3.5 Are areas of ancillary accommodation separated from the remaining of the building with fire resisting construction in compliance with relevant guidance, or in a satisfactory manner?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 3.6 Are cavity barriers provided in voids in compliance with relevant guidance, or is the provision in voids satisfactory?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

Means of Escape

Means of Escape

  • To facilitate escape it is necessary to ensure that protected escape routes are safeguarded against the ingress of smoke o regulate the distance people have to travel before they reach a storey exit or final exit. List any areas of concern.

  • 4.1 Are the escape routes of such a number and so sited that the travel distance from any point to the nearest storey exit is compliant with relevant guidance or within acceptable limits?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 4.2 Is the number of escape routes from a room or storey complaint with relevant guidance or sufficient?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 4.3 Is escape from inner rooms compliant with relevant guidance or otherwise satisfactory?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 4.4 Are corridors compliant with relevant guidance, or provided with adequate fire resistance and/or other facilities to allow persons to reach a storey exit safely?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 4.5 Is the means of escape from each occupancy compliant with relevant guidance or otherwise acceptable?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 4.6 Is the escape route across a flat roof complaint with relevant guidance or otherwise satisfactory?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 4.7 Are accommodation stairways and or lifts sited in line with relevant guidance or satisfactory sited so that their position does no prejudice escape from upper floors?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 4.8 Is the capacity of protected stairways compliant with relevant guidance, sufficient and do they offer suitable protection to ensure the safe escape of occupants?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 4.9 Are external stairways and routes compliant with relevant guidance or otherwise satisfactory for use in case of emergency?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 4.10 Are arrangements made for the means of escape of disabled persons complaint with relevant guidance or otherwise acceptable?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 4.11 Are engineered systems fully compliant with relevant standards, or otherwise suitable for their purpose and adequately maintained?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

Doors and Partitions

Doors and Partitions

  • Doors and partitions are one of the most important links in the chain of fire safety precautions. To ensure the safety of the occupants during escape, some doors and partitions may need to provide a degree of fire resistance.

  • 5.1 Are fire resisting doorsets complaint with relevant guidance or otherwise installed and maintained to an acceptable standard?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 5.2 Are fire resisting partitions complaint with current guidance or otherwise satisfactory and installed/maintained to an appropriate standard?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 5.3 Are doors on escape routes complaint with relevant guidance, or otherwise capable of being used effectively in an emergency?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

Signs and Notices

Signs and Notices

  • Research into the public comprehension of the layout and ease of finding destinations in a building has revealed way-finding problems. Such confusion can jeopardise peoples' ability to escape in an emergency situation. Careful attention is needed in positioning, content and presentation of all safety signs.

  • 6.1 is the provision of suitable signs and notices in compliance with relevant guidance, or otherwise acceptable?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

Fire Fighting Equipment

Fire Fighting Equipment

  • Portable and Fixed fire fighting equipment can be used to good effect if a fire is detected in the early stages. Early attack on the fire will inhibit its growth and so reduce life hazard and financial loss. List any concerns.

  • 7.1 Is the provision etc of portable fire fighting equipment in accordance with relevant guidance, or satisfactory relevant to the risk at the premises?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 7.2 Are fire suppression systems installed and maintained in compliance with current standards and/or appropriate, satisfactory installed and adequately maintained?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

Fire Alarms

Fire Alarms

  • Irrespective of any other devices that may be installed in a building it is imperative that occupants are made aware of a fire as soon as practically possible. As well as providing this function an effective fire alarm system allows the occupier to make contact with the local fire brigade whilst the fire is still in its early stages. List any concerns.

  • 8.1 Is the fire alarm system compliant with relevant standards, or otherwise suitable for the risk, and appropriately installed and maintained?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 8.2 Is the fire alarm system maintained, tested and records kept, in compliance with relevant guidance, or to an otherwise acceptable level?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

Lighting

Lighting

  • The premises must be provided with sufficient general lighting to ensure the occupants can utilize escape routes safely in an emergency. If the supply of normal lighting fails emergency lighting may also be required. this form of lighting will also indicate escape routes to allow safe movement towards and through exits as well as ensuring that fire alarm call points and fire fighting equipment can be readily located. list any concerns.

  • 9.1 Has the building sufficient general lighting, in compliance with relevant guidance or is lighting satisfactory for purpose?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 9.2 Is the building protected by an emergency lighting system, compliant with relevant guidance, or otherwise acceptable?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

  • 9.3 Is the emergency lighting system maintained and tested in accordance with relevant guidance or otherwise satisfactory?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Location

Risk Rating

Risk Rating

  • Risk Rating

  • Provide a sketch if required

Sign Off

  • On Site Representative

  • Auditors Signature

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