Fire Hazard Assessment. V.2

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Expires on:

  Date

• Prepared by

• Location
  Address

• Personnel

PRESCRIPTION PARTICULARS

• Client

• Location

• Map location ( if available)
  Address

• Site Plan

  Media

• Size of immediate fire hazard area (hectares)

• Proposed Date and Start Time of stop work

  Date

• Proposed Date and Finish Time of stop work

  Date

• Typical Fuel Load on Site

  Media

WEATHER CONDITIONS REQUIRED

• Maximum Temperature (Celcius)

• Minimum Relative Humidity (%)

• Maximum Wind Speed (km/h)

• Temperature at time of report

• Wind Speed at time of report

• Maximum Fire Danger Reading (FDR)

  Select Low Moderate High Very High Severe Extreme Catastrophic

  • Low Moderate
  • High
  • Very High
  • Severe
  • Extreme
  • Catastrophic

• Grain Harvesting Operations Table (GHOT) rating ( if wind speed is greater than GHOT rating, operations must stop)

  Select 19 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

  • 19
  • 21
  • 22
  • 23
  • 24
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  • 28
  • 29
  • 30
  • 31
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  • 40
  • 41
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  • 44
  • 45
  • 46
  • 47
  • 48
  • 49
  • 50
  • 51
  • 52
  • 53
  • 54
  • 55
  • 56

• Wind Speed (at time of report )

  Select 19 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56

  • 19
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
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  • 40
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  • 44
  • 45
  • 46
  • 47
  • 48
  • 49
  • 50
  • 51
  • 52
  • 53
  • 54
  • 55
  • 56

• Weather Forecast

  Media

NOTIFICATIONS

• Dean Coughlan - 0412 313 095

  Yes

  No

  N/A

• Chris McDonald - 0408 831 605

  Yes

  No

  N/A

• Dwayne Noack - 0449 608 010

  Yes

  No

  N/A

• Client Representative (insert name, number & company)

  Yes

  No

  N/A

• Local Fire Authority ( insert location & number)

  Yes

  No

  N/A

• Other ( insert name & number)

  Yes

  No

  N/A

Client correspondence:

• Agree with clients comments

  Disagree with clients comments

  Client agrees with contractors comments

  Client disagrees with contractors comments

TRAFFIC MANAGEMENT PLAN

• Traffic Management Plan Required

  Yes

  No

  N/A

• Traffic Management Plan Details

• Traffic Sign Locations

  Media

EXPOSURES AND RISKS

• Life

• Properties

• Environment

GRAIN HARVESTING OPERATIONS TABLE

AUTHORISATION AND SIGN OFF

• Prepared By Sign

  Sign

• Approved By Sign

  Sign

• Client sign

  Sign