Fire investigation

• Document No.

• House/Flat number

• Type of incident

  Major fire

  Minor fire

  False alarm

• Location

• Conducted on

  Date

• Prepared by

Fire/False alarm details

• Date and time

  Date

• Location details

• Was the fire alarm sounded

  Yes

  No

  N/A

• If no, why not

• How was alarm raised

  Smoke detector

  Heat detector

  Person

• Name of person

Fire/False alarm events

• How did the fire/false alarm happen? Please give full details

• Was an attempt made to extinguish the fire?

  Yes

  No

  N/A

• If Yes, by whom. If No, why not

• Was the Fire Brigade in attendance

  Yes

  No

  N/A

• Time

  Date

Life Risk

• Approximate no of persons in building

• Occupancy type

  Select Residential General needs Vulnerable adults Office Community room Training room Sheltered housing Housing with care Young persons

  • Residential
  • General needs
  • Vulnerable adults
  • Office
  • Community room
  • Training room
  • Sheltered housing
  • Housing with care
  • Young persons

• Was an evacuation necessary?

  Yes

  No

  N/A

• How long did it take and who organised it?

• Were there any injuries?

  Yes

  No

  N/A

• Give details of any injuries/treatment administered.

• A separate accident form needs to be filled in if there were any injuries resulting from this incident

Additional factors

• Did any of the following cause or were noticed at the location

  Select Structural changes Excessive storage Electrical overload N/A

  • Structural changes
  • Excessive storage
  • Electrical overload
  • N/A

• If any of the above selected, please give details

Conclusion

• Is the building/room/area safe to be used?

  Yes

  No

  N/A

• What needs to be done?

• If the location has a fire panel, has this been reset and the system fault free?

  Yes

  No

  N/A

• Please give further information including when and by whom this was done

• Are there any further actions that need to be taken?

  Yes

  No

  N/A

• Actions required and by whom