FIRE RISK ASSESSMENT 6 MONTH REVIEW

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PREMISES DETAILS

• Name of Warden:

  Yes

  No

  N/A

• Contact Number:<br>Office:<br>Mobile:

  Yes

  No

  N/A

• Address of Premises Under Inspection:

  Yes

  No

  N/A

• Is The Fire Risk Assessment Review For Part Of Or The Whole Building? ( If part of the premises, please describe)

  Yes

  No

  N/A

• Project Name:

  Yes

  No

  N/A

• Project Code:

  Yes

  No

  N/A

• Project Contact Number:

  Yes

  No

  N/A

SECTION 1: IDENTIFY SOURCES OF IGNITION

• 1: Do People Smoke in External Areas of the Premises?

  Yes

  No

  N/A

• 2: Are Ashtrays and Smoking Bins Emptied Regularly?

  Yes

  No

  N/A

• 3: Has The Portable Electrical Equipment On Site Been Tested Within The Last Year?

  Yes

  No

  N/A

• 4: Are Extension Or Multi-Point Adaptors Kept To A Minimum?

  Yes

  No

  N/A

• 5: Are Heating Or Lighting Appliances Kept Away From Combustable Materials?

  Yes

  No

  N/A

• 6: Has Arson Or Deliberate Fire Starting Been A Problem In The Local Area?

  Yes

  No

  N/A

SECTION 2: IDENTIFY SOURCES OF FUEL

• 1: Are Any Flammable Liquids Or Similar Substances Stored On The Premises?

  Yes

  No

  N/A

• 2: Is Waste Including Paper And Card , Regularly Removed?

  Yes

  No

  N/A

• 3: Are Files And Other Paperwork Stored Away From Potential Sources Of Ignition?

  Yes

  No

  N/A

• 4: Are Curtains, Furniture And Other Fixtures Kept Away From Heat Sources?

  Yes

  No

  N/A

SECTION 3: PEOPLE AT RISK

• 1: Are Personnel Emergency Evacuation Plans Prepared With Disabled Individuals Who Require Assistance?

  Yes

  No

  N/A

• 2: Do Employees Work In Offices Where Access Is Limited?

  Yes

  No

  N/A

• 3: Do Employees Work Alone Or In Remote Parts Of The Building?

  Yes

  No

  N/A

• 4: Are Visitors / Clients Made Aware Of Emergency Procedures?

  Yes

  No

  N/A

SECTION 4: STRUCTURAL FEATURES

• 1: Have Any Structural Or Non Structural Alterations Been Made T The Premises (Including Partitioning) In The Last 6 Months?

  Yes

  No

  N/A

SECTION 5: MEANS OF ESCAPE

• 1: Are All Fire Exits Properly Signed?

  Yes

  No

  N/A

• 2: Are Fire Escape Instruction Notices Posted Throughout The Premises?

  Yes

  No

  N/A

• 3: Can All Fire Exit Doors Be Easily Opened?

  Yes

  No

  N/A

• 4: Are Self Closing Doors Or Hold-Open Devices Functioning Properly?

  Yes

  No

  N/A

• 5: Are Stairways And Escape Routes Kept Clear And Free Of Obstruction Or Tripping Hazards?

  Yes

  No

  N/A

• 6: Do All Escape Routes Lead To A Place Of Safety?

  Yes

  No

  N/A

• 7: Can All Employees And Visitors React Quickly To A Fire Or Alarm?

  Yes

  No

  N/A

SECTION 6: FIRE DETECTION AND WARNING SYSTEMS

• 1: Has The Fire Alarm System Been Tested By The Installer Within The Past 6 Months?

  Yes

  No

  N/A

SECTION 7: FIRE FIGHTING EQUIPMENT

• 1: Is There A Fire Blanket Located In The Kitchen Area?

  Yes

  No

  N/A

• 2: Are Fire Extinguishers Located Throughout The Premises?

  Yes

  No

  N/A

• 3: Have The Fire Extinguishers Been Serviced Within The Past 6 Months By The Installer?

  Yes

  No

  N/A

SECTION 8: FIRE EMERGENCY PLAN AND TRAINING

• 1: Do You Have An Up-To-Date Fire Emergency Plan For Your Premises?

  Yes

  No

  N/A

• 2: Have All Staff Been Given Instruction In The Fire Emergency Plan In The Last 6 Months?

  Yes

  No

  N/A

• 3: Has A Fire Drill Been Conducted In The Last 6 Months?

  Yes

  No

  N/A

SIGNIFICANT FINDINGS AND ACTION PLAN

• 1: FINDING<br><br>2: ACTION PLAN

  Safe

  At Risk

  N/A

• Add signature

  Sign

• Select date

  Date

• 1: FINDING<br><br>2: ACTION PLAN

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

• 1: FINDING<br><br>2: ACTION PLAN

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

• 1: FINDING<br><br>2: ACTION PLAN

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

• 1: FINDING<br><br>2: ACTION PLAN

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

• 1: FINDING<br><br>2: ACTION PLAN

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

• 1: FINDING<br><br>2: ACTION PLAN

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

• 1: FINDING<br><br>2: ACTION PLAN

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

• 1: FINDING<br><br>2: ACTION PLAN

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

• 1: FINDING<br><br>2: ACTION PLAN

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

DETAILS OF ASSESSMENT

• Date of Fire Risk Assessment Review:<br><br>Date:

  Yes

  No

  N/A

• Signature Of Fire Warden:

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

• Signature Of Project Manager:

  Yes

  No

  N/A

• Add signature

  Sign

• Select date

  Date

HEALTH AND SAFETY CO-ORDINATOR

• Date Recieved:

  Yes

  No

  N/A

• Select date

  Date

• Logged In Database:

  Yes

  No

  N/A

• Further Action Required:

  Yes

  No

  N/A

• Health And Safety Co-Ordinator Signature:

  Yes

  No

  N/A

• Add signature

  Sign