PREMISES DETAILS

  • Name of Warden:

  • Contact Number:
    Office:
    Mobile:

  • Address of Premises Under Inspection:

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

  • Project Name:

  • Project Code:

  • Project Contact Number:

SECTION 1: IDENTIFY SOURCES OF IGNITION

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

  • 2: Are Ashtrays and Smoking Bins Emptied Regularly?

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

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

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

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

SECTION 2: IDENTIFY SOURCES OF FUEL

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

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

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

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

SECTION 3: PEOPLE AT RISK

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

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

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

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

SECTION 4: STRUCTURAL FEATURES

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

SECTION 5: MEANS OF ESCAPE

  • 1: Are All Fire Exits Properly Signed?

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

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

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

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

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

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

SECTION 6: FIRE DETECTION AND WARNING SYSTEMS

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

SECTION 7: FIRE FIGHTING EQUIPMENT

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

  • 2: Are Fire Extinguishers Located Throughout The Premises?

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

SECTION 8: FIRE EMERGENCY PLAN AND TRAINING

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

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

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

SIGNIFICANT FINDINGS AND ACTION PLAN

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    2: ACTION PLAN

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DETAILS OF ASSESSMENT

  • Date of Fire Risk Assessment Review:

    Date:

  • Signature Of Fire Warden:

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  • Signature Of Project Manager:

  • Add signature

  • Select date

HEALTH AND SAFETY CO-ORDINATOR

  • Date Recieved:

  • Select date

  • Logged In Database:

  • Further Action Required:

  • Health And Safety Co-Ordinator Signature:

  • Add signature

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