Fire Risk Assessment

• Document No.

• Assessment of Fire Risk

• Site Number

• Conducted on

  Date

• Prepared by

• Location
  Address

Statement of Fire Risk Assessment

Section A1 - Premises Summary

• Description of Property:

• Number of Floors

  One

  Two

  Three

• Number of floors included

  One

  Two

  Three

• Approximate floor area in m2

• Number of additional tenants/occupiers in the building

• Is premises contained within 3rd party structure (shopping centre, supermarket, precinct etc)

  Yes

  No

  N/A

• Brief description of construction

• Use of premises

• Any history of fire

  Yes

  No

  N/A

A2 - Occupancy

• Number of employees

• Number of members of public

• Premises used out of hours

  Yes

  No

  N/A

• Any person of specific risk

  Yes

  No

  N/A

• Any person sleeping on premises

  Yes

  No

  N/A

• Any person in remote area

  Yes

  No

  N/A

• Any high risk employee (young person, chronic medical condition)

  Yes

  No

  N/A

• Comment

B: Fire Hazards and Ignition Sources

B1 - Electrical Sources of Ignition

• Is portable appliance testing carried out

  Yes

  No

  N/A

• Are electrical circuits and installations periodically tested and inspected

  Yes

  No

  N/A

• Is there managerial control of personal electrical items

  Yes

  No

  N/A

• Are any electrical adapters or extension leads used appropriately

  Yes

  No

  N/A

• are electrical cables routed so as to avoid physical damage

  Yes

  No

  N/A

• Is lightning protection provided for the building

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

B2 - Smoking

• Are reasonable measures taken to prevent fires as a result of smoking

  Yes

  No

  N/A

• Is smoking prohibited in the building

  Yes

  No

  N/A

• Are suitable arrangements in place for those who wish to smoke

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

B3 - Heating

• Are mains gas supplies connected

  Yes

  No

  N/A

• Are fixed heating installations, gas appliances and boilers subject to regular maintenance by competent contractors

  Yes

  No

  N/A

• Are portable heaters in use

  Yes

  No

  N/A

• If yes, are they kept away from combustible storage or refuse

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

B4 - Cooking

• Are catering facilities provided

  Yes

  No

  N/A

• Is this on a commercial basis

  Yes

  No

  N/A

• Does this involve the use of deep fat fryers, oven, or cooking range

  Yes

  No

  N/A

• Are emergency cut off switches/valves/cocks provided and accessible with their location and use indicated by signage

  Yes

  No

  N/A

• Are grease filters and extraction ducting decreased and cleaned

  Yes

  No

  N/A

• Cleaning certification available

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

B5 - Arson

• Is external refuse managed appropriately

  Yes

  No

  N/A

• Are suitable external security arrangements in place

  Yes

  No

  N/A

• Are suitable internal security arrangements in place

  Yes

  No

  N/A

• Is the building/location vulnerable to arson

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

B6 - Storage and Housekeeping

• Are large/abnormal amounts of combustible materials kept in the premises

  Yes

  No

  N/A

• Is there large or excessive fire loading

  Yes

  No

  N/A

• If yes, are storage arrangements adequate

  Yes

  No

  N/A

• Are highly flammable or other hazardous materials kept in the premises

  Yes

  No

  N/A

• If yes, are storage arrangements adequate

  Yes

  No

  N/A

• Is housekeeping satisfactory

  Yes

  No

  N/A

• Is the upholstery of foam furniture in good condition

  Yes

  No

  N/A

• Are significant ignition sources separated from combustible or highly flammable materials

  Yes

  No

  N/A

• Is the use of highly flammable materials minimised

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

B7 - Building work and outside contractors

• At the time of the assessment was any building work being carried out

  Yes

  No

  N/A

• Is managerial control of contractors adequate and satisfactory

  Yes

  No

  N/A

• Are any fire safety conditions imposed on contractors

  Yes

  No

  N/A

• Is there a permit to work/hot works permits scheme

  Yes

  No

  N/A

• Do contractors work out of hours

  Yes

  No

  N/A

• Are occupants at risk from fire hazards and ignition sources which have been introduced by builders/contractors

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

C: Means of Escape

C1 - Alternative means of escape

• Are there adequate numbers of final exit doors

  Yes

  No

  N/A

• Are all fire exits immediately open-able without the use of a key

  Yes

  No

  N/A

• Are electronic security locks fitted to exit doors on escape routes

  Yes

  No

  N/A

• If so, are they appropriately and safely fitted and maintained

  Yes

  No

  N/A

• Do fire exits open in the direction of escape

  Yes

  No

  N/A

• Are sliding or revolving doors relied on for means of escape

  Yes

  No

  N/A

• Is adequate artificial illumination provided where necessary

  Yes

  No

  N/A

• Are the alternative exit route/s provided with appropriate signage

  Yes

  No

  N/A

• Are any inner room situations involved

  Yes

  No

  N/A

• Are vision panels fitted or automatic fire detection provided in access rooms to inner rooms

  Yes

  No

  N/A

• We're any unsatisfactory fire exit or escape routes noted

  Yes

  No

  N/A

• Travel distances acceptable

  Yes

  No

  N/A

• Alternative means of escape acceptable

  Yes

  No

  N/A

• Comments on relevant issues noted

C2 - Protection of internal escape routes and structural integrity

• Are any dead end exit routes adequately protected

  Yes

  No

  N/A

• Are floor surfaces, stairs and handrails safe

  Yes

  No

  N/A

• Are exit routes adequately clear of storage and obstructions

  Yes

  No

  N/A

• Are staircases kept clear of storage and obstructions

  Yes

  No

  N/A

• Are fire doors held open by irregular means

  Yes

  No

  N/A

• Are door holding devices fitted to fire doors

  Yes

  No

  N/A

• Are existing fire resisting partitions installed to comply with BS 476 as far as could be ascertained

  Yes

  No

  N/A

• Are service shafts between floors adequately fire stopped

  Yes

  No

  N/A

• Is compartmentation considered to be of a reasonable standard

  Yes

  No

  N/A

• Are disabled refuges provided

  Yes

  No

  N/A

• If so, are they adequate and provided with appropriate communications

  Yes

  No

  N/A

• Have active fire precautionary arrangements been introduced to replace passive measures

  Yes

  No

  N/A

• Comments on relevant issues noted

C3 - External exit routes

• Do external exit routes lead to a place of ultimate safety

  Yes

  No

  N/A

• Are external exit routes even, illuminated and without obstructions or trip hazards

  Yes

  No

  N/A

• Are external staircases, balconies and gangways examined by a competent person at not less than three yearly intervals

  Yes

  No

  N/A

• Are external staircases, balconies and gangways adequately protected from fire in the parent/adjacent occupancy

  Yes

  No

  N/A

• Are external exit routes clear of obstructions, storage and refuse

  Yes

  No

  N/A

• Are external exit routes considered satisfactory

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

D: Emergency escape lighting and signage

• Description

• Maintained and serviced to comply with BS 5266

  Yes

  No

  N/A

• Date of last service

• Tested to comply with BS 5255

  Yes

  No

  N/A

• Date/record of last test

• Do existing signs and notices comply with current regulations

  Yes

  No

  N/A

• Are occupants at risk from emergency lighting or signage deficiencies

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

E: Fire alarm and fire warning arrangements

• Description of the system

• Is phased evacuation or a staged alarm system used in the building

  Yes

  No

  N/A

• Are visual or other non-audible signals used or necessary to augment the fire warning arrangements

  Yes

  No

  N/A

• System maintained by

• Date of last test

• Date of last service

• Is alarm connected to a remote monitoring centre

  Yes

  No

  N/A

• Is there a history of false alarms/alarm defects

  Yes

  No

  N/A

• Are occupants at risk from fire alarm deficiencies

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

F: Fixed and portable fire extinguishing equipment and installations

• Are fixed fire fighting installations provided on site

  Yes

  No

  N/A

• If yes, are they appropriately serviced and maintained

  Yes

  No

  N/A

• Types of portable fire extinguishers provided

• Are fire extinguishers adequate for the current risk

  Yes

  No

  N/A

• Are fire extinguishers correctly sited and signed

  Yes

  No

  N/A

• Are fire extinguishers adequately secured in position and not obstructed

  Yes

  No

  N/A

• Are fire extinguishers serviced and in date

  Yes

  No

  N/A

• Are occupants at risk from fire extinguisher deficiencies

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

G: Management of fire safety

• Does the location have an established fire routine and emergency plan

  Yes

  No

  N/A

• Are all necessary issues included in the plan

  Yes

  No

  N/A

• Comments

• Are all staff given fire instruction on induction

  Yes

  No

  N/A

• Are staff given periodic refresher training

  Yes

  No

  N/A

• Are all staff aware of the emergency plan

  Yes

  No

  N/A

• Are staff trained to recognise and use the fire extinguishers

  Yes

  No

  N/A

• Are fire wardens (if required) appointed and trained

  Yes

  No

  N/A

• Are fire evacuation drills carried out

  Yes

  No

  N/A

• Are disabled persons employed

  Yes

  No

  N/A

• Do disabled people frequent the premises

  Yes

  No

  N/A

• Is there a management plan for disabled people

  Yes

  No

  N/A

• Are any employees or visitors at risk from management deficiencies

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

H: Access for fire fighting and fire fighter safety

• Is access for fire brigade vehicles satisfactory

  Yes

  No

  N/A

• Is access for fire fighters on foot satisfactory

  Yes

  No

  N/A

• Is access for fire fighting or means of escape clear and unobstructed

  Yes

  No

  N/A

• Are local water supplies or hydrants adequate and suitably located near the building

  Yes

  No

  N/A

• Has the possibility of fire spread to/from adjoining or adjacent buildings been considered as part of the fire risk assessment

  Yes

  No

  N/A

• Is there the possibility of environmental damage or effect in the event of a fire (location of water courses for run off, drainage etc)

  Yes

  No

  N/A

• Are occupants, fire fighters or the environment at risk from access or managerial deficiencies

  Yes

  No

  N/A

• Comments on relevant issues noted

• Appropriate risk level

  High

  Medium

  Low

I: Assessment of risk and remedial actions

• Risk levels evaluated in accordance with risk matrix identified in the Thomas Cook fire manual

• Risk levels explained to location manager/responsible person

• Recommended remedial works identified in the report and explained too location manager/responsible person

Report conclusion

• The information and levels of risk are appropriate for the designated location. It remains the responsibility of the location manager/responsible person to ensure any remedial work identified is completed in an appropriate time scale.
  
  Should any significant changes occur within the location (structural changes, changes to fire exit routes, or changes to adjacent business/building use) the location manager/responsible person is to notify the H&S team for a fire risk assessment review

• Report completed by

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• Report accepted by

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