Fire Risk Assessment

• Audit Title/ Property Name

• Client / Site

• Conducted on

  Date

• Prepared by Fire Safety Manager

• Address of Property
  Address

• Date of previous fire risk asssessment

  Date

• Instructions
  1. This assessment is separated out into three sections "General", "Fire Hazards" and "Completion"
  2. Complete the "General" section by providing relevant information of the the building premises
  3. Complete the "Fire Hazard" section by answering the relevant questions and attaching any supporting notes, photos and corrective actions
  4. Finish the audit by providing your digital signature in the "Completion" section
  5. Start the assessment by clicking "Next Section" below

Building

• Number of floors and basements

• Approximate floor area (square metres)

• Construction details

• Select use of premises

  Commercial

  Residential

  Government

  Other

• Enter use of premises

• Upload relevant building floor plans

  Media

Occupants

• Approximate maximum number of persons

• Maximum number of employees at any one time

• Maximum number of members of public at any one time:

• Associated times/hours of occupation:

Occupants at Special Risk

• Are there any sleeping occupants

  Yes

  No

  N/A

• Enter number

• Are there any disabled occupants

  Yes

  No

  N/A

• Enter number

• Are there any occupants in remote areas or lone workers

  Yes

  No

  N/A

• Enter number

• Are there any young persons

  Yes

  No

  N/A

• Enter number

• Are there any other occupants at special risk

  Yes

  No

  N/A

• Add occupant at risk

Occupant

• Enter description

• Enter number

Fire Loss Experience

• Fires in the past 10 years

  Yes

  No

  N/A

• Enter description of prior fire losses including estimated costs

• Instructions:
  1. Select "YES" if compliant, "NO" if not compliant and "N/A" if not applicable.
  2. Attach relevant photos and notes to question items
  3. Create a corrective action by clicking on the paperclip icon and clicking "Add Action", include description, assignee, priority and due date

Electrical Sources of Ignition

• Reasonable measures taken to prevent fires of electrical origin?

  Yes

  No

  N/A

• Fixed installation periodically inspected and tested?

  Yes

  No

  N/A

• Portable appliance testing (where appropriate) carried out?

  Yes

  No

  N/A

• Suitable policy regarding the use of personal electrical appliances?

  Yes

  No

  N/A

• Suitable limitation of electrical extension leads or multi point adaptors?

  Yes

  No

  N/A

• Reasonable measures taken to prevent fires of electrical origin?

  Yes

  No

  N/A

• Observations (optional)

Smoking

• Reasonable measures taken to prevent fires as a result of smoking?

  Yes

  No

  N/A

• Is smoking prohibited in premises?

  Yes

  No

  N/A

• Is smoking prohibited in appropriate areas of premises?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the no smoking policy appear to be observed at time of inspection?

  Yes

  No

  N/A

• Observations (optional)

• Other observations

• Assessed by

  Sign