Information

  • Audit Title

  • Document No.

General Profile

Site Details

  • Client Name

  • Branch/ Site Name

  • Address
  • Responsible Person

  • Responsible Person Job Title

  • Contact details

  • Assessors Name

  • Assessment Date

  • Premises Photo

  • Site Description

Main Building Profile Information

  • Primary use of Building

  • Recommended review period

  • Floor Area of Building (SqM)

  • Floor Area Assessed (SqM)

  • Number of Floors (Enter No.)

  • Number of Floors Occupied (Enter No.)

  • Is the occupier the sole user of the building?

  • Details of multi occupied building.

  • Total Number of Staff On-site (Enter No.)

  • Occupants with Disabilities (Enter No.)

  • Sleeping Occupants (Enter No.)

  • Floors Accessed by Public (Enter No.)

  • Total Occupancy (Enter No.)

Fire Safety Related Profile Information

Fire Safety Related Profile information

  • Are the premises currently free of any outstanding enforcement notices?

  • Is the emergency plan for the premises adequate?

  • Alarm Type

  • Are the premises free of fire incidents in the last 24 months?

  • Incident
  • Floor

  • Room/ Area

  • Details of incident.

  • Person Injured as a Result of Fire

Inaccessible Areas

  • Inaccessible Areas

  • Area
  • Floor

  • Room/ Area

  • Reasons for No Access

Mitigation Information

  • Indicate the Location of:

  • Mains Electrical intake

  • Room

  • Main Gas Intake

  • Room

  • Fire Alarm Indicator Panel

  • Room

  • Sprinkler Stop Valve

  • Room

  • Fire Fighting Switches

  • Room

  • Fire Fighting Shafts and Risers

  • Emergency Access for fire Service Vehicles

  • Location of Fire Hydrants

  • Location of Fire Assembly Point

Log Book

Cyclical Tasks

  • Electrical Wiring Tests

  • Date

  • Fire Detection and Alarms

  • Date

  • Emergency Lighting

  • Date

  • PAT Testing

  • Date

  • Fire engineered Systems

  • Date

  • Heating and Airconditioning Systems

  • Date

  • Fire Drill

  • Date

  • Fire Training

  • Date

  • Sprinkler/ Suppression System

  • Date

  • Escape Routes

  • Date

  • Fire Fighting Equipment

  • Date

  • Add Building Specific Item

  • Building Specific
  • Inspection Type

  • Cyclical Task

  • Location

  • Has the Cyclical Task been completed

Management

Management Responsibilities

  • Good management of fire safety on your premises is essential to ensure that any fire safety matters that arise are always effectively addressed.

  • 1.1 Are management and staff fully aware of the fire safety features of the premises in compliance with relevant guidance, or is their knowledge at a satisfactory level?

  • Concern
  • Select Concern

  • Cause for Concern

  • Recommendation

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 1.2 Have staff received fire awareness training in compliance with relevant guidance, or otherwise adequate training?

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 1.3 Are housekeeping standards compliant with relevant guidance, or otherwise satisfactory?

  • Concern
  • Select Concern

  • Cause for Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

Hazards

Ignition Risks

  • Identification of hazards and their removal or effective control is an integral part of a fire risk assessment. This section relates to ignition sources and the presence of flammable and combustible materials which are not suitably managed.

  • 2.1 List all ignition sources, flammables, combustibles and dangerous substances that are not managed.

  • Concern

  • Concern
  • Select Concern

  • Cause for Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

Construction

Construction

  • The materials from which your premises are constructed and the quality of building work and state of repair could contribute to the speed with which any fire may spread, potentially affecting escape routes.

  • 3.1 Are the fire resisting separating floors and or walls of the building compliant with relevant guidance or otherwise in a satisfactory condition?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 3.2 Are shafts for lifts enclosed with fire resisting construction in compliance with relevant guidance or otherwise satisfactory?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 3.3 Are shafts for services enclosed within fire resisting construction, in compliance with relevant guidance, or otherwise satisfactory enclosed?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 3.4 Is the surface spread of flame classification of materials used to line walls and other surfaces compliant with relevant guidance or acceptable?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 3.5 Are areas of ancillary accommodation separated from the remaining of the building with fire resisting construction in compliance with relevant guidance, or in a satisfactory manner?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 3.6 Are cavity barriers provided in voids in compliance with relevant guidance, or is the provision in voids satisfactory?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

Means of Escape

Means of Escape

  • It is essential that escape routes, and the means provided to ensure they are used safely, are managed and maintained to ensure that they remain usable and available at all times when the premises are occupied.

  • 4.1 Are the escape routes of such a number and so sited that the travel distance from any point to the nearest storey exit is compliant with relevant guidance or within acceptable limits?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 4.2 Is the number of escape routes from a room or storey compliant with relevant guidance or sufficient?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 4.3 Is escape from inner rooms compliant with relevant guidance or otherwise satisfactory?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 4.4 Are corridors compliant with relevant guidance, or provided with adequate fire resistance and/or other facilities to allow persons to reach a storey exit safely?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 4.5 Are accommodation stairways and or lifts sited in line with relevant guidance or satisfactory sited so that their position does no prejudice escape from upper floors?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 4.6 Is the capacity of protected stairways compliant with relevant guidance, sufficient and do they offer suitable protection to ensure the safe escape of occupants?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 4.7 Are external stairways and routes compliant with relevant guidance or otherwise satisfactory for use in case of emergency?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 4.8 Are arrangements made for the means of escape of disabled persons complaint with relevant guidance or otherwise acceptable?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 4.9 Are engineered systems fully compliant with relevant standards, or otherwise suitable for their purpose and adequately maintained?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

Doors and Partitions

Doors and Partitions

  • Effective fire resisting doors and partitions are vital to ensure that occupants can evacuate to a place of safety. The relationship between security and ease of use of doors on escape routes requires careful planning to ensure both objectives are satisfied. Any device which impedes occupants from escaping will not be acceptable.

  • 5.1 Are fire resisting doorsets compliant with relevant guidance or otherwise installed and maintained to an acceptable standard?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 5.2 Are fire resisting partitions compliant with current guidance or otherwise satisfactory and installed/maintained to an appropriate standard?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 5.3 Are doors on escape routes compliant with relevant guidance, or otherwise capable of being used effectively in an emergency?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

Signs and Notices

Signs and Notices

  • Signs and notices must be used, where necessary, to help people identify escape routes, find firefighting equipment and provide emergency information to occupants.

  • 6.1 is the provision of suitable signs and notices in compliance with relevant guidance, or otherwise acceptable?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

Fire Fighting Equipment

Fire Fighting Equipment

  • Firefighting equipment suitable for the risks in your premises must be provided. Appropriate training is required, and the equipment should be checked on a regular basis and maintained by a competent person.

  • 7.1 Is the provision etc of portable fire fighting equipment in accordance with relevant guidance, or satisfactory relevant to the risk at the premises?

  • Concern

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 7.2 Are fire suppression systems installed and maintained in compliance with current standards and/or appropriate, satisfactory installed and adequately maintained?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

Fire Alarms

Fire Alarms

  • The level of automatic fire detection required in your premises will be designed to support the evacuation strategy. The design should consider any specific risks on your premises.

  • 8.1 Is the fire alarm system compliant with relevant standards, or otherwise suitable for the risk, and appropriately installed and maintained?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 8.2 Is the fire alarm system maintained, tested and records kept, in compliance with relevant guidance, or to an otherwise acceptable level?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

Lighting

Lighting

  • The premises must be provided with sufficient general lighting to ensure the occupants can utilise escape routes safely in an emergency. If the supply of normal lighting fails emergency lighting may be required.

  • 9.1 Has the building sufficient general lighting, in compliance with relevant guidance or is lighting satisfactory for purpose?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 9.2 Is the building protected by an emergency lighting system, compliant with relevant guidance, or otherwise acceptable?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

  • 9.3 Is the emergency lighting system maintained and tested in accordance with relevant guidance or otherwise satisfactory?

  • Concern
  • Select Concern

  • Evidence if appropriate

  • Action required

  • Recommended completion date

Risk Rating

Risk Rating

  • Overall risk rating for the premises...

Sign Off

  • On Site Representative

  • Assessor's Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.