Fire Risk Assessment Regulatory (Fire Safety) Order 2005

• Client / Site

• Conducted on

  Date

• Prepared by

• Photo of site

  Media

• PART 1 GENRAL INFORMATION

• Name of responsible person

• Contact details of responsible person

1 The Building

• Number of floors

• Brief details of construction

• Occupancy type

2 The Occupants

• Maximum number of occupants

• Maximum number of members of the public at any given time

3 Occupants at Special Risk

• Are children employed on the premises ?

  Yes

  No

  N/A

• Are there sleeping occupants ?

  Yes

  No

  N/A

• Are there disabled occupants ?

  Yes

  No

  N/A

• Are there adequate precautions in place for pregnant occupants ?

  Yes

  No

  N/A

• Are there occupants in remote areas ?

  Yes

  No

  N/A

• Are there lone workers ?

  Yes

  No

  N/A

4 Previous fire loss experience

• Is there any previous history of fire loss in the premises ( if yes give details )

  Yes

  No

  N/A

5 Other relevant background

• Are there any residential properties in or attached to the building ?

  Yes

  No

  N/A

• Is there a prohibition notice in force ? ( if yes give details )

  Yes

  No

  N/A

• Is there an alteration notice in force ? ( if yes give details )

  Yes

  No

  N/A

• Is there an enforcement notice in force ? ( if yes give date of when work is to be completed by )

  Yes

  No

  N/A

• Is there any insurance stipulations

  Yes

  No

  N/A

• PART 2 FIRE HAZARDS AND ELIMINATION OR CONTROL

6 Electrical sources of ignition

• Are reasonable measures taken to prevent fires of electrical origin ?

  Yes

  No

  N/A

• Is the fixed wiring periodically tested and inspected ?

  Yes

  No

  N/A

• Are portable appliances tested/inspected ?

  Yes

  No

  N/A

• Is there suitable policy about the use of personal electrical appliances ?

  Yes

  No

  N/A

• Is there a suitable limitation on the use of trailing leads and adapters ?

  Yes

  No

  N/A

• Is luminous discharge lighting installed ?( if yes does installation meet with currant standards )

  Yes

  No

  N/A

• Is all electrical equipment tested and records on site ?

  Yes

  No

  N/A

7 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

• Is smoking prohibited in appropriate areas ?

  Yes

  No

  N/A

• Are suitable arrangements made for those who wish to smoke ?

  Yes

  No

  N/A

• Is there absence of any evidence of breaches of smoking policy ?

  Yes

  No

  N/A

• Is the appropriate smoking prohibition notice displayed at the buildings entrance ?

  Yes

  No

  N/A

8 Arson

• Does the basic security against arson appear reasonable ?

  Yes

  No

  N/A

• Is there sufficient control of unnecessary fire load in close proximity to the building or available for ignition by outsiders ?

  Yes

  No

  N/A

9 Portable heaters and heating installations

• Is the use of portable heaters avoided as far as reasonably practicable ?

  Yes

  No

  N/A

• If portable heaters are used are the more hazardous types ( radiant bars and LPG ) avoided ?

  Yes

  No

  N/A

• If portable heaters are used are suitable measures taken to minimise the risk of ignition of combustible materials ?

  Yes

  No

  N/A

• Are fixed heater installations subject to regular maintenance ?

  Yes

  No

  N/A

10 Cooking Facilities

• Are reasonable measures taken to prevent cooking fires ?

  Yes

  No

  N/A

• Are filters changed and ductwork cleaned regularly ?

  Yes

  No

  N/A

• Are suitable extinguishers available ?

  Yes

  No

  N/A

11 Lightning

• Does the building have lightning protection system if required ? ( if yes has it been tested and are records kept ?

  Yes

  No

  N/A

12 Other significant ignition sources that warrant consideration

• List other ignition sources

13 Housekeeping

• Is the standard of housekeeping adequate ?

  Yes

  No

  N/A

• Are combustible materials separate from ignition sources ?

  Yes

  No

  N/A

• Is the unnecessary accumulation of combustibles and waste avoided ?

  Yes

  No

  N/A

• Is there appropriate storage of hazardous materials ?

  Yes

  No

  N/A

• Are combustible materials stored appropriately ?

  Yes

  No

  N/A

14 Hazards introduced by contractors and building works

• Is there sufficient control over works by contractors ( eg. Permits to work and hot works permits ) ?

  Yes

  No

  N/A

• Are there arrangements for the safe storage of gas bottles and other hazardous materials ?

  Yes

  No

  N/A

• Are the safety conditions and instructions communicated to contractors ?

  Yes

  No

  N/A

15 Dangerous substances (gas, fuels, flammable liquids, oxidising agents)

• Are dangerous substances present on the premises ?

  Yes

  No

  N/A

• Has the risk to relevant persons been adequately eliminated or reduced ?

  Yes

  No

  N/A

• PART 3 FIRE PROTECTION MEASURES

16 Means of escape

• Is the building provided with adequate means of escape in case of fire ?

  Yes

  No

  N/A

• Are there sufficient exits ?

  Yes

  No

  N/A

• Are exits easily and immediately openable where necessary ?

  Yes

  No

  N/A

• Do fire exits open in the direction of travel where necessary ?

  Yes

  No

  N/A

• Have sliding or revolving doors been avoided as fire exits ?

  Yes

  No

  N/A

• Are there adequate means of securing exits ?

  Yes

  No

  N/A

• Are there reasonable distances of travel where there is a single direction of travel ?

  Yes

  No

  N/A

• Are there reasonable distances of travel where there are alternative means of escape ?

  Yes

  No

  N/A

• Are escape routes adequately protected ?

  Yes

  No

  N/A

• Are there suitable fire precautions for all inner rooms ?

  Yes

  No

  N/A

• Are escape routes unobstructed ?

  Yes

  No

  N/A

• Are there suitable means of escape to disabled occupants ?

  Yes

  No

  N/A

17 Measures to limit fire spread and development

• Is there sufficient standard of compartmentation and sub-compartmentation ?

  Yes

  No

  N/A

• Are linings that promote fire spread avoided as far as reasonably practicable ?

  Yes

  No

  N/A

• Are fire doors fitted correctly with a gap not exceeding 4mm

  Yes

  No

  N/A

• Is the door set identified as a fire door?

  Yes

  No

  N/A

• Is the doors hardware fire rated

  Yes

  No

  N/A

• Does the fire door have intumescent strip and or smoke seals correctly fitted

  Yes

  No

  N/A

• Is there any sign of repairs to fire doors?

  Yes

  No

  N/A

18 Escape lighting

• Is there reasonable standard of escape lighting provided ?

  Yes

  No

  N/A

• Is there reasonable standard of escape lighting on any change of level?

  Yes

  No

  N/A

19 Fire safety signs and notices

• Are fire safety signs and notices suitable and sufficient ?

  Yes

  No

  N/A

• Are escape routes clearly signed?

  Yes

  No

  N/A

• Are fire doors clearly signed?

  Yes

  No

  N/A

• Is the fire action notice displayed?

  Yes

  No

  N/A

20 Means of giving warning in the event of fire

• Is a manually operated electrical fire alarm system provided ?

  Yes

  No

  N/A

• Automatic fire detection system provided ?

  Yes

  No

  N/A

• Is there remote transmission of alarm signals ?

  Yes

  No

  N/A

21 Manual fire extinguishing appliances

• Is there suitable and sufficient provision of portable fire extinguishers ?

  Yes

  No

  N/A

• Are extinguishers serviced?

  Yes

  No

  N/A

22 Relevant automatic fire extinguishing systems

• Types of system

• Comments and observations

23 Facilities, equipment and devices for the protection of fire fighters

• Types of facilities

• Comments and observations

• PART 4 MANAGEMENT OF FIRE SAFETY

24 Procedures and arrangements

• Person responsible for fire safety

• Are there competent persons available to assist in implementing fire safety arrangements ?

  Yes

  No

  N/A

• Are appropriate fire procedures in place ? ( including arrangements for calling the fire service )

  Yes

  No

  N/A

• Fire Emergency Plan in place and recorded ?

  Yes

  No

  N/A

• Does the plan take account of other emergency plans applicable in the building ?

  Yes

  No

  N/A

• Is the emergency fire plan readily available for staff to read ?

  Yes

  No

  N/A

• Is the emergency plan available to the enforcing authority ?

  Yes

  No

  N/A

• Are there persons nominated to respond to fire ?

  Yes

  No

  N/A

• Are persons nominated to assist with evacuation ?

  Yes

  No

  N/A

• Is there appropriate liaison with the fire service ?

  Yes

  No

  N/A

• Do routine in-house inspections of fire precautions take place ?

  Yes

  No

  N/A

25 Training and drills

• Are staff given instruction on induction ?

  Yes

  No

  N/A

• Do staff receive periodic refresher training at suitable intervals ?

  Yes

  No

  N/A

• Are staff trained on how to use fire extinguishers?

  Yes

  No

  N/A

• Are fire drills carried out at appropriate intervals ?

  Yes

  No

  N/A

26 Testing and maintenance

• Is the workplace adequately maintained ?

  Yes

  No

  N/A

• Is there weekly testing and periodic servicing of the fire detection and alarm system ?

  Yes

  No

  N/A

• Is there monthly, six monthly, and annual testing of the emergency lighting ?

  Yes

  No

  N/A

• Is there annual maintenance and testing of fire extinguishing equipment ?

  Yes

  No

  N/A

• Is there annual inspection and test of the lightning protection system ?

  Yes

  No

  N/A

• Is there six monthly and annual testing of wet/dry risers ?

  Yes

  No

  N/A

• Is there weekly testing and periodic inspection of sprinkler installations ?

  Yes

  No

  N/A

• Is there routine checks of fire doors and final exit rooms ?

  Yes

  No

  N/A

• Other relevant inspection and test

27 Records

• Are there records of fire drills ?

  Yes

  No

  N/A

• Are there records of training ?

  Yes

  No

  N/A

• Are there records of fire alarm system ?

  Yes

  No

  N/A

• Are there records of emergency lighting tests ?

  Yes

  No

  N/A

• Are there records of maintenance and testing of other fire protection systems ?

  Yes

  No

  N/A

PART 5: SIGNED AND RECEIVED

• Name and signature of responsible person

  Sign

• Assessors name and signature

  Sign