Fire Risk Assessment Regulatory Reform (Fire Safety) Order 2005

• Client / Site

• Add media

  Media

• Conducted on

  Date

• Prepared by

• Name of responsible person

• Contact details of responsible person

1 The Building

• 1: The building

• Number of floors

• Floor area ( m2 per floor )

• Floor area ( m2 total )

• Brief details of construction

• Occupancy type

• 2: The occupants

• Maximum number of occupants

• Maximum number of occupants at any given time

• 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 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

PART 2: FIRE HAZARDS AND ELIMINATION OR CONTROL

• 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

• Yes

  No

  N/A

• 9: Portable heaters and heating installation

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• 10: Cooking facilities

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• 11: Lighting

• Yes

  No

  N/A

• 12: Other significant ignition sources that warrant consideration

• 13: Housekeeping

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• 14: Hazards introduced by contractors and building works

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• 15: Dangerous substances

• Yes

  No

  N/A

• Yes

  No

  N/A

PART 3: FIRE PROTECTION MEASURES

• 16: Means of escape

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• 17: Measures to limit fire spread and development

• Yes

  No

  N/A

• Yes

  No

  N/A

• 18: Escape lighting

• Yes

  No

  N/A

• 19: Fire safety signs and notices

• Yes

  No

  N/A

• 20: Means of giving warning in the event of fire

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• 21: Manual fire extinguishing appliances

• Yes

  No

  N/A

• 22: Relevant automatic fire extinguishing systems

  Yes

  No

  N/A

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

• 24: Procedures and arrangements

PART 4: MANAGEMENT OF FIRE SAFETY

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• 25: Training and drills

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• 26: Testing and maintenance

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• 27: Records

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

PART 5: RISK RATING AND RECOMMENDATIONS

• ITEM 1

• Item

• Probability ( likelihood of fire )

• Consequence ( impact on life safety )

• Risk rating score

• Recommendations

• Action

• ITEM 2

• Item

• Probability ( likelihood of fire )

• Consequence ( impact on life safety )

• Risk rating score

• Recommendations

• Action

• ITEM 3

• Item

• Probability ( likelihood of fire )

• Consequence ( impact on life safety )

• Risk rating score

• Recommendations

• Action

• ITEM 4

• Item

• Probability ( likelihood of fire )

• Consequence ( impact on life safety )

• Risk rating score

• Recommendations

• Action

• ITEM 5

• Item

• Probability ( likelihood of fire )

• Consequence ( impact on life safety )

• Risk rating score

• Recommendations

• Action

• ITEM 6

• Item

• Probability ( likelihood of fire )

• Consequence ( impact on life safety )

• Risk rating score

• Recommendations

• Action

• ITEM 7

• Item

• Probability ( likelihood of fire )

• Consequence ( impact on life safety )

• Risk rating score

• Recommendations

• Action

PART 6: SIGNED AND RECEIVED

• Name and signature of responsible person

  Sign

• Assessors name and signature

  Sign