Information
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Audit Title
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Document No.
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Client / Site
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Image of building
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Conducted on
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Prepared by
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Location
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Personnel
Part 1: GENERAL INFORMATION
RESPONSIBLE PERSON
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Name of the responsible person or persons
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Contact details of responsible person or persons
1 The Building
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Building name
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Number of Floors
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- 2
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- 4
- 5
- 6
- 7
- 8
- 9
- 10
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Floor area: (m2 total)
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Floor area: (m2 per floor)
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Brief details of construction:
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Occupancy type:
2 The occupants
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Maximum number of occupants:
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Maximum number of occupants at any given time:
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Maximum number of members of the public at one time:
3 Occupants at special risk
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Are there disabled occupants or disabled staff?
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Are there occupants in remote areas?
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Are there lone workers?
4 Previous Fire Information
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Is there any previous history of fire occurring in the premises (if yes give details)
5 Other relevant background
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Are there any residential or other commercial properties in or attached to the building
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Is there a prohibition notice in force? (if yes give date of issue)
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Is there an enforcement notice in force? (if yes give date of issue and date of when work is to be completed by)
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Is there an alteration notice in force? (if yes give date of issue)
Part 2: SOURCES OF IGNITION
6 Electrical
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Fixed wiring checked by competent persons and certificates available?
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All portable equipment checked and certificates available?
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Is there a suitable limitation on the use of trailing leads and adapters?
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Is there a policy in place for non use of personnel electrical items?
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Is there a procedure in place for faulty electrical equipment? (If yes, give details)
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Comments and hazards observed:
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Take picture of any hazards:
7 Smoking
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Are reasonable measures taken to prevent fires as a result of smoking?
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Is smoking prohibited in the building?
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Are their suitable arrangements made for those who wish to smoke?
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Is smoking waste disposed of sensibly and not with general waste?
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Are metal containers or ashtrays provided within the smoking areas?
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Is the appropriate smoking prohibition notices displayed at the building's entrance?
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Take a picture of signage
8 Arson
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Does the basic security against arson appear reasonable?
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Is there sufficient control of unnecessary ignition sources in close proximity to the building?
9 Portable heaters
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Is the use of portable heaters avoided as far as reasonably practicable?
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If portable heaters are used, are the more hazardous types (radiant bars and LPG) avoided?
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If portable heaters are used are suitable measures taken to minimise the risk of ignition of combustible materials?
10 Cooking facilities
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Are reasonable measures taken to prevent cooking fires?
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Are suitable extinguishers available?
11 Lightning
13 Housekeeping
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Is the standard of housekeeping adequate?
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Are combustible materials stored appropriately?
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Are combustible materials separated from ignition sources?
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Is the unnecessary accumulation of combustibles and waste avoided?
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Is there appropriate storage of hazardous materials?
12 Ventilation and Machinery
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Is all ventilation subject to routine maintenance?
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Does the ventilation equipment switch off when the fire alarm activates?
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Is all machinery subject to routine maintenance by competent persons?
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Is there any equipment or machinery would give rise excessive amounts of friction?
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List other ignition sources:
14 Hazards introduced by contractors and general building works
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Is there sufficient control over works by contractors (e.g. Permits to work & hot works permits)?
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Are there arrangements for the safe storage of gas bottles?
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Are there arrangements for the safe storage hazardous materials?
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Are fire safety evacuation procedures and instructions communicated to contractors?
15 Dangerous Substances
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Are dangerous substances present on the premises?
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Has the risk to relevant persons been adequately eliminated or reduced?
Part 3: FIRE PROTECTION MEASURES
16 Means of escape
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Is the building provided with adequate means of escape in case of fire?
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Are there sufficient exits? ( please state how many)
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Are escape routes clearly signed?
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Are exits easily and immediately openable where necessary?
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Do fire exits open in the direction of travel where necessary?
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Have sliding or revolving doors been avoided as fire exits?
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Are there adequate means of securing exits?
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Are there reasonable distances of travel where there is a single direction of travel?
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Are there reasonable distances of travel where there are alternative means of escape?
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Are escape routes adequately protected?
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Are there suitable fire precautions for all inner rooms?
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Are escape routes unobstructed?( if no take picture)
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Take picture of obstruction
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Are there suitable means of escape for disabled occupants and disabled staff?
17 Measures to limit fire spread and development.
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Is there a sufficient standard of compartmentation and sub-compartmentation?
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Are linings that promote fire spread avoided as far as reasonably practicable?
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Does extraction and supply plant shut down on fire alarm evacuation?
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Are fire doors inspected on a regular basis and is there documentation?
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Do all Final fire exits have the final exit sign off sheet and is it signed off?
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Add media
18 Escape lighting
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Is there a reasonable standard of escape lighting provided?
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Is this tested regularly and is documentation available?
19 Fire safety signs and notices
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Are fire safety signs and notices suitable and sufficient?
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Are evacuation routes and procedures displayed on the SOE H&S board?
20 Means of giving warning in the event of fire
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Is a manually operated electrical fire alarm system provided?
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Is automatic fire detection provided?
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Is there remote transmission of alarm signals to the fire brigade?
21 Manual fire extinguishing appliances
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Is there suitable and sufficient provision of portable fire extinguishers?
22 Type and make and model of Fire Alarm system
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Type of system:
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Comments and observations:
23 Facilities, equipment and devices for the protection of Fire-Fighters
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Types of facilities:
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Add media
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Comments and observations:
Part 4: MANAGEMENT OF FIRE SAFETY
24 Procedures and arrangements
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Person responsible for overall fire safety:
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Are there competent persons available to assist in implementing fire safety arrangements?
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Are appropriate fire procedures in place? (including arrangements for calling the fire service)
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Fire Emergency Plan in place and details recorded?
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Does the plan take account of other Fire Emergency Plans applicable in the building?
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Is the Fire Emergency Plan readily available for staff to read?
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Is the Fire Emergency Plan available to the enforcing authority?
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Are there persons nominated to respond to fire?
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Are persons nominated to assist with evacuation?
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Is there appropriate liaison with the fire service?
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Do routine in-house inspections of fire precautions take place?
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Date of last store inspection
25 Training and drills
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Are staff given instruction on induction?
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Do staff receive periodic refresher training at suitable intervals?
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Are staff with special responsibilities given appropriate training?
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Are fire drills carried out at appropriate intervals?(if yes give date of last drill carried out)
26 Testing and maintenance
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Is the plant and machinery adequately maintained? (Give details of last service on equipment and plant)
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Is there weekly testing and periodic servicing of the fire detection and alarm system? (Give details of last service)
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Is there monthly, six-monthly and annual testing of the emergency lighting? ( give details of last tests)
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Is there annual maintenance and testing of fire extinguishing equipment?(give details of last service)
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Is there annual inspection and test of the lightning protection system?( give details of last service)
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Is there six monthly testing of wet/dry risers?( give date of last service)
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Is there weekly testing and periodic inspection of sprinkler installations?(give details of last service)
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Is there regular checks done on riser cupboard doors?(if yes give details of last check)
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Is there routine checks of final exit doors? ( give details of last check)
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Is there routine checks of fire doors? ( give details of last check)
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Is there routine checks and maintenance done on the refuge alarm system?( if yes give details of last check or test)
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Is there routine checks made of the automatic fire doors?(give details of last check)
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Is there routine testing carried out on fire shutters? ( if yes give details of last check)
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Other relevant inspection and test
27 Records
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Are there records of fire drills?
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Are there records of fire training?
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Are there records of fire alarm tests?
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Are there records of emergency lighting tests?
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Are there records of maintenance and testing of other fire protection systems?
Part 5: RISK RATING AND RECOMMENDATIONS
Risk Items identified
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Item 1
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Probability (likelihood of fire)
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Consequence (impact on life safety)
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Risk rating score (probability x consequence)
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- 2
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- 5
- 6
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- 8
- 9
- 10
- 11
- 12
- 13
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- 22
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- 25
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Recommendations
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Action
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Item 2
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Probability (likelihood of fire)
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Consequence (impact on life safety)
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Risk rating score (probability x consequence)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
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- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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Recommendations
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Action
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Item 3
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Probability (likelihood of fire)
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Consequence (impact on life safety)
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Risk rating score (probability x consequence)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
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- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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Recommendations
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Action
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Item 4
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Probability (likelihood of fire)
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Consequence (impact on life safety)
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Risk rating score (probability x consequence)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
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- 17
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- 19
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- 21
- 22
- 23
- 24
- 25
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Recommendations
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Action
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Item 5
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Probability (likelihood of fire)
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Consequence (impact on life safety)
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Risk rating score (probability x consequence)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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Recommendations
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Action
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Item 6
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Probability (likelihood of fire)
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Consequence (impact on life safety)
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Risk rating score (probability x consequence)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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Recommendations
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Action
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Item 7
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Probability (likelihood of fire)
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Consequence (impact on life safety)
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Risk rating score (probability x consequence)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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Recommendations
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Action
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Item 8
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Probability (likelihood of fire)
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Consequence (impact on life safety)
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Risk rating score (probability x consequence)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
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- 13
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- 19
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- 21
- 22
- 23
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- 25
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Recommendations
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Action
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Item 9
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Probability (likelihood of fire)
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Consequence (impact on life safety)
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Risk rating score (probability x consequence)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
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- 10
- 11
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- 13
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- 17
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- 19
- 20
- 21
- 22
- 23
- 24
- 25
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Recommendations
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Action
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Item 10
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Probability (likelihood of fire)
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Consequence (impact on life safety)
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Risk rating score (probability x consequence)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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Recommendations
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Action
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Received by responsible person / representative
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Assessor Signature
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Pictures
Re-Assessment
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Date for re-assessment