Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

The responsible person for fire safety

  • Responsible person & emergency contact details

1 The Building

  • Number of Floors

  • Floor area: (per floor)

  • 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 one time:

3 Occupants at special risk

  • Roof works

  • Disabled staff:

  • Staff in remote / basement areas:

  • Lone workers:

  • Other activities:

4 Previous Fire loss experience

  • Is there any history of fires in the building which may be relevant

5 Other relevant background

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

  • Is the building subject to any enforcement notices

6 Electrical sources of ignition

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

  • Is all electrical equipment tested and records on site

  • Is the fixed wiring installation periodically tested and inspected?

  • Are portable appliances tested/inspected?

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

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

7 Smoking

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

  • Is smoking prohibited in the building?

  • Is smoking prohibited in appropriate areas?

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

  • Is the appropriate smoking prohibition notice displayed at the building's entrance?

8 Arson

  • Does the basic security against arson appear reasonable?

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

9 Portable heaters and heating installation

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

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

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

  • Are fixed heating installations subject to regular maintenance?

10 Welfare facilities

  • Are reasonable measures taken to prevent cooking fires?

  • Are filters changed and ductwork cleaned regularly?

  • Are suitable extinguishers available?

11 Lightning

  • Has the building an effective emergency lightning protection system? And has it been tested and recorded

12 Other significant ignition sources that warrant consideration

  • List other ignition sources:

13 Housekeeping

  • Is the standard of housekeeping adequate?

  • Are combustible materials separated from ignition sources?

  • Is the unnecessary accumulation of combustibles and waste avoided?

  • Is there appropriate storage of hazardous materials?

  • Are combustible materials stored appropriately?

14 Hazards introduced by contractors and building works

  • Is there sufficient control over works by contractors (e.g. Permits to work & hot works permits)?

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

  • Are fire safety conditions and instructions communicated to contractors?

15 Means of escape from fire

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

  • Are there sufficient exits?

  • Are exits easily and immediately openable where necessary?

  • Do fire exits open in the direction of travel?

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

  • Are there adequate means of securing exits?

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

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

  • Are escape routes adequately protected?

  • Are there suitable fire precautions for all inner rooms?

  • Are escape routes unobstructed?

  • Are there suitable means of escape for disabled occupants?

16 Measures to limit fire spread and development.

  • Is there a sufficient standard of compartmentalisation?

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

18 Fire safety signs and notices

  • Are fire safety signs and notices suitable and sufficient?

19 Means of giving warning in the event of fire

  • Is a manually operated electrical fire alarm system provided?

  • Is there recorded evidence of the system being tested

  • Is automatic fire detection provided?

  • Is there remote transmission of alarm signals?

20 Manual fire extinguishing appliances

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

  • Are hose reels provided?

  • Are extinguishers tested and inspected

21 Relevant automatic fire extinguishing systems

  • Type of system:

  • Comments and observations:

23 Procedures and arrangements

  • Person responsible for fire safety:

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

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

  • Are there people nominated to respond to fire?

  • Is there appropriate liaison with the fire service?

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

24 Training and drills

  • Are staff given instruction on induction?

  • Do staff receive occasional refresher training?

  • Are staff with special responsibilities given appropriate training?

  • Are fire drills carried out at least twice a year?

25 Testing and maintenance

  • Is the workplace adequately maintained?

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

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

  • Is there annual maintenance of fire extinguishing equipment?

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

  • Other relevant inspection and test

26 Records

  • Are there records of fire drills?

  • Are there records of fire training?

  • Are there records of fire alarm tests?

  • Are there records of emergency lighting tests?

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

What is the overall fire risk to the building

  • Probability of ignition (Risk of fire within these premises )

  • Consequences for life safety in the event of a fire

  • Overall Risk to Live and property

  • Is the building Safe or At Risk in relation to fire safety

Assessor Information

  • Required actions to ensure the fire safety of the building

  • Correction Time

  • Received by responsible person / representative

  • Assessor comments

  • Assessor Signature

  • Pictures

Re-Assessment

  • Date for the next assessment following implemented changes

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.