Fire Risk Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

REGULATORY REFORM (FIRE SAFETY) ORDER 2005

• IISHHFIWUGRUIO4TT OWIITRHW44R
  
  WRFIFIOHH
  WIIEF
  
  WEFIFIOJ
  

RELEVANT INFORMATION

• RESPONSIBLE PERSON:

• ADDRESS OF PREMISES:
  Address

• RISK ASSESSOR:

• DATE OF FIRE RISK ASSESSMENT:

• DATE OF PREVIOUS FIRE RISK ASSESSMENT:

• SUGGESTED DATE FOR REVIEW:

• LIMITATIONS:

THE PREMISES

• Number of floors:

• Approximate size of the premises:

• Layout and use of premises:

• Details of construction:

• Fire detection system:

• Escape routes:

• Previous fire losses:

OCCUPANTS

• Maximum numbers of employees in the opinion of the Responsible Person:

• Maximum numbers of public in the opinion of the Responsible Person:

• Maximum numbers of other persons such as visitors or contractors in the opinion of the Responsible Person:

• Maximum total numbers of persons in the opinion of the Responsible Person:

• Maximum numbers of persons sleeping on the premises in the opinion of the Responsible Person:

• Lone workers:

• Disabled persons:

• Young persons:

MANAGEMENT

• Has an emergency plan been developed for the premises?

  Yes

  No

  N/A

• Select Likelihood - Low Likelihood - Medium Likelihood - High Severity - Low Severity - Medium Severity - High

  • Likelihood - Low
  • Likelihood - Medium
  • Likelihood - High
  • Severity - Low
  • Severity - Medium
  • Severity - High

• Does the emergency plan include arrangements for the evacuation of vulnerable persons?

  Yes

  No

  N/A