• Select date

  • Building Name & Details

  • Initial Assessment

  • Equipment Change

  • New Procedures/Processes

  • Review

  • Estimated number of people expected to be in the facility during normal hours/late shifts (includes visitors, cleaners etc.)

Section 1. Hazard Identification (Part A)

  • Section 1. Hazard Identification (Part A)

    Remember ... 3 things are needed to start a fire:
    1. Fuel (anything that burns) Examples; Paper. textiles, rubbish, flammable liquids & solvents, plastics, furniture, packaging materials
    2. A Source of Ignition (heat) Examples: Naked flame, cigarettes, heaters, sparks, hot processes, cooking, faulty electrical equipment
    3 Oxygen

    Indicate below where in your business all three could potentially come together to start a fire.

  • Risk Evaluation:

    When recording potential hazards, attempt to classify the risks as either LOW (minimal risk of fire), NORMAL (outbreak of fire likely to remain confined with warning system allowing persons to escape safely) or HIGH (where flammable or explosive materials are stored / used or where reaction times of individuals may be an issue).

  • Potential Hazard

  • Potential Hazard

  • Potential Hazard

  • Potential Hazard

  • Potential Hazard

  • Potential Hazard

  • Potential Hazard

Section 1. Hazard Identification (Part B)

  • Section 1. Hazard Identification (Part B)

    The following checklist has been designed to help you identify many of the key issues that need to be considered during the risk assessment process.

    NA = Not applicable

    *Note: if existing controls are determined 'Not Adequate', develop a plan of action to reduce these risks to a minimum or acceptable level in Section 2.

Fire Safety Checklist/Housekeeping and Storage

Existing Controls*

  • Is the workplace free from rubbish and combustible waste materials?

  • Adequate

  • Not Adequate

  • Are materials stacked neatly with adequate space around them to maneuver?

  • Adequate

  • Not Adequate

  • Are storage areas separate from other areas of the business?

  • Adequate

  • Not Adequate

  • Are storage areas checked regularly?

  • Adequate

  • Not Adequate

  • Is all waste removed from the building at the end of each day?

  • Adequate

  • Not Adequate

Training & Testing

Training & Testing

  • Do all employees know what to do if fire breaks out?

  • Adequate

  • Not Adequate

  • Are staff aware of the evacuation procedures, locations and muster stations?

  • Adequate

  • Not Adequate

  • Have staff been trained in the use of fire extinguishers, hose reels and basic fire protection?

  • Adequate

  • Not Adequate

  • Is a fire drill conducted at least once per year?

  • Adequate

  • Not Adequate

  • Is the fire alarm tested at least annually?

  • Adequate

  • Not Adequate

  • Are there tested plans in place to assist visitors to evacuate the premises in the event of an emergency?

  • Adequate

  • Not Adequate

  • Are employees and contractors aware of the importance/function of fire doors?

  • Adequate

  • Not Adequate

Means of Escape

Means of Escape

  • Are all escape routes and exit doors free from clutter and obstruction?

  • Adequate

  • Not Adequate

  • Are escape routes free from slipping and tripping hazards?

  • Adequate

  • Not Adequate

  • Where appropriate, have escape routes been mapped out and communicated to staff?

  • Adequate

  • Not Adequate

  • Are there enough exits allowing staff to exit the building quickly?

  • Adequate

  • Not Adequate

  • Are all escape routes adequately lit?

  • Adequate

  • Not Adequate

  • In the event of a power failure, do all escape routes have emergency lighting

  • Adequate

  • Not Adequate

  • Do doors on escape routes open in the direction of travel?

  • Adequate

  • Not Adequate

  • Are all exit doors clearly marked?

  • Adequate

  • Not Adequate

  • Are fire alarm pull stations clearly visible and unobstructed?

  • Adequate

  • Not Adequate

Flammable Liquids

Flammable Liquids

  • Are all flammable liquids properly stored?

  • Adequate

  • Not Adequate

  • Are separate receptacles used to dispose of flammable liquids and materials

  • Adequate

  • Not Adequate

  • Is there adequate ventilation where flammable materials are kept and used?

  • Adequate

  • Not Adequate

Electricity & Heating

Electricity & Heating

  • Are electrical heaters (if any)...
    Securely guarded and fixed in position?

  • Not Adequate

  • Adequate

  • Inspected regularly?

  • Adequate

  • Not Adequate

  • Kept a safe distance from combustible materials?

  • Adequate

  • Not Adequate

  • Are any cables/plugs damaged?

  • Not Adequate

  • Adequate

  • If the fire detection and warning system is electric, is there a backup if there is a power loss?

  • Adequate

  • Not Adequate

Fire Extinguishers & Other Systems

Fire Extinguishers & Other Systems

  • Do you have the correct type and size of fire extinguisher {s) within the workplace?

  • Adequate

  • Not Adequate

  • Are there sufficient fire extinguishers located throughout the workplace?

  • Adequate

  • Not Adequate

  • Are all fire extinguishers properly placed in position with secure mountings?

  • Adequate

  • Not Adequate

  • Have all fire extinguishers been inspected within the last month and ready for use?

  • Adequate

  • Not Adequate

  • Have all fire extinguishers been serviced/maintained within the last 12 months?

  • Adequate

  • Not Adequate

  • Is fire-fighting equipment indicated by signage?

  • Adequate

  • Not Adequate

  • Is fire safety first aid equipment provided?

  • Adequate

  • Not Adequate

  • Is there an automatic fire detection and warning system?

  • Adequate

  • Not Adequate

  • Is there an automatic sprinkler system?

  • Adequate

  • Not Adequate

  • Are internal fire doors identified accordingly and kept closed or have electromagnetically controlled door closers?

  • Adequate

  • Not Adequate

  • Are fire action notices displayed prominently throughout the workplace?

  • Adequate

  • Not Adequate

Maintenance & General Policy

Maintenance & General Policy

  • Is equipment properly maintained and inspected as per manufacturer specifications?

  • Adequate

  • Not Adequate

  • Is equipment regularly cleaned?

  • Adequate

  • Not Adequate

  • Is there evidence that Hot Work permits are being used and completed correctly?

  • Adequate

  • Not Adequate

  • Do you have a visitor control system acknowledging any visitors/contractors in the building at all times?

  • Adequate

  • Not Adequate

  • Are designated smoking areas clearly indicated by signage?

  • Adequate

  • Not Adequate

  • Is the smoking policy strictly enforced?

  • Adequate

  • Not Adequate

  • Are smoking areas equipped with receptacles for safe and easy disposal of cigarette ends?

  • Adequate

  • Not Adequate

  • Is the building constructed of combustible materials (eg. Polyurethane foam insulation)?

  • Adequate

  • Not Adequate

  • Are all staircases properly maintained with handrails?

  • Adequate

  • Not Adequate

  • Has the maintenance of fire extinguishers and other equipment been recorded into a log?

  • Adequate

  • Not Adequate

  • Have adequate measures been taken to protect against arson?

  • Adequate

  • Not Adequate

Section 2. Risk Reduction Action Plan

Section 2. Risk Reduction Action Plan Use this section to develop action plans aimed at reducing risks identified within Section 1. to minimum or acceptable levels

Hazard Identified From Section 1. Where existing controls deemed “Not Adequate”

Persons at Risk / Location

Action Plan

  • Select date

Hazard Identified From Section 1. Where existing controls deemed “Not Adequate”

Persons at Risk / Location

Action Plan

  • Select date

Hazard Identified From Section 1. Where existing controls deemed “Not Adequate”

Persons at Risk / Location

Action Plan

  • Select date

Section 3. Workplace Layout Issues I Alternatives

Section 3. Workplace Layout Issues I Alternatives Use this grid to sketch any potential problem areas within your workplace resulting from the assessment process or to develop possible alternatives to help reduce the risk of fire within various locations. All Action Plans must be entered into Intelex for tracking and recording evidence of completion.

  • Select date

  • Add drawing

  • Add drawing

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