Audit
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.
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
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
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
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
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
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
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
Use this section to develop action plans aimed at reducing risks identified within Section 1. to minimum or acceptable levels
From Section 1. Where existing controls deemed “Not Adequate”
From Section 1. Where existing controls deemed “Not Adequate”
From Section 1. Where existing controls deemed “Not Adequate”
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.
