FRA Site Form

• Client / Site

• Conducted on

  Date
• Location
  Address

1. SERVICE AND MAINTENANCE

• PAT (portable appliance test) In date/carried out?

  Yes

  No

  N/A

• Date of last test:

  Date

• Fixed mains electrical test, in date/carried out?

  Yes

  No

  N/A

• Date of last test:

  Date

• Fire Alarm Maintenance, in date/carried out?

  Yes

  No

  N/A

• Date of last test:

  Date

• Emergency Lighting Maintenance, in date/carried out?

  Yes

  No

  N/A

• Date of last test:

  Date

• Fire Extinguisher Maintenance, in date/carried out?

  Yes

  No

  N/A

• Date of last test:

  Date

• Kitchen Filters and Ductwork Maintenance, in date/carried out?

  Yes

  No

  N/A

• Date of last test:

  Date

• Heating Type:

  Select Gas Oil Electric Air Conditioning None

  • Gas
  • Oil
  • Electric
  • Air Conditioning
  • None

• Heating Maintenance, in date/carried out?

  Yes

  No

  N/A

• Date of last test:

  Date

2. ASSESSMENTS

• Previous Fire Risk Assessment?

  Yes

  No

  N/A

• Last carried out:

  Date

• Fire and Rescue Audit/Letter

  Yes

  No

  N/A

• Date of correspondents:

  Date

3. Ensure to:

• Photo of premises:

• Photo

  Media

• Gas Shut Off?

  Yes

  No

  N/A

• Walked external exit routes and exits:

• Other services or comments: