FULL FRA master

• Front Photo of Premise

  Media

• General Statement of Policy:- It is the policy of the Midlands Partnership Foundation Trust (The Trust) to protect all persons including employees, service users, contractors and members of the public from potential injury and damage which might arise from work activities. The trust will provide and maintain safe and healthy working conditions, equipment and systems of work for all employees, and to provide such information, training and supervision as they need for this purpose, will give a high level of commitment to health and safety and will comply with all statutory requirements.

• Name and Address of Premise

  Select 3 - 4 Alexandra Terrace Aldershot 23 Parkland Place, New Milton 25 Corve Street 41 - 53 High Street Eastleigh 56 High Street 161 Eccleshall Road Abbey Hulton Clinic, Leek Road, Abbey Hulton, ST2 8BP Aelfgar Practice, Church Street, Rugeley, Staffs, WS15 1AB Aldergate Medical Practice, The Mount, Salters Lane, Tamworth, Staffs, B79 8BH Alton PCC ST10 4AP Argyle Clinic Armitage Clinic, Millmore Avenue, Rugeley, WS15 4BL Audley Health Centre, Church Street, Audley, ST7 8EW Barlaston Clinic Barton Family Practice, Short Lane, Barton under Needwood, Burton on Trent, Staffs, DE13 8LB Biddulph Health Centre, Princess Street, Biddulph ST8 6JN, Block 6 St Michaels’ Court Blurton Health Centre, Rippon Road, Blurton, ST3 3BS Bradwell Hospital, Talke Road, Chesterton, Newcastle under Lyme, ST5 7NJ Brighton House, Sneyd Terrace, Newcastle, ST5 6JT Burslem Children's Centre, Vale Park Business Centre, Hamil Road, Port Vale, ST6 1AW Burslem Health Centre, Chapel Lane, Burslem, ST6 2AB Cannock Hospital Carradoc Building Cheadle Health Centre, Well Street, Cheadle, ST10 1EY Cheadle Hospital, Royal Walk, Cheadle, Stoke on Trent, SR10 1NS Chesterton Clinic, Loomer Road, Chesterton, ST5 7JS Clee building Coach House Cobridge Community Health Centre, Church Terrace, Cobridge, ST6 2JN Codsall Clinic, Elliotts Lane, Codsall, Nr Wolverhampton, WV8 1PH Cross Street Clinic Cross Street Clinic David Parry Diamond Jubilee House Eaton House Earl House Fenton Health Centre, Glebedale Road, Fenton, ST4 3AQ Flanagan Centre Friary Centre Gayton Lodge George Bryan Centre Gravel Hill House Great Wyrley Health Centre, Wardles Lane, Great Wyrley, Walsall, WS6 6EW Grove Ward Hall Court, Telford Hanford Health Centre, New Inn Lane, Hanford, ST4 8EX Hanley Health Centre, Upper Huntbach Street, Hanley, ST1 2BN Hatherton Centre Haywood Hospital, High Lane, Burslem, Stoke on Trent, ST6 7AG Haywood Hospital - retained estate, High Lane, Burslem, Stoke on Trent, ST6 7AG Hockley Centre Holly Lodge Horniglow Clinic Jacobs House, Basingstoke Kidsgrove Health Centre, Mount Road, Kidsgrove, ST7 4AY Kingsbridge Clinic, Kingsbridge Avenue, Clayton, ST5 3HP Knutton Clinic, Knutton Lane, Knutton, Newcastle, SR5 6HF Lanxess House Leek Health Centre, Fountain Street, Leek, ST13 6JB Leek Hospital, Ashbourne Road, Leek, ST13 5BQ Leek Moorlands House, Stockwell Street, Leek, ST13 6HQ Local Authority Landlord Longdon House Longton Health Centre, Drayton Road, Longton, ST3 1EQ Longton Hospital, Upper Belgrave Road, Longton, Stoke on Trent, ST3 4QX Madeley Health centre Market Drayton CMHT Marston House Mellor House Morston House Myton Oak Norton Clinic, Knypersley Road, Norton, ST6 8HZ Oak House Park House Perton Clinic, Coleridge Drive, Perton, Nr Wolverhampton, WV6 7QE Porthill Clinic, Inglewood Drive, Porthill, SR5 ODY Private Landlord Redwood Centre Rising Brook Health Centre, Merrey Road, Stafford, ST16 3DZ Royal Wolverhampton Trust Ryecroft Centre, Broad Street, Newcastle, ST5 2BQ Severn Fields Ground Floor Severnfields GUM second floor Shropshire Community Health Trust Silverdale Health Centre, Crown Street, Silverdale, ST5 6PN Smallthorne Health Centre, Baden Road, Smallthorne, ST16 1SA South Staffordshire & Shropshire Foundation Trust Stafford Central Clinic, Stafford Borough Council Civic Centre, Riverside, Stafford, ST16 3AQ St Georges Hospital Stoke Health Centre, Honeywall, Stoke, ST4 7JB Stonefield House Stone Rehab Centre, Stafford Road, Stone, ST15 0HE Sutton Hill Health Centre The Bridge The Precinct Gosport The Winchester Centre, Winchester Trentside Clinic, Stafford Road, Stone, ST15 0TT Weeping Cross Health Centre, Bodmin Avenue, Stafford, ST17 0EG Wenlock building Werrington Clinic, Salters Close, Werrington, ST9 0DB West Chadsmoor Clinic, Clarion Way, West Chadsmoor, Cannock, WS11 4NJ Wilnecote Health Centre, Smithy Lane, Wilnecote, Tamworth, Wolstanton Medical Centre, Palmerstone Street, Wolstanton, ST5 8BN Woodside Business Park, Wirra Wombourne Clinic, Mill Lane, Wombourne, WV5 0LG Wrekin building The Redwoods Centre, Caradoc building, Oak ward The Redwoods Centre, Caradoc building, Holly Ward The Redwoods Centre, Wrekin building, Birch Ward The Redwoods Centre, Wrekin building, Laurel Ward The Redwoods Centre, Wrekin building, Pine Ward The Redwoods Centre, Clee building, Sycamore The Redwoods Centre, Clee building, Willow Ward The Redwoods Centre, Clee building, Yew Ward The Redwoods Centre, Wenlock Building The Redwoods Centre, Wrekin Roof Space The Redwoods Centre, Caradoc Roof space The Redwoods Centre, Clee Roof space Ashley Ward Baswich Ward Brockington Ward Bromley Ward Chebsey Ward Ellesmere House Kinver Ward Milford House Newport House Norton House Norbury House Radford House Sandon House Brocton House Holly Ward Oak Ward Willow Ward Yew Ward Sycamore Birch Ward Laurel Ward Pine Ward Flanagan Centre Haywood Lodge 136 Suite Haywood Lodge Crisis Team Inclusion Woodside Business Park Sutton Hill Health Centre Madeley Health Centre Grove ward Caradoc Roof Space Wenlock Roof Space Wrekin Roof Space Clee Roof Space Wenlock Building Cedar House, Albrighton Bridgnorth Northgate Medical Practice/Northgate, Old Smithfield, Bridgnorth WV16 4EN

  • 3 - 4 Alexandra Terrace Aldershot
  • 23 Parkland Place, New Milton
  • 25 Corve Street
  • 41 - 53 High Street Eastleigh
  • 56 High Street
  • 161 Eccleshall Road
  • Abbey Hulton Clinic, Leek Road, Abbey Hulton, ST2 8BP
  • Aelfgar Practice, Church Street, Rugeley, Staffs, WS15 1AB
  • Aldergate Medical Practice, The Mount, Salters Lane, Tamworth, Staffs, B79 8BH
  • Alton PCC ST10 4AP
  • Argyle Clinic
  • Armitage Clinic, Millmore Avenue, Rugeley, WS15 4BL
  • Audley Health Centre, Church Street, Audley, ST7 8EW
  • Barlaston Clinic
  • Barton Family Practice, Short Lane, Barton under Needwood, Burton on Trent, Staffs, DE13 8LB
  • Biddulph Health Centre, Princess Street, Biddulph ST8 6JN,
  • Block 6 St Michaels’ Court
  • Blurton Health Centre, Rippon Road, Blurton, ST3 3BS
  • Bradwell Hospital, Talke Road, Chesterton, Newcastle under Lyme, ST5 7NJ
  • Brighton House, Sneyd Terrace, Newcastle, ST5 6JT
  • Burslem Children's Centre, Vale Park Business Centre, Hamil Road, Port Vale, ST6 1AW
  • Burslem Health Centre, Chapel Lane, Burslem, ST6 2AB
  • Cannock Hospital
  • Carradoc Building
  • Cheadle Health Centre, Well Street, Cheadle, ST10 1EY
  • Cheadle Hospital, Royal Walk, Cheadle, Stoke on Trent, SR10 1NS
  • Chesterton Clinic, Loomer Road, Chesterton, ST5 7JS
  • Clee building
  • Coach House
  • Cobridge Community Health Centre, Church Terrace, Cobridge, ST6 2JN
  • Codsall Clinic, Elliotts Lane, Codsall, Nr Wolverhampton, WV8 1PH
  • Cross Street Clinic
  • Cross Street Clinic
  • David Parry
  • Diamond Jubilee House
  • Eaton House
  • Earl House
  • Fenton Health Centre, Glebedale Road, Fenton, ST4 3AQ
  • Flanagan Centre
  • Friary Centre
  • Gayton Lodge
  • George Bryan Centre
  • Gravel Hill House
  • Great Wyrley Health Centre, Wardles Lane, Great Wyrley, Walsall, WS6 6EW
  • Grove Ward
  • Hall Court, Telford
  • Hanford Health Centre, New Inn Lane, Hanford, ST4 8EX
  • Hanley Health Centre, Upper Huntbach Street, Hanley, ST1 2BN
  • Hatherton Centre
  • Haywood Hospital, High Lane, Burslem, Stoke on Trent, ST6 7AG
  • Haywood Hospital - retained estate, High Lane, Burslem, Stoke on Trent, ST6 7AG
  • Hockley Centre Holly Lodge
  • Horniglow Clinic
  • Jacobs House, Basingstoke
  • Kidsgrove Health Centre, Mount Road, Kidsgrove, ST7 4AY
  • Kingsbridge Clinic, Kingsbridge Avenue, Clayton, ST5 3HP
  • Knutton Clinic, Knutton Lane, Knutton, Newcastle, SR5 6HF
  • Lanxess House
  • Leek Health Centre, Fountain Street, Leek, ST13 6JB
  • Leek Hospital, Ashbourne Road, Leek, ST13 5BQ
  • Leek Moorlands House, Stockwell Street, Leek, ST13 6HQ
  • Local Authority Landlord
  • Longdon House
  • Longton Health Centre, Drayton Road, Longton, ST3 1EQ
  • Longton Hospital, Upper Belgrave Road, Longton, Stoke on Trent, ST3 4QX
  • Madeley Health centre
  • Market Drayton CMHT
  • Marston House
  • Mellor House
  • Morston House
  • Myton Oak
  • Norton Clinic, Knypersley Road, Norton, ST6 8HZ
  • Oak House
  • Park House
  • Perton Clinic, Coleridge Drive, Perton, Nr Wolverhampton, WV6 7QE
  • Porthill Clinic, Inglewood Drive, Porthill, SR5 ODY
  • Private Landlord
  • Redwood Centre
  • Rising Brook Health Centre, Merrey Road, Stafford, ST16 3DZ
  • Royal Wolverhampton Trust
  • Ryecroft Centre, Broad Street, Newcastle, ST5 2BQ
  • Severn Fields Ground Floor
  • Severnfields GUM second floor
  • Shropshire Community Health Trust
  • Silverdale Health Centre, Crown Street, Silverdale, ST5 6PN
  • Smallthorne Health Centre, Baden Road, Smallthorne, ST16 1SA
  • South Staffordshire & Shropshire Foundation Trust
  • Stafford Central Clinic, Stafford Borough Council Civic Centre, Riverside, Stafford, ST16 3AQ
  • St Georges Hospital
  • Stoke Health Centre, Honeywall, Stoke, ST4 7JB
  • Stonefield House
  • Stone Rehab Centre, Stafford Road, Stone, ST15 0HE
  • Sutton Hill Health Centre
  • The Bridge
  • The Precinct Gosport
  • The Winchester Centre, Winchester
  • Trentside Clinic, Stafford Road, Stone, ST15 0TT
  • Weeping Cross Health Centre, Bodmin Avenue, Stafford, ST17 0EG
  • Wenlock building
  • Werrington Clinic, Salters Close, Werrington, ST9 0DB
  • West Chadsmoor Clinic, Clarion Way, West Chadsmoor, Cannock, WS11 4NJ
  • Wilnecote Health Centre, Smithy Lane, Wilnecote, Tamworth,
  • Wolstanton Medical Centre, Palmerstone Street, Wolstanton, ST5 8BN
  • Woodside Business Park, Wirra
  • Wombourne Clinic, Mill Lane, Wombourne, WV5 0LG
  • Wrekin building
  • The Redwoods Centre, Caradoc building, Oak ward
  • The Redwoods Centre, Caradoc building, Holly Ward
  • The Redwoods Centre, Wrekin building, Birch Ward
  • The Redwoods Centre, Wrekin building, Laurel Ward
  • The Redwoods Centre, Wrekin building, Pine Ward
  • The Redwoods Centre, Clee building, Sycamore
  • The Redwoods Centre, Clee building, Willow Ward
  • The Redwoods Centre, Clee building, Yew Ward
  • The Redwoods Centre, Wenlock Building
  • The Redwoods Centre, Wrekin Roof Space
  • The Redwoods Centre, Caradoc Roof space
  • The Redwoods Centre, Clee Roof space
  • Ashley Ward
  • Baswich Ward
  • Brockington Ward
  • Bromley Ward
  • Chebsey Ward
  • Ellesmere House
  • Kinver Ward
  • Milford House
  • Newport House
  • Norton House
  • Norbury House
  • Radford House
  • Sandon House
  • Brocton House
  • Holly Ward
  • Oak Ward
  • Willow Ward
  • Yew Ward
  • Sycamore
  • Birch Ward
  • Laurel Ward
  • Pine Ward
  • Flanagan Centre
  • Haywood Lodge
  • 136 Suite
  • Haywood Lodge Crisis Team
  • Inclusion Woodside Business Park
  • Sutton Hill Health Centre
  • Madeley Health Centre
  • Grove ward
  • Caradoc Roof Space
  • Wenlock Roof Space
  • Wrekin Roof Space
  • Clee Roof Space
  • Wenlock Building
  • Cedar House, Albrighton
  • Bridgnorth Northgate Medical Practice/Northgate, Old Smithfield, Bridgnorth WV16 4EN

• Nature of Assessment

  Select Annual Fire Risk Assesssment Bi-Annual Fire Risk Assessment Three yearly Fire risk Assessment Five yearly Fire Risk Assessment Landlord Fire Risk Assessment Tenant Fire Risk Assessment Foillow up Review

  • Annual Fire Risk Assesssment
  • Bi-Annual Fire Risk Assessment
  • Three yearly Fire risk Assessment
  • Five yearly Fire Risk Assessment
  • Landlord Fire Risk Assessment
  • Tenant Fire Risk Assessment
  • Foillow up Review

• Name of Assessor

  Select Gary Gillson Fire Safety Advisor Tony Childs Grad IOSH Fire Manager Robert Graves Director of Facilites & Estates David Evans Associate Director F&E Tim Pugh Associate Director F&E Cliff Jones F&E Senior Information Governance Manager Neil Handley Assistant Information Manager Paul Buckley Estates Manager Nick Hulme H&S Adviser Chief Executive Ward Manager Building Manager Fire Marshal Office Manager Facilities & Estates Logged on Help Desk Joan Milner David Pike F&E Capital F&E Maintanace Martin Allen Capital works Manager

  • Gary Gillson Fire Safety Advisor
  • Tony Childs Grad IOSH Fire Manager
  • Robert Graves Director of Facilites & Estates
  • David Evans Associate Director F&E
  • Tim Pugh Associate Director F&E
  • Cliff Jones F&E Senior Information Governance Manager
  • Neil Handley Assistant Information Manager
  • Paul Buckley Estates Manager
  • Nick Hulme H&S Adviser
  • Chief Executive
  • Ward Manager
  • Building Manager
  • Fire Marshal
  • Office Manager
  • Facilities & Estates
  • Logged on Help Desk
  • Joan Milner
  • David Pike
  • F&E Capital
  • F&E Maintanace
  • Martin Allen Capital works Manager

• Conducted on

  Date

• Date Assessment Due

  Date
• Location
  Address

• Name and Address of Premise
  Address

• Select 3 - 4 Alexandra Terrace Aldershot 23 Parkland Place, New Milton 25 Corve Street 41 - 53 High Street Eastleigh 56 High Street 161 Eccleshall Road Abbey Hulton Clinic, Leek Road, Abbey Hulton, ST2 8BP Aelfgar Practice, Church Street, Rugeley, Staffs, WS15 1AB Aldergate Medical Practice, The Mount, Salters Lane, Tamworth, Staffs, B79 8BH Alton PCC ST10 4AP Argyle Clinic Armitage Clinic, Millmore Avenue, Rugeley, WS15 4BL Audley Health Centre, Church Street, Audley, ST7 8EW Barlaston Clinic Barton Family Practice, Short Lane, Barton under Needwood, Burton on Trent, Staffs, DE13 8LB Biddulph Health Centre, Princess Street, Biddulph ST8 6JN, Block 6 St Michaels’ Court Blurton Health Centre, Rippon Road, Blurton, ST3 3BS Bradwell Hospital, Talke Road, Chesterton, Newcastle under Lyme, ST5 7NJ Brighton House, Sneyd Terrace, Newcastle, ST5 6JT Burslem Children's Centre, Vale Park Business Centre, Hamil Road, Port Vale, ST6 1AW Burslem Health Centre, Chapel Lane, Burslem, ST6 2AB Cannock Hospital Carradoc Building Cheadle Health Centre, Well Street, Cheadle, ST10 1EY Cheadle Hospital, Royal Walk, Cheadle, Stoke on Trent, SR10 1NS Chesterton Clinic, Loomer Road, Chesterton, ST5 7JS Clee building Coach House Cobridge Community Health Centre, Church Terrace, Cobridge, ST6 2JN Codsall Clinic, Elliotts Lane, Codsall, Nr Wolverhampton, WV8 1PH Cross Street Clinic Cross Street Clinic David Parry Diamond Jubilee House Eaton House Earl House Fenton Health Centre, Glebedale Road, Fenton, ST4 3AQ Flanagan Centre Friary Centre Gayton Lodge George Bryan Centre Gravel Hill House Great Wyrley Health Centre, Wardles Lane, Great Wyrley, Walsall, WS6 6EW Grove Ward Hall Court, Telford Hanford Health Centre, New Inn Lane, Hanford, ST4 8EX Hanley Health Centre, Upper Huntbach Street, Hanley, ST1 2BN Hatherton Centre Haywood Hospital, High Lane, Burslem, Stoke on Trent, ST6 7AG Haywood Hospital - retained estate, High Lane, Burslem, Stoke on Trent, ST6 7AG Hockley Centre Holly Lodge Horniglow Clinic Jacobs House, Basingstoke Kidsgrove Health Centre, Mount Road, Kidsgrove, ST7 4AY Kingsbridge Clinic, Kingsbridge Avenue, Clayton, ST5 3HP Knutton Clinic, Knutton Lane, Knutton, Newcastle, SR5 6HF Lanxess House Leek Health Centre, Fountain Street, Leek, ST13 6JB Leek Hospital, Ashbourne Road, Leek, ST13 5BQ Leek Moorlands House, Stockwell Street, Leek, ST13 6HQ Local Authority Landlord Longdon House Longton Health Centre, Drayton Road, Longton, ST3 1EQ Longton Hospital, Upper Belgrave Road, Longton, Stoke on Trent, ST3 4QX Madeley Health centre Market Drayton CMHT Marston House Mellor House Morston House Myton Oak Norton Clinic, Knypersley Road, Norton, ST6 8HZ Oak House Park House Perton Clinic, Coleridge Drive, Perton, Nr Wolverhampton, WV6 7QE Porthill Clinic, Inglewood Drive, Porthill, SR5 ODY Private Landlord Redwood Centre Rising Brook Health Centre, Merrey Road, Stafford, ST16 3DZ Royal Wolverhampton Trust Ryecroft Centre, Broad Street, Newcastle, ST5 2BQ Severn Fields Ground Floor Severnfields GUM second floor Shropshire Community Health Trust Silverdale Health Centre, Crown Street, Silverdale, ST5 6PN Smallthorne Health Centre, Baden Road, Smallthorne, ST16 1SA South Staffordshire & Shropshire Foundation Trust Stafford Central Clinic, Stafford Borough Council Civic Centre, Riverside, Stafford, ST16 3AQ St Georges Hospital Stoke Health Centre, Honeywall, Stoke, ST4 7JB Stonefield House Stone Rehab Centre, Stafford Road, Stone, ST15 0HE Sutton Hill Health Centre The Bridge The Precinct Gosport The Winchester Centre, Winchester Trentside Clinic, Stafford Road, Stone, ST15 0TT Weeping Cross Health Centre, Bodmin Avenue, Stafford, ST17 0EG Wenlock building Werrington Clinic, Salters Close, Werrington, ST9 0DB West Chadsmoor Clinic, Clarion Way, West Chadsmoor, Cannock, WS11 4NJ Wilnecote Health Centre, Smithy Lane, Wilnecote, Tamworth, Wolstanton Medical Centre, Palmerstone Street, Wolstanton, ST5 8BN Woodside Business Park, Wirra Wombourne Clinic, Mill Lane, Wombourne, WV5 0LG Wrekin building The Redwoods Centre, Caradoc building, Oak ward The Redwoods Centre, Caradoc building, Holly Ward The Redwoods Centre, Wrekin building, Birch Ward The Redwoods Centre, Wrekin building, Laurel Ward The Redwoods Centre, Wrekin building, Pine Ward The Redwoods Centre, Clee building, Sycamore The Redwoods Centre, Clee building, Willow Ward The Redwoods Centre, Clee building, Yew Ward The Redwoods Centre, Wenlock Building The Redwoods Centre, Wrekin Roof Space The Redwoods Centre, Caradoc Roof space The Redwoods Centre, Clee Roof space Ashley Ward Baswich Ward Brockington Ward Bromley Ward Chebsey Ward Ellesmere House Kinver Ward Milford House Newport House Norton House Norbury House Radford House Sandon House Brocton House Holly Ward Oak Ward Willow Ward Yew Ward Sycamore Birch Ward Laurel Ward Pine Ward Flanagan Centre Haywood Lodge 136 Suite Haywood Lodge Crisis Team Inclusion Woodside Business Park Sutton Hill Health Centre Madeley Health Centre Grove ward Caradoc Roof Space Wenlock Roof Space Wrekin Roof Space Clee Roof Space Wenlock Building Cedar House, Albrighton Bridgnorth Northgate Medical Practice/Northgate, Old Smithfield, Bridgnorth WV16 4EN

  • 3 - 4 Alexandra Terrace Aldershot
  • 23 Parkland Place, New Milton
  • 25 Corve Street
  • 41 - 53 High Street Eastleigh
  • 56 High Street
  • 161 Eccleshall Road
  • Abbey Hulton Clinic, Leek Road, Abbey Hulton, ST2 8BP
  • Aelfgar Practice, Church Street, Rugeley, Staffs, WS15 1AB
  • Aldergate Medical Practice, The Mount, Salters Lane, Tamworth, Staffs, B79 8BH
  • Alton PCC ST10 4AP
  • Argyle Clinic
  • Armitage Clinic, Millmore Avenue, Rugeley, WS15 4BL
  • Audley Health Centre, Church Street, Audley, ST7 8EW
  • Barlaston Clinic
  • Barton Family Practice, Short Lane, Barton under Needwood, Burton on Trent, Staffs, DE13 8LB
  • Biddulph Health Centre, Princess Street, Biddulph ST8 6JN,
  • Block 6 St Michaels’ Court
  • Blurton Health Centre, Rippon Road, Blurton, ST3 3BS
  • Bradwell Hospital, Talke Road, Chesterton, Newcastle under Lyme, ST5 7NJ
  • Brighton House, Sneyd Terrace, Newcastle, ST5 6JT
  • Burslem Children's Centre, Vale Park Business Centre, Hamil Road, Port Vale, ST6 1AW
  • Burslem Health Centre, Chapel Lane, Burslem, ST6 2AB
  • Cannock Hospital
  • Carradoc Building
  • Cheadle Health Centre, Well Street, Cheadle, ST10 1EY
  • Cheadle Hospital, Royal Walk, Cheadle, Stoke on Trent, SR10 1NS
  • Chesterton Clinic, Loomer Road, Chesterton, ST5 7JS
  • Clee building
  • Coach House
  • Cobridge Community Health Centre, Church Terrace, Cobridge, ST6 2JN
  • Codsall Clinic, Elliotts Lane, Codsall, Nr Wolverhampton, WV8 1PH
  • Cross Street Clinic
  • Cross Street Clinic
  • David Parry
  • Diamond Jubilee House
  • Eaton House
  • Earl House
  • Fenton Health Centre, Glebedale Road, Fenton, ST4 3AQ
  • Flanagan Centre
  • Friary Centre
  • Gayton Lodge
  • George Bryan Centre
  • Gravel Hill House
  • Great Wyrley Health Centre, Wardles Lane, Great Wyrley, Walsall, WS6 6EW
  • Grove Ward
  • Hall Court, Telford
  • Hanford Health Centre, New Inn Lane, Hanford, ST4 8EX
  • Hanley Health Centre, Upper Huntbach Street, Hanley, ST1 2BN
  • Hatherton Centre
  • Haywood Hospital, High Lane, Burslem, Stoke on Trent, ST6 7AG
  • Haywood Hospital - retained estate, High Lane, Burslem, Stoke on Trent, ST6 7AG
  • Hockley Centre Holly Lodge
  • Horniglow Clinic
  • Jacobs House, Basingstoke
  • Kidsgrove Health Centre, Mount Road, Kidsgrove, ST7 4AY
  • Kingsbridge Clinic, Kingsbridge Avenue, Clayton, ST5 3HP
  • Knutton Clinic, Knutton Lane, Knutton, Newcastle, SR5 6HF
  • Lanxess House
  • Leek Health Centre, Fountain Street, Leek, ST13 6JB
  • Leek Hospital, Ashbourne Road, Leek, ST13 5BQ
  • Leek Moorlands House, Stockwell Street, Leek, ST13 6HQ
  • Local Authority Landlord
  • Longdon House
  • Longton Health Centre, Drayton Road, Longton, ST3 1EQ
  • Longton Hospital, Upper Belgrave Road, Longton, Stoke on Trent, ST3 4QX
  • Madeley Health centre
  • Market Drayton CMHT
  • Marston House
  • Mellor House
  • Morston House
  • Myton Oak
  • Norton Clinic, Knypersley Road, Norton, ST6 8HZ
  • Oak House
  • Park House
  • Perton Clinic, Coleridge Drive, Perton, Nr Wolverhampton, WV6 7QE
  • Porthill Clinic, Inglewood Drive, Porthill, SR5 ODY
  • Private Landlord
  • Redwood Centre
  • Rising Brook Health Centre, Merrey Road, Stafford, ST16 3DZ
  • Royal Wolverhampton Trust
  • Ryecroft Centre, Broad Street, Newcastle, ST5 2BQ
  • Severn Fields Ground Floor
  • Severnfields GUM second floor
  • Shropshire Community Health Trust
  • Silverdale Health Centre, Crown Street, Silverdale, ST5 6PN
  • Smallthorne Health Centre, Baden Road, Smallthorne, ST16 1SA
  • South Staffordshire & Shropshire Foundation Trust
  • Stafford Central Clinic, Stafford Borough Council Civic Centre, Riverside, Stafford, ST16 3AQ
  • St Georges Hospital
  • Stoke Health Centre, Honeywall, Stoke, ST4 7JB
  • Stonefield House
  • Stone Rehab Centre, Stafford Road, Stone, ST15 0HE
  • Sutton Hill Health Centre
  • The Bridge
  • The Precinct Gosport
  • The Winchester Centre, Winchester
  • Trentside Clinic, Stafford Road, Stone, ST15 0TT
  • Weeping Cross Health Centre, Bodmin Avenue, Stafford, ST17 0EG
  • Wenlock building
  • Werrington Clinic, Salters Close, Werrington, ST9 0DB
  • West Chadsmoor Clinic, Clarion Way, West Chadsmoor, Cannock, WS11 4NJ
  • Wilnecote Health Centre, Smithy Lane, Wilnecote, Tamworth,
  • Wolstanton Medical Centre, Palmerstone Street, Wolstanton, ST5 8BN
  • Woodside Business Park, Wirra
  • Wombourne Clinic, Mill Lane, Wombourne, WV5 0LG
  • Wrekin building
  • The Redwoods Centre, Caradoc building, Oak ward
  • The Redwoods Centre, Caradoc building, Holly Ward
  • The Redwoods Centre, Wrekin building, Birch Ward
  • The Redwoods Centre, Wrekin building, Laurel Ward
  • The Redwoods Centre, Wrekin building, Pine Ward
  • The Redwoods Centre, Clee building, Sycamore
  • The Redwoods Centre, Clee building, Willow Ward
  • The Redwoods Centre, Clee building, Yew Ward
  • The Redwoods Centre, Wenlock Building
  • The Redwoods Centre, Wrekin Roof Space
  • The Redwoods Centre, Caradoc Roof space
  • The Redwoods Centre, Clee Roof space
  • Ashley Ward
  • Baswich Ward
  • Brockington Ward
  • Bromley Ward
  • Chebsey Ward
  • Ellesmere House
  • Kinver Ward
  • Milford House
  • Newport House
  • Norton House
  • Norbury House
  • Radford House
  • Sandon House
  • Brocton House
  • Holly Ward
  • Oak Ward
  • Willow Ward
  • Yew Ward
  • Sycamore
  • Birch Ward
  • Laurel Ward
  • Pine Ward
  • Flanagan Centre
  • Haywood Lodge
  • 136 Suite
  • Haywood Lodge Crisis Team
  • Inclusion Woodside Business Park
  • Sutton Hill Health Centre
  • Madeley Health Centre
  • Grove ward
  • Caradoc Roof Space
  • Wenlock Roof Space
  • Wrekin Roof Space
  • Clee Roof Space
  • Wenlock Building
  • Cedar House, Albrighton
  • Bridgnorth Northgate Medical Practice/Northgate, Old Smithfield, Bridgnorth WV16 4EN
• Telephone Number of Premise
  Address

• Building Owner

  Select Midland Partnership NHS Foundation Trust NHS Property Services Ltd LIFT building PFI Building Local Authority Private Landlord Community Health Partnership G.P. Owned

  • Midland Partnership NHS Foundation Trust
  • NHS Property Services Ltd
  • LIFT building
  • PFI Building
  • Local Authority
  • Private Landlord
  • Community Health Partnership
  • G.P. Owned

• Building Occupier

  Select Midland Partnership NHS Foundation Trust NHS Property Services Ltd LIFT building PFI Building Local Authority Private Landlord Community Health Partnership G.P. Owned

  • Midland Partnership NHS Foundation Trust
  • NHS Property Services Ltd
  • LIFT building
  • PFI Building
  • Local Authority
  • Private Landlord
  • Community Health Partnership
  • G.P. Owned

• Building/ Ward Name

  Select 3 - 4 Alexandra Terrace Aldershot 23 Parkland Place, New Milton 25 Corve Street 41 - 53 High Street Eastleigh 56 High Street 161 Eccleshall Road Abbey Hulton Clinic, Leek Road, Abbey Hulton, ST2 8BP Aelfgar Practice, Church Street, Rugeley, Staffs, WS15 1AB Aldergate Medical Practice, The Mount, Salters Lane, Tamworth, Staffs, B79 8BH Alton PCC ST10 4AP Argyle Clinic Armitage Clinic, Millmore Avenue, Rugeley, WS15 4BL Audley Health Centre, Church Street, Audley, ST7 8EW Barlaston Clinic Barton Family Practice, Short Lane, Barton under Needwood, Burton on Trent, Staffs, DE13 8LB Biddulph Health Centre, Princess Street, Biddulph ST8 6JN, Block 6 St Michaels’ Court Blurton Health Centre, Rippon Road, Blurton, ST3 3BS Bradwell Hospital, Talke Road, Chesterton, Newcastle under Lyme, ST5 7NJ Brighton House, Sneyd Terrace, Newcastle, ST5 6JT Burslem Children's Centre, Vale Park Business Centre, Hamil Road, Port Vale, ST6 1AW Burslem Health Centre, Chapel Lane, Burslem, ST6 2AB Cannock Hospital Carradoc Building Cheadle Health Centre, Well Street, Cheadle, ST10 1EY Cheadle Hospital, Royal Walk, Cheadle, Stoke on Trent, SR10 1NS Chesterton Clinic, Loomer Road, Chesterton, ST5 7JS Clee building Coach House Cobridge Community Health Centre, Church Terrace, Cobridge, ST6 2JN Codsall Clinic, Elliotts Lane, Codsall, Nr Wolverhampton, WV8 1PH Cross Street Clinic Cross Street Clinic David Parry Diamond Jubilee House Eaton House Earl House Fenton Health Centre, Glebedale Road, Fenton, ST4 3AQ Flanagan Centre Friary Centre Gayton Lodge George Bryan Centre Gravel Hill House Great Wyrley Health Centre, Wardles Lane, Great Wyrley, Walsall, WS6 6EW Grove Ward Hall Court, Telford Hanford Health Centre, New Inn Lane, Hanford, ST4 8EX Hanley Health Centre, Upper Huntbach Street, Hanley, ST1 2BN Hatherton Centre Haywood Hospital, High Lane, Burslem, Stoke on Trent, ST6 7AG Haywood Hospital - retained estate, High Lane, Burslem, Stoke on Trent, ST6 7AG Hockley Centre Holly Lodge Horniglow Clinic Jacobs House, Basingstoke Kidsgrove Health Centre, Mount Road, Kidsgrove, ST7 4AY Kingsbridge Clinic, Kingsbridge Avenue, Clayton, ST5 3HP Knutton Clinic, Knutton Lane, Knutton, Newcastle, SR5 6HF Lanxess House Leek Health Centre, Fountain Street, Leek, ST13 6JB Leek Hospital, Ashbourne Road, Leek, ST13 5BQ Leek Moorlands House, Stockwell Street, Leek, ST13 6HQ Local Authority Landlord Longdon House Longton Health Centre, Drayton Road, Longton, ST3 1EQ Longton Hospital, Upper Belgrave Road, Longton, Stoke on Trent, ST3 4QX Madeley Health centre Market Drayton CMHT Marston House Mellor House Morston House Myton Oak Norton Clinic, Knypersley Road, Norton, ST6 8HZ Oak House Park House Perton Clinic, Coleridge Drive, Perton, Nr Wolverhampton, WV6 7QE Porthill Clinic, Inglewood Drive, Porthill, SR5 ODY Private Landlord Redwood Centre Rising Brook Health Centre, Merrey Road, Stafford, ST16 3DZ Royal Wolverhampton Trust Ryecroft Centre, Broad Street, Newcastle, ST5 2BQ Severn Fields Ground Floor Severnfields GUM second floor Shropshire Community Health Trust Silverdale Health Centre, Crown Street, Silverdale, ST5 6PN Smallthorne Health Centre, Baden Road, Smallthorne, ST16 1SA South Staffordshire & Shropshire Foundation Trust Stafford Central Clinic, Stafford Borough Council Civic Centre, Riverside, Stafford, ST16 3AQ St Georges Hospital Stoke Health Centre, Honeywall, Stoke, ST4 7JB Stonefield House Stone Rehab Centre, Stafford Road, Stone, ST15 0HE Sutton Hill Health Centre The Bridge The Precinct Gosport The Winchester Centre, Winchester Trentside Clinic, Stafford Road, Stone, ST15 0TT Weeping Cross Health Centre, Bodmin Avenue, Stafford, ST17 0EG Wenlock building Werrington Clinic, Salters Close, Werrington, ST9 0DB West Chadsmoor Clinic, Clarion Way, West Chadsmoor, Cannock, WS11 4NJ Wilnecote Health Centre, Smithy Lane, Wilnecote, Tamworth, Wolstanton Medical Centre, Palmerstone Street, Wolstanton, ST5 8BN Woodside Business Park, Wirra Wombourne Clinic, Mill Lane, Wombourne, WV5 0LG Wrekin building The Redwoods Centre, Caradoc building, Oak ward The Redwoods Centre, Caradoc building, Holly Ward The Redwoods Centre, Wrekin building, Birch Ward The Redwoods Centre, Wrekin building, Laurel Ward The Redwoods Centre, Wrekin building, Pine Ward The Redwoods Centre, Clee building, Sycamore The Redwoods Centre, Clee building, Willow Ward The Redwoods Centre, Clee building, Yew Ward The Redwoods Centre, Wenlock Building The Redwoods Centre, Wrekin Roof Space The Redwoods Centre, Caradoc Roof space The Redwoods Centre, Clee Roof space Ashley Ward Baswich Ward Brockington Ward Bromley Ward Chebsey Ward Ellesmere House Kinver Ward Milford House Newport House Norton House Norbury House Radford House Sandon House Brocton House Holly Ward Oak Ward Willow Ward Yew Ward Sycamore Birch Ward Laurel Ward Pine Ward Flanagan Centre Haywood Lodge 136 Suite Haywood Lodge Crisis Team Inclusion Woodside Business Park Sutton Hill Health Centre Madeley Health Centre Grove ward Caradoc Roof Space Wenlock Roof Space Wrekin Roof Space Clee Roof Space Wenlock Building Cedar House, Albrighton Bridgnorth Northgate Medical Practice/Northgate, Old Smithfield, Bridgnorth WV16 4EN

  • 3 - 4 Alexandra Terrace Aldershot
  • 23 Parkland Place, New Milton
  • 25 Corve Street
  • 41 - 53 High Street Eastleigh
  • 56 High Street
  • 161 Eccleshall Road
  • Abbey Hulton Clinic, Leek Road, Abbey Hulton, ST2 8BP
  • Aelfgar Practice, Church Street, Rugeley, Staffs, WS15 1AB
  • Aldergate Medical Practice, The Mount, Salters Lane, Tamworth, Staffs, B79 8BH
  • Alton PCC ST10 4AP
  • Argyle Clinic
  • Armitage Clinic, Millmore Avenue, Rugeley, WS15 4BL
  • Audley Health Centre, Church Street, Audley, ST7 8EW
  • Barlaston Clinic
  • Barton Family Practice, Short Lane, Barton under Needwood, Burton on Trent, Staffs, DE13 8LB
  • Biddulph Health Centre, Princess Street, Biddulph ST8 6JN,
  • Block 6 St Michaels’ Court
  • Blurton Health Centre, Rippon Road, Blurton, ST3 3BS
  • Bradwell Hospital, Talke Road, Chesterton, Newcastle under Lyme, ST5 7NJ
  • Brighton House, Sneyd Terrace, Newcastle, ST5 6JT
  • Burslem Children's Centre, Vale Park Business Centre, Hamil Road, Port Vale, ST6 1AW
  • Burslem Health Centre, Chapel Lane, Burslem, ST6 2AB
  • Cannock Hospital
  • Carradoc Building
  • Cheadle Health Centre, Well Street, Cheadle, ST10 1EY
  • Cheadle Hospital, Royal Walk, Cheadle, Stoke on Trent, SR10 1NS
  • Chesterton Clinic, Loomer Road, Chesterton, ST5 7JS
  • Clee building
  • Coach House
  • Cobridge Community Health Centre, Church Terrace, Cobridge, ST6 2JN
  • Codsall Clinic, Elliotts Lane, Codsall, Nr Wolverhampton, WV8 1PH
  • Cross Street Clinic
  • Cross Street Clinic
  • David Parry
  • Diamond Jubilee House
  • Eaton House
  • Earl House
  • Fenton Health Centre, Glebedale Road, Fenton, ST4 3AQ
  • Flanagan Centre
  • Friary Centre
  • Gayton Lodge
  • George Bryan Centre
  • Gravel Hill House
  • Great Wyrley Health Centre, Wardles Lane, Great Wyrley, Walsall, WS6 6EW
  • Grove Ward
  • Hall Court, Telford
  • Hanford Health Centre, New Inn Lane, Hanford, ST4 8EX
  • Hanley Health Centre, Upper Huntbach Street, Hanley, ST1 2BN
  • Hatherton Centre
  • Haywood Hospital, High Lane, Burslem, Stoke on Trent, ST6 7AG
  • Haywood Hospital - retained estate, High Lane, Burslem, Stoke on Trent, ST6 7AG
  • Hockley Centre Holly Lodge
  • Horniglow Clinic
  • Jacobs House, Basingstoke
  • Kidsgrove Health Centre, Mount Road, Kidsgrove, ST7 4AY
  • Kingsbridge Clinic, Kingsbridge Avenue, Clayton, ST5 3HP
  • Knutton Clinic, Knutton Lane, Knutton, Newcastle, SR5 6HF
  • Lanxess House
  • Leek Health Centre, Fountain Street, Leek, ST13 6JB
  • Leek Hospital, Ashbourne Road, Leek, ST13 5BQ
  • Leek Moorlands House, Stockwell Street, Leek, ST13 6HQ
  • Local Authority Landlord
  • Longdon House
  • Longton Health Centre, Drayton Road, Longton, ST3 1EQ
  • Longton Hospital, Upper Belgrave Road, Longton, Stoke on Trent, ST3 4QX
  • Madeley Health centre
  • Market Drayton CMHT
  • Marston House
  • Mellor House
  • Morston House
  • Myton Oak
  • Norton Clinic, Knypersley Road, Norton, ST6 8HZ
  • Oak House
  • Park House
  • Perton Clinic, Coleridge Drive, Perton, Nr Wolverhampton, WV6 7QE
  • Porthill Clinic, Inglewood Drive, Porthill, SR5 ODY
  • Private Landlord
  • Redwood Centre
  • Rising Brook Health Centre, Merrey Road, Stafford, ST16 3DZ
  • Royal Wolverhampton Trust
  • Ryecroft Centre, Broad Street, Newcastle, ST5 2BQ
  • Severn Fields Ground Floor
  • Severnfields GUM second floor
  • Shropshire Community Health Trust
  • Silverdale Health Centre, Crown Street, Silverdale, ST5 6PN
  • Smallthorne Health Centre, Baden Road, Smallthorne, ST16 1SA
  • South Staffordshire & Shropshire Foundation Trust
  • Stafford Central Clinic, Stafford Borough Council Civic Centre, Riverside, Stafford, ST16 3AQ
  • St Georges Hospital
  • Stoke Health Centre, Honeywall, Stoke, ST4 7JB
  • Stonefield House
  • Stone Rehab Centre, Stafford Road, Stone, ST15 0HE
  • Sutton Hill Health Centre
  • The Bridge
  • The Precinct Gosport
  • The Winchester Centre, Winchester
  • Trentside Clinic, Stafford Road, Stone, ST15 0TT
  • Weeping Cross Health Centre, Bodmin Avenue, Stafford, ST17 0EG
  • Wenlock building
  • Werrington Clinic, Salters Close, Werrington, ST9 0DB
  • West Chadsmoor Clinic, Clarion Way, West Chadsmoor, Cannock, WS11 4NJ
  • Wilnecote Health Centre, Smithy Lane, Wilnecote, Tamworth,
  • Wolstanton Medical Centre, Palmerstone Street, Wolstanton, ST5 8BN
  • Woodside Business Park, Wirra
  • Wombourne Clinic, Mill Lane, Wombourne, WV5 0LG
  • Wrekin building
  • The Redwoods Centre, Caradoc building, Oak ward
  • The Redwoods Centre, Caradoc building, Holly Ward
  • The Redwoods Centre, Wrekin building, Birch Ward
  • The Redwoods Centre, Wrekin building, Laurel Ward
  • The Redwoods Centre, Wrekin building, Pine Ward
  • The Redwoods Centre, Clee building, Sycamore
  • The Redwoods Centre, Clee building, Willow Ward
  • The Redwoods Centre, Clee building, Yew Ward
  • The Redwoods Centre, Wenlock Building
  • The Redwoods Centre, Wrekin Roof Space
  • The Redwoods Centre, Caradoc Roof space
  • The Redwoods Centre, Clee Roof space
  • Ashley Ward
  • Baswich Ward
  • Brockington Ward
  • Bromley Ward
  • Chebsey Ward
  • Ellesmere House
  • Kinver Ward
  • Milford House
  • Newport House
  • Norton House
  • Norbury House
  • Radford House
  • Sandon House
  • Brocton House
  • Holly Ward
  • Oak Ward
  • Willow Ward
  • Yew Ward
  • Sycamore
  • Birch Ward
  • Laurel Ward
  • Pine Ward
  • Flanagan Centre
  • Haywood Lodge
  • 136 Suite
  • Haywood Lodge Crisis Team
  • Inclusion Woodside Business Park
  • Sutton Hill Health Centre
  • Madeley Health Centre
  • Grove ward
  • Caradoc Roof Space
  • Wenlock Roof Space
  • Wrekin Roof Space
  • Clee Roof Space
  • Wenlock Building
  • Cedar House, Albrighton
  • Bridgnorth Northgate Medical Practice/Northgate, Old Smithfield, Bridgnorth WV16 4EN

• Add media

  Media

• Use of Premises

  Select Office/Administration Health Centre Ward; Independent Ward; Dependant Ward; High Dependency Community Based Community Hospital Health Centre

  • Office/Administration
  • Health Centre
  • Ward; Independent
  • Ward; Dependant
  • Ward; High Dependency
  • Community Based
  • Community Hospital
  • Health Centre

• Organisation/ Trust Responsible Person

  Chief Executive Officer

  Senior G.P. Partner

  G.P. Practice Manager

  Landlord Nominated Representative

  Other Nominated Persons

• Name and Status of Nominated Person

• Name and relevant details of any competent persons appointed to assist with the fire safety measures.

  Select Gary Gillson Fire Safety Advisor Tony Childs Grad IOSH Fire Manager Robert Graves Director of Facilites & Estates David Evans Associate Director F&E Tim Pugh Associate Director F&E Cliff Jones F&E Senior Information Governance Manager Neil Handley Assistant Information Manager Paul Buckley Estates Manager Nick Hulme H&S Adviser Chief Executive Ward Manager Building Manager Fire Marshal Office Manager Facilities & Estates Logged on Help Desk Joan Milner David Pike F&E Capital F&E Maintanace Martin Allen Capital works Manager

  • Gary Gillson Fire Safety Advisor
  • Tony Childs Grad IOSH Fire Manager
  • Robert Graves Director of Facilites & Estates
  • David Evans Associate Director F&E
  • Tim Pugh Associate Director F&E
  • Cliff Jones F&E Senior Information Governance Manager
  • Neil Handley Assistant Information Manager
  • Paul Buckley Estates Manager
  • Nick Hulme H&S Adviser
  • Chief Executive
  • Ward Manager
  • Building Manager
  • Fire Marshal
  • Office Manager
  • Facilities & Estates
  • Logged on Help Desk
  • Joan Milner
  • David Pike
  • F&E Capital
  • F&E Maintanace
  • Martin Allen Capital works Manager

• Have there been any fires or near miss experiences since the last Fire Risk Assessment/Fire Safety Audit

  Yes

  No

  N/A

• Incident details

• Organisation/Trust Responsible Person

  Select Gary Gillson Fire Safety Advisor Tony Childs Grad IOSH Fire Manager Robert Graves Director of Facilites & Estates David Evans Associate Director F&E Tim Pugh Associate Director F&E Cliff Jones F&E Senior Information Governance Manager Neil Handley Assistant Information Manager Paul Buckley Estates Manager Nick Hulme H&S Adviser Chief Executive Ward Manager Building Manager Fire Marshal Office Manager Facilities & Estates Logged on Help Desk Joan Milner David Pike F&E Capital F&E Maintanace Martin Allen Capital works Manager

  • Gary Gillson Fire Safety Advisor
  • Tony Childs Grad IOSH Fire Manager
  • Robert Graves Director of Facilites & Estates
  • David Evans Associate Director F&E
  • Tim Pugh Associate Director F&E
  • Cliff Jones F&E Senior Information Governance Manager
  • Neil Handley Assistant Information Manager
  • Paul Buckley Estates Manager
  • Nick Hulme H&S Adviser
  • Chief Executive
  • Ward Manager
  • Building Manager
  • Fire Marshal
  • Office Manager
  • Facilities & Estates
  • Logged on Help Desk
  • Joan Milner
  • David Pike
  • F&E Capital
  • F&E Maintanace
  • Martin Allen Capital works Manager

• Estates Premises condition and PPMs

  Poor

  Adequate

  Good

• Local Responsible Person, Fire Safety Management

  Select Gary Gillson Fire Safety Advisor Tony Childs Grad IOSH Fire Manager Robert Graves Director of Facilites & Estates David Evans Associate Director F&E Tim Pugh Associate Director F&E Cliff Jones F&E Senior Information Governance Manager Neil Handley Assistant Information Manager Paul Buckley Estates Manager Nick Hulme H&S Adviser Chief Executive Ward Manager Building Manager Fire Marshal Office Manager Facilities & Estates Logged on Help Desk Joan Milner David Pike F&E Capital F&E Maintanace Martin Allen Capital works Manager

  • Gary Gillson Fire Safety Advisor
  • Tony Childs Grad IOSH Fire Manager
  • Robert Graves Director of Facilites & Estates
  • David Evans Associate Director F&E
  • Tim Pugh Associate Director F&E
  • Cliff Jones F&E Senior Information Governance Manager
  • Neil Handley Assistant Information Manager
  • Paul Buckley Estates Manager
  • Nick Hulme H&S Adviser
  • Chief Executive
  • Ward Manager
  • Building Manager
  • Fire Marshal
  • Office Manager
  • Facilities & Estates
  • Logged on Help Desk
  • Joan Milner
  • David Pike
  • F&E Capital
  • F&E Maintanace
  • Martin Allen Capital works Manager

• Names of nominated Fire Wardens

Conclusions; It can be concluded that with the implementation of the recommendations within the timescales provided as found in the Part E - Significant Findings and Recommendations: Significant Findings and Action Plans of this risk assessment and the continued support of SSSFT Compliance and Risk Services Team, the occupants of the building are working within a safe environment that is broadly compliant with the Regulatory Reform (Fire Safety) Order 2005. It must be noted if the recommendations are not implemented within required timescales, persons within the risk assessed and adjacent building/department/ward/unit will be at a greater life risk should a fire incident occur.

• Number of floors

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14

• Floor Area (m2 total)

• Building/ Fire Plans

  Media

• Brief Deatils of Construction

• Choose from drop down list

  Select Brick walls Pitched Tiled Roof Concrete Floors Timber & Joist Floors Timber Frame Concrete Slab Flat Bitumen Roof Block & Rendered walls

  • Brick walls
  • Pitched Tiled Roof
  • Concrete Floors
  • Timber & Joist Floors
  • Timber Frame
  • Concrete Slab
  • Flat Bitumen Roof
  • Block & Rendered walls

• Occupancy Type

  Select Office/Administration Health Centre Ward; Independent Ward; Dependant Ward; High Dependency Community Based Community Hospital Health Centre

  • Office/Administration
  • Health Centre
  • Ward; Independent
  • Ward; Dependant
  • Ward; High Dependency
  • Community Based
  • Community Hospital
  • Health Centre

• Are there internal fire hydrants installed?

• Location and numbers of fire hydrants

• Add media

  Media

• Date of last test

• Is there access for Emergency Vehicles?

  Yes

  No

  N/A

• How many sides by Vehicle

  One side

  Two Sides

  Three Sides

  Four Sides

  All Sides

• Add media

  Media

• How many sides by foot

  One side

  Two Sides

  Three Sides

  Four Sides

  All Sides

• Add media

  Media

• What is the maximum numbers of staff at any given time

  Select Range 0-------5 Range 6-------10 Range 11------25 Range 26------50 Range 51------100 Range 101-----500 Range 501-----1000 Range 1001+

  • Range 0-------5
  • Range 6-------10
  • Range 11------25
  • Range 26------50
  • Range 51------100
  • Range 101-----500
  • Range 501-----1000
  • Range 1001+

• What is the maximum numbers of patients at any given time

  Select Range 0-------5 Range 6-------10 Range 11------25 Range 26------50 Range 51------100 Range 101-----500 Range 501-----1000 Range 1001+

  • Range 0-------5
  • Range 6-------10
  • Range 11------25
  • Range 26------50
  • Range 51------100
  • Range 101-----500
  • Range 501-----1000
  • Range 1001+

• What is the maximum numbers of the public at any given time

  Select Range 0-------5 Range 6-------10 Range 11------25 Range 26------50 Range 51------100 Range 101-----500 Range 501-----1000 Range 1001+

  • Range 0-------5
  • Range 6-------10
  • Range 11------25
  • Range 26------50
  • Range 51------100
  • Range 101-----500
  • Range 501-----1000
  • Range 1001+

• What is the maximum total numbers of persons at any given time including security, site services etc.

  Select Range 0-------5 Range 6-------10 Range 11------25 Range 26------50 Range 51------100 Range 101-----500 Range 501-----1000 Range 1001+

  • Range 0-------5
  • Range 6-------10
  • Range 11------25
  • Range 26------50
  • Range 51------100
  • Range 101-----500
  • Range 501-----1000
  • Range 1001+

• Are young persons/ work experience persons employed at the premises?

  Yes

  No

  N/A

• Numbers of young persons

• Are there any sleeping occupants at the premises?

  Yes

  No

  N/A

• Numbers of persons

• Add media

  Media

• Are there any disabled persons at the premises?

  Yes

  No

  N/A

• Have PEEP forms been completed (if required) for disabled staff members?

  Yes

  No

  N/A

• Numbers of persons

• Are young lone workers at the premise?

  Yes

  No

  N/A

• Numbers of young persons

• Are there any workers in remote areas at the premises?

  Yes

  No

  N/A

• Have PEEP forms been completed (if required) for disabled staff members?

  Yes

  No

  N/A

• Numbers of persons

• Is there any History of Fires in the Premises?

  Yes

  No

  N/A

• Details of fire loss. Include dates and times and note if a fire report was completed (include reference and upload copy of report(s)

• Insert web link to report(s) here.

• Are there any Fire Service Notices in force for this premise

  Yes

  No

  N/A

• Details of Notice

  Informal Notice

  Enforcemenbt Notice

  Alteration Notice

  Prohibition Notice

  Notice of intended prosecution

• Issue Date of Notice

  Date

• Additional relevant information.

• Has there been any Local Authority Fire inspections?

  Yes

  No

  N/A

• Date of last inspection

  Date

• Relevant details.

• Are there any current control measures in place to reduce the risk from fire?

  Yes

  No

  N/A

• Current control measures

  Select Total smoking ban on trust property Fire and arson reduction - regular waste collections Regular testing of electrical circuits Regular testing of portable electrical equipment Cooking only allowed if undertaken by appropriately trained staff within a designated kitchen environment Photocopiers sited in well ventilated areas with no flammable items stored nearby Gas boilers serviced in accordance with reguations by Gas Safe registered contractor Portable heaters used in accordance with manufacturers instructions Hot work permits issued by Estates Managers for all hot work Fire Training for all staff which included fire prevention, precautions, raisng the alarm and evacuation procedure Correct storage facilties for paper and cardboard, low quantities maintained. All items of furniture comly with the Furniture & Furnishings (Fire Safety) Regulations 1988 Regular waste disposal collections and correct storage containers. Limited flammable liquids stored in correct containers and within appropriate facilities

  • Total smoking ban on trust property
  • Fire and arson reduction - regular waste collections
  • Regular testing of electrical circuits
  • Regular testing of portable electrical equipment
  • Cooking only allowed if undertaken by appropriately trained staff within a designated kitchen environment
  • Photocopiers sited in well ventilated areas with no flammable items stored nearby
  • Gas boilers serviced in accordance with reguations by Gas Safe registered contractor
  • Portable heaters used in accordance with manufacturers instructions
  • Hot work permits issued by Estates Managers for all hot work
  • Fire Training for all staff which included fire prevention, precautions, raisng the alarm and evacuation procedure
  • Correct storage facilties for paper and cardboard, low quantities maintained.
  • All items of furniture comly with the Furniture & Furnishings (Fire Safety) Regulations 1988
  • Regular waste disposal collections and correct storage containers.
  • Limited flammable liquids stored in correct containers and within appropriate facilities

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

  Yes

  No

  N/A

• What measures are there to mitigate the effects of an electrical fire?

  Select Appropriate testing of portable electrical appliances Limited use of extension leads Appropriate use of extension leads (no daisy chaining) Limited use of supplementary heaters There is a Trust policy regarding the use of electrical appliances

  • Appropriate testing of portable electrical appliances
  • Limited use of extension leads
  • Appropriate use of extension leads (no daisy chaining)
  • Limited use of supplementary heaters
  • There is a Trust policy regarding the use of electrical appliances

• Date of last PAT test

  Date

• Upload photo of test label

  Media

• Is the fixed wiring installtion tested in accordance with "The Electricity at Work Regulations" recommended test interval of 5 years (Commercial) in accordance with BS7671.

  Yes

  No

  N/A

• Date of last inspection

  Date

• Is the use of portable/ supplementary heaters avoided as far as is reasonably practicable?

  Yes

  No

  N/A

• Types of portable/ suplementary heaters in use

  Select Convector heaters Fan heaters Oil filled radiators Radiant bar heaters LPG heaters

  • Convector heaters
  • Fan heaters
  • Oil filled radiators
  • Radiant bar heaters
  • LPG heaters

• Is there a current Trust Smoke Free Policy?

  Yes

  No

  N/A

• Date of ratification of current policy

  Date

• Upload photo of front page of smoke free policy

  Media

• Smoke free policy statement: The Smoke Free Policy’s principal purpose is the promotion of the health benefits of a smoke free environment, in order to prevent the detrimental health consequences of smoking tobacco, the Trust remains committed to helping people who use our service stop smoking and smoke-free hospital sites are a part of this strategy, as are all NHS organisations.

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

  Yes

  No

  N/A

• Detail measures taken to prevent fires as a result of smoking

  Select No smoking within Trust buildings or ontrust grounds Smoking only allowed in designated smoking areas No vaping within trust buildings or on Trust grounds No charging of e-cigarettes on Trust premises Clear warning signs upon entry to premises displayed banning smoking on the premises Rasing staff awareness at fire safety training

  • No smoking within Trust buildings or ontrust grounds
  • Smoking only allowed in designated smoking areas
  • No vaping within trust buildings or on Trust grounds
  • No charging of e-cigarettes on Trust premises
  • Clear warning signs upon entry to premises displayed banning smoking on the premises
  • Rasing staff awareness at fire safety training

• show location of no smoking sign

  Media

• Is there evidence of breaches of Trust policy

  Yes

  No

  N/A

• Details of breaches observed

  Evidence of smoking materials discarded

  Person(s) smoking observed

  History of fires as a result of smoking

• Add media

  Media

• Does the basic security against arson appear reasonable?

  Yes

  No

  N/A

• Risk of arson due to:

  Select Waste bins not secured Combuatible waste incorrectly stored Unsecured skip Unsecured access to waste storage area Waste bins sited against building

  • Waste bins not secured
  • Combuatible waste incorrectly stored
  • Unsecured skip
  • Unsecured access to waste storage area
  • Waste bins sited against building

• Add media

  Media

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

  Yes

  No

  N/A

• Risk of ignition by outsiders due to:

  Select Waste bins not secured Combuatible waste incorrectly stored Unsecured skip Unsecured access to waste storage area Waste bins sited against building

  • Waste bins not secured
  • Combuatible waste incorrectly stored
  • Unsecured skip
  • Unsecured access to waste storage area
  • Waste bins sited against building

• Add media

  Media

• Are reasonable measures taken to prevent cooking fires?

  Yes

  No

  N/A

• Control measures taken to prevent fires

  Select Cooking food never left unattended Loose clothing or dangling sleaves avoided Food checked regularly while cooking Flammable items kept away from cookers Cooking surfaces kept free of a build up of grease Suitable and sufficient fire detection system installed in kitchen area Adequate and sutable fire extinguishing nedia near to risk areas

  • Cooking food never left unattended
  • Loose clothing or dangling sleaves avoided
  • Food checked regularly while cooking
  • Flammable items kept away from cookers
  • Cooking surfaces kept free of a build up of grease
  • Suitable and sufficient fire detection system installed in kitchen area
  • Adequate and sutable fire extinguishing nedia near to risk areas

• Add media

  Media

• Is there ductwork and filters in the cooking area?

  Yes

  No

  N/A

• Items cleaned

  Select Filters are cleaned regularly Ductwork is cleaned regularly

  • Filters are cleaned regularly
  • Ductwork is cleaned regularly

• Date of last certified cleaning.

  Date

• Are suitable fire extinguishers available?

  Yes

  No

  N/A

• Types of extinguishers present

  Select Portable foam extinguisher Portable CO2 extinguisher Portable wet chemical extinguisher Fixed suppression system

  • Portable foam extinguisher
  • Portable CO2 extinguisher
  • Portable wet chemical extinguisher
  • Fixed suppression system

• Does the building have a lightning protection system installed

  Yes

  No

  N/A

• Date of last test

  Date

• Is the standard of housekeeping adequate?

  Yes

  No

  N/A

• Bad house keeping practice

  Select Combustible materials stored next to ignition sources Stores items left unattended in public area Flammable liquids stored inappropriatly Means of escape obstructed by stores items Fire extinguishers obstructed

  • Combustible materials stored next to ignition sources
  • Stores items left unattended in public area
  • Flammable liquids stored inappropriatly
  • Means of escape obstructed by stores items
  • Fire extinguishers obstructed

• Add media

  Media

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

  All work permits are issued by the senior estates manager

  All contractors are inducted to site before commencement of work

  All in house contractors are employed by the Trust

  Any sub contractors must follow the trust control of contractors policy, and have received a copy for reference

• Are there arrangements for the safe storage of gas bottles

  Yes

  No

  N/A

• Details of storage arrangements

  Select There is a dedicated secure storage area in the open air which is secure There is a dedicated secure storage area in the open air which is not secure There is a nominated room for the storage of cylinders with suitable signage There is a nominated room for the storage of cylinders with unsuitable signage There is no nominated room for the storage of cylinders Hazardous materials are securely stored in a designated storage facility Hazardous materials are inapropriately stored

  • There is a dedicated secure storage area in the open air which is secure
  • There is a dedicated secure storage area in the open air which is not secure
  • There is a nominated room for the storage of cylinders with suitable signage
  • There is a nominated room for the storage of cylinders with unsuitable signage
  • There is no nominated room for the storage of cylinders
  • Hazardous materials are securely stored in a designated storage facility
  • Hazardous materials are inapropriately stored

• Are dangerous substances present on the premises?

  Yes

  No

  N/A

• Show substances present

  Select Chlorine Bitumen Murcury compounds Mineral Oil PCB`s Petroleum oil Trichcloroethylene White spirit

  • Chlorine
  • Bitumen
  • Murcury compounds
  • Mineral Oil
  • PCB`s
  • Petroleum oil
  • Trichcloroethylene
  • White spirit

• Add media

  Media

• Further information

• Has a suitable and sufficient COSHH risk assessment been completed for all substances?

  Yes

  No

  N/A

• Details of risk assessment

• Add media

  Media

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

  Yes

  No

  N/A

• Inadequate Means of Escape due to:

  Select Non compliant door widths Doors open in the wrong direction A number of external steps Non compliant ramp Inadequate external escape lighting Unsuitable external surfaces Non compliant door openings A number of internal steps Unsuitable internal surfaces No refuge areas

  • Non compliant door widths
  • Doors open in the wrong direction
  • A number of external steps
  • Non compliant ramp
  • Inadequate external escape lighting
  • Unsuitable external surfaces
  • Non compliant door openings
  • A number of internal steps
  • Unsuitable internal surfaces
  • No refuge areas

• Add media

  Media

• Is the building provided with sufficient exits?

  Yes

  No

  N/A

• Insufficient exits due to:

  Select Alternative exit blocked due to contractor work Alternative exit door secured locked Increase in occupants No DDA compliant exit doors

  • Alternative exit blocked due to contractor work
  • Alternative exit door secured locked
  • Increase in occupants
  • No DDA compliant exit doors

• Add media

  Media

• Are exits easily and immediately openable where necessary?

  Yes

  No

  N/A

• Unable to easily open Exit doors due to:

  Select Maglock linked to fire alarm Maglock operatd by access control Push Bar type fastening Thumb turn Raglan Bolt type fasteneing Non standard opener N/A

  • Maglock linked to fire alarm
  • Maglock operatd by access control
  • Push Bar type fastening
  • Thumb turn
  • Raglan Bolt type fasteneing
  • Non standard opener
  • N/A

• Add media

  Media

• Do fire exits open in the direction of travel where necessary?

  Yes

  No

  N/A

• Doors do not open in the direction of travel due to:

  Select Door locked Door siezed in door frame Defective self-closing device Unsuitable opening device Push bar defective Items stored in front of Exit Parked vehicle close to Exit door Defective "Maglock" mechinism Design of door frame Door hung incorrectly Opening onto a means of Escape Non conforming door set

  • Door locked
  • Door siezed in door frame
  • Defective self-closing device
  • Unsuitable opening device
  • Push bar defective
  • Items stored in front of Exit
  • Parked vehicle close to Exit door
  • Defective "Maglock" mechinism
  • Design of door frame
  • Door hung incorrectly
  • Opening onto a means of Escape
  • Non conforming door set

• Add media

  Media

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

  There are no sliding doors in this premise

  There are no revolving doors in these premises

• Are there adequate means of securing exits?

  Yes

  No

  N/A

• Exits secured by:

  Select Maglock linked to fire alarm Maglock operatd by access control Push Bar type fastening Thumb turn Raglan Bolt type fasteneing Non standard opener N/A

  • Maglock linked to fire alarm
  • Maglock operatd by access control
  • Push Bar type fastening
  • Thumb turn
  • Raglan Bolt type fasteneing
  • Non standard opener
  • N/A

• Add media

  Media

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

  Yes

  No

  N/A

• Maximum travel distance in one direction, in metres

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

  Yes,

  No,

  N/A

• Travel distance in metres

• Are all fire exits easily to open without the use of a key?

  Yes: Push bar

  Yes: Thumb turn

  Yes: Push pad

  No: Key lock

• The fire exit door is secured in place due to:

  Select Mortice Lock Shoot Bolts Yale type Lock Hasp & Staple Chubb type Lock Other Fastening Not applicable

  • Mortice Lock
  • Shoot Bolts
  • Yale type Lock
  • Hasp & Staple
  • Chubb type Lock
  • Other Fastening
  • Not applicable

• Add media

  Media

• Are escape routes adequately protected?

  Yes

  No

  N/A

• Escape routes are inadequately proteced due to:

  Select Non-compliant door widths (DDA) Restricted escape route due to furniture storeage Blocked exit doors Key required to unlock Fire Doors Exit via inner room Staircase not within Fire resistant compartment Inadequate Escape Lighting Poor signage Inadequate fire protection of escape route from "dead end" Inadequate or non-comliant Fire Detection System Not applicable

  • Non-compliant door widths (DDA)
  • Restricted escape route due to furniture storeage
  • Blocked exit doors
  • Key required to unlock Fire Doors
  • Exit via inner room
  • Staircase not within Fire resistant compartment
  • Inadequate Escape Lighting
  • Poor signage
  • Inadequate fire protection of escape route from "dead end"
  • Inadequate or non-comliant Fire Detection System
  • Not applicable

• Add media

  Media

• Are there suitable fire precautions for all inner rooms?

  Yes

  No

  Not applicable

• Reasons for unsuitable precautions with the inner room

  Select No suitable vision panel installed No smoke detection in rooms Incorrect detection installed No emergency escape lighting Fixed blinds fitted Vision panel obscured by posters etc Combustibles stored in one of the rooms

  • No suitable vision panel installed
  • No smoke detection in rooms
  • Incorrect detection installed
  • No emergency escape lighting
  • Fixed blinds fitted
  • Vision panel obscured by posters etc
  • Combustibles stored in one of the rooms

• Add media

  Media

• Are escape routes unobstructed?

  Yes,

  No,

  N/A

• Escape route obstructed due to:

  Select Non-compliant door widths (DDA) Restricted escape route due to furniture storeage Blocked exit doors Key required to unlock Fire Doors Exit via inner room Staircase not within Fire resistant compartment Inadequate Escape Lighting Poor signage Inadequate fire protection of escape route from "dead end" Inadequate or non-comliant Fire Detection System Not applicable

  • Non-compliant door widths (DDA)
  • Restricted escape route due to furniture storeage
  • Blocked exit doors
  • Key required to unlock Fire Doors
  • Exit via inner room
  • Staircase not within Fire resistant compartment
  • Inadequate Escape Lighting
  • Poor signage
  • Inadequate fire protection of escape route from "dead end"
  • Inadequate or non-comliant Fire Detection System
  • Not applicable

• Add media

  Media

• Are there suitable means of escape for disabled occupants?

  Yes

  No

  N/A

• Disabled means of escape is unsuitable due to:

  Select Non compliant door widths Doors open in the wrong direction A number of external steps Non compliant ramp Inadequate external escape lighting Unsuitable external surfaces Non compliant door openings A number of internal steps Unsuitable internal surfaces No refuge areas

  • Non compliant door widths
  • Doors open in the wrong direction
  • A number of external steps
  • Non compliant ramp
  • Inadequate external escape lighting
  • Unsuitable external surfaces
  • Non compliant door openings
  • A number of internal steps
  • Unsuitable internal surfaces
  • No refuge areas

• Add media

  Media

• Have PEEP forms been completed (if required) for disabled staff members?

  Yes

  No

  N/A

• Add media

  Media

• Is there a sufficient standard of compartmentation and sub-compartmentation?

  Yes

  No

  N/A

• Insufficient compartmentation and sub-compartmentation due to:

  Select No compartment fire barrier Damaged fire curtains No sub-compartment barrier Non standard fire door set Non standard ceiling barrier Missing compartment barrier Breach in compartment barrier above corridor door Breach in compartment barrier above door

  • No compartment fire barrier
  • Damaged fire curtains
  • No sub-compartment barrier
  • Non standard fire door set
  • Non standard ceiling barrier
  • Missing compartment barrier
  • Breach in compartment barrier above corridor door
  • Breach in compartment barrier above door

• Add media

  Media

• Further information

• Where required are there suitable and sufficient dampers installed

  Yes

  No

  N/A

• Are linings that promote fire spread avoided as far as reasonably practicable?<br>To inhibit the spread of fire within the building, the internal linings shall:<br>adequately resist the spread of flame over their surfaces; and<br>have , if ignited, a rate of heat release or a rate of fire growth, which is reasonable in the circumstances.

  Yes

  No

  N/A

• Is there a planned preventative maintenance programme (PPM) for all fire doors to ensure correct working?

  Yes

  No

  N/A

• Location of records of PPM`s

• Add media

  Media

• Are fire resisting doors that are secured for security reasons go fail-safe on the fire alarm or power failure?

  Yes: Full closure

  No: Partial closure

  No: Defective S/C

  No: Door wedged

  N/A

• Door location and identification

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Further information

• Add media

  Media

• Are the fire resisting, self-closing doors to escape routes effectively self-closing?

  Yes: Full closure

  No: Partial closure

  No: Defective S/C

  No: Door wedged

  N/A

• Door location and identification

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Add media

  Media

• Remedial work required

  Select Self closer adjustment required Replace Self Closer device Remove Wedge Adjust hinges Repair hold open device Replace warped door/ frame Adjust door catch

  • Self closer adjustment required
  • Replace Self Closer device
  • Remove Wedge
  • Adjust hinges
  • Repair hold open device
  • Replace warped door/ frame
  • Adjust door catch

• Further information

• Are the fire resisting doors to cupboards, stores and plant rooms kept locked shut with appropriate signs fitted?

  Yes

  No

  N/A

• The following remedial work is required

  Select Lock door Fit new lock Fit drop bolt on inside door leaf Affix "Fire Door" keep locked signage Affix "Fire Door" keep shut sign

  • Lock door
  • Fit new lock
  • Fit drop bolt on inside door leaf
  • Affix "Fire Door" keep locked signage
  • Affix "Fire Door" keep shut sign

• Add media

  Media

• Where fire resisting doors are held open by electro-magnetic means, is smoke detection both sides of the door and correct signs fitted?

  Yes: with signage

  Yes:with no signage

  No

  N/A

• Remedial work required

  Select Provide and fix appropriate signage Provide and fix additional smoke detection

  • Provide and fix appropriate signage
  • Provide and fix additional smoke detection

• Add media

  Media

• Are all Fire resisting doors in a good state of repair, with no damage or breaches to the door sett

  Yes

  No: Door frame damaged

  No: Damage to door

  No: Damage to vision panel

  No: Breach: Breach in door sett

• Door location and identification

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• The following remedial work is required

  Select Replace door set Repair door frame including replacing all seals Infill breach with appropriate materials Replace all strips and seals Replace vision panel Repair anti-barricade mechinism Repair floor mounted self closer Repair/replace door maglock Repair / replace glazing bars

  • Replace door set
  • Repair door frame including replacing all seals
  • Infill breach with appropriate materials
  • Replace all strips and seals
  • Replace vision panel
  • Repair anti-barricade mechinism
  • Repair floor mounted self closer
  • Repair/replace door maglock
  • Repair / replace glazing bars

• Add media

  Media

• Door location and identification

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• The following remedial work is required

  Select Replace door set Repair door frame including replacing all seals Infill breach with appropriate materials Replace all strips and seals Replace vision panel Repair anti-barricade mechinism Repair floor mounted self closer Repair/replace door maglock Repair / replace glazing bars

  • Replace door set
  • Repair door frame including replacing all seals
  • Infill breach with appropriate materials
  • Replace all strips and seals
  • Replace vision panel
  • Repair anti-barricade mechinism
  • Repair floor mounted self closer
  • Repair/replace door maglock
  • Repair / replace glazing bars

• Add media

  Media

• Door location and identification

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• The following remedial work is required

  Select Replace door set Repair door frame including replacing all seals Infill breach with appropriate materials Replace all strips and seals Replace vision panel Repair anti-barricade mechinism Repair floor mounted self closer Repair/replace door maglock Repair / replace glazing bars

  • Replace door set
  • Repair door frame including replacing all seals
  • Infill breach with appropriate materials
  • Replace all strips and seals
  • Replace vision panel
  • Repair anti-barricade mechinism
  • Repair floor mounted self closer
  • Repair/replace door maglock
  • Repair / replace glazing bars

• Add media

  Media

• Door location and identification

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• The following remedial work is required

  Select Replace door set Repair door frame including replacing all seals Infill breach with appropriate materials Replace all strips and seals Replace vision panel Repair anti-barricade mechinism Repair floor mounted self closer Repair/replace door maglock Repair / replace glazing bars

  • Replace door set
  • Repair door frame including replacing all seals
  • Infill breach with appropriate materials
  • Replace all strips and seals
  • Replace vision panel
  • Repair anti-barricade mechinism
  • Repair floor mounted self closer
  • Repair/replace door maglock
  • Repair / replace glazing bars

• Add media

  Media

• Are the Intumescent strips and Cold Smoke Seals in a good state of repair

  Yes

  No: Damaged seals

  No: No seals fitted

  N/A

• Door location and identifcation

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• The following remedial work is required

  Select Replace door set Repair door frame including replacing all seals Infill breach with appropriate materials Replace all strips and seals Replace vision panel Repair anti-barricade mechinism Repair floor mounted self closer Repair/replace door maglock Repair / replace glazing bars

  • Replace door set
  • Repair door frame including replacing all seals
  • Infill breach with appropriate materials
  • Replace all strips and seals
  • Replace vision panel
  • Repair anti-barricade mechinism
  • Repair floor mounted self closer
  • Repair/replace door maglock
  • Repair / replace glazing bars

• Add media

  Media

• Yes

  No

  N/A

• Is there a reasonable standard of escape lighting provided? (based upon a visual inspection of luminaires).

  Yes

  No

  N/A

• Escape lighting defects

  Select Insufficient units No Test records No escape lighting installed No external escape lighting Failed test Failed batteries Defective bulbs Do not conform to British Standard

  • Insufficient units
  • No Test records
  • No escape lighting installed
  • No external escape lighting
  • Failed test
  • Failed batteries
  • Defective bulbs
  • Do not conform to British Standard

• Add media

  Media

• Are directional fire safety signs suitable and sufficient?

  Yes

  No

  N/A

• Fire safety signage requirements

  Select Full Signage survey required Additional directional signage required within the stair area Additional directional signage required within the ground floor corridor Additional directional signage required within the first floor corridor Additional directional signage required within the second floor corridor Replace all old signage with current standard signs Signage above rear final exit door Signage above front final exit door Signage above side final exit door

  • Full Signage survey required
  • Additional directional signage required within the stair area
  • Additional directional signage required within the ground floor corridor
  • Additional directional signage required within the first floor corridor
  • Additional directional signage required within the second floor corridor
  • Replace all old signage with current standard signs
  • Signage above rear final exit door
  • Signage above front final exit door
  • Signage above side final exit door

• Add media

  Media

• Are the Fire Action notices suitable and sufficient

  Yes

  No: Missing

  No:Out of Date

  N/A

• The following remedial work is required

  Select Remove & replace old with updated signs Provide & affix new A5 signage Infill sign with appropriate information

  • Remove & replace old with updated signs
  • Provide & affix new A5 signage
  • Infill sign with appropriate information

• Is a manually operated electrical fire alarm system provided?

  Yes

  No

  N/A

• Call point type

  Select Break Glass Manually Operated Break Glass Striker Operated Key Operated; Key located on individual staffs PinPoint key ring Key Operated; Key not carried by all staff Key Operated; Key located in call point Break Glass Manually operated with alarmed cover

  • Break Glass Manually Operated
  • Break Glass Striker Operated
  • Key Operated; Key located on individual staffs PinPoint key ring
  • Key Operated; Key not carried by all staff
  • Key Operated; Key located in call point
  • Break Glass Manually operated with alarmed cover

• Is automatic fire detection provided?

  Yes

  No

  N/A

• Is an appropriate standard of Fire Alarm system installed (i.e. L1, L2, L3, L5 )

  Yes: L1

  Yes: L2

  Yes: L3

  Yes: L4

  Yes: L5

• Are the number and type of detectors appropriate for the premise

  Yes

  No: wrong type of detector

  No: Additional detection required

• Detection required

  Select Replace Heat Detector with Smoke detector Replace Smoke detector with Heat detector Fit Heat detector Fit Smoke detector Fit combined smoke and heat detector Add additional detection

  • Replace Heat Detector with Smoke detector
  • Replace Smoke detector with Heat detector
  • Fit Heat detector
  • Fit Smoke detector
  • Fit combined smoke and heat detector
  • Add additional detection

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Add media

  Media

• Is the alarm audible throughout the workplace?

  Yes

  No

  N/A

• Provide and install additional sounders

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Is there remote transmission of alarm signals?

  Yes

  No

  N/A

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

  Yes

  No: Out of date

  No: Additional extinguisher required

  No: Missing

  N/A

• Are Hose reels provided?

  Yes

  No

  N/A

• Were staff members aware of the types of extinguishers within their work place?

  Yes

  No

  N/A

• Type of system

  N/A

  Portable foam extinguisher

  Portable CO2 extinguisher

  Portable wet chemical extinguisher

  Fixed suppression system

• Comments and observations

• Are there any fire dampers installed?

  Yes

  No

  N/A

• Type of system

  Select Curtain Fire Dampers Insulated Fire Dampers Intumescent Fire Resisting Dampers Mechanical Fire Resisting Dampers Smoke Control dampers Combination Fire/Smoke Dampers Non Standard Damper

  • Curtain Fire Dampers
  • Insulated Fire Dampers
  • Intumescent Fire Resisting Dampers
  • Mechanical Fire Resisting Dampers
  • Smoke Control dampers
  • Combination Fire/Smoke Dampers
  • Non Standard Damper

• Is there servicing of the Damper system according to HTM 03-1 (fire dampers in hospitals) which states - must be tested every twelve months.

  Yes

  No

  N/A

• Date of last damper service

  Date

• Add media

  Media

• Person responsible for the site/building/department fire safety:

  Select Gary Gillson Fire Safety Advisor Tony Childs Grad IOSH Fire Manager Robert Graves Director of Facilites & Estates David Evans Associate Director F&E Tim Pugh Associate Director F&E Cliff Jones F&E Senior Information Governance Manager Neil Handley Assistant Information Manager Paul Buckley Estates Manager Nick Hulme H&S Adviser Chief Executive Ward Manager Building Manager Fire Marshal Office Manager Facilities & Estates Logged on Help Desk Joan Milner David Pike F&E Capital F&E Maintanace Martin Allen Capital works Manager

  • Gary Gillson Fire Safety Advisor
  • Tony Childs Grad IOSH Fire Manager
  • Robert Graves Director of Facilites & Estates
  • David Evans Associate Director F&E
  • Tim Pugh Associate Director F&E
  • Cliff Jones F&E Senior Information Governance Manager
  • Neil Handley Assistant Information Manager
  • Paul Buckley Estates Manager
  • Nick Hulme H&S Adviser
  • Chief Executive
  • Ward Manager
  • Building Manager
  • Fire Marshal
  • Office Manager
  • Facilities & Estates
  • Logged on Help Desk
  • Joan Milner
  • David Pike
  • F&E Capital
  • F&E Maintanace
  • Martin Allen Capital works Manager

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

  Yes

  No

  N/A

• Persons available to assist in implementing fire safety arrangements?

  Select Gary Gillson Fire Safety Advisor Tony Childs Grad IOSH Fire Manager Robert Graves Director of Facilites & Estates David Evans Associate Director F&E Tim Pugh Associate Director F&E Cliff Jones F&E Senior Information Governance Manager Neil Handley Assistant Information Manager Paul Buckley Estates Manager Nick Hulme H&S Adviser Chief Executive Ward Manager Building Manager Fire Marshal Office Manager Facilities & Estates Logged on Help Desk Joan Milner David Pike F&E Capital F&E Maintanace Martin Allen Capital works Manager

  • Gary Gillson Fire Safety Advisor
  • Tony Childs Grad IOSH Fire Manager
  • Robert Graves Director of Facilites & Estates
  • David Evans Associate Director F&E
  • Tim Pugh Associate Director F&E
  • Cliff Jones F&E Senior Information Governance Manager
  • Neil Handley Assistant Information Manager
  • Paul Buckley Estates Manager
  • Nick Hulme H&S Adviser
  • Chief Executive
  • Ward Manager
  • Building Manager
  • Fire Marshal
  • Office Manager
  • Facilities & Estates
  • Logged on Help Desk
  • Joan Milner
  • David Pike
  • F&E Capital
  • F&E Maintanace
  • Martin Allen Capital works Manager

• Name of any addition person available to assist in implementing fire safety arrangements?

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

  Yes

  No

  N/A

• Add media

  Media

• Is the Fire Emergency Procedure readily available for staff to read?

  Yes

  No

  N/A

• Add media

  Media

• Is there a Fire Plan of the building in the site Log Book?

  Yes

  No

  N/A

• Add media

  Media

• Is the Fire Plan available to the enforcing authority?

  Yes

  No

  N/A

• Add media

  Media

• Does the procedure take account of other Fire Emergency Procedures applicable in the building?

  Yes

  No

  N/A

• Add media

  Media

• Are there identified roles/persons nominated to respond to fire?

  Yes

  No

  N/A

• Select Gary Gillson Fire Safety Advisor Tony Childs Grad IOSH Fire Manager Robert Graves Director of Facilites & Estates David Evans Associate Director F&E Tim Pugh Associate Director F&E Cliff Jones F&E Senior Information Governance Manager Neil Handley Assistant Information Manager Paul Buckley Estates Manager Nick Hulme H&S Adviser Chief Executive Ward Manager Building Manager Fire Marshal Office Manager Facilities & Estates Logged on Help Desk Joan Milner David Pike F&E Capital F&E Maintanace Martin Allen Capital works Manager

  • Gary Gillson Fire Safety Advisor
  • Tony Childs Grad IOSH Fire Manager
  • Robert Graves Director of Facilites & Estates
  • David Evans Associate Director F&E
  • Tim Pugh Associate Director F&E
  • Cliff Jones F&E Senior Information Governance Manager
  • Neil Handley Assistant Information Manager
  • Paul Buckley Estates Manager
  • Nick Hulme H&S Adviser
  • Chief Executive
  • Ward Manager
  • Building Manager
  • Fire Marshal
  • Office Manager
  • Facilities & Estates
  • Logged on Help Desk
  • Joan Milner
  • David Pike
  • F&E Capital
  • F&E Maintanace
  • Martin Allen Capital works Manager

• Are there identified roles/persons nominated to assist with evacuation?

  Yes

  No

  N/A

• Names of other designated persons to assist with evacuation.

• Is there appropriate liaison with the fire service?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Add media

  Media

• Are staff given instruction on induction?

  Yes

  No

  N/A

• Details of location of training records

  Local records

  Central data base

• Do staff receive periodic refresher training at suitable intervals?

  Yes

  No

  N/A

• Type and frequency of training delivered

  Face to face with fire trainer every three years

  Face to face with fire trainer every year

  Toolbox talk

  E-learning

• Are staff with special responsibilities given appropriate training?

  Yes

  No

  N/A

• Face to face with fire trainer every three years

  Face to face with fire trainer every year

  Toolbox talk

  E-learning

• Are fire drills carried out at appropriate intervals?

  Yes

  No

  N/A

• Date of last fire drill

  Date

• Is the Fire Assembly point suitably located and sign posted

  Yes

  No

  N/A

• Location detail:

• Add media

  Media

• Is the workplace adequately maintained?

  Yes

  No

  N/A

• Evidence of poor maintenance standards

  Select Poorly maintained structure Poorly maintained equipment Poorly maintained sanitary facilities Windows broken Doors damaged Generaly neglected premises Evidence of accumulation of dirt or debris Floor surfaces in poor condition Light fittings dirty Aisles and stairways obstructed Accumulation of rubbish/ waste materials Storage of materials innapropriate Trip hazards

  • Poorly maintained structure
  • Poorly maintained equipment
  • Poorly maintained sanitary facilities
  • Windows broken
  • Doors damaged
  • Generaly neglected premises
  • Evidence of accumulation of dirt or debris
  • Floor surfaces in poor condition
  • Light fittings dirty
  • Aisles and stairways obstructed
  • Accumulation of rubbish/ waste materials
  • Storage of materials innapropriate
  • Trip hazards

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

  Yes

  No

  N/A

• Date of last weekly test

  Date

• Add media

  Media

• Is there annual servicing of the fire detection and alarm system

  Yes

  No

  N/A

• Date of last annual test

  Date

• Add media

  Media

• Is there monthly testing of the emergency lighting system

  Yes

  No

  N/A

• Date of last monthly test

  Date

• Add media

  Media

• Is there annual testing of the emergency lighting system

  Yes

  No

  N/A

• Date of last annual test

  Date

• Add media

  Media

• Is there annual maintenance of the fire extinguisher equipment?

  Yes

  No

  N/A

• Date of last test

  Date

• Is there six monthly and annual testing of wet/dry risers?

  Yes

  No

  N/A

• Date of last test

  Date

• Is there weekly testing and periodic inspection of sprinkler installations?

  Yes

  No

  N/A

• Date of last test

  Date

• Is there routine checks of fire doors and final exit doors?

  Yes

  No

  N/A

• Date of last PPM

  Date

• Add media

  Media

• Other relevant inspections or tests

• Is there six monthly and annual testing of wet/dry risers?

  Yes

  No

  N/A

• Date of last test

  Date

• Are there records of Fire Drills

  Yes

  No

  Not applicable

• Date of last fire drill

  Date

• Are there records of fire training?

  Yes

  No

  N/A

• Are there records of fire alarm tests?

  Yes

  No

  N/A

• Are there records of monthly emergency lighting tests?

  Yes

  No

  N/A

• Are there records of annual emergency lighting tests?

  Yes

  No

  N/A

• Are there records of maintenance and testing of the fire damper system?

  Yes

  No

  Not applicable

• Are there records of maintenance and testing of the fire suppression system?

  Yes

  No

  N/A

• Date of last test

  Date

• The Priority ratings used in this fire risk assessment are based upon the following:
  
  Very High Priority: Imminent loss of life from fire, or there are substantial quantities of combustible materials, or there are any highly flammable substances, or there exists the likelihood of the rapid spread of fire, heat or smoke between compartments
  
  High Priority: There is a serious risk to life from fire, or there are quantities of combustible materials present, or there exists the likelihood of the rapid spread of fire, heat or smoke between compartments
  
  Essential Priority: There is a moderate risk to life from fire, or there are combustible materials present, or there exists the likelihood of the spread of fire, heat or smoke between compartments.
  
  Low Priority: There is hardly any risk to life from fire, few combustibles materials, no flammable substances, virtually no sources of heat and there is no risk of the spread of fire, heat or smoke between compartments.
  
  Base upon this the expectation of a completion time range is that :-
  
  Very High Priority - Any identified actions should be completed within the following time range - at the time of the inspection > 48hrs
  
  High Priority - Any identified actions should be completed within the following time range - 48hrs > 7 days
  
  Essential Priority - Any identified actions should be completed within the following time range - 1 week > 12 weeks.
  
  Low Priority - Any identified actions should be completed within the following time range - 3 months > 6 months
  
  
  

• The action plan associated with this Fire Risk Assessment, documents the significant findings, the required actions and identifies the person or department responsible for the completion of the actions.
  
  It is the responsibility of the named persons or head of department to ensure prompt completion of their actions and notification to the assessor named at the foot of the assessment of the completion date of each action for updating of the original.
  

• Are you inspecting a fire door?

Fire Door

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Details of defect

  Select Replace door set Repair door frame including replacing all seals Infill breach with appropriate materials Replace all strips and seals Replace vision panel Repair anti-barricade mechinism Repair floor mounted self closer Repair/replace door maglock Repair / replace glazing bars

  • Replace door set
  • Repair door frame including replacing all seals
  • Infill breach with appropriate materials
  • Replace all strips and seals
  • Replace vision panel
  • Repair anti-barricade mechinism
  • Repair floor mounted self closer
  • Repair/replace door maglock
  • Repair / replace glazing bars

• Action required

  Select Replace door set Repair door frame including replacing all seals Infill breach with appropriate materials Replace all strips and seals Replace vision panel Repair anti-barricade mechinism Repair floor mounted self closer Repair/replace door maglock Repair / replace glazing bars

  • Replace door set
  • Repair door frame including replacing all seals
  • Infill breach with appropriate materials
  • Replace all strips and seals
  • Replace vision panel
  • Repair anti-barricade mechinism
  • Repair floor mounted self closer
  • Repair/replace door maglock
  • Repair / replace glazing bars

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Have you discovered any fire compartment breaches?

Fire compartment breaches

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Details of defect

  Select No compartment fire barrier Damaged fire curtains No sub-compartment barrier Non standard fire door set Non standard ceiling barrier Missing compartment barrier Breach in compartment barrier above corridor door Breach in compartment barrier above door

  • No compartment fire barrier
  • Damaged fire curtains
  • No sub-compartment barrier
  • Non standard fire door set
  • Non standard ceiling barrier
  • Missing compartment barrier
  • Breach in compartment barrier above corridor door
  • Breach in compartment barrier above door

• Action required

  Select Make good any breach with appropriate fire resisting materials at least to the same standard as the wall. Use fire rated collar(s) Use fire mortar Use fire pillows Use intumescent fire rated sealant Provide certification as proof of repair

  • Make good any breach with appropriate fire resisting materials at least to the same standard as the wall.
  • Use fire rated collar(s)
  • Use fire mortar
  • Use fire pillows
  • Use intumescent fire rated sealant
  • Provide certification as proof of repair

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Have you discovered sources of ignition?

Sources of ignition

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Details of ignition source

  Select Evidence of smoking materials discarded Person(s) smoking observed History of fires as a result of smoking

  • Evidence of smoking materials discarded
  • Person(s) smoking observed
  • History of fires as a result of smoking

• Action required

  Select Remove all sources of fuel Seperate fuel sources from ignition sources

  • Remove all sources of fuel
  • Seperate fuel sources from ignition sources

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Have you discovered sources of fuel?

Sources of fuel

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Details of fuel source

  Select Flammable liquids Flammable chemicals Flammable gases Combustible items stored in electrical cupboards Waste and litter Flammable wall linings

  • Flammable liquids
  • Flammable chemicals
  • Flammable gases
  • Combustible items stored in electrical cupboards
  • Waste and litter
  • Flammable wall linings

• Action required

  Select Remove all sources of fuel and store appropriately

  • Remove all sources of fuel and store appropriately

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Have you discovered sources of oxygen?

Sources of oxygen

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Details of oxygen source

  Select Oxidising materials Stored oxygen cylinders Piped oxygen systems Oxidisng chemicals (check CoSHH sheets)

  • Oxidising materials
  • Stored oxygen cylinders
  • Piped oxygen systems
  • Oxidisng chemicals (check CoSHH sheets)

• Action required

  Select Remove all sources of fuel and store appropriately

  • Remove all sources of fuel and store appropriately

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Are there people at risk?

People at risk

• Location

  Select Working above ground floor Below ground floor Working in confined spaces (as defined by the confined space regulations) People working out of normal daytime hours

  • Working above ground floor
  • Below ground floor
  • Working in confined spaces (as defined by the confined space regulations)
  • People working out of normal daytime hours

• Are there PEEP`s in place?

  Oxidising materials

  Stored oxygen cylinders

  Piped oxygen systems

  Oxidisng chemicals (check CoSHH sheets)

• Action required

  Select Remove all sources of fuel and store appropriately

  • Remove all sources of fuel and store appropriately

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Is there a defect with the fire alarm system?

Fire alarm system

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• What are the defects?

  Select There are insufficient manual call points Call points obstructed The alarm sounder is defective The alarm cannot be heard throughout the premises There is no back-up power supply There are no provisions for persons with disabilites if the alarm is sounded There is no zone plan located adjacent to the alarm panel

  • There are insufficient manual call points
  • Call points obstructed
  • The alarm sounder is defective
  • The alarm cannot be heard throughout the premises
  • There is no back-up power supply
  • There are no provisions for persons with disabilites if the alarm is sounded
  • There is no zone plan located adjacent to the alarm panel

• Action required

  Select Remove all sources of fuel and store appropriately

  • Remove all sources of fuel and store appropriately

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Is there a defect with the escape lighting?

Escape or emergency lighting

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Details of defect

  Select Insufficient units No Test records No escape lighting installed No external escape lighting Failed test Failed batteries Defective bulbs Do not conform to British Standard

  • Insufficient units
  • No Test records
  • No escape lighting installed
  • No external escape lighting
  • Failed test
  • Failed batteries
  • Defective bulbs
  • Do not conform to British Standard

• Action required

  Select Make good repair to defect identified Replace defective unit not repairable Instigate testing of system

  • Make good repair to defect identified
  • Replace defective unit not repairable
  • Instigate testing of system

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Are there any missing fire notices?

Fire notices

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Details of defect

  Select Full Signage survey required Additional directional signage required within the stair area Additional directional signage required within the ground floor corridor Additional directional signage required within the first floor corridor Additional directional signage required within the second floor corridor Replace all old signage with current standard signs Signage above rear final exit door Signage above front final exit door Signage above side final exit door

  • Full Signage survey required
  • Additional directional signage required within the stair area
  • Additional directional signage required within the ground floor corridor
  • Additional directional signage required within the first floor corridor
  • Additional directional signage required within the second floor corridor
  • Replace all old signage with current standard signs
  • Signage above rear final exit door
  • Signage above front final exit door
  • Signage above side final exit door

• Action required

  Select Replace missing sign(s) Refix sign(s) Remove sign(s) Replace mixed standard signs with current British Standard signs.

  • Replace missing sign(s)
  • Refix sign(s)
  • Remove sign(s)
  • Replace mixed standard signs with current British Standard signs.

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Is there a problem with the fire extinguishers?

Fire Extinguishers

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Details of defect

  Select Extinguisher missing Wrong type of extinguisher Extinguisher not on bracket Extinguisher not on plinth Extinguisher sign missing Extinguisher tamper seal missing Extinguisher out of test date Extinguisher empty

  • Extinguisher missing
  • Wrong type of extinguisher
  • Extinguisher not on bracket
  • Extinguisher not on plinth
  • Extinguisher sign missing
  • Extinguisher tamper seal missing
  • Extinguisher out of test date
  • Extinguisher empty

• Action required

  Select Replace extinguisher Replace extinguisher label Refix extinguisher bracket Provide extinguisher plinth Arrange for extinguisher testing Provide new extinguisher

  • Replace extinguisher
  • Replace extinguisher label
  • Refix extinguisher bracket
  • Provide extinguisher plinth
  • Arrange for extinguisher testing
  • Provide new extinguisher

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Have you discovered fire compartment breaches?

Fire Door

• Location

  Select Ground floor kitchen First floor kitchen Ward kitchen Bedroom door Ground floor store room First floor store room Laundry room First floor Cross corridor Ground floor Cross corridor Ground floor stairwell lobby First floor stairwell lobby Office Reception Lift lobby Ground floor corridor 1st Floor corridor Lounge area Roof Space 2nd Floor corridor 3rd Floor corridor 4th Floor corridor

  • Ground floor kitchen
  • First floor kitchen
  • Ward kitchen
  • Bedroom door
  • Ground floor store room
  • First floor store room
  • Laundry room
  • First floor Cross corridor
  • Ground floor Cross corridor
  • Ground floor stairwell lobby
  • First floor stairwell lobby
  • Office
  • Reception
  • Lift lobby
  • Ground floor corridor
  • 1st Floor corridor
  • Lounge area
  • Roof Space
  • 2nd Floor corridor
  • 3rd Floor corridor
  • 4th Floor corridor

• Details of defect

  Select No compartment fire barrier Damaged fire curtains No sub-compartment barrier Non standard fire door set Non standard ceiling barrier Missing compartment barrier Breach in compartment barrier above corridor door Breach in compartment barrier above door

  • No compartment fire barrier
  • Damaged fire curtains
  • No sub-compartment barrier
  • Non standard fire door set
  • Non standard ceiling barrier
  • Missing compartment barrier
  • Breach in compartment barrier above corridor door
  • Breach in compartment barrier above door

• Action required

  Select Replace door set Repair door frame including replacing all seals Infill breach with appropriate materials Replace all strips and seals Replace vision panel Repair anti-barricade mechinism Repair floor mounted self closer Repair/replace door maglock Repair / replace glazing bars

  • Replace door set
  • Repair door frame including replacing all seals
  • Infill breach with appropriate materials
  • Replace all strips and seals
  • Replace vision panel
  • Repair anti-barricade mechinism
  • Repair floor mounted self closer
  • Repair/replace door maglock
  • Repair / replace glazing bars

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion

• Is there a problem with the fire dampers?

Fire Dampers

• Location

  Select Ground floor kitchen First floor kitchen Plant room Basement area Above ground floor corridor celing Above first floor corridor celing Above second floor corridor celing Above third floor corridor celing Second floor kitchen

  • Ground floor kitchen
  • First floor kitchen
  • Plant room
  • Basement area
  • Above ground floor corridor celing
  • Above first floor corridor celing
  • Above second floor corridor celing
  • Above third floor corridor celing
  • Second floor kitchen

• Details of defect

  Select No evidence of testing

  • No evidence of testing

• Action required

  Select Replace door set Repair door frame including replacing all seals Infill breach with appropriate materials Replace all strips and seals Replace vision panel Repair anti-barricade mechinism Repair floor mounted self closer Repair/replace door maglock Repair / replace glazing bars

  • Replace door set
  • Repair door frame including replacing all seals
  • Infill breach with appropriate materials
  • Replace all strips and seals
  • Replace vision panel
  • Repair anti-barricade mechinism
  • Repair floor mounted self closer
  • Repair/replace door maglock
  • Repair / replace glazing bars

• Action assigned to:

• Priority risk rating

  Very high priority

  High priority

  Essential priority

  Low priority

• Target date for completion

  Date

• Date of final completion

  Date

• Name of person responsible for completion