GSTT Community Primary Site - Fire Risk Assessment Review

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

  Ian Hill

  Bill Dunn

• Location

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• undefined

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• undefined

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• Floor(s)

  Select Basement Ground 1 2 3 4 5 6 7 8 9 10

  • Basement
  • Ground
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Premises full address (inc. Postcode):

  Select Akerman Health Centre, 60 Patmos Road, SW9 6AF Artesian House Health Clinic, 137-138 Grange Road, SE1 3GF Aylesbury Health Centre, Thurlow Street, SE17 2XE Becket House, 1 Lambeth Palace Road, SE1 7EU Bermondsey Health Centre, 108 Grange Road, SE1 3BW Bowley Close Rehabilitation Centre, Bowley Close, SE19 1SZ Burrell Street Sexual Health Centre, Unit 4-5, Burrell Street, SE1 0UN Clapham Manor Health Centre, 86 Clapham Manor Street, SW4 6EB Elmcourt Health Centre, 214 Norwood Road, SE27 9AQ Gracefield Gardens Health and Social Care Centre, 2-8 Gracefield Gardens, SW16 2ST 200 Great Dover Street, SE1 4YB. Lambeth Community Care Centre, Monkton Street, SE11 4TX Lister Primary Care Centre, 101 Peckham Road, SE15 5LJ Mary Sheridan Centre, 5 Dugard Way, Lambeth, SE11 4TH Mawbey Brough 39 Wilcox Close, SW8 2UD Minerva House, 5 Montague Close, SE1 9DF Minnie Kidd House, 51C Hazelbourne Road, SW12 9NU New Surrey Docks Health Centre, Blondin Way, London SE16 6AE Pulross Intermediate Care Centre , 47A Pulross Road, SW9 8AE Queen Mary's Hospital, Frognal Avenue, Sidcup, DA14 6LT St. Olav’s Court, 25 Lower Road, SE16 7JB Streatham Hill Sexual Health Clinic, 41A Streatham Hill, SW2 4TP Sunshine House, 27 Peckham Road, SE5 8UH Tessa Jowell Health Centre, 72H East Dulwich Grove, SE22 8PT Townley Road Clinic, 121 Townley Road, SE22 8SW Walworth Road Sexual Health Clinic, 157-169 Walworth Road, SE17 1RY West Norwood Health and Leisure Centre, 25 Devane Way, West Norwood, SE27 0DF Whittington Health Centre & Roundhouse, 11-13 Rutford Road, SW16 2DQ 75-79 York Road, SE1 7NJ

  • Akerman Health Centre, 60 Patmos Road, SW9 6AF
  • Artesian House Health Clinic, 137-138 Grange Road, SE1 3GF
  • Aylesbury Health Centre, Thurlow Street, SE17 2XE
  • Becket House, 1 Lambeth Palace Road, SE1 7EU
  • Bermondsey Health Centre, 108 Grange Road, SE1 3BW
  • Bowley Close Rehabilitation Centre, Bowley Close, SE19 1SZ
  • Burrell Street Sexual Health Centre, Unit 4-5, Burrell Street, SE1 0UN
  • Clapham Manor Health Centre, 86 Clapham Manor Street, SW4 6EB
  • Elmcourt Health Centre, 214 Norwood Road, SE27 9AQ
  • Gracefield Gardens Health and Social Care Centre, 2-8 Gracefield Gardens, SW16 2ST
  • 200 Great Dover Street, SE1 4YB.
  • Lambeth Community Care Centre, Monkton Street, SE11 4TX
  • Lister Primary Care Centre, 101 Peckham Road, SE15 5LJ
  • Mary Sheridan Centre, 5 Dugard Way, Lambeth, SE11 4TH
  • Mawbey Brough 39 Wilcox Close, SW8 2UD
  • Minerva House, 5 Montague Close, SE1 9DF
  • Minnie Kidd House, 51C Hazelbourne Road, SW12 9NU
  • New Surrey Docks Health Centre, Blondin Way, London SE16 6AE
  • Pulross Intermediate Care Centre , 47A Pulross Road, SW9 8AE
  • Queen Mary's Hospital, Frognal Avenue, Sidcup, DA14 6LT
  • St. Olav’s Court, 25 Lower Road, SE16 7JB
  • Streatham Hill Sexual Health Clinic, 41A Streatham Hill, SW2 4TP
  • Sunshine House, 27 Peckham Road, SE5 8UH
  • Tessa Jowell Health Centre, 72H East Dulwich Grove, SE22 8PT
  • Townley Road Clinic, 121 Townley Road, SE22 8SW
  • Walworth Road Sexual Health Clinic, 157-169 Walworth Road, SE17 1RY
  • West Norwood Health and Leisure Centre, 25 Devane Way, West Norwood, SE27 0DF
  • Whittington Health Centre & Roundhouse, 11-13 Rutford Road, SW16 2DQ
  • 75-79 York Road, SE1 7NJ

• Occupier:

• Owner (if different to Occupier):

• General description of building/premises:

• Date of construction:

• No. of floors in building:

• No. of basements:

• Name of the person conducting the FRA:

• Note: Is the person conducting the assessment deemed to be competent?

• I certify that to the best of my knowledge, the information contained in this fire risk assessment is correct, based on information provided at the time the assessment was undertaken.

• Signature of Assessor: ...............................................................................

  Sign

• Assessment Area:

• Original design guidance (if known) or guidance at last upgrade:

• Assessment Area Plan - INSERT AN ASSESSMENT AREA PLAN DETAILING MEANS OF ESCAPE AND OTHER EXISTING PREVENTATIVE AND PROTECTIVE MEASURES

  Media

• 1.1 Examples of sources of fuel that might be present

  Select

• 1.2 Sources of ignition present

  Select

• 1.3 Are activities with processes such as cooking, Welding or frictional heat?

  Yes

  No

  N/A

• 1.4 Is there gas or burning oil equipment?

  Yes

  No

  N/A

• 1.5 Are there light bulbs etc. near flammable materials?

  Yes

  No

  N/A

• 1.6 Does electrical equipment have current PAT test?

  Yes

  No

  N/A

• 1.7 Are there wander or extension leads/multi point adapters in sockets?

  Yes

  No

  N/A

• 1.8 Are portable heaters in use? Are they unobstructed and secured?

  Yes

  No

  N/A

• 1.9 Is arson a potential problem?

  Yes

  No

  N/A

• 1.10 Are highly flammable materials stored or used?

  Yes

  No

  N/A

• 1.11 Is combustible waste allowed to accumulate?

  Yes

  No

  N/A

• 1.12 Are excessive quantities of combustible materials used/stored?

  Yes

  No

  N/A

• 1.13 Are substantial areas of walls or ceilings covered with flammable linings or materials?

  Yes

  No

  N/A

• 1.14 Are there any other combustible materials that represent a hazard i.e. aerosols?

  Yes

  No

  N/A

• 1.15 Is smoking permitted or smoking materials present?

  Yes

  No

  N/A

• 1.16 Is there piped oxygen in use?

  Yes

  No

  N/A

• 1.17 Are there oxygen cylinders used/stored?

  Yes

  No

  N/A

• 1.18 Are Nitrous oxygen cylinders used/stored?

  Yes

  No

  N/A

• 1.19 Is storage and use of cylinders in accordance with legislation/guidance?

  Yes

  No

  N/A

• 1.20 Are medical gas shut off switches identifiable and suitably located?

  Yes

  No

  N/A

• 1.21 Is there an operational procedure for isolation?

  Yes

  No

  N/A

• 1.22 Are oxidising materials used or stored?

  Yes

  No

  N/A

• 2.1 People in and around the premises

  Select

• 2.2 Also consider

  Select

• 2.3 Special considerations for young persons

  Select

• 2.4 Other considerations

  Select

People at risk - Independent / Dependent / high Dependency

• No. of Staff - Days

• Dependency

  Select

• No. of Staff - Nights

• Dependency

  Select

• Lone workers

• Dependency

  Select

Patients - is the assessment area:

• A sleeping area

  Yes

  No

  N/A

• Dependency

  Select

• Number of patients

• A patient access area (e.g. OPD, Physiotherapy, Radiology etc.)

  Yes

  No

  N/A

• Dependency

  Select

• Number of patients

• A non patient area

  Yes

  No

  N/A

• Dependency

  Select

• Number of people

Others in the immediate vicinity who may be affected

• Visitors

  Yes

  No

  N/A

• Number of visitors

• Control Measures in place

General comments & observations

• General comments & observations

• Existing control measures

• Further control measures required

3.1 Evaluate the risk of a fire occurring

• 3.1.1 Smoking

  Yes

  No

  N/A

• Level of Risk 3.11

  Select

• Observations

• 3.1.2 Fire started by patient

  Yes

  No

  N/A

• Level of Risk 3.1.2

  Select

• Observations

• 3.1.3 Arson

  Yes

  No

  N/A

• Level of Risk 3.1.3

  Select

• Observations

• 3.1.4 Work processes

  Yes

  No

  N/A

• Level of risk 3.1.4

  Select

• Observations

• 3.1.5 Fire hazard rooms

  Yes

  No

  N/A

• Level of Risk 3.1.5

  Select

• Observations

• 3.1.6 Equipment

  Yes

  No

  N/A

• Level of Risk 3.1.6

  Select

• Observations

• 3.1.7 Non patient areas

  Yes

  No

  N/A

• Level of Risk 3.1.7

  Select

• Observations

• 3.1.8 Lightning

  Yes

  No

  N/A

• Level of Risk 3.1.8

  Select

• Observations

• 3.1.9 Electrical

  Yes

  No

  N/A

• Level of Risk 3.1.9

  Select

• Observations

• 3.1.10 Toasters and portable equipment

  Yes

  No

  N/A

• Level of Risk 3.1.10

  Select

• Observations

• 3.1.11 Cooking

  Yes

  No

  N/A

• Level of Risk 3.1.11

  Select

• Observations

• 3.1.12 Contractors

  Yes

  No

  N/A

• Level of Risk 3.1.12

  Select

• Observations

3.1.13 General comments & observations

• Comment/Observation

3.1.14 Existing control measures

• Existing control measures in place

• measures
  3.1.15 Further control measures required

measures
3.1.15 Further control measures required

• Description of further control measures required

3.2 Evaluating the risk to people from fire - Means of Escape

• 3.2.1 Is there an alternative direction of escape?

  Yes

  No

  N/A

• Comment

• 3.2.2 Is the travel distance acceptable?

  Yes

  No

  N/A

• Comment

• 3.2.3 Are escape routes free from obstruction and combustible materials?

  Yes

  No

  N/A

• Comment

• 3.2.4 Are escape routes clearly indicated with correct signage?

  Yes

  No

  N/A

• Comment

• 3.2.5 Is escape lighting provided and adequate?

  Yes

  No

  N/A

• Comment

• 3.2.6 Are fire/smoke dampers and control systems maintained and tested?

  Yes

  No

  N/A

• Comment

• 3.2.7 Are elements of structure adequate?

  Yes

  No

  N/A

• Comment

• 3.2.8 Is (sub)compartmentation integrity adequately maintained?

  Yes

  No

  N/A

• Comment

• 3.2.9 Are suitable refuge areas provided?

  Yes

  No

  N/A

• Comment

• 3.2.10 If refuge areas are provided, are communications provided and tested?

  Yes

  No

  N/A

• Comment

• 3.2.11 Are all internal fire doors clearly marked?

  Yes

  No

  N/A

• Comment

• 3.2.12 Is fire door integrity/strips/seals and all furniture adequately maintained?

  Yes

  No

  N/A

• Comment

• 3.2.13 Are fire doors wedged open?

  Yes

  No

  N/A

• Comment

• 3.2.14 Is patient observation adequate for risk?

  Yes

  No

  N/A

• Comment

• 3.2.15 Are staff numbers adequate for the risk?

  Yes

  No

  N/A

• Comment

• 3.2.16 Are staff trained in correct evacuation procedures?

  Yes

  No

  N/A

• Comment

• 3.2.17 Do staff carry out evacuation drills yearly?

  Yes

  No

  N/A

• Comment

• 3.2.18 Are staff/visitor fire notices adequate?

  Yes

  No

  N/A

• Comment

• 3.2.19 Are high risk rooms adequately protected?

  Yes

  No

  N/A

• Comment

• 3.2.20 Are there rooms utilised as fire hazard rooms, which do not meet current standards? Identify the rooms and the strategy to upgrade.

  Yes

  No

  N/A

• Comment

• 3.2.21 Are there security devices on doors that are suitable & acceptable? Do they comply with Appendix C in HTM 05-03: Part K?

  Yes

  No

  N/A

• Comment

• 3.2.22 Detail facilities provided for fire fighters. Is the maintenance appropriate & are records kept?

  Yes

  No

  N/A

• Comment

• 3.2.23 If vertical evacuation is necessary (internal or external), are stairways suitable in size & width? (Table 1 – HBN 40-02: Part C)

  Yes

  No

  N/A

• Comment

3.2.24 Detail any necessary action to eliminate or reduce ALARP identified risk

• Actions to eliminate or reduce ALARP identified risk

• 3.3.1 Are stock levels kept to a minimum?

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

• 3.3.2 Are flammable liquids stored correctly?

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

• 3.3.3 Is an effective waste management system in place and observed?

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

• 3.3.4 Is housekeeping to a high standard?

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

• 3.3.5 Is electrical, mechanical and gas equipment used and maintained correctly?

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

• 3.3.6 Are extension, wander leads or socket adaptors used?

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

• 3.3.7 Are portable heaters in temporary use? If so, can they be replaced with fixed heaters or secured?

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

• 3.3.8 Are the recommendations of HTM 05- 03 Pt F on arson being adopted?

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

• 3.3.9 Are combustible materials / surface finishes and notice boards etc to appropriate standards?

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

• 3.3.10 Are contractors ‘work’ and ‘hot work’ permits issued and monitored?

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

• 3.3.11 Can any hazardous substance be removed or replaced with a less dangerous substance

  Yes

  No

  N/A

• Comment / Action taken to remove/reduce hazard

3.3.12 General comments & observations

• Comment/Observation

3.3.13 Existing control measures

• Existing control measures in place

3.3.14 Further control measures required

• Description of further control measures required

• 3.4.1 Is an AFD system installed, tested and maintained to HTM 05-03 Pt B?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.2 If the AFD system does not conform to HTM 05-03: Part B what is the standard?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.3 Are call points clear and available?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.4 Is the fire alarm /AFD linked to an alarm centre?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.5 Are appropriate fire action notices at all call points?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.6 Are fixed suppression systems adequately maintained and tested?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.7 Are hose reels provided and maintained?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.8 Are appropriate portable extinguishers provided?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.9 Are the extinguishers suitably located, indicated and readily available?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.10 Has all fire fighting equipment been serviced / recorded in the last 12 months?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.11 Are smoke control systems adequately maintained and tested?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.12 Are staff trained to the required level? (see HTM 05-03: Part A)

  Yes

  No

  N/A

• Comment / Action required

• 3.4.13 Is there clear access for Fire Service vehicles/personnel?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.14 Are all textiles and furniture to HTM 05-03 Pt C?

  Yes

  No

  N/A

• Comment / Action required

• 3.4.15 Do all commercial enterprises conform to HTM 05-03 Pt D?

  Yes

  No

  N/A

• Comment / Action required

3.4.16 Details of additional measures to eliminate or reduce ALARP identified risk

• Additional Measure

• 3.5.1 Is a suitable emergency plan in place? Has it been practiced within the past 12 months?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.2 Have all staff received all appropriate training in the last 12 months?

  Yes

  No

  N/A

• Comment / Action required

• <br>3.5.3 Are these Trust policies available and do staff know where and how to access the Trust Fire/arson/security policy?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.4 Were sufficient fire wardens present on the day of audit?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.5 Are fire wardens completing and recording their routine checks?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.6 Are maintenance records available for AFD, /emergency lighting/FFE?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.7 Are test records available for AFD?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.8 Is co-ordination/co-operation with other Trusts working and recorded?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.9 Has a Disability Discrimination Act (DDA) assessment been completed?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.10 Are the requirements of the DDA being met?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.11 Is this area subject of an action plan or enforcement notice from the Fire Service?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.12 Are staff proactive in the avoidance of unwanted fire signals?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.13 Detail the number of fires and unwanted signals in this area in the last 24 months. Include action taken to reduce UwFS.

  Yes

  No

  N/A

• Comment / Action required

• 3.5.14 Which HTM 05–03 Pt H category is achieved?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.15 Are there any special evacuation aids present? If so, are staff trained in their use?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.16 Is there a plan on the wall indicating fire safety measures?

  Yes

  No

  N/A

• Comment / Action required

• 3.5.17 Have employees, contractors etc. been made aware of all relevant factors relating to the Trust’s fire safety arrangements?

  Yes

  No

  N/A

• Comment / Action required

3.5.18 Detail additional measures to eliminate or reduce ALARP identified risk

• Additional measures to eliminate or reduce ALARP identified risk

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