Title Page
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Conducted on
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Prepared by
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Signature:
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Signature:
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Community Secondary Site:
- 132 Queens Road, London, SE15 2HP
- 198 Contemporary Arts - SE24 0JT
- 1st Place Children's Centre, 12 Chumleigh Street, London SE5 0RN
- 50 Camberwell Business Centre, 99-103 Lomond Grove, SE5 7HN
- Abbey Court Health Centre, 7-15 St John's Road, Tunbridge Wells TN4 9TE
- Ace of Clubs Day Centre SW4 7AS
- Acre Lane ,70-72 Acre Lane, Brixton, SW2 5QN
- Ann Bernadt Children's Centre, 29 Chandler Way, London, SE15 6DT
- Aspire Wellbeing Centre - SE21 8EH
- Barry House - 261 Barry Road, Southwark, SE22 0JT
- Best Western Hotel - SE15 5EU
- Blackfriars Settlement - SE1 0RB
- Borough Kidney Treatment Centre, 46 Long Lane, London SE1 4AU
- Brit Hotel , 35 Hampton Street, SE17 3AN
- Camberwell Dialysis Centre SE5 8UH
- CGL (Change, Grow, Live) Cambridge House, 1 Addington Square, SE5 0HF
- Chaucer Centre - SM4 6PX
- Clapham Leisure Centre, 141 Clapham Manor Street, SW4 6DB
- Coin Street - SE1 9NH
- Copleston Road, Peckham, SE15 4AN
- Crawford Children's Centre SE5 9NF
- Darwin Court, 1 Crail Row, SE17 1AD
- David Barker House, 115a Blackfriars, SE1 8HW
- Deptford Reach, Speedwell St, New Cross London SE8 4AT
- Dudley Hotel , 79-81 Clapham Common South Side, London, SW4 9DQ
- Dulwich Library, 368 Lordship Lane, SE22 8NB
- Dulwich Wood Children's Centre, Lyall Ave, SE21 8QS
- Eltham Community Hospital, 30 Passey Place SE9 5DQ (Diabetic Eye Screening)
- Ethlred Children's Centre, 1 Gunduil Street SE11 6BG
- Ewen Henderson Court, Goodwood Road, New Cross London SE14 6BL
- Ferndale Health Centre Ferndale Sports Centre, Nursery Road, SW9 8BP
- Garland Road (Diabetic Eye Screening) 2 Garland Road, Plumstead, SE18 2AE
- Gaumont House - SE15 5SL
- GLL - Streatham Ice & Leisure, 390 Streatham High Road, SW16 6HX
- Great Guildford Street (St.Mungos), 96 Great Guildford Street, SE1 0ES
- Half Moon Lane, Herne Hill, SE24 9HU
- Henry Fawcett Childrens Centre SE11 5BZ
- Hitherfield (not Highfield) Primary School & Childrens Centre, SW16 2JQ
- Holiday Inn Express, Lambeth, 87 S Lambeth Rd, Oval, SW8 1RN
- Joe Richards House, 100 Queens Road, Peckham, SE15 2QT
- Jubliee Children's Centre, Tulse Hill, Brixton SW2 2JE
- Kaleidoscope, 32 Rushy Green, Catford SE6 4JF
- Keyworth Street (Hostel), 10 Keyworth Street, London, SE1 6NG
- Kingswood Children's Centre, 18 Bentons Lane, SE27 9UD
- Lambeth Assessment Centre, 11 Bondway, SW8 1SJ
- Leatherhead Institute, 67 High Street, Leatherhead, Surrey, KT22 8AH
- Lewisham Town Hall, 1 Catford Road, SE6 4RU
- London Bridge Hotel, Initial accommodation, 58 Great Dover Street , SE1 4YF
- Lorraine Hewitt House,12-14 Brighton Terrace, SW9 8DG
- Loughborough Children's Centre, 44 Minet Road Brixton SW9 7UA
- Manna Day Centre, 12 Melior St, SE1 3QP
- Manor Place Hostel (Lookahead) (Women), 140 Manor Place, SE17 3BH
- Martha Jones House, Wendle Court , 131-137 Wandsworth Road, SW8 2LH
- Maytree Children's Centre, 4 Allingham Road, Clapham SW4 8EG
- Missionaries of Charities Hostel (Men) , 116 St. Georges’ Road, SE1 6EU
- Old Kent Road Fire Station, 380 Old Kent Road, SE1 5AA
- Pagnell Street, Exeter Way, New Cross, SE14 6LL
- Palace Road, 38 Palace Road, London, SW2 3NJ
- Pavilion Practice, 9 Brighton Terrace, SW9 8DJ
- Peckham Park Road Baptist Church, 121 Peckham Park Road, SE15 6SX
- Queen Mary's Hospital (Renal Services), Sidcup, DA14 6LT
- Redhill Respiratory Centre (managed service agreement with Surrey and Sussex Healthcare) Commercial Team - RH1 5GW
- Robertson Street Project, 1a Daley Thompson Way, London, SW8 3DA
- Rye Oak Childrens Centre, Whorlton Road, Peckham SE15 3PD
- Spires Day Centre SW16 1RB
- Spring Garden Hostel, 1 Arlington Close, Hither Green, SE13 6JQ
- St Stephens Childrens Centre SW8 1XY
- Staging Post, 1 Arlington Close, Hither Green, SE13 6JQ
- Stockwell Children's Centre, Burgone Road, SW9 9QH
- Streatham Drop-in Centre For Refugees , English Martyrs Church, 2 Mitcham Lane, SW16 6NN
- Sunny Hill Children's Centre, SW16 2UW
- The Castle Centre (Everyone Active), 2 St Gabriel Walk, SE1 6FG
- The Old Library Rathbone, 14-16 Knight's Hill, Norwood, SE27 0HY
- The Powerhouse - SE11 5UD
- Victory Children's Centre, Victory Primary School, London SE17 1PT
- Waldron Health Centre - SE14 6LD
- Waterloo Christian Centre, 6-8 Webber Street, SE1 8QA
- Waterloo Hub Hotel, 54 Kennington Road, SE1 7BJ
- Waterloo Project Hostel Thames reach, 73-75 Stamford Street, SE1 9NB
- West Norwood Fire Station, 210 Knight's Hill, Norwood, SE2 0QA
- Wix Lane , 64-100 Wix Lane, SW4 0AQ
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What is the GSTT staff occupancy of the premises?
- 1x staff member
- 2x staff member
- 3x staff member
- 4x staff member
- 5-10x staff members
- 20+ staff members
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What is the GSTT staff frequency within the premises per week?
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What floor(s) of the premises are the GSTT staff using?
- Basement
- Ground
- First
- Second
- Third
- Fourth
- Fifth
- Sixth
- Seventh
- Eighth
- Ninth
- Tenth
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What activities are the GSTT staff member(s) performing on the premises?
- General health check ups
- Admin duties
- Children's services
- Adult services
- Elderly services
- Neighborhood Nursing
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What areas of the premises are the GSTT staff using?
- 1x Clinic room
- 2x Clinic rooms
- 3+ Clinic rooms
- Staff rest area
- Toilets
- Office space
- Common area
- Emergency routes
- Kitchen
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Was the GSTT staff member(s) present during the Fire Safety Short Audit?
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Name of staff member(s):
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Name of Responsible Person:
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Responsible Person email address:
1 - Are ignition sources adequately managed and controlled in the premises to reduce the risk of fire?
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1.1 Is smoking permitted on the premises?
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1.2 Is there a suitable management plan in place in regards to contactors activities, including hot works?
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1.3 Does the premises have a valid 5 year fixed electrical wiring certificate?
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1.4 Does electrical equipment have current PAT test?
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1.5 Does GSTT use areas have open element type heaters?
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1.6 Is arson a potential problem?
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1.7 Has there been any history of a fire in the premises within the last three years?
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1.8 Are excessive quantities of combustible materials used/stored in GSTT use areas?
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1.9 Is there gas on the premises?
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Does the premises have a valid gas safety certificate?
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2.0 Overall score regarding Ignition Sources.
2 - Are adequate measures in place to control the spread of a potential fire in the premises?
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2.1 What is the overall condition of the building?
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2.2 Is there evidence that Fire Stopping may be required in the GSTT use areas?
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2.3 Are all Fire Doors in the GSTT use areas fit for purpose?
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2.4 Are all Fire Doors in the GSTT use areas kept shut/locked/on hold backs as appropriate?
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2.5 Is the storage of hazardous materials in the GSTT use areas acceptable?
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2.6 Overall score regarding Adequate Measures in Place to Control the Spread of a Potential Fire.
3 - Can persons evacuate the premises safely in the event of a fire emergency in the premises?
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3.1 Does the GSTT staff member(s) have a PEEP in place?
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3.2 Does the GSTT staff member require a PEEP?
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3.3 Is emergency exit signage suitably in place for GSTT use areas?
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3.4 Is emergency lighting fitted within the premises?
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3.5 Does the premises have an emergency evacuation plan?
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3.6 Are all GSTT use emergency exit routes kept clear of obstruction?
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3.7 Are all GSTT use emergency stairwells kept clear of obstruction?
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3.8 Overall score regarding whether Persons Can Evacuate the Premises Safely in the Event of a Fire Emergency in the Premises.
4 - Can persons use the escape routes and final exits safely?
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4.1 How many emergency exit routes are available from GSTT use areas?
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4.2 Are the travel distance(s) acceptable for GSTT staff from their main use area?
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4.3 Is the final exit door(s) fit for purpose and clear of obstruction on both sides?
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4.4 Are the emergency exit routes from GSTT use areas well maintained and adequately protected?
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4.5 Overall score regarding Escape Routes and Final Exits.
5 - Is there adequate equipment in the premises for extinguishing small fires?
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5.1 Are there suitable Portable Fire Extinguishers available in and around the GSTT use areas?
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5.2 Are there Fire Blankets suitably positioned in GSTT use kitchen areas?
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Overall score regarding Equipment in the Premises for Extinguishing Small Fires .
6 - Are adequate arrangements in place to detect fires and raise the alarm to those people on the premises?
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6.1 Is the Fire Alarm System showing fully serviceable without fault and/or isolations?
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6.2 Is there suitable fire detection within GSTT use areas?
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6.3 Are Manual Call Points available with GSTT use areas?
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6.4 Overall score regarding Fire Detection on the Premises.
7 - Are adequate instructions or guidance on procedures to follow in an emergency provided for employees?
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7.1 Are GSTT Fire Awareness trained?
- All GSTT staff undergo annual Fire Awareness training. Records are kept on the trust's OLE intranet site.
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7.2 Is a Fire Safety induction given to new GSTT staff on the premises by the building manager?
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7.3 Are the GSTT staff member(s) fully aware of the emergency evacuation strategy for the premises?
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7.4 Are there suitably trained and available Fire Wardens in the premises?
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7.5 Are completed Fire Action Notices suitably placed in GSTT use areas?
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7.6 Overall score regarding Instructions or Guidance on Procedures to Follow in an Emergency.
8 - Are adequate management procedures in place to mitigate the effects of fires in the premises?
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8.1 Is a valid FRA available for the premises?
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8.2 Is a suitable schedule in place to check for building faults and maintenance issues?
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8.3 Overall score regarding Management Procedures in Place to Mitigate the Effects of Fires in the Premises.
