LAF/X- FRA-02

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

The Premises

• Person Contacted

  GM

  DCMS

  DCMO

  FSM

  SFOH

• Club Management

  Sign

• Hours premises in use - company set hours?

  Yes

  No

  N/A

• Number of floors

  1

  2

  3

  4

• Is the building an adjoining premises?

  Yes

  No

• Previous history of fire affecting the premises?

  Yes

  No

• Approximate maximum number of employees in the premises at any one time

  1-5

  6-10

  11-15

  16-20

• Approximate number of maximum members in the premises at any one time.

  1-100

  101-200

  201-300

  301-400

  401-500

• Date of last FRA

  Date

• Date of last FRA review

  Date

Occupants at Risk

• Disabled Occupants using the premises?

  Yes

  No

  N/A

• Measures in place if above is applicable?

  Yes

  No

  N/A

• Under 16's using the premises?

  Yes

  No

  N/A

• Measures in place if the above is applicable?

  Yes

  No

  N/A

• Visitors signing in and records kept for one month

  Yes

  No

  N/A

• Contractors signing in and out. Log kept for one month

  Yes

  No

  N/A

Raising the alarm

• Fire panel clear of any faults?

  Yes

  No

  N/A

• Call points tested every 7 days and recorded on the alarm testing log sheet

  Yes

  No

  N/A

• Club plan located near fire panel?

  Yes

  No

  N/A

• All break glass points clearly labelled

  Yes

  No

  N/A

• All smoke and heat detectors are undamaged and clear from obstruction

  Yes

  No

  N/A

Emergency Action Plan

• Emergency Plan located in Evacuation Folder at reception

  Yes

  No

  N/A

• Emergency contact list available and up to date with correct contacts

  Yes

  No

  N/A

• Sweep cards in place with nearest exit clearly stated

  Yes

  No

  N/A

• Evacuation training completed in the last 6 months by all members of staff and recorded in the Emergency Evacuation file at Reception

  Yes

  No

  N/A

• Method of contacting the emergency services trained and noted in the Emergency Evacuation folder

  Yes

  No

  N/A

• All flammable substances have a data sheet in the evacuation folder

  Yes

  No

  N/A

Means of escape

• Number of fire exits on the lower Ground 3

  Select 1 2 3 4 5 6 7 8 9 10 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • N/A

• Number of fire exits on the lower Ground 2

  Select 1 2 3 4 5 6 7 8 9 10 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • N/A

• Number of fire exits on the lower Ground 1

  Select 1 2 3 4 5 6 7 8 9 10 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • N/A

• Number of fire exits on the first floor

  Select 1 2 3 4 5 6 7 8 9 10 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • N/A

• Number of fire exits on second floor

  Select 1 2 3 4 5 6 7 8 9 10 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • N/A

• Number of fire exits on third floor

  Select 1 2 3 4 5 6 7 8 9 10 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • N/A

• Number of fire exits on fourth floor

  Select 1 2 3 4 5 6 7 8 9 10 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • N/A

• Are all fire exit doors are clearly signed with a fire exit sign and 'how to open' instructions

  Yes

  No

  N/A

• Are all fire exits and stairwells clear from slip/trip/fall hazards to assembly point?

  Yes

  No

  N/A

• Are all fire doors well maintained, with an effective self closing device and locked or shut if labelled

  Yes

  No

  N/A

• Directional signs correctly placed through to assembly point

  Yes

  No

  N/A

• Assembly point clearly labelled on fire action signs

  Yes

  No

  N/A

• Assembly point clearly signed and in an appropriate location

  Yes

  No

  N/A

• Does the lift have a 'do not use in event of fire' sign?

  Yes

  No

  N/A

Emergency Lighting (emergency escape lighting and emergency lighting) - BS 5266

• Emergency lights tested monthly and recorded on the alarm testing log

  Yes

  No

  N/A

• Emergency lights tested and recorded six monthly to ensure that the unit maintains emergency operation for at least one hour

  Yes

  No

  N/A

• Emergency lights tested and recorded 3 yearly (and after the first three years, tested annually) to ensure that each unit operates for its full design period.

  Yes

  No

  N/A

• Emergency escape lights present at each final exit door including both internal and external routes

  Yes

  No

  N/A

• Emergency escape lights present at all escape routes including those that may assist persons making their way to the assembly point

  Yes

  No

  N/A

• Emergency escape lights are located at Intersections of corridors

  Yes

  No

  N/A

• Emergency escape lights are located at any change in direction or floor level

  Yes

  No

  N/A

• Emergency escape lights present in all stairways to ensure each flight and landing is provided with adequate illumination

  Yes

  No

  N/A

• Emergency escape lights present in windowless rooms and WC's that exceed 8m squared

  Yes

  No

  N/A

• Emergency escape light present in disabled changing room

  Yes

  No

  N/A

• Emergency lighting present near fire fighting equipment, fire alarm call points and the fire alarm panel

  Yes

  No

  N/A

Fire Fighting Equipment - BS5306

• Number of fire extinguisher on (-4) ground floor

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • N/A

• Number of fire extinguishers on (-3) ground floor

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • N/A

• Number of fire extinguishers on (-2) ground floor

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • N/A

• Number of fire extinguishers on (-1) ground floor

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • N/A

• Number of fire extinguishers on ground floor

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • N/A

• Number of fire extinguishers on first floor

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • N/A

• Number of fire extinguishers on second floor

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • N/A

• Number of fire extinguishers on third floor

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • N/A

• Number of fire extinguishers on fourth floor

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • N/A

• Fire fighting equipment appropriate for the risks?

  Yes

  No

  N/A

• Fire fighting equipment checked daily and recorded

  Yes

  No

  N/A

• Fire extinguishers clear from obstruction

  Yes

  No

  N/A

• All fire extinguishers / fire blankets within service date

  Yes

  No

  N/A

• All fire extinguishers correctly mounted? If on brackets 1m off floor for large extinguishers and 1.5m for smaller ones.

  Yes

  No

  N/A

• All fire extinguishers / fire blankets correctly labelled, signed with instructions and purchased from a reputable supplier.

  Yes

  No

  N/A

• All fire extinguishers well maintained with pin and tag in place

  Yes

  No

  N/A

Fire Hazards

• Electrical equipment well maintained. e.g wires covered, no overloading of extension leads

  Yes

  No

  N/A

• PAT testing up to date and certificate available to see (online or on paper).

  Yes

  No

  N/A

• All electrical distribution boards/ cupboards containing electrical switches are locked and clear of items to 1.5m<br>E.g comms cupboard, sauna panel.

  Yes

  No

  N/A

• Heaters in good condition and are not covered

  Yes

  No

  N/A

• Hairdryer filters clear from dust and dirt. Wiring in good condition.

  Yes

  No

  N/A

• Sunbed filters in place, free of dust and sunbeds well maintained

  Yes

  No

  N/A

• External rubbish bins secure and locked to reduce potential arson attacks

  Yes

  No

  N/A

• Premises clear from any non-essential sources of ignition

  Yes

  No

  N/A

• Storage areas clear of large amounts of combustibles

  Yes

  No

  N/A

• Chemical store/ containers locked with key or unique padlock code

  Yes

  No

  N/A

• Hazardous chemicals are stored separately and appropriately

  Yes

  No

  N/A

• Boilers are well maintained and within service date

  Yes

  No

  N/A

• Sauna clear of any rubbish and within temperature range. Fire boarding in place and well maintained.

  Yes

  No

  N/A

• Plant room clear of any hazards. No rubbish.

  Yes

  No

  N/A

• Staff kitchen appliances well maintained

  Yes

  No

  N/A

• No smoking sign in place

  Yes

  No

  N/A

• Findings from this assessment have been discussed with a member of the Club Management Team and the report has been made available for future use

  Yes

  No

  N/A

• Any further notes

• Club Management

  Sign

• Assessor

  Sign