PERSON-CENTRED FIRE RISK ASSESSMENT

• Site conducted

  Select

• Name of resident:

• Address of premises:

• Person(s) consulted:

• Name of assesser:

• Date of this person-centred fire risk assessment:

  Date

• Suggested date of person-centred fire risk assessment review:

  Date

Smoking

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  Select Non-smoker Smokes but no sign of careless handling Smokes and signs of careless handling

  • Non-smoker
  • Smokes but no sign of careless handling
  • Smokes and signs of careless handling

• undefined

  Select Does not use reduced ignition propensity cigarettes Discarded cigarettes and matches A few burn marks found on carpets Cigarette burns to clothes or furnishings Other

  • Does not use reduced ignition propensity cigarettes
  • Discarded cigarettes and matches
  • A few burn marks found on carpets
  • Cigarette burns to clothes or furnishings
  • Other

• Other (please specify):

• No further consideration required.

• No further consideration required.

Cooking

• undefined

  Select No cooking facilities Cooking, but no evidence or suggestion of careless behaviour Cooking and evidence or suggestion of careless behaviour

  • No cooking facilities
  • Cooking, but no evidence or suggestion of careless behaviour
  • Cooking and evidence or suggestion of careless behaviour

• Cooking and evidence or suggestion of careless behaviour:

  Select Inappropriate use of cooking equipment (e.g. microwave ovens) May occasionally leave cooking unattended Likely to leave cooking unattended History of alarm signals or small fires from cooking Other

  • Inappropriate use of cooking equipment (e.g. microwave ovens)
  • May occasionally leave cooking unattended
  • Likely to leave cooking unattended
  • History of alarm signals or small fires from cooking
  • Other

• Other (please specify):

• No further consideration required.

• No further consideration required.

Electrical

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  Select Equipment safety used and maintained Extensive use of extension leads and adaptors and/or electric blankets, but adequately maintained. Use of extension leads and adaptors and/or electric blankets, but lack of maintenance or signs of wear and tear.

  • Equipment safety used and maintained
  • Extensive use of extension leads and adaptors and/or electric blankets, but adequately maintained.
  • Use of extension leads and adaptors and/or electric blankets, but lack of maintenance or signs of wear and tear.

• No further considerations required.

• No further considerations required

• undefined

  Select Cube (Double) adaptors Potential overloading of circuits Worn equipment or cables Electric blankets not maintained regularly Other

  • Cube (Double) adaptors
  • Potential overloading of circuits
  • Worn equipment or cables
  • Electric blankets not maintained regularly
  • Other

• Other (please specify):

Portable Heaters

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  Select No use of portable heaters Portable heaters limited to oil-filled radiators or convection heaters compliant with modern standards. Higher hazard portable heaters, such as fan heaters, radiant bar fires or paraffinhetaers.

  • No use of portable heaters
  • Portable heaters limited to oil-filled radiators or convection heaters compliant with modern standards.
  • Higher hazard portable heaters, such as fan heaters, radiant bar fires or paraffinhetaers.

• No further considerations required.

• No further considerations required.

• undefined

  Select Evidence of heaters sited too close to combustible materials Likelihood of heaters sited too close to combustible materials Potential for other careless use e.g. drying clothes, warming meals etc. Other

  • Evidence of heaters sited too close to combustible materials
  • Likelihood of heaters sited too close to combustible materials
  • Potential for other careless use e.g. drying clothes, warming meals etc.
  • Other

• Other (please specify):

Use of candles

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  Select No candle use. Candles used, but with appropriate precautions. Candle use without appropriate precautions.

  • No candle use.
  • Candles used, but with appropriate precautions.
  • Candle use without appropriate precautions.

• No further considerations required.

• No further considerations required.

• Please specify:

Deliberate ignition

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  Select No history of, or likely potential for, deliberate ignition No history of deliberate ignition, but some potential History or likelihood of deliberate ignition

  • No history of, or likely potential for, deliberate ignition
  • No history of deliberate ignition, but some potential
  • History or likelihood of deliberate ignition

• No further consideration required.

• Please specify:

• undefined

  Select Previous history of deliberate ignition History of malicious false alarms to fire and rescue service Other

  • Previous history of deliberate ignition
  • History of malicious false alarms to fire and rescue service
  • Other

• Other (please specify):

Alcohol or drug use

• undefined

  Select None. Alcohol or drug use, with no other high fire risk behaviour. Significant alcohol or drug use, combined with high fire risk behaviour.

  • None.
  • Alcohol or drug use, with no other high fire risk behaviour.
  • Significant alcohol or drug use, combined with high fire risk behaviour.

• No further consideration required.

• No further consideration required.

• undefined

  Select Evidence or likelihood of careless handling of smoking materials. Evidence or likelihood of leaving cooking unattended. Other.

  • Evidence or likelihood of careless handling of smoking materials.
  • Evidence or likelihood of leaving cooking unattended.
  • Other.

• Other (please specify):

Hoarding (access)

• undefined

  Select No hoarding, or hoarding of generally non-combustible materials that do not obstruct escape routes. Hoarding between clutter levels 1 and 4. Hoarding between clutter levels 5 and 9.

  • No hoarding, or hoarding of generally non-combustible materials that do not obstruct escape routes.
  • Hoarding between clutter levels 1 and 4.
  • Hoarding between clutter levels 5 and 9.

• No further considerations required.

• undefined

  Select Hoarding confined to a single room. Hoarding is more than one room. Hoarding within escape routes.

  • Hoarding confined to a single room.
  • Hoarding is more than one room.
  • Hoarding within escape routes.

• Level:

• Types of materials hoarded:

• undefined

  Select Hoarding confined to a single room. Hoarding in more than one room. Hoarding within escape route

  • Hoarding confined to a single room.
  • Hoarding in more than one room.
  • Hoarding within escape route

• Level:

• Types of materials hoarded:

Oxygen

• undefined

  Select No oxygen used. Use of oxygen combined with high fire risk behaviour.

  • No oxygen used.
  • Use of oxygen combined with high fire risk behaviour.

• No further consideration required.

• undefined

  Select Oxygen use combined with smoking. Other.

  • Oxygen use combined with smoking.
  • Other.

• Other (please specify):

Sensory impairment

• undefined

  Select None. Hear of hearing or partially sighted. Deaf or blind.

  • None.
  • Hear of hearing or partially sighted.
  • Deaf or blind.

• No further consideration required.

• Please specify:

• Please specify:

Capacity of resident to respond appropriately to fire alarm signals or signs of fire.

• undefined

  Select Fully able to respond appropriately May be slow to respond Unable to respond: would need assistance.

  • Fully able to respond appropriately
  • May be slow to respond
  • Unable to respond: would need assistance.

• No further consideration required.

• undefined

  Select Limited decision-making ability. Learning difficulties. Dementia. Other.

  • Limited decision-making ability.
  • Learning difficulties.
  • Dementia.
  • Other.

• Please specify:

• undefined

  Select Inability to make appropriate decisions. Severe learning difficulties. Dementia. Other.

  • Inability to make appropriate decisions.
  • Severe learning difficulties.
  • Dementia.
  • Other.

• Please specify:

Ability of resident to make their way to safety.

• undefined

  Select Fully able. Limited mobility, so slow to evacuate. No mobility without assistance.

  • Fully able.
  • Limited mobility, so slow to evacuate.
  • No mobility without assistance.

• No further consideration required.

• undefined

  Select Ability to evacuate the building. Ability to move away from the fire, but not the room of fire origin. Ability to move from the room of fire origin, but not the building.

  • Ability to evacuate the building.
  • Ability to move away from the fire, but not the room of fire origin.
  • Ability to move from the room of fire origin, but not the building.

• Please specify:

Other factors

• Please specify:

Risk Level

• Risk level:

  Low

  Medium

  High

Signature

• Name of assessor

  Sign

Hoarding (access)

• Hoarding in living room

  

• Hoarding in kitchen

  

• Hoarding in bedrooms