REFRALINE FIRE RISK ASSESSMENT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

FIRE SAFETY GENERAL

• Is there a system for controlling the quantities, safe use, and storage of combustibles and flammables substances (materials, liquids, gases) on the premises?

  Yes

  No

  N/A

• Are the above systems and controls operating effectively?

  Yes

  No

  N/A

• Is waste and rubbish collected regularly and placed in safe and secure bins outside the premises?

  Yes

  No

  N/A

• Are all designated smoking areas clearly visible

  Yes

  No

  N/A

• Do smoking areas have suitable facilities for the disposal of smoking materials which are emptied regularly?

  Yes

  No

  N/A

• No smoking rules enforced?

  Yes

  No

  N/A

• Are employees working in high risk areas (flammability) aware of the risks and the safety procedures to adopt?

  Yes

  No

  N/A

• All staff recieved basic fire instruction?

  Yes

  No

  N/A

• Do staff understand the importance of reporting any potential fire hazard?

  Yes

  No

  N/A

• Adequate access for fire services?

  Yes

  No

  N/A

• Other general points:

• Other media:

  Media

STORAGE OF FLAMMABLE CHEMICALS

• MSDS's for flammable liquids stored on point

  Yes

  No

  N/A

• Qty of flammable liquids not exceeding by-law regulation

  Yes

  No

  N/A

• If qty of flammable liquids stored in factory is less than -100L - stored so as to prevent fire and incident

  Yes

  No

  N/A

• Is there a flammable store on site?

  Yes

  No

  N/A

• Does the flammability store comply to the requirements of all relevant by-laws and building regulations

  Yes

  No

  N/A

• Is there a permit to work system in place for the use of flammable chemicals

  Yes

  No

  N/A

• Other general points

• Other media:

  Media

FIRE DETECTION AND ALARM SYSTEM

• Does the fire panel appear undamaged and working?

  Safe

  At Risk

  N/A

• Was the operational test free from any problems?

  Safe

  At Risk

  N/A

• Are all call points unobstructed and free from defects?

  Safe

  At Risk

  N/A

• Do all call points have necessary signage?

  Safe

  At Risk

  N/A

• Other general points

• Other media:

  Media

FIRE FIGHTING EQUIPMENT:

• Is there fire extinguishers available?

  Yes

  No

  N/A

• Are the fire extinguishers maintained and in good working order?

  Yes

  No

  N/A

• Do all fire extinguishers have open access and are free from clutter?

  Yes

  No

  N/A

• Is there sufficient and correct signage available to indicate position of fire ext?

  Yes

  No

  N/A

• Is the quantity fire extinguishers sufficient and comply to standards?

  Yes

  No

  N/A

• Are there hose reels?

  Yes

  No

  N/A

• Are the hose reels maintained, free from damage, and rendered tamper proof?

  Yes

  No

  N/A

• Sufficient and correct signage for hose reels?

  Yes

  No

  N/A

• Do fire fighters have the correct equipment and training to deal with fires unique to the building?

  Yes

  No

  N/A

• Fire hydrants tested for pressure and comply to all standards?

  Yes

  No

  N/A

• Fire hydrant clearly marked

  Yes

  No

  N/A

• Testing certificates and proof for sprinkler system

  Yes

  No

  N/A

• Other general points

• Other media:

  Media

EMERGENCY LIGHTING

• Are all emergency lights free from obvious damage?

  Safe

  At Risk

  N/A

• Are all charging indicator lights showing as working?

  Safe

  At Risk

  N/A

• Other general points:

• Other media:

  Media

MEANS OF ESCAPE

• Are the communal areas free from combustible material?

  Safe

  At Risk

  N/A

• Are all fire doors unobstructed?

  Safe

  At Risk

  N/A

• Is the integrity of the fire doors maintained?

  Safe

  At Risk

  N/A

• Are the fire escapes unobstructed?

  Safe

  At Risk

  N/A

• Are all final exits keyless and working correctly?

  Safe

  At Risk

  N/A

• Is the correct signage in place?

  Safe

  At Risk

  N/A

• Are all external escapes free for use and unobstructed?

  Safe

  At Risk

  N/A

• Fire exists leads to safe escape?

  Yes

  No

  N/A

• Are all methods of escape walkways free from obstruction?

  Yes

  No

  N/A

• Emergency evacuation plans displayed in all relevant areas

  Yes

  No

  N/A

• Fire doors open towards direction of escape?

  Yes

  No

  N/A

• All fire exits correct signage?

  Yes

  No

  N/A

• Adequate lighting for all escapes?

  Yes

  No

  N/A

• Other general points:

• Other media:

  Media

ELECTRICAL EQUIPTMENT

• Are all communal electrical points undamaged?

  Safe

  At Risk

  N/A

• Are all communal electrical points free from the signs of overloading?

  Safe

  At Risk

  N/A

• Are all communal points switched off when not in use?

  Safe

  At Risk

  N/A

• Is entire electrical installation in good and safe working order?

  Yes

  No

  N/A

• Electrical certificate available for building?

  Yes

  No

  N/A

• Is flexible electrical cables, adapters, and ext used safely

  Yes

  No

  N/A

• Is electrical equipment kept away from combustibles?

  Yes

  No

  N/A

• Are all appliances safe and inspected on monthly basis?

  Yes

  No

  N/A

• Other general points:

• Other media:

  Media

SMOKING

• Are all communal areas free from signs of smoking?

  Safe

  At Risk

  N/A

• Other general comments:

• Other media:

  Media

STORAGE AREAS

• Are all doors to storage areas / meter cupboard doors shut and secure?

  Safe

  At Risk

  N/A

• Are all areas close to building free from combustible materials?

  Safe

  At Risk

  N/A

• Storage racking complies with height restrictions for fire?

  Yes

  No

  N/A

• Other general comment:

• Other media:

  Media

CLOSING STATEMENT

• I confirm that I have carefully inspected the premises with respect to the questions asked.

  Sign