Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Part 1: GENERAL INFORMATION

The responsible person for fire safety

  • Name of the responsible person

  • Contact details of responsible person

1 The Building

  • Number of Floors

  • Floor area: (m2 per floor)

  • Floor area: (m2 total)

  • Brief details of construction:

  • Occupancy type:

2 Occupants at special risk

  • Are the relevant control measures in place to accommodate disabled occupants?

  • Are the relevant control measures in place for occupants in remote areas?

3 Previous Fire loss experience

  • Is there any previous history of fire loss in or on the premises (if unsafe give details)

4 Other relevant background

  • Are there any residential properties in or attached to the building

  • Is there a prohibition notice in force? (if yes give date of issue)

  • Is there an alteration notice in force? (if yes give date of issue)

  • Is there an enforcement notice in force? (if yes give date of issue and date of when work is to be completed by)

Part 2: FIRE HAZARDS AND ELIMINATION OR CONTROL

5 Electrical sources of ignition

  • Are reasonable measures taken to prevent fires of electrical origin?

  • Is the fixed wiring installation periodically tested and inspected?

  • Are portable appliances tested / inspected?

  • Is there a suitable policy about the use of personal electrical appliances?

  • Is there a suitable limitation on the use of trailing leads and adapters?

  • Is Luminous Discharge Lighting installed? (if yes does the installation meet with current standards)

  • Is all electrical equipment tested and records on site

6 Smoking

  • Are reasonable measures taken to prevent fires as a result of smoking?

  • Is smoking prohibited in the building?

  • Are there suitable arrangements made for those who wish to smoke i.e. designated areas?

  • Is the smoking policy being adhered to?

  • Is the appropriate smoking prohibition notice displayed at the building's entrance?

7 Arson

  • Does the basic security against arson appear reasonable?

  • Is there sufficient control of unnecessary fire load in close proximity to the building or available for ignition by outsiders?

8 Portable heaters and heating installation

  • Is the use of portable heaters avoided as far as reasonably practicable?

  • If portable heaters are used, are the more hazardous types (radiant bars and LPG) avoided?

  • If portable heaters are used are suitable measures taken to minimise the risk of ignition of combustible materials?

  • Are fixed heating installations subject to regular maintenance?

10 Cooking facilities

  • Are reasonable measures taken to prevent cooking fires?

  • Are filters changed and ductwork cleaned regularly?

  • Are suitable extinguishers available?

10 Lightning

  • Does the building have lightning protection system if required? (if yes has it been tested and are records of testing kept)

11 Other significant ignition sources that warrant consideration

  • List other ignition sources:

12 Housekeeping

  • Is the standard of housekeeping adequate?

  • Are combustible materials separated from ignition sources?

  • Is the unnecessary accumulation of combustibles and waste avoided?

  • Is there appropriate storage of hazardous materials?

  • Are combustible materials stored appropriately?

13 Hazards introduced by contractors and building works

  • Is there sufficient control over works by contractors (e.g. Permits to work & hot works permits)?

  • Are there arrangements for the safe storage of gas bottles and others hazardous materials

  • Are fire safety conditions and instructions communicated to contractors?

14 Dangerous Substances

  • Are dangerous substances present on the premises?

  • Has the risk to relevant persons been adequately eliminated or reduced?

Part 3: FIRE PROTECTION MEASURES

15 Means of escape

  • Is the building provided with adequate means of escape in case of fire?

  • Are there sufficient exits?

  • Are exits easily and immediately openable where necessary?

  • Do fire exits open in the direction of travel where necessary?

  • Have sliding or revolving doors been avoided as fire exits?

  • Are there adequate means of securing exits?

  • Are there reasonable distances of travel where there is a single direction of travel?

  • Are there reasonable distances of travel where there are alternative means of escape?

  • Are escape routes adequately protected?

  • Are there suitable fire precautions for all inner rooms?

  • Are escape routes unobstructed?

  • Are there suitable means of escape for disabled occupants?

16 Measures to limit fire spread and development.

  • Is there a sufficient standard of compartmentation and sub-compartmentation?

  • Are linings that promote fire spread avoided as far as reasonably practicable?

17 Escape lighting

  • Is there a reasonable standard of escape lighting provided?

18 Fire safety signs and notices

  • Are fire safety signs and notices suitable and sufficient?

19 Means of giving warning in the event of fire

  • Is a manually operated electrical fire alarm system provided?

  • Is automatic fire detection provided?

  • Is there remote transmission of alarm signals?

20 Manual fire extinguishing appliances

  • Is there suitable and sufficient provision of portable fire extinguishers?

  • Are hose reels provided?

21 Relevant automatic fire extinguishing systems

  • Type of system:

  • Comments and observations:

22 Facilities, equipment and devices for the protection of Fire-Fighters

  • Types of facilities:

  • Comments and observations:

Part 4: MANAGEMENT OF FIRE SAFETY

23 Procedures and arrangements

  • Person responsible for fire safety:

  • Are there competent persons available to assist in implementing fire safety arrangements?

  • Are appropriate fire procedures in place? (including arrangements for calling the fire service)

  • Fire Emergency Plan in place and details recorded?

  • Does the plan take account of other Fire Emergency Plans applicable in the building?

  • Is the Fire Emergency Plan readily available for staff to read?

  • Is the Fire Emergency Plan available to the enforcing authority?

  • Are there persons nominated to respond to fire?

  • Are persons nominated to assist with evacuation?

  • Is there appropriate liaison with the fire service?

  • Do routine in-house inspections of fire precautions take place?

24 Training and drills

  • Are staff given instruction on induction?

  • Do staff receive periodic refresher training at suitable intervals?

  • Are staff with special responsibilities given appropriate training?

  • Are fire drills carried out at appropriate intervals?

Part 5: RISK RATING AND RECOMMENDATIONS

Risk Items

  • Part 1 - General Information (1-4).

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Action

  • Part 2 - Fire Hazards & Elimination Or Control (5-14).

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Action

  • Part 3 - Fire Protection Measures (15-22).

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Action

  • Part 4 - Management Of Fire Safety (23-24).

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Action

  • Received by responsible person / representative

  • Assessor Signature

  • Pictures

Re-Assessment

  • Recommended date for re-assessment

  • Recommended date for re-assessment

  • Recommended date for re-assessment

  • Recommended date for re-assessment

  • Recommended date for re-assessment

  • Recommended date for re-assessment

  • Recommended date for re-assessment

  • Recommended date for re-assessment

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