Regulatory Reform (Fire Safety) Order 2005, Fire Risk Assessment and safety management. - duplicate

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Part 1: GENERAL INFORMATION

The responsible person for fire safety

• Detail of managing agent

• Name of the responsible person

• Contact details of responsible person

1 The Building

• Address of premises

• Number of Floors

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Floor area: (m2 per floor)

• Floor area: (m2 total)

• Brief details of construction:

• Occupancy type:

2 The occupants

• Maximum number of rented or leased properties in building

• Estimated number of occupants at any given time: Based on assumed full occupancy ( unit x bedrooms)

3 Occupants at special risk

• Are there occupants in remote areas?

  Yes

  No

  N/A

• Are there lone workers?

  Yes

  No

  N/A

4 Previous Fire loss experience

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

  Yes

  No

  N/A

5 Other relevant background

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Part 2: FIRE HAZARDS AND ELIMINATION OR CONTROL

6 Electrical sources of ignition

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

  Yes

  No

  N/A

• Is the fixed wiring installation periodically tested and inspected?

  Yes

  No

  N/A

• Are portable appliances tested/inspected?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is all electrical equipment tested and records on site

  Yes

  No

  N/A

7 Smoking

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

  Yes

  No

  N/A

• Is smoking prohibited in the building?

  Yes

  No

  N/A

• Is smoking prohibited in appropriate areas?

  Yes

  No

  N/A

• Are there suitable arrangements made for those who wish to smoke?

  Yes

  No

  N/A

• Is there any evidence of breaches of smoking policy?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

8 Arson

• Does the basic security against arson appear reasonable?

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

9 Portable heaters and heating installation

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are fixed heating installations subject to regular maintenance?

  Yes

  No

  N/A

10 Lightning

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

  Yes

  No

  N/A

11. Other significant ignition sources that warrant consideration

• List other ignition sources:

12. Housekeeping

• Is the standard of housekeeping adequate?

  Yes

  No

  N/A

• Are combustible materials separated from ignition sources?

  Safe

  At Risk

  N/A

• Is the unnecessary accumulation of combustibles and waste avoided?

  Safe

  At Risk

  N/A

• Is there appropriate storage of hazardous materials?

  Yes

  No

  N/A

• Are combustible materials stored appropriately?

  Safe

  At Risk

  N/A

13 Hazards introduced by contractors and building works

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are fire safety conditions and instructions communicated to contractors?

  Yes

  No

  N/A

14 Dangerous Substances

• Has an asbestos survey been undertaken of all common ways?

  Yes

  No

  N/A

• Are dangerous substances present on the premises?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Part 3: FIRE PROTECTION MEASURES

15 Means of escape

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

  Yes

  No

  N/A

• Are there sufficient exits?

  Safe

  At Risk

  N/A

• Are exits easily and immediately openable where necessary?

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are there adequate means of securing exits?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are escape routes adequately protected?

  Yes

  No

  N/A

• Are escape routes unobstructed?

  Yes

  No

  N/A

• Are there suitable means of escape for disabled occupants?

  Yes

  No

  N/A

16 Measures to limit fire spread and development.

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

17 Escape lighting

• Is there a reasonable standard of escape lighting provided?

  Yes

  No

  N/A

18 Fire safety signs and notices

• Are fire safety signs and notices suitable and sufficient?

  Yes

  No

  N/A

19 Means of giving warning in the event of fire

• Is a manually operated electrical fire alarm system provided?

  Yes

  No

  N/A

• Is automatic fire detection provided?

  Yes

  No

  N/A

• Is there remote transmission of alarm signals?

  Yes

  No

  N/A

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

• Types of facilities:

• Comments and observations:

Part 4: MANAGEMENT OF FIRE SAFETY

21 Procedures and arrangements

• Person responsible for fire safety:

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is a simple building plan of building displayed and available for first responders?

  Yes

  No

  N/A

• Is the Fire Emergency Plan readily available for occupants and visitors to read?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

22 Training and drills

• Are staff given instruction prior to visiting premises

  Yes

  No

  N/A

• Is a safe working practice in place for lone workers visiting building?

  Yes

  No

  N/A

• Are staff with special responsibilities given appropriate training?

  Yes

  No

  N/A

23 Testing and maintenance

• Is the workplace adequately maintained?

  Yes

  No

  N/A

• Is there routine checks of fire doors and final exit doors?

  Yes

  No

  N/A

• Other relevant inspection and test

24 Records

• Are there records of staff training and instruction?<br>

  Yes

  No

  N/A

• Are there records of maintenance and testing of other fire protection systems?

  Yes

  No

  N/A

Part 5: RISK RATING AND RECOMMENDATIONS

Risk Items

• Item 1

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
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  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25

• Recommendations

• Action

• Item 2

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
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  • 22
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  • 24
  • 25

• Recommendations

• Action

• Item 3

• Probability (likelihood of fire)

  1 = Highly unlikely

  2 = Unlikely

  3 = Possible

  4 = Likely

  5 = Almost certain

• Consequence (impact on life safety)

  1 = Minor injury (No 1st Aid)

  2 = Minor injury (1st Aid)

  3 = Injury (Dr/Hospital treatment)

  4 = Major injury (Disability)

  5 = Fatality

• Risk rating score (probability x consequence)

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
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  • 19
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  • 21
  • 22
  • 23
  • 24
  • 25

• Recommendations

• Action

• Recommendations

• Action

• Received by responsible person / representative

  Sign

• Assessor Signature

  Sign

• Pictures

  Media

Re-Assessment

• Recommended date for re-assessment

  Date