• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


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

  • 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?

  • Are there lone workers?

4 Previous Fire loss experience

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

5 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)


6 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 all electrical equipment tested and records on site

7 Smoking

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

  • Is smoking prohibited in the building?

  • Is smoking prohibited in appropriate areas?

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

  • Is there any evidence of breaches of smoking policy?

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

8 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?

9 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 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

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

  • Are dangerous substances present on the premises?

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


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

  • Types of facilities:

  • Comments and observations:


21 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)

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

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

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

22 Training and drills

  • Are staff given instruction prior to visiting premises

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

  • Are staff with special responsibilities given appropriate training?

23 Testing and maintenance

  • Is the workplace adequately maintained?

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

  • Other relevant inspection and test

24 Records

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

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


Risk Items

  • Item 1

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action

  • Item 2

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action

  • Item 3

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action

  • Recommendations

  • Action

  • Received by responsible person / representative

  • Assessor Signature

  • Pictures


  • Recommended date for re-assessment

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.