Regulatory Reform (Fire Safety) Order 2005, Fire Risk Assessment. In Accordance with Firecode - HTM 05-03: Part K

• Document No.

• Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Contact/s

General Information

• The Regulatory Reform (Fire Safety) Order 2005 (FSO) came into effect in October 2006 it applies to all non-domestic premises in England and Wales, Under the FSO the responsible person must carry out a fire safety risk assessment and implement and maintain a fire management plan.
  Risk assessment within a healthcare premise in England should be undertaken by referring to Department of Health NHS Firecode guidance documents, more specifically the HTM 05 suite of documents. This risk assessment pro forma is developed using the Department of Health exemplar pro forma which was discussed and agreed with the Chief Fire Officers Association.

• This Fire Risk Assessment has been carried out for the specific and exclusive use of:

• It is a requirement of the Regulatory Reform (Fire Safety) Order 2005 is that significant findings must be shared with employees and all relevant persons.

Overview of the Premises

• Occupier

• Owner (if different from the occupier)

• Responsible Person

• Number of floors

• Number of basements

• General description of the premises

• Date of construction

The Assessment Area

• Name of the building/department

• Original design guidance (if known) or guidance used at last upgrade

  Select Red Engine HTM 81 (Grey) Nucleus HTM 81 (Yellow) HTM 05-02 Unknown

  • Red Engine
  • HTM 81 (Grey)
  • Nucleus
  • HTM 81 (Yellow)
  • HTM 05-02
  • Unknown

• Use of assessment area

• Hours premises are in use

  08.00-17.00 Weekdays

  08.00-17.00 7 days

  08.00-20.00 Weekdays

  08.00-20.00 7 days

  24 Hour operation

• Name of Responsible Person/s in assessment area

• Position of Responsible Person/s in assessment area

• Contact details of Responsible Person/s

• Date of previous Fire Risk Assessment

  Date

• Fire Risk Assessment Review

• Fire Risk Assessments should be kept under constant review, and reviewed whenever circumstances change which affect the validity of the current risk assessment. While there is no maximum period between assessments it is normally accepted that reviews are carried out 12 monthly, however other suitable review periods may be negotiated with the Enforcing Authority.

• Revision type/number

• Overall level of compliance of the assessment area

  Compliant

  Generally Compliant

  Non Compliant

• Name of assessor

  Sign

STEP 1 IDENTIFYING THE RISKS

Sources of Ignition

• Arson

• 1.1 Are the protection measures against arson adequate?

  Yes

  No

  N/A

• 1.2 Is there an arson reduction policy?

  Yes

  No

  N/A

• Smoking

• 1.3 Are there adequate measures in place with regards to smoking?

  Yes

  No

  N/A

• 1.4 Is smoking properly controlled?

  Yes

  No

  N/A

• Cooking

• 1.5 Are cooking appliances in the assessment area in suitable locations?

  Yes

  No

  N/A

• 1.6 Are they managed appropriately to prevent Unwanted Fire Signals

  Yes

  No

  N/A

• Electrical Appliances

• 1.7 Are electrical appliances properly installed?

  Yes

  No

  N/A

• 1.8 Are they properly maintained?

  Yes

  No

  N/A

• 1.9 Is there suitable limitation in the use of trailing leads?

  Yes

  No

  N/A

• 1.10 Is the use of multi point adaptors avoided?

  Yes

  No

  N/A

• Heating

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

  Yes

  No

  N/A

• 1.12 If portable heaters are used are the more hazardous types such as radiant bar and LPG avoided?

  Yes

  No

  N/A

• Hot Works

• 1.13 Are any hot processes used in the area adequately managed?

  Yes

  No

  N/A

• 1.14 Is there a permit system in place?

  Yes

  No

  N/A

• 1.15 Is the permit system complied with?

  Yes

  No

  N/A

• 1.16 Is there an absence any other sources of sparking or naked flame in the assessment area?

  Yes

  No

  N/A

• 1.17 Is there a permit system in place for any hot works processes that are carried out by external contractors?

  Yes

  No

  N/A

• 1.18 Is the permit system complied with?

  Yes

  No

  N/A

Sources of Fuel

• Waste

• 1.19 Is waste material properly managed from production to disposal?

  Yes

  No

  N/A

• Combustibles

• 1.20 Are combustible materials such as linens, medical supplies etc. stored appropriately and in reasonable quantities?

  Yes

  No

  N/A

• 1.21 Do furnishings meet with current fire resistance standards (HTM 05-03 Part C)?

  Yes

  No

  N/A

• 1.22 Are surface finishes appropriate?

  Yes

  No

  N/A

• 1.23 Are notice boards and other combustible wall hangings within acceptable limits?

  Yes

  No

  N/A

• Flammables

• 1.24 Are adequate procedures in place for any flammable liquids/products that are used or stored?

  Yes

  No

  N/A

• 1.25 Are any such procedures well managed?

  Yes

  No

  N/A

• Hazardous Materials

• 1.26 Are there adequate procedures in place for any hazardous materials that are used or stored?

  Yes

  No

  N/A

• 1.27 Are any such procedures well managed?

  Yes

  No

  N/A

• Flammable Gases

• 1.28 Are there adequate procedures in place for any flammable gases that are used or stored?

  Yes

  No

  N/A

• 1.29 Are any such procedures well managed?

  Yes

  No

  N/A

Sources of Oxygen

• Oxidising Materials

• 1.30 Are are there adequate procedures in place for any oxidising materials that are used or stored?

  Yes

  No

  N/A

• 1.31 Are any such procedures well managed?

  Yes

  No

  N/A

• Oxygen Supplies

• 1.32 Are there adequate procedures in place for any oxygen supplies that are used or stored?

  Yes

  No

  N/A

• 1.33 Are any such procedures well managed?

  Yes

  No

  N/A

STEP 2 PERSONS AT RISK

Staff

• 2.1 Do staff work in the assessment area?

  Yes

  No

• 2.2 Day (how many?)

  Select 1 2 3 4 5 5-10 10-15 15-20 20-25 25-30 30-40 40-50 50-60

  • 1
  • 2
  • 3
  • 4
  • 5
  • 5-10
  • 10-15
  • 15-20
  • 20-25
  • 25-30
  • 30-40
  • 40-50
  • 50-60

• 2.3 Night (how many?)

  Select 1 2 3 4 5 5-10 10-15 15-20 20-25 25-30 30-40 40-50 50-60

  • 1
  • 2
  • 3
  • 4
  • 5
  • 5-10
  • 10-15
  • 15-20
  • 20-25
  • 25-30
  • 30-40
  • 40-50
  • 50-60

• 2.4 Occasionally (how many?)

  Select 1 2 3 4 5 5-10 10-15 15-20 20-25 25-30 30-40 40-50 50-60

  • 1
  • 2
  • 3
  • 4
  • 5
  • 5-10
  • 10-15
  • 15-20
  • 20-25
  • 25-30
  • 30-40
  • 40-50
  • 50-60

• 2.5 Are adequate protection measures in place for lone workers in the assessment area?

  Yes

  No

  N/A

• 2.6 Are adequate protection measures in place for staff with disabilities working in the assessment area?

  Yes

  No

  N/A

• 2.7 Are adequate protection measures in place if children are employed at the premises?

  Yes

  No

  N/A

Patients

• 2.8 Is the assessment area a patient area?

  Yes

  No

• 2.9 If the area is a patient area are patients assessed against the patient category criteria (HTM 05-02)?

  Yes

  No

  N/A

• 2.10 If the area is a patient area what category are the patients?

  Select independent Dependant Very Highly Dependant

  • independent
  • Dependant
  • Very Highly Dependant

• 2.11 If the area is a patient are how many patients are there?

  Select 1-5 5-10 10-15 15-20 20-25 25-30 30-35 35-40

  • 1-5
  • 5-10
  • 10-15
  • 15-20
  • 20-25
  • 25-30
  • 30-35
  • 35-40

• 2.12 Is the area a patient sleeping area?

  Yes

  No

  N/A

• 2.13 Is the area a patient access area?

  Yes

  No

  N/A

Visitors

• 2.14 Do large numbers of members of the public visit the assessment area?

  Yes

  No

• 2.14 If large numbers of members of the public visit the assessment area what is the approximate maximum number at any one time?

  Select 60-70 70-80 80-90 90-100 100-125 125-150 150-175 175-200

  • 60-70
  • 70-80
  • 80-90
  • 90-100
  • 100-125
  • 125-150
  • 150-175
  • 175-200

Contractors

• 2.15 If external contractors work in the assessment area are there adequate measures in place to protect them?

  Yes

  No

  N/A

• 2.16 Are there adequate control measures in place to protect others from contractor activities?

  Yes

  No

  N/A

STEP 3 PRECAUTIONS IN PLACE

Compartmentation, Elements of Structure, Hazard Rooms

• 3.1 Based on visual inspection of readily accessible areas does the Compartmentation appear to be appropriate?

  Yes

  No

  N/A

• 3.2 Is the minimum period of fire protection provided provided by elements of structure?

  Yes

  No

  N/A

• 3.3 Are risk rooms of the appropriate fire resisting standard?

  Yes

  No

  N/A

Fire Alarm

• 3.4 If a manually operated fire alarm system is required is it provided in accordance with HTM 05-03 Part B?

  Yes

  No

  N/A

• 3.5 If an automatic fire detection system is required is it provided in accordance with HTM 05-03 Part B

  Yes

  No

  N/A

• If a fire alarm and detection system is provided is it:-

• 3.6 Conventional?

  Yes

  No

  N/A

• 3.7 Addressable?

  Yes

  No

  N/A

• 3.8 A life safety system?

  Yes

  No

  N/A

• 3.9 A property protection system?

  Yes

  No

  N/A

• 3.10 If there is a fire alarm and detection system is it linked to an alarm receiving centre?

  Yes

  No

  N/A

Emergency Lighting

• 3.11 Is there emergency lighting?

  Yes

  No

  N/A

• 3.12 Does it appear to be provided in accordance with BS 5266 :2005?

  Yes

  No

  N/A

Fire Fighting Equipment

• 3.13 Is there appropriate means for fighting fire?

  Yes

  No

  N/A

• 3.14 Does it appear to be provided in accordance with BS 5306-8 :2000?

  Yes

  No

  N/A

Lightning Protection

• 3.15 If required Is the building protected against lightning?

  Yes

  No

  N/A

Fire Doors

• 3.16 Are all fire doors to the appropriate fire resisting standard?

  Yes

  No

  N/A

• 3.17 Do all fire doors close fully and form a close fit within the frame?

  Yes

  No

  N/A

• 3.18 Are fire doors fitted with intumescent strips and smoke seals?

  Yes

  No

  N/A

• 3.19 Is the the practice of wedging or holding open of fire doors avoided?

  Yes

  No

  N/A

Signage

• Is there a suitable standard of:

• 3.20 Exit signage?

  Yes

  No

  N/A

• 3.21 Fire instruction notices?

  Yes

  No

  N/A

• 3.22 Fire door signage?

  Yes

  No

  N/A

• 3.23 Extinguisher type and location signage?

  Yes

  No

  N/A

• 3.24 Manual call point location signage?

  Yes

  No

  N/A

• 3.25 Other required signage? (e.g. Fire fighter override switches)

  Yes

  No

  N/A

Means of Escape

• Travel Distances

• 3.26 Are travel distances within acceptable limits?

  Yes

  No

  N/A

• Escape Routes and Exits

• 3.27 Are escape routes unobstructed?

  Yes

  No

  N/A

• 3.28 Are all doors on escape routes available for immediate use?

  Yes

  No

  N/A

• 3.29 Are final exit doors easily openable? (only approved means of securing used)

  Yes

  No

  N/A

• 3.30 Are there sufficient exits for the occupancy?

  Yes

  No

  N/A

Maintenance

• Is there evidence of testing and maintenance of:

• 3.31 Fixed heating installations?

  Yes

  No

  N/A

• 3.31 The compartmentation?

  Yes

  No

  N/A

• 3.32 The fire alarm system?

  Yes

  No

  N/A

• 3.33 Emergency Lighting?

  Yes

  No

  N/A

• 3.34 The fire fighting equipment?

  Yes

  No

  N/A

• 3.35 The lightning protection?

  Yes

  No

  N/A

• 3.36 Fire doors?

  Yes

  No

  N/A

• 3.37 Electrical appliances?

  Yes

  No

  N/A

• 3.38 Fire/smoke dampers and control systems?

  Yes

  No

  N/A

• 3.39 Facilities for the fire service? (E.g. private hydrant mains and dry risers)

  Yes

  No

  N/A

Management

• 3.40 Is there a fire policy in place?

  Yes

  No

  N/A

• 3.41 Is there an emergency plan in place?

  Yes

  No

  N/A

• 3.42 Are there procedures in place for meeting the Fire and Rescue Service?

  Yes

  No

  N/A

• 3.43 Do staff receive appropriate training?

  Yes

  No

  N/A

• 3.44 Is there evidence of staff training?

  Yes

  No

  N/A

• 3.45 Has a drill been carried out within the past year?

  Yes

  No

  N/A

• 3.46 Is there evidence of fire drills?

  Yes

  No

  N/A

STEP 4 SIGNIFICANT FINDINGS AND ACTION PLAN

Risk Value Matrix

Likelihood of Ocurrance

• Negligible = 1

• Low = 2

• Moderate = 3

• High = 4

• Extreme = 5

Severity of Outcome

• Negligible = 1

• Slight damage to property or minor injury to occupants (first aid required) = 2

• Moderate damage to property, partial evacuation, injury to occupants (medical attention required) = 3

• Large scale damage to property, complete evacuation, occupants hospitalised = 4

• Major loss of property, Loss of life = 5

Risk Ratings and Actions

• Likelihood X Severity = Risk Rating

• 1 - 3 = Low risk - Record findings and review in 12 months

• 4 - 6 = Moderate risk - Implement additional controls within 12 months

• 8 - 12 = High risk - Implement interim measures immediately and full control measures within 3 months

• 15 - 25 = Extreme risk - Cease use of the area until additional controls have been implemented

Risk Items

• Item 1

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 2

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 3

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 4

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 5

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 6

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 7

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 8

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 9

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 10

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 11

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 12

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 13

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 14

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action

• Item 15

• Likelihood of Occurance

  1 = Negligible

  2 = Low

  3 = Moderate

  4 = High

  5 = Extreme

• Severity of Outcome

  1 = Negligible

  2 = Slight damage/minor injury

  3 = Moderate damage/partial evacuation/medical attention

  4 = Large scale damage/complete evacuation/hospitalisation

  5 = Major damage/loss of life

• Risk Rating (likelihood x severity)

  Select 1 - Review in 12 months 2 - Review in 12 months 3 - Review in 12 months 4 - Additional controls within 12 months 5 - Additional controls within 12 months 6 - Additional controls within 12 months 8 - Interim measures immediately, full controls within 3 months 9 - Interim measures immediately, full controls within 3 months 10 - Interim measures immediately, full controls within 3 months 12 - Interim measures immediately, full controls within 3 months 15 - Cease use of the area until additional controls have be implemented 16 - Cease use of the area until additional controls have be implemented 20 - Cease use of the area until additional controls have be implemented 25 - Cease use of the area until additional controls have be implemented

  • 1 - Review in 12 months
  • 2 - Review in 12 months
  • 3 - Review in 12 months
  • 4 - Additional controls within 12 months
  • 5 - Additional controls within 12 months
  • 6 - Additional controls within 12 months
  • 8 - Interim measures immediately, full controls within 3 months
  • 9 - Interim measures immediately, full controls within 3 months
  • 10 - Interim measures immediately, full controls within 3 months
  • 12 - Interim measures immediately, full controls within 3 months
  • 15 - Cease use of the area until additional controls have be implemented
  • 16 - Cease use of the area until additional controls have be implemented
  • 20 - Cease use of the area until additional controls have be implemented
  • 25 - Cease use of the area until additional controls have be implemented

• Level of risk

  Low

  Medium

  High

  Very High

• Recommendations

• Action