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

  • Brief details of construction:

  • Occupancy type:

2 The Occupants

  • Maximum number of occupants at any given time:

  • Maximum number of members of the public at one time:

3 Occupants At Special Risk

  • Are children employed at the premises?

  • Are there sleeping occupants?

  • Are there disabled occupants?

  • 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)

Part 2: FIRE HAZARDS AND ELIMINATION OR CONTROL

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

7 Smoking

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

  • Is smoking prohibited in appropriate areas?

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

  • 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 & Heating Installations

  • 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?

11 Lightning

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

12 Other Issues That Warrant Further Consideration

  • List other ignition sources:

13 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?

14 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?

15 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

16 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?

17 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?

18 Escape lighting

  • Is there a reasonable standard of escape lighting provided?

19 Fire safety signs and notices

  • Are fire safety signs and notices suitable and sufficient?

20 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?

21 Manual fire extinguishing appliances

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

  • Are hose reels provided?

22 Relevant automatic fire extinguishing systems

  • Type of system:

  • Comments and observations:

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

  • Types of facilities:

  • Comments and observations:

Part 4: MANAGEMENT OF FIRE SAFETY

24 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?

25 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?

26 Testing and maintenance

  • Is the workplace adequately maintained?

  • Is there weekly testing and periodic servicing of the fire detection and alarm system?

  • Is there monthly and annual testing of the emergency lighting?

  • Is there annual maintenance and testing of fire extinguishing equipment?

  • Is there annual inspection and test of the lightning protection system?

  • Is there six monthly and annual testing of wet/dry risers?

  • Is there weekly testing and periodic inspection of sprinkler installations?

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

  • Other relevant inspection and test

27 Records

  • Are there records of fire drills?

  • Are there records of fire training?

  • Are there records of fire alarm tests?

  • Are there records of emergency lighting tests?

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

Part 5: RISK RATING AND RECOMMENDATIONS

Risk Items

  • Item 1

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action Completed (please sign and date when complete)

  • Item 2

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action Completed (please sign and date when complete)

  • Item 3

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action Completed (please sign and date when complete)

  • Item 4

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action Completed (please sign and date when complete)

  • Item 5

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action Completed (please sign and date when complete)

  • Item 6

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action Completed (please sign and date when complete)

  • Item 7

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action Completed (please sign and date when complete)

  • Item 8

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action Completed (please sign and date when complete)

  • Item 9

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action Completed (please sign and date when complete)

  • Item 10

  • Probability (likelihood of fire)

  • Consequence (impact on life safety)

  • Risk rating score (probability x consequence)

  • Recommendations

  • Action Completed (please sign and date when complete)

  • Received by responsible person / representative

  • Assessor Signature

  • Pictures

Re-Assessment

  • Recommended date for re-assessment

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