Regulatory Reform (Fire Safety) Order 2005

• Document No.

Authority

• Mid Sussex District Council

• Name of Assessor

• Name of Responsible Person (Under Fire Safety Order):
  David Harper - Business Unit Leader - Waste & Outdoor Services

• Building Name

• Location
  Address

• Conducted on

  Date

• Suggested Date for Review

  Date

Description of Premises

• Number of Floors

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Approximate Floor Area

• Occupancy

• Typical Number of Occupants

• Occupants at Special Risk

  Select Sleeping Persons with Disabilities Remote Areas Lone Working Others

  • Sleeping
  • Persons with Disabilities
  • Remote Areas
  • Lone Working
  • Others

• Are these premises:

  Higher Risk

  Normal Risk

  Lower Risk

Risk Assessment - Premises

• Outside Areas

• Are the buildings free from the risk of fire spreading from anything in the areas outside the building/s?

  Yes

  No

  N/A

• Is the external building fabric in good condition?

  Yes

  No

  N/A

• Construction

• Is the building constructed of non-combustible materials?

• Walls

  Yes

  No

  N/A

• Roofs

  Yes

  No

  N/A

• Floors

  Yes

  No

  N/A

• Ceilings

  Yes

  No

  N/A

• Linings

  Yes

  No

  N/A

• Partitions (including temperature controlled rooms)

  Yes

  No

  N/A

• Insulation

  Yes

  No

  N/A

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

Risk Assessment - Ignition Sources

• Electrical

• Has the fixed wiring installation been tested within the last five years?

  Yes

  No

  N/A

• Is the installation free from temporary wiring?

  Yes

  No

  N/A

• Are the electrical protection devices suitable for their purpose?

  Yes

  No

  N/A

• Are portable appliances inspected/tested annually?

  Yes

  No

  N/A

• Are trailing leads restricted to the minimum amount?

  Yes

  No

  N/A

• Are all trailing leads undamaged?

  Yes

  No

  N/A

• Are battery charging & electric switchgear areas clear of storage/combustible materials?

  Yes

  No

  N/A

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

• Heating

• Are heating appliances appropriate for the occupancy installed?

  Yes

  No

  N/A

• Are these installed in safe areas and away from any combustible materials?

  Yes

  No

  N/A

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

• Processes

• Are all processes low risk?

  Yes

  No

• State the process risk

  High

  Normal

  Low

• Are high risk processes located in segregated areas?

  Yes

  No

  N/A

• Are suitable safety features fitted?

  Yes

  No

  N/A

• Are flammable or hazardous liquids/oils/gases used?<br>If so are there satisfactory safeguards?

  Yes

  No

  N/A

• Is the plant on a planned maintenance schedule?

  Yes

  No

  N/A

• Is there satisfactory procedures for reporting and repairing defects?

  Yes

  No

  N/A

• Is welding/brazing/cutting carried out in specified areas only?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

Risk Assessment - Storage/Housekeeping

• Storage

• Are the storage areas for combustible materials separated from production areas by fire division walls?

  Yes

  No

  N/A

• Is storage in the workplace well controlled?

  Yes

  No

  N/A

• Are high risk areas free from storage?

  Yes

  No

  N/A

• Are aisles and means of escape routes free from storage?

  Yes

  No

• Are flammable or hazardous liquids and gases stored safely?

  Yes

  No

  N/A

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

• Housekeeping

• Are all areas clean and tidy?

  Yes

  No

• Is waste stored safely?

  Yes

  No

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

Risk assessment - Detection and Warning

• Manual Warning Systems

• Are there adequate means to warn people as soon as possible?

  Yes

  No

• Types of warning devices?

  Select None Handbells Electric Break Glass

  • None
  • Handbells
  • Electric Break Glass

• Are these suitable?

  Yes

  No

• Are the fire warning devices (audible/visual) suitable for any disabled visitors/employees?

  Yes

  No

  N/A

• Can the alarm be heard by all persons on the premises and without anyone being put at risk?

  Yes

  No

• Are there suitable "Action To Take In The Event Of Fire" notices around the premises and are these located near fire call point?

  Yes

  No

• Is the fire alarm tested weekly using different call points and records kept?

  Yes

  No

  N/A

• Are the call points easily visible?

  Yes

  No

• Are fire drills held twice a year and records kept?

  Yes

  No

• Are there suitable procedures for instructing visitors on site as to the action to take in the event of a fire alarm?

  Yes

  No

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

• Automatic Fire Detection Systems

  Yes

  No

  N/A

• Is the coverage of the detectors adequate?

  Yes

  No

• Are all high risk areas protected by detectors?

  Yes

  No

• Is the system maintained by an approved contractor?

  Yes

  No

• Is the alarm signal automatically transferred to an alarm receiving central station?

  Yes

  No

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

Risk Assessment - Means Of Escape

• IF YOU HAVE ANY DOUBTS ABOUT YOUR MEANS OF ESCAPE, CONSULT YOUR LOCAL FIRE PREVENTION OFFICER IMMEDIATELY

• Is the escape time for all occupants sufficient?

  Yes

  No

• Where appropriate, do doors used for means of escape open in the direction of travel?

  Yes

  No

  N/A

• Are there sufficient exits for the maximum number of people likely to be on the premises?

  Yes

  No

• Are all gangways and escape routes free from obstruction?

  Yes

  No

• Are all fire doors clearly labelled?

  Yes

  No

• Can all fire safety signs and fire exit notices be clearly seen?

  Yes

  No

• Are all self closers on fire doors in good working order?

  Yes

  No

  N/A

• Are all escape routes adequately lit?

  Yes

  No

• Can all doors used for means of escape purposes be opened easily and without the use of a key?

  Yes

  No

• Are all floor surfaces on escape routes free from tripping and slipping hazards?

  Yes

  No

• Are means of escape routes free from materials which would assist the spread of fire?

  Yes

  No

• Is the means of escape route satisfactory?

  Yes

  No

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

Risk Assessment - Fire Fighting

• Is there sufficient firefighting equipment of the correct type

  Yes

  No

  N/A

• Types of extinguisher

Extinguisher

• Type

  Water

  Foam

  CO2

  Fire Blanket

• Quantity

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Are portable fire extinguishers, fire blankets, etc, suitably located and available for use?

  Yes

  No

• Is the fire fighting equipment maintained by a competent company annually?

  Yes

  No

• Date of last inspection

  Date

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

Risk Assessment - Management Considerations & Practices

• Are you the sole occupier of the building?

  Yes

  No

• Is there an emergency plan?

  Yes

  No

• Does the induction training include "Actions to take in the event of a fire"?

  Yes

  No

• Are people trained in Fire Awareness?

  Yes

  No

• Are there adequate instructions for calling the Fire Service in the event of a fire?

  Yes

  No

• Is a "Hot Work" permit or "Permit to Work" system in force?

  Yes

  No

• Is smoking prohibited in the building?

  Yes

  No

• Is signage displayed to show this?

  Yes

  No

• Are suitable arrangements in place for persons who wish to smoke?

  Yes

  No

• Is there any evidence of breaches of policy in relation to smoking?

  Yes

  No

• Does basic security against arson appear reasonable?

  Yes

  No

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

  Yes

  No

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

Risk Assessment - Maintenance Practices

• Fire Alam Systems

  Yes

  No

  N/A

• Is this maintained annually and records kept?

  Yes

  No

• Is it tested weekly and records kept?

  Yes

  No

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

• Automatic Fire Detection System

  Yes

  No

  N/A

• Is this maintained quarterly and records kept?

  Yes

  No

• Is it inspected weekly and records kept?

  Yes

  No

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

• Emergency Lighting

  Yes

  No

  N/A

• Is this maintained annually and records kept?

  Yes

  No

• Is it inspected/tested weekly and records kept?

  Yes

  No

• Any comments or hazards observed?

  Yes

  No

  N/A

• Comments and/or hazards

• Add media

  Media

Risk Assessment - Previous Incidents

• Has the premises been free from?

• Fires?

  Yes

  No

• Break Ins?

  Yes

  No

• Vandalism?

  Yes

  No

• Other Incidents (state)

• If not, state incidents, costs and measures taken to prevent reoccurrence

• Has any recommendations been made following this risk assesment?

  Yes

  No

• DO YOU FEEL YOU NEED SPECIALIST ADVICE WITH THIS ASSESSMENT?

  Yes

  No

• Contact:

Risks & Recommendations Arising From This Risk Assessment

• State the recommendations with priority for implementation i.e.:
  Priority 1: Needs urgent attention within 2 weeks
  Priority 2: Needs attention in 3 months
  Priority 3: Needs consideration for the long term - further action plan maybe required

Recommendations

• Priority Level

  Priority 1

  Priority 2

  Priority 3

• Recommendations

Sign Off

• No other defects found at the time of inspection

• Other defects found

• Who will they be reported to

• Assessors Signature

  Sign