Title Page
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Conducted on
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Prepared by
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Location
Details
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Name of Premises
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Conducted by
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Date
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Issued by
1. Occupancy
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Name of Premises
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Address
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Responsible Person
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Date of Last Fire Risk Assessment:
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Approximate maximum number in building:
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Approximate number of employees at any one time:
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Number of pupils on roll:
2. Occupants Especially at Risk from Fire
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Sleeping occupants:
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Disabled occupants:
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Occupants in remote areas and lone workers:
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Young Persons:
3. Fire Loss Experience
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Has there been a fire previously?
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Date
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Brief Details
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Cause
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Action Taken
4. Procedures and Arrangements
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Fire safety is managed by:
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This is not intended to represent a legal interpretation of responsibility, but merely reflects the managerial arrangement in place at the time of this risk assessment.
5. Electrical Sources of Ignition
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Has the 5-year fixed wire test been completed?
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Date of last fixed wire inspection and test?
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All outstanding work completed?
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The condition report may identify some remedial work that is required.
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Date Portable Appliance Testing (PAT) carried out?
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Suitable policy regarding the introduction and use of personal electrical appliances?
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Evidence of extension leads being used within the premises?
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Any other electrical risks posed?
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Additional Comments:
6. Smoking
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Measures taken to prevent fires as a result of smoking?
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Suitable arrangements for those who wish to smoke?
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Adequate arrangements for safe disposal of cigarettes?
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Additional Comments:
7. Arson
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Is security against arson suitable?
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Absence of unnecessary combustible materials?
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Wooden structures away from the building?
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Are bins and recycling bins secured and away from main building?
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Additional comments:
8. Portable Heaters and Heating Installation
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Are heating installations subject to regular servicing and maintenance?
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Date of service
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Are portable heaters avoided as far as is practicable?
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Are the more hazardous type (radiant bar fires or LPG appliances avoided)?
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Is the boiler room free from combustible materials?
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Additional comments:
9. Kitchen and Cooking
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Are reasonable measures taken to prevent fires as a result cooking?
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Filters changed and ductwork cleaned regularly?
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The kitchen extract ductwork should be subject to periodic deep cleaning. The frequency of cleaning will depend on the level of usage of the cooking equipment, types and quantity of cooking, vulnerability of the system to ignition, etc
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Heavy use (e.g. 12-16 hours per day): 3-monthly
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Moderate use (e.g. 6-12 hours per day): 6-monthly
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Light use (e.g. 2-6 hours per day): 12-monthly
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Are suitable extinguishing appliances available?
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Fire Blanket
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CO²- Electrical Appliance Fires etc
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AFFF- General Purpose
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Wet Chemical - Deep Fat Fryer only
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Powder - review the use in kitchen
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Additional comments:
10. Lightning
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Does the building have a lightning protection system?
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Additional comments:
11. Housekeeping
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Are the housekeeping standards adequate?
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Are escape routes maintained clear and fire extinguishers available?
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Additional comments:
12. Hazards Introduced by Outside Contractors and Building Works
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Is there control over works carried out in the building by outside contractors (including "hot work" permits)?
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If there are in-house maintenance personnel, are suitable precautions taken during "hot work", including use of hot work permits?
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Additional comments:
13. Dangerous Substances
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If dangerous substances are, or could be, used, has a risk assessment been carried out, as required by the Dangerous Substances and Explosive Atmospheres Regulations 2002?
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Additional comments:
14. Evacuation Arrangements
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What evacuation strategy is in place?
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Simultaneous Evacuation
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PHE
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Delayed
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PEEP
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SEEP
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Adequate provision of escape routes?
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Are all evacuation routes clearly indicated with appropriate signage?
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Are all final exits easily openable from the inside without the use of key?
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Are fire drills undertaken regularly- minimum once per 12 months- and recorded?
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(Frequency will be greater where shifts are worked to ensure all staff included)
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Additional comments:
15. Fire Doors, Fire Separation and Compartmentation
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Are Fire doors in good condition?
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Certificated
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Nominal Doors
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Are all doors forming the protected routes fitted with combined smoke seals and intumescent strips?
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Are all fire doors positively self-closing and fitting into the frame?
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Are doors that are not self-closing kept locked shut when not in use? i.e. (Linen Cupboards)
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Are all fire doors subjected to regular inspection with accurate records available?
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Are walls, floors and ceiling in good condition and capable of containing fire?
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If there is under-stairs storage is the staircase suitably protected from fire?
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Is there evidence of suitable fire-stopping where pipes and cables penetrate walls and ceiling providing fire separation?
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Intumescent Expanding Foam
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Intumescent Mastics
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Rockwall
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Collars or cuffs
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Additional comments:
16. Emergency Lighting
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Is suitable emergency escape lighting system provided for emergency use?
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Are in-house monthly testing routines conducted and recorded for emergency escape lighting?
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Is 12-monthly servicing of and discharge of the emergency lighting conducted by an approved contractor and records available?
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Date of emergency lighting service
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Additional comments:
17. Fire Safety Signs and Notices
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Reasonable standard of fire safety signs and notices?
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Additional comments:
18. Means of Giving Warning in Case of Fire
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Is there manually operated electrical fire alarm system provided (call points and sounders)?
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Is automatic fire detection provided?
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L1
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L2
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L3
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L4
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L5
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M
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Is the Fire Alarm addressable?
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Does the fire detection extend to the roof space?
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Is there a suitable zone plan sited at the control panel?
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(Written details not permitted on their own)
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Is a remote transmission of alarm signals provided to a monitoring centre so that the alarm will operate outside core business hours?
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Is weekly testing of fire detection call points and alarm system conducted and recorded?
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Are any hold open devices or Paxton devices linked to the fire alarm also tested and recorded as part of weekly alarm testing
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Is 6-monthly servicing of the alarm conducted by an approved contractor and records available?
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Date of 6-monthly service
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Additional comments:
19. Fire Extinguishers
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Are fire extinguishers provided and are they suitable for the levels of risk?
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Are all fire extinguisher accessible and free from obstruction?
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Are in-house monthly testing routines conducted and recorded for fire extinguishers?
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Is the 12-monthly servicing of fire extinguishers conducted by an approved contractor and records available?
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Date of annual service
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Additional comments:
20. Miscellaneous Testing and Inspection
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Periodic inspection of external escape routes and gangways?
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Thorough inspection of fire doors - BS9999 recommends periods of not less than 6 months
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Six-monthly inspection and annual testing of rising mains?
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Weekly and monthly testing, six monthly inspection and annual testing of fire-fighting lifts?
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Weekly testing and periodic inspection of sprinkler installations or other protective installations?
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Additional comments:
Declaration
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This review of the Fire Safety Arrangements is based upon my survey of the premises and information provided at the time of the survey.
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It is to the best of my knowledge a fair and accurate statement of the fire safety status within the building.
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Date
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Signed