Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
CONTACT & PREMISES INFO
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Name of Responsible Person
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Telephone No
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Email address
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CLG Industry Classification
- Animal Premises & Stables
- Education
- Factories & Warehouses
- Healthcare Premises
- Offices & Shops
- Open Air Events & Venues
- Places of Assembly
- Residential Care
- Sleeping Accommodation
- Theatres, Cinemas & Similar Premises
- Transport Premises & Facilities
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Occupancy Profile
- A1
- A2
- A3
- B1
- B2
- B3
- C1
- C2
- C3
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Are specific persons at risk?
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Identify Persons at Risk
Persons at Risk
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Who is at risk?
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Why are they at risk?
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Evidence - provide photograph if appropriate.
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Location?
HAZARDS
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Identification of hazards and their removal or effective control is an integral part of a fire risk assessment. Hazards in this context are related to ignition sources and the presence of flammable, combustible and other dangerous materials as defined in the Chemicals (Hazard Information and Packaging for Supply) Regulation 2002. List all items of concern.
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Have ALL ignition sources present in the premises been identified and effective control measures been put in place to minimise likelihood of occurrence.
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What uncontrolled ignition sources are of concern?
Ignition Issue
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Select the source of ignition you are concerned about.
- Smokers Materials
- Fixed Electrical Equipment not maintained
- Portable Electrical Equipment
- Mains Electricity Supply
- Extension Cables
- Electrical adapters
- Electrical heating system
- Electric portable heating appliances
- Gas heating system
- Gas portable heating appliance
- Cooking appliances
- Hot work processes
- Potential for arson
- Open flame situation
- Display lighting
- Lighting
- Other
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Cause of concern
- Inappropriate use
- Not maintained appropriately
- Not tested appropriately
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Evidence provide photograph if appropriate.
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Location?
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Have ALL combustible materials present in the premises been identified and effective control measures been put in place to minimise likelihood of fire spread should one occur.
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What uncontrolled combustible materials are of concern?
Combustible Material Issue
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Select combustible materials not managed/controlled.
- Use of flammable liquids
- Storage of flammable liquids
- Use of flammable gases
- Storage of flammable gases
- Combustible solids
- Untreated hanging textiles
- Clothing displays
- Decorations
- Exosive Atmospheres
- No DSEAR assessment
- Other
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State cause of concern
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Evidence provide photograph if appropriate.
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Location?
CONSTRUCTION
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Structural fire protection is intended to ensure that the building will not collapse prematurely in a fire and that the means of escape for the occupants can be utilized without undue risk. It will not, however, necessarily avoid the material loss of the property. The structural protection is also intended to reduce the potential of fire spread from one building to another. List any concerns you have with elements of structure within this premises.
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Are adequate structural fire protection measures in place in this premises?
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List your concerns regarding structural fire protection.
Structural Issue
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Select the structural issue you are concerned about.
- Fire Resistance
- Enclosures for lifts
- Enclosures for shafts, hoists, services
- Surface spread of flame
- Separation of ancillary accommodation
- Cavity separation
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State cause of concern
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Evidence provide photograph if appropriate.
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Location?
MEANS OF ESCAPE
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To facilitate escape it is necessary to ensure that protected escape routes are safeguarded against the ingress of smoke to regulate the distance people have to travel before they reach a storey exit or final exit. List any areas of concern.
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Can the occupants evacuate safely from this premises in the event of an emergency?
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List your concerns regarding means of escape
Escape Issue
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Select issue you are concerned about.
- Excessive travel distance to storey exit
- Insufficient escape routes
- Escape from inner rooms unacceptable
- Multiple Occupancy Arrangements inadequate
- Escape across flat roofs inadequate
- Accommodation stairway protection inadequate
- inadequate evacuation measures for disabled persons
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State cause of concern
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Evidence provide photograph if appropriate.
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Location?
FINAL EXIT DOORS
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To ensure the safety of the occupants during an escape, fire exit doors should be provided with suitable emergency fastenings. List any areas of concern.
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Are all final exit doors on the means of escape adequate?
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List your concerns.
Door Issue
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State cause of concern
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Evidence provide photograph if appropriate.
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Location?
FIRE FIGHTING EQUIPMENT
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Portable and Fixed fire fighting equipment can be used to good effect if a fire is detected in the early stages. Early attack on the fire will inhibit its growth and so reduce life hazard and financial loss. List any concerns.
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Is the provision of fire fighting equipment and systems appropriate?
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List your concerns regarding fire fighting equipment and systems
Equipment Issue
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Select the issue you are concerned about.
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State cause of concern
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Evidence provide photograph if appropriate.
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Location?
FIRE ALARM SYSTEMS
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Irrespective of any other devices that may be installed in a building it is imperative the occupants are made aware of a fire as soon as practically possible. As well as providing this function an effective fire alarm system allows the occupier to make contact with the local fire brigade whilst the fire is still in its early stages. List any concerns.
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Is the provision of fire alarm system appropriate?
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List your concerns regarding fire alarm system
Alarm Issue
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Select the issue you are concerned about.
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State cause of concern
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Evidence provide photograph if appropriate.
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Location?
LIGHTING
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The premises must be provided with sufficient general lighting to ensure the occupants can utilize escape routes safely in an emergency. If the supply of normal lighting fails emergency lighting may also be required. This form of lighting will also indicate escape routes to allow safe movement towards and through exits as well as ensuring that fire alarm call points and fire fighting equipment can be readily located. List any concerns.
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Is the provision of lighting throughout the premises appropriate?
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List your concerns regarding the lighting system provided
Lighting Issue
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Select the issue you are concerned about.
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State cause of concern
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Evidence provide photograph if appropriate.
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Location?
MANAGEMENT
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If all foregoing elements are followed the fire safety provisions are likely to be such that in the event of fire, the occupants of a building will be able to reach a place of safety. However, these fire safety provisions can be seriously compromised by a lack of fire safety management.
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Is the management of fire safety in the premises appropriate?
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List your concerns regarding the management of fire safety
Management Issue
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Select the issue you are concerned about.
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State cause of concern
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Location?
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Evidence provide photograph if appropriate.
ASSESSOR'S SUMMARY
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Risk Rating
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Provide any additional comments you wish to make at this time.
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Provide a sketch if required
Sign Off
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On site representative
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Auditor's signature