• Shire of Broome - Public Building Risk Assessment Report

  • Premises / Site

  • Conducted on

  • Prepared by

  • Location/Address
  • Personnel

Items marked as Yes for compliant, No for non-compliant

Certification and Documentation

  • Certificate of approval prominently displayed?

  • No. Of persons at time of inspection

  • Exit sign log book

  • Emergency Lighting Book

  • Air handling system maintenance (AS 1668.2)

  • Enter details

Enter details

  • Evacuation plan - Current

General Provisions and Maintenance

  • Modification of Building since last assessment

  • Change of use from approval

  • Enter details

  • Stage curtains fire retardant (if applicable)

  • Handrails and balustrades compliance

  • Exterior building condition satisfactory

  • Interior building condition satisfactory

  • Enter details

  • Equipment storage satisfactory

  • Refuse disposal/storage satisfactory

Exit and Egress

  • Exit doors easily opened

  • Approved latches/locks

  • Exit paths unobstructed

  • Exit to open space

  • No escape signs where required

  • Exit signs all laminated


  • Fixed seating secured to floor or fastened in groups (=<4 seats)

  • Rows of 10-42 seats

  • Aisles on both sides and of seat rows

  • Aisles clear to exits/uniform width

Steps and Landings

  • Raised areas/tiered seating (enclosing wall/ground)

  • Hand rails and balustrades compliance

  • Step treads (280mm W x 180mm H)

Large licensed Premises

  • No. Counting system (installation/operation)

  • Moveable items (other than chairs) "PEN" identification


  • Adequate illumination

  • Switch protection from public (if applicable)

  • Emergency lighting

  • Switchboard correctly labeled

  • Power cables/cards inaccessible to public

Fire Prevention and Control

  • Fire extinguishers in service

  • Fire hose reels in service

  • Fire blanket available in kitchen (if applicable)

  • Smoke control devices


  • Fans - Fixed/Guarded

  • Fans - Ceiling 2.4m above floor

  • Heaters -2.1m off floor

  • Heaters - 600mm from combustible roof

  • Temperature protection (oil/fuel/electrical fan type)

Sanitary Facilities/General

  • Facilities in good repair/clean

  • Gender Signage provided

  • Adequate lighting/illumination

  • Sanitary disposal available to female facilities

  • All facilities accessible

  • Kitchen (construction/cleanliness)

Temporary Public Building

  • Approval obtained/fees paid

  • Tents/marquees (temporary structures) compliance

  • Structural Engineers/Electrical compliance

  • Certificate


  • Further Action?

  • Reinspection?

  • Letter?

  • Order/Notice

  • Amendment Notice

  • Reinspection Date

  • Please attune to any outstanding items by the due date. For enquiries please contact the officer on the number below.

  • I have read and understand the contents of this assessment. Signature of proprietor/staff.

  • Officer Signature

  • Environmental Health Officer contact - 9191 3456

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.