Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Activity / item / area/ project
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Persons at risk
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Total number of people at risk
Sources of Ignition
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Naked flames/ incineration
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Electrical, gas, oil fired heaters
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Hot processes, welding, cutting, grinding
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Cooking equipment
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Hot surfaces e.g. lighting
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Arson
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Faulty / misused equipment / poor maintenance
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Reactive chemicals
Sources of Fuel
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Combustible construction materials - walls, floors, doors, hoarding, roofs
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Flammable liquids / solvents
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Plastics / rubber
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Waste materials
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Flammable gases
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Textiles / clothing
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Combustible storage materials
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Packaging materials
Sources Of Oxygen
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Natural ventilation through doors / windows
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Air conditioning
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Oxidising chemicals
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Oxygen cylinders
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Other sources
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Work is outside
How are hazards controlled?
Fire Fighting Equipment – State type needed, numbers and location
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Fire extinguishers
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Water hoses
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Sprinklers
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Fire blanket
Fire Detection and Warning System - including numbers and location
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Smoke / heat detectors
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Fire alarms
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Other warning system
Competent Persons / Training requirements
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Site Responsible person
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Marshall’s / wardens
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Training of staff
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Instruction of visitors / contractors
Fire Procedures for the site
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Fire action notices
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Escape route signs
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Fire fighting equipment signs
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Raising of alarm
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Instructions
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Protecting others form fire risk Clients. Customers. Members of the Public Other workers Trespassers
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Permits to work (including hot work)
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Isolation procedures (electric, equipment)
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No smoking policy
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Emergency contacts
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Control of risks to other locations
Escape Routes (refer to site plan where required)
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Layout
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Escape stairs / steps
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Safe muster points
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Automatically shutting doors
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Lighting
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Sufficient number of escape routes
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Refuges
Maintenance and Testing Procedures (during works)
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Extinguishers
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Heat / smoke detection
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Alarms (e.g. weekly)
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Lighting (including emergency)
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Electrics
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Machinery / equipment
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Securing gas cylinders
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Fire doors and closures
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Daily checks
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Signs
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Alarm system
Housekeeping / Storage / Waste
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Flammable liquids/ gases
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Materials
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Waste
Additional Control Measures
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