1. GENERAL INFORMATION

Premise Photo
1. The Client

Client Responsible Person

Is the Client the Landlord?

Client address

Contact Telephone No.

2. The Premises
2.1 Building Type

2.2 Approximate Floor Area of Building (SqM)

2.3 Building construction details:

2.4 Number of Floors
2.5 Number of Floors Occupied

2.6 Inaccessible Areas

Reasons for no access

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3. Occupants
3.1 Peaks & Plains Officer engaged on site

3.2 Estimated Total Occupancy (Enter No.)

3.3 Are there Personal Emergency Evacuation Plans (PEEPs)

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3.4 is the property accessed by others? visitors/contractors

3.5 Are systems in place to manage visitors and contractors?

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3.6 Are occupants able to access and egress from the building without restrictions that could affect evacuation or access by responding authorities?

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4. Occupants at risk

4.1 Sleeping Occupants

4.2 Disabled Occupants

4.3 Peaks & Plains Staff

4.4 Lone Working Occupants

4.5 Contractors

4.6 Young Persons

4.7 Visiting Occupants

4.8 Trespassers and other visitors

4.9 Workers in remote areas

4.10 Other visitors

5. Fire Incident History

5.1 Fire incident/s details

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6. Relevant Fire Safety Legislation & Guidance

2. FIRE HAZARDS THEIR ELIMINATION AND CONTROL

7. Electrical Sources of Ignition

7.1 Reasonable measures taken to prevent fires of electrical origin?

7.2 Fixed Installations Periodically Inspected and Tested?

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7.3 Portable Appliance Testing (PAT) (where appropriate) carried out?

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7.4 Suitable limitation of training leads, coiled extensions and adapters?

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7.5 Suitable procedures and arrangements in place for managing electrical safety?

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8. Smoking

8.1 Reasonable measures in place to prevent fires as a result of smoking?

8.2 Smoking Prohibited on the premises?

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8.3 Smoking Prohibited in appropriate areas?

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8.4 Suitable arrangements in place for those who wish to smoke?

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8.5 The policy appeared to be observed at time of assessment?

9. Arson

9.1 Does basic security against arson by outsiders appear to be reasonable at the time of assessment?

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9.2 Is there an absence of unnecessary fire load in close proximity to the premises or accessible for ignition by outsiders?

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10. Portable Heaters and Heating Installations

10.1 Is the use of Portable Heaters avoided as far as is practicable?

10.2 Is the use of more hazardous type heaters avoided? e.g. Radian Bar fires or LPG appliances

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10.3 Are suitable measures taken to minimise the hazard of ignition of combustable materials?

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10.4 Are fixed heating systems subject to regular maintenance?

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11. Cooking

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

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11.2 Filters changed and ductwork cleaned regularly?

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11.3 Suitable extinguishing appliances available?

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12. Lightning

12.1 Do the premises have lighting protection?

12.2 If so, has the installation been inspected and maintained?

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13. Housekeeping

13.1 Is the standard of housekeeping adequate?

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13.2 Are there suitable systems in place for monitoring and acting on standards of housekeeping?

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13.3 Are combustible materials separated from ignition sources?

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13.4 Is the an avoidance of the unnecessary accumulation of combustable materials or waste?

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13.5 Are hazardous materials stored appropriately?

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13.6 Is there an avoidance of the storage and use of incompatible and inappropriate materials on the premises?

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14. Hazards introduced by contractors and building works

14.1 Are fire safety requirements imposed on outside contractors prior to the commencement of works on site?

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14.2 is there satisfactory control over works carried out on the premises by outside contractors? e.g. hot works, electrical works and other works requiring safe systems.

14.3 Are safe systems of work in place for in house personnel? e.g. hot works, electrical works and other works requiring safe systems.

15. Dangerous Substances

15.1 Are general fire precautions adequate to address the hazards associated with dangerous substances used or stored within the premises?

if 15.2 applies, has a specific risk assessment been carried out, as required of the Dangerous Substances and Explosive Atmospheres Regulations (DSEAR)

16. Other significant fire hazards that warrant consideration

16.1 Are there any other significant fire hazards noted during assessment that warrant consideration?

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3. FIRE PROTECTION MEASURES

17. MEAMS OF ESCAPE FROM FIRE

17.1 Is it considered that the premises are provided with reasonable means of escape from fire?

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17.2 Adequate design of escape routes?

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17.3 Adequate provision of exits?

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17.4 Exits easily and immediately openable when necessary?

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17.5 There is an avoidance of sliding or revolving doors as fire exits where necessary?

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17.6 Satisfactory means of securing exits?

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17.7 Reasonable distances of travel where there is a single direction of travel?

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17.8 Reasonable distances of travel where there are alternative means of escape?

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17.9 Suitable protection of escape routes?

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17.10 Escape routes are unobstructed?

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17.11 It is considered that the premises are provided with reasonable arrangements for means of escape for disabled persons?

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18. MEASURE TO LIMIT FIRE SPREAD AND DEVELOPMENT

18.1 Is compartmentation of a reasonable standard?

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18.2 Is there reasonable limitation of linings that might promote the spread of fire?

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18.3 As far as can be reasonably ascertained, fire dampers are provided as necessary to protect critical means of escape against the passage of fire, smoke and combustion products in the early stages of fire?

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19. EMERGENCY LIGHTING

19.1 Reasonable standards of emergency escape lighting system provided?

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20. FIRE SAFETY SIGNS AND NOTICES

20.1 Reasonable standards of fire safety signs and notices posted in appropriate locations?

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21. MEANS OF GIVING WARNING IN CASE OF FIRE

21.1 Reasonable manually operated electrical fire alarm system provided?

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21.2 Automatic fire detection provided?

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21.3 Extent of automatic fire detection generally appropriate for the occupant and fire risk?

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21.4 Remote transmission of alarm signals?

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22. MANUAL FIRE EXTINGUISHING APPLIANCES

22.1 Reasonable provision of portable fire extinguishers?

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22.2 Hose reels provided?

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22.3 Are fire extinguishers readily accessible?

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23. RELEVANT AUTOMATIC FIRE EXTINGUISHING SYSTEMS

23.1 Relevant automatic fire extinguishing system installed?

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24. OTHER RELEVANT FIXED SYSTEMS AND EQUIPMENT

24.1 Any other relevant fixed systems and equipment installed?

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24.2 Suitable provision of fire fighters switch(es)?

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4. MANAGEMENT OF FIRE SAFETY

25. PROCEDURES AND ARRANGEMENTS

25.1 Fire safety is managed by:

25.2 Competent person appointed to assist n undertaking the preventive and protective measures (i.e. relevant general fire precautions)?

25.3 Is there a suitable record of the fire safety arrangements?

25.4 Appropriate procedures in place?

25.4.1 Are procedures in the event of fire appropriate and properly documented?

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25.4.2 Are there suitable arrangements for summoning the fire and rescue service

25.4.3 Are there suitable arrangements to meet the fire and rescue service on arrival and provide relevant information, including relating to hazards to fire fighters?

25.4.4 Are there suitable arrangements for ensuring that the premises have been evacuated?

25.4.5 Are there adequate procedures for the evacuation of disabled people who are likely to be present?

25.5 Persons are nominated and trained to use fire extinguishers?

25.6 Persons nominated and trained to assist with evacuation, including disabled people?

25.7 Appropriate liaison with fire and rescue service (e.g. fire service site familiarisation visits)?

26. TRAINING AND DRILLS

26.1 Are staff given adequate fire safety instruction and training on induction?

26.2 Are staff given periodic "refresher training" at suitable intervals?

26.3 Does staff training provide information, instruction or training on the following:

Fire risks in the premises?

The fire safety measures on the premises?

Action in the event of a fire?

Action on hearing the fire alarm signal?

Method of operation of manual call points?

Location of fire extinguishers?

Means for summoning the fire and rescue service??

Identity of persons nominated to assist with evacuation?

Identity of persons nominated to use fire extinguishing appliances

26.4 Are staff with special responsibilities (e.g. fire wardens) given additional training?

26.5 Are fire drills carried out at appropriate intervals?

26.6 When the employees of another employer work on the premises is their employer given appropriate information (e.g. fire risks and general fire precautions)?

26.6.1 When the employees of another employer work on the premises is it ensured that the employees are provided with adequate instructions and information?

27. TESTING MAINTENANCE AND RECORDS

27.1 Adequate maintenance of the premises?

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27.2 Weekly testing and periodic servicing of the fire detection and alarm systems?

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27.3 Monthly and annual testing routines for emergency escape lighting?

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27.4 Annual maintenance of fire extinguishing appliances?

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27.5 Periodic inspection of external staircases and gangways?

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27.6 Six monthly inspection and annual testing of rising mains?

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27.7 Weekly and monthly testing, six monthly inspection and annual testing of fire fighting lifts?

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27.8 Weekly testing and periodic inspection of sprinkler installations?

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27.9 Routine checks on fire doors and/or security fastenings?

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27.10 Annual inspection and testing of lightening protection system?

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27.11 Are suitable systems in place for reporting and subsequent restoration of safety measures that have fallen below standard?

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27.12 Other relevant inspections and testing?

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Risk Rating

5 RISK RATING

Risk Rating

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.