1. GENERAL INFORMATION
Client Responsible Person
Is the Client the Landlord?
Contact Telephone No.
- Sheltered Accommodation
- Flats with communal area
- Flats without communal area
- High Rise Flats
- General needs Flats
2.2 Approximate Floor Area of Building (SqM)
2.3 Building construction details:
- 1 Floor
- 2 Floors
- 3 Floors
- 4 Floors
- Greater than 4 Floors
- 1 Floor
- 2 Floors
- 3 Floors
- 4 Floors
- Greater than 4 Floors
2.6 Inaccessible Areas
Reasons for no access
3.2 Estimated Total Occupancy (Enter No.)
3.3 Are there Personal Emergency Evacuation Plans (PEEPs)
3.4 is the property accessed by others? visitors/contractors
3.5 Are systems in place to manage visitors and contractors?
3.6 Are occupants able to access and egress from the building without restrictions that could affect evacuation or access by responding authorities?
4.1 Sleeping Occupants
4.2 Disabled Occupants
4.3 Peaks & Plains Staff
4.4 Lone Working Occupants
4.6 Young Persons
4.7 Visiting Occupants
4.8 Trespassers and other visitors
4.9 Workers in remote areas
4.10 Other visitors
5.1 Fire incident/s details
- 1. Regulatory Reform (Fire Safety) Order 2005
- 2. Building Regulations 2010 Approved Document B
- 3. Management of Health & Safety at Work Regulations 1999
- 4. CDM Health & Safety File
- 5. Dangerous Substances & Explosive Atmospheres Regulations (ACOP & Guidance)
- 6. Storage of Dangerous Substances
- 7. HM Government Fire Safety Guides
- 8. Fire Safety in Purpose Built Blocks of Flats (LGA)
- 9. LACORS Housing Fire Safety
- 10. BS5839 Part1 - Fire Detection & Fire Alarm Systems for Buildings
- 11. BS5266 Part 1 - Emergency Lighting
- 12. BS9999 - Code of Practice for Fire Safety in Design, Management & Use of Buildings
- 13. Fire Safety & Health & Safety Policies & Procedures
- 14. Fire Certificate (if building certified by Fire Service)
- 15. Enforcement or Improvement Notices
- 16. Details of Fire Safety training
- 17. Electrical Safety test & maintenance records
- 18. Details of hazardous substances
- 19. Fire Log book- history of incidents/false alarms/evacuations
- 20. Plans and drawings of the building and installations
- 21. Operations & Maintenance Manual
- 22. Details of Employees & Others on site
- 23. Fire Extinguisher/Fire Hose Test Records
- 24. Emergency Lighting Test Records
- 25. Fire Alarm Test & Maintenance Records
- 26. Sprinkler Maintenance Records
- 27. Permit to Work & Safe Systems of Works
2. FIRE HAZARDS THEIR ELIMINATION AND CONTROL
7.1 Reasonable measures taken to prevent fires of electrical origin?
7.2 Fixed Installations Periodically Inspected and Tested?
7.3 Portable Appliance Testing (PAT) (where appropriate) carried out?
7.4 Suitable limitation of training leads, coiled extensions and adapters?
7.5 Suitable procedures and arrangements in place for managing electrical safety?
8.1 Reasonable measures in place to prevent fires as a result of smoking?
8.2 Smoking Prohibited on the premises?
8.3 Smoking Prohibited in appropriate areas?
8.4 Suitable arrangements in place for those who wish to smoke?
8.5 The policy appeared to be observed at time of assessment?
9.1 Does basic security against arson by outsiders appear to be reasonable at the time of assessment?
9.2 Is there an absence of unnecessary fire load in close proximity to the premises or accessible for ignition by outsiders?
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
10.3 Are suitable measures taken to minimise the hazard of ignition of combustable materials?
10.4 Are fixed heating systems subject to regular maintenance?
11.1 Are reasonable measures taken to prevent fires as a result of cooking?
11.2 Filters changed and ductwork cleaned regularly?
11.3 Suitable extinguishing appliances available?
12.1 Do the premises have lighting protection?
12.2 If so, has the installation been inspected and maintained?
13.1 Is the standard of housekeeping adequate?
13.2 Are there suitable systems in place for monitoring and acting on standards of housekeeping?
13.3 Are combustible materials separated from ignition sources?
13.4 Is the an avoidance of the unnecessary accumulation of combustable materials or waste?
13.5 Are hazardous materials stored appropriately?
13.6 Is there an avoidance of the storage and use of incompatible and inappropriate materials on the premises?
14.1 Are fire safety requirements imposed on outside contractors prior to the commencement of works on site?
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.
15.1 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)
16.1 Are there any other significant fire hazards noted during assessment that warrant consideration?
3. FIRE PROTECTION MEASURES
17.1 Is it considered that the premises are provided with reasonable means of escape from fire?
17.2 Adequate design of escape routes?
17.3 Adequate provision of exits?
17.4 Exits easily and immediately openable when necessary?
17.5 There is an avoidance of sliding or revolving doors as fire exits where necessary?
17.6 Satisfactory means of securing exits?
17.7 Reasonable distances of travel where there is a single direction of travel?
17.8 Reasonable distances of travel where there are alternative means of escape?
17.9 Suitable protection of escape routes?
17.10 Escape routes are unobstructed?
17.11 It is considered that the premises are provided with reasonable arrangements for means of escape for disabled persons?
18.1 Is compartmentation of a reasonable standard?
18.2 Is there reasonable limitation of linings that might promote the spread of fire?
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?
19.1 Reasonable standards of emergency escape lighting system provided?
20.1 Reasonable standards of fire safety signs and notices posted in appropriate locations?
21.1 Reasonable manually operated electrical fire alarm system provided?
21.2 Automatic fire detection provided?
21.3 Extent of automatic fire detection generally appropriate for the occupant and fire risk?
21.4 Remote transmission of alarm signals?
22.1 Reasonable provision of portable fire extinguishers?
22.2 Hose reels provided?
22.3 Are fire extinguishers readily accessible?
23.1 Relevant automatic fire extinguishing system installed?
24.1 Any other relevant fixed systems and equipment installed?
24.2 Suitable provision of fire fighters switch(es)?
4. MANAGEMENT OF FIRE SAFETY
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?
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)?
26.1 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?
27.1 Adequate maintenance of the premises?
27.2 Weekly testing and periodic servicing of the fire detection and alarm systems?
27.3 Monthly and annual testing routines for emergency escape lighting?
27.4 Annual maintenance of fire extinguishing appliances?
27.5 Periodic inspection of external staircases and gangways?
27.6 Six monthly inspection and annual testing of rising mains?
27.7 Weekly and monthly testing, six monthly inspection and annual testing of fire fighting lifts?
27.8 Weekly testing and periodic inspection of sprinkler installations?
27.9 Routine checks on fire doors and/or security fastenings?
27.10 Annual inspection and testing of lightening protection system?
27.11 Are suitable systems in place for reporting and subsequent restoration of safety measures that have fallen below standard?
27.12 Other relevant inspections and testing?