Normal No. of Staff regularly working on site during normal working hours:
Normal No. of staff working on site during out-of-hours times:
Maximum No. of Staff on site during normal working hours (Estimate as necessary):
Maximum No. of staff working on site during out-of-hours times:
Do you have any staff who require a Personal Emergency Evacuation Plan (PEEP)?
Have the PEEP(s) been reviewed within the last 12 months?
Have all staff completed Fire Safety Training as per the organisation’s Fire Policy?
Has your organisation nominated Fire Marshals for the area you occupy?
Do you have In-patient Facilities?
Please provide details of In-patients facilities - Total No. Beds
Average No. occupied
Do In-patients need assistance to evacuate?
Do you have out-patients?
Do out-patients need assistance to evacuate?
Please provide any other patient-related information that may be relevant in the event of an evacuation:
Is there any Dangerous Substances/ Environmental Risks?
Item - Quantity - Brief Usage and - Date of COSHH Assessment
Have Portable Appliances been tested within the last 12 months (spot check)?
Have COSHH assessments been completed for all relevant substances?
Does this identify any other Fire Hazards that have not previously been covered?
If ‘Yes’, provide details below and attach your action plan:
Does your organisation have a Fire Policy?
Do your activities follow the requirements laid down by your Fire Policy?
If No, provide details:
Adopt the Landlord’s Fire Risk Assessment assessing the Fire risks relating to the fabric of the building
Action any findings required as a result of the Landlord’s Fire Risk Assessment
Ensure that operational changes are risk assessed for Fire and the Landlord is informed, as necessary to allow the Fire Risk Assessment can be updated
Ensure Fire-related Risk Assessment(s) are carried out for any specific hazards/ activities identified