Tennants Fire RA

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Premise Picture

  Media
• Location
  Address

• Personnel

• Premise Lead:

• Hours of Operation Monday to Friday:

• Hours of Operation Sat & Sun

Summary of Activities: Please provide brief details of the activities carried out on site

Staff Information:

• 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)?

  Safe

  At Risk

  N/A

• Have the PEEP(s) been reviewed within the last 12 months?

  Yes

  No

  N/A

• Have all staff completed Fire Safety Training as per the organisation’s Fire Policy?

  Yes

  No

  N/A

• Has your organisation nominated Fire Marshals for the area you occupy?

  Yes

  No

  N/A

• When was the last Fire Evacuation Drill carried out involving your staff?

  Date

Patient Information:

• Do you have In-patient Facilities?

  Yes

  No

  N/A

• Please provide details of In-patients facilities - Total No. Beds

• Average No. occupied

• Do In-patients need assistance to evacuate?

  Safe

  At Risk

  N/A

• Do you have out-patients?

  Yes

  No

  N/A

• Do out-patients need assistance to evacuate?

  Safe

  At Risk

  N/A

• Please provide any other patient-related information that may be relevant in the event of an evacuation:

• Is there any Dangerous Substances/ Environmental Risks?

  Yes

  No

  N/A

• Item - Quantity - Brief Usage and - Date of COSHH Assessment

Fire Hazards relating to your Organisation

• Have Portable Appliances been tested within the last 12 months (spot check)?

  Yes

  No

  N/A

• Have COSHH assessments been completed for all relevant substances?

  Yes

  No

  N/A

• Does this identify any other Fire Hazards that have not previously been covered?

  Safe

  At Risk

  N/A

• If ‘Yes’, provide details below and attach your action plan:

Fire Policy

• Does your organisation have a Fire Policy?

  Yes

  No

  N/A

• Do your activities follow the requirements laid down by your Fire Policy?

  Yes

  No

  N/A

• If No, provide details:

Please provide details of any other activities or information relevant to Fire Safety:

As a tenant in a multi-occupied site, our organisation agrees to:

• Adopt the Landlord’s Fire Risk Assessment assessing the Fire risks relating to the fabric of the building

  Off

  On

• Action any findings required as a result of the Landlord’s Fire Risk Assessment

  Off

  On

• 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

  Off

  On

• Ensure Fire-related Risk Assessment(s) are carried out for any specific hazards/ activities identified

  Off

  On

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