COVER

  • Document No.

  • Assessment title

  • Conducted on

  • Prepared by

  • Report status

ASSESSMENT

  • Reason for assessment

  • Date of previous assessment

  • Date of previous assessment

  • What change or event has prompted this assessment

PREMISES & SCOPE OF ASSESSMENT

  • Responsible person (eg employer) or person having control of the premises

  • Name of the premises (eg building name)

  • Address of the premises
  • Scope of this assessment

  • Parts of the building included or excluded

  • scope
  • Part of building included or excluded from this assessment

ASSESSMENT DETAILS

  • Assessment made by

  • Date assessment completed

  • Date assessment due for review

PREMISES

PREMISES OVERVIEW

  • Number of floors

  • Gross floor area

  • Brief details of construction

  • Gross use of premises

  • Premises has a value beyond the University

  • Overview of each floor

FLOOR OVERVIEW

  • Enter a record for each floor of the building

  • floor details
  • Floor number

  • Floor area

  • Gross use of floor

  • Elevation

SOURCES & HISTORY

PERSONS CONSULTED

  • Person consulted during the assessment

  • person
  • Persons consulted

DOCUMENTS EXAMINED

  • Documents & records examined during the assessment

  • documents
  • Documents & records examined

STANDARDS CONSULTED

    Standards consulted during the assessment
  • Standards consulted

RELEVANT FIRE SAFETY LEGISLATION

  • Regulatory Reform (Fire Safety) Order 2005 enforced by which authority at these premises

  • Relevant fire safety legislation, other than the RRFSO 2005.

  • legislation
  • Applicable fire safety legislation

  • Which authority enforces this legislation

FIRE LOSS & NEAR-MISS RECORDS

  • Record fire loss and near miss fire loss records below

  • fire losses
  • Fire loss history

OCCUPANTS

OCCUPANTS OVERVIEW

  • Average occupancy level

  • Approximate average occupancy

  • Members of staff

  • Students

  • Members of the public

  • Maximum occupancy level

  • Approximate maximum occupancy

  • Members of staff

  • Students

  • Members of the public

  • Special event occupancy level

OCCUPANTS AT SPECIAL RISK

  • Premises contain sleeping occupants

  • Premises contain disabled occupants

  • Premises contain remote or lone workers

  • Premises contain young persons

  • Premises contain vulnerable persons in addition to those mentioned above

SIGNIFICANT HAZARDS

ELECTRICAL EQUIPMENT

  • Are reasonable measures taken to prevent fires of electrical origin

  • Are fixed electrical installations inspected & tested at suitable intervals

  • Are portable electrical appliances inspected & tested at suitable intervals

  • Are suitable arrangements in place and implemented with regard to personal portable electrical appliances

  • Are suitable arrangements in place and implemented with regard to extension cables and adapters

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

SMOKING

  • Are reasonable measures taken to prevent fires as a result of smoking

  • Are suitable arrangements in place & implemented to prevent smoking in buildings

  • Are suitable arrangements in place & implemented to prevent smoking in appropriate areas

  • Are suitable arrangements in place for those who wish to smoke

  • Are the arrangements observed

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

PORTABLE HEATERS & HEATING INSTALLATIONS

  • Portable heaters

  • Are portable heaters used

  • Are the heaters used oil filled radiators (as opposed to higher risk portable heaters such as radiant bar fires or LPG appliances)

  • Are suitable measures in place to minimise the risk of portable heaters igniting combustable materials

  • Fixed heating installations

  • Are fixed heating installations subject to regular maintenace

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

ARSON & MEANS FOR ARSON

  • Are reasonable security measures in place to deter arson

  • Is the building perimeter and immediate surroundings free of fire loading that can be ignited by arsonists

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

COOKING ACTIVITIES & EQUIPMENT

  • Are cooking activities carried out in the premises

  • Are reasonable measures taken to prevent fires due to cooking activities

  • Are filters changed and duct work cleaned at a suitable frequency

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

LIGHTNING STRIKES

  • Is the building equipped with a lightning protection systems

  • Is the lightening protection system inspected & tested at a suitable frequency

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

HOUSEKEEPING STANDARDS

  • Is the standard of housekeeping adequate

  • Are combustable materials separated from sources of ignition

  • Are combustable materials or waste materials allowed to accumulate

  • Are hazardous materials stored in an appropriate way

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

CONTRACTORS & BUILDING WORK

  • Are fire safety standards imposed upon outside contractors

  • Are contractor activities controlled and supervised (including a PTW system for hot work and other activities with a high fire risk).

  • Are maintenance staff activities controlled and supervised (including a PTW system for hot work and other activities with a high fire risk).

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

DANGEROUS & EXPLOSIVE SUBSTANCES

  • Are dangerous or explosive substances used or likely to be used in the future

  • Has a suitable & sufficient risk assessment been completed in compliance with DSEAR 2002

  • Has the DSEAR risk assessment been implemented

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

SIGNIFICANT FIRE HAZARDS NOT COVERED ABOVE

  • Are there any other significant ignition or fuel sources

  • Other significant ignition & fuel sources

  • observation
  • Significant ignition or fuel source

PROTECTION MEASURES

MEANS OF ESCAPE

  • Escape routes

  • Are the means of escape reasonable

  • Are the means of escape adequately signed or marked

  • Are the means of escape free of sliding doors, revolving doors etc

  • Are the means of escape reasonable protected

  • Are the means of escape free of obstructions & trip hazards

  • Exits

  • Are the exits adequate

  • Are the exits easily & immediately operable in an evacuation

  • Are the exits equipped with a suitable means for securing them if neccessary

  • Do the exits open in the direction of escape where neccessary

  • Distances of escape

  • Are the escape route distances reasonable for the fire risk

  • Where there is only one direction of escape, are the escape route distances reasonable for the fire risk

  • Where there is more than one direction of escape, are the escape route distances reasonable for the fire risk

  • Escape from inner rooms

  • Are the escape routes from inner rooms and the fire precautions in inner room reasonable

  • Escape for disabled persons

  • Are there disabled persons in the building who may have difficulty evacuating

  • Are there reasonable means of escape for disabled persons that do not require assistance

  • Are there reasonable means of escape for disabled persons that with the provision of assistance

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

MEASURES TO LIMIT FIRE SPREAD

  • Are the fire compartments of a reasonable standards

  • Are the linings such so as to prevent fire spead

  • Are fire dampers provided as necessary to prevent the spread of fire and smoke into escape routes

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

EMERGENCY ESCAPE LIGHTING

  • Is emergency escape lighting provided

  • Is the emergency escape lighting of a reasonable standard

  • Is the emergency escape lighting inspected & maintained at a suitable frequency

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

SAFETY SIGNS & NOTICES

  • Are the safety signs and notices sufficient and to a reasonable standard

  • Are safety signs indicating means of escape and the location of fire fighting equipment adequate

  • Are notices indication actions to be taken (eg fire action notice) or operating instructions (eg refuge area communication devices instructions) adequate

  • Are safety signs warning of significant fire hazards (such as flammable stores) adequate

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

MEANS OR GIVING WARNING IN CASE OF FIRE

  • Are the means for raising the alarm in the case of a fire reasonable

  • Is reasonable provision made for automatic activation of the fire alarm system

  • Is reasonable provision made for manual activation of the alarm system

  • Are signals from the fire alarm system transmitted outside the building to provide warning of an alarm activation

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

MANUAL & AUTOMATIC FIRE FIGHTING SYSTEMS

  • Manual fire fighting equipment

  • Is the provision of portable fire fighting equipment reasonable

  • Is the portable fire fighting equipment provided suitable for the fuel sources that are present

  • Is the portable fire fighting equipment readily accesible

  • Are fire hose reels installed

  • Automatic fire fighting equipment

  • Are any automatic fire fighting systems installed

  • automatic system
  • Automatic fire fighting system details

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

OTHER RELEVANT FIXED SYSTEMS & EQUIPMENT

  • Are other relevant fixed systems or equipment installed (such as fire-fighters switches)

  • fixed system or equipment
  • Automatic fire fighting system details

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

MANAGEMENT

PERSONS RESPONSIBLE FOR FIRE SAFETY

  • Fire safety is managed by

  • manager
  • Fire safety managed by

  • Range of area managed

  • Competent persons appointed to assist in providing the preventative & protective measures

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

FIRE SAFETY ARRANGEMENTS & RESPONSIBILITIES

  • Is there a suitable record setting out the fire safety arrangements

  • Are reasonable fire procedures in place

  • Are procedures to follow in the event of a fire properly documented and appropriate

  • Are procedures for summoning the emergency services properly documented & appropriate

  • Are procedures for meeting and greeting the emergency services and providing relevant information in an emergency (including hazards that fire fighters may be confronted with) properly documented & appropriate

  • Are procedures for ensuring that the premises are evacuated properly documented & appropriate

  • Is there an appropriate fire assembly point for evacuees

  • Are routine in-house inspections completed of the the fire precautions and the results recorded and acted upon

  • Are there appropriate arrangements to liaise with the fire & rescue service, including familiarisation vists

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

PERSONS WITH ADDITIONAL FIRE SAFETY DUTIES

  • Have nominated persons been trained to use fire fighting equipment and are they currently operating as per the procedures

  • Have nominated perspons been trained to assist with evacuation (eg fire wardens) and are they currently operating as per the procedures

  • Have nominated persons been trained to assist disabled people during an evacuation and are they currently operating as per the procedures

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

FIRE SAFETY TRAINING & FIRE DRILLS

  • Are staff & students given adequate fire safety instruction & training during induction

  • Are staff & students given adequate 'refresher' fire safety instruction & training

  • Does the fire safety instruction & training include ...

  • The fire risks in the premises

  • The fire safety measures in the premises

  • The action to take in the event of a fire or the alarm sounding

  • The method of operation of a manual call point

  • The location and use of fire fighting equipment and persons nominated to use them

  • The means of summoning the emergency services

  • The identity of persons who will assist during an evacuation

  • Are evacuation drills completed at appropriate intervals

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

SHARING PREMISES WITH OTHER EMPLOYERS

  • Do employees of other employers work in the premises

  • Is the employer given appropriate information (on fire risks and the general precautions for example)

  • Has the employer provided adequate instruction & training to his employees

  • Has the employer assessed the hazards and risks for which he is responsible

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

TESTING & MAINTENANCE

PREMISES MAINTENACE

  • Are the premises adequately maintained for fire safety purposes

  • Observations & comments

  • observation
  • Observation made with regard to fire safety

FIRE SAFETY PRECAUTIONS INSPECTION & TESTING

  • Fire alarm system inspection, testing & maintenance

  • Is the fire alarm system tested weekly

  • Is the fire alarm system inspected, tested & maintained annually

  • Are records kept of all inspections, testing & maintenace

  • Emergency escape lighting inspection, testing & maintenance

  • Is there annual through inspection & testing of the escape lighting

  • Is there monthly inspection & testing of the escape lighting

  • Are records kept of all inspections, testing & maintenace

  • Fire fighting equipment inspection, testing & maintenance

  • Is there annual inspection & testing of fire fighting equipment

  • Are records kept of all inspections, testing & maintenace

  • Fire exit routes & final exits inspection

  • Is there routine checks of final exit doors & security fastenings

  • Is there periodic inspection of external stairs & gangways

  • Are records kept of all inspections, testing & maintenace

  • Rising mains inspection, testing & maintenance

  • Are the rising mains inspected every six months

  • Are the rising mains inspected & tested every twelve months

  • Are records kept of all inspections, testing & maintenace

  • Fire fighting lifts inspection, testing & maintenance

  • Are the lifts subject to weekly & monthly testing

  • Are the lifts subject to inspection & testing every six months

  • Are the lifts subject to an annual inspection & test

  • Are records kept of all inspections, testing & maintenace

  • Sprinkler systems inspection, testing & maintenance

  • Are the sprinkler systems inspected & tested weekly

  • Are the sprinkler systems thoroughly inspected & tested at a suitable interval

  • Are records kept of all inspections, testing & maintenace

  • Lightning protection system inspection, testing & maintenance

  • Is the lightning system subject to annual inspection & testing

  • Are records kept of all inspections, testing & maintenace

  • Other relevant systems inspection, testing & maintenance

  • Other relevant systems requiring inspection & maintenace
  • Relevant system name

  • Relevant system adequately inspected & maintained

  • Are records kept of all inspections, testing & maintenace

FIRE SAFETY RECORDS

  • Appropriate fire safety record kept for ...

  • Fire drills

  • Fire training

  • Other relevant record keeping
  • Appropriate record kept

CONCLUSIONS

LIKELIHOOD OF A FIRE

  • Taking into account the fire protection measures observed at the time of this assessment, it is consider that the liklihood of a fire at these premises is ...

  • Liklihood of a fire

CONSEQUENCES OF A FIRE

  • Taking into account the nature of the building and the occupants, as well as the fire protection & procedural arrangements observed at the time of the assessment, it is considered that the consequences for life safety in the event of a fire would be ...

  • Consequences of a fire

OVERALL LIFE RISK

  • based on the likelihood of a fire and the consequences is there was a fire , it is considered that the risk to life from fire is ...

  • Life risk

ASSESSMENT MADE BY

  • Assessor

RECOMMENDATIONS

RECOMMENDATIONS

  • Recommendations

  • recommendation
  • Recommendation title

  • Recommendation description

  • Allocated for action to

  • Priority

  • Provisional deadline for completion

  • Recommendations made by

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