UOB ASSESSMENT of FIRE RISKS

• Document No.

• Assessment title

• Conducted on

  Date

• Prepared by

• Report status

  NOTES

  DRAFT REPORT

  FINAL REPORT

• Reason for assessment

  ROUTINE ASSESSMENT

  REVIEW ASSESSMENT

  PROMPTED ASSESSMENT

• Date of previous assessment

  Date

• Date of previous assessment

  Date

• 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
  Address

• Scope of this assessment

  ENTIRE BUILING

  PART OF BUILDING

• Parts of the building included or excluded

scope

• Part of building included or excluded from this assessment

  INCLUDED

  EXCLUDED

ASSESSMENT DETAILS

• Assessment made by

• Date assessment completed

  Date

• Date assessment due for review

  Date

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

  Off

  On

FLOOR OVERVIEW

• Enter a record for each floor of the building

floor details

• Floor number

• Floor area

• Gross use of floor

• Elevation

  Select BASEMENT GROUND FIRST FLOOR ABOVE FIRST FLOOR

  • BASEMENT
  • GROUND
  • FIRST FLOOR
  • ABOVE FIRST FLOOR

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

  1 YEAR

  5 YEARS

  10 YEARS

  NONE

OCCUPANTS OVERVIEW

• Average occupancy level

  Off

  On

• Approximate average occupancy

• Members of staff

• Students

• Members of the public

• Maximum occupancy level

  Off

  On

• Approximate maximum occupancy

• Members of staff

• Students

• Members of the public

• Special event occupancy level

  Off

  On

OCCUPANTS AT SPECIAL RISK

• Premises contain sleeping occupants

  NO

  YES

  N/A

• Premises contain disabled occupants

  NO

  YES

  N/A

• Premises contain remote or lone workers

  NO

  YES

  N/A

• Premises contain young persons

  NO

  YES

  N/A

• Premises contain vulnerable persons in addition to those mentioned above

  NO

  YES

  N/A

ELECTRICAL EQUIPMENT

• Are reasonable measures taken to prevent fires of electrical origin

  YES

  NO

  N/A

• Are fixed electrical installations inspected & tested at suitable intervals

  YES

  NO

  N/A

• Are portable electrical appliances inspected & tested at suitable intervals

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

SMOKING

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Are the arrangements observed

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

PORTABLE HEATERS & HEATING INSTALLATIONS

• Portable heaters

• Are portable heaters used

  NO

  YES

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Fixed heating installations

• Are fixed heating installations subject to regular maintenace

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

ARSON & MEANS FOR ARSON

• Are reasonable security measures in place to deter arson

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

COOKING ACTIVITIES & EQUIPMENT

• Are cooking activities carried out in the premises

  NO

  YES

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

LIGHTNING STRIKES

• Is the building equipped with a lightning protection systems

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

HOUSEKEEPING STANDARDS

• Is the standard of housekeeping adequate

  YES

  NO

  N/A

• Are combustable materials separated from sources of ignition

  YES

  NO

  N/A

• Are combustable materials or waste materials allowed to accumulate

  NO

  YES

  N/A

• Are hazardous materials stored in an appropriate way

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

CONTRACTORS & BUILDING WORK

• Are fire safety standards imposed upon outside contractors

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

DANGEROUS & EXPLOSIVE SUBSTANCES

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

  NO

  YES

  N/A

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

  YES

  NO

  N/A

• Has the DSEAR risk assessment been implemented

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

SIGNIFICANT FIRE HAZARDS NOT COVERED ABOVE

• Are there any other significant ignition or fuel sources

  NO

  YES

  N/A

• Other significant ignition & fuel sources

observation

• Significant ignition or fuel source

  HIGH

  MEDIUM

  LOW

MEANS OF ESCAPE

• Escape routes

• Are the means of escape reasonable

  YES

  NO

  N/A

• Are the means of escape adequately signed or marked

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Are the means of escape reasonable protected

  YES

  NO

  N/A

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

  Yes

  No

  N/A

• Exits

• Are the exits adequate

  YES

  NO

  N/A

• Are the exits easily & immediately operable in an evacuation

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Distances of escape

• Are the escape route distances reasonable for the fire risk

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Escape from inner rooms

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

  YES

  NO

  N/A

• Escape for disabled persons

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

  NO

  YES

  N/A

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

  Yes

  No

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

MEASURES TO LIMIT FIRE SPREAD

• Are the fire compartments of a reasonable standards

  YES

  NO

  N/A

• Are the linings such so as to prevent fire spead

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

EMERGENCY ESCAPE LIGHTING

• Is emergency escape lighting provided

  YES

  NO

  N/A

• Is the emergency escape lighting of a reasonable standard

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

SAFETY SIGNS & NOTICES

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

MEANS OR GIVING WARNING IN CASE OF FIRE

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

MANUAL & AUTOMATIC FIRE FIGHTING SYSTEMS

• Manual fire fighting equipment

• Is the provision of portable fire fighting equipment reasonable

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Is the portable fire fighting equipment readily accesible

  YES

  NO

  N/A

• Are fire hose reels installed

  YES

  NO

  N/A

• Automatic fire fighting equipment

• Are any automatic fire fighting systems installed

  YES

  NO

  N/A
automatic system

• Automatic fire fighting system details

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

OTHER RELEVANT FIXED SYSTEMS & EQUIPMENT

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

  YES

  NO

  N/A
fixed system or equipment

• Automatic fire fighting system details

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

FIRE SAFETY ARRANGEMENTS & RESPONSIBILITIES

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

  YES

  NO

  N/A

• Are reasonable fire procedures in place

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• 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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Is there an appropriate fire assembly point for evacuees

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

FIRE SAFETY TRAINING & FIRE DRILLS

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

• The fire risks in the premises

  YES

  NO

  N/A

• The fire safety measures in the premises

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• The method of operation of a manual call point

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• The means of summoning the emergency services

  YES

  NO

  N/A

• The identity of persons who will assist during an evacuation

  YES

  NO

  N/A

• Are evacuation drills completed at appropriate intervals

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

SHARING PREMISES WITH OTHER EMPLOYERS

• Do employees of other employers work in the premises

  NO

  YES

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

PREMISES MAINTENACE

• Are the premises adequately maintained for fire safety purposes

  YES

  NO

  N/A

• Observations & comments

observation

• Observation made with regard to fire safety

  POSITIVE

  NEUTRAL

  NEGATIVE

FIRE SAFETY PRECAUTIONS INSPECTION & TESTING

• Fire alarm system inspection, testing & maintenance

  YES

  NO

  N/A

• Is the fire alarm system tested weekly

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Are records kept of all inspections, testing & maintenace

  YES

  NO

  N/A

• Emergency escape lighting inspection, testing & maintenance

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Is there monthly inspection & testing of the escape lighting

  YES

  NO

  N/A

• Are records kept of all inspections, testing & maintenace

  YES

  NO

  N/A

• Fire fighting equipment inspection, testing & maintenance

  YES

  NO

  N/A

• Is there annual inspection & testing of fire fighting equipment

  YES

  NO

  N/A

• Are records kept of all inspections, testing & maintenace

  YES

  NO

  N/A

• Fire exit routes & final exits inspection

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Is there periodic inspection of external stairs & gangways

  YES

  NO

  N/A

• Are records kept of all inspections, testing & maintenace

  YES

  NO

  N/A

• Rising mains inspection, testing & maintenance

  YES

  NO

  N/A

• Are the rising mains inspected every six months

  YES

  NO

  N/A

• Are the rising mains inspected & tested every twelve months

  YES

  NO

  N/A

• Are records kept of all inspections, testing & maintenace

  YES

  NO

  N/A

• Fire fighting lifts inspection, testing & maintenance

  YES

  NO

  N/A

• Are the lifts subject to weekly & monthly testing

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Are the lifts subject to an annual inspection & test

  YES

  NO

  N/A

• Are records kept of all inspections, testing & maintenace

  YES

  NO

  N/A

• Sprinkler systems inspection, testing & maintenance

  YES

  NO

  N/A

• Are the sprinkler systems inspected & tested weekly

  YES

  NO

  N/A

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

  YES

  NO

  N/A

• Are records kept of all inspections, testing & maintenace

  YES

  NO

  N/A

• Lightning protection system inspection, testing & maintenance

  YES

  NO

  N/A

• Is the lightning system subject to annual inspection & testing

  YES

  NO

  N/A

• Are records kept of all inspections, testing & maintenace

  YES

  NO

  N/A

• Other relevant systems inspection, testing & maintenance

  YES

  NO

  N/A
Other relevant systems requiring inspection & maintenace

• Relevant system name

• Relevant system adequately inspected & maintained

  YES

  NO

  N/A

• Are records kept of all inspections, testing & maintenace

  YES

  NO

  N/A

FIRE SAFETY RECORDS

• Appropriate fire safety record kept for ...

• Fire drills

  YES

  NO

  N/A

• Fire training

  1 YEAR

  5 YEARS

  10 YEARS

  NONE
Other relevant record keeping

• Appropriate record kept

  YES

  NO

  N/A

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

  HIGH

  MEDIUM

  LOW

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

  SLIGHT HARM

  MODERATE HARM

  EXTREME HARM

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

  TRIVIAL

  TOLERABLE

  MODERATE

  SUBSTANTIAL

  INTOLERABLE

ASSESSMENT MADE BY

• Assessor

  Sign

RECOMMENDATIONS

• Recommendations

recommendation

• Recommendation title

• Recommendation description

• Allocated for action to

• Priority

  HIGH

  MEDIUM

  LOW

  ADVISORY

• Provisional deadline for completion

  Date

• Recommendations made by

  Sign