Fire Risk Assessment
1
Premises particulars
Premises name:
Address:
Use of premises:
Owner/Licence Holder
Person(s) in control of
the property:
Date of assessment:
Date(s) reviewed:
Date for next review:
Name and relevant details of the person undertaking the Fire Risk Assessment/review:
Date:
2
General description of premises
Description (please include if there is a commercial area to the premises)
Occupancy
The total number of persons who may be present in the premises at any one
time:
Size
Number of stairs:
Number of floors:
Number of accommodation units:
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3
Identify fire hazards
Ignition sources:
Fuel sources:
Structural features that could promote the spread of fire:
Is the building mixed commercial and residential use? (Y/N)
Commentary:
4
Identify people at risk
Identify people at risk in the event of a fire and their location within the premises. Outline why
they are at risk, and what control measures are (or need to be) in place.
Commentary:
5
Means of escape horizontal evacuation
Commentary:
6
Means of escape vertical evacuation
Commentary:
7
Fire safety signs and notices
Commentary:
8
Fire detection and warning
Commentary:
9
Emergency lighting
Commentary:
10
Fire-fighting equipment
Commentary:
11
Other fire safety systems (e.g. sprinklers, automatic smoke
extraction)
Commentary:
12
Maintenance
Is there a maintenance program for the fire safety provisions in the premises?
Y/N
Commentary:
Are regular checks of fire resisting doors, walls and partitions conducted? Y/ N
Commentary:
Are regular checks of escape routes and exit doors carried out? Y/ N
Commentary:
Are regular checks of fire safety signs carried out? Y/ N
Commentary:
Is there a maintenance programme for the fire warning system? Y/ N
Weekly
Six-monthly
Annually
Commentary:
Is there a maintenance programme for the emergency lighting? Y/ N
Monthly
Annually
Commentary:
Is there a maintenance programme for fire fighting equipment Y/ N
Monthly
Annually
Commentary:
Is there a maintenance programme for other fire safety systems? Y/N
Commentary:
Are records kept and their location identified? Y/N
Commentary:
13
Method for calling the fire service
Commentary:
14
Fire emergency plan (FEP)
Commentary:
15
Fire safety information to tenants
Commentary:
16
Significant findings
a)
Existing control measures
Significant finding
Control measure
b)
Fire safety deficiencies to be rectified
Deficiency/ Action/ Allocated to
Priority
Target
date
Date
rectified