RECORD OF FIRE SAFETY RISK ASSESSMENT

Building Name & Use: Address: Postcode: Name of person(s) with fire safety duties: Name and contact details of assessor: Date of Assessment: Assessor signature:

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STEP 1

IDENTIFY FIRE HAZARDS

Refer to Part One of the relevant Fire Safety Risk Assessment guide (see list on back page) Sources of ignition, eg, electrical fittings, smoking, heating, open flames

Action required (Please tick) If you answered YES, record Action Points at STEP 4 Sources of fuel, eg, furniture, textiles and fabrics

YES

NO

Action required (Please tick) If you answered YES, record Action Points at STEP 4 Sources of oxygen, eg, ventilation

YES

NO

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

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STEP 2

IDENTIFY PEOPLE AT RISK

Refer to Part One of the relevant Fire Safety Risk Assessment guide List all persons potentially at risk from fire, including employees, tenants, visitors and contractors

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

STEP 3

EVALUATE , REMOVE, REDUCE AND PROTECT FROM RISK

Refer to Part One of the relevant Fire Safety Risk Assessment guide Likelihood of a fire starting

Action required (Please tick) If you answered YES, record Action Points at STEP 4 Evaluate the risk to people

YES

NO

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

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STEP 4

RECORD, PLAN, INFORM, INSTRUCT AND TRAIN

Refer to Part One of the relevant Fire Safety Risk Assessment guide Fire Safety policy (For further guidance on Fire Safety Policy See Part Two of guide)

Action required (Please tick) If you answered YES, record Action Points at STEP 4 Emergency fire action plan

YES

NO

Action required (Please tick) If you answered YES, record Action Points at STEP 4 Fire safety information and training

YES

NO

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

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STEP 4

RECORD, PLAN, INFORM, INSTRUCT AND TRAIN (continued)

Refer to Part One of the relevant Fire Safety Risk Assessment guide Fire drills

YES NO Action required (Please tick) If you answered YES, record Action Points at STEP 4 Maintenance of safety measures (For further guidance see Appendix A of relevant Risk Assessment guide)

Action required (Please tick) If you answered YES, record Action Points at STEP 4 Recording information and keeping records

YES

NO

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

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FURTHER DETAILS ON FIRE RISKS AND PREVENTATIVE MEASURES

Refer to Part Two, Section One of the relevant Fire Risk Assessment guide Housekeeping and storage - materials and substances

Action required (Please tick) If you answered YES, record Action Points at STEP 4 R Equipment, machinery and electrical

YES

NO

Hazards in escape routes

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

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FURTHER DETAILS ON FIRE RISKS AND PREVENTATIVE MEASURES

Refer to Part Two, Section One of the relevant Fire Risk Assessment guide Restricting the spread of fire and smoke

Action required (Please tick) If you answered YES, record Action Points at STEP 4 Deliberate fire setting

YES

NO

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

FURTHER DETAILS ON FIRE DETECTION AND WARNING SYSTEMS

Refer to Part Two, Section Two of the relevant Fire Risk Assessment guide System type

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

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FURTHER DETAILS ON FIRE FIGHTING EQUIPMENT AND FACILITIES

Refer to Part Two, Section Three of the relevant Fire Risk Assessment guide Fire Fighting equipment for use by persons

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

FURTHER DETAILS ON MEANS OF ESCAPE

Refer to Part Two, Section Four of the relevant Fire Risk Assessment guide Escape routes

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

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FURTHER DETAILS ON EMERGENCY ESCAPE PLAN

Refer to Part Two, Section Five of the relevant Fire Risk Assessment guide Escape route lighting

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

FURTHER DETAILS ON SIGNS AND NOTICES

Refer to Part Two, Section Six of the relevant Fire Risk Assessment guide Signs and notices

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

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FURTHER DETAILS ON RECORDING, PLANNING, INFORMING, INSTRUCTIONS AND TRAINING

Refer to Part Two, Section Seven of the relevant Fire Risk Assessment guide

Action required (Please tick) If you answered YES, record Action Points at STEP 4

YES

NO

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The assessor completing the following section should prioritise remedial measures, based on the level of risk. Priority ratings and suggested timescales: Low (L) 3 6 months Medium (M) Up to 3 months High (H) As soon as possible

STEP 4

ACTION POINTS
Priority Person responsible Completion date

Note: Please print additional sheet if required

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Review the fire risk assessment if there is a reason to suspect it is no longer valid or if there has been a significant change in the matters to which it relates Reference Part One of the relevant sector specific, fire safety risk assessment guide

STEP 5
Review date

ASSESSMENT REVIEW
Review by

Reason for review

Outcomes of review

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FIRE SAFETY RISK ASSESSMENT GUIDES

The following premises guides are available from Northern Ireland Fire & Rescue website www.nifrs.org. Follow the Make sure youre Fire Safe link and go to Guidance Documents. These can be downloaded from the Communities and Local Government section. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Offices and Shops; Factories and Warehouses; Sleeping Accommodation; Residential Care Premises; Educational Premises; Small and Medium Places of Assembly; Large Places of Assembly; Theatres, Cinemas and Similar Premises; Open Air Events and Venues; Healthcare Premises; Transport Premises and Facilities; Animal Premises and Stables; Means of Escape for Disabled People (Supplementary Code); and Reducing the Number of False Alarms from Detection and Alarm Systems.

Adapted from original materials created by the Scottish Centre for Healthy Working Lives and the Scottish Fire and Rescue Services

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