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

Sources of fuel, eg, furniture, textiles and fabrics

Sources of oxygen, eg, ventilation

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

YES

NO

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

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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

Evaluate the risk to people

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

YES

NO

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)

Emergency fire action plan

Fire safety information and training

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

Maintenance of safety measures (For further guidance see Appendix A of relevant Risk Assessment guide)

Recording information and keeping records

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 Reason for review ASSESSMENT REVIEW Review by

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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