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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 ofAssessment:

Assessorsignature:

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

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

Sources of fuel, eg, furniture, textiles and fabrics

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

Sources of oxygen, eg, ventilation

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

Print

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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

YES NOAction required (Please tick)

If you answered YES, record Action Points at STEP 4

STEP 3 EVALUATE , REMOVE, REDUCE AND PROTECT FROM RISK

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

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

Evaluate the risk to people

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

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STEP 4 RECORD, PLAN, INFORM, INSTRUCT AND TRAIN

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

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

Emergency fire action plan

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

Fire safety information and training

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

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STEP 4 RECORD, PLAN, INFORM, INSTRUCT AND TRAIN (continued)

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

YES NOAction 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 Assessmentguide)

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

Recording information and keeping records

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

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FURTHER DETAILS ON FIRE RISKS AND PREVENTATIVE MEASURES

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

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

REquipment, machinery and electrical

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

Hazards in escape routes

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

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FURTHER DETAILS ON FIRE RISKS AND PREVENTATIVE MEASURES

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

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

Deliberate fire setting

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

FURTHER DETAILS ON FIRE DETECTION AND WARNING SYSTEMS

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

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

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FURTHER DETAILS ON FIRE FIGHTING EQUIPMENT AND FACILITIES

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

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

FURTHER DETAILS ON MEANS OF ESCAPERefer to Part Two, Section Four of the relevant Fire Risk Assessment guideEscape routes

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

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FURTHER DETAILS ON EMERGENCY ESCAPE PLAN

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

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

FURTHER DETAILS ON SIGNS AND NOTICESRefer to Part Two, Section Six of the relevant Fire Risk Assessment guideSigns and notices

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

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FURTHER DETAILS ON RECORDING, PLANNING, INFORMING,INSTRUCTIONS AND TRAININGRefer to Part Two, Section Seven of the relevant Fire Risk Assessment guide

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

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The assessor completing the following section should prioritise remedial measures, based on the level ofrisk.

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

PriorityPerson

responsibleCompletion 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 hasbeen 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 ASSESSMENT REVIEW

Review date 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 websitewww.nifrs.org. Follow the Make sure youre Fire Safe link and go to GuidanceDocuments. These can be downloaded from the Communities and Local Governmentsection.

1 Offices and Shops;2 Factories and Warehouses;

3 Sleeping Accommodation;

4 Residential Care Premises;

5 Educational Premises;

6 Small and Medium Places of Assembly;

7 Large Places of Assembly;

8 Theatres, Cinemas and Similar Premises;

9 Open Air Events and Venues;

10 Healthcare Premises;

11 Transport Premises and Facilities;

12 Animal Premises and Stables;

13 Means of Escape for Disabled People (Supplementary Code); and

14 Reducing the Number of False Alarms from Detection and Alarm Systems.

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