fire risk assessment proforma

8/14/2019 Fire Risk Assessment Proforma

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FIRE RISK ASSESSMENT PROFORMA

Regulatory Reform (Fire Safety) Order 2005 Risk Assessment ReportOnly trained personnel are to undertake Fire Risk Assessment


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Section 1 Property Details and Review Record

Establishment Name: Address:

Post code: Telephone No:

Area of Risk Assessment:

Date of Risk Assessment: Responsible Person:

Assessment Undertaken by: Building Manager:

Signature of Assessor Signature of Responsible Person

Date Date

REVIEW RECORDDATE ASSESSOR SIGNATURE COMMENTS


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Contents RISK ASSESSMENT PARAMETERS

Section 1 Property Details and Review Record

Section 2 Introduction and Overview

Section 3 Property Description

The detail in the risk assessment has been obtained from observations made bywalking through the workplace. The survey carried out was thorough but did not

involve checks of all f ire resisting partitions between false ceilings and floor slabs,and under raised access floors

Section 4 Five Steps to Fire Risk Assessment EMERGENCY PLAN PREPARED

Section 5 Fire Safety Risk Assessment SLEEPING RISK TREATMENT ROOMS

Section 6 Significant Findings RISK ASSESSMENT MATRIX Risk Score = Hazard x Risk

Section 7 Fire Safety Maintenance Checklist Slightly Harmful-1 Harmful-2 Extremely Harmful-3

Section 8 Photographs Highly Unlikely-1 Trivial Risk Tolerable Risk Moderate Risk

Unlikely-2 Tolerable Risk Moderate Risk Substantial Risk

Likely-3 Moderate Risk Substantial Risk INTOLERABLE RISK

The Risk Assessment Matrix is based on standard risk assessment formula. The likelihood (risk) of an occurrence rated against the potential

harm (hazard) to a person will give the risk score. To assist the Responsible Person the risk score should be taken as an indication of priorityfor action.

A Risk Score of 1 to 2 is a low risk

A Risk Score of 3 to 4 is a medium risk

A Risk Score of 6 to 9 is a high risk

Please use the correct category HM Government Fire Safety Risk Assessment guide for your premises to assist you with this form


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Section 3 Property Description

NUMBER OF FLOORS

APPROXIMATE FLOOR AREA ON EACH FLOOR

BRIEF CONSTRUCTION DETAILS

OCCUPANCY: MAXIMUM VISITOR NUMBERS

OCCUPANCY: MAXIMUM EMPLOYEE NUMBERS

PREVIOUS FIRE LOSS EXPERIENCE


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Section 4 Five Steps to Fire Risk Assessment

FIRE SAFETY RISK ASSESSMENT

1 Identify fire hazards Identify:Sources of ignitionSources of fuelSources of oxygen

2 Identify people at risk Identify:

People in and around the premisesPeople especially at risk

3 Evaluate, remove, reduceand protect from risk

Evaluate the risk of a fire occurringEvaluate the risk to people from fireRemove or reduce fire hazardsRemove or reduce the risks to people

Detection and warning Fire-fighting Escape routes Lighting Signs and notices Maintenance

4 Record, plan, inform, instruct

and train

Record significant findings and action takenPrepare an emergency planInform and instruct relevant peopleCo-operate and co-ordinate with othersProvide training

5 Review Keep assessment under reviewRevise where necessaryRemember to keep your fire risk assessment under review


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Section 5 FIRE SAFETY RISK ASSESSMENT

STEP 1.1 IDENTIFYING FIRE HAZARDS (Identify sources of ignition)

Indications of near misses, such as scorch marks, discoloured or charred electrical plugs and sockets or cigarette burns etc., canhelp identify fire hazards that may not be otherwise obvious/noticeable

NO. Fire Hazard CHECK RISKSCORE COMMENT

1. Smokers materials i.e. cigarettes, matches & lighters

2. Naked flames i.e. candles, gas or liquid fuelled open flame

equipment3. Electrical, gas or oil fired heaters (fixed or portable)

4. Hot processes i.e. welding by contractors or shrink wrapping

5. Cooking equipment

6. Faulty or misused electrical equipment

7. Lighting equipment i.e. halogen lamps/display lighting to close tostored products

8. Hot surfaces and obstruction of equipment ventilation i.e. officeequipment

9. Arson


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STEP 1.2 IDENTIFYING FIRE HAZARDS (Identify sources of fuel)

Also consider the materials used to line walls and ceilings i.e. polystyrene/carpet tiles, fixtures & fittings and how they mightcontribute to the spread of fire


10. Flammable liquid based products i.e. paints, varnishes, thinners& adhesives

11. Flammable liquids and solvents i.e. white/methylated spirit,cooking oils and disposable lighters

12. Flammable chemicals i.e. cleaning products, photocopier chemicals & dry cleaning hydrocarbon solvents

13. Packaging materials i.e. stationery, advertising material anddecorations

14. Plastics and rubber i.e. video tapes, polyurethane foam filledfurniture & polystyrene based display materials

15. Textiles and soft furnishings i.e. hanging curtains and clothingdisplays

16.Waste products (particularly finely divided items) i.e. shreddedpaper, wood shavings, off cuts and dust

17. Flammable gases i.e. liquefied petroleum gas (LPG)


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STEP 1.3 IDENTIFYING FIRE HAZARDS (Identify sources of oxygen)

The main source of oxygen for a fire is in the surrounding air but additional sources of oxygen can sometimes be found in materialsused or stored on the premises


18. Natural ventilation, through doors, windows and other openings

19. Mechanical ventilation/air conditioning systems/air handlingsystems

20. Oxidising materials, should be identified on their container, followthe manufacturers/suppliers advice on safe storage

21. Oxygen supplies from cylinder storage and piped systems i.e.oxygen used in welding processes

22. Pyrotechnics (fireworks) contain oxidising materials and shouldbe treated with great care


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STEP 2 IDENTIFYING PEOPLE AT RISK

As part of the fire risk assessment identify those at risk if there is a fire and identify their location. Consider who else may be at risk,such as customers, visiting contractors and consider why they are at risk

NO. Persons at Risk and Area CHECK RISKSCORE COMMENT

23. Employees

24. Young persons

25. Expectant women

26. Employees who work alone and/or isolated areas i.e. cleaners,security staff

27. People who are unfamiliar with the premises i.e. seasonalworkers, contractors, visitors and customers

28.People with disabilities* or those who may have some other reason for not being able to leave quickly i.e. elderly or parentswith children

29. Persons in the immediate vicinity of the premises

30. People with language difficulties

*See guidance in the related fire documents of the Fire Safety Manual for your property specifically Part 3 the EmergencyEvacuation Plan and the Code of Practice for Means of Escape for Disabled People


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STEP 3.1 EVALUATE, REMOVE, REDUCE & PROTECT FROM RISK (Evaluate the risk of a fire occurring)

The chances of a fire starting will be low if your premises have few ignition sources and combustibles are kept away from them.Look critically at your premises and try to identify any accidents waiting to happen by acts or omissions and look for situations that

may present an opportunity for an arsonist*

NO. Evaluate CHECK RISKSCORE COMMENT

31. Accidentally i.e. smoking materials not properly extinguished or when lighting displays are knocked over

32.By act or omission i.e. when electrical office equipment is notproperly maintained or when waste packaging is allowed toaccumulate near to a heat sources

33. Deliberately i.e. an arson attack

* For further advice on arson please use the Guide to Arson Prevention Part 4 (Fire Safety Handbook) of the Fire Safety Manual


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STEP 3.2 EVALUATE, REMOVE, REDUCE & PROTECT FROM RISK (Evaluate the risk to people)

Step 2 identified the people likely to be at risk should a fire start and Step 3.1 evaluates the chance of a fire occurring, now evaluatethe actual risk to those people should a fire start and spread from the identified locations


34.Fire starting on a lower floor affecting the escape routes for people on the upper floors or the only escape route for peoplewith disabilities

35. Fire developing in an unoccupied space that people have to passby to escape from the building

36.Fire or smoke spreading through a building via routes such asvertical shafts, service ducts, ventilation systems, poorly installed,poorly maintained or damaged walls, partitions & ceilings

37. Fire starting in a service room and affecting hazardous materials

38.Fire spreading rapidly through the building because of combustible structural elements and/or large quantities of combustible goods

39. Rapid vertical fire spread in racked displays

40.Fire and smoke spreading through a building due to poor installation of fire precautions i.e. incorrectly installed fire doors or incorrectly installed services penetrating fire walls

41.Fire and smoke spreading through the building due to poorlymaintained and damaged fire doors or fire doors being wedgedopen


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STEP 3.3 EVALUATE, REMOVE, REDUCE & PROTECT FROM RISK (Remove or reduce the hazards)

Having identified the fire hazards in Step 1 you now need to remove those hazards if reasonably practicable to do so. If the hazardscannot be removed reasonable steps need to be taken to reduce them, this is an essential part of fire risk assessment and as a

priority this must take place before any other actions.

NO. Remove or Reduce (sources of ignition, fuel & oxygen) CHECK RISKSCORE COMMENT

42. Wherever possible replace a potential ignition source by a safer alternative

43.Replace naked flame and radiant heaters with fixed convector heaters or a central heating system. Restrict the movement of and guard portable heating appliances

44. Separate ignition hazards and combustibles i.e. ensure sufficientclear space between lights and combustibles

45. Operate a safe smoking policy in designated smoking areas andprohibit smoking elsewhere

46.Ensure electrical, mechanical and gas equipment is installed,used, maintained and protected in accordance with themanufacturers instructions

47. Check all areas where hot work (i.e. welding) has been carriedout to ensure that no ignition has taken place or any smoulderingmaterials remain that may cause fire

48.

Ensure that no-one carrying out work on gas fittings whichinvolves exposing pipes that contain or have containedflammable gas uses any source of ignition such as blow-lamps or hot air guns

49. Take precautions to avoid arson

50.

Reduce stocks of flammable materials, liquids and gases inpublic areas to a minimum. Keep remaining stock in dedicatedstorerooms or storage areas where the public are not allowed togo, only keep the minimum required for the operation of thebusiness

51.

Ensure flammable materials, liquids and gases, are kept to a

minimum, and are stored properly with adequate separationdistances between them


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52. Keep areas containing flammable gasses ventilated

53. Do not keep flammable solids, liquids and gases together

54.Remove, or treat large areas of highly combustible wall andceiling linings (i.e. polystyrene or carpet tiles, to reduce the rate of flame spread across the surface)

55.Develop a formal system for the control of combustible waste byensuring that waste materials and rubbish are not allowed to buildup and are carefully stored until properly disposed of

56. Take action to avoid storage areas being vulnerable to arson or vandalism

57.Close all doors, windows and other openings not required for ventilation, particularly out of working hours

58. Shut down ventilation systems which are not essential to thefunction of the premises

59. Do not store oxidising materials near or with any heat source or flammable materials

60.Control the use and storage of oxygen cylinders, ensuring thatthey are not leaking, are not used to sweeten the atmosphere,

and that where they are located is adequately ventilated


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STEP 3.4.1 EVALUATE, REMOVE, REDUCE & PROTECT FROM RISK (Fire detection and warning system)

Having evaluated the risk of fire occurring and the risk to people you now need to reduce any remaining fire risk to people to as lowas reasonably practicable, by ensuring that adequate fire precautions are in place to warn people in the event of a fire and allow

them to safely escape. The higher the risk of fire and risk to life, the higher the standards of fire protection will need to be.

NO. Protect from risk CHECK RISKSCORE COMMENT

61.Can the existing means of detection ensure a fire is discoveredquickly enough for the alarm to be raised in time for all occupantsto escape to a place of total safety?

62. Are the detectors of the right type and in the appropriatelocations?

63.Can the means of warning be clearly heard and understood byeveryone throughout the building when initiated from a singlepoint?

64. Are there provisions for people or locations where the alarmcannot be heard?

65. Does the fire-detection and warning system have a back-uppower supply?


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STEP 3.4.2 EVALUATE, REMOVE, REDUCE & PROTECT FROM RISK (Fire fighting equipment and facilities)

Fire-fighting equipment can reduce the risk of a small fire (i.e. a fire in a waste paper bin), developing into a large one. The safe useof an appropriate fire extinguisher to control a fire in its early stages can also significantly reduce the risk to other people in the

premises by allowing people to assist others who are at risk.

NO. Protect from risk CHECK RISKSCORE COMMENT

66. Are the extinguishers suitable for the purpose?

67. Are there enough extinguishers sited throughout the premises atappropriate locations?

68.Are the right types of extinguishers located close to the firehazards and can users get to them without exposing themselvesto risk?

69. Are the extinguishers visible or does their position needindicating?

70. Have you taken steps to prevent the misuse of extinguishers?

71. Do you regularly check any other equipment provided to help

maintain the escape routes?72. Do you carry out daily checks to ensure that there is clear accessto fire extinguishers?

73. Are those who test and maintain the equipment competent to doso?

74.

Do you have the necessary procedures in place to maintain anyfacilities that have been provided for the safety of people in thebuilding (or for the use of fire-fighters, such as access for fireengines and fire-fighting lifts?)


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STEP 3.4.3 EVALUATE, REMOVE, REDUCE & PROTECT FROM RISK (Escape routes)

It is essential that escape routes, and the means provided to ensure they are used safely, are managed and maintained to ensurethat they remain usable and available at all times when the premises are occupied. Corridors and stairways that form part of escape

routes should be kept clear and hazard free at all times.For evacuation of persons with mobility impairment, the means of escape provided must be suitable for the evacuation of everyone

likely to be in the premises. This may require additional planning and allocation of staff roles with appropriate training


75.

Is your building constructed, particularly in the case of multi-storey buildings, so that, if there is a fire, heat and smoke will notspread uncontrolled through the building to the extent that the

people are unable to use the escape routes?

76.Are any holes or gaps in walls, ceilings and floors properlysealed, i.e. where services such as ventilation ducts andelectrical cables pass through them?

77. Can all the occupants escape to a place of total safety in areasonable time?

78.

Are the existing escape routes adequate for the numbers and

type of people that may need to use them, i.e. staff, members of the public, young children and disabled people?

79. Are the exits in the right place and do the escape routes lead asdirectly as possible to a place of total safety?

80. If there is a fire, could all available exits be affected or will at leastone route from any part of the premises remain available?

81. Are the escape routes and final exits kept clear at all times?

82. Do the doors on escape routes open in the direction of escape?

83. Can all final exit doors be opened easily and immediately if thereis an emergency?

84. Will everybody be able to safely use the escape routes from your premises?


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85.

Are the people who work in the building aware of the importanceof maintaining the safety of the escape routes, i.e. by ensuringthat fire doors are not wedged open and that combustiblematerials are not stored within escape routes?

86. Are there any particular or unusual issues to consider?

STEP 3.4.4 EVALUATE, REMOVE, REDUCE & PROTECT FROM RISK (Emergency escape lighting)

People in your premises must be able to find their way to a place of total safety if there is a fire by using escape routes that haveenough lighting. Where any escape routes are internal and without windows, or the premises are used during periods of darkness

then some form of backup to the normal escape route lighting (emergency escape lighting) is likely to be required.


87. Are your premises used during periods of darkness?

88. Will there always be sufficient lighting to safely use escaperoutes?

89. Do you have back-up power supplies for your emergency

lighting?

STEP 3.4.5 EVALUATE, REMOVE, REDUCE & PROTECT FROM RISK (Signs and notices)

Signs must be used, where necessary, to help people identify escape routes, find fire-fighting equipment and emergency firetelephones. These signs are required under the Health and Safety (Safety Signs and Signals) Regulations and must comply with the

provisions of those Regulations.


90.Where necessary are escape routes and exits, the locations of fire-fighting equipment and emergency fire telephones indicatedby appropriate signs?

91.

Have you provided notices such as those giving information onhow to operate security devices on exit doors, those indicating

doors enclosing fire hazards that must be kept shut and fireaction notices for staff and other people?

A i i i ll h i d i h


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92. Are you maintaining all the necessary signs and notices so thatthey continue to be correct, legible and understood?

93.

Are you maintaining signs that you have provided for theinformation of the fire and rescue service, such as thoseindicating the location of water suppression stop valves and thestorage of hazardous substances?

STEP 3.4.6 EVALUATE, REMOVE, REDUCE & PROTECT FROM RISK (Installation, testing and maintenance)

You must ensure regular checks, periodic servicing and maintenance are carried out whatever the size of your premises and anydefects are put right as quickly as possible.

NO. Evaluate CHECK RISKSCORE

COMMENT

94. Do you regularly check all fire doors and escape routes andassociated lighting and signs?

95. Do you regularly check all your fire-fighting equipment?

96. Do you regularly check your fire-detection and alarm equipment?

97. Are those who test and maintain the equipment competent to doso?

98. Do you keep a logbook to record tests and maintenance?


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STEP 3 FINAL CHECKLIST

Evaluate, Remove, Reduce and Protect

NO. Evaluate, remove, reduce and protect from risks by: CHECKRISK

SCORE COMMENT

99. Evaluating the risk to people in your building if a fire starts

Removing or reducing the hazards that might cause a fire,have you:

100. Removed or reduced sources of ignition?

101. Removed or reduced sources of fuel?

102. Removed or reduced sources of air or oxygen?

Have you removed or reduced the risks to people if a fireoccurs by:

103. Considering the need for fire detection and for warning?

104. Considering the need for fire-fighting equipment?

105. Determining whether your escape routes are adequate?

106. Determining whether your lighting and emergency lighting areadequate?

107. Checking that you have adequate signs and notices?

108. Regularly testing and maintaining safety equipment?

109. Considering whether you need any other equipment or facilities?


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STEP 4.1 RECORD, PLAN, INFORM, INSTRUCT AND TRAIN (Record the significant findings and action taken*)

It is best to keep a dedicated record including details of significant findings, any action taken, a copy of the emergency plan,maintenance of fire-protection equipment and training. These should all be recorded in the premises fire safety manual.

NO. Significant findings should include details of: CHECK RISKSCORE COMMENT

110. The fire hazards you have identified

111. The actions you have taken or will take to remove or reduce thechance of a fire occurring (preventative measures)

112. Persons who may be at risk, particularly those at greatest risk

113.The actions you have taken or will take to reduce the risk topeople from the spread of fire and smoke (protective measures)

114.The actions people need to take in case of fire including details of any persons nominated to carry out a particular function (your emergency plan)

115. The information, instruction and training you have identified thatpeople need and how it will be given/organised

Checklist

116. Have you recorded the significant findings of your assessment?

117. Have you recorded what you have done to remove or reduce therisk?

118. Are your records available for inspection by the enforcingauthority?

*Record the significant findings in section 6


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STEP 4.2 RECORD, PLAN, INFORM, INSTRUCT AND TRAIN (Emergency Plans)

You need to have an emergency plan for dealing with any fire situation. The purpose of an emergency plan is to ensure that thepeople in your premises know what to do if there is a fire and that the premises can be safely evacuated.

NO. Emergency Plan: CHECKRISK

SCORE COMMENT

119. Do you have an emergency plan and, where necessary, have yourecorded the details?

120. Does your plan take account of other emergency plans applicablein the building?

121. Is the plan readily available for staff to read?

122. Is the emergency plan available to the enforcing authority?

STEP 4.3 RECORD, PLAN, INFORM, INSTRUCT AND TRAIN (Inform, instruct, co-operate and co-ordinate)

All staff should be given information and instruction as soon as possible after they are appointed and regularly after that. Include

staff who work outside normal working hours and take into account, those disabilities such as hearing or sight impairment, thosewith learning difficulties and those who do not use English as their first language.

NO. Information and instruction must include: CHECK RISKSCORE COMMENT

123. The significant findings from your risk assessment

124. The measures put in to reduce the risk

125. What staff should do if there is a fire

126. The identity of people you have nominated with responsibilitiesfor fire safety

127.Any special arrangements for serious and imminent danger topersons from fire


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Co-operation and co-ordination

128. Have you told your staff about the emergency plan?

129. Have you informed guests and visitors about what to do in anemergency?

130. Have you identified people you have nominated to do a particular task?

131. Have you given staff information about any dangeroussubstances?

132. Do you have arrangements for informing temporary or agencystaff?

133.

Do you have arrangements for informing other employers whose

staff are guest workers in your premises, such as maintenancecontractors and cleaners?

134. Have you co-ordinated your fire safety arrangements with other responsible people in the building?

135.Have you recorded details of any information or instructions youhave given and the details of any arrangements for co-operationand co-ordination with others?


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STEP 4.4 RECORD, PLAN, INFORM, INSTRUCT AND TRAIN (Fire Safety Training)

You must provide adequate fire safety training for your staff. The type of training should be based on the

particular features of your premises.NO. Checklist: CHECK RISKSCORE COMMENT

136. Have your staff received fire safety training?

137. Have you carried out a fire drill recently?

138. Are employees aware of specific tasks if there is a fire?

139. Are you maintaining a record of training sessions?

140. Do you carry out joint training and fire drills in multi-occupiedbuildings?

141. If you use or store hazardous or explosive substances have your staff received appropriate training?


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STEP 5 REVIEW

Constantly monitor what you are doing to implement the fire risk assessment to assess how effectively the risk is being controlled. If you have any reason to suspect that your fire risk assessment is no longer valid or there has been a significant change in your

premises that has affected your fire precautions, you will need to review your assessment and if necessary revise it.

NO. Reasons for review could include: CHECK RISKSCORE COMMENT

142. Changes to work processes or the way that you organise them,including the introduction of new equipment

143. Alterations to the building, including the internal layout

144. Substantial changes to furniture and fixings

145. The introduction, change of use or increase in the storage of hazardous substances

146. The failure of fire precautions i.e. fire-detection systems andalarm systems, life safety sprinklers or ventilation systems

147. Significant changes to displays or quantities of stock

148. A significant increase in the number of people present

149. The presence of people with some form of disability


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Section 6 Significant Findings

RISKSCORE HAZARDS

PROPOSED ACTION TOREDUCE/REMOVE HAZARD

BY WHOM BY WHEN COMPLETIONSIGNATURECOMPLETION

DATE


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Section 8 Photographs

Insert photographs

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