FIRE RISK ASSESSMENT PROFORMA
Regulatory Reform (Fire Safety) Order 2005 – Risk Assessment Report Only trained personnel are to undertake Fire Risk Assessment
Section 1
Property Details and Review Record
Establishment Name:
Address:
Post code:
Telephone No:
Area of Risk Assessment: Date of Risk Assessment: Assessment:
Responsible Person:
Assessment Undertaken by:
Building Manager:
Signature of Assessor …………………………………
Signature of Responsible Person ……………………………………
Date
Date
REVIEW RECORD DATE
ASSESSOR
SIGNATURE
Page 2
COMMENTS
Contents
RISK ASSESSMENT PARAMETERS
Section 1
Property Details and Review Record
Section 2
Introduction and Overview
Section 3
Property Description
Section 4
Five Steps to Fire Risk Assessment
EMERGENCY PLAN PREPARED
Section 5
Fire Safety Risk Assessment
SLEEPING RISK
Section 6
Significant Findings
Section 7
Fire Safety Maintenance Checklist
Section 8
Photographs
The detail in the risk assessment has been obtained from observations made by walking 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
TREATMENT ROOMS
RISK ASSESSMENT MATRIX
Risk Score = Hazard x Risk
Slightly Harmful-1
Harmful-2
Extremely Harmful-3
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 priority for 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
Section 3 NUMBER OF FLOORS
APPROXIMATE FLOOR AREA ON EACH FLOOR
BRIEF CONSTRUCTION DETAILS
OCCUPANCY: OCCUPANCY: MAXIMUM M AXIMUM VISITOR NUMBERS
OCCUPANCY: MAXIMUM EMPLOYEE NUMBERS
PREVIOUS FIRE LOSS EXPERIENCE
Property Description
Section 4
Five Steps to Fire Risk Assessment
FIRE SAFETY RISK ASSESSMENT
1 Identify fire hazards 2 Identify people at risk risk 3 Evaluate, remove, reduce and protect from risk
Identify: Sources of ignition Sources of fuel Sources of oxygen Identify: People in and around the premises People especially at risk Evaluate the risk of a fire occurring Evaluate the risk to people from fire Remove or reduce fire hazards Remove or reduce the risks to people Detection and warning Fire-fighting Escape routes Lighting Signs and notices Maintenance Record significant findings and action taken Prepare an emergency plan Inform and instruct relevant people Co-operate and co-ordinate with others Provide training Keep assessment under review Revise where necessary • • • • • •
4 Record, plan, inform, inform, instruct and train 5 Review
Remember to keep your fire risk assessment under review
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., can help identify fire hazards that may not be otherwise obvious/noticeable NO.
Fire Hazard
1.
Smokers materials i.e. cigarettes, matches & lighters
2.
Naked flames i.e. candles, gas or liquid fuelled open flame equipment
3.
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 to stored products
8.
Hot surfaces and obstruction of equipment ventilation i.e. office equipment
9.
Arson
CHECK
RISK SCORE
COMMENT
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 might contribute to the spread of fire NO.
10. 11. 12. 13. 14. 15. 16. 17.
Fire Hazard
Flammable liquid based products i.e. paints, varnishes, thinners & adhesives Flammable liquids and solvents i.e. white/methylated white/methylated spirit, cooking oils and disposable lighters Flammable chemicals i.e. cleaning products, photocopier chemicals & dry cleaning hydrocarbon solvents Packaging materials i.e. stationery, advertising material and decorations Plastics and rubber i.e. video tapes, polyurethane foam filled furniture & polystyrene based display materials Textiles and soft furnishings i.e. hanging curtains and clothing displays Waste products (particularly finely divided items) i.e. shredded paper, wood shavings, off cuts and dust Flammable gases i.e. liquefied petroleum gas (LPG)
CHECK
RISK SCORE
COMMENT
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 materials used or stored on the premises NO.
18. 19. 20. 21. 22.
Fire Hazard
Natural ventilation, through doors, windows and other openings Mechanical ventilation/air conditioning systems/air handling systems Oxidising materials, should be identified on their container, follow the manufacturers/suppliers advice on safe storage Oxygen supplies from cylinder storage and piped systems i.e. oxygen used in welding processes Pyrotechnics (fireworks) contain oxidising materials and should be treated with great care
CHECK
RISK SCORE
COMMENT
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
23.
Employees
24.
Young persons
25.
Expectant women
26. 27. 28.
CHECK
RISK SCORE
COMMENT
Employees who work alone and/or isolated areas i.e. cleaners, security staff People who are unfamiliar with the premises i.e. seasonal workers, contractors, visitors and customers People with disabilities* or those who may have some other reason for not being able to leave quickly quickly i.e. elderly or parents with 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 Emergency Evacuation Plan and the Code of Practice for Means of Escape for Disabled People
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.
31. 32. 33.
Evaluate
CHECK
RISK SCORE
COMMENT
Accidentally i.e. smoking materials not properly extinguished or when lighting displays are knocked over By act or omission i.e. when electrical office equipment is not properly maintained or when waste packaging is allowed t o accumulate near to a heat sources 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
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 evaluate the actual risk to those people should a fire start and spread from the identified locations NO.
34. 35. 36.
Evaluate
Fire starting on a lower floor affecting the escape routes for people on the upper floors or the only escape route for people with disabilities Fire developing in an unoccupied space that people have to pass by to escape from the building Fire or smoke spreading through a building via routes such as vertical 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.
41.
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 Fire and smoke spreading through the building due to poorly maintained and damaged fire doors or fire doors being wedged open
CHECK
RISK SCORE
COMMENT
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 hazards cannot 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.
42. 43. 44. 45. 46.
47.
48.
49.
50.
51.
Remove or Reduce (sources of ignition, fuel & oxygen)
Wherever possible replace a potential ignition source by a safer alternative Replace naked flame and radiant heaters with fixed convector heaters or a central heating system. Restrict the movement of and guard portable heating appliances Separate ignition hazards and combustibles i.e. ensure sufficient clear space between lights and combustibles Operate a safe smoking policy in designated smoking areas and prohibit smoking elsewhere Ensure electrical, mechanical and gas equipment is installed, used, maintained and protected in accordance with the manufacturers instructions Check all areas where hot work (i.e. welding) has been carried out to ensure that no ignition has taken place or any smouldering materials remain that may cause fire Ensure that no-one carrying out work on gas fittings which involves exposing pipes that contain or have contained flammable gas uses any source of ignition such as blow-lamps or hot air guns Take precautions to avoid arson Reduce stocks of flammable materials, liquids and gases in public areas to a minimum. Keep remaining stock in dedicated storerooms or storage areas where the public are not allowed to go, only keep the minimum required for the operation of the business Ensure flammable materials, liquids and gases, are kept to a minimum, and are stored properly with adequate separation distances between them
CHECK
RISK SCORE
COMMENT
52.
Keep areas containing flammable gasses ventilated
53.
Do not keep flammable solids, liquids and gases together
54.
55. 56. 57. 58. 59. 60.
Remove, or treat large areas of highly combustible wall and ceiling linings (i.e. polystyrene or carpet tiles, to reduce the rate of flame spread across the surface) Develop a formal system for the control of combustible waste by ensuring that waste materials and rubbish are not allowed to build up and are carefully stored until properly disposed of Take action to avoid storage areas being vulnerable to arson or vandalism Close all doors, windows and other openings not required for ventilation, particularly out of working hours Shut down ventilation systems which are not essential t o the function of the premises Do not store oxidising materials near or with any heat source or flammable materials Control the use and storage of oxygen cylinders, ensuring that they are not leaking, are not used to sweeten the atmosphere, and that where they are located is adequately ventilated
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 low l ow as 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.
61. 62. 63. 64. 65.
Protect from risk
Can the existing means of detection ensure a fire is discovered quickly enough for the alarm to be raised in time for all occupants to escape to a place of total safety? Are the detectors of the right type and in the appropriate locations? Can the means of warning be clearly heard and understood by everyone throughout the building when initiated from a single point? Are there provisions for people or locations where the alarm cannot be heard? Does the fire-detection and warning system have a back-up power supply?
CHECK
RISK SCORE
COMMENT
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 i n a waste paper bin), developing into a large one. The safe use of 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.
66. 67. 68. 69. 70. 71. 72. 73.
74.
Protect from risk
Are the extinguishers suitable for the purpose? Are there enough extinguishers sited throughout the premises at appropriate locations? Are the right types of extinguishers located close to the fire hazards and can users get to them without exposing themselves to risk? Are the extinguishers visible or does their position need indicating? Have you taken steps to prevent the misuse of extinguishers? Do you regularly check any other equipment provided to help maintain the escape routes? Do you carry out daily checks to ensure that there is clear access to fire extinguishers? Are those who test and maintain the equipment competent to do so? Do you have the necessary procedures in place to t o maintain any facilities that have been provided for the safety of people in the building (or for the use of fire-fighters, fire-f ighters, such as access for fire engines and fire-fighting lifts?)
CHECK
RISK SCORE
COMMENT
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 ensure that they remain usable and available at all times ti mes 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, im pairment, 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 NO.
75.
76. 77. 78. 79. 80.
Evaluate
Is your building constructed, particularly in the case of multistorey buildings, so that, if there is a fire, f ire, heat and smoke will not spread uncontrolled through the building to the extent that the people are unable to use the t he escape routes? Are any holes or gaps in walls, ceilings and floors properly sealed, i.e. where services such as ventilation ducts and electrical cables pass through them? Can all the occupants escape to a place of total safety in a reasonable time? 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? Are the exits in the right place and do the t he escape routes lead as directly as possible to a place of total safety? If there is a fire, f ire, could all available exits be affected or will at least one 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. 84.
Can all final exit doors be opened easily and immediately if there is an emergency? Will everybody be able to safely use the escape routes from your premises?
CHECK
RISK SCORE
COMMENT
85.
Are the people who work in the building aware of the importance of maintaining the safety of the escape routes, i.e. by ensuring that fire doors are not wedged open and that combustible materials 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 have enough lighting. Where any escape routes are internal i nternal 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. NO.
87. 88. 89.
Evaluate
CHECK
RISK SCORE
COMMENT
Are your premises used during periods of darkness? Will there always be sufficient lighting to safely use escape routes? 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 fire telephones. These signs are required under the Health and Safety (Safety Signs and Signals) Regulations and must comply with the provisions of those Regulations. NO.
90.
91.
Evaluate
Where necessary are escape routes and exits, the locations of fire-fighting equipment and emergency fire telephones indicated by appropriate signs? Have you provided notices such as those giving information on how to operate security devices on exit doors, those indicating doors enclosing fire hazards that must be kept shut and fire action notices for staff and other people?
CHECK
RISK SCORE
COMMENT
92.
93.
Are you maintaining all the necessary signs and notices so that they continue to be correct, legible and understood? Are you maintaining signs that you have provided for the information of the fire and rescue service, such as those indicating the location of water suppression stop valves and the storage 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 any defects are put right as quickly as possible. NO.
Evaluate
94.
Do you regularly check all fire doors and escape routes and associated 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 do so?
98.
Do you keep a logbook to record tests and maintenance?
CHECK
RISK SCORE
COMMENT
STEP 3 FINAL CHECKLIST Evaluate, Remove, Reduce and Protect NO.
Evaluate, remove, reduce and protect from risks by:
99.
Evaluating the risk to people in your building if a f ire 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 fire occurs by:
103.
Considering the need for fire detection and for warning?
104.
Considering the need for fire-fighting fire-f ighting equipment?
105.
Determining whether your escape routes are adequate?
106.
Determining whether your lighting and emergency lighting are adequate?
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 f acilities?
CHECK
RISK SCORE
COMMENT
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:
110.
The fire hazards you have identified
111.
The actions you have taken or will take to remove or reduce the chance of a fire occurring (preventative measures)
112.
Persons who may be at risk, particularly those at greatest risk
113. 114. 115.
CHECK
RISK SCORE
The actions you have taken or will take to reduce the risk to people from the spread of fire and smoke (protective measures) 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) The information, instruction and training you have id entified that people need and how it will be given/organised Checklist
116. 117. 118.
Have you recorded the significant findings of your assessment? Have you recorded what you have done to remove or reduce the risk? Are your records available for inspection by the enforcing authority? *Record the significant findings in section 6
COMMENT
STEP 4.2 RECORD, PLAN, INFORM, INSTRUCT I NSTRUCT 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 the people in your premises know what to do if there is a fi re and that the premises can be safely evacuated. NO.
119. 120.
Emergency Plan:
CHECK
RISK SCORE
COMMENT
Do you have an emergency plan and, where necessary, have you recorded the details? Does your plan take account of other emergency plans applicable in 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 I nclude staff who work outside normal working hours and take into account, those disabilities such as hearing or sight impairment, those with learning difficulties and those who do not use English as their first language. NO.
Information and instruction must include:
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. 127.
The identity of people you have nominated with responsibilities for fire safety Any special arrangements for serious and imminent danger to persons from fire
CHECK
RISK SCORE
COMMENT
Co-operation and co-ordination
128. 129. 130. 131. 132. 133. 134. 135.
Have you told your staff about the emergency plan? Have you informed guests and visitors about what to do in an emergency? Have you identified people you have nominated to do a particular task? Have you given staff information about any dangerous substances? Do you have arrangements for informing temporary or agency staff? Do you have arrangements for informing other employers whose staff are guest workers in your premises, such as maintenance contractors and cleaners? Have you co-ordinated your fire safety arrangements with other responsible people in the building? Have you recorded details of any information or instructions you have given and the details of any arrangements for co-operation and co-ordination with others?
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:
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. 141.
Do you carry out joint training and fire drills in multi-occupied buildings? If you use or store hazardous or explosive substances have your staff received appropriate training?
CHECK
RISK SCORE
COMMENT
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 si gnificant 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:
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. 146.
The introduction, change of use or increase in the storage of hazardous substances The failure of fire precautions i.e. fire-detection systems and alarm 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
CHECK
RISK SCORE
COMMENT
Section 6 RISK SCORE
Significant Findings
HAZARDS
PROPOSED ACTION TO REDUCE/REMOVE HAZARD
BY WHOM
BY WHEN
COMPLETION SIGNATURE
COMPLETION DATE
Section 8
Insert photograph photographs s
Photographs
