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Fire Safety Risk Assessment

Take or Attach Photo of Premise

Add Photo

General Information

Provide occupancy details by answering fields below

Time in use during the week (e.g "5 times in a week")

Total Number of Staff

Average Number of People Present

Provide size details by answering fields below

Total Size of Premise (Sqm)

Number of Storeys

Number of Basements

Fire Hazard Identification (Sources of Ignition)

Hazard Type (Sources of Ignition)

Select Naked Flames Portable Heaters and Heating Equipment Electrical Equipment Cooking Equipment Work Process Risk(s) Arson Smoking Materials Other Sources (including contractors)

Please specify

Are existing control measures suitable?

Yes No

What needs to be done to make each situation safe?

Fire Hazard Identification (Sources of Fuel & Oxygen)

Hazard

Hazard Type

Select Naked Flames Portable Heaters and Heating Equipment Electrical Equipment Cooking Equipment Work Process Risk(s) Arson Smoking Materials Other Sources (including contractors)

Are existing control measures suitable?

Yes No

What needs to be done to make each situation safe?

People at Risk

Select type of people at risk and note your findings (if any)

Employees Visitors / contractors Lone workers, e.g. cleaners, security staff People with disabilities Other

Evaluate, Remove, Reduce and Protect From Risk

Are ignition sources controlled to reduce the chances of fire?

Yes No N/A

What needs to be done to make each situation safe?

Are combustible materials kept away from ignition sources?

Yes No N/A

What needs to be done to make each situation safe?

Are all windows and openings closed last thing at night?

Yes No N/A

What needs to be done to make each situation safe?

Is your fire alarm system adequate for your premises?

Yes No N/A

What needs to be done to make each situation safe?

Will everybody be warned if the fire alarm operates?

Yes No N/A

What needs to be done to make each situation safe?

Can everyone escape without assistance?

Yes No N/A

What needs to be done to make each situation safe?

Is escape from fire available in more than one direction?

Yes No N/A

What needs to be done to make each situation safe?

Are all fire exits easily identified by the correct signs?

Yes No N/A

What needs to be done to make each situation safe?

Are escape routes free from obstruction and storage?

Yes No N/A

What needs to be done to make each situation safe?

Are all doors on escape routes easily opened without a key?

Yes No N/A

What needs to be done to make each situation safe?

Do all doors on escape routes open in the direction of escape?

Yes No N/A

What needs to be done to make each situation safe?

Can everyone escape in a reasonable time?

Yes No N/A

What needs to be done to make each situation safe?

Do you have emergency lighting?

Yes No N/A

What needs to be done to make each situation safe?

Is the lighting adequate to illuminate circulation routes?

Yes No N/A

What needs to be done to make each situation safe?

Do you have fire fighting equipment?

Yes No N/A

What needs to be done to make each situation safe?

Is the fire fighting equipment adequate for the risks present?

Yes No N/A

What needs to be done to make each situation safe?

Are housekeeping and general waste management adequate?

Yes No N/A

What needs to be done to make each situation safe?

Are security arrangements sufficient to prevent access?

Yes No N/A

What needs to be done to make each situation safe?

Are measures adequate to prevent the incidents of arson?

Yes No N/A

What needs to be done to make each situation safe?

Are there any large open roof spaces or concealed ceiling voids?

Yes No N/A

What needs to be done to make each situation safe?

Could a fire in your premise spread to another?

Yes No N/A

What needs to be done to make each situation safe?

Can the fire service easily get to your premises?

Yes No N/A

What needs to be done to make each situation safe?

Record, Plan, Inform, Instruct and Train

Have you made an emergency plan?

Yes No N/A

What needs to be done to make each situation safe?

Have you provided fire instruction and staff training?

Yes No N/A

What needs to be done to make each situation safe?

Are there records of fire drills to test your training and emergency plan?

Yes No N/A

What needs to be done to make each situation safe?

Are there records of maintenance on all fire safety measures?

Yes No N/A

What needs to be done to make each situation safe?

Have you recorded the significant findings of this assessment?

Yes No N/A

What needs to be done to make each situation safe?

Review

It is recommended that you review your fire safety risk assessment regularly (recommended every 12 months) OR if you make changes to the layout of your premises, any changes to work processes, significantly increase the amount of combustible materials stored or displayed or sources of ignition, change your opening hours (e.g. to include night time opening etc) or any failures in your fire safety precautions then you should review your fire safety risk assessment.

Date of next review

Select date

Completion

Additional comment or recommendations

Name & Signature of Assigned Employee

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Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.