Fire Risk Assessment Form - West Sussex United Kingdom

This West Sussex-specific "Fire Risk Assessment Form" is a document released by the West Sussex Fire and Rescue Service.

Download the fillable PDF by clicking the link below and use it according to the applicable legal guidelines.

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Blank Fire Risk Assessment
Blank Fire Risk Assessment
Basic Premises information
Fire Risk Assessment
Premises
Name:
Address:
Premises
Description:
Hours of Business:
Max No. of persons
at any one time:
Responsible Person:
Position Held:
Contact Number:
Building Owner:
Contact Number:
Assessment date:
By:
Review Date:
By:
Hazard identification (example)
Sources of Ignition
NA Yes No
Electrical installation regularly inspected?
Electrical equipment PAT tested?
Portable or fixed heating kept away from combustibles?
Multipoint adaptors/ extension leads kept to a minimum?
Electrical flexes safe from physical damage?
Hot works permit procedure in force?
Smoking Permitted in and around premises?
Any processes that produce heat?
Any other sources of ignition not mentioned above?
Sources of Fuel
Safe storage of combustible materials?
Flammable liquids kept on premises stored safely?
Standard of housekeeping satisfactory
Procedures to protect from arson in place?
Any other sources of fuel not mentioned above?
2
Sources of O
Any sources of oxygen other than air?
Comments
Sources of ignition/Fuel/Oxygen
Location
Hazard
Persons
Risk
Existing
Further Action
By whom & date actioned
at risk
H/M/L
controls
Means for Giving Warning
Fire Alarm and Detection System
NA Yes No
Does the building have a means for giving warning in case of
fire?
Is the means for giving warning appropriate and does it meet
the building requirements?
Is the alarm audible throughout the building?
Is the number and siting of call points satisfactory?
Is the detection sufficient and appropriate for the building
needs?
Are any detectors or call points obstructed?
Are all employees aware of how to raise the alarm?
Are employees trained on how to raise the alarm?
Is the fire alarm system tested on a weekly basis?
Is the fire alarm system serviced/maintained in accordance with
BS 5839?
Does the system have a battery back up?
Comments
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