Fire safety - existing high rise domestic buildings: practical guidance

Annex 2 - Fire Safety Risk Assessment Template

Address

Postcode

Name of organisation

Name and contact details of Assessor

Assessor signature

Date of assessment

Part 1 Obtain Information

How many floors does the building have?

Number of residents in the building? Are any residents particularly at risk? If yes, please detail

below.

Is there a staff presence, such as a caretaker or a concierge? If yes, please detail below.

Yes

No

Does the building have any ancillary uses such as commercial or community activities? If yes, please detail below.

Yes

No

Has the building any previous history of fire? If yes, please detail below.

Yes

No

Has there been any previous examination of the building's external cladding? If yes, please detail below.

Yes

No

Are testing and maintenance records available and complete?

Yes

No

Is there a current procedure for residents to follow in the event of fire? If yes, please append a copy and explain below how it is communicated to residents.

Yes

No

Part 2 Identify any potential causes of fire in the common areas

Are there any sources of ignition present?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Are there any sources of fuel present?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Are there any sources of oxygen present e.g. ventilation

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Part 3 Evaluate the risk and adequacy of existing fire safety measures

What is the likelihood of a fire starting?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

What may be the consequences to people from a fire starting in the building?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Is there the potential for fire to spread and affect escape routes?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Is there potential for fire or smoke spread through routes such as open doors, vertical shafts, service ducts, service penetrations, ventilation systems, cavities, voids, external wall cladding systems?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Is there potential for fire and smoke to spread into the premises from an external fire?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Are the flat entrance doors sufficiently fire resisting and self-closing?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Is there protection of the stairways from fire in adjacent areas? i.e. Provision of properly maintained self-closing fire doors on stair and lobby enclosures, fire resisting glazing etc.

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Is the travel distance from flat entrance doors to the nearest stairway or final exit acceptable?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Is there emergency escape lighting provided and maintained? Is it required if not?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Are there fire escape route signs? Are they required if not?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Is there adequate fire separation evident, particularly the enclosure of flats within fire resisting construction?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Where provided, are rising fire mains, firefighters lifts, suppression systems and smoke ventilation systems properly maintained?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Are there any fire suppression installations provided or required?

Action required (Please tick)

If you answered yes, record action at PART 5

Yes

No

Part 4 Improvement plan (where required)

Detail any improvements to fire safety measures which are considered necessary. Please also detail if the outcome is that there are no improvements necessary.

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

Priority ratings and suggested timescales:

Low (L) 3 – 6 months
Medium (M) Up to 3 months
High (H) As soon as Possible

The above timescales are recommendations, however, risks should be removed as soon as possible.

Part 5 Action points

Priority

Person responsible

Completion date

Continue on separate sheet if necessary.

Detail the areas inspected:

Part 6 Record and review

Review Date

Reviewed by

Reason for review

Outcomes of review