Instructions for Excel Spreadsheet

There are three tabs at the bottom of this worksheet

Instructions tab is the one you are reading

Title Tab
TITLE Tab is the front cover page of the Risk Assessment
Simply insert your Company Name, Date and Assessor name where indicated
Print the front cover once you have completed your risk assessment.
Do not enter any data other than Company name, Date and Assessor - the data
will copy from the Fire risk assessment details

Fire Risk Assessment Tab

Read each section and answer the question
Enter Data ONLY in the white coloured boxes for each question
Enter a score for each question : - either 1 or 0
If the question is not aplicable score it as 1
Enter comments in the comments box

Once complete simply print of both the Title Page and the Risk Assessment
details pages
You have now completed your Fire Risk Assessment.
 Fire Risk Assessment

STEP 1 Identifiy Fire Hazards

- sources of ignition

Fire Risk Assessment - sources of fuel

- work processes
STEP 2 Identify the location of people at significant risk in
case of fire

Insert Company Name Here STEP 3 Evaluate the Risks

Are existing fire safety measures adequate?
- control of ignition sources/sources of fuel
- fire detection/warning
Insert Date Here - means of escape
- means of fighting fire
- maintenance and testing of fire precautions
- fire safety training of employees
Carry out improvements needed
Insert Name of Assessor here STEP 4 Record findings and action taken
- prepare emergency plan
- inform, instruct and train employees in fire precautions

STEP 5 Keep assessment under review

Revise if situation changes

The information below summarises the report detailed on the following pages:

A. SOURCES OF IGNITION E. FUEL - BUILDINGS, M. DISABLED / SPECIAL NEEDS

A1 0 - FIXTURES & FITTINGS M1 0
A2 0 E1 0 M2 0
A3 0 E2 0 M3 0
A4 0 E3 0 M4 0
A5 0 F. OXYGEN M5 0
A6 0 F1 0 N. SAFETY CHECKS - END OF DAY
A7 0 F2 0 N1 0
A8 0 G. OXYGEN - CHEMICALLY P. TRAINING
A9 0 - PRODUCED P1 0
A10 0 G1 0 P2 0
A11 0 G2 0 Q. RECORD KEEPING
A12 0 H. MAINTENANCE AND TESTING Q1 0
A13 0 H1 0 Q2 0
A14 0 H2 0 Q3 0
A15 0 J. MEANS OF ESCAPE R. FIRE CERTIFICATE
B. FUEL - FLAMMABLE CHEMICALS J1 0 R1 0
B1 0 K. FIRE PROCEDURE AND TRAINING
C. FUEL WITHIN THE WORKPLACE K1 0
C1 0 K2 0
C2 0 L. MEANS OF FIRE FIGHTING
C3 0 L1 0
C4 0 L2 0
C5 0 L3 0
D. FUEL - FLAMMABLE GASES
D1 0

Appears in order or not Requires attention or

Urgent action required
applicable action

© TCH Safety 2006

 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments
A. SOURCES OF IGNITION
A1. Smoking, smokers No smoking policy being enforced. 1
materials, cigarette ends, Smoking only allowed in designated areas within building. 1
matches etc. Metal ashtrays and containers provided within smoking area 1
Smoking waste disposed of sensibly and not with general waste. 1
Notices posted of smoking arrangements and prohibitions 1
Total 5 0 0
A2. Naked flames No naked flames on day to day basis. 1
Permit to Work and Hot Work Permits to control additional risks 1
Permit to work system thoroughly supervised 1
Total 3 0 0
A3. Electrical, gas or oil No such equipment on site. 1
fired heaters. Fixed internal Subject to maintenance by qualified persons. 1
combustion engines Inspected in accordance with legislation. 1
(generators etc) Ducts, exhausts and flues kept clean. 1
All fuses or circuit breakers of the correct rating and suitable for purpose. 1
No flammable material near hot surfaces, flues or exhaust systems. 1
Fuel supply lines/pipes periodically inspected for damage or leaks. 1
Fuel lines marked to identify their contents. 1
Bund around storage tanks. 1
Total 9 0 0
A4. Portable heaters No portable heaters on site. 1
Electric heaters subject to PAT. 1
Portable heaters turned off after use. 1
Suitable gas cylinder storage. 1
Total 4 0 0

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 FIRE RISK ASSESSMENT
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Potential score

Actual Score

Percentage
Expected Performance

Comments
A5. Machinery and None on site 1
equipment Subject to routine maintenance by competent person. 1
Inspected as required by legislation. 1
Total 3 0 0
A6. Ventilation equipment None on site. 1
Subject to routine maintenance by competent person. 1
Switches off when fire alarm sounds. 1
Total 3 0 0
A7. Friction, i.e. worn No equipment on site likely to give rise to friction. 1
bearings, All faulty equipment stopped and isolated subject to repair or replacement 1
slipping belts etc. All equipment subject to regular inspection and maintenance 1
Total 3 0 0
A8. Hot processes such as No such process as part of the work activity. 1
welding and grinding Carried out in a controlled area, i.e.welding bay. 1
Subject to Permit to Work and Hot Work Permit. 1
Permit system thoroughly supervised 1
Total 4 0 0
A9. Hot surfaces No hot surfaces present. 1
Protection of hot surfaces preventing contact with flammable materials. 1
Warning signs posted 1
Regular cleaning of hot surfaces 1
Total 4 0 0
A10. Metal impacts i.e. tools No such processes on site. 1
striking metal Housekeeping regime in immediate working area 1
Housekeeping regime adequately supervised 1
Total 1 0 0
A11. Cooking No cooking on site. 1
Catering contracted out. 1
Cooking only allowed in specific and suitable areas. 1
Contractor complies with all relevant legislation. 1
Contractor is independently audited on behalf of the company. 1

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 FIRE RISK ASSESSMENT
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Potential score

Actual Score

Percentage
Expected Performance

Comments
Ducts and ventilation equipment kept clean. 1
Ducts and ventilation equipment serviced and maintained. 1
Total 7 0 0

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Potential score

Actual Score

Percentage
Expected Performance

Comments
A12. Electrical supplies and All electrical installations apparently installed by competent persons. 1
equipment. Faulty/misused Fixed electrical installations and equipment subject to routine testing and inspection by a competent person. 1
electrical equipment.
Lighting equipment All portable equipment subject to PAT regime. 1
All fuses, circuit breakers etc. of correct rating and suitable for purpose.
All fixed electrical equipment subject to maintenance regime by competent person. 1
All fixed electrical equipment inspected in accordance with legislation. 1
All faulty electricity switched off and isolated while awaiting repair or replacement. 1
Total 6 0 0
A13. Static electricity No apparent risks from static discharge. 1
Adequate earth bonding to discharge static electricity safely. 1
Total 2 0 0
A14. Lighting equipment Lighting so arranged that heat from the bulbs cannot give rise to a fire. 1
Total 1 0 0
A15. Arson Substantial security measures in place to guard against unauthorised entry. 1
Security guards present and active 24 hours per day 1
Restricted access to unmanned areas. 1
Restricted access to site. 1
Total 4 0 0

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 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments

B. FUEL - Flammable Chemicals

B1. Flammable liquids & No highly flammable or flammable substances on site. 1
solvents such as petrol, All such substances subject to COSHH regime with suitable storage facilities provided. 1
white spirit, methylated Only minimal quantities held. 1
spirits & paraffin. Alternative and less flammable substances used where possible. 1
Flammable liquid based Correct storage of flammable substances. 1
products such as paints, Terms contractors are independently audited for Company. 1
varnish, thinners &
adhesives.
Total 6 0 0

C. FUEL - Within the Workplace

C1. Waste materials. All waste removed daily. 1
Good housekeeping policy. 1
Cleaning contracted out and independently audited on behalf of Company. 1
Total 3 0 0
C2. Wood No significant quantities stored. 1
Quantities stored in specific areas with low fire risks. 1
Total 2 0 0
C3. Paper & cardboard No significant quantities stored. 1
Quantities stored in specific areas with low fire risks. 1
Total 2 0 0
C4. Plastic, rubber & foam No significant quantities stored. 1
such as Quantities stored in specific areas with low fire risks. 1
Total 2 0 0
C5. Textiles. No significant quantities stored. 1
Quantities stored in specific areas with low fire risks. 1
Total 1 0 0

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 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments

D. FUEL - Flammable Gases

D1. Flammable gases. No such substances used as part of the work process. 1
All gas cylinders stored in accordance with Regulations. 1
No cylinders left in areas other than the designated storage or use area. 1
Term contractors independently audited on behalf of Company. 1
Contractors subject to Permit to Work & Hot Work Permit regimes. 1
Total 5 0 0

E. FUEL - Buildings, Fixtures & Fittings

E1. Board walls and ceilings Walls and ceilings apparently constructed of fire retardant material. 1
including hardboard,
blockboard, chipboard etc.

Total 1 0 0
E2. Furniture including Furniture apparently constructed of fire retardant material. 1
fixtures & fittings, Furniture well maintained. 1
decorations & artificial Purchases of furniture to suitable quality & specifications. 1
flowers & shrubs. All artificial flowers and shrubs fire proofed periodically. 1
All decorations fire proof & removed after the event. 1
Total 5 0 0
E3. Synthetic wall & ceiling All synthetic wall and ceiling covering is fire retardant and maintained in good order. 1
coverage such as polystyrene
tiles.
Total 1 0 0

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 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments

F. OXYGEN - in the Air

F1. Natural airflow. Strict regime of fire doors etc. remaining closed and where necessary locked. 1
All doors, windows and other openings kept closed when not required for ventilation and after hours. 1

The integrity of all riser cupboards and passageways regularly inspected. 1

Total 3 0 0
F2. Air conditioning & air No air conditioning or air handling on site. 1
handling. All air conditioning and air handling switched off on activation of the fire alarm. 1
Air conditioning equipment subject to routine maintenance 1
Total 3 0 0

G. OXYGEN - Chemically Produced

G1. Oxidising agents and No oxidising agents or materials on site. 1
materials. Oxidising materials subject to COSHH regime, used and stored appropriately. 1
Oxidising agents clearly identified on their containers. 1
Contractors are independently audited on behalf of the Company. 1
Total 4 0 0
G2. Oxygen supplies. No oxygen supplies on site. 1
Strict control on the use and storage of oxygen cylinders. 1
Oxygen cylinders stored externally 1
Total 3 0 0

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 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments

H. MAINTENANCE AND TESTING - Fire

H1. Fire Doors, Escape Not subject to Fire Certificate. 1
Routes, Lighting, & Signs. Complies with Fire Certificate. 1
Fire doors meet legislative requirements and are subject to inspection & maintenance regimes. 1

Escape routes clearly identified using signage in accordance with legislation, leading to safe place & are 1
regularly inspected to ensure that they are kept clear.
Emergency lighting subject to inspection, testing & maintenance regimes. 1
Clear fire evacuation instructions posted for employees, visitors and contractors. 1
Total 6 0 0
H2. Fire Alarm & Detection Complies with Fire Certificate, if relevant. 1
System. Fire alarm system installed and audible throughout the building. 1
Automatic detectors installed where required. 1
System maintained by competent person. 1
Weekly testing of fire alarm. 1
Full inspection of alarm system carried out at least annually. 1
Clear operating instructions posted for employees, visitors and contractors. 1
Total 7 0 0

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 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments
J. MEANS OF ESCAPE
J1. Means of escape. All occupants able to escape to a place of safety within a reasonable time. 1
Enough exits provided, in the right place and clearly signed. 1
Types and sizes of exits suitable and sufficient for the number of people likely to need to use them (e.g. 1
wide enough for wheel chair users).
Alternative routes available should one be affected by fire. 1
All escape routes clearly identifiable, free from obstruction and adequately illuminated. 1
Staff are trained in using means of escape. 1
Total 6 0 0

K. FIRE PROCEDURE & TRAINING

K1. Fire Procedure & Fire Procedure in place. 1
Emergency Plan. Emergency Plan takes into account all foreseeable circumstances. 1
Emergency plan made available to all those who need to be aware of it. 1
Procedures to be followed clearly indicated throughout the workplace. 1
Consideration given to all people likely to be present in the workplace & others who share the building. 1

Total 5 0 0
K2. Training in Fire Employees familiar with plan, trained in its use and involved in testing it. 1
Procedure & Emergency
Plan
Total 1 0 0

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 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments

L. MEANS OF FIGHTING FIRE

L1. Fire fighting equipment: Equipment suitable for the risk and have been inspected and serviced by a competent person within the last 1
Fire extinguishers. 12 months.
Hose reels. Employees have received instructions in the use of the equipment and their personal limitations. 1
Fire blankets
Adequate fire fighting equipment throughout the workplace. 1
Correct type of fire fighting equipment located close to hazards where users can gain access to them 1
without exposing themselves to the risk.
Clear instructions posted on the equipment. 1
All portable fire fighting equipment kept clear and available for use. 1
Total 6 0 0
L2. Sprinkler systems. Sprinkler system subject to weekly test regime. 1

No storage within 1 metre of sprinkler heads. 1

Total 2 0 0
L3. Chemical full flood System inspected and serviced by a competent person within the last 12 months. 1
system. Persons in full flood areas fully aware of the operations and safety requirements of full flood systems. 1

Total 2 0 0

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 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments

M. DISABLED PERSONS AND THOSE WITH SPECIAL NEEDS

M1. Disabled persons and Plans & provisions take into account disabled persons & others with special needs. 1
those with
special needs
Total 1 0 0
M2. Physical Disabilities. Wheelchair access provided where required. 1
Safe havens provided for wheelchair users to await specialist help. 1
Persons given special responsibility to look after the safety of wheelchair users. 1
Total 3 0 0
M3. Mental Disabilities. Persons given special responsibility to look after the safety of persons with mental disabilities. 1

Total 1 0 0
M4. Deaf Persons and Noisy Visual warning devices where deaf persons may be or where the environment or use of PPE makes hearing 1
Environments. the audible warnings difficult.

Total 1 0 0
M5. Blind Persons. Special provisions made for those who may be blind or partially sighted. 1
Total 1 0 0

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 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments

N. SAFETY CHECKS - End of the Day

1. End of day safety checks. All windows and doors are closed, including doors held open by automatic release units. 1
Electrical equipment not in use is switched off, and where appropriate, unplugged. 1
Smokers materials are not left smouldering and ash trays are left in a safe location. 1
All naked flames are extinguished or left in a safe condition. 1
All flammable rubbish and waste is removed to a safe place. 1
All highly flammable materials are stored in a safe location. 1
The workplace and storage areas are secured against unauthorised entry. 1
Total 7 0 0

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 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments

P. TRAINING
P1. Induction: Prior to The location and use of the escape routes from where they may be on site. 1
commencing work, new The location,operation and meaning of the fire warning system where they may be on site 1
employees are given The location, operation and limitations of any firefighting equipment that may be on site 1
information about: Consideration is given to treating contractors as new employees 1
Total 4 0 0
P2. General fire training: Fire procedures. 1
Training package Location and use of fire fighting equipment. 1
periodically used for The action to take on discovering a fire. 1
employees covering: How to raise the fire alarm. 1
Fire prevention including housekeeping. 1
The arrangements in place for calling the fire brigade. 1
How to isolate a machine or process in the event of a fire. 1
The importance of fire check doors. 1
Total 8 0 0

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 FIRE RISK ASSESSMENT
REPORT

Potential score

Actual Score

Percentage
Expected Performance

Comments

Q. RECORD KEEPING
Q1. Records retained Landlord's responsibility 1
covering the maintenance Records kept covering the maintenance and testing of Fire extinguishers, 1
and testing of fire fighting Records kept covering the maintenance and testing of Hose reels, 1
equipment. Records kept covering the maintenance and testing of Sprinkler systems, 1
Records kept covering the maintenance and testing of Full flood systems. 1
Total 5 0 0
Q2. Records retained Landlord's responsibility 1
covering the maintenance Records kept covering the maintenance and testing of Fire alarm weekly test. 1
and testing of fire prevention Records kept covering the maintenance and testing of Fire alarm annual service. 1
equipment. Records kept covering the maintenance and testing of Fire check doors. 1
Records kept covering the maintenance and testing of Riser doors. 1
Records kept covering the maintenance and testing of Steel shutter doors. 1
Records kept covering the maintenance and testing of Smoke extraction systems. 1
Total 7 0 0
Q3. Records retained Induction fire training. 1
covering training. General staff fire fighting training. 1
Fire marshal's training. 1
Evacuations. 1
Total 4 0 0

R. FIRE CERTIFICATE
R1. Conditions applying to Certificate held on site. 1
fire certificate are being Issuing authority notified prior to any structural changes. 1
Total 2 0 0

Copyright TCH Safety 2006 16