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Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 1 Premises Particulars Premises Name: Address: Telephone Number: Use of the premises Owner/Employer/Persons in control of day to day control. They will be the “Responsible Person” Date of Fire Risk Assessment (FRA) Date of Review (Annually OR change in management, operations or structure) 2 General Statement of Policy A statement of intent to ensure the safety of employees and customers e.g. with reference to fire safety, your company/business will provide and maintain safe working conditions, equipment and systems for all, and to provide such information, training and supervision as need for this purpose etc. Statement: 3 Fire Responsibilities Provide commentary/outline who is responsible for which fire responsibilities/actions: Fire Management Plan Person Responsible Position Deputy Name/Position if applicable Person with overall responsibility for fire safety Person responsible for FRA including checking remote areas and looking after those with special needs Person responsible for FRA action plan, maintenance and review Person responsible for emergency action plan including procedures to be followed by employees in the event of fire Person responsible for staff training including action on discovering a fire, raising the alarm, calling the fire brigade, use of extinguishers and fire prevention procedures

Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

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Page 1: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

Fire Risk Assessment (FRA)

Regulatory Reform (Fire Safety) Order 2005

1 Premises Particulars Premises Name:

Address:

Telephone Number:

Use of the premises

Owner/Employer/Persons in control

of day to day control. They will be the

“Responsible Person”

Date of Fire Risk Assessment (FRA) Date of Review (Annually OR change in management, operations or structure)

2 General Statement of Policy A statement of intent to ensure the safety of employees and customers e.g. with reference to fire safety, your company/business will

provide and maintain safe working conditions, equipment and systems for all, and to provide such information, training and supervision

as need for this purpose etc.

Statement:

3 Fire Responsibilities Provide commentary/outline who is responsible for which fire responsibilities/actions:

Fire Management Plan Person Responsible Position Deputy Name/Position if

applicable

Person with overall responsibility for fire

safety

Person responsible for FRA including

checking remote areas and looking after

those with special needs

Person responsible for FRA action plan,

maintenance and review

Person responsible for emergency action

plan including procedures to be followed

by employees in the event of fire

Person responsible for staff training

including action on discovering a fire,

raising the alarm, calling the fire brigade,

use of extinguishers and fire prevention

procedures

Page 2: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

4 General Description of the Premises Occupancy

The number of persons (staff & customers) within the premises at any one time

Max Number:

Min Number:

Premises Size

Building footprint (metre x metre): m2

Number of floors (Inc. cellar):

Use of each floor (Inc. cellar):

Number of staircases:

5 Identify People at Risk Identify and specify the likely location of people at significant risk in case of fire, indicating why they are at risk and

what controls are, or need to be in place:

Do you have any domestic/sleeping accommodation?

If yes – Provide brief description

Do you have letting accommodation?

If yes – Provide brief description e.g. number rooms

6 Fire Safety Systems within the Premises (Inc. both commercial and domestic areas) Fire Warning System: (i.e. automatic fire detection, break-glass systems)

Do you have it? Yes / No

Does it work? Yes / No

Do you know how to test it? Yes / No

Commercial Yes / No Does it extend to the domestic areas? Yes / No Does it extend to the cellar? Yes / No

If action is required make notes in Section 14

Emergency Lighting:

Do you have it? Yes / No

Does it work? Yes / No

Do you know how to test it? Yes / No

Commercial Yes / No Does it extend to the domestic

areas?

Yes / No Does it extend to the cellar? Yes / No

If action is required make notes in Section 14

Fire Safety Signs & Notices:

Do you have appropriate & sufficient;

Yes

No

Directional signage for emergency evacuation

Dire Emergency Action Notices

Fire Door Notices

Assembly Points

Any other e.g. fire extinguisher notices

If action is required make notes in Section 14

Fire Fighting Equipment e.g. extinguishers, fire blankets etc.

Do you have it? Yes / No List equipment

Has it been inspected

recently?

Yes / No

Commercial Yes / No Does it extend to the domestic Yes / No Does it extend to the cellar? Yes / No

If action is required make notes in Section 14

Other: i.e. (Sprinkler system or any additional fire Safety)

Page 3: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

7 Plan Drawing It may be beneficial to include a copy of a plan outlining details of fire safety measures on the premises. This plan

would be marked to show fire alarm system, fire fighting equipment, emergency lighting and fire exits. Layout plans

may be obtained from landlords

8 Identify Fire Hazards & Steps taken to Reduce Risks Sources of Ignition:

Yes No Action taken to Reduce Risk

Smoking material, matches, lighters etc.

Naked flames e.g. open fires, candles, hot work processes

Fixed or portable heaters

External heaters

Cooking equipment

Lighting equipment

White goods e.g. tumble dryer

Friction, sparks

Arson

Other

List any additional action to be taken to prevent fire risk in section 14

Sources of Fuel:

Yes Location No Action take to Reduce Risk

Flammable liquids, solvents, oils etc.

Chemicals

Chimneys

Wood, paper, cardboard etc.

Plastic, rubber, foam

Flammable gases

Textiles

POS, display materials

Waste materials

LPG

Other

List any additional actions to be taken to prevent fire risk in section 14

Structural features that could promote the spread of fire: e.g. servicing hatches, dummy waiters, holes through walls/ceilings

List where they are

List any additional planned action to be taken to prevent fire risk in section 14

9 Means of Escape Consider and comment on the following:-

• In the event of a fire can all persons safely evacuate from the premises?

Do all escape routes lead to a place of safety?

Door openings & door fastening – can doors be opened easily without the use of a key?

Do the doors, walls and partitions to the stairway/corridors need to be fire resisting? (i.e. could a fire spread to the staircase/corridors

before occupants have evacuated taking into account the fire hazards)

In case of a fire, is the domestic/sleeping accommodation adequately fire separated from the commercial operation?

Housekeeping – is there storage of combustibles? Are there obstructions in escape routes?

List any addition planned action taken to prevent fire risk in Section 14

10 Maintenance Management Checklist Is there maintenance/testing programme for the fire safety provisions in the premises? Yes / No

How is this carried out?

Are regular checks of fire resisting doors, walls and partitions carried out? Yes / No

How is this carried out?

Are regular checks of escape routes and exit doors carried out? Yes / No

How is this carried out?

Page 4: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

Are regular checks of the fire safety signs carried out? Yes / No

How is this carried out?

Is there maintenance/testing regime for the fire warring system? Yes / No

Weekly: Yes / No Annually (Contractor): Yes / No

Is there maintenance/testing regime for the emergency lighting system? Yes / No

Monthly: Yes / No Annually (Contractor): Yes / No

Is there a maintenance and inspection of the fire fighting equipment? (By a competent person) Yes / No

Weekly: Yes / No Annually (Contactor): Yes / No

Are records kept in a log book? Yes / No

Copy of log book and certificates should be provided when requires by Regulators

11 Method for calling the Fire Service Establish and record the method by which the Fire Service would be called in the event of a fire and by whom? I.e.

From a place of safety, this person will need to….

12 Emergency Action Plan (EAP) The Responsible Person should produce an emergency action plan, which details procedures in the event of a fire in the

premises. The EAP should cover;

All foreseeable events; The action employees should take if they discover a fire; How people are warned; How

evacuation is carried out (action on hearing fire warning);To include the evacuation of visitors and people of

disabilities; Assembly points; procedures for checking the premises have been evacuated; Identify escape routes; Fire

fighting equipment: Duties and identities of persons with specific responsibilities in the event of a fire: Where

appropriate the isolating of machinery and processes: How the fire service are called and by who: Liaison with fire

service on arrival

Recommend A4 concise statement. Give this section a whole page

Page 5: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

13 Training In the event of a fire, all persons are at risk and therefore it is important that you/your staff know what to do in the

event of a fire.

All employees should receive fire safety training including a full explanation of the EAP. Training should be appropriate

to the size of your premises. Training should be carried out at every induction and other regular periods (usually once

or twice a year). Give brief details of training programme. Training should be recorded in the log book with copies of

certificates/ staff acknowledgement of training given.

14 Action Plan

List of actions required to improve fire safety Priority (High,

Medium, Low) Personal responsible

Date to be

completed

Date

completed

Signed:

Print Name:

Position:

A copy of this Fire Risk Assessment should be kept away from the premises in case of a fire e.g. Landlord

Page 6: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

Fire Risk Log Book

Regulatory Reform (Fire Safety) Order 2005

1 Emergency Lighting This logbook is for keeping the record at:

Address:

Responsible Person/s

Maintenance Company Details

Name:

Telephone:

Mobile:

No. Location NBCD No. Location NBCD No. Location NBCD

1 11 21

2 12 22

3 13 23

4 14 24

5 15 25

6 16 26

7 17 27

8 18 28

9 19 29

10 20 30

NBCD = Next Battery Change Due

Page 7: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

1.1 Emergency Lighting Service Date Company Faults Found Action Taken Signature

Page 8: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

1.2 Emergency Lighting Monthly Test

Date Checked By Faults Found Action Taken Signature

Page 9: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

2 Fire Alarm System This logbook is for keeping the record at:

Address:

Responsible Person/s

Maintenance Company Details

Name:

Telephone:

Mobile:

Panel Manufacturer System Standard: BS5839 Pt1 1988 / Pt 1 2002 or BS5839 Pt 6

Certificates issued for a BS5839 PT1 2002 System System Type

Batteries By: Date: Certificate No:

Qty Volts Amps Last Changed Design

Installation

Commissioning

Acceptance

Verification

Modification

No. Detector or Call Point Type & Location Zone No. Detector or Call Point Type & Location Zone No. Detector or Call Point Type & Location Zone

1 11 21

2 12 22

3 13 23

4 14 24

5 15 25

6 16 26

7 17 27

8 18 28

9 19 29

10 20 30

Page 10: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

2.1 Fire Alarm Service

Date Company Faults Found Action Taken Signature

Page 11: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

2.2 Fire Alarm Activations/Tests

Date False or Genuine Alarm Zone/Location Action Required Signature

Page 12: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

2.3 Fire Alarm Weekly Test

Date Checked By Faults Found Action Taken Signature

Page 13: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

2.4 Register of Fire Doors

Door No. Location Res. Min SS/IS Single Double SC RM Glass

Codes SS = Smoke Seal IS = Intumescent Strip SC = Self Closing RM = Release Mechanism Res.Min = Resistance Minutes

Page 14: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

2.5 Fire Door Inspection Record

Door No. Date Fault/Remedial Action Taken Signature

Page 15: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

3 Fire Evacuation Drills Date of Drill: Assessment of Evacuation:

Type of Evacuations: Drill / Actual Alarm / False Alarm

No. of Persons Involved:

Evacuation Time: Remedial Action Required:

Time to Roll Call Completion:

Responsible Person

Name: Comments

Position:

Signature:

Date of Drill: Assessment of Evacuation:

Type of Evacuations: Drill / Actual Alarm / False Alarm

No. of Persons Involved:

Evacuation Time: Remedial Action Required:

Time to Roll Call Completion:

Responsible Person

Name: Comments

Position:

Signature:

It is recommended that Fire Evacuations drills are carried out every 6 months or when changes are introduced at the premises

Page 16: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

3 Fire Evacuation Drills Date of Drill: Assessment of Evacuation:

Type of Evacuations: Drill / Actual Alarm / False Alarm

No. of Persons Involved:

Evacuation Time: Remedial Action Required:

Time to Roll Call Completion:

Responsible Person

Name: Comments

Position:

Signature:

Date of Drill: Assessment of Evacuation:

Type of Evacuations: Drill / Actual Alarm / False Alarm

No. of Persons Involved:

Evacuation Time: Remedial Action Required:

Time to Roll Call Completion:

Responsible Person

Name: Comments

Position:

Signature:

It is recommended that Fire Evacuations drills are carried out every 6 months or when changes are introduced at the premises

Page 17: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

4 Portable Fire Extinguishers This logbook is for keeping the record at:

Address:

Responsible Person/s

Maintenance Company Details

Name:

Telephone:

Mobile:

No. Location NTD No. Location NTD No. Location NTD

1 11 21

2 12 22

3 13 23

4 14 24

5 15 25

6 16 26

7 17 27

8 18 28

9 19 29

10 20 30

NTD = Next Test Due

Page 18: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

4.1 Portable Extinguisher Service

Date Company Faults Found Action Taken Signature

Page 19: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

4.2 Portable Extinguisher Weekly Test

Date Checked By Faults Found Action Taken Signature

Page 20: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

5 Fire Officer Visits

Date Comments and Recommendations Officer

Page 21: Fire Risk Assessment (FRA) Regulatory Reform (Fire · PDF file · 2016-09-20Fire Risk Assessment (FRA) Regulatory Reform (Fire Safety) Order 2005 ... BS5839 Pt1 1988 / Pt 1 2002 or

6 Staff Training Record

Date Employee Type of Training Employee Signature Trainer Signature