Fire Risk Assessment Form

Name of person consulted:

Email:

Name of responsible person for fire safety in the building:

Address of premises:

Date of previous risk assessment:

If available, attach previous risk assessment:

Number of floors at ground level and above:

Number of floors entirely below ground level:

Floors on which car parking is provided:

Number of flats:

Approximate gross floor area:
m²

Brief details of construction and approximate age of building:

Attach picture of front of building:

Occupancy & intended use of property:

Reason for requesting fire assessment:

The occupants

Approximate maximum number of employees at any one time:

Approximate maximum number of other occupants at any one time:

Approximate total number of people present in the building at any one time:

Occupants especially at risk from fire

Sleeping occupants:
YesNo

If yes, how many sleeping occupants?:

Occupants in remote areas and lone workers:

Others?

Disabled occupants (if known):

Fire loss experience

Has there been any fires in the past?:

Cost of the past fire losses in £:

Is there any alteration notice in force?:

General risk assessment questions

Who is responsible for the overall fire safety at the premises and managed by whom?:

Please attach fire strategy, if there are suitable records of fire safety arrangements:

Is there an evacuation strategy in place?:
YesNo

If yes, attach evacuation strategy document:

Is there an emergency lighting in the property & when was it last tested by a competent contractor?:

If yes, please attach the most up-to-date service certificate/ report:

Is a fire system in the property conforming to BS5839 & when was it last tested by a competent contractor?:

If yes, please attach the most up-to-date service certificate/ report:

Is monthly and annual testing carried out on the emergency light (3hr run down test)?:
YesNo

If so, please upload evidence (e.g., log book):

Do you have extinguishing media in place (e.g., fire extinguishing media)? If so, please identify what extinguishing:

What date was the last EICR carried out on the internal property's electrical distribution board?

Please upload last completed EICR:

Are there appropriate records available of fire alarm and emergency lighting tests?:
YesNo

If able to do so, then please upload here:

Is there a suitably located premises information box for the fire and rescue services on site?:
YesNo

If so, please upload a picture of this:

Are there arrangements in place to keep the premises information box up to date?:

Is the emergency lighting and fire alarm under contract? If so, when was the last service performed and when is the next service due?:

Is fire information disseminated to staff/residents?:
YesNo

Please upload any documents given out to staff/residents:

Are fire drills carried out regularly? If so, when was the previous one carried out?:

Please upload evidence of previous fire drill (e.g., log book entry):

What training has staff carried out in relation to fire safety training, if applicable (e.g., fire marshal, fire extinguisher training)?:

Please upload copies of these:

Does anyone have a specific role in fire safety within the building? If so, please state names and roles:

Additional information

Additional information

Agree to the below statement

Ahead of our scheduled Fire Risk Assessment, we kindly request that you make the following documents and records available for review. This will ensure the assessment can be carried out thoroughly and in full compliance with the Regulatory Reform (Fire Safety) Order 2005, Fire Safety Act 2021, Fire Safety (England) Regulations 2022 and relevant British Standards:

• Current Fire Safety Policy.

• No Smoking Policy (if applicable).

• Evacuation Policy / Fire Evacuation Procedures.

• Fire Alarm Service & Maintenance Records (last service/test report).

• Emergency Lighting Service & Maintenance Records (last service/test report).

• Latest Electrical Installation Condition Report (EICR).

• Gas Safety Inspection / Servicing Records (if applicable).

• Ventilation, Smoke Control or AOV (Automatic Opening Vent) servicing records (if installed).

• Fire Suppression System servicing records (if applicable).

• Any other relevant servicing, maintenance or testing records related to fire safety systems or equipment on site.

Having these documents ready will allow us to carry out a full audit of your fire safety management system and provide you with an accurate, compliant fire risk assessment.

If you have any questions about what is required, please don’t hesitate to contact us prior to the visit.

You must confirm the above statement.
I confirm