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7/28/2019 Short Blank FRA template.pdf
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RECORD OF FIRE SAFETY RISK ASSESSMENT
Building Name & Use:
Address:
Postcode:
Name of person(s) with fire safety duties:
Name and contact details of assessor:
Date ofAssessment:
Assessorsignature:
STEP 1 IDENTIFY FIRE HAZARDS
Refer to Part One of the relevant Fire Safety Risk Assessment guide (see list on back page)
Sources of ignition, eg, electrical fittings, smoking, heating, open flames
Sources of fuel, eg, furniture, textiles and fabrics
Sources of oxygen, eg, ventilation
YES NOAction required (Please tick)If you answered YES, record Action Points at STEP 4
STEP 2 IDENTIFY PEOPLE AT RISK
Refer to Part One of the relevant Fire Safety Risk Assessment guide
List all persons potentially at risk from fire, including employees, tenants, visitors and contractors
YES NOAction required (Please tick)If you answered YES, record Action Points at STEP 4
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STEP 3 EVALUATE, REMOVE, REDUCE AND PROTECT FROM RISK
Refer to Part One of the relevant Fire Safety Risk Assessment guideLikelihood of a fire starting
Evaluate the risk to people
YES NOAction required (Please tick)If you answered YES, record Action Points at STEP 4
STEP 4 RECORD, PLAN, INFORM, INSTRUCT AND TRAIN
Refer to Part One of the relevant Fire Safety Risk Assessment guideFire Safety Policy (Forfurther guidance on Fire Safety Policy see Part Two of guide)
Emergency fire action plan
Fire safety information and training
YES NOAction required (Please tick)If you answered YES, record Action Points at STEP 4
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STEP 4 RECORD, PLAN, INFORM, INSTRUCT AND TRAIN (continued)
Refer to Part One of the relevant Fire Safety Risk Assessment guideFire drills
Maintenance of safety measures (For further guidance see Appendix A of relevant Risk Assessmentguide)
Recording information and keeping records
YES NOAction required (Please tick)If you answered YES, record Action Points at STEP 4
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The assessor completing the following section should prioritise remedial measures, based on the level ofrisk.
Priority ratings and suggested timescales:
Low (L) 3 6 months Medium (M) Up to 3 months High (H) As soon as possible
STEP 4 ACTION POINTS
PriorityPerson
responsibleCompletion date
Note: Please print additional sheet if required
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Review the fire risk assessment if there is a reason to suspect it is no longer valid or if there hasbeen a significant change in the matters to which it relates.
Reference Part One of the relevant sector specific, fire safety risk assessment guide
STEP 5 ASSESSMENT REVIEW
Review date Review by
Reason for review
Outcomes of review
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FIRE SAFETY RISK ASSESSMENT GUIDES
The following premises guides are available from Northern Ireland Fire & Rescue websitewww.nifrs.org. Follow the Make sure youre Fire Safe link and go to GuidanceDocuments. These can be downloaded from the Communities and Local Government
section.
1 Offices and Shops;
2 Factories and Warehouses;
3 Sleeping Accommodation;
4 Residential Care Premises;
5 Educational Premises;
6 Small and Medium Places of Assembly;
7 Large Places of Assembly;
8 Theatres, Cinemas and Similar Premises;
9 Open Air Events and Venues;
10 Healthcare Premises;
11 Transport Premises and Facilities;
12 Animal Premises and Stables;
13 Means of Escape for Disabled People (Supplementary Code); and
14 Reducing the Number of False Alarms from Detection and Alarm Systems.
Adapted from original materials created by the Scottish Centre for HealthyWorking Lives and the Scottish Fire and Rescue Services