Fire Risk Assessment Form

This form can be completed on-line and submitted to HelpMeRent.co.uk. An Electronic PDF version can be purchased for £10 in the HelpMeRent.co.uk Store

Full Property Address:

Who is Completing the Inspection:

Are you a competent person:

Owners Full Name & Address:

Name & Address of Property Manager if managed by an Agent:

Description of Dwelling:

No. of floors [exc. basement]:

Mixed Commercial Use:

Habitable basement:

Inner rooms:

Unoccupied basement:

Gallery rooms:

Property Type

Singly occupied:

Building with self-contained flats:

Shared HMO:

Flats in multiple occupation:

Bedsit type HMO:

Back to back:

Kitchen

Shared:

Inside bedsit:

Exclusive Use:

Occupancy

Normal max no. occupiers:

No. of bedrooms:

Vulnerable Persons

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Tenants capable of evacuating building without assistance:

Elderly persons:

Children under 11 yrs:

Reduced mobility:

Visually impaired:

Hearing impaired:

Evidence of alcohol/drug abuse:

Comments:

Certificates

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Gas Safety Certificate Available:

Electrical Periodic Inspection:

Fire Alarm Maintenance Certificate:

Emergency Lighting Maintenance Certificate:

Comments:

Heating

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Gas or oil fired central heating:

Fixed electric panel or oil convector:

Radiant gas or electric fire:

Portable heater:

Open fire:

Comments:

High Risk Factors

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Security grilles over exit doors or ground floor windows:

Inadequate fire resisting construction for fire separation:

Unsafe layout/arrangement of accommodation :

Exceptionally high number occupants for property type:

Property vulnerable to arson attack:

Comments:

Explanation of form:

The purpose of the form is to gather as much information as possible in order to assess the risk of fire:

The number of boxes filled in will depend on the number of rooms and stairs at the property:

This form is a one size fits all and therefore needs to be used flexibly for different property types - the comments section can be used appropriately:

This form is intended to be used with the LACORS Housing Safety Guidance available HERE

Tenant Behaviour

Evidence of excessive or unsafe smoking materials:

Evidence electric sockets are overloaded:

Flammable liquids stored unsafely or excessive amounts:

I there evidence of unsafe cooking practices:

Have tenants been showed how to use the fire precautions:

Is there a 'What to do incase of fire' plan displayed:

Have tenants been showed how to use fire extinguishers:

Have tenants been given general information on fire prevention:

Comments:

Maintenance

Are all portable appliances provided by the landlord in good condition and subject to regular checks by a competent person:

Are the sockets, switches, fitments and wires of the ring main and electric circuits in good visual order and periodically inspected by a competent person:

Do the gas installation and appliances appear to be in a safe condition, in good repair and are serviced and maintained by a competent person:

s the gas installation checked, serviced and certificated at least once a year by a competent registered gas fitter, and copies of the certificate given to the tenants:

Is the escape route clear of obstruction, means of storage or trip hazards clear of obstacles:

Are tenants own electrical appliances in good visual condition and appropriately used:

Do all heating systems appear to be in safe condition, in good repair and are subject to regular servicing and maintenance by a competent person:

Has all upholstered furniture provided by the landlord got sewn in labels showing it has fire resistant fillings and covers which are compliant :

Do you carry out regular safety inspections of the property and maintain records of these:

Is the fire detection and alarm system regularly tested, serviced and maintained by a competent electrical engineer and records maintained:

Comments & Any General Comments:

Basement

The head of the basement stair is separated from the ground floor by fire resisting material including a fire door:

A fire escape door to outside of the property is provided at basement level:

All habitable rooms are provided with escape windows:

There is a fire protected route of escape to the ground floor:

Unoccupied basement/cellar

The head of the basement stair is separated from the ground floor by fire resisting material including a fire door:

Mains wired smoke detectors are provided:

The basement is free of combustible rubbish or other readily combustible material:

Stairs / Hallway / Landing

Ceiling

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Can the ceiling resist the passage of smoke, gases and flames for a sufficient period of time to allow the tenants to escape from the building safely:

Comments:

Stairs

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Free from trip or falling hazards:

Sound repair:

Handrail provided:

Any glazing is wired fire safety glass:

The stairs are not long and complex:

Final exit door openable without use of key:

Comments:

Lighting

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Adequate lighting at top & bottom of stairs:

Easily located light switches:

Whole stair* lighting:

Borrowed* lighting:

Emergency lighting:

Light fitments different to those in bedsit rooms*:

Comments:

Whole stair lighting = all stair lights come on when any one switch is pressed

*Borrowed lighting = lighting provided through windows into the stair from external street lighting

*Different light fitments avoids bulbs being removed from the stairs lighting

Walls

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Can the walls resist the passage of smoke, gases and flames for a sufficient period of time to allow the tenants to escape from the building safely:

Comments:

Stairs Contd

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Mains wired smoke detector:

Stairway free of obstructions:

Stairway free of combustible materials:

Fire extinguishers:

Fire alarm control panel in ground floor hall:

‘Fire exit’ signage provided in the escape route:

Comments:

For 5 & 6 Storey Properties Only

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Rooms separated from the escape route by fire resisting lobbies:

Secondary means of escape from the fifth floor:

Secondary means of escape from fifth & sixth two floors:

Fire separation provided across stair between second and third and fourth and fifth floors:

Comments:

* for specific advice for five and six storey HMOs and building comprising Self contained flats please refer to pages 45 & 46 and 48 & 49 of the LACORS guidance at www.lacors.gov.uk/lacors/upload/19175.pdf

Tenant Behaviour

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Evidence of poor fire safety behavior:

Evidence of excessive, unsafe use of candles or other sources of ignition:

Evidence unsafe smoking practices:

Unsafe accumulation of or unsafe storage of readily flammable substances e.g. petroleum based substances:

Evidence of tampering with fire safety measures e.g. disabling self-closing device or smoke detector:

Comments:

Summary of Property Inspection

Potential Risk:

Fire Risk Assessment Form

This form can be completed on-line and submitted to HelpMeRent.co.uk. An Electronic PDF version can be purchased for £10 in the HelpMeRent.co.uk Store

Property Type

Kitchen

Occupancy

Vulnerable Persons

Certificates

Heating

High Risk Factors

Tenant Behaviour

Maintenance

Ceiling

Walls

Floors

Windows

Space Heating

Electrics

Room Door

Flat Entrance Door [if applicable]

General Fire Safety

Tenant Behaviour

Ceiling

Walls

Floors

Windows

Space Heating

Electrics

Room Door

Flat Entrance Door [if applicable]

General Fire Safety

Tenant Behaviour

Ceiling

Walls

Floors

Windows

Space Heating

Electrics

Room Door

Flat Entrance Door [if applicable]

General Fire Safety

Tenant Behaviour

Ceiling

Walls

Floors

Windows

Space Heating

Electrics

Room Door

Flat Entrance Door [if applicable]

General Fire Safety

Tenant Behaviour

Ceiling

Walls

Floors

Windows

Space Heating

Electrics

Room Door

Flat Entrance Door [if applicable]

General Fire Safety

Tenant Behaviour

Ceiling

Walls

Floors

Windows

Space Heating

Electrics

Room Door

Flat Entrance Door [if applicable]

General Fire Safety

Tenant Behaviour

Ceiling

Walls

Floors

Windows

Space Heating

Electrics

Kitchen Entrance Door

Flat Entrance Door [if applicable]

General Fire Safety